Textbook of Maritime Medicine

1. 10.13 Seasickness (Motion sickness)
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... caution should be warranted in passengers with a medical history of glaucoma, restricted urinary flow (e.g. due to prostate adenoma), pylorus stenosis, cardiac arrhythmia, clincally relevant cerebral sclerosis ...

2. 10.6 Burns
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... given Patients with cardiac failure gets less infusion, patients with hemodynamic instability gets more.   If an adequate infusion therapy is not possible, the substitution can be done oral ...

3. 15.6 The “Afterdrop” Phenomenon
(Textbook of Maritime Medicine/15. Shipwreck and Survival at Sea)

... person is adequately rescued and re-warmed. A sudden and dramatic alteration following rescue deserves attention other than “afterdrop”. It is most likely related to post-rescue collapse, cardiac problems, ...

4. 15.4 Sea-Survival: General Physiological Remarks
(Textbook of Maritime Medicine/15. Shipwreck and Survival at Sea)

... sprayed by waves frequency of arrhythmia is higher. These cardiac responses may cause death as well. Death from cold shock by drowning or heart failure in the first three minutes of ship abandonment ...

5. 10.9 Deaths on Board
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... considerably depending on the environment and clothing. Livor mortis (lividity) After cardiac arrest, the blood sinks down into the dependent parts of the body – the formerly circulating blood volume ...

6. 10.5 Electrical injury
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... injuries, above 1000 Volt high voltage injuries. Electrical injuries caused by 50 Hz alternating current can induce cardiac dysrhythmia. Cardiovascular monitoring over a period of 24 hours is necessary ...

7. 9.7 Evacuation for Medical reasons at sea (Medevac)
(Textbook of Maritime Medicine/9. Systems for Handling Medical Conditions on Board.)

... blood loss, impaired pulmonary function, cardiac failure and instable angina pectoris. This factor can normally be compensated by administering extra low-flow oxygen from a pressurised tank; the readings ...

8. 7.7 Medication
(Textbook of Maritime Medicine/7. Health Requirements for Working at Sea and the Fitness Examination)

... can lead to postural hypotension, impaired cardiac responses to exercise and to depression. Such effects are not generally found with newer products. - May work at sea once stabilised on treatment unless ...

9. 7.5 Common Conditions with complex Fitness Decisions
(Textbook of Maritime Medicine/7. Health Requirements for Working at Sea and the Fitness Examination)

... it. For instance any seafarer aged between 60 and 65 has an approximately one percent change of sudden collapse or of a fatal cardiac event in the next year. Estimates of risk that is currently tolerated ...

10. 7.2 Rationale and Criteria for Selection in Relation to Duties, Voyages and Special Vessel Types
(Textbook of Maritime Medicine/7. Health Requirements for Working at Sea and the Fitness Examination)

... vessel safety and a significant excess risk of an incapacitating event such as a loss of consciousness from reduced cardiac function, seizure or insulin induced hypoglycaemia will limit a person’s suitability ...

11. 7.1 Requirements for Work at Sea
(Textbook of Maritime Medicine/7. Health Requirements for Working at Sea and the Fitness Examination)

... to make a person unsuitable for bridge watch keeping. Examples include: disabling cardiac arrhythmias, recurrence of vascular events such as stroke or heart attack, seizure risks, the use of insulin to ...

12. 10.1 Cardiovacular Diseases
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... cross-sectional study 161 seafarers operating on German-flagged vessels were examined. This study showed that Europeans compared with non-Europeans were about twice as likely to have more than 3 cardiac ...

13. 6.10 Fishing and catching
(Textbook of Maritime Medicine/6. The Sea as a Working Place)

... increase in the risk of lung cancer, with the consequent increase in mortality from this cause; but it has not been possible to demonstrate the same for other diseases like cardiac disease or tumors of ...

14. 12.4 The Ship Doctor(s)
(Textbook of Maritime Medicine/12. Cruise Medicine)

... will require these qualifications: Current valid medical license (international or domestic). Current valid certification in Advanced Cardiac Life Support General medicine or general practice experience ...

15. 12.5 Ship’s Nurse(s)
(Textbook of Maritime Medicine/12. Cruise Medicine)

... level in advanced life support and cardiac care’ and be ‘fluent in the official language of the cruise line, the ship and that of most passengers’. The guidelines can also be interpreted to recommend that ...

16. 12.8 The Ship’s Medical Center
(Textbook of Maritime Medicine/12. Cruise Medicine)

... for granted that the MC can perform tests like cardiac enzymes, electrolytes, liver, pancreas and kidney  function, uric acid, amylase, C-reactive Protein, D-Dimer and INR. The Emergency Room The emergency ...

17. 12.9 Some special Considerations/Special Conditions
(Textbook of Maritime Medicine/12. Cruise Medicine)

... therapy, or where thrombolytic therapy is not available, with active and continuing chest pain, and the receiving facility has the capability to provide cardiac catheterization and angioplasty. Patient ...

18. 12.11 Appendices
(Textbook of Maritime Medicine/12. Cruise Medicine)

... skill level in advanced life support and cardiac care. Physicians with minor surgical skills (i.e. suturing, I&D abscesses, etc) Fluent in the official language of the cruise line, the ship and ...