The epidemiology of operations performed by the National Sea Rescue Institute of South Africa over a 5-year period

Erasmus, Elaine; Robertson, Cleeve; Hoving, D.J. van

doi:10.5603/imh.2018.0001

Cited by 6 publications

(12 citation statements)

References 7 publications

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“…The annual number of marine interventions by the BMPM was lower than in other specialized marine rescue structures [2,3]. The BMPM's rescue activity was not exclusive to the sea and its area of responsibility was geographically limited.…”

Section: Discussionmentioning

confidence: 88%

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Epidemiology of physician interventions in maritime environment by the Marseille Fire Brigade (BMPM) from 2005 to 2017

Boudsocq

Bellec²,

Gueho³

et al. 2019

International Maritime Health

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Background: Marseille is the second largest city in France. The Marseille Fire Brigade (BMPM) is the largest unity of the French Navy. This organization is in charge of rescue operations and medical intervention in the Marseille area. The aim of the study was to describe the epidemiology of interventions that required a physician to be present that were performed by the BMPM between the years of 2005 to 2017. Materials and methods: The statistical office database of the BMPM and the medical interventions forms (FIM) acquired from the BMPM medical ambulances (SMUR) archives were analysed from the years 2005 to 2017. Results: The BMPM performed a total of 2,375 interventions in the maritime environment between 2005 and 2017. A physician was necessary for intervention a total of 186 times. The extraction and analysis reports of 107 medical intervention forms found the BMPM archives revealed a significant number of interventions (67%) in the southern bay of Marseille and Frioul, specifically from the If and Planier islands. The majority of interventions (77%) took place within the 300m band. The most common cause of medical intervention was due to an accidental fall into the water, followed by boating (sailing and motor), and swimming. Drowning was the most common cause of mortality, consisting of 34% of all interventions. Diving accidents represented 14% of interventions. Trauma affected 22% of the study population and 83% of trauma patients were transported to the hospital under the supervision of a physician. Conclusions: Potential areas for improvement in the management of drowning victims are the use of Szpilman's classification, sonography, and non-invasive ventilation. A recertification course for medical education training of BMPM doctors on the management of diving accidents could help to optimize the information recorded on FIM. Accident prevention training should be continued and reinforced when it comes to maritime activities.

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Section: Discussionmentioning

confidence: 88%

“…The number of interventions requiring a physician increased in contrast to those that did not. There were an increased number of interventions in the summer with a peak frequency in August [2,4]. The peak in medical interventions between 4 p.m. and 6 p.m. was correlated with peak times in attendance.…”

Section: Discussionmentioning

confidence: 91%

Epidemiology of physician interventions in maritime environment by the Marseille Fire Brigade (BMPM) from 2005 to 2017

Boudsocq

Bellec²,

Gueho³

et al. 2019

International Maritime Health

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“…Three (3) studies reported drowning in multiple sites (countries) [20,21,22]. Twenty-four (57%) of the articles originated from South Africa [20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43], three (7.1%) were from Ethiopia [20,44,45], Ghana [20,46,47], Malawi [20,48,49], Nigeria [50,51,52] and Uganda [53,54,55] respectively, while 2 (4.8%) studies were from Cote d’Ivoire [20,56], Kenya [20,57] and Egypt [21,22] respectively. One (2.4%) article each originated from Burkina Faso [20], Guinea [58], The Gambia [20], Tanzania [59], Seychelles [60] and Zimbabwe [61], See Figure 1 for location.…”

Section: Resultsmentioning

confidence: 99%

“…The most commonly used data were surveillance data (46%) and death registers including hospital, police and coronial reports. Twelve (12) studies investigated and described drowning exclusively [21,22,23,24,25,26,27,30,43,50,54,60], while in 30 studies, drowning was reported as part of a wider study including studies investigation all cause of death and external causes of death [20,28,29,31,32,33,34,35,36,37,38,39,40,41,42,44,45,46,47,48,49,51,52,53,55,56,57,58,59,61]. Measures used to describe drowning were proportions and rates.…”

Section: Resultsmentioning

confidence: 99%

“…Measures used to describe drowning were proportions and rates. Drowning rates in children were reported in thirteen (13) studies [21,28,30,31,33,35,37,38,39,42,46,49,52], while 29 (69%) studies described drowning rates of adults and children or adults alone [20,22,23,24,25,26,27,29,32,34,36,40,41,43,44,45,47,48,50,51,53,54,55,56,57,58,59,60,61]. The denominators used varied by country.…”

Section: Resultsmentioning

confidence: 99%

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Epidemiology, Risk Factors and Measures for Preventing Drowning in Africa: A Systematic Review

Miller,

Alele,

Emeto

et al. 2019

Medicina

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Background and Objectives: Drowning is a leading cause of unintentional injury related mortality worldwide, and accounts for roughly 320,000 deaths yearly. Over 90% of these deaths occur in low- and middle-income countries with inadequate prevention measures. The highest rates of drowning are observed in Africa. The aim of this review is to describe the epidemiology of drowning and identify the risk factors and strategies for prevention of drowning in Africa. Materials and Methods: A review of multiple databases (MEDLINE, CINAHL, PsycINFO, Scopus and Emcare) was conducted from inception of the databases to the 1st of April 2019 to identify studies investigating drowning in Africa. The preferred reporting items for systematic review and meta-analysis (PRISMA) was utilised. Results: Forty-two articles from 15 countries were included. Twelve articles explored drowning, while in 30 articles, drowning was reported as part of a wider study. The data sources were coronial, central registry, hospital record, sea rescue and self-generated data. Measures used to describe drowning were proportions and rates. There was a huge variation in the proportion and incidence rate of drowning reported by the studies included in the review. The potential risk factors for drowning included young age, male gender, ethnicity, alcohol, access to bodies of water, age and carrying capacity of the boat, weather and summer season. No study evaluated prevention strategies, however, strategies proposed were education, increased supervision and community awareness. Conclusions: There is a need to address the high rate of drowning in Africa. Good epidemiological studies across all African countries are needed to describe the patterns of drowning and understand risk factors. Further research is needed to investigate the risk factors and to evaluate prevention strategies.

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Epidemiological aspects of drowning and non-fatal drowning in the waters of Amsterdam

Reijnen

Westeringh²,

Buster

et al. 2018

Journal of Forensic and Legal Medicine

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The epidemiology of operations performed by the National Sea Rescue Institute of South Africa over a 5-year period

Abstract: Injury and illness, specifically drowning utilise a large proportion of search and rescue services. The results suggest further preventative measures and public health strategies be implemented to minimise traumatic and medical incident severity and subsequent casualties at sea.

Cited by 6 publications

References 7 publications

Epidemiology of physician interventions in maritime environment by the Marseille Fire Brigade (BMPM) from 2005 to 2017

Epidemiology of physician interventions in maritime environment by the Marseille Fire Brigade (BMPM) from 2005 to 2017

Epidemiology, Risk Factors and Measures for Preventing Drowning in Africa: A Systematic Review

Epidemiological aspects of drowning and non-fatal drowning in the waters of Amsterdam

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