(Click the link to comment and to vote – voting not working through email, sorry!)

Which of the following patients that sustained electrical injury requires further observation in the ED or admission (should not be discharged home now)?

A) A toddler that bit on an electrical cord, has an oral commissure burn, but has normal labs and ECG and is tolerating po’s and has no active bleeding

B) A 4 year old that put a fork into a European socket and sustained a small burn to the hand, is asymptomatic, has normal CK and ECG and soft compartments

C) A teen who was running from law enforcement and was brought in with a retained taser dart, which has been subsequently removed, and who is currently asymptomatic

D) A teen who touched a downed power line and sustained electrical shock, labs and ECG are normal and is currently asymptomatic

Which patient should not be discharged from the ED?