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To the Editor: For 35 years (1959-1994), lightning has been the second largest storm-related cause of death in the United States, exceeded only by flash floods.¹ Lightning kills approximately 100 people each year and is responsible for 5 to 10 times more injuries.² The sequelae of lightning injury are not well appreciated either by the lay public or by many physicians. Many survivors of lightning injury complain of chronic pain syndromes, sympathetic nervous system injury, sleep disturbances, and neurocognitive deficits.^2-3 Because people who are struck by lightning are most often healthy and productive young adults, lightning strike injuries represent a significant source of disability.^1-3

In the past, people were taught to calculate the number of miles to a thunderstorm using "flash to bang,"⁴ ie, in which the number of seconds from the lightning flash to the sound of thunder is divided by 5 to determine how many miles away the . . . [Full Text of this Article]

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