High-pressure injection injury - Revision history

Ostermayer: /* Management */

2023-10-02T00:10:21Z

Management

← Older revision		Revision as of 00:10, 2 October 2023
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	*[[Tetanus]]		*[[Tetanus]]
	*[[Antibiotics]]		*[[Antibiotics]]
			**Targeted at broad spectrum coverage. Traditionally a 3rd generation [[cephalosporin]]
	*[[Analgesia]]		*[[Analgesia]]
	**Digital blocks are contraindicated as wound already under high pressure		**Digital blocks are contraindicated as wound already under high pressure

2019-09-24T04:22:14Z

Management

← Older revision		Revision as of 04:22, 24 September 2019
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	*[[Tetanus]]		*[[Tetanus]]
	*[[Antibiotics]]		*[[Antibiotics]]
	*Analgesia		*[[Analgesia]]
	**Digital blocks are contraindicated as wound already under high pressure		**Digital blocks are contraindicated as wound already under high pressure

2018-02-26T02:13:41Z

Background

← Older revision		Revision as of 02:13, 26 February 2018
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	*Occurs with grease, paint, and fuel guns; usually injected into non-dominant hand		*Occurs with grease, paint, and fuel guns; usually injected into non-dominant hand
	*Most important factor is type of injected material		*Most important factor is type of injected material
			**Clean water and air lower risk
	**Paint produces large, early inflammatory response with high rate of amputation		**Paint produces large, early inflammatory response with high rate of amputation
	**Grease causes small inflammatory response with lower rate of amputation		**Grease causes small inflammatory response with lower rate of amputation

2017-07-04T05:27:24Z

← Older revision		Revision as of 05:27, 4 July 2017
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	==Background==		==Background==
	*Surgical emergency		*Surgical emergency (Amputation rates are as high as 30%)
	**Amputation rates are as high as 30%
	*Occurs with grease, paint, and fuel guns; usually injected into non-dominant hand		*Occurs with grease, paint, and fuel guns; usually injected into non-dominant hand
	*Most important factor is type of injected material		*Most important factor is type of injected material
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	==Evaluation==		==Evaluation==
	*~~Usually clinical~~		*Clinical diagnosis
	*Consider X-ray		*Consider X-ray (may show extent of injection of radiopaque substances)
	**May show extent of injection of radiopaque substances

	==Management==		==Management==
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	*Emergent ortho/hand surgeon consult		*Emergent ortho/hand surgeon consult
	**Early surgical decompression and debridement		**Early surgical decompression and debridement
	**>~~10hours~~ to OR ~~with increased amp rates~~		**Increased rate of amputation if >10 hours to OR
	*[[Tetanus]]		*[[Tetanus]]
	*[[Antibiotics]]		*[[Antibiotics]]
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	==Disposition==		==Disposition==
	*~~Admission~~		*Admit

	==See Also==		==See Also==

2016-08-18T15:03:23Z

← Older revision		Revision as of 15:03, 18 August 2016
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	*[[Antibiotics]]		*[[Antibiotics]]
	*Analgesia		*Analgesia
	**Digital blocks are contraindicated		**Digital blocks are contraindicated as wound already under high pressure

	==Disposition==		==Disposition==

2016-07-23T22:20:36Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-13T18:22:20Z

Text replacement - " w/ " to " with "

← Older revision		Revision as of 18:22, 13 July 2016
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	*Occurs with grease, paint, and fuel guns; usually injected into non-dominant hand		*Occurs with grease, paint, and fuel guns; usually injected into non-dominant hand
	*Most important factor is type of injected material		*Most important factor is type of injected material
	**Paint produces large, early inflammatory response w/ high rate of amputation		**Paint produces large, early inflammatory response with high rate of amputation
	**Grease causes small inflammatory response w/ lower rate of amputation		**Grease causes small inflammatory response with lower rate of amputation

	==Clinical Features==		==Clinical Features==

2016-03-22T15:47:15Z

Text replacement - "Category:Ortho" to "Category:Orthopedics"

2015-12-03T21:33:38Z

2015-12-03T21:33:15Z

Clinical Features

← Older revision		Revision as of 21:33, 3 December 2015
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	==Clinical Features==		==Clinical Features==
			*Most frequently in hand/fingers
	*Benign appearance of small injection site in immediate post-injection period is misleading		*Benign appearance of small injection site in immediate post-injection period is misleading
	**With time digit becomes edematous, pale, and severely tender to palpation		**With time digit becomes edematous, pale, and severely tender to palpation