Falls from a height. Risk of suffering a traumatism for crew on vessels of the water basins of the North

• Autorzy: Shapovalov K. A.

Identyfikatory

DOI

10.5604/12307424.1206057

Warianty tytułu

PL

Upadek z wysokości. Ryzyko urazu dla członków załóg statków i łodzi akwenów północnych

• Języki publikacji: EN

Abstrakty

EN

Members of a ship’s crew often suffer a traumatism resulting from falls from a height. Traumatism is a common type of damage affecting those on vessels of the water basins of the north. Falling on board of sea transport vessels occurs 3.7 times more often than on river ones, and 5.6 times more often than on fishing vessels. For the purposes of this work, 217 accidents of fall from a height were analyzed, which constituted 9.8% of all cases of traumatism (15.3 per 1000 employees). The average age of the injured was 32.3 years. The highest frequency of falls from a height occurred among workers 18-20 years old. The highest number of falls from a height among ships’ crews was found among the members with working experience of about one year. The other groups of marine specialists frequently falling from a height were sailors and minders. Highly dangerous work generating falls from a height on vessels happens on transition paths on decks and gangways and is connected with handling and maintenance of deck machinery, mooring, and hatch covers. Alcohol intoxication was found to influence 17.3% of falls from a height on vessels of this group of workers. The major pathologies resulting from falls from a height of members of ships’ crew were various bone fractures, traumatic brain injury, severe bruises, and wounds. The period of disability of the patients with traumatic pathology resulting from falls from a height was on average 80.2 working days, including 29.4 days of spent receiving medical care in a hospital. Recovery occurred in 88.6% cases, and 2.0% of patients obtained legal disability status.

PL

Członkowie załóg statków często cierpią z powodu urazów odniesionych w następstwie upadku z wysokości. Urazy to najczęstsza forma uszkodzenia ciała u osób przebywających na pokładach statków na akwenach północnych. Upadek na pokładzie statków i łodzi transportu morskiego zdarzają się 3,7 razy częściej niż w przypadku transportu rzecznego i 5,6 razy częściej niż w przypadku łodzi i kutrów rybackich. Dla celów niniejszego opracowania poddano analizie 217 przypadków upadku z wysokości, które złożyły się na 9,8% wszystkich urazów na pokładach statków (średnio 15,3 zdarzenia na 1000 pracowników). Średnia wieku poszkodowanych to 32,3 roku. Najczęściej dochodziło do wypadków pracowników między 18 a 20 rokiem życia. Upadki zdarzały się najczęściej pracownikom o doświadczeniu zawodowym ok. 1 roku. Inne grupy, którym upadki przydarzały się bardzo często to marynarze i pracownicy serwisowi. Wysoce niebezpieczne prace często kończące się upadkiem z wysokości wiązały się z przechodzeniem po pokładach i trapach, obsługą i utrzymaniem urządzeń pokładowych, cumowaniem i otwieraniem lub zamykaniem pokryw ładowni. Odkryto, że 17,3 % wszystkich upadków z wysokości wśród pracowników łodzi i statków nastąpiło pod wpływem alkoholu. Upadający najczęściej odnosili różnego rodzaju złamania kości, urazy mózgu, dotkliwe stłuczenia i rany.

Słowa kluczowe

EN

fall from a height; ship crew; northern water basin; marine works; alcohol; combined trauma; fractures; brain injuries; wounds

PL

upadek z wysokości; załoga statku; akweny północne; prace prowadzone na morzu; alkohol; urazy złożone; złamania; urazy mózgu; rany

• Wydawca: Instytut Morski w Gdańsku
• Czasopismo: Biuletyn Instytutu Morskiego w Gdańsku
• Rocznik: 2016
• Tom: Vol. 31, No. 1
• Strony: 96--100
• Opis fizyczny: Bibliogr. 17 poz.

Twórcy

autor

Shapovalov K. A.

• Department of Standardization and Quality Assessment of Medical Care of the State Budget Agency of Health of the Republic of Komi “Republican Medical Information and Analytical Center”, Syktyvkar, Komi Republic, Russian Federation

Bibliografia

• [1] Aasjord H.L. (2006) Tools for improving safety management in the Norwegian Fishing Fleet occupational accidents analysis period of 1998-2006. Int Marit Health, vol.57 (№1-4) p.76-84.
• [2] Bunyatov M.O. (2000) Biochemical analysis of a fall from a height depending on the kinetic energy. Az Med J, №3.
• [3] Bunyatov M.O. (2001) Some biomechanical aspects of forensic medical examination of fatal falls from height. Information letter of the Chief forensic expert of MH RF №632/01.01 from 5.06.
• [4] Chauvin C, Le Bouar G. (2007) Occupational injury in the French sea fishing industry: a comparative study between the 1980s and today. Accid Anal Prev, vol.39 (№1) p.79-85. Epub 2006 Sep.
• [5] Jensen O.C. (2000) Non-fatal occupational fall and slip injuries among commercial fishermen analyzed by use of the NOMESCO injury registration system. Am J Ind Med, vol.37 (№6) p.637-644.
• [6] Jensen O.C, Laursen L.H. (2011) Reduction of slips, trips and falls and better comfort by using new anti-slipping boots in fishing. Int J Inj Contr Saf Promot, vol.18 (№1) p.85-87.
• [7] Lawrie T, Matheson C, Murphy E, Ritchie L, Bond C. (2003) Medical emergencies at sea and injuries among Scottish fishermen. Occup Med (Lond), vol.53 (№3) p.159-164.
• [8] Obukhov I.A. (1941) Traumas Navy associated with the fall of the hatches, holds, cellar and docks (On materials of Kronstadt naval hospital). Proceedings of the Kronstadt naval hospital. Leningrad, p.41-45.
• [9] http://sudebnaja.ru/travma-pri-padenii/206-travma-pri-padenii-s-vysoty-katatravma.html/
• [10] http://base.safework.ru/iloenc?print&nd=857100147&spack=110LogLength%3D0%26 LogNumDoc%3D857000239%26listid%3D010000000100%26listpos%3D14%26lsz %3D17%26nd%3D857000239%26nh%3D1%26/
• [11] Shapovalov K.A. (1990) Features of. katatravma on ships of northern basin. Ortoped Travmatol Protez, (№6) p.65-66.
• [12] Shapovalov K.A. (2003) Catatrauma (Falls from a height). Medical and social problems of traffic accidents floating crew on transport, river, fishing fleets. Organization of emergency trauma care on vessels: monograph. - 2nd ed., Rev. and enlarged. Syktyvkar. p.59-61.
• [13] Shapovalov K.A. (2007) Contingent of industrial workers: features of a traumatism of floating crew and complex actions for its prevention. WHO: Pubrights.
• [14] Shapovalov K.A. (2013) Injuries of the floating crew of the fishing fleet. People and the Sea. VII: “Maritime Futures”: International Conference. 26-28th of June 2013. Amsterdam: Abstracts. Available at http://www.marecentre.nl/people_and_the_sea_7/ documents/MARE_Programme_Book.pdf:116
• [15] Shapovalov K.A. (2013) Injuries of floating crew of Northern water pool in a state of alcohol intoxication. Int Marit Health, vol.64 (№1) p.41–50.
• [16] Shapovalov КА. (2015) Falls from a height as a cause of injuries of floating crew of the Northern water pool. 19th World Congress for Disaster and Emergency Medicine, 21-24 April 2015, Cape Town, South Africa: Abstracts №633. [Available at http://abstracts. webges.com/wcdem2015]
• [17] Shapovalov К.А, Shapovalova L.A. (2013) Methodological approaches to teaching academic theme “Fractures” subject “First aid for injuries suffered during accidents, catastrophes and natural disasters” for humanitarian and technical universities // 18th World Congress for Disaster and Emergency Medicine, 23-31 May 2013 – Manchester.