Industrial medicine and surgery . nomy to the patient and to the concern for which he most perfect fine of treatment must give: 1. The shortest disability, with a minimum amount of suffering,and the fewest hardships to those dependent upon the patient; 2. It must prevent permanent deformities, such as loss of function,or loss of fingers; 3. It must reduce the death-rate to a minimum. 582 INDUSTRIAL MEDICINE AND SURGERY These 1600 cases of hand infections were chiefly the result ofminor accidents, such as the following, named in their order of fre-quency: pin pricks, splinters, abrasi
Industrial medicine and surgery . nomy to the patient and to the concern for which he most perfect fine of treatment must give: 1. The shortest disability, with a minimum amount of suffering,and the fewest hardships to those dependent upon the patient; 2. It must prevent permanent deformities, such as loss of function,or loss of fingers; 3. It must reduce the death-rate to a minimum. 582 INDUSTRIAL MEDICINE AND SURGERY These 1600 cases of hand infections were chiefly the result ofminor accidents, such as the following, named in their order of fre-quency: pin pricks, splinters, abrasions from baskets, boxes, bins, etc.;lacerations from knives, scissors, and other sharp utensils; bruisesand contusions, nail wounds, scratches from tin and wire. Thegreater portion of these infections were very slight causing no lossof time from work, and requiring from 3 to 10 dressings. Nevertheless,there was a certain disability connected with them, as an employeewith a bandaged finger or hand has less working capacity than an. Fig. 116.—Slight infections, especially lymphangitis, are treated as serious fromtheir inception. Rest, immobilization of the part and continuous applications of heatusually abort these in twenty-four hours. (Mens rest room, doctors office.) unhampered employee. Therefore, reduction in the total number ofinfections means a marked saving in this form of disability. It hasbeen further reduced by careful attention to the simplest, yet adequate,dressing which can be applied. A certain number of the aboveinfections became serious, requiring considerable treatment eitherat home or at the hospital, and caused an actual loss of time from , the 1600 cases may be classified as follows: (a) Mild, or causing no loss of time, 1189, or 74 per cent. (6) Serious, or causing loss of time, 411, or 26 per cent. In order to arrive at the best and most economic treatment ofthese hand infections, it is necessary for us to study the 411 cases HAND INFECTIONS 583
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