Effects of low-dose alcohol exposure on simulated merchant ship piloting by maritime cadets

Howland, Jonathan; Rohsenow, Damaris J.; Côté, Jean-Charles; Gomez, Brian; Mangione, Thomas W.; Laramie, Angela

doi:10.1016/s0001-4575(00)00040-3

Cited by 40 publications

(32 citation statements)

References 16 publications

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“…While alcohol use among commercial fishermen deaths would appear from this study to be less prevalent than among recreational boating deaths, alcohol increases the potential for catastrophic errors. It is suspected that the fatal risk-curve for alcohol in maritime activities rises more sharply than it does for driving on the road (O'Connor and O'Connor, 2005;Howland et al, 2001;Smith et al, 2001), suggesting the need for a lower limit than applies in the case of road transport, possibly even a zero-limit policy. In some other high-risk industries, workers are now urine tested for alcohol and other drugs before commencing shifts and this should be considered for maritime workers.…”

Section: Discussionmentioning

confidence: 99%

Work-related maritime fatalities

O’Connor

2006

Accident Analysis & Prevention

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Section: Discussionmentioning

confidence: 99%

Work-related maritime fatalities

O’Connor

2006

Accident Analysis & Prevention

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“…as the blood alcohol level increases, cognitive function and psychomotor • performance decrease rapidly (Easdon et al 2005); consumption of less than two standard drinks potentially results in effects that increase risk of injury (Tagawa et al 2000;Howland et al 2001;Marinkovic et al 2001;Marinkovic et al 2004;Moulton et al 2005;Breitmeier et al 2007) and driving ability is impaired at blood alcohol levels of about 0.05 per cent, a level reached after two or three standard drinks (Tagawa et al 2000) national health and medic al research council | 55 australian guidelines to reduce health risks from drinking alcohol…”

Section: Cognitive Performancementioning

confidence: 99%

Survey of alcohol-related presentations to Australasian emergency departments

et al. 2014

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Objective: To determine the proportion of alcohol‐related presentations to emergency departments (EDs) in Australia and New Zealand, at a single time point on a weekend night shift. Design, setting and participants: A point prevalence survey of ED patients either waiting to be seen or currently being seen conducted at 02:00 local time on 14 December 2013 in 106 EDs in Australia and New Zealand. Main outcome measures: The number of ED presentations that were alcohol‐related, defined using World Health Organization ICD‐10 codes. Results: At the 106 hospitals (92 Australia, 14 New Zealand) that provided data, 395 (14.3%; 95% CI, 13.0%–15.6%) of 2766 patients in EDs at the study time were presenting for alcohol‐related reasons; 13.8% (95% CI, 12.5%–15.2%) in Australia and 17.9% (95% CI, 13.9%–22.8%) in New Zealand. The distribution was skewed left, with proportions ranging from 0 to 50% and a median of 12.5%. Nine Australian hospitals and one New Zealand hospital reported that more than a third of their ED patients had alcohol‐related presentations; the Northern Territory (38.1%) and Western Australia (21.1%) reported the highest proportions of alcohol‐related presentations. Conclusions: One in seven ED presentations in Australian and New Zealand at this 02:00 snapshot were alcohol‐related, with some EDs seeing more than one in three alcohol‐related presentations. This confirms that alcohol‐related presentations to EDs are currently underreported and makes a strong case for public health initiatives.

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“…These findings have been replicated with other tasks, including simulated driving, in samples of nonresident university students and truck drivers. [27][28][29] Alcohol serves as a useful index for comparison because it impairs performance, even at lower BACs, [30][31][32][33][34] and legal limits of intoxication have been established. At 0.05 g% BAC (3-4 standard drinks), alcohol increases self-confidence; decreases inhibitions; diminishes attention, judgment, and control 35 ; and leads to hazardous driving.…”

Section: Ork-related Sleep Lossmentioning

confidence: 99%