Medicine at Sea advice - SailNet Community

   Search Sailnet:

 forums  store  


Quick Menu
Forums           
Articles          
Galleries        
Boat Reviews  
Classifieds     
Search SailNet 
Boat Search (new)

Shop the
SailNet Store
Anchor Locker
Boatbuilding & Repair
Charts
Clothing
Electrical
Electronics
Engine
Hatches and Portlights
Interior And Galley
Maintenance
Marine Electronics
Navigation
Other Items
Plumbing and Pumps
Rigging
Safety
Sailing Hardware
Trailer & Watersports
Clearance Items

Advertise Here






Go Back   SailNet Community > Out There > Cruising & Liveaboard Forum
 Not a Member? 


Like Tree5Likes
Reply
 
LinkBack Thread Tools
  #1  
Old 10-31-2012
Junior Member
 
Join Date: Oct 2011
Location: Baltimore, MD
Posts: 16
Thanks: 0
Thanked 0 Times in 0 Posts
Rep Power: 0
captcore is on a distinguished road
Send a message via Skype™ to captcore
Medicine at Sea advice

All,

I am an EMT/FF (and half of a paramedic...I finish the class in October), and I have been asked to give a presentation next weekend about medical emergencies at sea and their treatment. I was also asked that class be geared towards those who do not have access to medevac (air support), as they are heading offshore.

My question is this: Keeping in mind that I AM NOT A DOCTOR (I stayed at a Holiday Inn once....well ok, it was an express), what ailments or injuries would you like to hear about? So far, I have dehydration, dislocations, sprains, and burns.

Any other suggestions?

Thanks

Capt Core
__________________
Captain Corey Mitchell
50 Ton Master, Sail and Tow Endorsed
EMT Certified


To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
for all your captain needs.
Reply With Quote Share with Facebook
  #2  
Old 10-31-2012
Senior Member
 
Join Date: Dec 2003
Posts: 1,345
Thanks: 1
Thanked 14 Times in 13 Posts
Rep Power: 11
capttb is on a distinguished road
Re: Medicine at Sea advice

Could be everything in "Emergency Care and Transportation of the Sick and Injured " but you need stopping bleeding and wound care, heat stroke/exhaustion and ABC basics, and choking.
__________________
"Just call me TB"
Reply With Quote Share with Facebook
  #3  
Old 10-31-2012
Spirit of Freedom's Avatar
Junior Member
 
Join Date: Jul 2012
Posts: 6
Thanks: 0
Thanked 0 Times in 0 Posts
Rep Power: 0
Spirit of Freedom is on a distinguished road
Re: Medicine at Sea advice

And broken bones and concussions. Unfortunately too common offshore.
Reply With Quote Share with Facebook
  #4  
Old 10-31-2012
Bristol 45.5 - AiniA
 
Join Date: May 2006
Posts: 3,055
Thanks: 3
Thanked 50 Times in 45 Posts
Rep Power: 9
killarney_sailor is on a distinguished road
Re: Medicine at Sea advice

I would not ignore non-injuries at sea that require care. We have had no significant injuries in almost 30,000 miles offshore but some problems with infections and skin rashes. Had an infected boil that got larger than a golf ball and eventually required treatment in two different parts of French Polynesia and Fiji over more than five months. We did not an antibiotic that was really good for skin infections. Needed to add Keflex to the kit in addition to Cipro. My wife seems to have developed an allergic reaction to fish (and no we have not been eating reef fish, only mahi-mahi offshore and she has even had a reaction to canned salmon. Have to get that checked out while we are in South Africa. At sea, these things can be quite debilitating. With the boil I was only comfortable standing up, even lying down was not good. Try that when you are on a 1500 mile passage.
__________________
Finished the circumnavigation in early February in Grenada. Have to work on a book project for the next several months so the boat will be waiting for next year.
Reply With Quote Share with Facebook
  #5  
Old 10-31-2012
Senior Member
 
Join Date: Feb 2010
Location: Narragansett Bay
Posts: 8,695
Thanks: 10
Thanked 113 Times in 107 Posts
Rep Power: 6
Minnewaska will become famous soon enough Minnewaska will become famous soon enough
Re: Medicine at Sea advice

Anti-biotics, which to use and how to get them is often of interest to offshore sailors. Dentists are often accommodating with a ******, but can't get a good spectrum.

Having been certified as an EMT back in my 20s (never rode a bus), I learned the value of pure oxygen and would never be long offshore without it.

I think life preservation for heart attacks and shock are very concerning, particularly given the age of most cruisers.

Other than that, basic First Aid and CPR. Everyone should take that course, sailors or not.
__________________

To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.

Jeanneau 54DS

In the harsh marine environment, something is always in need of repair. Margaritas fix everything.
Reply With Quote Share with Facebook
  #6  
Old 10-31-2012
msmith10's Avatar
Junior member, rest old
 
Join Date: Feb 2009
Location: Columbus Ohio
Posts: 492
Thanks: 3
Thanked 0 Times in 0 Posts
Rep Power: 6
msmith10 is on a distinguished road
Re: Medicine at Sea advice

As an Emergency Physician for 30 years and sailor for much longer than that, I also serve as Fleet Surgeon for our club. I am almost daily pressed into service for boating related illness/injuries. My advice: keep it simple. The following list is one I use for this presentation.

Drowning
Cold exposure
Control of bleeding
Orthopedic injuries—sprains, strains, fractures
Laceration and wound care
Burns
Eye injuries
Seasickness
Insect bites and stings

This list would be augmented for offshore: advanced treatment of the above, and recognition and treatment of infections: pneumonia, urinary tract, skin, gastrointestinal, dental emergencies.

I also have a presentation discussing a proper first aid kit if you'd like that.
Preparation for offshore is very different from day-sailing/coastal cruising.
Offshore preparation requires that you have some prescription medications onboard and know how/when to use them. If you're going offshore, I'd recommend talking to your family doctor about writing prescriptions for some of the essentials to keep stocked on board.

Note that CPR/resuscitation is not on the list above. That's a topic all on it's own and should have a separate course. Every boater should know how to do CPR. While it's good to know more advanced stuff, there are limitations to what you can do offshore. Life-threatening illnesses offshore are exactly that, and your ability to intervene is extremely limited. While I don't want to be too cynical, a patient requiring CPR out-of-range of ground transportation (out of the marina) has virtually a 0% chance of survival. (please don't send me any Lazarus stories).
This is a huge subject- again, keep it simple.
__________________
Mark Smith
1977 C&C 30 Mk 1 hailing from Port Clinton, Ohio
Reply With Quote Share with Facebook
  #7  
Old 10-31-2012
jackdale's Avatar
Senior Member
 
Join Date: Dec 2008
Location: Calgary, AB, Canada
Posts: 8,770
Thanks: 25
Thanked 32 Times in 29 Posts
Rep Power: 6
jackdale will become famous soon enough
Re: Medicine at Sea advice

I had a crew member who was medically evacuated mid way between Hawaii and Vancouver. I had prostate issues that could not be resolved. We contact CG Honolulu who arranged with AMVER for a rendezvous with a container ship which took him to Los Angeles.

The story is here Medical Evacuation on Maui Return

The thread also has some pictures.

Videos are at



__________________
__________________
ISPA Yachtmaster Offshore Instructor Evaluator
Sail Canada Advanced Cruising Instructor
IYT Yachtmaster Coastal Instructor
As I sail, I praise God, and care not. (Luke Foxe)
Reply With Quote Share with Facebook
  #8  
Old 10-31-2012
zeehag's Avatar
snake charmer, cat herder
 
Join Date: Nov 2008
Location: refitting a formosa in exotic tropical locations....
Posts: 1,636
Thanks: 4
Thanked 23 Times in 23 Posts
Rep Power: 6
zeehag is on a distinguished road
Re: Medicine at Sea advice

DEHYDRATION is a large an d deadly problem with sailors. we die of it-- make sure this is made known.
much of medicine at sea is similar to medicine in a hiking/camping/climbing situation in wilderness, away from help.
there is a book WHERE THERE IS NO DOCTOR--you may wish to acquire this book --it will be a help.
merck manual and handbooks of emergency medicine are also helpful.
a medical kit that is complete, will take up an entire boat. i keep on board some few broad spectrum antibiotics, splinting materials, bandages, neosporin ointment, scissors, tweezers, "second skin" crazy glue and super glue, cervical collar(i know how to make a rigid collar/support from that for protecting necks after a fall)..and some other stuff....
__________________

To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.

formosa 41 and ericson 35mII
cruising tropical mexico at present, working my way southward



To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Share with Facebook
  #9  
Old 10-31-2012
jackdale's Avatar
Senior Member
 
Join Date: Dec 2008
Location: Calgary, AB, Canada
Posts: 8,770
Thanks: 25
Thanked 32 Times in 29 Posts
Rep Power: 6
jackdale will become famous soon enough
Re: Medicine at Sea advice

A couple of items that might not be considered.

Sanitary napkins are great for bandaging wounds.

Vet wrap can be used for splinting, bandaging etc..



I will second the comments about advanced / wilderness first aid. Standard first aid is based on stabilizing and calling 911, who will be there in 10 minutes. That is unlikely even in coastal cruising.
__________________
__________________
ISPA Yachtmaster Offshore Instructor Evaluator
Sail Canada Advanced Cruising Instructor
IYT Yachtmaster Coastal Instructor
As I sail, I praise God, and care not. (Luke Foxe)
Reply With Quote Share with Facebook
  #10  
Old 10-31-2012
emoney's Avatar
Senior Member
 
Join Date: Jun 2010
Posts: 545
Thanks: 0
Thanked 1 Time in 1 Post
Rep Power: 5
emoney is on a distinguished road
Re: Medicine at Sea advice

Default to the good Doctor above, of course, but I'd add "dealing with a concussion" to his list. That swinging boom in an accidental gybe is a real fear, and dealing with the aftermath is something every sailor should be prepared for.

On a side note, I think any discussion of "emergencies @ sea" should also include a conversation about preparing everyone on board for what to do "next". I wonder how many at-sea-rescues take place because the non-injured parties aboard aren't capable of handling the vessel after the captain gets injured?
Reply With Quote Share with Facebook
Reply


Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools

 
Posting Rules
You may post new threads
You may post replies
You may post attachments
You may edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is On


Similar Threads
Thread Thread Starter Forum Replies Last Post
Sailboat Overturns on Medicine Lake in Plymouth - Patch.com NewsReader News Feeds 0 09-11-2012 06:30 AM
A little advice please! superdave Learning to Sail 9 01-11-2007 09:27 PM
"Cruise Ship Virus" Tackled By UH, Baylor College Of Medicine (Medical News Today) NewsReader News Feeds 0 07-21-2006 10:15 PM
Smooth sailing: 'cruise ship virus' tackled by UH, Baylor College of Medicine (EurekAlert!) NewsReader News Feeds 0 07-18-2006 06:15 PM


All times are GMT -4. The time now is 10:49 AM.

Add to My Yahoo!         
Powered by vBulletin® Version 3.8.7
Copyright ©2000 - 2014, vBulletin Solutions, Inc.
SEO by vBSEO 3.6.1
(c) Marine.com LLC 2000-2012

The SailNet.com store is owned and operated by a company independent of the SailNet.com forum. You are now leaving the SailNet forum. Click OK to continue or Cancel to return to the SailNet forum.