Surgeon's Case: The tool of the tools. (By. Dr. Maizo)

in health •  last month

Foto Portada.jpg

¿The tools of the tools?... Yes! is the Hand!

Hand Accidents

Accidents involving the hands are one of the main industrial hazards. Its prevention involves knowing the risk and its consequences, as well as the elements and equipment with which one works.

In all jobs and industries, one of the main tools we use is our hands. With them, we feel, feel, we can create, know and transform, and therefore, they have an immeasurable value. As a result, they are the part of our body most at risk of injury which, following simple recommendations, can be avoided.

The most frequent accidents affecting the hands are entrapment, entrapment, repetitive motions and contact. In fact, they account for one-third of all occupational accidents in our country. Therefore, measures must be taken when working to protect them and avoid cuts, dermatitis, amputations, burns, among other injuries.

Banner.jpg

IMG_20171017_070517.jpg

Consequences

Many types of injuries can result from trauma to the hand, from simple trauma that can heal in the first 24 hours to amputations due to the use of heavy machinery. It is always important that the worker who handles these types of tools knows the consequences of inappropriate use.

Types of Hand Injuries on the Job

  • Traumatic Injury: Occurs as a result of careless use of machinery or tools. Hands and fingers are trapped, pinched or crushed on chains, wheels, rollers or gears.
  • Contact injuries: These occur from contact with solvents, acids, cleaning solutions, flammable liquids, mechanical forces such as pressure, friction and vibration, environmental factors such as heat, cold, wind, radiation and overexposure to the sun, which can cause burns or damage to tissues.
  • Repetitive motion injuries: Occur when tasks require repeated, rapid hand movements for long periods of time. Manufacturing or assembly work can cause such injuries.

Banner.jpg

IMG_20180730_175207.jpg

A work-related accident

Yerson is a 45-year-old worker who works as a blacksmith in a factory in our city: Maracay.

Of course, their work includes daily contact with very careful materials such as saws, welding, high voltage electricity, etc.

Unfortunately, due to inadequate supervision by many of the workers, they are not adequately protected and are therefore always prone to an accident that is very easy to prevent.

One afternoon in early August, at the end of a laborious day, Yerson neglects for a moment as he makes a metal cut with a high speed saw, taking part of his left hand in a surprising way.

IMG_20180730_175217.jpg

To the O.R.!

He was brought almost immediately to our work center in the Central Hospital of Maracay where, after a quick check of his hand, we noticed a lot of bleeding that did not stop, so we suspected an arterial injury.

He gave us almost no time at all, just to admit him to the hospital and take his data while we took him to the operating room, once there we met the anesthesiologist who calmed him down with a few words and gave him enough analgesia and anesthesia in his hand.

The first thing we did was to take an X-ray in the same operating room to determine if there were fractures associated with the wound, we actually found a very complex fracture of the first metacarpal of the hand (which corresponds to the root of the thumb).

Before starting a repair we cleaned the wound with abundant physiological solution (the one used as serum) and for the relief of all there was no injury to any major artery.

The wound was almost circumferential, surrounding the hand from the palm to the dorsal area, many tendons were injured, so the repair took hours of hard work.

Finally, it was necessary to stabilize the fracture by means of an "External Fixation" device, adjusted so that the complex fracture would not move even further. It is very showy and uncomfortable to use, but since it is an exposed wound and a lot of contamination, traditional devices cannot be applied.

We are waiting again for Yerson, his recovery has been satisfactory and he will probably recover to his fullest potential after a long and adequate rehabilitation. He's not working right now, but he's grateful he didn't lose his hand completely in an accident that could easily have been prevented.

Banner.jpg

How should we prevent occupational accidents?

  • If the work consists of repetitive actions, pauses with stretching exercises are recommended. With your arms outstretched, press one palm on top of the other, bringing your hand back, and then press your hand towards your body. Another exercise is to open the palm of the hand by extending all the fingers, and then grasp.
  • Although it may be uncomfortable, wear personal protective and other ergonomic items, such as gloves for operators and a mouse pad with a pad to support your wrist when writing on a computer.
  • In an industry, stopping a machine before correcting a process, repairing or cleaning.
  • Do not wear rings, bracelets or watches when working with a machine, as they can cause entrapment, injury or mutilation.
  • Wear suitable gloves for operational tasks. There are specific gloves for contact with chemicals, high or low temperatures, handling sharp objects and electrical voltage.
  • Check that the personal protective equipment is in good condition and renew in the event of damage.
  • Strictly comply with company security protocols.

“The hand is the tool of tools”

Banner.jpg

If you need recommendations or help in orthopedic surgery and traumatology do not hesitate to contact me.

Dr. Leopoldo Maizo
Orthopedic Surgeon and Traumatologist.


firma steemit @drmaizo.png

Firma diseñada por @themonkeyzuelans, contáctalos vía Discord "themonkeyzuelans#9087"


Steem-Stem-Static-bar.png
click here @steemstem

Qurator.png
click here @qurator

jmstqsyq9ohvlcvbrvuo.png
click here @utopian-io

Adsactly Banner New.jpg
click here @adsactly

cryptocharity.png
click here @cryptoeater

steemit-family-protection.jpg
click here @familyprotection

image (1).png
click here @talentclub

firma steemit @drmaizo.png

Firma diseñada por @themonkeyzuelans, contáctalos vía Discord "themonkeyzuelans#9087"


cryptocharity.png
click here @cryptoeater

steemit-family-protection.jpg
click here @familyprotection

image (1).png
click here @talentclub

Authors get paid when people like you upvote their post.
If you enjoyed what you read here, create your account today and start earning FREE STEEM!
Sort Order:  

You are the healer because that's what a physician is....he works not for money or praise but to heal.

Your healing can turn such sad incidents into a near miracle.

·

Thank you very much @haejin, certainly for many it is like a miracle as they can feel better after an excellent recovery. I do it also thanks to my team, the work is free but comforts the heart and gives us a better experience. Greetings friend. A hug for you.

Surgery makes sense for that accident. Gotta be careful

·

Emergencies are cases in which the best solution must be found. Greetings my friend, I hope you're well.

Quite a complicated procedure no doubt? I can imagine man hours of work went into that initial stablilisation and fixation. Not the healing begins for the patient.
Some good Health and Safety advice there Dr M.

·

Hi @preppervetuk, of course the best recommendations for this patient were to maintain the mobility of the fingers, thus avoiding joint stiffness. It is essential to have a good diet that promotes healing and adequate directed rehabilitation sessions. Thank you for commenting. A hug.

·
·

I am always an advocate of a good diet - Organic for me ALWAYS.

·
·
·

Excellent, the organic diet is one of the best for people's recovery. You're a good example for everyone.

hmm surgery seems to be dangerous

·

Hi, it's not dangerous but it does deserve enough time to achieve acceptable results.

·
·

Oh I see but it did seems like that any way I am sorry

·
·
·

Nothing to apologize for, quite the contrary, grateful for your comment.

·
·
·
·

Most welcome

And an essential one: Wear long hair in a ponytail before the hair gets pulled in a piece of machinery!

Nice Fix-ex system, good you guys still have it available!! (but why are everybodies gloves so oversized??)

·

Well said @karinxxl! Many accidents happen that way too. As for your question, you may find the answer to it funny, but many times we don't have all the measurements of the surgical gloves, and this day we only had gloves of size 8.5. Is a hard situation for work.

Hola @drmaizo nos gustó mucho tu post y por ello te entregamos este link de invitación al canal de Discord de Capybara Exchange https://discord.gg/zFPWeVK , donde podrás cambiar STEEM, SBD, Bytes o cualquier criptomoneda a Bolívares de manera fácil y con la mejor tasa calculada a conveniencia de cada cliente con la mayor transparencia posible, incluso @Punqtured nos dedicó el mas reciente de sus post.


Se despide el equipo de Capybara Exchange.

·

Graacias!