17
Section 1 - Safety Information
DANGER
AN INJuRY CAuSEd BY HIGH PRESSuRE WATERJETS CAN BE SERIOuS. YOu
SHOuLd REAd THIS WARNING STATEMENT CAREFuLLY ANd ALWAYS CARY THE
MEdICAL INFORMATION CARd WITH YOu.
•
IN THE EvENT OF ANY WATERJET INJuRY:
•
SEEK MEdICAL ATTENTION IMMEdIATELY. dO NOT dELAY.
•
INFORM THE dOCTOR OF THE CAuSE OF THE INJuRY.
•
SHOW THE dOCTOR THE MEdICAL INFORMATION CARd OR THIS WARNING
STATEMENT ANd NOTE TO PHYSICIAN BELOW.
•
TELL THE PHYSICIAN WHAT TYPE OF WATERJET PROJECT WAS BEING
PERFORMEd AT THE TIME OF THE ACCIdENT ANd THE SOuRCE OF THE WATER.
MEdICAL ALERT
NOTE TO PHYSICIAN
This patient may be suffering from a waterjet injury. Evaluation and
management should parallel that of a gunshot injury. The external mani-
festations of the injury cannot be used to predict the extent of internal
damage. Initial management should include stabilization and a thorough
neurovascular examination. X-rays can be used to asses subcutaneous
air and foreign bodies distant from the site of the injury. Injuries to ex-
tremities can involve extensive nerve, muscle, vessel damage as well as
cause a distal compartment syndrome. Injuries to the torso can involve
internal organ damage. Surgical consultation should be obtained. Ag-
gressive irrigation and debridement is recommended. Surgical decom
-
pression and exploration may also be necessary. Angiographic studies
are recommended preoperatively if arterial injury is suspected. Bandages
with a hygroscopic solution (mgso
4
) and hyperbaric oxygen treatment
have been used as adjunctive therapy to decrease pain, edema and sub
-
cutaneous emphysema. Unusual infections with uncommon organisms
in immunocompetent patients have been seen; the source of the water is
important in deciding on initial, empiric antibiotic treatment, and broad-
spectrum intravenous antibiotics should be administered. Cultures should
be obtained.
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