RESUMO
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.
