Document Detail


Hand injuries due to high-pressure injection devices for painting in shipyards: circumstances, management, and outcome in twelve patients.
MedLine Citation:
PMID:  12704627     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Injuries due to high-pressure injections are frequently underestimated occupational accidents, which may have disabling outcomes. METHODS: The occupational injuries logbooks of two shipyards were examined. Twelve accidents due to the utilization of high-pressure equipment were reported. Data were obtained by reviewing the employers' logbooks and hospital records. RESULTS: Contaminants were epoxy paint and stucco, paint solvent, hydraulic and industrial oil. In three cases, the palm was injured and the fingers in nine. In 91% of cases, the accident occurred in the last 2 hr of the work shift. Mishandling (n = 9) and rupture of the high-pressure equipment (n = 3) were the causes. Mean time to medical treatment was 42.5 hr (SD 56.0). Ten workers were permanently disabled. CONCLUSIONS: Prompt surgical intervention with debridement and decompression was done in two workers, who healed completely. The ten patients who were not treated immediately eventually experienced a high rate of disability and five of them also suffered amputation.
Authors:
Matteo Valentino; Venerando Rapisarda; Concettina Fenga
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of industrial medicine     Volume:  43     ISSN:  0271-3586     ISO Abbreviation:  Am. J. Ind. Med.     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-04-21     Completed Date:  2003-09-16     Revised Date:  2006-02-27    
Medline Journal Info:
Nlm Unique ID:  8101110     Medline TA:  Am J Ind Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  539-42     Citation Subset:  IM    
Copyright Information:
Copyright 2003 Wiley-Liss, Inc.
Affiliation:
Clinica di Medicina del Lavoro, Università di Ancona, Polo Didattico Torrette, Ancona, Italy. profvalentino@libero.it
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MeSH Terms
Descriptor/Qualifier:
Accidents, Occupational
Adult
Amputation
Debridement
Decompression, Surgical
Disabled Persons
Hand Injuries / etiology*,  therapy*
Humans
Industry
Injections / adverse effects*
Male
Middle Aged
Pressure / adverse effects*
Ships
Time Factors
Treatment Outcome
Wounds, Penetrating / etiology,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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