Case study ( 6313 views as of April 22, 2019 )
Gary, a 43-year-old, works aboard a tugboat and is often out for four days straight with his crew before coming to shore. While at work, he bumped his shin on a piece of rigging, which led to an abrasion with a sizable bruise coming up the next morning. Having had lots of bumps and scrapes at work, Gary thought nothing of it, and chose to “tough it out”.
When his wife, Sharon, picked him up from the port two days later, he wasn’t feeling well. He had a low-grade fever, felt achy all over, and the pain in his leg was getting worse. He just wanted to go home, have a shower and go to bed. Sharon looked at his shin and noticed that it was swollen, red, really hot to touch and very painful with any pressure being applied.
When such injuries occur, one should consider the possibility of the potential for infection. Gary could consider calling 811 (the Nurse Advice Line), going to an Urgent Care Clinic or the closest Emergency Department. Once a full assessment has been completed, Gary may be referred to an Infectious Disease Specialist, Occupational Health Specialist or Vaccination Services. A First Aid Supply Store, Medical Supply Store and/or pharmacy may carry many of the products he could use to manage the injury.Author: Dr. Adam Lund