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Go Back   SailNet Community > Out There > Cruising & Liveaboard Forum > Medical training
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Topic Review (Newest First)
07-20-2007 09:56 PM
bestfriend Just watch "Man vs. Wild" on the Discovery Channel.
Remember to go downhill and look for a stream that will lead you to civilization.
07-20-2007 08:54 PM
sailingdog Boasun-

Most EMT courses make the assumption that more advanced medical facilities are readily available... which is not the case on an ocean-borne sailboat.
07-20-2007 02:39 PM
Boasun Some of the Marine Academies have a two week course "First Aid for Sea Going Personnel". A good course.
Or you can go to the local colleges and take the EMT courses.
07-19-2007 10:58 PM
sailingdog I'd say that a Wilderness course, where the emphasis is on medical stabilization techniques, when help is more than 48 hours away. Most basic or advanced first aid courses make the assumption that you'll be within reasonably timely access to outside medical help.

There are several books that are fairly decent. I don't have the list of them with me... since I'm not at home, but will post them when I get a chance.
07-19-2007 07:40 PM
wildcard No disrespect intended but 90% of the docs out there are so totaly lost in an emergency situation it's usualy better to not have them. It's just not what they do. But I guess it's better than nothing. I have to deal with them on the street all the time. We used to carry cards to help deal with them. Basicly said you can help the paramedics, you can take total responsability for the call including liability or you can leave.
07-19-2007 06:53 AM
SDW Or do what I did and have a Physician on board.
Seriously though, she says that prior to a "world cruise" she would have a defibrulator onboard for sure. I have advanced first aid and CPR, and she says that would be a bare minimum in terms of training for every crewmember. Doing it in a "self taught" manner is better than nothing, but won't give you the same knowledge that you can obtain in a class with demonstrations by instructors. To be really safe as you're making long passages, etc., a well equipped medical supply kit along with a good reliable communications system can put you in touch with a knowledgable practioner who can guide you in the event of an extreme emergency. An EPIRB could be necessary to save life and hopefully that leg in some extreme circumstances. All this must be balanced upon the amount of time and money you want to spend for training. There's no doubt that EMT or "wilderness first aid" or any number of advanced courses can't hurt.
Fair winds & best of luck to you

Steve
s/v Calypso
Columbia 8.7
07-17-2007 06:06 PM
kennya I took a First responder class to help with some of these issues. You might even take a few emergency rides with a local company afterwards to get some practical experience.
07-17-2007 05:42 PM
wildcard Im going to second the wilderness first aid as the best single class you can take for offshore sailing. EMT is good but the training does not focus on long term care like the WFA class will. Wilderness EMT, which is an add on to the basic EMT class 120-160 hours is outstanding but you still dont have the training to administer injectable drugs. It's not hard but you do have to know what your doing. Get a few hours of IV traing from someone, Paramedic, RN PA, whoever you can find and have them give you a letter stating you have recieved a few hours of basic informal iinstruction. Take that to you private doc and get him to sign off on a Rx off shore med kit for you, then you will be able to do a lot of good.
07-17-2007 02:37 PM
Tynwald Be aware that first aid offshore is pretty different from onshore. If you serious about it, start with downloading the pdf files from here:
Ships Captain's Medical Guide

Its not sufficient, but you will find how to continue.
Some useful reading: Ditch medicine by Hugh L. Coffee, looks heavy, but you might find the situations which you will (hopefully never) experience.

Know how to reach Medical Advice/Assistance (VHF/HF), think about with whom the MRCC should connect you (Singapore, Rome, etc. might be better than others, collect this information before you need it)

Have the proper form filled out BEFORE you call the doctor (you might download one before you start) otherwise you might run up and down the a lot before you are able to answer the questions.

If you just want to do some coastal cruising, forget about the above, except the useful frequenices, maybe. -)
07-07-2007 01:32 PM
Missionary There is a book my wife and I used a lot to help with medical problems. While serving as missionaries in the jungles of Panama is "where there is no doctor" It is available on line and can be downloaded for free. We delivered babies, treated wounds, even broken arms till we could get the person to a clinic. Sometimes several days because of the transportation problems there.
HealthWrights: Workgroup for People's Health and Rights Check it out and see how it could be a help for you on your boat.
Tom
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