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Background Initial excess of creatinine kinase (CK) has been shown to correlate with extent of muscle damage in electrical burns.[1] High voltage burns leading to extensive muscle damage, compartment syndrome and rhabodmyolysis is clinically apparent at an early stage. However, the frequency of these injuries is rare. Low voltage (<1000V) injuries from domestic appliances are far more common with few if any clinical signs. In order to develop a local guideline, the current practise of investigations ordered in our department was analysed.

Should serum creatinine kinase levels and an ECG be routinely obtained in low voltage electrical burn injuries?