Cast-saw injuries : assessing blade-to-skin contact during cast removal : Does experience or education matter?
Deutscher übersetzter Titel: | Verletzungen beim Entfernen eines Gipsverbandes : Messung der Häufigkeit des Schneide-Haut-Kontaktes während der Gipsverbandentfernung ; spielt die Erfahrung oder die Ausbildung eine Rolle? |
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Autor: | Monroe, Kirstin C.; Sund, Sarah A.; Nemeth, Blaise A.; Noonan, Kenneth J.; Halanski, Matthew A. |
Erschienen in: | The physician and sportsmedicine |
Veröffentlicht: | 42 (2014), 1, S. 36-42, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Elektronische Ressource (online) Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 0091-3847, 2326-3660 |
DOI: | 10.3810/psm.2014.02.2046 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU201902001353 |
Quelle: | BISp |
Abstract des Autors
Background: Cast-saw injuries are sustained during cast removal or splitting of a cast when a hot cast-saw blade touches the patient’s skin inadvertently during cast removal. Other studies have evaluated risk factors associated with saw-blade temperature, however, none have documented the number and duration of blade-to-skin contacts during cast removal. Methods: Using a pediatric long-arm model capable of detecting cast-saw blade contact, we tested the ability of health care providers to apply and remove casts before and after a brief education module. The total number and duration of “touches” between the saw and the model’s “skin” were recorded. Correlations between user “touches,” and experience and comparisons between pre- and post-education “touches” were performed. Results: Of the 18 study participants, 16 touched the model surface with the cast saw; 7 of the 18 participants maintained blade contact with the skin for > 1 second 22 times during the testing process. Participants with less experience averaged 20 (± 16) touches, whereas more experienced participants averaged 24 (± 19) touches (P = 0.7). Average number of touches was similar—before 22 (± 20) and after 25 (± 22); P = 0.5—participants completed an education module. No correlation between experience or participation in the education program was found with decreased number of blade-to-skin touches. Conclusion: Nearly all clinicians inadvertently contacted the underlying skin with the cast-saw blade. In our limited sample size, experience and education did not prevent this; therefore, minimizing time of contact and blade temperature may be more important factors in minimizing cast-saw injuries.