A high pressure injection injury is an injury caused by high-pressure injection of
oil
An oil is any nonpolar chemical substance that is composed primarily of hydrocarbons and is hydrophobic (does not mix with water) & lipophilic (mixes with other oils). Oils are usually flammable and surface active. Most oils are unsaturated ...
,
grease,
diesel fuel
Diesel fuel , also called diesel oil, is any liquid fuel specifically designed for use in a diesel engine, a type of internal combustion engine in which fuel ignition takes place without a spark as a result of compression of the inlet air and t ...
,
gasoline
Gasoline (; ) or petrol (; ) (see ) is a transparent, petroleum-derived flammable liquid that is used primarily as a fuel in most spark-ignited internal combustion engines (also known as petrol engines). It consists mostly of organic co ...
, solvents, water, or even air, into the body.
The most common causes are accidents with
grease guns,
paint sprayers, and
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 w ...
s, 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 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 backhoe ...
s, paint, and detergents, these injuries are extremely serious as most hydraulic fluids and
organic solvents
A solvent (s) (from the Latin '' solvÅ'', "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 p ...
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 compartments results in insufficient blood supply to tissue within that space. There are two main types: acute and chronic. Compartments of the ...
which leads to cell death if surgical intervention is delayed.
See also
*
References
External links
High-Pressure Injection Injuries - Medscape
Injuries
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