Contenido:

FOREWORD

INTRODUCTION AND HOW TO USE THIS GUIDE

TOPIC I: LIFE THREATENING SITUATION MANAGEMENT

CHAPTER 1. Life threatening emergencies

• Assessment of life threatening situation
• Assess consciousness level
• Check breathing and pulse
• Open airway
• Clear airway
• Restore breathing (mouth to mouth)
• Removal of foreign bodies (choking)
• Restore circulation (cardiac massage)
• Cardiopulmonary resuscitation (CPR)
• Stop haemorrhage
• Place in lateral recumbent position

CHAPTER 2. Urgent situations

• Shock
• Severe allergic reaction (anaphylaxis)
• Heart attack
• Stroke (paralysis)
• Burns (heat, chemical, electric)
• Head, neck and back injuries
• Transport of victim
• Thorax and abdomen injuries
• Fractures and dislocations
• Intoxication by ingestion (by mouth)
• Intoxication by inhalation (by airway)
• Accidents due to cold: hypothermia
• Heat accidents: heat stroke
• Serious diving accident

TOPIC II: MEDICAL CONSULTATION VIA RADIO

CHAPTER 3. Patient examination

• Clinical interview
• Physical examination:
  • Monitoring of essential life processes
  • By body areas. Examination manoeuvres

CHAPTER 4. Long distance medical assistance

• How to contact with the Spanish Medical Radio Centre
• Rules to make a medical consultation via radio
• Instructions to follow for noting down information and the patient's symptoms
• Pictures for the location of symptoms or lesions

CHAPTER 5. Medical kit

• Content and periodical check-up of first aid kits
• Contraindications, side effects and interactions of medication
• Maintenance and stocking of first aid kits
• Appendixes:
  • Ship categories and kinds of first aid kits
  • Kinds of first aid kits that should be carried by ships according to their activity
  • Listing of dangerous substances

CHAPTER 6. General nursing care

• Nursing
• Checklist for patient care
• Care of the bed bound patient
• Medication administration
• Heat and cold therapy
• Blood extraction for laboratory tests
• Urine tests
• Other nursing procedures (oxygen therapy)

TOPIC III: FIRST AID ON BOARD

CHAPTER 7. Assistance to the accident victim

• Wounds (including those caused by fish-hook)
• Haemorrhages
• Burns
• Fractures
• Joint lesions
• Immobilizations and bandages
  • Immobilizations according to body area
• Internal injuries
• Transport of accident victims
• Foreign bodies
• Lesions caused by animals
• Lesions caused by heat or cold
• Assistance to shipwrecked and rescued victims
• Intoxications and poisonings
• Minor diving accidents
  • Minor decompression disease or type 1
  • Ear lesions (otic baric trauma)
  • Para nasal sinuses lesions (sinusitis)
  • Toothache
  • Abdominal pain

CHAPTER 8. Patient assistance

• Heartburn
• Alcohol, abuse and abstinence syndrome
• Allergic, reaction
• Piles (haemorrhoids)
• Muscle cramps
• Fits
• Diarrhoea
• Respiratory difficulty
• Abdominal pain
• Joint pain (rheumatism)
• Headache
• Toothache
• Backache
• Sore throat
• Earache
• Chest pain ( thoracic)
• Testicle pain
• Drug, abuse
• Constipation
• Fever
• Furuncle
• Nodes (lymphatic inflammation)
• Gases (bloating)
• Flu
• Hernia
• Jaundice (yellow skin and mucosa)
• Indigestion
• Prepuce inflammation (paraphimosis)
• Insomnia
• Worms
• Dizziness (sea sickness)
• Red eye
• Urinary, discomfort
• Palpitations
• Paralysis (stroke)
• Skin parasites (scabies, lice)
• Momentary loss of conscousness (syncope)
• Itching (pruritus)
• Skin changes
• Cold
• Hoarse voice
• Cough
• Varicose veins
• Vertigo
• Vomiting

CHAPTER 9. Psychiatric attention

• Suicidal personality
• Suicide attempt
• Depression
• Violent patients
• Delirium and hallucinations (acute psychosis)
• Anxiety attacks

CHAPTER 10. Women's illnesses and childbirth

• Painful menstruation
• Vaginal haemorrhage
• Lower abdominal pain
• Vulvovaginitis
• Childbirth
• Miscarriage

TOPIC IV: PREVENTION, HYGIENE AND DEATH AT SEA

CHAPTER 11. Prevention of contagious and chronic illnesses

• Contagious diseases:
  • Isolation
  • Vaccinations
  • Sexually transmitted diseases
  • AIDS
  • Illnesses transmitted by arthropods. Malaria
• Chronic and metabolic illnesses:
  • Cardiovascular diseases
  • Cancer
  • Chronic respiratory illnesses
  • Diabetes
  • Chronic rheumatic illnesses

CHAPTER 12. Accident and professional illness prevention

• Accidents in the workplace
• Professional illness
• Occupational risk factors on board
• Maritime professional illnesses
• Techniques for the prevention of professional accidents and illnesses
• Workers rights and obligations

CHAPTER 13. Crew hygiene

• Personal hygiene
• Climate related hygiene:
  • Hygiene in tropical climates
  • Hygiene in cold climates
• Balanced diet
• Alcohol, tobacco and drugs

CHAPTER 14. On board hygiene

• General living conditions
  • Order and cleanliness
  • Ventilation
  • Lighting
• Disposal of residues on board
• On board water
• Food hygiene
  • Non-refrigerated foods
  • Refrigerated foods
• Sanitation techniques
• Disinfection
• Clearing of insects
• Clearing of rodents
• Animals on board

CHAPTER 15. Death at sea

• Signs due to the cessation of essential life processes
• Signs due to the establishment of cadaveric phenomena
• What to do a after death is diagnosed
  • Preservation of the body

APPENDIXES

1. Maritime health programme
2. National centres (local and provincial) for maritime health and foreign centres offering health services, MSI
3. Pictures of the human body
4. Norms to follow for an evacuation by helicopter
5. Special diets for the sick
6. List of obligatory international vaccinations, malaria risks and chemo
   prophylaxis against malaria by country (year 2000)
7. Vaccination centres in Spain for international journeys
8. Table for chlorination of water
9. Health documents and formalities
10. Rules to follow during a ship abandonment