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Updated: Feb 2, 2026
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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
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Medical Emergencies in Farmers
Sharon C M Reece1,2,3, Deva Thiruchelvam3,4, Donald A Redelmeier3,4,5,6,7
1Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.
Summary
Agricultural workers face longer emergency care delays and a higher risk of death or disability after severe injuries compared to construction workers. These outcomes are linked to delayed emergency medical services.
Area of Science:
- Occupational Health
- Trauma Care
- Public Health
Background:
- Agricultural work presents significant hazards impacting long-term health.
- Comparison of long-term disability and mortality risks between agricultural and construction workers is crucial.
Purpose of the Study:
- To compare the risk of long-term disability and death in severely injured agricultural workers versus construction workers.
- To investigate the impact of emergency care delays on outcomes for agricultural workers.
Main Methods:
- Analysis of severely injured adults from Ontario Trauma Registry (April 2009-March 2012).
- Exclusion criteria: out-of-province residents, missing health card, individuals under 17.
- Primary outcome: death or disability support application after 5-year follow-up.
Main Results:
- 353 patients studied; agricultural workers had more frequent emergency care delays (>12 hours) (43% vs 23%).
- Agricultural workers showed a marginally higher death/disability rate (23% vs 14%) over 5 years (HR 1.62, P=.072).
- Longest delays to emergency care correlated with the greatest risk of death and disability.
Conclusions:
- Agricultural workers experience significant delays in emergency care.
- A marginally higher risk of death or disability exists for agricultural workers post-injury compared to construction workers.
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