Members of vessel`s crew of transport and fi shing fl eets is a professional group of industrial workers
contingent operating the important links of the economic mechanism of many types of industries. Loss of
ability to work, disability, and in some cases may be fatal occupational traumas of members of vessel`s
crew, determine the socio-hygienic and medical nature of the problem and its economic importance.
The analysis of the provision of medical care in 2216 occupational damages of members of vessel`s
crew of the Northern Water`s Basin obtained on board of ships of sea transport, river transport and fi shing fl eets.
Occupational accidents on vessels were 156.4 per 1000 employees, including 198.2 in the sea
transport ones; 132.9 - river transport and 67.7 - fi shing. Women from among this cohort of industrial
workers are injured on vessels in 1.8 times less often than men. With increasing production time
traumatism of members of vessel`s crew sequentially reduced by more than 3.4-fold in patients with
experience of over 15 years compared persons the fi rst year of operation. The volume of urgent measures
in vessel`s medical point due to the high frequency of fractures among the victims (60.7), including -
open (10.7); extensive infected wounds with massive damages of deeply lying tissues (23.7) wearing
complicated or a combined character. Occupational falls from a height with ladders into the open hold
or overboard occur with the sailors and minders when performing general vessel`s, cargo-handling and
mooring work (9%). Proportion damages of members of vessel`s crew in alcoholic intoxication on vessel
when performing work up to 8% in the total traumatism, including in sea transport fl eet - 9% (18.0); river
transport - 9% (9.9) and fi sheries ones - 4% (2.8). Deadly accidents of members of vessel`s crew reached
10% in the overall structure of traumas. Risk factors in the composition of members of vessel`s crew
of sea and river transport and fi shing fl eets in the Northern Water`s Basin depended of type of work
performed, special vessel`s affected, drinking of alcohol, sex, age, length of service.
Keywords: Traumatism, members of vessel`s crew; Sea transport fleet; River transport fleet; Fishing fleet; Northern Water`s Basin; Flight conditions; Fatal traumas; Alcohol; Risk of traumatism; Medical emergency
Published on: Mar 13, 2018 Pages: 1-8
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DOI: 10.17352/ams.000008
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