11.  You overspend your photography budget and the office manager applies 3500 volts of electrical current to your hand.  What will die?  Is tissue loss progressive or is it progressive recognition by the surgeon?  (PRS 1988; 82:1027  PRS 1984; 73:431)

Answer:
The papers cited provide contradictory explanations. The 1988 paper looked at a 40 kj electrical injury in green monkey arms and concluded that there was no evidence for progressive necrosis. The 1984 paper by Robson suggests that increased production of arachidonic acid metabolites (e.g. thromboxane) produces progressive injury. The 1988 study is more comprehensive and thus appears more reliable.
 

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