High Pressure Injection Injury
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High Pressure Injection Injury
A high pressure injection injury is an injury caused by high-pressure injection of oil, grease, diesel fuel, gasoline, solvents, water, or even air, into the body. The most common causes are accidents with grease guns, paint sprayers, and pressure washers, but working on diesel and gasoline engine fuel injection systems as well as pinhole leaks in pressurized hydraulic lines can also cause this injury. Additionally, there is at least one known case of deliberate self-injection with a grease gun. Although the initial wound often seems minor, the unseen, internal damage can be severe. With hydraulic fluids, paint, and detergents, these injuries are extremely serious as most hydraulic fluids and organic solvents are highly toxic. Delay in surgical treatment often leads to amputations or death. But even with pure water or air, these injuries cause compartment syndrome Compartment syndrome is a condition in which increased pressure within one of the body's anatomical compartm ...
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Emergency Medicine
Emergency medicine is the medical speciality concerned with the care of illnesses or injuries requiring immediate medical attention. Emergency physicians (often called “ER doctors” in the United States) continuously learn to care for unscheduled and undifferentiated patients of all ages. As first-line providers, in coordination with Emergency Medical Services, they are primarily responsible for initiating resuscitation and stabilization and performing the initial investigations and interventions necessary to diagnose and treat illnesses or injuries in the acute phase. Emergency physicians generally practise in hospital emergency departments, pre-hospital settings via emergency medical services, and intensive care units. Still, they may also work in primary care settings such as urgent care clinics. Sub-specializations of emergency medicine include; disaster medicine, medical toxicology, point-of-care ultrasonography, critical care medicine, emergency medical services, hy ...
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Plastic Surgery
Plastic surgery is a surgical specialty involving the restoration, reconstruction or alteration of the human body. It can be divided into two main categories: reconstructive surgery and cosmetic surgery. Reconstructive surgery includes craniofacial surgery, hand surgery, microsurgery, and the treatment of burns. While reconstructive surgery aims to reconstruct a part of the body or improve its functioning, cosmetic (or aesthetic) surgery aims at improving the appearance of it. Etymology The word ''plastic'' in ''plastic surgery'' means "reshaping" and comes from the Greek πλαστική (τέχνη), ''plastikē'' (''tekhnē''), "the art of modelling" of malleable flesh. This meaning in English is seen as early as 1598. The surgical definition of "plastic" first appeared in 1839, preceding the modern "engineering material made from petroleum" sense by 70 years. History Treatments for the plastic repair of a broken nose are first mentioned in the Egyptian medical text ...
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Petroleum
Petroleum, also known as crude oil, or simply oil, is a naturally occurring yellowish-black liquid mixture of mainly hydrocarbons, and is found in geological formations. The name ''petroleum'' covers both naturally occurring unprocessed crude oil and petroleum products that consist of refined crude oil. A fossil fuel, petroleum is formed when large quantities of dead organisms, mostly zooplankton and algae, are buried underneath sedimentary rock and subjected to both prolonged heat and pressure. Petroleum is primarily recovered by oil drilling. Drilling is carried out after studies of structural geology, sedimentary basin analysis, and reservoir characterisation. Recent developments in technologies have also led to exploitation of other unconventional reserves such as oil sands and oil shale. Once extracted, oil is refined and separated, most easily by distillation, into innumerable products for direct use or use in manufacturing. Products include fuels such as gasol ...
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Gasoline Direct Injection
Gasoline direct injection (GDI), also known as petrol direct injection (PDI), is a mixture formation system for internal combustion engines that run on gasoline (petrol), where fuel is injected into the combustion chamber. This is distinct from manifold fuel injection systems, which inject fuel into the intake manifold. The use of GDI can help increase engine efficiency and specific power output as well as reduce exhaust emissions. The first GDI engine to reach production was introduced in 1925 for a low-compression truck engine. Several German cars used a Bosch mechanical GDI system in the 1950s, however usage of the technology remained rare until an electronic GDI system was introduced in 1996 by Mitsubishi for mass-produced cars. GDI has seen rapid adoption by the automotive industry in recent years, increasing in the United States from 2.3% of production for model year 2008 vehicles to approximately 50% for model year 2016. Operating principle Charge modes The 'charg ...
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Grease Gun (tool)
A grease gun is a common workshop and garage tool used for lubrication. The purpose of the grease gun is to apply lubricant through an aperture to a specific point, usually from a grease cartridge to a grease fitting or 'nipple'. The channels behind the grease nipple lead to where the lubrication is needed. The aperture may be of a type that fits closely with a receiving aperture on any number of mechanical devices. The close fitting of the apertures ensures that lubricant is applied only where needed. There are four types of grease gun: #Hand-powered, where the grease is forced from the aperture by back-pressure built up by hand-cranking the trigger mechanism of the gun, which applies pressure to a spring mechanism behind the lubricant, thus forcing grease through the aperture. #Hand-powered, where there is no trigger mechanism, and the grease is forced through the aperture by the back-pressure built up by pushing on the butt of the grease gun, which slides a piston through the bo ...
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Spray Painting
Spray painting is a painting technique in which a device sprays coating material (paint, ink, varnish, etc.) through the air onto a surface. The most common types employ compressed gas—usually air—to atomize and direct the paint particles. Spray guns evolved from airbrushes, and the two are usually distinguished by their size and the size of the spray pattern they produce. Airbrushes are hand-held and used instead of a brush for detailed work such as photo retouching, painting nails, or fine art. Air gun spraying uses generally larger equipment. It is typically used for covering large surfaces with an even coating of liquid. Spray guns can be either automated or hand-held and have interchangeable heads to allow for different spray patterns. Single color aerosol paint cans are portable and easy to store. History Spraying paint with compressed air can be traced back to its use on the Southern Pacific Railway in the early 1880s In 1887 Joseph Binks, the maintenance superviso ...
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Pressure Washer
Pressure washing or power washing is the use of high-pressure water spray to remove loose paint, mold, grime, dust, mud, and dirt from surfaces and objects such as buildings, vehicles and concrete surfaces. The volume of a mechanical pressure washer is expressed in gallons or liters per minute, often designed into the pump and not variable. The pressure, expressed in pounds per square inch, pascals, or bar, is designed into the pump but can be varied by adjusting the unloader valve. Machines that produce pressures from 750 to 30,000 psi (5 to 200 MPa) or more are available. The terms pressure washing and power washing are used interchangeably in many scenarios, and there is some debate as to whether they are actually different processes. A pressure washing surface cleaner is a tool consisting of two to four high-pressure jets on a rotating bar that swivels when water is flowing. This action creates a uniformed cleaning pattern that can clean flat surfaces at a rapid rate. H ...
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Hydraulic Fluid
A hydraulic fluid or hydraulic liquid is the medium by which power is transferred in hydraulic machinery. Common hydraulic fluids are based on mineral oil or water. Examples of equipment that might use hydraulic fluids are excavators and backhoes, hydraulic brakes, power steering systems, automatic transmissions, garbage trucks, aircraft flight control systems, lifts, and industrial machinery. Hydraulic systems like the ones mentioned above will work most efficiently if the hydraulic fluid used has zero compressibility. Functions and properties The primary function of a hydraulic fluid is to convey power. In use, however, there are other important functions of hydraulic fluid such as protection of the hydraulic machine components. The table below lists the major functions of a hydraulic fluid and the properties of a fluid that affect its ability to perform that function: Composition Base stock The original hydraulics fluid, dating back to the time of ancient Egypt ...
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Solvent
A solvent (s) (from the Latin '' solvō'', "loosen, untie, solve") is a substance that dissolves a solute, resulting in a solution. A solvent is usually a liquid but can also be a solid, a gas, or a supercritical fluid. Water is a solvent for polar molecules and the most common solvent used by living things; all the ions and proteins in a cell are dissolved in water within the cell. The quantity of solute that can dissolve in a specific volume of solvent varies with temperature. Major uses of solvents are in paints, paint removers, inks, and dry cleaning. Specific uses for organic solvents are in dry cleaning (e.g. tetrachloroethylene); as paint thinners (toluene, turpentine); as nail polish removers and solvents of glue (acetone, methyl acetate, ethyl acetate); in spot removers (hexane, petrol ether); in detergents ( citrus terpenes); and in perfumes (ethanol). Solvents find various applications in chemical, pharmaceutical, oil, and gas industries, including in chemical syn ...
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Compartment Syndrome
Compartment syndrome is a condition in which increased pressure within one of the body's anatomical compartments results in insufficient blood supply to tissue within that space. There are two main types: acute and chronic. Compartments of the leg or arm are most commonly involved. Symptoms of acute compartment syndrome (ACS) can include severe pain, poor pulses, decreased ability to move, numbness, or a pale color of the affected limb. It is most commonly due to physical trauma such as a bone fracture (up to 75% of cases) or crush injury, but it can also be caused by acute exertion during sport. It can also occur after blood flow returns following a period of poor blood flow. Diagnosis is generally based upon a person's symptoms and may be supported by measurement of intracompartmental pressure before, during, and after activity. Normal compartment pressure should be within 12-18 mmHg; anything greater than that is considered abnormal and would need treatment. Treatment i ...
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