PubMed · 10670013
The source did not provide an abstract. Follow the original record for more information.
Explore connections, maps & timelines
Puncture-resistant gloves introduced.. https://doi.org/10.1016/s1055-3290(06)60428-7
Cite the original work for its findings. Save a collection to share your selection of sources.
KEEP EXPLORING
Explore the source record for details and available documents.
In the beginning of the last century there were many accidents in Norwegian forestry, and doctors in the rural districts made great efforts to improve the work environment. District physician Otto Mejlaender (1865-1944) in Trysil was a pioneer. He was actively involved in educational work, wrote articles about the working conditions in the forests and work accidents. The papers refers to various injuries that occurred during work in the forests and how the layman should attend to them. It describes the poor conditions in the lumber cabins, the long and tiresome working day, and the illnesses these activities caused. A summary is also given of an article written by Mejlaender in the Journal of the Norwegian Medical Association in 1906, in which he presents a somewhat unusual case of a young man who damaged his testicles.
HISTORY AND CLINICAL FINDINGS: Two men and one woman developed typical symptoms of a thrombosis in the arms after unusual physical effort at their work place (a coal miner after a bad fall, a radiographer after having to catch a patient, a painter after jerkily moving a heavy piece of furniture). INVESTIGATIONS AND DIAGNOSIS: In all three patients a thrombosis of the subclavian vein was demonstrated by duplex scans or phlebography. In two patients tests for hypercoagulability were unremarkable. None of the patients had a thoracic outlet syndrome. TREATMENT AND COURSE: After initial local thrombolytic or heparin therapy alone, phenprocoumon treatment over several months was given in two cases, and in one case low-molecular-weight heparin was administered over several months. All three patients complained of strain-related residual symptoms in the affected arm (pain, swelling, easy fatigability). In all three cases, the accident insurer recognized the incident to be a work-related accident. CONCLUSION: Patients with a Paget-Schroetter syndrome resulting from a sudden and unusual physical effort at work, which is covered by statutory accident insurance, must be reported to the accident insurer as a work-related accident in order to safeguard individual medical claims of the patient and for general medical and epidemiological reasons.