When a person is struck by lightning, which of the following findings is least likely?

When a person is struck by lightning, they may experience a range of physiological effects, but extensive skin burns are least likely to occur. Lightning strikes typically result in a high-voltage, high-current discharge that can cause injuries primarily through electrical conduction and thermal injuries. However, the primary impact of a lightning strike often manifests as neurological injuries, potentially leading to respiratory arrest or cardiac asystole due to the disruption of normal heart rhythms and respiratory function.

While burns can occur, they are generally superficial and not extensive, especially in contrast to other immediate life-threatening conditions. The electrical nature of a lightning strike can lead to conditions such as cardiac asystole (the heart's electrical activity ceasing) and significant neurological impairment, which could be represented by a Glasgow Coma Score of 3. In instances where a person is struck by lightning, the chances of severe neurological compromise or the absence of breathing are more common than the occurrence of extensive burns on the skin.