ALCOHOL RELATED DROWNINGS & FATAL OCCUPATIONAL INJURIES

为第一个奖项提出的研究计划是 旨在开发更好的方法来研究 致命伤害中的酒精。该计划寻求建立一个 酒精相关伤害鉴定监测系统， 确定与年龄较大儿童溺水有关的因素和 成年人，开发一种研究酒精相关伤害的方法 并将监测系统和方法的使用扩大到 调查职业伤害。 虽然酒精被认为是机动车的主要危险因素 除了受伤，人们对它在其他致命伤害中的参与知之甚少。 初步研究表明，酒精在很大程度上参与了 溺水，但没有研究将其程度记录为一种风险 因素。 1.计算机化的全州酒精监测系统- 相关伤害将在主任办公室确定 马里兰州法医。2)所有非划船溺水事件 马里兰州在三年内10岁以上的人中 将会被研究。详细的调查，包括可用性 酒精，将进行调查，以确定情况 围绕着溺水事件。3)溺水病例对照研究 将检查风险因素。在研究过程中不同的 将对方法进行评估，并建立酒精的因果模型 受伤的情况也会发生。4)职业性分析 受伤死亡将利用监测进行 在调查期间开发的系统和方法 溺水。尽管人们普遍认为饮酒会对 在职业伤害死亡中的重要作用，仅限于 日期未能证明一种重要的联系。 在这些研究之后，收集到的信息将用于 建议适当的干预措施以减少溺水和 研究酒精在损伤中作用的改进方法 死亡事故。

The program of research proposed for this FIRST Award is designed to develop better methods for the study of the role of alcohol in fatal injuries. The program seeks to establish a surveillance system for identification of alcohol-related injuries, determine factors associated with drowning in older children and adults, develop a methodology to study alcohol-related injuries and extend the use of the surveillance system and methodology to investigate occupational injuries. While alcohol is known to be a major risk factor for motor vehicle injuries, little is known of its involvement in other fatal injuries. Initial studies suggest a high degree of alcohol involvement in drownings, but no studies have documented its magnitude as a risk factor. 1. A computerized state-wide surveillance system for alcohol- related injuries will be established in the Office of the Chief Medical Examiner of Maryland. 2) All non-boating drownings in Maryland among persons over 10 years old in a three-year period will be studied. Detailed investigations, including the availability of alcohol, will be conducted to ascertain circumstances surrounding the drowning. 3) A case-control study of drownings will examine risk factors. In the course of the study different methodologies will be evaluated and a causal model for alcohol and injuries will be developed. 4) An analysis of occupational injury fatalities will be carried out utilizing the surveillance system and methods developed during the investigation of drownings. Despite widespread belief that alcohol use plays a significant role in occupational injury fatalities, limited studies to date have failed to demonstrate an important association. Following these studies, the information collected will be used to suggest appropriate interventions for reduction of drownings and improved methods for investigating the role of alcohol in injury fatalities.