Textbook of Maritime Medicine

1. Medevac outside territorial waters
(Forum/Feedback)

... near-loss of vision. The vessel had left Singapore 8 hours previously and was now about 150 nm out at sea, in Indonesian waters. Both the vessels's captain and myself agreed that the best chances of ...

2. Re:9.14 Floating hospitals
(Forum/Feedback)

Dear colleague Seidenstuecker, I entirely agree with your point of some naval vessels being able and certainly willing to render advanced medical help if needed. The practical point of course is how ...

3. 10.13 Seasickness (Motion sickness)
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... motion sickness on seagoing vessels it is obvious that wind force and sea condition largely contribute to the incidence. About one third of passengers on ferries do on average experience motion sickness ...

4. 10.12 Diseases and Injuries of the Eyes
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... may turn “red”, indicating an abnormal filling of the superficial conjunctival or deeper scleral vessels. This may be caused by an internal inflammation due to bacteria or virus deriving from the general ...

5. 10.3 Disorders of the Skin
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... vessels, nerves, sebaceous glands and sweat glands. The hypodermis consists mainly of fat and is separated from the underlying muscles by a tough fascia (Figure 10.3.1). Each of the three layers is subject ...

6. 10.11 Sexually transmitted diseases – STD’s
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... economically favored countries contract STD less often than seafarers from countries where they are better paid [5]. While this may apply to current circumstances in vessels belonging to the fleet from ...

7. 11.5 Ship noise and its effects on seafarers’ health
(Textbook of Maritime Medicine/11. Maritime occupational Medicine)

... generally between 60 and 75 dB(A). Technological progress has ensured that on passenger ships, particularly cruise ships, cabin noise levels are around 40 dB(A). Fishing vessels are generally ...

8. 10.10 Gastrointestinal Diseases
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... from government agencies and insurance companies, reports from Tele-Medical Advice Services (TMAS), and studies on passenger vessels by cruise doctors. The US Centers for Disease Control and Prevention ...

9. 19 Research in maritime medicine
(Textbook of Maritime Medicine/19. Research in Maritime Medicine)

... in the absence of knowledge of the parasite, the transmitting vector, and vitamin C. Nevertheless, they led to preventive control. At that time, the control measures were limited to vessels under his influence ...

10. 4.11 Comité International Radio-Maritime (CIRM)
(Textbook of Maritime Medicine/4.Organisations of importance to Maritime Medicine)

... electronic technology to the safety of life and efficient conduct of vessels at sea; to foster relations between all organizations concerned with electronic aids to marine navigation, communications and ...

11. 4.7 European Maritime Safety Agency (EMSA)
(Textbook of Maritime Medicine/4.Organisations of importance to Maritime Medicine)

... for improved medical treatment on board vessels is an important document for professionals working in the field of maritime medicine. Other Directives of importance to maritime safety and health concerns ...

12. 4.5 International Maritime Health Association[1]
(Textbook of Maritime Medicine/4.Organisations of importance to Maritime Medicine)

... industry: Guidance to the International Medical Guide for Ships 3rd edition: Interim advice regarding the best use of the medical chest for ocean-going merchant vessels without a doctor onboard and advice ...

13. 10.9 Deaths on Board
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

    10.9.1   Signs of death Fatalities on board ocean-going vessels present unique challenges to the crew. Although these events are not part of the shipboard routine, they must nevertheless ...

14. 16.6 International response
(Textbook of Maritime Medicine/16. Piracy at Sea)

... Maritime Security Patrol Area (MSPA) in the Gulf of Aden to serve as a dedicated, more secure transit zone for merchant vessels with the goal of lowering the success rate of Somali pirates in the Gulf ...

15. 16.4 Factors behind the Acts of Piracy and armed Robbery
(Textbook of Maritime Medicine/16. Piracy at Sea)

... by a large merchant vessel sunk in its narrow sea-lanes. This would mean that vessels would have to move to the south of Indonesia, increasing sailing times by as much as three days[1]. Insurers would ...

16. 16.7 Improving security of merchant ships
(Textbook of Maritime Medicine/16. Piracy at Sea)

... lawsuits. Since many ports restrict vessels from having weapons on board, commercial ships that often make calls at multiple ports along their operating routes could find it difficult to operate along ...

17. 16.5 The Somalia-Horn of Africa region
(Textbook of Maritime Medicine/16. Piracy at Sea)

... as an alternative livelihood or as a retribution for illegal international activities in Somali waters because they believe that they have every right and entitlement to attack illegal fishing vessels ...

18. 16.3 Pirates today and their Modus Operandi
(Textbook of Maritime Medicine/16. Piracy at Sea)

... to be close and have a helicopter ready to go at the moment’s warning. Vessels are fired and compelled to slow their speed of approach while pirates climb on board, take the command of the ship, and ...

19. 16.2 The Problem derived from the Lack of Law Standardization regarding the Concept of Piracy
(Textbook of Maritime Medicine/16. Piracy at Sea)

... piracy at sea. However, the national law plays an important supplementary part in the fight against piracy, for it is the only statutory basis for vessels which have been attacked and which only ...

20. 16.1 Introduction
(Textbook of Maritime Medicine/16. Piracy at Sea)

... than their direct victims, as the maritime companies suffer significant economic losses derived from their cargo robbery, the rise of insurance premiums and the ransoms paid for vessels and their crew ...