Medical

Question 1

What is contained in the ship captain medical guide

Answer 1

• Flow Charts to aid evaluation and treatment
• Clear advice with easy to follow instructions
• Step by step illustrations for emergency procedures
• Quick reference guides
• Anatomical Illustrations

Question 2

Requirements for Ship captains medical guide

Answer 2

All vessels with out a doctor onboard so as to be able to identify and treat medical issues

Question 3

What is TMASS

Answer 3

Tele-medical Assistant Service.
Every administration which complies with MLC must maintain a TMAS service.

Permanently staffed with doctors experienced in providing remote consultations and aware of Particular nature of shipping.

Provides direct communication with TMAS and ship

Question 4

How to request TMAS

Answer 4

- Radio 
“Medico” x 3 
Contact Her majesties coastguard VHF/MF DSC or ch 16 and request medical advise
Urgency (PAN PAN) message 
Or telephone number

• Inmarsat C
  Special access code (SAC)32

Question 5

WHat is SAC 32, 38, 39

Answer 5

32 “doctor who” (medical Advise)

38 “evacuate” (Medical Evacuation)

39 Maritime assistance

Question 6

Where to find Info on TMAS

Answer 6

ALRS vol 1

MGN 623

Question 7

3 Basic required life saving techniques

Answer 7

CPR
Recovery position
Stop bleeding

Question 8

Basic first Response to a casualty

Answer 8

DRSABCD (Doctors ABCD)

D - Danger
R - Response
S - Send Help 
A - Airway
B - Breathing
C - Circulation/CPR
D - DEFIB

Question 9

What are the Body norms

Answer 9

Heart rate 65-80
Respiration rate 18-16
Body temp 36.9 (35 hypothermic 41 severe Fever)
Blood pressure (120/80)

Question 10

Glasgow Coma Scale

Answer 10

1 - 6
Compared to eye response
Verbal response
Motor response

Add response tallies
3 deep uncontioustess
15 fully awake

Question 11

INFo to be sent with an evacuated person

Answer 11

• Name of Vessel
• Masters name and NAt
• Shipowner, nationality and contact details
• Patients name age gender nationality language
• Patients vitals
• Location of pain
• Nature of illness or injury
• Symptoms
• Medication
• Last Food
• Patients mobility
• Accident occurrence
• Vessel medicine onboard
• Suitable area for heli ops
• Vessel agent details
• Last port of call, next port of call and ETA

Question 12

What to prepare for Medevac by helicopter

Answer 12

Standard HELIOP preparation
In addition:
- Any change of patient condition
- Prep Patient for evac
- Patients Passport, seaman’s Papers, Medical record, Discharge book.
- Patient to be strapped into stretcher asap Face up And in Life Jacket

Question 13

Shipowners liability of wages and medical care due to sickness or injury

Answer 13

• Must Pay wager to Seafarer whilst onboard or put ashore up until they recover
• Wages will be paid until recovery, Expiration of the SEA, or 16weeks have elapsed which ever is sooner.
• Must pay for medical care, board and lodging. These costs must be met until recovery or until incapacity is declared permanent

Question 14

Owners Repatriation requirements

Answer 14

Repatriation must happen as soon as possible and at no cost to the seafarer in the following:

• SEA expires
• Seafarer is terminated
• Seafarer terminates the SEA in accordance with the terms of the SEA
• Seafarer is unable to carry out duties required by the SEA

Question 15

What is GTN

Answer 15

Glyceryl Tinitrate
Used to relieve chest pain by relaxing and widens blood vessel. Reduces work heart is doing.
Spray, inhaler or tablet