What is the difference between avulsion and amputation

If one of these processes at the point of operation does lead to an amputation or the need for a medical amputation due to injury, it must be reported under this standard to the Director of the Directorate of Standards and Guidance at OSHA or to the State Agency administering an approved state plan within 30 days.

Thus, an employer should not report an injury as an amputation until it has evaluated the circumstances of the injury and determined that it meets all the requirements for reporting.

If the employer determines that reporting an injury as an amputation is required, it should immediately begin preparing for a visit from OSHA. Conn at econn connmaciel. We would love to be a resource for you, and would be happy to provide some free advice around this reporting issue.

Thanks for the question, Thomas. Employers have hours from when the employer learns of an amputation or hospitalization that meets the reporting criteria to make the report to OSHA. The key event for when that hour clock begins to tick is when a supervisory representative not necessarily senior management learns not only about the incident, but that the incident meets the reporting criteria.

If you do not learn about a reportable fatality, in-patient hospitalization, amputation, or loss of an eye at the time it takes place, you must make the report to OSHA within the following time period after the fatality, in-patient hospitalization, amputation, or loss of an eye is reported to you or to any of your agent s : Eight 8 hours for a fatality, and twenty-four 24 hours for an in-patient hospitalization, an amputation, or a loss of an eye.

If you do not learn right away that the reportable fatality, in-patient hospitalization, amputation, or loss of an eye was the result of a work-related incident, you must make the report to OSHA within the following time period after you or any of your agent s learn that the reportable fatality, in-patient hospitalization, amputation, or loss of an eye was the result of a work-related incident: Eight 8 hours for a fatality, and twenty-four 24 hours for an inpatient hospitalization, an amputation, or a loss of an eye.

Reporting Medical Amputations OSHA explains in the definition of amputation, a reportable amputation can occur naturally at the time of the incident or be performed by a healthcare professional later based on medical necessity. Addressing Multiple Bases for Injury Reporting There is no official interpretation in the Preamble or in any subsequent guidance from OSHA about whether an employer must separately report an injury that escalates into an amputation or fatality if the underlying incident was already reported as an in-patient hospitalization.

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Figure 5. Figure 6. Figure 7. Figure 8. Figure 9. Figure Footnotes All the authors declare that there is no potential conflict of interest referring to this article. Replantation of thumb avulsion injuries. Handchir Mikrochir Plast Chir. Molski M. Replantation of fingers and hands after avulsion and crush injuries.

J Plast Reconstr Aesthet Surg. Analysis of prognostic factors in ring avulsion injuries. J Hand Surg Am. Avulsion injuries of the thumb: survival factors and functional results of replantation. Unique superiority of microsurgical repair technique with its functional and aesthetic outcomes in ring avulsion injuries.

Use of the venous flap for salvage of difficult ring avulsion injuries. Salvage of an avulsion amputated thumb at the interphalangeal joint level using afferent arteriovenous shunting.

Br J Plast Surg. Replantation of ring avulsion of index, long, and ring fingers. Ann Plast Surg. Hidalgo DA. Lower extremity avulsion injuries. Clin Plast Surg. Transfer of vessels in the management of ring avulsion injury. Case report. Vilkki SK. Replantation of the thumb, especially avulsion. Hand Clin. Thumb replantation: a retrospective review of cases. Chen L, Gu J.

Replantation of a completely detached degloved thumb. Complete middle forearm amputations after avulsion injuries--microsurgical replantation results in Vietnamese patients. J Trauma. Replantation of an avulsive amputation of a foot after recovering the foot from the sea. Plast Reconstr Surg. Isenberg JS. Rodeo thumb: an unusual etiology of avulsion amputation of the thumb.

Pt 1 J Hand Surg Am. Long-term functional and subjective results of thumb replantation. Transfer of vessels in the management of thumb and ring avulsion injuries. Ann Acad Med Singapore. Replantation of the completely avulsed thumb using long arterial and venous grafts. J Hand Surg Br. Vlastou C, Earle AS. Avulsion injuries of the thumb. Digital nerve grafts in replanted digits. The employees have to use the public sidewalk to get to their plant. If an injury occurs on this "public sidewalk", and more than first aid is involved, is this recordable?

This case should be evaluated using the criteria established in the section "Injuries and illnesses resulting from events or exposures off premises" on pages 35 through 37 of the Guidelines. Work relationship must be established, it is not presumed. The employee must be engaged in a work related activity or present as a condition of employment for a case to be work related.

If the employee is simply walking on a public sidewalk from the parking lot to the place of employment, for example, as part of the normal commute, the incident would not be recordable.

An employee is in the company parking lot, steps on a curb, then onto the sidewalk, and has an injury on the sidewalk work relationship was established. Would this be recordable if there was more than first aid treatment? Sidewalks surrounding company parking lots are considered part of the employer's premises.

Injuries and illnesses which result from an event or exposure on the employer's premises are considered work related for OSHA injury and illness recordkeeping purposes page 32, section C1. Work related injuries which require treatment beyond first aid are recordable page 42, section F1.

An employee has to use a swipe badge to get through the gate and is now on the employer's premises, has a car accident prior to "clocking in" while on the premises and has treatment beyond first aid, is this recordable?

An employee's normal commute from home to office i. Therefore, any injury or illness occurring during this trip would not be recordable.