transmit an impulse. At radio frequencies, there is insufficient time during a half-cycle for enough ions to cross the membrane before the alternating voltage reverses. The danger is that since no pain is felt, experimenters often assume the currents are harmless. Teachers and hobbyists demonstrating small Tesla coils often impress their audience by touching the high-voltage terminal or allowing the streamer arcs to pass through their body. If the arcs from the high-voltage terminal strike the bare skin, they can cause deep-seated burns called RF burns. This is often avoided by allowing the arcs to strike a piece of metal held in the hand, or a thimble on a finger, instead. The current passes from the metal into the person's hand through a wide enough surface area to avoid causing burns. Often no sensation is felt, or just a warmth or tingling. However this does not mean the current is harmless. Even a small Tesla coil produces many times the electrical energy necessary to stop the heart, if the frequency happens to be low enough to cause ventricular fibrillation. A minor misadjustment of the coil could result in electrocution. In addition, the RF current heats the tissues it passes through. Carefully controlled Tesla coil currents, applied directly to the skin by electrodes, were used in the early 20th century for deep body tissue heating in the medical field of longwave diathermy. The amount of heating depends on the current density, which depends on the power output of the Tesla coil and the cross-sectional area of the path the current takes through the body to ground. Particularly if it passes through narrow structures such as blood vessels or joints it may raise the local tissue temperature to hyperthermic levels, "cooking" internal organs or causing other injuries. International ICNIRP safety standards for RF current in the body in the Tesla coil frequency range of 0.1 – 1 MHz specify a maximum current density of 0.2 mA per square centimeter and a maximum power absorption rate (SAR) in tissue of 4 W/kg in limbs and 0.8 W/kg average over the body. Even low power Tesla coils could exceed these limits, and it is generally impossible to determine the threshold current where bodily injury begins. Being struck by arcs from a high power (> 1000 watt) Tesla coil is likely to be fatal. Another reported hazard of this practice is that arcs from the