Table 1. Estimated Effects of 60 Hz AC Currents
1 mA Barely perceptible
16 mA Maximum current an average man can grasp and ?let go?
20 mA Paralysis of respiratory muscles
100 mA Ventricular fibrillation threshold
2 Amps Cardiac standstill and internal organ damage
15/20 Amps Common fuse or breaker opens circuit*
*Contact with 20 milliamps of current can be fatal. As a frame of reference, a
common household circuit breaker may be rated at 15, 20, or 30 amps.
When current greater than the 16 mA ?let go current? passes through the forearm, it stimulates
involuntary contraction of both flexor and extensor muscles. When the stronger flexors dominate,
victims may be unable to release the energized object they have grasped as long as the current flows.
If current exceeding 20 mA continues to pass through the chest for an extended time, death could
occur from respiratory paralysis. Currents of 100 mA or more, up to 2 Amps, may cause ventricular
fibrillation, probably the most common cause of death from electric shock.11 Ventricular fibrillation
is the uneven pumping of the heart due to the uncoordinated, asynchronous contraction of the ventricular
muscle fibers of the heart that leads quickly to death from lack of oxygen to the brain. Ventricular
fibrillation is terminated by the use of a defibrillator, which provides a pulse shock to the
chest to restore the heart rhythm. Cardiopulmonary resuscitation (CPR) is used as a temporary care
measure to provide the circulation of some oxygenated blood to the brain until a defibrillator can be
used.23
The speed with which resuscitative measures are initiated has been found to be critical. Immediate
defibrillation would be ideal; however, for victims of cardiopulmonary arrest, resuscitation has the
greatest rate of success if CPR is initiated within 4 minutes and advanced cardiac life support is
initiated within 8 minutes (National Conference on CPR and ECC, 1986).6
The presence of moisture from environmental conditions such as standing water, wet clothing, high
humidity, or perspiration increases the possibility of a low-voltage electrocution. The level of
current passing through the human body is directly related to the resistance of its path through the
body. Under dry conditions, the resistance offered by the human body may be as high as 100,000
Ohms. Wet or broken skin may drop the body?s resistance to 1,000 Ohms. The following illustrations
of Ohm?s law demonstrates how moisture affects low-voltage electrocutions. Under dry conditions,
Current=Volts/Ohms = 120/100,000 = 1 mA, a barely perceptible level of current. Under wet conditions,
Current=Volts/Ohms = 120/1,000 = 120 mA, sufficient current to cause ventricular fibrillation.
Wet conditions are common during low-voltage electrocutions.
High-voltage electrical energy quickly breaks down human skin, reducing the human body?s resistance
to 500 Ohms. Once the skin is punctured, the lowered resistance results in massive current flow,
measured in Amps. Again, Ohm?s law is used to demonstrate the action. For example, at 1,000 volts,
7
Current=Volts/Ohms = 1000/500 = 2 Amps, which can cause cardiac standstill and serious damage to
internal organs.