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Biomedical subjects

A B Matheson

Publications and source records attributed to A B Matheson.

4 recordsLinked to original sources

Occupational accidents presenting to the accident and emergency department.

A prospective survey of patients attending the major Accident and Emergency Department in Aberdeen was undertaken. This department serves a population of 500,000 and sees some 50% of all accidents in the region. All work-related injuries were identified and information relating to the circumstances of the accident, injury sustained, and treatment required was sought. Work-related injuries accounted for 16.5% of new patients attending the department. The commonest injury type was a laceration to a finger. Three hundred and eighty diagnostic X-rays were undertaken and a total of 910 treatments were required over a 27-day period. On an annual basis, it is estimated that some 5100 radiographs and 12,300 medical treatments would be required for work-related accidents. It is estimated that 30% of injuries to the hands and feet would have been prevented by the wearing of appropriate personal protective equipment. The majority of workplace accidents were correctly referred to A&E and any efforts to reduce this workload must concentrate on preventive measures in the workplace. This paper suggests that documenting work-related accidents and determining targets for preventive action would reduce the number of attendances at A&E units with a potential significant saving for industry and the National Health Service.

Accidents, Occupational

Accidents in the workplace.

A prospective survey of patients attending the central Accident and Emergency Department and Eye Casualty Department in Aberdeen was made to determine the contribution of accidents at work to the workload of the departments and to estimate risks of injury in different industrial sectors. Work-related injuries accounted for 16.5 per cent of new patients attending the general accident department and 21.7 per cent of those attending eye casualty. Analysis by industrial sector led to estimates that almost one in 10 workers employed in manufacturing industries and in agriculture/forestry/fishing will attend casualty in the course of a year for a work-related injury. The relatively low-risk service sector, because of the large numbers of people employed, contributed the greatest number of individuals with work-related injuries. Two industries had very high rates of specific and preventable injuries--food and fish processing with an estimated 17 knife lacerations per 1000 per annum and mechanical engineering with 60 eye injuries per 1000 per annum. We give reasons for believing that our estimates of risk in the different industrial sectors are conservative.

Accidents, Occupational

Clinical value of ultrasonography in the detection and removal of radiolucent foreign bodies.

A series of 39 consecutive patients with a suspected retained foreign body in the hand and in whom standard soft issue radiographs were negative were examined by real-time, high-resolution ultrasound scan. At operation 20 patients had radiolucent foreign bodies (18 wood, 2 thorns) removed. Ultrasound scan correctly localized 19 of the foreign bodies before surgery and failed to detect one. No foreign body was found in 19 patients. Ultrasound scan falsely predicted the presence of a foreign body in two of these cases. High-resolution ultrasound scanning is a sensitive, accurate technique for diagnosing foreign bodies which are otherwise difficult to demonstrate by conventional radiographic techniques, and provides accurate three-dimensional localization of the object which is of value to the surgeon at operation.

Adolescent