Injury Prevention and Trauma Management: From Vulnerable Groups to General Populations

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 31 December 2025 | Viewed by 238

Special Issue Editor


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Guest Editor
Department of Legal Medicine, Shiga University of Medical Science, Shiga 520-2192, Japan
Interests: injury; prevention; accident; child; older adult; pregnant woman; disabled person
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Special Issue Information

Dear Colleagues,

According to the World Health Organization, injuries take the lives of 4.4 million people all over the world annually and account for 8% of all deaths. Injuries impact the mortality and morbidity of especially vulnerable persons, such as children, older adults, pregnant women, or disabled persons. Generally, vulnerable is defined as in need of special care, support, or protection, so vulnerable persons suffer more from injuries, i.e., fall-related injuries increase with age, and drowning is often seen in children due to inadequate adult supervision. While this Special Issue focuses on vulnerable populations, studies on injury mechanisms and prevention in the general population are also welcome to provide broader insights. Therefore, reviewing the real-world injury cases of vulnerable and general populations and considering the mechanisms of injuries are crucial for establishing preventive measures. In addition, the mechanisms of injuries analyzed using the dummy model and computational simulation lead to qualitative biomechanical analyses. We are pleased to invite a wide variety of manuscripts regarding the injuries of vulnerable and general populations. Published papers in this Special Issue might contribute to a reduction in fatalities in vulnerable and general populations, and worldwide socioeconomic losses related to the loss of children and pregnant women. Injury prevention and trauma management for vulnerable populations such as children, pregnant women, older adults, and disabled persons would align well with ongoing healthcare initiatives.

The aim of this Special Issue is to gather manuscripts that will contribute to the awareness of the accidents or violence suffered by vulnerable and general populations, the development of injury research, and the establishment of preventive measures. The guest editor is looking forward to receiving papers from fields such as epidemiology, pediatrics, obstetrics and gynecology, gerontology, traumatology, preventive medicine, public health, forensic medicine, biomechanics, mechanical engineering, health science, and so on.

In this Special Issue, original research articles and reviews are welcome. Research areas may include (but are not limited to) the following: epidemiology, pediatrics, obstetrics and gynecology, gerontology, traumatology, preventive medicine, public health, forensic medicine, biomechanics, mechanical engineering, and health science.

I look forward to receiving your contributions.

Prof. Dr. Masahito Hitosugi
Guest Editor

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Keywords

  • injury
  • prevention
  • accident
  • child
  • older adult
  • pregnant woman
  • disabled person
  • trauma care
  • violent
  • abuse
  • homicide
  • motor vehicle collision
  • falling
  • epidemiology
  • safety

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Published Papers (1 paper)

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Research

14 pages, 1101 KB  
Article
Telemedicine-Assisted Work-Related Injuries Among Seafarers on Italian-Flagged Ships: A 13-Year Retrospective Study
by Getu Gamo Sagaro and Francesco Amenta
Healthcare 2025, 13(18), 2375; https://doi.org/10.3390/healthcare13182375 - 22 Sep 2025
Viewed by 34
Abstract
Background: Seafarers are highly susceptible to work-related injuries, which can result in serious consequences or permanent disabilities. Understanding the frequency and characteristics of occupational injuries is crucial for developing effective prevention strategies and identifying their underlying patterns and causes. This study aimed [...] Read more.
Background: Seafarers are highly susceptible to work-related injuries, which can result in serious consequences or permanent disabilities. Understanding the frequency and characteristics of occupational injuries is crucial for developing effective prevention strategies and identifying their underlying patterns and causes. This study aimed to determine the frequency and characteristics of telemedicine-assisted work-related injuries among seafarers on board Italian-flagged vessels. Methods: A retrospective descriptive study was conducted to analyze occupational injuries using medical data recorded in the Centro Internazionale Radio Medico (C.I.R.M.) database from 1 January 2010 to 31 December 2022. Injuries in the database were coded according to the 10th revision of the International Classification of Diseases (ICD-10) by the World Health Organization (WHO). Variables extracted from the database included injury type, seafarers’ age, rank, nationality, worksite, gender, date of injury, affected body region, clinical outcomes, and other demographic and occupational characteristics. Injury frequency and characteristics (e.g., location, type, and cause) were analyzed and stratified by seafarers’ rank and worksite groups. Results: The analysis included 793 seafarers who sustained injuries. Their average age was 39.15 ± 10.49 years (range: 21 to 70 years). Deck ratings and engine officers accounted for 27.9% and 20% of those who claimed injuries, respectively. 39.2% of injured seafarers were aged between 30 and 40 years. In terms of affected body parts, the most reported injuries were to the hand/wrist (33.3%), followed by the knee/lower legs (21%), and the head/eye (19%). Open wounds (38%) and burns/abrasions (14%) were the most common types of injury. Slips/falls (32%), burns/explosions (16.6%), and overexertion while lifting or carrying (14.8%) were the leading causes of injury during the study period. Nearly 35% of injuries affected workers on the deck and were due mainly to slips/falls, 19% in the engine room were due to being caught in machinery or equipment, and 32.5% in the catering department were due to burns/explosions. Conclusions: One-third of seafarers who suffered work-related injuries sustained hand and/or wrist injuries, with slips/falls being a significant cause. The results of this study emphasize the need for preventative measures in the marine sector, particularly to reduce risks associated with slips and falls, overexertion, and other injury-causing factors. Campaigns for the larger use of protective equipment are desirable to reduce occupational accidents at sea and provide better health protection for seafarers. Full article
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