By David Snashall, Dipti Patel
This ABC covers all of the significant parts of occupational and environmental medication which the non-specialist probably want to find out about. It updates the cloth in ABC of labor comparable issues and many of the chapters were rewritten and increased. New info is supplied on more than a few environmental concerns but the ebook continues its sensible procedure, giving assistance at the analysis and daily administration of the most occupational problems.
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Extra info for ABC of Occupational and Environmental Medicine
Present guidelines do no more than identify when manual lifting and lowering operations may not need a detailed risk assessment. If the handler’s hands enter more than one of the box zones during the operation, the smallest weight figures apply. Where the handler’s hands are close to a boundary an intermediate weight may be chosen. Where lifting or lowering with the hands beyond the box zones is unavoidable, a more detailed assessment should always be made. 100 80 60 40 20 0 <20 35 50 70 >70 Horizontal distance of hands from base of spine (cm) Reduction in handling capacity as hands move away from trunk 3 kg Shoulder height 7 kg 10 kg 5 kg 20 kg 10 kg 7 kg Shoulder height 13 kg Elbow height Elbow height Diagnosis and prognosis 10 kg 16 kg 15 kg Knuckle height Knuckle height Diagnostic triage On simple clinical grounds, patients with acute back problems can be triaged into simple backache, nerve root pain, and possible serious spinal conditions.
Health and safety risk to others Employers have a legal duty to ensure the health and safety of employees and the public. In principle, the doctor identifies hazards and quantifies any risks; management decides on a subject’s fitness on the basis of the medical conclusions and advice. In practice, however, doctors confirm fitness when there is no risk, and unfitness if there are clearly unacceptable risks. For the many cases that lie in between, there may be confusion as to whether it is a management or medical responsibility to decide on fitness.
Social assessment includes patients’ relationships with their families (who may reinforce the patient’s disability), and work problems related to the physical demands of the job, job satisfaction, compensation, and medicolegal issues. • Clinical Standards Advisory Group. Back pain. London: HMSO, Referral • When a patient with simple backache does not return to work within three months, specialist referral is required to provide a second opinion about the diagnosis, to arrange investigations, and to advise on management, reassurance, multidisciplinary rehabilitation, and pain management.
ABC of Occupational and Environmental Medicine by David Snashall, Dipti Patel