People with diabetic foot problems can lower their risk of leg amputation by relying on coordinated care that includes a podiatrist, according to a recent study. For instance, those with diabetes-related foot ulcers can reduce their risk of amputation by 31 percent. In a study published online in the journal Health Services Research, researcher Frank Sloan, Ph.D., and colleagues looked at six years of Medicare claims data on nearly 190,000 diabetic patients with foot problems. The study included about 118,000 patients diagnosed as stage one, about 32,000 in stage two, 31,000 in stage three, and 55,000 in stage four (some participants experienced more than one stage).
“This study shows that coordinated care substantially reduces amputation rates,” said David Armstrong, DPM, a podiatrist and co-founder of the Southern Arizona Limb Salvage Alliance. “We already knew that when care teams are developed to prevent amputation, in every case, we see success. The study documents that this is true across the country.” Armstrong has no affiliation with the study.
Showing posts with label injuries. Show all posts
Showing posts with label injuries. Show all posts
Wednesday, August 25, 2010
Thursday, August 12, 2010
Lawnmower Accidents Needn’t Be a Rite of Summer
Summertime is here and weekend gardeners are cautioned that their yards could become "toe-away" zones if they’re not careful when operating rotary-blade lawn mowers.
Each year, some 25,000 Americans sustain injuries from power mowers, according to the U.S. Consumer Products Safety Commission. Although the number of accidents has steadily declined since the 1982 adoption of federal safety standards, too many foot injuries from power lawnmowers are still seen. The blades whirl at 3000 revolutions per minute and produce three times the kinetic energy of a .357 handgun. Yet patients are still seen who have been hurt while operating a mower barefoot! Foot injuries range from dirty, infection-prone lacerations to severed tendons to amputated toes.
If a mower accident occurs – with just a minor injury – immediate treatment is necessary to flush the wound thoroughly and apply antibiotics to prevent infection. Superficial wounds can be treated on an outpatient basis, but more serious injuries usually require surgical intervention to repair tendon damage, deep clean the wound and suture it. Tendons severed in lawnmower accidents generally can be re-attached surgically unless toes have been amputated.
Children under the age of 14 and adults over age 44 are more likely to be injured from mowers than others. Anyone who operates a power mower to take a few simple precautions:
• Don’t mow a wet lawn. Losing control from slipping on rain-soaked grass is the leading cause of foot injuries caused by power mowers.
• Wear heavy shoes or work boots when mowing – no sneakers or sandals.
• Mow slowly across slopes, never go up and down.
• Never pull a running mower backward.
• Keep the clip bag attached when operating a power mower to prevent projectile injuries.
• Use a mower with a release mechanism on the handle that automatically shuts it off when the hands let go.
• Always keep children away from the lawn when mowing it.
Each year, some 25,000 Americans sustain injuries from power mowers, according to the U.S. Consumer Products Safety Commission. Although the number of accidents has steadily declined since the 1982 adoption of federal safety standards, too many foot injuries from power lawnmowers are still seen. The blades whirl at 3000 revolutions per minute and produce three times the kinetic energy of a .357 handgun. Yet patients are still seen who have been hurt while operating a mower barefoot! Foot injuries range from dirty, infection-prone lacerations to severed tendons to amputated toes.
If a mower accident occurs – with just a minor injury – immediate treatment is necessary to flush the wound thoroughly and apply antibiotics to prevent infection. Superficial wounds can be treated on an outpatient basis, but more serious injuries usually require surgical intervention to repair tendon damage, deep clean the wound and suture it. Tendons severed in lawnmower accidents generally can be re-attached surgically unless toes have been amputated.
Children under the age of 14 and adults over age 44 are more likely to be injured from mowers than others. Anyone who operates a power mower to take a few simple precautions:
• Don’t mow a wet lawn. Losing control from slipping on rain-soaked grass is the leading cause of foot injuries caused by power mowers.
• Wear heavy shoes or work boots when mowing – no sneakers or sandals.
• Mow slowly across slopes, never go up and down.
• Never pull a running mower backward.
• Keep the clip bag attached when operating a power mower to prevent projectile injuries.
• Use a mower with a release mechanism on the handle that automatically shuts it off when the hands let go.
• Always keep children away from the lawn when mowing it.
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