การเจ็บป่วยหรือการบาดเจ็บในคนประจำเรือและชาวประมงที่ปรึกษาผ่านศูนย์ประสานงานเเละช่วยเหลือภาวะฉุกเฉินทางทะเลในประเทศไทย

• Main Author: ศุภางค์ ตั้งลิตานนท์
• Other Authors: สรันยา เฮงพระพรหม
• Format: Theses and Dissertations
• Language: Thai
• Published: จุฬาลงกรณ์มหาวิทยาลัย 2022
• Subjects: ชาวประมง > สุขภาพและอนามัย; ชาวประมง > บริการทางการแพทย์; Fishers > Health and hygiene; Fishers > Medical care
• Online Access: https://digiverse.chula.ac.th/Info/item/dc:28951
• Institution: Chulalongkorn University

Background : Seafarers and fishermen have a different working environment and routine life compared to the onshore workers. They have to work far from the coast for a long time which is difficult to access proper medical care. This research aims to study the characteristic of diseases or injuries among seafarers and fishermen based on consultation from ships to Telemedical Maritime Assistance Service in Thailand. The data was collected from case report of Royal Thai Navy Area Command 1, 2, and 3 and Thai Marine Enforcement Command Center Command 1, 2 and 3 between 1 January 2015 to 30 June 2022. Results : In total, there are 316 consults and 578 patients. The majority is fishermen (92.9%). 529 patients (91.5%) have an injury and 49 patients (8.5%) have the disease. The most common injury is falling overboard or drowning which is resulted from bad weather and the most common diagnostic group of disease is Central Nervous System (34.7%) . The majority of patients were evacuated and 69.6% were alive. Conclusion : TMAS has an important role in saving seafarers and fishermen who get illness or injury at sea. Mostly, the patients are fishermen and cause of injuries can be prevented so the policy should focus on this.