School of Podiatric Medicine Publications and Presentations
Document Type
Poster
Publication Date
Spring 3-2025
Abstract
Immigrant labor has a long history in the United States, comprised of millions of workers from various ethnic and cultural backgrounds supporting multiple industries from farm work to steel. As of 2019, 25.6% of total migrant workers employed in the Americas [1,2]. Crush injuries or “pinch points” are events when a body part is entangled within machinery or under or between an object [3]. After a series of crush related injuries of young (20s), male Latino patients across Texas to a level 1 trauma center, case review was performed for 2 patients for which follow up could be evaluated. The patients report similar events of hopping train cars with falls crushing the lower limb between cart couplers.
Mangled extremity severity score (MESS), known as unreliable in predicting limb amputation is consistent in this case [4]. The mechanism of train crush injury requires patient survey for soft tissue compromise, blood loss, concomitant fracture care. Anticipate prolonged hospitalization and alternative follow up care (phone) due to patient migration and/or remote distance from the trauma hospital.
Recommended Citation
Campbell, Stephanie N.; Tran, Heather V.; Gambhir, Nikita V.; and Caporusso, Luis, "Train Foot: History of the Migrant Worker" (2025). School of Podiatric Medicine Publications and Presentations. 95.
https://scholarworks.utrgv.edu/sopm_pub/95
ORCID
0000-0002-4425-4921
Academic Level
faculty
