Case Reports of OnâSite Investigations of AugerâRelated Farm Injuries

Ingram, Maggie; Crowe, T. G.; Wassermann, J.; Hagel, Louise; Dosman, James A.

doi:10.13031/2013.13003

Cited by 8 publications

(2 citation statements)

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“…Corn picker injuries happened mostly in corn picking season that is from September to December [48], the threshing machines injuries occur more often in August [49] and hay balers' accidents occur principally in June and October [27]. The 2 auger flighting accidents occurred both in September [50]. Also, for Copuroglu 2012 [51], the highest number of accidents was in summer.…”

Section: Case Series and Case Reportmentioning

confidence: 99%

Upper Limb’s Injuries in Agriculture: A Systematic Review

Mucci

Traversini

Lulli

et al. 2020

IJERPH

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Agriculture is one of the most hazardous economic sectors, and it accounts for many accidents and occupational diseases every year. In Italy, about one-third of injuries involve the upper extremity, with long-term consequences for the workers and economic damage for agricultural companies and farms. This systematic review describes upper limb injuries among farmworkers, especially hand injuries, and highlights the main dangerous risk factors. Literature review included articles published in the major databases (PubMed, Cochrane Library, Scopus), using a combination of some relevant keywords. This online search yielded 951 references; after selection, the authors analyzed 53 articles (3 narrative reviews and 50 original articles). From this analysis, it appears that younger male farmers are mostly involved, especially in the harvesting season. The upper limb and hand are often the body parts that sustain most damage as these are mostly involved in driving tractors or tools. The most frequent type of lesions are open wounds, lacerations, fractures, strains, and overexertion lesions. Sometimes, a distracting element (such as mobile phone use, quarrels, working hours load) is present; poor use of protective devices and lack of safety design in tools can also increase the risk of accidents. For these reasons, in the agricultural sector, a system of health promotion and good practices is needed to promote workers’ awareness of the sources of risk, highlight more dangerous situations and apply organizational behavioral measures.

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Section: Case Series and Case Reportmentioning

confidence: 99%

Upper Limb’s Injuries in Agriculture: A Systematic Review

Mucci

Traversini

Lulli

et al. 2020

IJERPH

View full text Add to dashboard Cite

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“…Mechanisms of auger injury include device collapse, crush, or electrocution; entanglement either in the auger flighting or power driveline is reported to be the primary cause and responsible for up to 75% of auger injuries. 1,2 Cheng et al revealed that the fatality rate of these incidents can reach up to 32% and may result in amputations of digits or limbs in 21%. Of the 867 auger-related incidents that have been reported to the Occupational Safety and Health Administration since 1984, 51 involved entangled clothing, 23 of which resulted in death.…”

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confidence: 99%

Degloving Penile and Scrotal Injury From a Posthole Auger

Mitchell

Baaklini

Carpenter

et al. 2020

The American Surgeon™

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Auger-related genital injuries are infrequently reported in the medical literature; however, the resultant skeletonized anatomy mimics other more common disease processes secondary to malignancy, infection, or trauma. This is the second genitalia-related auger injury in the medical literature. Practical reconstructive technique for the general surgeon will be reviewed.A 26-year-old male construction worker presented to the emergency department after sustaining a posthole auger accident when his clothing was caught in the machinery. This resulted in a traumatic degloving injury of his penis and scrotum with several lacerations to his left lower extremity. He had no significant past medical or surgical history. Upon presentation, he was hemodynamically normal. Physical examination was pertinent for complete avulsion of his penile shaft and scrotal skin. His glans penis was unaffected. His testicles appeared viable with partially intact overlying dartos fascia. The patient had no additional concomitant injuries on computed tomography scanning of the head, neck, chest, abdomen, and pelvis.He was urgently taken to the operating room for further exploration, irrigation, debridement, and proctoscopy. Proctoscopy demonstrated no concern for rectal injury. Extensive irrigation was performed to remove all nonviable tissue, and environmental debris was present within the wound as shown in Figure 1A. His penis and testicles were wrapped with Xeroform gauze, followed by gauze soaked with a 5% aqueous solution of mafenide acetate (Sulfamylon) and tubular elastic netting. A Foley catheter was placed without difficulty.He returned to the operating room on post-injury day 1 for a repeat irrigation and debridement, to include debridement with a hydrosurgery system (Versajet) as shown in Figure 1B. Delayed primary closure of the left lower extremity lacerations was performed. The lateral and suprapubic skin margins were sutured to the investing fascia (marsupialization). Bilateral orchiopexies were performed to create a neoscrotum template as demonstrated in Figure 1C. This was achieved with a 3-0 chromic gut suture to (1) secure both testicles centrally to one another, (2) secure them laterally to the marsupialized skin edges, and (3) anchor them inferiorly to the perineal body. Allograft skin was placed on the penile and

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