@article{ref1,
title="Band saw injury in a butcher",
journal="Occupational medicine",
year="2007",
author="Rubin, Lee Eric and Miki, Roberto Augusto and Taksali, Sudeep and Bernstein, Richard Alan",
volume="57",
number="5",
pages="383-385",
abstract="BACKGROUND: While treating an unusual amputation caused by a meat band saw in a 35-year-old butcher, we sought information from the medical literature that would be useful to other physicians who might encounter similar occupational injuries. METHODS: Using the Medline database and relevant search terms, we reviewed the literature concerning occupational saw blade injuries and porcine microbiology as they related to this injury. RESULTS: Among meat workers using powered cutting equipment, hand injuries and distal fingertip amputations appear to be common. The greatest risk for a wound infection after open exposure to raw pork meat appears primarily related to environmental flora rather than enteric-borne porcine pathogens. CONCLUSIONS: Decision-making strategy when formulating a treatment plan for debridement or reconstruction of saw blade amputations should rely on a detailed understanding of the injury and occupational environment to achieve an optimal patient outcome. When considering operative and antibiotic treatment for porcine meat-related amputation injury, surgeons should adhere to open fracture-related guidelines, since porcine-borne illnesses are most often caused by ingestion rather than transcutaneous inoculation.<p /><p>Language: en</p>",
language="en",
issn="0962-7480",
doi="10.1093/occmed/kqm019",
url="http://dx.doi.org/10.1093/occmed/kqm019"
}