Wisconsin medical journal
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Although injuries, both intentional and unintentional, are the major cause of death of children under age 19, the rate of death from motor vehicle injuries has fallen during recent years, while the rate of injury death from violence is increasing. This increase in death rate is a reflection of greater availability of handguns in our society and greater numbers of handgun-related deaths. This article examines the facts related to firearm death and injury among America's youth. Physicians need to be armed with the facts to lead the forces to remove handguns from the environment of children.
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High pressure injection trauma to the upper extremity is a rare but potentially limb-threatening injury. The index finger on the non-dominant hand of young male workers is most commonly involved. Injected materials include paint, grease and diesel oil. ⋯ With early aggressive treatment, satisfactory results can be obtained. The use of high-pressure devices in industry has resulted in an unusual but potentially limb-threatening injury to the upper extremity known as the "high-pressure injection injury." This injury is a surgical emergency that demands prompt diagnosis and treatment if a disastrous outcome is to be avoided. The purpose of this paper is to present our recent experience and review the clinical features, evaluation and treatment principles.