Textbook of Maritime Medicine

1. 13.13 Patient Management
(Textbook of Maritime Medicine/13. Port Medicine)

... or hospital may be far from the ship. The taxi that has to pick up the seafarer may arrive with much delay. This may contribute to valuable time lost in the treatment and management of the patient. In ...

2. 13.14 Cooperation with Port Health Authorities
(Textbook of Maritime Medicine/13. Port Medicine)

... are given by port maritime physicians and therefore a close relation with the port health authorities is necessary. 13.14.5. Health counselling, diagnosis and treatment of sexually transmitted diseases ...

3. 13.15 Contact with other Organizations
(Textbook of Maritime Medicine/13. Port Medicine)

... and more delicate problems like STD for treatment. A good contact with the welfare organizations is therefore very important so that also the patients that report themselves to the ship visitors do get ...

4. 3.16 Organigram
(Textbook of Maritime Medicine/13. Port Medicine)

... examination: biometry, hearing,  vision,  ECG, spirometry, x-ray, blood tests, drug and alcohol tests, urine test Nursing: injections, wound treatment, bandages, instrumentation Reception ...

5. 13.18 Medical Reports
(Textbook of Maritime Medicine/13. Port Medicine)

... test results Assessment Planning Treatment Duty Status Not only should the duty status be indicated with regard to the work a person can do on board; is he completely FIT? Completely UNFIT? Can he do ...

6. 13.3 The Patient
(Textbook of Maritime Medicine/13. Port Medicine)

... seaman back on board with good information and instructions on how to eventually continue treatment on board and what to do in follow up. Often the patients will use some kind of self- medication or use ...

7. 13.4 Medical Skills of the Port Maritime Physician
(Textbook of Maritime Medicine/13. Port Medicine)

... and community-oriented comprehensive and integral care that is responsive as well as anticipatory and includes treatment, prevention, health education and promotion and help and assistance where necessary. ...

8. 13.6 Location of the Clinic
(Textbook of Maritime Medicine/13. Port Medicine)

... board the ship for a treatment or advice. This may happen alongside or at anchor or even while the ship is on its way to or from the port. With respect to referrals the port clinic has to be close to an ...

9. 13.7 Facilities in the Clinic
(Textbook of Maritime Medicine/13. Port Medicine)

... Leaflets and booklets with respect to health at sea should be put at their disposal free of charge. Treatment rooms have to be clean and well equipped with separate rooms for treatment and consultation. ...

10. 13.9 Preventive Services
(Textbook of Maritime Medicine/13. Port Medicine)

... preventative health services to seafarers such as vaccinations or diagnosis or treatment of sexually transmitted diseases to protect the public health. Very rarely the seafarer has qualified access to ...

11. 13.10 Hospitalisation and Repatriation
(Textbook of Maritime Medicine/13. Port Medicine)

      Whenever a seafarer is hospitalized, the maritime physician should closely follow-up the case and actively participate in the process of diagnosis and treatment. ...

12. 13 Port Medicine
(Textbook of Maritime Medicine/13. Port Medicine)

... full and up to date medical chests, well-trained officers and telemedical support. It can although never offer more than basic medical treatment. Evacuations by helicopters are spectacular and sometimes ...

13. 17 Crisis Intervention
(Textbook of Maritime Medicine/17. Crisis intervention)

... consultation Follow-up; Referral mechanism for assessment and treatment   Pre-incident preparation   Pre-incident preparation Individual crisis intervention (One-on-One) Large scale intervention ...

14. 10.13 Seasickness (Motion sickness)
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... between Helicobacter pylori eradication treatment of aviators and an increase in their motion stimuli tolerance (number of habituation flights), thus treating motion sensitive H.P.-positive personnel may ...

15. 10.12 Diseases and Injuries of the Eyes
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... of the eyes, but offer simple methods for diagnosis and acute assistance.   Because treatment of eye conditions is difficult for the non-ophthalmologist, there is a fine line between local assistance ...

16. 10.3 Disorders of the Skin
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... that requires acute treatment. Out of a total number of 1.844 cases, 10% (n = 183) were for skin disorders. Sixty-eight percent (n = 125) were infections, 14% (n = 25) were inflammatory, 7% (n = 13) were ...

17. 10.11 Sexually transmitted diseases – STD’s
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... and that most did not use condom protection [7]. 30% of Thai fishermen reported a history of STD and of self treatment in 31% of the last STD [8]. The situation was comparable for seafarers [9]. In some ...

18. 10.10 Gastrointestinal Diseases
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

      In this chapter a review is presented on the epidemiology of gastrointestinal (GI) diseases in seafaring and of the initial treatment of some serious GI conditions prior to evacuation. The ...

19. 10.6 Burns
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

...  10.6.5   Emergency treatment First aid measure of choice by a lay person at the site of accident will consist of cooling with tap water at a temperature of 15 - 20 °C. This will reduce the ...

20. 1 Preface
(Textbook of Maritime Medicine/1. Preface)

... available, a person trained to use it and ready access to information on the prevention, diagnosis and treatment of disease. Normally this is in the form of a manual and this is supported by international ...