A 41-year-old cattle rancher became seriously ill as a result of an accidental injection of an animal antibiotic known as Micotil 300 which has no known antidote. On November 16, 2004, the rancher was preparing to vaccinate two calves with a 20 cc plastic disposable syringe in an outside lot using a squeeze chute. He vaccinated the first calf, then placed the syringe's plunger in his mouth, while reaching up to open the squeeze chute gate. The gate only partially opened, so he reached up with his left hand to use the end gate's "pipe" handle to fully open the chute. At this same instant, the calf lunged forward, flinging open the end doors, causing the closest pipe handle to strike his left hand, driving it backwards into the needle between his left thumb and first finger, injecting between 1 cc and 1.5 ccs. He immediately felt a burning sensation at the injection site. Within a couple of minutes he developed severe ringing in his ears and felt as though his tongue and lips were swollen. He called out for help. His wife was exiting their house about 50 yards away and heard her husband call for help. She immediately called the Rocky Mountain Poison Control Center phone number listed on the Micotil packaging insert and was advised to place ice on the injection site and immediately get her husband to an emergency room. As his condition worsened, the cattle rancher was airlifted to a regional medical center and placed in Intensive Care Unit for two days. After his condition stabilized he was discharged. The Nebraska Workforce Development, Department of Labor's Investigator concluded that to help prevent future similar occurrences: 1. Veterinarians and animal health distributors, prior to releasing Micotil, should require the purchaser to sign a product information fact sheet that indicates Micotil can be fatal in humans, and that there is no antidote for this medication every time they purchase the product. 2. Users of syringe-loaded medications should practice safe handling procedures during all phases of animal treatment. 3. Veterinarians/Cattlemen, when practical, should consider using another less-hazardous antibiotic.
Region-7; Accident-analysis; Accident-prevention; Accidents; Injuries; Injury-prevention; Traumatic-injuries; Work-operations; Work-analysis; Work-areas; Work-performance; Work-practices; Safety-education; Safety-equipment; Safety-measures; Safety-monitoring; Protective-measures; Cattle; Cattle-industry; Veterinary-medicine; Agricultural-industry; Agricultural-workers; Agriculture; Drugs; Farmers; Pharmaceuticals