Ansari M Z, Swarup S, Ghani R, Tovey P
Alexandra Healthcare NHS Trust, Redditch, Worcestershire, UK.
Eur J Emerg Med. 1998 Mar;5(1):37-9.
The aim of this study was to assess the incidence of injuries to patients who have had a plaster cast removed by oscillating circular saw at the Alexandra Hospital, Redditch, and to recommend measures to avoid such injuries. The record of each patient who had his/her plaster removed was kept in the plaster room and later studied. Over a 12-month period (1995-96), 3875 plaster casts were removed; 28 patients (0.72%) sustained abrasions or burns over the skin. Recently there has been a sudden rise in the number of cases who sustained injury or burns by oscillating saw following plaster cast removal and a few patients have demanded compensation from the hospital. These incidences prompted the start of this study. The identified cause of injury was the removal of a plaster cast by an inexperienced, ill-trained user or blunt saw blade. Strict protocols were required and have been introduced at the Alexandra Hospital to avoid litigation.
本研究的目的是评估在雷迪奇亚历山德拉医院接受电动圆锯拆除石膏的患者中受伤的发生率，并推荐避免此类伤害的措施。每个接受石膏拆除的患者记录都保存在石膏室，随后进行研究。在12个月期间（1995 - 1996年），共拆除了3875个石膏；28名患者（0.72%）皮肤出现擦伤或烧伤。最近，在石膏拆除后因电动锯受伤或烧伤的病例数量突然增加，一些患者要求医院赔偿。这些事件促使了本研究的开展。已确定的受伤原因是由缺乏经验、训练不足的使用者或钝锯片拆除石膏。亚历山德拉医院需要并已引入严格的规程以避免诉讼。
