RT Journal A1 Cooper M, Holle R, Lopez R T1 REcommendations for lightning safety JF JAMA JO JAMA YR 1999 FD September 22 VO 282 IS 12 SP 1132 OP 1133 DO 10-1001/pubs.JAMA-ISSN-0098-7484-282-12-jbk0922 UL http://dx.doi.org/10-1001/pubs.JAMA-ISSN-0098-7484-282-12-jbk0922 AB 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