Injuries, sequelae, and treatment of lightning-induced injuries: 10 years of experience at a swiss trauma center

Principals. Lightning is one of the most powerful and spectacular natural phenomena. Lightning strikes to humans are uncommon but can cause devastating injuries. We analyzed lightning-related admissions to our emergency department from January 2000 to December 2010 to review and highlight the main features of lightning-related injuries. Methods. All data were collected prospectively and entered in the emergency department' database (Qualicare Switzerland) and retrospectively analyzed. Results. Nine patients with lightning-related injuries presented to our emergency department. Four were female, and five were male. The most common site of injury was the nervous system (6 out of 9 patients) followed by the cardiovascular system (5 out of 9 patients). The third most common injuries occurred to the skin (3 out of 9 patients). Four of the patients had to be hospitalized for further observation. Conclusion. Reports of lightning strikes and related injuries are scarce. The establishment of an international register would therefore benefit the understanding of their injury patterns and facilitate specific treatment.

Impact of weather and climate on the incidence of acute coronary syndromes

BACKGROUND: First investigations of the interactions between weather and the incidence of acute myocardial infarctions date back to 1938. The early observation of a higher incidence of myocardial infarctions in the cold season could be confirmed in very different geographical regions and cohorts. While the influence of seasonal variations on the incidence of myocardial infarctions has been extensively documented, the impact of individual meteorological parameters on the disease has so far not been investigated systematically. Hence the present study intended to assess the impact of the essential variables of weather and climate on the incidence of myocardial infarctions. METHODS: The daily incidence of myocardial infarctions was calculated from a national hospitalization survey. The hourly weather and climate data were provided by the database of the national weather forecast. The epidemiological and meteorological data were correlated by multivariate analysis based on a generalized linear model assuming a log-link-function and a Poisson distribution. RESULTS: High ambient pressure, high pressure gradients, and heavy wind activity were associated with an increase in the incidence of the totally 6560 hospitalizations for myocardial infarction irrespective of the geographical region. Snow- and rainfall had inconsistent effects. Temperature, Foehn, and lightning showed no statistically significant impact. CONCLUSIONS: Ambient pressure, pressure gradient, and wind activity had a statistical impact on the incidence of myocardial infarctions in Switzerland from 1990 to 1994. To establish a cause-and-effect relationship more data are needed on the interaction between the pathophysiological mechanisms of the acute coronary syndrome and weather and climate variables.

How Climate and Vegetation Influence the fire Regime of the Alaskan Boreal Biome: The Holocene Perspective

We synthesize recent results from lake-sediment studies of Holocene fire-climate-vegetation interactions in Alaskan boreal ecosystems. At the millennial time scale, the most robust feature of these records is an increase in fire occurrence with the establishment of boreal forests dominated by Picea mariana: estimated mean fire-return intervals decreased from ≥300 yrs to as low as ∼80 yrs. This fire-vegetation relationship occurred at all sites in interior Alaska with charcoal-based fire reconstructions, regardless of the specific time of P. mariana arrival during the Holocene. The establishment of P. mariana forests was associated with a regional climatic trend toward cooler/wetter conditions. Because such climatic change should not directly enhance fire occurrence, the increase in fire frequency most likely reflects the influence of highly flammable P. mariana forests, which are more conducive to fire ignition and spread than the preceding vegetation types (tundra, and woodlands/forests dominated by Populus or Picea glauca). Increased lightning associated with altered atmospheric circulation may have also played a role in certain areas where fire frequency increased around 4000 calibrated years before present (BP) without an apparent increase in the abundance of P. mariana. When viewed together, the paleo-fire records reveal that fire histories differed among sites in the same modern fire regime and that the fire regime and plant community similar to those of today became established at different times. Thus the spatial array of regional fire regimes was non-static through the Holocene. However, the patterns and causes of the spatial variation remain largely unknown. Advancing our understanding of climate-fire-vegetation interactions in the Alaskan boreal biome will require a network of charcoal records across various ecoregions, quantitative paleoclimate reconstructions, and improved knowledge of how sedimentary charcoal records fire events.