Medical treatment injuries

Sometimes the temptation exists to focus on only the lost-time workday cases, but how can you identify which injury or illness is going to result in a lost-time workday At times, the difference between a medical treatment injury and a lost-time workday injury may only be a matter of inches or chance. Thus, it is more logical to address your total injury problem. 

For every reported major injury (resulting in fatality, disability, lost time, or medical treatment), there were 9.8 reported minor injuries (requiring only first aid). For the 95 companies that further analyzed major injuries in their reporting, the ratio was one lost-time injury per 15 medical treatment injuries. 

First aid injuries Medical treatment injuries Lost-time injuries Fatalities. 

Total recordable injury rate (TRI-rate) Total number of recordable injuries per 10 employee-hours. The recordable injuries include fatalities, lost-time injuries, medical treatment injuries other than first aid, and injuries resulting in loss of consciousness, transfer to another job or restricted work (compare Table 6.3). 

To improve the follow-up of the risk of injury to personnel, the TRI-rate is introduced. The frequencies of lost-time injuries, restricted-work injuries and medical-treatment injuries are registered separately and in summary and displayed as shown in Figure 17.6. During the first year, the TRI-rate is 30, which makes it a new starting point for improvements. 

Recordable injury Fatality, lost-time injury, medical treatment injury or injury... 

Substances which can cause temporary disabilities or possible permanent injuries following intense or continuous exposure if no prompt medical treatment is undertaken. Included are all substances that require a breathing insulating mask, substances that give off toxic combustion gas. In addition to these are highly irritant combustion substances and those that can release toxic substances, which cannot be identified. 

Fifty percent of Americans will be bitten by an animal at least once during their lifetimes. Although most of these injuries are minor, approximately 20% will require medical treatment.3... 

Recordable nonfatal cases without lost workdays Cases of occupational injury or illness that do not involve fatalities or lost workdays but do result in (1) transfer to another job or termination of employment or (2) medical treatment other than first aid or (3) diagnosis of occupational illness or (4) loss of consciousness or (5) restriction of work or motion. 

The reactive Sis are indicators which include the accidents themselves and statistics such as Lost Time Injuries (LTI), or Medical Treatment Cases (MTC) among others. 

IMMEDIATE A casualty classified as immediate has an injury that will be fatal of he does not receive immediate care. In a non-mass casualty situation, he would be the first casualty to receive care. However, in a mass casualty situation, particularly in a far-forward medical treatment facility, he may not receive this care. The required care may not be available at that echelon (e.g., a casualty may need major chest surgeryjor the time needed to provide the care may be so prolonged that other casualties would suffer. 

For research involving more than minimal risk, an explanation as to whether any compensation and an explanation as to whether medical treatments are available if injury occurs and, if so, what they consist of, or where further information may be obtained. 

In research involving more-than-minimal risk, potential participants must be informed of the availability of medical treatment and compensation for a research-related injury, including who will pay for the treatment and the availability of other financial compensation. Institutions are not required to provide care or payment for research injuries however, some institutions provide hospitalization and necessary medical treatment in an emergency situation. 

OSHA Recordable Cases— Work-related deaths, injuries and illnesses (other than minor injuries requiring only first aid treatment) which involve medical treatment, loss of consciousness, restriction of work or motion, or transfer to another job. 

Materials which on very short exposure could cause death or major residual injury even though prompt medical treatment were given. 

Materials which on intense or continued exposure could cause temporary incapacitation or possible residual injury unless prompt medical treatment is given. 

Reim, M., Redbrake, C., Schrage, N. Chemical and thermal injuries of the eyes. Surgical and medical treatment based on clinical and pathophysiological findings. Arch Soc Esp Oftalmol 76(2), 79-124 (2001)... 

In the past 15 years, an extensive amount of preclinical data has been on the reparative potential of cell transplantation in acute and chronic myocardial injury. Since the first preclinical report of functional repair after the injection of autologous skeletal myoblasts into the injured heart in 1998 (7), a variety of cell types or combinations (Table I) have been proposed for transplantation during different stages of CVD (19). Preclinical data has been promising, and in at least one study, the amount of repair achieved with cell transplantation in HF is additive to current medical treatment (20). With the first cardiac clinical application in 2001 (8), the field rapidly moved from bench to bedside, and at present, we are gaining valuable information about the questions to ask and the early answers from both animal and human studies. To date, 19 clinical trials either in AMI (Table 2) or chronic HF have been published (21) (Table 3), including 13, where BM... 

The mainstay of medical treatment of patients with ethanol toxicity is supportive care. In general, a conservative approach is recommended for ethanol intoxication. Supportive therapy for overdose may include treatment for respiratory depression, hypotension, and altered glucose or thiamine levels. If the ingestion occurred within one hour of presentation, placing a nasogastric tube and evacuating the stomach contents can prove helpful. In patients with chronic ethanol abuse, therapy may include administration of thiamine to prevent neurologic injury. The administration of medications to cause emesis is not recommended because of the rapid onset of CNS depression as well as aspiration risks. 

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