PubMed Health⌕ Search

Biomedical subjects

E T Wyman

Publications and source records attributed to E T Wyman.

5 recordsLinked to original sources
PubMed1994

Working it out: recommendations from a multidisciplinary national consensus panel on medical problems in Workers' Compensation. Committee on Occupational Health, American Academy of Orthopedic Surgeons.

This article presents the recommendations of a national multidisciplinary consensus panel brought together to discuss the medical problems facing the troubled Workers' Compensation System. The process, organized by the American Academy of Orthopedic Surgeons, was needed because participants in the System seldom communicate with nor understand the other's positions. Altogether 119 individuals representing employers, insurers, allied health professionals, administrators, lawyers, legislators, unions, and physicians participated in a year-long iterative process agreeing on 38 high-priority problems, and developing solution papers for 14 of them. These papers were discussed at a workshop that generated 48 recommendations in 6 categories, including guideline development, temporary modified work, education, prevention, patient advocacy, and legislative and regulatory changes. A post-process evaluation by the participants strongly endorsed this process as an effective way to improve communication and urged similar state or regional panels.

Accidents, Occupational↗
PubMed1986

Financial charges of hospitalized motorcyclists at the Massachusetts General Hospital.

We studied 47 hospitalized motorcyclists admitted through the Massachusetts General Hospital emergency room during a 1-year period. Four factors were studied: 1) hospitalization charges, 2) hospitalization lengths, 3) medical insurance profiles, and 4) patterns of injuries. The mean hospitalization charges were +15,114. The total hospital charges for this group of patients were nearly +700,000. These figures excluded the costs of subsequent admissions, surgeons' fees, rehabilitation, vocational training, legal suits, and loss of wages. Sixteen per cent of the charges were uncollectable. Forty-six per cent of the patients were uninsured. The average hospitalization was 22 days. The mean age was 22 years and 90% of patients were less than 30 years old. Eighty-five per cent of the patients sustained at least one fracture. Lower extremity fractures occurred in 60%, open fractures in 55%, and tibia fractures occurred in 33% of the patients. Associated head, chest, or abdominal injuries occurred in 40% of the patients. Patients with multiple fractures, open fractures, and grade 3 open tibia fractures had substantially higher hospital bills.

Accidents, Traffic↗
PubMed1986

Ipsilateral hip and femoral shaft fractures.

Over a 20-year period, 24 patients were treated for ipsilateral hip and femoral shaft fractures. The majority of the hip fractures were extracapsular. All resulted from high-energy impaction injuries (motor vehicle accidents and falls from over 15 feet), with 25% being open. There were numerous associated injuries, many requiring multiple operations. One-third had an associated knee injury, with 75% occurring in those with extracapsular fractures. The diagnosis and treatment of three hip fractures were delayed, but all healed without avascular necrosis. Patients were treated by traction and various internal fixation methods, either alone or in combination. Fifty percent had major complications, predominantly patients treated only in traction. At a mean follow-up examination of 9.5 years, two-thirds had a good result and one-third a fair result. Those with extracapsular fractures had the same result as those with intracapsular fractures. Patients treated by fixation of one or both fractures had a significantly shorter hospital stay than those treated by traction alone. Extracapsular fractures have a high incidence (43%) of associated knee injuries. Treating both fractures with internal fixation allows early mobilization, easier patient care, fewer complications, and a shorter hospital stay. Despite the severity of multiple injuries, and the diversity of treatment with many complications, when stability is achieved the patients generally recover good function.

Accidents, Traffic↗