Miner Todd, Kincl Laurel D, Bovbjerg Viktor E, Vaughan Amelia, Jacobson Kaety
Department of Emergency Medicine, University of Colorado, Denver, CO.
College of Public Health and Human Sciences, Oregon State University, Corvallis, OR.
Wilderness Environ Med. 2019 Sep;30(3):281-286. doi: 10.1016/j.wem.2019.05.008. Epub 2019 Jul 11.
This article describes the conception, implementation, and evaluation of a wilderness medicine-based first aid class for the commercial fishing industry. Commercial fishing is a dangerous occupation in the United States. Currently, commercial fishermen often only have access to basic first aid classes. Because of its focus on austere environments, hazardous conditions, and distance from definitive medical care-hallmarks of commercial fisheries-wilderness medicine offers a more appropriate approach to decreasing morbidity and mortality in the industry. A 2-d, 16-h pilot wilderness medicine course for commercial fishermen, Fishermen First Aid and Safety Training (FFAST), conducted for Dungeness crab fishermen, was effective and well received, based on pre- and postcourse knowledge, skill, and attitude surveys. FFAST has been approved by the Coast Guard and is being made more widely available to commercial fishermen in the Pacific Northwest. The FFAST program offers an example of how wilderness medicine can improve safety and emergency medical response for a wide variety of austere environments not traditionally linked to the backcountry.
本文介绍了为商业捕鱼业开展的基于野外医学的急救课程的构思、实施和评估情况。在美国，商业捕鱼是一项危险的职业。目前，商业渔民通常只能参加基础急救课程。由于野外医学关注严峻环境、危险状况以及远离确定性医疗救治——这些都是商业渔业的特点——因此它为降低该行业的发病率和死亡率提供了一种更合适的方法。针对邓杰内斯蟹渔民开展的为期两天、共16小时的商业渔民野外医学试点课程“渔民急救与安全培训”（FFAST），根据课程前后的知识、技能和态度调查结果来看，该课程效果良好且受到好评。FFAST已获得海岸警卫队批准，并正在向太平洋西北地区的商业渔民更广泛地推广。FFAST项目提供了一个范例，展示了野外医学如何能改善对各种传统上与偏远地区无关的严峻环境的安全保障和应急医疗响应。
