JULY 30, 2007
VOLUME 4 NO. 13

PATIENTS & PRACTICE

Lightning strikes iPod jogger


iPods and thunderstorms don't mix. That's the message from a Canadian case study in July 12's NEJM.

This summer has brought its share of wacky weather to Canadians. The seemingly endless rain and thunderstorms have been especially annoying for outdoor sports enthusiasts. But the NEJM case shows that sometimes it's better to just stay put when the weather outside is frightful.

The 37-year-old Vancouver man described in the case had been out jogging while listening to his iPod during a thunderstorm. Suddenly, according to witnesses, lightning hit a nearby tree and "side flashed" from the tree to the man. Opisthotonic muscle contraction sent the man flying several metres, resulting in blunt trauma injuries. He suffered second-degree burns on his chest and leg, and had two tellingly linear burns which stretched along the front of his chest up into his eardrums. Both eardrums were ruptured — common lightning injuries — most likely due to air rapidly expanding as it was heated by the current. He also suffered bilateral ossicular dislocations — rare in cases of lightning strikes. On top of this, he had bilateral mandibular fractures, probably due to muscle contraction.

The Vancouver docs who authored the case study surmise that the iPod's trademark white earphones led to the internal flow of electrical current. While it's unlikely the lightning was initially attracted by the digital audio player, the skin's electrical resistance might have otherwise prevented the direct delivery of lightning into the man's head, had he chosen not to rock out during his jog.

Having lost his hearing in one of the most medically interesting ways possible, the patient's now dependent on hearing aids. His strange case will likely fuel urban legends — and perhaps cautious behaviour — for years to come.

 

 

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