Electrical burns create unique injury patterns with external burns representing fraction of internal damage along current pathways. Entry and exit wounds appear small but extensive internal destruction occurs between points. High voltage (>1000V) causes dramatic injuries while household current kills through cardiac effects. Arc burns occur without direct contact from electrical explosions reaching 4000°C. Tissue resistance determines current flow with nerves and blood vessels conducting preferentially. Cardiac effects include immediate arrest or delayed arrhythmias requiring monitoring. Neurological damage causes peripheral neuropathy, spinal cord injury, or brain dysfunction. Vascular injury leads to compartment syndrome requiring fasciotomies or delayed thrombosis. Muscle destruction releases myoglobin causing kidney failure without aggressive hydration. Bone heating creates periosteal burns with potential osteonecrosis developing later. Cataracts develop months after facial electrical burns requiring monitoring. Psychological effects include cognitive changes from brain current flow. Workplace electrical injuries implicate safety violations and inadequate lockout/tagout procedures. Product defects in appliances or tools create strict liability for manufacturers. Utility company negligence maintaining power lines causes preventable public exposures. Understanding electrical burn complexity ensures comprehensive evaluation and compensation for hidden damage.