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J Korean Soc Emerg Med > Volume 7(4); 1996 > Article
Journal of The Korean Society of Emergency Medicine 1996;7(4): 590-596.
A CLINICAL ANALYSIS OF OCCUPATIONAL INJURY AT AN EMERGENCY MEDICAL CENTER
Chang Hae Pyo1, Sung Man Bae1, Hyung Soo Kim1, Hyuk Jun Yang1, Cheol Wan Park1, Keun Lee1, Young Kwan Ko2
1Department of emergency medicine, Chung Ang Gil Hospital
2Department of Surgery, College of Medicine, Kyung Hee University
  Published online: December 31, 1996.
ABSTRACT
Owing to the recent high frequency of large square of accident, occupational injury prevention and industrial safety have been emphasized. However, due to the industrial growth and the increase of the insured work places to which industrial workman's accident compensation insurance is applied, the number of occupational injury patients had never decreased. As this hospital is located close to the industrial complexes, among the patients of traumatic wounds who visit to the emergency department, the proportion of the patients from occupational injury is much greater. On this we have reviewed the 1,027 inpatients from occupational injury and 41 occupational injury deaths who had visited Emergency medical center in Chung Ang Gil Hospital from January 1st to December 31th, 1995. The results were as follows : 1) Sex ratio of male to female was 3.4:1. 2) The mean age of occupational injury patients was 37years old and the commonest age was 35years old. 3) The most predominant monthly distribution of occupational injury patients was September and the least was August. 4) The leading transport method was by car(69%). 5) The occupational distribution were manufacturing(44.4%), construction(19.8%) and transpor­tation/communication/public utilities(15.0%). 6) The leading causes of occupational injury were machine-related injuries(32.8%), falls(19.3%) and motor-vehicle-related injuries(12.6%). 7) The mean ISS of occupational injury deaths was 41, the mean RTS was 5.4 and the mean Ps was 0.62. In the view of the results so far, precautionary measures against occupational injury and accidents at the work places must be taken even more strongly. And for emergency treatment on the scene and on the way to the hospital after accident, the training and the disposition of E.M.T are urgently required. And in the view of the fact that the 69% of the occupational injury patients were taken to the Emergency Medical Center by car, the disposition of ambulances and necessary medical equipment is urgently requested. Further more, in order to lower the occupational death rate, some necessary measures are requested to be taken hereafter.
Key words: Occupational injury, Occupational injury deaths
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