Podrobná bibliografie
| Název: |
A Multi-Pronged Approach to Shipyard Heat Stress Injury Prevention. |
| Autoři: |
Latimer, Emily, Georgas, Aaron, McGlynn, Andrea, Troncoso, Melissa |
| Zdroj: |
Workplace Health & Safety; Oct2025, Vol. 73 Issue 10, p516-523, 8p |
| Témata: |
INDUSTRIAL safety, RISK assessment, MEDICAL protocols, SHIPS, PERSONAL protective equipment, RESEARCH funding, HUMAN services programs, OCCUPATIONAL hazards, PHYSIOLOGICAL effects of heat, WORK environment, CLIMATE change, PILOT projects, STATISTICAL sampling, PSYCHOLOGY of military personnel, DESCRIPTIVE statistics, ODDS ratio, OCCUPATIONAL exposure, ENVIRONMENTAL exposure, HEALTH education, EVIDENCE-based medicine, COMPARATIVE studies, DATA analysis software, CONFIDENCE intervals, CONSTRUCTION industry, PREVENTIVE health services, INDUSTRIAL hygiene, HEALTH care teams, FIRE fighters, PSYCHOSOCIAL factors |
| Geografický termín: |
UNITED States |
| Abstrakt: |
Background: Heat stress injury (HSI) is an occupational hazard for industrial workers. For active-duty Sailors, shipyard conditions of high ambient temperatures, confined spaces, and increased fire-fighting training exacerbate those risks. This evidence-based practice project aimed to decrease Sailor HSI cases on a U.S. Navy ship undergoing multi-year shipyard maintenance after high numbers of HSI events over 5 months. Methods: Three mitigation efforts augmented existing guidelines to decrease HSI rates among Sailors: (1) distribution of oral rehydration solution (ORS) and hydration protocol; (2) scaled personal protective equipment (PPE) wear during firefighting training based on wet-bulb globe temperature; (3) targeted education about HSI risk factors, identification, first aid, and prevention. HSI-related medical response team activations data were collected from ship's logs at baseline and for 2 years following implementation. Findings: 1,700 Sailors received education, 185 drills occurred with scaled PPE, and 35,500 servings of ORS were distributed. Sailor HSI events at baseline were higher (n = 10) than civilians (n = 6; p =.046). After implementation, Sailor HSI events decreased in years 1 (n = 5) and 2 (n = 2) and were not significantly different from civilian HSI rate in years 1 (n = 3, p =.112) and 2 (n = 5, p =.101) who were excluded from interventions. Estimated HSI odds for 2023 Sailors were 70% lower (OR = 0.3, 95% CI [0.02, 4.06]). Application to Practice: Shipyard-specific, multi-pronged interventions effectively reduced HSI events over multiple years, which may be adapted to other occupational environments. [ABSTRACT FROM AUTHOR] |
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| Databáze: |
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