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Prevention of high-pressure injection injuries to the hand
Raymond G Hart1, Gillian D Smith, Adeel Haq
1Department of Emergency Medicine, University of Louisville School of Medicine, KY 40202, USA.
Objectives:
To identify populations at high risk for, and the usual mechanisms of injury in, high-pressure injection injuries to the hand.
Methods:
A case note review of a historical cohort of 76 patients, presenting with high-pressure injections injuries to the hand over a 12-year period, collected information including sex, age, hand dominance, and occupation of the patient and mechanism of injury, when documented.
Results:
Eighty-two percent of these injuries were work-related, affecting mainly manual workers (84%), including 13 painters, 10 mechanics, 8 farmers, and 3 water blasters. The mechanism of injury, recorded in 63%, was most commonly a ruptured hose or inadvertent gun discharge during cleaning or use.
Conclusions:
Preventative measures could include a targeted safety program for equipment users, engineering improvements in gun and hose design, economic incentives, and workplace legislation.
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