Saturday, August 22, 2009

Chrome Reversed Wheels

INJURY OCCURRED

INJURY OCCURRED HIGH FALLS

The fall height is the leading cause of serious accidents in the construction sector and represents 16% of fatal accidents. We must take into account not only the number of accidents but the harmful consequences, which in most cases are extremely serious. Fall is considered high when it exceeded two meters.

drop in height can damage any part of the body. We make a classification in response to the affected area:
 Head: usually cause serious injury. It is the trauma that causes the death of the worker more often. Spine 
serious lesions associated with large permanent sequelae (paralysis, etc..). 
Trunk: internal organ damage with serious risk of death. 
Tips: High-energy fractures with severe repercussions on the subsequent reinstatement of workers to their working life. 
Multiple locations: may be affected two or more segments referred to above.

I'm not going to value falls from great heights (over 10 or 11 meters), since they usually produce death worker immediately. I will show the lesions and more common and disabling consequences that I found in my experience as a Medical Assistance Medical Education.

First we have the most common injury and feared by workers and physicians: fracture of one or both heels. This is usually the most common due to the fall on the feet of a height between 2 and 5 meters. Produces a dislocation of the calcaneus, which is the body weight transmitted to the ground when walking.

Aspecto de un pie con una grave fractura de calcáneo The treatment of these lesions is usually surgical and the results are often dispiriting for both the orthopedic surgeon to the patient. After a long convalescence often severe sequelae for up to incapacitate the worker to return to work.

often added to these fractures, vertebral fractures often appear dorsal and / or lower back, due to transmission of the impact of the lower limbs to the spine. Are usually not too serious, since it is not very high, but greatly complicates the treatment of heel.

also usually associated with other injuries calcaneal fractures in the bones of the lower limbs, and fractures of the tibia and / or femur.
Grave fractura de la extremidad proximal de tibia (en la rodilla). Where the impact is with the patient sitting (quite common), injuries vertebrae are usually much more severe, including with spinal injuries, and often requires surgical stabilization of the lesions.
The upper limb injuries are less common, although the head falls generally place the hands to prevent the impact on the head and injuries occur in the wrists and forearms. In the fall generally lateral humerus fracture.
The evolution of fractures of long bones (tibia, femur, humerus, radius and ulna) is usually favorable and is achieved without sequelae reinstatement of the worker in his job.

In summary, a fall from height injuries cause a high mortality and morbidity in workers with severe permanent sequelae, not only for their work but also for the other activities of daily living.

Prevention is relatively simple and based on narrow the spaces through which workers can be precipitated by fences, railings, nets, etc. and provide workers with appropriate personal protective equipment, harnesses, ropes, etc .-.

Maximino Sanchez Morales, a specialist in Orthopaedic Surgery. Canary Ibermutuamur CP Supervisor. President of the Sociedad Canaria Medical Care and Education (SCMAL)

0 comments:

Post a Comment