Mater Hospital Lvl 1 Whitty Building Raymond Terrace South Brisbane, QLD 4101 Date: 13 January 2012 Please find below summary of data analysis by QISU. Purpose: Occupational injuries as a result of being a career firefighter in Queensland QISU Report Background: QISU Data: QISU collects injury data from emergency departments (ED) at participating hospitals across Queensland. The data is estimated to represent roughly one quarter to one fifth of all ED injury presentations in the state. The QISU database contains injury data collected over a 12.5 year period (1999- June 2011) from 29 collecting hospitals. Not all hospitals have collected for the full 12.5 year period and there are currently 23 active collection hospitals in Queensland comprising four sample regions: metropolitan (Brisbane), regional (Mackay and Moranbah Health Districts), tropical northern coast (Atherton, Mareeba, Tully and Innisfail) and remote (Mt Isa). Data is coded for Injury Surveillance by using the National Data Standards for Injury Surveillance (NDSIS v.2c). • • • Not all cases identified in the QISU database will have been admitted to hospital as the majority of patients are discharged from the emergency department following treatment. QISU data will miss cases that present at other non-participating EDs. These cases may be severe and could be transferred directly to intensive care or other inpatient units at QISU participating hospitals, without being registered by the ED based injury surveillance system. Fatalities that occur at the scene of an injury or after admission to hospital will not be captured in QISU data. We analysed QISU data for the 12.5 year period from Jan 1999 to Jun 2011. A brief summary of the search criteria and methodology is described. Search Criteria: Year: 1999 – Jun 2011 Age: All Ages and External Cause: 14 (Fire, flames, smoke) or Mechanism of Injury: 62 (Open fire, flames) or Occupation: Like "*fire fighter*" Or Like "*fireman*" Or Like "*firefighter*" Or Like "*fire man*" or Injury Description: Like "*fire fighter*" Or Like "*fireman*" Or Like "*firefighter*" Or Like "*fire man*" Or Like "*fighting fire*" Or Like "*putting out fire*" Or Like "*extinguishing fire*" Methods: In the QISU data, the “Injury Description” Field consists of the details entered by the Triage Nurse initially attending to the person presenting with an injury to the Emergency Department (ED) of a hospital. The entry in this field can be quite variable depending upon various clinical circumstances at the time when the nurse is attending to the injured person. Therefore to understand the detailed circumstances surrounding an injury presentation, the Injury description field is analyzed. P: 07 3163 8569 F: 07 3163 1684 E: [email protected] W: www.qisu.org.au Mater Hospital Lvl 1 Whitty Building Raymond Terrace South Brisbane, QLD 4101 The results of the above search strategy were further examined by reading the “free text description” of the injuries and selecting only the cases specifically related to “fire-fighters” who were injured at work or while on duty; and by excluding cases of “fire-fighters” who were injured outside workplace and while not on duty and “non-fire-fighters” who were injured when trying to extinguish fires. Results: Table 1: Gender & age of injured firefighters Gender 15 - 24 25 - 44 45 - 64 Total Female 1 2 1 4 Male 2 41 14 57 Total 3 43 15 61 Firefighters Injury by year* Number of injury 12 10 8 6 4 2 0 1999 2000 45 - 64 4 1 25 - 44 6 6 2001 6 2002 5 15 - 24 2003 6 1 2004 2005 2006 2007 2 1 1 2 1 2 2 1 2008 2009 2010 2 2 5 4 1 *please note that because the number and location of collecting sites varies from year to year, annual data cannot be used to interpret trend Table 2: Firefighters Injury by hospitals* Hospitals 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Total Urban hospitals 4 4 3 3 2 3 1 2 3 2 3 30 Rural hospitals 6 3 3 2 5 1 1 2 2 2 1 3 31 Total 10 7 6 5 7 4 1 3 4 5 3 6 61 *please note that because the number and location of collecting sites varies from year to year, annual data cannot be used to interpret trend P: 07 3163 8569 F: 07 3163 1684 E: [email protected] W: www.qisu.org.au Mater Hospital Lvl 1 Whitty Building Raymond Terrace South Brisbane, QLD 4101 Table 3: Type of injury by year* Type of injury 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Total Superficial (abrasion & laceration) 3 2 3 1 1 1 11 Fall, stumbled, tripped, slipped 2 1 1 1 2 2 9 Exertion/extension 1 1 1 1 1 2 1 8 Burn 2 1 1 1 1 6 Foreign body 1 1 1 1 1 5 Crushed injury 1 2 1 4 Smoke inhalation 1 2 1 4 Struck on object 1 1 1 3 Heat stress/exhaustion 1 1 1 3 Asphyxia 2 2 Motor Vehicle Accident 1 1 Snake bite 1 1 Unspecified 1 1 1 1 4 Total 10 7 6 5 7 4 1 3 4 5 3 6 61 *please note that because the number and location of collecting sites varies from year to year, annual data cannot be used to interpret trend Table 4: Type of injury and Activities Type of injury Other activities (at work)* On duty Fire cases On duty Traffic accident 1 Training Unspecified Total Superficial (abrasion & laceration) 4 1 5 11 Fall, stumbled, tripped, slipped 2 1 6 9 Exertion/extension 2 2 1 3 8 Burn 1 4 1 6 Foreign body 2 3 5 Crushed injury 3 1 4 Smoke inhalation 3 1 4 Struck on object 1 2 3 Heat stress/exhaustion 3 3 Asphyxia 2 2 Motor vehicle accident 1 1 Snake bite 1 1 Unspecified 4 4 Grand Total 10 21 1 4 25 61 * Carrying table, Cutting a hedge, fall from fire truck, grinding metal, lifting fire extinguisher, moving hot water, pulling fire hose, pump service, sitting in smoke room, working on hydraulic rescue equipment P: 07 3163 8569 F: 07 3163 1684 E: [email protected] W: www.qisu.org.au Mater Hospital Lvl 1 Whitty Building Raymond Terrace South Brisbane, QLD 4101 Table 5: Type of injury and Triage category Emergency Urgent (10 mins) (30 mins) Type of injury Superficial (abrasion & laceration) Fall, stumbled, tripped, slipped Exertion/extension Burn Foreign body Crushed injury Smoke inhalation Heat stress/exhaustion Struck on object Asphyxia Motor vehicle accident Snake bite Unspecified Grand Total 1 3 3 1 3 3 1 3 1 1 2 1 Semi Non urgent urgent Unspecified Total (60 mins) (120 mins) 4 5 7 2 2 3 1 3 1 11 9 8 6 5 4 4 3 3 2 1 1 4 61 1 1 2 1 1 3 22 3 29 1 6 1 Table 6: Type of injury and mode of separations Type of injury Superficial (abrasion & laceration) Fall, stumbled, tripped, slipped Exertion/extension Burn Foreign body Crushed injury Smoke inhalation Heat stress/exhaustion Struck on object Asphyxia Motor vehicle accident Snake bite Unspecified Grand Total P: 07 3163 8569 Admitted Did not wait 2 1 1 3 1 F: 07 3163 1684 ED service event completed Discharged Left after treatment commenced Total 10 1 11 1 9 8 6 5 4 4 3 3 2 1 1 4 61 9 8 6 5 4 2 1 3 2 1 1 4 56 E: [email protected] W: www.qisu.org.au Mater Hospital Lvl 1 Whitty Building Raymond Terrace South Brisbane, QLD 4101 We hope this summary report is useful to you. If you require any further assistance in this matter, please do not hesitate to contact the Queensland Injury Surveillance Unit. Document prepared by: Jesani Limbong Research Assistant Mater Hospital; Level 1 Whitty Building Raymond Terrace; South Brisbane, Qld 4101 Ph: 07 3163 8569 Email: [email protected] P: 07 3163 8569 F: 07 3163 1684 E: [email protected] W: www.qisu.org.au
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