Recently I had an opportunity to summarize the results of treatment of all open wounds sustained by the workers in a manufacturing plant located approximately a mile from the hospital with which I am affiliated. The number of injuries was not large—sixtynine in a period of six years—and the injuries were not often serious, consisting for the most part of cleancut wounds resulting from the handling of metal sheets and strips. There were included, however, a number of cases in which division and suture of digital nerves were necessary, 1 case in which division of flexor tendons was done and 2 in which division of extensor tendons was done. The rules for the care of injuries were simple and definite—a sterile dressing was to be applied immediately over the open wound and the injured employee taken to the hospital without delay.
The majority of these patients were seen within a
KOCH SL. PREVENTION AND TREATMENT OF INFECTIONS OF THE HAND. JAMA. 1941;116(13):1365-1367. doi:10.1001/jama.1941.02820130027008