Objectives: Non-fatal injuries in the high risk US Dungeness crab fishery have been under-documented, despite their potential for lost work time and income, long-term disability, and early unwanted retirement. The Fishermen Led Injury Prevention Program (FLIPP) characterized injuries in this fishery, in order to identify work hazards and inform injury control measures.

Methods: The FLIPP injury survey was completed by 426 fishermen in 23 Washington, Oregon, and California fishing ports prior to the 2015–2016 Dungeness crab season; 413 (97%) provided injury information for this analysis. Participants indicated whether they had been injured in the previous 12 months, described the injury, any treatments received, and whether the injury limited their ability to work.

Results: Participants were mostly male (98%), more than half (56.6%) worked as deckhands, and reported considerable fishing experience (median = 14 years, interquartile range 5–27). Eighty-nine fishermen (21.5%) reported an injury incident in the past year, of which 49 (55.1%) were limiting. The 89 incidents yielded 102 injuries, of which nearly two-thirds were sprains/strains (23, 22.5%), surface wounds/bruises (17, 15.0%), cuts (18, 17.6%), or punctures (11, 10.8%). More severe injuries, including eight fractures, were rare. The majority of injuries received either no treatment (27, 26.5%) or first aid (35, 34.3%); clinical care was less common (22, 21.6%), and emergency care rare (3, 2.9%).

Conclusion: One in five Dungeness crab fishermen reported an injury incident in the previous year. Most injuries were not severe and did not result in clinical care, but approximately half were work-limiting. Control measures must account for the remote and resource-limited workplace in commercial fishing.

目标：美国珍宝蟹渔业中高风险的非致命伤害记录不足，尽管它们可能会导致工作时间和收入损失、长期残疾和过早意外退休。渔民主导的伤害预防计划 (FLIPP) 描述了该渔业中的伤害，以识别工作危险并告知伤害控制措施。

方法：在 2015-2016 珍宝蟹季节之前，华盛顿、俄勒冈和加利福尼亚州 23 个渔港的 426 名渔民完成了 FLIPP 伤害调查；413 (97%) 人为此分析提供了伤害信息。参与者指出他们在过去 12 个月内是否受过伤，描述了受伤情况、接受过的任何治疗，以及受伤是否限制了他们的工作能力。

结果：参与者大多是男性 (98%)，一半以上 (56.6%) 是水手，并报告说有相当多的捕鱼经验（中位数 = 14 年，四分位间距 5-27）。89 名渔民（21.5%）报告在过去一年发生过伤害事件，其中 49 名（55.1%）受限。89 起事故造成 102 人受伤，其中近三分之二是扭伤/拉伤 (23, 22.5%)、表面伤口/瘀伤 (17, 15.0%)、割伤 (18, 17.6%) 或刺伤 (11, 10.8%) ). 包括八处骨折在内的更严重的伤害很少见。大多数受伤者没有接受治疗（27 例，26.5%）或急救（35 例，34.3%）；临床护理不太常见 (22, 21.6%)，紧急护理很少见 (3, 2.9%)。

结论：五分之一的珍宝蟹渔民报告在前一年发生过受伤事件。大多数伤害并不严重，也没有导致临床护理，但大约一半是工作限制。控制措施必须考虑到商业捕鱼中偏远和资源有限的工作场所。