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Slys meðal sjómanna á Íslandi árin 2001-2005

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Authors
Kristinn Sigvaldason
Friðrik Þór Tryggvason
Guðrún Pétursdóttir
Hilmar Snorrason

Halldór Baldursson
Brynjólfur Mogensen
Issue Date
2010-01-01

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Other Titles
Fatal accidents and non-fatal injuries amongst seamen in Iceland 2001-2005
Citation
Læknablaðið 2010, 96(1):29-35
Abstract
OBJECTIVES: This study aims at getting a comprehensive view of the incidence, nature and circumstances leading up to injuries in Icelandic waters in 2001-2005. MATERIAL AND METHODS: The NOMESCO database at Landspitali University Hospital registers prospectively accidents at sea treated in the Emergency Department, including circumstances leading to the accident, vessel type, experience, task being performed, weather conditions etc. The Icelandic Marine Accident Investigation Board provided data on fatal injuries, and additional information on injuries at sea was collected from the Social Insurance Administration (SIA). RESULTS: Of 17 fatal accidents occurring in 2001-2005 14 were work related which amounts to 54/100.000 seamen/year. The SIA received 1787 injury reports (7% of registered seamen), 826 sought assistance at Landspitali, 52 were admitted with an average injury severity score of 5.5 (1-16) and no ensuing fatalities. Most accidents occurred on fishing vessels (87%), 51% thereof on trawlers. Experienced fishermen are most commonly injured, working on deck in daylight and stable weather. CONCLUSIONS: Fatalities have declined steadily in the last two decades, yet 7% of registered fishermen sustain injuries each year. These occur amongst experienced fishermen in good external conditions, which calls for revision of safety procedures on board.
Tilgangur: Sjómennskan er eitt hættulegasta starf samfélagsins. Árin 1966-1989 létust 89/100.000 sjómenn/ári á Íslandi. Markmið rannsóknarinnar var að kanna í forvarnarskyni aðdraganda og umfang slysa á sjó við Ísland á árunum 2001-2005.
 Efniviður og aðferðir: Kannaðar voru til-kynningar til rannsóknarnefndar sjóslysa og 
Tryggingastofnunar ríkisins og yfirfarin NOMESCO slysaskrá á bráðamóttöku Land-spítala. Þar eru upplýsingar um orsakir slyss, áverka, starfsreynslu hins slasaða, veðurlag, sjólag, tegund veiða, tegund skips og fleira. Metin var áverkaskor innlagðra (Injury Severity Score).
 Niðurstöður: Á tímabilinu urðu 17 banaslys, þar af 14 starfstengd, sem jafngildir 54/100.000 sjómönnum/ári. Tryggingastofnun bárust 1787 tilkynningar, að meðaltali 357 á ári (7% starfandi sjómanna). Alls voru 223 metnir til varanlegrar örorku (meðaltal 14,7%). Til slysa- og bráðadeildar Landspítala leituðu 826, 52 voru lagðir inn og var áverkaskor þeirra að meðaltali 5,5 (1-16). Flest slysin (87%) urðu á fiskiskipum, þar af 51% á togurum. Slysin urðu oftast í góðu veðri, við dagsbirtu og hjá reyndum sjómönnum. Algengastir voru áverkar á útlimum, sérstaklega á höndum.
 Ályktun: Slys eru tíð meðal sjómanna en banaslysum hefur fækkað talsvert síðustu áratugi. Flest slys verða á fiskiskipum við góðar aðstæður hjá reyndum sjómönnum sem bendir til þess að huga þurfi að vinnuaðferðum um borð.

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