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Basic electricity electrotherapy physiotherapy
Citation preview
Sreeraj S R
Electrotherapy
Basic Electricity
Sreeraj S R
What is electrotherapy?
Medical therapy using electric currents. Also
called electrotherapeutics.
Electrotherapy, also electro physical agents
(EPA) are any forms of treatment or
assessment conducted using an electro
physical agent which can be applied externally
to the human body.
http://www.thefreedictionary.com/electrotherapy
Robertson V, Ward A, Low J, Reed A. Electrotherapy Explained. 4th edition. Elsevier; 2006. p. 2
Sreeraj S R
Atom
http://www.bbc.co.uk/schools/gcsebitesize/science/add_edexcel/static_elec/staticrev1.shtml
Sreeraj S R
Atom
Electrons fill the lowest energy shells
Atoms tend to have their outer shell full
They may gain or loose electron to achieve this.
If the atom gains an electron it is negative ion.
(Cl-)
If the atom loses an electron it is positive ion.
(Na+)
Forster A, Palastanga N. Clayton’s Electotherapy, Theory ans Practic. 9th Ed. W B Saunders; 2006. p 2
http://198.185.178.104/iss/electricity/pages/b11.xml
Sreeraj S R
Atom
Atoms can have an electrical charge, positive or negative.
This happens when an atom gains or loses electrons.
The number of protons never changes in an atom.
More electrons means a negative charge and fewer means a
positive charge.
Once an atom has an electrical charge it is called an ion.
In an ion the atomic number and atomic mass do not change
from the original.
If an atom were to gain or lose neutrons it becomes an
isotope.
http://www.universetoday.com/56747/atom-structure/#ixzz2dT7JQkrm
http://revisionworld.co.uk/quick-revise/5133
Sreeraj S R
Chemical bond
A chemical bond is an attraction between atoms that allows the formation of chemical substances that contain two or more atoms.
The bond is caused by the electrostatic force of attraction between opposite charges, between electrons and nuclei.
The number of electrons in the outer shell of an atom has the effect on the reactions of that atom with others.
Inert gases like argon, krypton have complete outer shell.
Reactive gases are those elements are looking to complete their outer shell so they are reactive.
http://en.wikipedia.org/wiki/Chemical_bond
Forster A, Palastanga N. Clayton’s Electotherapy, Theory ans Practic. 9th Ed. W B Saunders; 2006. p 3
Sreeraj S R
Compounds
A compound is a substance formed by the union of two or more elements
They can be separated into simpler substances by chemical reactions.
They have a unique and defined chemical structure;
They consist of a fixed ratio of atoms
Chemical compounds can be;
molecular compounds held together by covalent bonds,
salts held together by ionic bonds/ electrovalent,
Forster A, Palastanga N. Clayton’s Electotherapy, Theory ans Practic. 9th Ed. W B Saunders; 2006. p 3
http://en.wikipedia.org/wiki/Chemical_compound
Sreeraj S R
Covalent Bonds
A form of chemical bonding
between two atoms which is
characterized by the sharing of
pairs of electrons between atoms.
A covalent bond is formed
between two non-metals that
have similar electro negativities.
Neither atom is "strong" enough
to attract electrons from the other.
For stabilization, they share their
electrons from outer molecular
orbit with others.http://www.diffen.com/difference/Covalent_Bonds_vs_Ionic_Bonds
http://facstaff.gpc.edu/~pgore/PhysicalScience/Naming-chemical-compounds.html
Sreeraj S R
Electrovalent Bonds
Also known as Ionic bond.
formed from the electrostatic attraction between oppositely charged ions in a chemical compound.
occur mainly between a metallic and a non metallic atom.
Non-metals (-ve ion) are "stronger" than the metal (+veion) and can get electrons very easily from the metal.
These two opposite ions attract each other and form the ionic bond.
http://www.diffen.com/difference/Covalent_Bonds_vs_Ionic_Bonds
http://facstaff.gpc.edu/~pgore/PhysicalScience/Naming-chemical-compounds.html
Sreeraj S R
Covalent Bonds vs. Electrovalent Bonds
Covalent Bonds.. Electrovalent Bonds..
are formed by mutual sharing of electrons are formed by complete transfer of
electrons
are made up of molecules. are made up of ions.
are usually liquids or gases. are hard, crystalline solids
are insoluble in polar solvents like water. are usually soluble in water.
are soluble in non-polar solvents like
benzene or carbon tetrachloride
insoluble in non-polar solvents like CI4.
generally have low melting and boiling
points.
generally have high melting and boiling
points
are bad conductors of electricity. are good conductors of electricity in the
molten state and in aqueous solutions
but insulators in the solid state.
http://www.publishyourarticles.net/knowledge-hub/science/what-is-the-difference-between-electrovalent-and-
covalent-compounds.html
Sreeraj S R
Static Electricity?
A stationary electrical charge that is built up on the surface of a material
After being rubbed, a plastic ruler can attract paper scraps.
Ruler carries electric charge.
It exerts electric force on paper
The interaction between static electric charges is called electrostatics.
Sreeraj S R
Insulators and conductors
In a conductor, electric current can flow freely,
in an insulator it cannot.
"Conductor" implies that the outer electrons of
the atoms are loosely bound and free to move
through the material.
Most atoms hold on to their electrons tightly
and are insulators.
Sreeraj S R
Insulators and conductors
Insulators: materials that do NOT allow
electrons to flow through them easily.
Insulators can be easily charged by friction as the extra
electrons gained CANNOT easily escape.
Static Electricity ppt
Sreeraj S R
Insulators and conductors
Conductors: materials that allow electrons to flow
through them easily.
Conductors CANNOT be easily charged by friction as
the extra electrons gained can easily escape.
Static Electricity ppt
Sreeraj S R
++ + +
+
metal can ---
--
----- --
induced
charges attraction
repulsion
Induction
• The production of a charge in
an uncharged body by
bringing a charged object
close to it.
When negatively charged rod is
put near a metal can...
• electrons of the can are
pushed away from the rod.
• top of the can: positive
• buttom of the can: negative
• So there is attraction >
repulsion
Static Electricity ppt
Sreeraj S R
Induction
----- --
paper +–+–+–+–
+–+–+–+–
attraction
repulsion
• Similarly, when
charged rod is close
to paper scrap...
• molecules of paper
align
• attraction between the
rod and + charge
• repulsion between the
rod and - charge
Static Electricity ppt
Sreeraj S R
Electric Fields
They are nothing but a way of pictorially mapping the electric field around a configuration of charges.
General Properties of Electric Lines of Force
The lines of force or field lines
1. start from positive charges and end at negative charges. In the case of a single charge, they may start or end at infinity.
2. two field lines can never intersect each other.
3. contract longitudinally.
4. exert lateral pressure on one another.
5. are perpendicular to the surface of a charged conductor.
6. do not pass though the conductor.
http://www.tutorvista.com/content/physics/physics-iv/electric-charges/electric-field-lines.php
Sreeraj S R
Electric Fields
If it is a positively charged body, then the
electric lines of force are directed away from
the body.
If the body is negatively charged, then the
lines of force are directed towards the body.
http://www.tutorvista.com/content/physics/physics-iv/electric-charges/electric-field-lines.php
Sreeraj S R
Electric Fields
When two positively charged bodies are
involved, the electric lines of force gives a
vivid picture of mutual repulsion.
In the case of two equal and opposite charges,
the lines of force clearly shows mutual
attraction, the lines move from +ve to -ve.
http://www.tutorvista.com/content/physics/physics-iv/electric-charges/electric-field-lines.php
Sreeraj S R
Electrical Current
http://www.howequipmentworks.com/physics/electricity/basic_electricity/basic_electricity.html
Sreeraj S R
Electrical Current
Current
Voltage
Resistance
http://www.reprise.com/host/electricity/voltage.asp
Sreeraj S R
Current
amount of electric
charge passing a point in
an electric circuit per unit
time
Current is measured in
units called amperes.
6.241 × 1018 electrons, or
one coulomb per second.
The quantity of electricity
is measured in coulombs.
http://www.howequipmentworks.com/physics/electricity/basic_electricity/basic_electricity.html
http://en.wikipedia.org/wiki/Ampere
Sreeraj S R
In medical electricity the unit of current is in
milliamperes i.e. 1/1000 of an ampere
Forster A, Palastanga N. Clayton’s Electotherapy, Theory ans Practic. 9th Ed. W B Saunders; 2006. p 12
Sreeraj S R
Voltage
potential difference
across a conductor when
a current of one ampere
dissipates one watt of
power.
The unit of
measurement for
potential difference is
"volt".
http://www.howequipmentworks.com/physics/electricity/basic_electricity/basic_electricity.html
Sreeraj S R
Resistance
electrical resistance is something that “resists” the flow of electrons/current.
Electrical resistance is measured in Ohms (Ω).
Most circuits have more than one component, called a resistor
A measure of this limit on charge flow is called resistance
http://www.howequipmentworks.com/physics/electricity/basic_electricity/basic_electricity.html
Sreeraj S R
Resistance; Ohm's law
Ohm's law states that the
electrical current (I)
flowing in a circuit is
proportional to the voltage
(V) and inversely
proportional to the
resistance (R).
I = V / R
Where:
I = Electrical Current (Amperes)
V = Voltage (Voltage)
R = Resistance (Ohms)
http://inspectapedia.com/electric/ElectricalDefinitions.htm#Resistance
http://www.ndt-ed.org/EducationResources/CommunityCollege/EddyCurrents/Physics/currentflow.htm
Sreeraj S R
Resistance; Ohm's law
http://www.howequipmentworks.com/physics/electricity/basic_electricity/basic_electricity.html#ohm_law
Sreeraj S R
Resistance; Ohm's law
http://www.howequipmentworks.com/physics/electricity/basic_electricity/basic_electricity.html#ohm_law
Sreeraj S R
Resistance; Ohm's law
http://www.howequipmentworks.com/physics/electricity/basic_electricity/basic_electricity.html#ohm_law
Sreeraj S R
Resistance; Ohm's law
http://www.howequipmentworks.com/physics/electricity/basic_electricity/basic_electricity.html#ohm_law
Sreeraj S R
Resistance
The simplest combinations
of resistors are the
a) series and
b) parallel
http://cnx.org/content/m42356/latest/?collection=col11406/latest
Sreeraj S R
Series Circuits
A series circuit is a circuit in which resistors are arranged in a chain
so the current has only one path to take.
equivalent resistance of resistors in series :
R = R1 + R2 + R3 + ...
The current is the same through each resistor but
Voltage changes on each resistor
http://physics.bu.edu/py106/notes/Circuits.html
http://cie-wc.edu/Series-and-Parallel-Circuits-4-11-11.pdf
Sreeraj S R
Parallel circuits
In a parallel circuit the resistors are arranged with their heads connected together, and their tails connected together.
equivalent resistance of resistors in parallel :
1/R=1/R1+1/R2+1/R3.....
The current in a parallel circuit breaks up but
The voltage across each resistor in parallel is the same.
1
0.2+0.0714+0.0476+0.04+0.01 = 2.7 Ω
http://cie-wc.edu/Series-and-Parallel-Circuits-4-11-11.pdf
Sreeraj S R
Electrical Watts
Watts is a measure of the amount of electricity being
used - a rate of electrical power consumption.
power (Watts) = current (amps) x potential
difference (volts)
For a current of 5 A and the potential difference of 12
V, the power is 5 × 12 = 60 W.
This means that 60 J of energy is transferred per
second.
http://inspectapedia.com/electric/ElectricalDefinitions.htm#Watts
http://www.bbc.co.uk/schools/gcsebitesize/science/add_aqa_pre_2011/electricity/mainselectrev4.shtml
Sreeraj S R
Joule’s law
When a current passes through a conductor some of its energy is converted to thermal energy.
Joule’s law states that the amount of heat produced in a conductor is proportional to the square of the current in amperes (I2), the resistance in ohms (R) and the time in seconds (t) for which the current flows. i.e.
Q = I2 Rt
Forster A, Palastanga N. Clayton’s Electotherapy, Theory ans Practic. 9th Ed. W B Saunders; 2006. p 12
Sreeraj S R
Basic Electrical Components
Sreeraj S R
Resistor
A resistor is an electrical
component that limits or
regulates the flow of
electrical current in an
electronic circuit.
http://searchcio-midmarket.techtarget.com/definition/resistor
http://www.mikroe.com/old/books/keu/01.htm
Sreeraj S R
Transformers
A transformer is an electrical apparatus
designed to convert alternating current from
one voltage to another.
The functions of Transformers are;
To alter the voltage of an alternating
current
To render the current earth free
http://www.acmepowerdist.com/pdf/Page_6-16.pdf
Forster A, Palastanga N. Clayton’s Electotherapy, Theory ans Practic. 9th Ed. W B Saunders; 2006. p 30
Sreeraj S R
Transformers, Working
Transformer works on the principle of mutual induction of two coils.
When current in the primary coil is changed, the flux linked to the secondary coil also changes.
Consequently an EMF is induced in the secondary coil.
Upadhyay D . Electrical & Electronics Engineering. Hindustan college of Science & Technology. Ppt presentation
Sreeraj S R
Transformers; Construction
The core, which provides a path for the magnetic lines of flux.
The primary winding, which receives energy from the AC source.
The secondary winding, which receives energy from the primary winding and delivers it to the load.
The enclosure, which protects the above components from dirt, moisture, and mechanical damage.
http://www.navymars.org/national/training/nmo_courses/NMO2/module2/14174_ch5.pdf
http://www.emt-india.net/process/power_plants/Transformers.htm
Sreeraj S R
Transformers; Construction
Mainly Transformers have two
types of construction….
CORE type: the primary and secondary windings are placed on each side of the core.
The core type has two limbs
SHELL type: the LV & HV windings are sandwiched between each other.
shell type has three limbs.
Upadhyay D . Electrical & Electronics Engineering. Hindustan college of Science & Technology. Ppt presentation
Sreeraj S R
Transformers, Types
Step-up transformer Step-down transformer
http://keywon.com/wiki/index.php?title=AC_Circuits
Sreeraj S R
Transformers, Configurations
Static transformer
Variable transformer
Auto transformerhttp://keywon.com/wiki/index.php?title=AC_Circuits
http://www.cybermike.net/reference/liec_book/AC/AC_9.html
http://en.wikipedia.org/wiki/File:Tapped_autotransformer.svg
Sreeraj S R
Sreeraj S R
Transformers, in Earthing
Using power without an isolating
transformer: Touching the live terminal
will result in a shock as the body
completes a circuit between live and
earth.
Using power with an isolating
transformer: Bridging between either
terminal and ground is safe because there
is no circuit through which the current
can flow.
http://www.soundonsound.com/sos/nov06/articles/crosstalk_1106.htm
Sreeraj S R
Capacitor
What is Capacitance?
Capacitance is the ability of a device to store
electrical energy in an electrostatic field.
Or the ability of a component to store an
electrical charge.
The Symbol for Capacitance is “C”
https://www.google.co.in/url?sa=t&rct=j&q=&esrc=s&source=web&cd=8&cad=rja&ved=0CGIQFjAH&url=http%3A%2F%2Fwww.
hamptonhigh.ca%2Fhaas%2Fdocuments%2Fintro%2FCapacitors.ppt&ei=RgYuUpjYNcLWrQfb9IGoDw&usg=AFQjCNFzJkiINpxX
A1epNOtoJ8FhQcaO8g&sig2=fUpX1eYhXN5TWWr11HrtGg
Sreeraj S R
Capacitor
Capacitance is measured in Farads (F).
The Farad is too large for ordinary use so
typically the Microfarad of the Pico farad are
used.
µF = Microfarad
pF = Picofarad
1 µµµµF = 0.000,001F
1 pF = 0.000,000,000,001F
https://www.google.co.in/url?sa=t&rct=j&q=&esrc=s&source=web&cd=8&cad=rja&ved=0CGIQFjAH&url=http%3A%2F%2Fwww.
hamptonhigh.ca%2Fhaas%2Fdocuments%2Fintro%2FCapacitors.ppt&ei=RgYuUpjYNcLWrQfb9IGoDw&usg=AFQjCNFzJkiINpxX
A1epNOtoJ8FhQcaO8g&sig2=fUpX1eYhXN5TWWr11HrtGg
Sreeraj S R
Capacitor
Also referred to as
a Condenser
It is a device for storing
electric charge.
Capacitors consist of
two conducting surfaces
separated by an
insulator.
http://www.electronics-tutorials.ws/capacitor/cap_1.html
Sreeraj S R
Capacitors,working
When a capacitor is connected to a voltage source current will flow until the capacitor is fully charged.
The capacitor is charged with an excess of electrons on one plate (-charge) and a deficiency of electrons on the other plate (+ charge)
A capacitor discharges when the accumulated charge is allowed to flow off the plates.
The time taken for this discharge depends upon
1. Capacitance of condenser
2. Resistance of pathway
3. Quantity of electricity
Upadhyay D . Electrical & Electronics Engineering. Hindustan college of Science & Technology. Ppt presentation
Sreeraj S R
Capacitors, electric field
The EF between the
plates of a charged
capacitor tend to take
the shortest route.
They repel one another
They rarely travel on
straight line
Forster A, Palastanga N. Clayton’s Electotherapy, Theory ans Practic. 9th Ed. W B Saunders; 2006. p 34
http://commons.wikimedia.org/wiki/File:VFPt_capacitor.svg
Sreeraj S R
Capacitors, oscillator circuit
An oscillatory circuit is
that of a condenser and
an induction coil in low
ohmic resistance.
Forster A, Palastanga N. Clayton’s Electotherapy, Theory ans Practic. 9th Ed. W B Saunders; 2006. p 35-36
Sreeraj S R
Capacitors, oscillator circuit
http://en.wikipedia.org/wiki/File:Tuned_circuit_animation_3.gif
Sreeraj S R
Capacitors, Types
Fixed Capacitors
the capacitance cannot be changed.
Variable Capacitors
the capacitance can be changed.
Sreeraj S R
Capacitors, Types
Fixed Capacitors
Electrolytic
Electrostatic
Mica
Ceramic
paper
Sreeraj S R
Capacitors, Types
Variable Capacitors
air capacitors
trimmers
Sreeraj S R
Thermionic valves
These are devices which allow electron flow in one direction only and working using heat.
The cathode (filament) heated o produce space charge of electrons.
The anode (plate) attracts electrons across the valve.
Forster A, Palastanga N. Clayton’s Electotherapy, Theory ans Practic. 9th Ed. W B Saunders; 2006. p 36-37
Sreeraj S R
Thermionic valves
Triode valve
It is possible, using an external circuit to make the grid
– ve: repel electron to stop the flow
+ ve: allows electron flow through valve
Neutral: grid will not effect electron flow
Forster A, Palastanga N. Clayton’s Electotherapy, Theory ans Practic. 9th Ed. W B Saunders; 2006. p 36-37
Sreeraj S R
Thermionic valves
Uses:
Rectification: as current flows in one direction
it is possible to convert an AC to DC
Amplifier: triode valve can be used as
electronic amplifier
Switch: triode valve can be used to braek the
circuit.
Forster A, Palastanga N. Clayton’s Electotherapy, Theory ans Practic. 9th Ed. W B Saunders; 2006. p 36-37
Sreeraj S R
Thermionic valves
Sreeraj S R
Semiconductors
They are usually metals with the addition of impurities have electrons free to conduct current
n – type with excess of electrons
p – type with deficiency of electrons so + ve ‘holes’
If a p- and n- type semiconductors are fused together current can only flow in n to p direction
i.e. it acts as a valve
Forster A, Palastanga N. Clayton’s Electotherapy, Theory ans Practic. 9th Ed. W B Saunders; 2006. p37
Sreeraj S R
Semiconductors
Sreeraj S R
Transistors
Device that uses a small amount of current to control a large amount of current (Current Amplifier).
They utilize a sandwich of p- and n- type semiconductor materials.
Electron enters at emitter
current amplified and passed across through base
Electron leaves form collector
Forster A, Palastanga N. Clayton’s Electotherapy, Theory ans Practic. 9th Ed. W B Saunders; 2006. p 38-39
Sreeraj S R
Transistors
Sreeraj S R
Rheostat
Devices used to regulate current by altering
either the resistance of the circuit or
the potential in part of the circuit
Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 39-40
Sreeraj S R
Rheostat
Construction
It consists of a coil of high
resistance wire wound onto
an insulating block with
each turn insulated from
adjacent turns.
Contact is made via a strip
from which insulation is
removed.
The contact is mounted on
a sliding bar or rotation
knob.Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 39-40
Sreeraj S R
Rheostat
Variable or series rheostat
If all the coils of wire in
rheostat are included in
the circuit resistance is
maximum and current
lowest
Used in regulating heat in
apparatuses like paraffin
wax baths
Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 39-40
Sreeraj S R
Rheostat
Potentiometer or shunt rheostat
Wired across a source of potential difference in parallel.
According to ohm's law greater the PD across the a resistance the greater the current produced.
When B at A no PD, so no current
When B at C maximum PD as in A
A current regulating mechanism
Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 39-40
Sreeraj S R
General structure of LF generators
Low J, Reed A. Electrotherapy Explained, Principles and practice. 2 edition. Page 19
Sreeraj S R
Mains supply
Current for this is produced by dynamos (electrical generator) at power stations.
An EMF is induced by the movement of a conductor and two magnetic field in relation to each other.
Dynamos can produce either AC or DC
http://aaenvironment.com/Electricity.htm
Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 41-42
Sreeraj S R
Mains supply
Advantages of AC
A greater voltage can be produced
Possible to alter voltage with static
transformers
So suitable for long distance transmission
Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 39-40
Sreeraj S R
Mains supply, The grid system
Residential power supplied in India is two wire 220 volts, permitted variation 6%, and maximum load 40 amperes. Frequency 50 Hz.
A three phase current is generated.
i.e. three coils of dynamo generate three separate current.
Distribution of current via three live cables with a common neutral cable.
These four cables carry current across the country.
http://en.wikipedia.org/wiki/Mains_electricity_by_country
Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 42-43
Sreeraj S R
Mains supply
http://en.wikipedia.org/wiki/File:Electricity_grid_simple-_North_America.svg
Sreeraj S R
Mains supply, wiring in house
Distribution to customer is by one live wire
and one neutral wire
It passes through main fuses, meter, main
switch and to various circuits in parallel.
The light circuits have 5 ampere fuses for
each 4 to 6 points
The power circuit with stronger wiring with
15 ampere fuse for each point.
Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 43
Sreeraj S R
Fuse
It is designed to be a weak point in a circuit which ‘blows’ if a current of too great intensity is passed.
This causes the circuit to break
It consists of a wire of low melting point.
It is an safety feature.
Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 47
Metal cap
To mains live wire
To neutral wire
Glass tube
Silver fuse wire
Metal cap
Sreeraj S R
Fuse
In Physiotherapy department a Fuse is an
essential safety feature.
They are included in the
department wiring and
electrotherapeutic equipments
If a fuse blows, the apparatus which causes the
damage should be disconnected and the main
supply switch off.
Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 47
Sreeraj S R
Power plug
Three pin plug most common
Sreeraj S R
Earthing of apparatus
Precaution against earth shock
Earthing the device casing with a low
resistance wire.
In the event of device casing comes in contact
with exposed live wire the operator can receive
a shock.
However earthing the casing causes the current
to leak through and causes the fuse to blow.
Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 47-48
Sreeraj S R
Electric shock
A shock is a painful stimulation of sensory nerves caused by a sudden flow, cessation or variation in the current passing through the body.
Severity of shock depends on
the magnitude of the current and
The path taken by the current.
Path taken through head, neck, heart or whole body might prove fatal.
Shocks are more sever with AC than DC.
Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 50-54
Sreeraj S R
Electric shock, effects
A minor shock leads to fright and distress.
A severe shock can lead to;
Fall in BP
Loss of consciousness
Respiratory failure: signs of cessation of respiration, cyanosis
Cardiac arrest: signs of absent/abnormal breathing, absence of pulse and fully dilated pupils
Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 50-54
Sreeraj S R
Electric shock, treatment
Following minor shock
Disconnect the victim from source.
Switch off current.
reassure the patient and allow to rest.
Give cold water to drink. (avoid hot water as it
can cause vasodilation and sweating leading to
fall in BP)
Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 50-54
Sreeraj S R
Electric shock, treatment
Following severe shock
Victim is laid flat and allow easy breathing
Loosen tight clothing
Provide adequate ventilation
If the patient is unconscious summon MO.
If cessation of breathing give mouth to mouth, mouth to nose or O2 by bag and mask
In the event of cardiac arrest cardiac message must be added along with above.
Call for medical help immediately.Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 50-54
Sreeraj S R
Electric shock, causes
Sudden increase in current during treatment
due to:
Machine switched don with controls up.
Sudden appearance of pulsed current with the
intensity high
Patient touching the machine
Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 50-54
Sreeraj S R
Electric shock, precautions
The apparatus and the connections should be
tested before use
Controls should beat zero before switching on
Provide adequate warm up for equipment if
needed
Instruct the patient not to touch the apparatus
Service the apparatus regularly
Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 50-54
Singh J. Text book of Electrotherapy. 2 edition. Jaypee. 2012. p 64
Sreeraj S R
Earth shock
When a shock is due to a connection between the live wire or earth it is known as an earth shock.
Connection to live wire can occur when
Wire is not properly insulated.
The live wire is not disconnected when the switch is put on neutral wire
Live wire touching metal casing
Live wire is touched to wet thing
Connection to live wire can occur when
Touching any conductor connected to earth
Metal casing on apparatus
Forster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 50-54
Singh J. Text book of Electrotherapy. 2 edition. Jaypee. 2012. p 64
Sreeraj S R
Earth shock, precautions
Proper arrangement of physiotherapy
department with insulating materials
Proper flooring with insulating materials and
kept dry
Patient should not touch the apparatus
Metal casing of all aparatus shold be
connected to earth
Use wooden furnishingsForster A, Palastanga N. Clayton’s Electrotherapy, Theory and Practice. 9th Ed. W B Saunders; 2006. p 50-54
Singh J. Text book of Electrotherapy. 2 edition. Jaypee. 2012. p 64
Sreeraj S R
Thank You