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High Pressure Injection Wound

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1. High Pressure Injection Wound

High Pressure Injection Wound High Pressure Injection Wound Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 High Pressure Injection (...) Wound High Pressure Injection Wound Aka: High Pressure Injection Wound , Spray Gun Injection Injury From Related Chapters II. Background Associated with occupational paint or spray gun use Nozzle pressures are very high (up to 10,000 psi, much higher than rated psi) Injected materials typically spread broadly Spread along neurovascular bundles, tendon sheaths and hand compartments Results in direct injury, local ischemia, chemical inflammation and granulomatous reaction Also sets the stage

2018 FP Notebook

2. High pressure injection injury of the foot: a role of negative pressure wound therapy. (PubMed)

High pressure injection injury of the foot: a role of negative pressure wound therapy. High pressure injection injuries (HPII) of the foot are not common in every-day practice. We present a 50-year-old patient with a HPII of the left foot caused by water-gun in a self-inflicted accident working as a technical diver four meters under the sea surface. Surgical treatment included extensive debridement of necrotic tissue and fibrin deposits and removal of foreign material. A negative pressure wound (...) therapy (NPWT) device was applied resulting in a good wound base for subsequent skin grafting leading to a good functional and cosmetic outcome. Copyright © 2013 Elsevier Ltd. All rights reserved.

2013 Injury

3. Preventing and managing bacterial wound infections in prison

and Justice team to implement the infection control recommendations described herein while balancing public health risk against any operational pressures on the PDD and the wider secure and detained estate in England. Management and prevention of bacterial wound infections in prescribed places of detention 8 Recommendations for healthcare staff Case identification and assessment in PPDs All staff should be alert to the enhanced risk of wound infections in groups including people who inject drugs (PWID (...) and assessment 17 Management and prevention of bacterial wound infections in prescribed places of detention 4 Glossary A+E Accident and Emergency GAS Group A streptococcus iGAS Invasive group A streptococcus IRC Immigration removal centre GP General practitioner HPT Health protection team HMPPS Her Majesty’s Prison and Probation Service OCT Outbreak control team PHE Public Health England PPD Prescribed place of detention PPE Personal protective equipment PWID People who inject drugs Management and prevention

2019 Public Health England

4. Investigation on the effects of the atmospheric pressure plasma on wound healing in diabetic rats (PubMed)

Investigation on the effects of the atmospheric pressure plasma on wound healing in diabetic rats It is estimated that 15 percent of individuals with diabetes mellitus suffer from diabetic ulcers worldwide. The aim of this study is to present a non-thermal atmospheric plasma treatment as a novel therapy for diabetic wounds. The plasma consists of ionized helium gas that is produced by a high-voltage (8 kV) and high-frequency (6 kHz) power supply. Diabetes was induced in rats via (...) an intravascular injection of streptozotocin. The plasma was then introduced to artificial xerograph wounds in the rats for 10 minutes. Immunohistochemistry assays was performed to determine the level of transforming growth factor (TGF-β1) cytokine. The results showed a low healing rate in the diabetic wounds compared with the wound-healing rate in non-diabetic animals (P < 0.05). Moreover, the results noted that plasma enhanced the wound-healing rate in the non-diabetic rats (P < 0.05), and significant wound

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2016 Scientific reports

5. Anti-vascular endothelial growth factor for control of wound healing in glaucoma surgery. (PubMed)

Anti-vascular endothelial growth factor for control of wound healing in glaucoma surgery. Trabeculectomy is performed as a treatment for glaucoma to lower intraocular pressure (IOP). The surgical procedure involves creating a channel through the wall of the eye. However scarring during wound healing can block this channel which will lead to the operation failing. Anti-vascular endothelial growth factor (VEGF) agents have been proposed to slow down healing response and scar formation.To assess (...) anterior chamber and endophthalmitis, but these events occurred rarely and currently there are not enough data available to detect any differences, if any, between the two treatments.The evidence is currently of low quality which is insufficient to refute or support anti-VEGF subconjunctival injection for control of wound healing in glaucoma surgery. The effect on IOP control of anti-VEGF agents in glaucoma patients undergoing trabeculectomy is still uncertain, compared to MMC.Further RCTs of anti-VEGF

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2016 Cochrane

6. High Pressure Injection Wound

High Pressure Injection Wound High Pressure Injection Wound Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 High Pressure Injection (...) Wound High Pressure Injection Wound Aka: High Pressure Injection Wound , Spray Gun Injection Injury From Related Chapters II. Background Associated with occupational paint or spray gun use Nozzle pressures are very high (up to 10,000 psi, much higher than rated psi) Injected materials typically spread broadly Spread along neurovascular bundles, tendon sheaths and hand compartments Results in direct injury, local ischemia, chemical inflammation and granulomatous reaction Also sets the stage

2015 FP Notebook

7. CRACKCast E059 – Wound Management Principles

. Varies <1% to 20%. Infection also affects ultimate scar outcome and wound related complaints are 4th most common cause of malpractice. 1) List 8 risk factors for infection Injury > 8-12 hours old Locations with poor blood supply (Leg and thigh > arms > feet > chest > back > face > scalp) Contaminated wound Blunt mechanism Subcutaneous sutures Repair material (sutures > staples > tape) Anaesthesia with epi (really?) High-velocity Missile injuries 2) List 5 stages of wound healing Coagulation (...) adhesives Advantages: Quick, comfortable, no suture removal ,antibiotics properties, no risk of needle stick injuries, similar cosmetic outcomes Disadvantages : Inability to use petrolium based products on the wound (ie. antibacterials), can’t use in high tension areas, can’t swim, must limit forces to glue, greater risk of dehiscence 6) List indications for tetanus immune prophylaxis Caveat: * some sources say if wound is ‘dirty’ reduce to 5 years 7) List 5 specific wound care instructions 8) List 7

2017 CandiEM

8. Diabetic Foot Ulcers: Wound Management

not address biologic therapies. Negative Pressure Wound Therapy (NPWT) IWGDF examined the evidence for the use of NPWT in the management of the two types of DFUs in which it has been studied—the post-surgical and the chronic non-surgical wound. On the basis of moderate-quality evidence, the developer makes a weak recommendation for the consideration of NPWT in postoperative wounds, with the caveat that the clinical and the cost effectiveness of the approach remain to be established. IWGDF was unable (...) to make a recommendation on the use of NPWT in chronic nonsurgical wounds due to a lack of available evidence. In contrast, citing systematic reviews that summarized recommendations with moderate to strong evidence for use of NPWT in DFUs, SVS/APMA/SVM suggests the use of NPWT for chronic diabetic foot wounds that do not demonstrate expected healing progression with standard or advanced wound dressings after 4 to 8 weeks of therapy. Consideration of high cost of NPWT products and access to trained

2017 National Guideline Clearinghouse (partial archive)

9. High-pressure Injection Injury with Molten Aluminum (PubMed)

High-pressure Injection Injury with Molten Aluminum 24672592 2015 10 30 2018 11 13 1936-900X 15 2 2014 Mar The western journal of emergency medicine West J Emerg Med High-pressure injection injury with molten aluminum. 120-1 10.5811/westjem.2013.10.19443 McCarthy Joseph J Lakeland Regional Medical Center, Department of Emergency Medicine, St Joseph, Michigan. Trigger Christopher C Lakeland Regional Medical Center, Department of Emergency Medicine, St Joseph, Michigan. eng Case Reports Journal (...) Article United States West J Emerg Med 101476450 1936-900X CPD4NFA903 Aluminum IM Aged Aluminum Burns, Chemical diagnosis diagnostic imaging etiology Forearm Injuries diagnosis diagnostic imaging etiology Humans Male Metallurgy Occupational Injuries diagnosis diagnostic imaging etiology Radiography Wounds, Penetrating diagnosis diagnostic imaging etiology Original DateCompleted: 20140327 2013 09 12 2013 10 05 2013 10 28 2014 3 28 6 0 2014 3 29 6 0 2014 3 29 6 1 ppublish 24672592 10.5811/westjem

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2014 Western Journal of Emergency Medicine

10. High-Pressure Injection Injuries (Diagnosis)

Reconstr Surg . 2013 Oct. 132 (4):586e-591e. . Fialkov JA, Freiberg A. High pressure injection injuries: an overview. J Emerg Med . 1991 Sep-Oct. 9(5):367-71. . Stark HH, Ashworth CR, Boyes JH. Paint-gun injuries of the hand. J Bone Joint Surg Am . 1967 Jun. 49(4):637-47. . Temiz G, Şirinoğlu H, Güvercin E, Yeşiloğlu N, Bozkurt M, Eser C, et al. A useful option to obtain maximal foreign body removal and better prognosis in high pressure injection injuries: Negative pressure wound therapy (...) with instillation. J Plast Reconstr Aesthet Surg . 2016 Apr. 69 (4):570-2. . Fujitani T, Zenke Y, Shinone M, Menuki K, Fukumoto K, Sakai A. Negative Pressure Wound Therapy with Surgical Gloves to Repair Soft Tissue Defects in Hands. J UOEH . 2015 Sep 1. 37 (3):185-90. . . Marinovic M, Bakota B, Spanjol J, Sosa I, Grzalja N, Gulan G, et al. High pressure injection injury of the foot: a role of negative pressure wound therapy. Injury . 2013 Sep. 44 Suppl 3:S7-10. . Lewis RC Jr. High-compression injection injuries

2014 eMedicine Surgery

11. High-Pressure Injection Injuries (Follow-up)

option to obtain maximal foreign body removal and better prognosis in high pressure injection injuries: Negative pressure wound therapy with instillation. J Plast Reconstr Aesthet Surg . 2016 Apr. 69 (4):570-2. . Fujitani T, Zenke Y, Shinone M, Menuki K, Fukumoto K, Sakai A. Negative Pressure Wound Therapy with Surgical Gloves to Repair Soft Tissue Defects in Hands. J UOEH . 2015 Sep 1. 37 (3):185-90. . . Marinovic M, Bakota B, Spanjol J, Sosa I, Grzalja N, Gulan G, et al. High pressure injection (...) injury of the foot: a role of negative pressure wound therapy. Injury . 2013 Sep. 44 Suppl 3:S7-10. . Lewis RC Jr. High-compression injection injuries to the hand. Emerg Med Clin North Am . 1985 May. 3(2):373-81. . Bottoms RW. A case of high pressure hydraulic tool injury to the hand, its treatment aided by dexamethasone and a plea for further trial of this substance. Med J Aust . 1962 Oct 13. 49(2):591-2. . Chaput B, Nouaille de Gorce H, Courtade-Saïdi M, Apredoaei C, Rongières M, Chavoin JP, et al

2014 eMedicine Surgery

12. High-Pressure Injection Injuries (Treatment)

option to obtain maximal foreign body removal and better prognosis in high pressure injection injuries: Negative pressure wound therapy with instillation. J Plast Reconstr Aesthet Surg . 2016 Apr. 69 (4):570-2. . Fujitani T, Zenke Y, Shinone M, Menuki K, Fukumoto K, Sakai A. Negative Pressure Wound Therapy with Surgical Gloves to Repair Soft Tissue Defects in Hands. J UOEH . 2015 Sep 1. 37 (3):185-90. . . Marinovic M, Bakota B, Spanjol J, Sosa I, Grzalja N, Gulan G, et al. High pressure injection (...) injury of the foot: a role of negative pressure wound therapy. Injury . 2013 Sep. 44 Suppl 3:S7-10. . Lewis RC Jr. High-compression injection injuries to the hand. Emerg Med Clin North Am . 1985 May. 3(2):373-81. . Bottoms RW. A case of high pressure hydraulic tool injury to the hand, its treatment aided by dexamethasone and a plea for further trial of this substance. Med J Aust . 1962 Oct 13. 49(2):591-2. . Chaput B, Nouaille de Gorce H, Courtade-Saïdi M, Apredoaei C, Rongières M, Chavoin JP, et al

2014 eMedicine Surgery

13. High-Pressure Injection Injuries (Overview)

Reconstr Surg . 2013 Oct. 132 (4):586e-591e. . Fialkov JA, Freiberg A. High pressure injection injuries: an overview. J Emerg Med . 1991 Sep-Oct. 9(5):367-71. . Stark HH, Ashworth CR, Boyes JH. Paint-gun injuries of the hand. J Bone Joint Surg Am . 1967 Jun. 49(4):637-47. . Temiz G, Şirinoğlu H, Güvercin E, Yeşiloğlu N, Bozkurt M, Eser C, et al. A useful option to obtain maximal foreign body removal and better prognosis in high pressure injection injuries: Negative pressure wound therapy (...) with instillation. J Plast Reconstr Aesthet Surg . 2016 Apr. 69 (4):570-2. . Fujitani T, Zenke Y, Shinone M, Menuki K, Fukumoto K, Sakai A. Negative Pressure Wound Therapy with Surgical Gloves to Repair Soft Tissue Defects in Hands. J UOEH . 2015 Sep 1. 37 (3):185-90. . . Marinovic M, Bakota B, Spanjol J, Sosa I, Grzalja N, Gulan G, et al. High pressure injection injury of the foot: a role of negative pressure wound therapy. Injury . 2013 Sep. 44 Suppl 3:S7-10. . Lewis RC Jr. High-compression injection injuries

2014 eMedicine Surgery

14. High-pressure injection injuries in the hand: current treatment concepts. (PubMed)

attention to clinical presentation, treatment, outcome, and prognostic variables.Most of the available literature included case studies, case series, retrospective cohorts, and literature reviews. The most common presentation of a high-pressure injection injury is a puncture wound on the nondominant index finger of a working class man in his mid thirties. Important factors at presentation include the time of injury and type and pressure of material injected. Initial treatment should include tetanus (...) High-pressure injection injuries in the hand: current treatment concepts. High-pressure injection injury to the hand and upper extremity is a rare but very serious clinical entity. The objective of this article was to review the current available literature and highlight important topics.A PubMed literature search was undertaken with the terms "high pressure injection injuries," "injection injuries," "finger injection injuries," and other related terms. Articles were reviewed with specific

2013 Plastic and reconstructive surgery

15. The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: Risk stratification based on Wound, Ischemia, and foot Infection (WIfI)

foot in patients with diabetes and peripheral arterial disease. Diabetes Metab Res Rev . 2012 ; 28 : 179–217 | | | and nonrevascularization approaches (local wound care vs hyperbaric oxygen therapy vs cell-based therapy) x 18 Powell, R.J., Simons, M., Mendelsohn, F.O., Daniel, G., Henry, T.D., Koga, M. et al. Results of a double-blind, placebo-controlled study to assess the safety of intramuscular injection of hepatocyte growth factor plasmid to improve limb perfusion in patients with critical limb (...) with spectrum of perfusion abnormalities; No cutoff value for CLI; Grade 0: unlikely to require revascularization Yes, IDSA system ( Table II ) Includes PAD + diabetes with spectrum of wounds, ischemia and infection, scaled from 0-3; No cutoff for CLI. Need for revascularization depends on degree of ischemia, wound and/or infection severity; Ulcers/gangrene categorized based on extent and complexity of anticipated ablative surgery/coverage ABI, Ankle-brachial index; AP, ankle pressure; CLI, critical limb

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2014 Society for Vascular Surgery

16. Study to Evaluate Efficacy and Safety of Wound Dressing Solution Containing EGF in Patients With Peptic Ulcers Bleeding

Study to Evaluate Efficacy and Safety of Wound Dressing Solution Containing EGF in Patients With Peptic Ulcers Bleeding Study to Evaluate Efficacy and Safety of Wound Dressing Solution Containing EGF in Patients With Peptic Ulcers Bleeding - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum (...) number of saved studies (100). Please remove one or more studies before adding more. Study to Evaluate Efficacy and Safety of Wound Dressing Solution Containing EGF in Patients With Peptic Ulcers Bleeding (CEGP003) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03469167 Recruitment Status : Completed

2018 Clinical Trials

17. Injection Pressure & Adductor Canal Block

of Miami Information provided by (Responsible Party): Andres Missair, University of Miami Study Details Study Description Go to Brief Summary: This is a prospective, randomized, single-blinded human clinical trial that will examine how injection pressure influences the spread of a given volume of injectate in the adductor canal, during adductor canal nerve block. Condition or disease Intervention/treatment Phase Orthopedic Disorders Injury of Anterior Cruciate Ligament Procedure: High Pressure (...) Injection Procedure: Low Pressure Injection Drug: High Pressure Injection Drug: Low Pressure Injection Not Applicable Detailed Description: This is a prospective, randomized, single-blinded human clinical trial that will examine how injection pressure influences the spread of a given volume of injectate in the adductor canal, during adductor canal nerve block. The study population will be patients undergoing elective anterior cruciate ligament repair in the distal lower extremity and receiving

2015 Clinical Trials

18. Subcutaneous Injection and Ultrasonic Dispersion of Cefazolin Into Chronic Pelvic-Region Pressure Ulcers in Persons With Spinal Cord Injury

Subcutaneous Injection and Ultrasonic Dispersion of Cefazolin Into Chronic Pelvic-Region Pressure Ulcers in Persons With Spinal Cord Injury Subcutaneous Injection and Ultrasonic Dispersion of Cefazolin Into Chronic Pelvic-Region Pressure Ulcers in Persons With Spinal Cord Injury - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study (...) Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Subcutaneous Injection and Ultrasonic Dispersion of Cefazolin Into Chronic Pelvic-Region Pressure Ulcers in Persons With Spinal Cord Injury The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov

2015 Clinical Trials

19. Practice guideline: idiopathic normal pressure hydrocephalus: response to shunting and predictors of response

baseline. There were 3 subdural hematomas or effusions (5%), one requiring surgical evacuation. There also was one shunt infection, one superficial wound infection, and one pulmonary embolism (1 Class III study). A second prospective, nonrandomized trial with Class III evidence evaluated 33 patients with suspected iNPH as determined by clinical symptoms, ventriculomegaly, and ventricular stasis on a radionuclide CSF flow study (injection of radioisotope into the lumbar subarachnoid space with serial (...) of the assessments of other modalities. As demonstrated in , TTs, ELD, and perhaps CSF pulsatility in response to arterial pressure appear to have high sensitivity with variable but incomplete specificity. R o , measured in CSF-ITs in patients selected on the basis of only clinical and neuroimaging criteria, appears to add both sensitivity and specificity but still produces many false-negative results. Measuring aqueductal flow by MRI in patients preselected by TTs or infusion tests may provide some incremental

2015 American Academy of Neurology

20. The Efficacy Assessment of Intravitreal Injection of Conbercept in Patients With Polypoidal Choroidal Vasculopathy (PCV)

The Efficacy Assessment of Intravitreal Injection of Conbercept in Patients With Polypoidal Choroidal Vasculopathy (PCV) The Efficacy Assessment of Intravitreal Injection of Conbercept in Patients With Polypoidal Choroidal Vasculopathy (PCV) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum (...) number of saved studies (100). Please remove one or more studies before adding more. The Efficacy Assessment of Intravitreal Injection of Conbercept in Patients With Polypoidal Choroidal Vasculopathy (PCV) (STAR) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03159884 Recruitment Status : Unknown

2017 Clinical Trials

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