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Official websites use. Share sensitive information only on official, secure websites. Address for correspondence: Matthew D. This year analysis of injuries aboard U. Navy ships and submarines shows a decrease in the overall incidence rate of casualties. However, mortality rates remain high for certain severe injury mechanisms. Training, technology and process improvement solutions are proposed. Maritime activities have been associated with unique dangers to civilian and military sailors.
We performed a retrospective cohort study analyzing injury mechanisms and clinical outcomes of casualties onboard US naval ships to determine common injury mechanisms, trends, and outcomes. We hypothesized there would be a downward trend of injuries and fatalities on US naval ships during the study period.
All mishaps recorded by the Naval Safety Command aboard active service US naval ships from through were reviewed. Only mishaps resulting in injury or fatality were included. Over time, injury mechanisms and casualty incidence rates were trended and compared based on medical capabilities.
Ships without surgical capabilities were categorized as Role 1, and those with surgical capabilities as Role 2. There were a total of 3, casualties identified and analyzed, with 1, fatalities and 2, injuries. The injury mechanisms associated with the highest mortality included electrocution, blunt head trauma, fall from height, man overboard, and explosion.
There was a decrease in the trend of mishaps resulting in casualties, fatalities, and injuries over the year study period. The mortality rate for select severe injury mechanisms was higher on Role 1 capable platforms, compared with Role 2 0. Casualty incidences decreased over 50 years. However, mortality still remains high for certain mechanisms no matter the operational platform.