Michael E. Beatty, Elvin G. Zook, Robert C. Russell, Lewis
R. Kinkead
NIOSH Education and Information Division
AUTHOR ABSTRACT
Corn
picker injuries, although more infamous, are less frequent
than those produced by the grain auger. The former rarely
occurs in other than adult males who are responsible for their
carelessness, whereas the grain auger injury frequently involves
innocent and uninformed youths. We report 4 arms, 4 forearms,
5 hands, 24 digits, 2 legs, 4 feet, and 4 toes injured by
a grain auger in 24 patients. Multiple-level injuries accounted
for the larger number of injuries than patients. Twelve amputations or devascularizations were reattached or revascularized
successfully. Not all amputations had attempts at reattachment
because of the severe crushing of the part and/or stump that
was present in all patients to varying degrees. All wounds
were heavily contaminated and were treated with voluminous
irrigation and adequate debridement. Serial debridements were
needed prior to coverage in several patients. Prevention is
the best treatment, but given early aggressive care, many
injured can regain a high level of function.
JOURNAL AND
NATIONAL LIBRARY OF MEDICINE ID#
JOURNAL:
Plast Reconstr Surg. 1982; 69(1): 96-102.
Note:
Plastic and Reconstructive Surgery.
NLOM ID#:
82083008
.
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by permission of the author and/or copyright holder. More
NASD Review: 04/2002
This
document was extracted from the CDC-NIOSH Epidemiology of
Farm Related Injuries: Bibliography With Abstracts, U.S.
Department of Health and Human Services, Public Health Service,
Centers for Disease Control, National Institute for Occupational
Safety and Health.
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