Emergency Department, Southland Hospital, Invercargill, New Zealand.
Injury. 2011 Oct;42(10):1084-7. doi: 10.1016/j.injury.2011.02.019. Epub 2011 Mar 29.
To prospectively study all types and frequency of injuries resulting from direct contact with cattle in an occupational setting.
Prospective evaluation of all injuries due to direct contact with cattle presenting to the Emergency Department (ED) of a rural District General Hospital over a one year period.
Injuries related to cattle were a common reason for presentation to the ED. Some clear patterns of injury were noted. Injuries to the upper extremity were particularly common, especially the hand and wrist and were associated with particular activities and mechanisms. Truncal injuries were less common but do have the potential for serious morbidity and mortality as noted in previous studies.
Injuries related to direct contact with cattle are common. We noted an as yet unreported common pattern of injury to the hands of workers kicked whilst handling cattle at milking time. We also noted the previously recognized potential for serious injury due to more proximal body trauma whilst working with large animals. Whilst there is some work available pertaining to injury prevention in this industry, our study demonstrates a need for further work to be done to minimize and prevent future injuries.
前瞻性研究职业环境中与牛直接接触导致的各种类型和频率的伤害。
对在农村地区综合医院急诊科因直接接触牛而受伤的所有患者进行为期一年的前瞻性评估。
与牛有关的伤害是急诊科就诊的常见原因。注意到一些明确的损伤模式。上肢受伤尤其常见,尤其是手部和手腕,与特定的活动和机制有关。躯干损伤较少见,但正如先前的研究所示,确实存在严重发病率和死亡率的潜在风险。
与直接接触牛有关的伤害很常见。我们注意到一种尚未报道的常见损伤模式,即在挤奶时被牛踢到的工人手部受伤。我们还注意到先前认识到的与大型动物一起工作时近端身体创伤的潜在严重伤害。虽然在这个行业有一些关于预防伤害的工作,但我们的研究表明需要进一步的工作来最小化和预防未来的伤害。