Patey Christopher, Heeley Thomas, Aubrey-Bassler Kris
Carbonear Institute for Rural Research and Innovation by the Sea, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.
Centre for Rural Health Studies, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.
Can J Rural Med. 2019 Jan-Mar;24(1):7-12. doi: 10.4103/CJRM.CJRM_2_18.
The Canadian island of Newfoundland has a long history of fishing; however, no study to date has developed a regional profile of fishhook injuries on its east coast.
To this end, we conducted a retrospective review of fishhook injuries at all Newfoundland East coast emergency departments from 2013 to 2015. Patient presentations were reviewed for the date of arrival, sex of the patient, location of fishhook injury, tetanus immunisation status, anaesthetic utilisation, diagnostic imaging, antibiotic management and technique of removal.
Information was retrieved for 165 patients. Most injuries occurred to the hand (80.6%), and out of five documented techniques, "advance and cut" was the most common extraction method (55.5%). There was a high percentage of prophylactic oral antibiotics prescribed (57%) and X-ray imaging (20%) utilised. Consultation was required for 4.2% of the fishhook injuries including consultation to a local fire department service.
On the east coast of Newfoundland, fishhook injuries are addressed inconsistently, with potentially suboptimal methods for removal, coupled with unnecessary imaging and antibiotics. We believe that there is a role for education and other initiatives to improve the care delivered.
加拿大的纽芬兰岛有着悠久的捕鱼历史；然而，迄今为止尚无研究对该岛东海岸鱼钩伤的区域情况进行分析。
为此，我们对2013年至2015年期间纽芬兰东海岸所有急诊科的鱼钩伤情况进行了回顾性研究。对患者就诊日期、患者性别、鱼钩伤部位、破伤风免疫状况、麻醉使用情况、诊断性影像学检查、抗生素治疗及取出技术等患者情况进行了分析。
共检索到165例患者的信息。大多数损伤发生在手（80.6%），在记录的五种取出技术中，“推进并剪断”是最常用的取出方法（55.5%）。预防性口服抗生素的处方比例较高（57%），X线成像检查的使用率为20%。4.2%的鱼钩伤需要会诊，包括向当地消防部门咨询。
在纽芬兰东海岸，鱼钩伤的处理方法不一致，取出方法可能欠佳，同时存在不必要的影像学检查和抗生素使用情况。我们认为，开展教育及其他举措对改善医疗服务有一定作用。
