... resulting in need for LASIK retreatment in 10.7% of patients. Regression to preoperative vision sometimes occurs with time[15]. There is a 0 to 3.6% loss of two or more lines of best spectacle corrected ...
... blood flow and subsequent osteonecrosis (8). Patients may present asymptomatically, and typical radiographic findings of DON include: decalcification of bone, cystic lesions, osteosclerotic patterns, ...
... Accessed May 2021 American College of Emergency Physicians. Cruise Ship Medicine Section. Health Care Guidelines for Cruise Ship Medical Facilities. https://www.acep.org/patient-care/policy-statements/health-care-guidelines-for-cruise-ship-medical-facilities/#sm.00001oz1nz0cjff0owcs23qt8vjno ...
... ship, at least initially and in conjunction with Telemedical Assistance Services (TMAS). In these situations, the vessel will prepare for the patient and contact a chosen telemedicine provider to guide ...
... there is one, can record the fact that the patient has died, but a doctor licensed in the next port of international entry will perform the actual legal certification of death. This doctor is usually ...
... to ensure there is enough space to accept several casualties at the same time. The maximum number of patients the treatment area can accommodate should be marked in the SMS. If several treatment areas ...
MICHAEL TIPTON Introduction Over the last decades scientific knowledge about immersion in cold water has increased significantly. This has led to modifications and significant technological progress ...
... be done in conjunction with TMAS or other shore based medical personnel. If symptoms persist after 3 days or the patient deteriorates, further medical assessment is necessary. To date there is no available ...
... of tuberculosis are acquired from human aerosol or droplets which the infected patient spreads while coughing and breathing. Tuberculosis can express many different symptoms, which initially may not ...
... with other salmonella infections, concern general hygiene, water treatment aboard and food handling. Few patients become chronic carriers of typhoid organisms. Typhoid carriers should be excluded from ...
... had doubled. No studies are available on the prevalence of the infection and/or colonization in patients and staff of ship hospitals in passenger ships. The relevance of global travel and transport ...
... will have to counsel the patient on further diagnostic and treatment options. The urgency of diagnostic and possibly therapeutic requirements depend on factors including liver function and the availability ...
... a glittering watch for pray and attack a diver causing severe injuries. Barracuda bites take a long time to heal and usually require in-patient treatment. Moray eels (muraenidae) There are approximately ...
... the difference between the explanatory models of patient and doctor, the less are the chances for compliance to the prescribed treatment. This situation is further highlighted on board where medical care ...
... and stabilise the patient and longer-term requirements for evacuation or continuing care on board as well as for shore-based care, rehabilitation, and speedy return to work whenever possible. The challenge ...
... patient. Assignment of confidant The ship is a closed entity with only a limited number of crew to ensure ongoing ship operations. Human resources can be limited. However, it is of the utmost importance ...
... use complex telemedical technologies to communicate with medical practitioners on shore to perform an unfamiliar task whilst also continuing to monitor the patient and communicate the patient’s status. ...
... is more focus on the sickbay as a treatment facility. The most obvious function of a sickbay is as a place to examine and treat a sick or injured crew member. This may require the ‘patient’ to be lying ...
... easier to fulfil. Minor illness The clinical knowledge of the officer dealing with the patient may be very limited as will the accuracy of monitoring the patient’s observations and clinical signs. ...