Despite low prevalence compared to other thermal injuries, severe electrical trauma with large area of injury and deep burns is associated with extremely high risk of death. Severity of pathological process depends on many factors: electric current itself, body status. Treatment of these injuries is a labor-intensive process, including numerous surgical interventions. Surgical treatment should be started as early as possible after admission. The authors describe electric injury from high-voltage power transmission network. This example demonstrates how early intensive care and surgical treatment affect the outcome.