What is the primary concern when managing patients with electric burns?

When managing patients with electric burns, the primary concern revolves around cardiac arrhythmias due to electrical injury. This is because electrical currents can disrupt the normal electrical activity of the heart, leading to potentially fatal arrhythmias such as ventricular fibrillation or asystole. The pathway that an electric current takes through the body is crucial; it can involve the heart directly, which is why cardiac monitoring is essential in these cases.

While neurological impairment, severe skin damage, and respiratory failure are also important considerations in the management of electric burns, the immediate threat to life typically arises from the potential for arrhythmias. The effects of electrical injury on the heart often manifest quickly and can be life-threatening, therefore making it a priority in the acute management of these patients.