Lightning injuries are one of the rarest types of injuries admitted to the ER. They are accompanied by a wide spectrum of symptoms with less or more dangerous evolutions. The most severe of them are rhabdomyolysis, acute kidney injury, and danger cardiac arrhythmias. Treatment of those patients is challenging for the whole personnel of the emergency ward. In this paper, we present a case of a 34-year-old male who suffered a lightning injury during a family fest organized at a public square. Over time, the patient's status was changing from almost a lack of symptoms to severe complications, including rhabdomyolysis, compartment syndrome, hyperkaliemia, and cardiac arrhythmias.
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