What are contents of International Medical Guide for ships ?

  1. First aid
    • First aid on board
    • A basic life support sequence
    • Choking
    • Bleeding
  2. Shock
  3. Pain management
  4. Head injuries
    • Anatomical note
    • General note on head injuries
    • Skull fractures
    • Traumatic brain injury (brain damage)
    • Post-concussion syndrome
  5. Eye injuries and diseases
    • Eye injuries
    • Red flags
    • A blow on or near the eye
    • Corneal abrasion
    • Loose foreign bodies
    • Foreign bodies embedded in the eye
    • Wounds of the eyelids and eyeball
    • Chemical burns
    • Arc eyes (“welder’s flash”)
    • Noninfectious eye diseases
    • Subconjunctival haemorrhage
    • Cataract
    • Glaucoma
    • Infectious eye diseases
    • Blepharitis
    • Conjunctivitis
    • Keratitis
    • Hordeolum
    • Sudden painless loss of vision
  6. Bone, joint, and muscle injuries
    • General treatment of injuries
    • Specific injuries
    • Strains and sprains .
    • Compound fractures
    • Skull fractures
    • Nose, jaw, and face fractures
    • Neck (cervical spine) injuries
    • Collar bone (clavicle) injury
    • Shoulder injury
    • Injury to the upper arm (humerus) and elbow
    • Wrist and forearm fractures
    • Hand and finger injuries
    •  Rib fractures
    • Fractures of the pelvis, hip, and femur
    • Knee injuries
    • Shin (tibia and fibula) fractures
    • Ankle injuries
    • Fractures of the foot and toes
    • Splints and slings
  7. Abdominal and chest injuries
    • Abdominal injuries
    • Blunt abdominal injuries
    • Penetrating abdominal injuries
    • Chest injuries
    • Simple rib fracture
    • Flail chest
    • Pneumothorax
    • Spontaneous pneumothorax
    • Tension pneumothorax
    • Penetrating chest wounds
  8. Wounds
    • Wound healing
    • Red flag wounds
    • How to close a wound
    • Using adhesive skin closures
    • Using skin adhesive (liquid stitches)
    • Suturing a wound
    • Local anaesthesia
    • Special wounds
    • Lips
    • Tongue
    • Ears and nose
    • Eyelids
    • Puncture wounds of the soles of the feet
    • Wound infection
    • Dressing wounds that cannot be closed
  9. Burns, chemical splashes, smoke inhalation, and electrocution .
    • Clothing on fire
    • Heat burns and scalds
    • Infection of a burn
    • Respiratory tract burns
    • Electrical burns and electrocution
    • Chemical splashes
    • Flash burns (arc eye)
    • Smoke inhalation
  10. Heat stroke and other heat disorders
    • Heat stroke
    • To prevent heat stroke
    • Stoker’s cramps
    • Heat exhaustion (or “heat collapse”)
  11. Poisoning
    • Poisoning with ingested drugs and chemicals
    • Red flags
    • Common poisoning agents
    • Paracetamol (acetaminophen)
    • Acetylsalicylic acid (Aspirin®)
    • Methanol and ethylene glycol
    • Organophosphate and carbamate insecticides
    • Anticoagulants (warfarin, rat poison)
    • Petroleum products
    • Caustics
    • Disinfectants and bleach
    • Dangerous prescription drugs
    • Poisoning from exposure common to gases or vapours
    • Carbon monoxide
    • Cyanide
    • Irritant gases – phosgene, chlorine, ammonia
    • Carbon dioxide
    • Flammable liquid vapours
    • Freons
    • Hydrogen sulphide (“Rotten egg gas”, “Sewer gas”) 1
    • Bites and stings
    • Rat bites
    • Snake bites
    • Jellyfish stings
    • Venomous fish
    • Sea urchins
    • Scorpions and spiders
  12. Examination of the patient
    • Introduction
    • Consent
    • Privacy and confidentiality
    • The physical examination
  13. Paralysis, strange behaviour, unconsciousness
    • Stroke
    • Transient ischaemic attack (TIA)
    • Headache
    • Red flags
    • Seizures and epilepsy
    • Types of epileptic seizure
    • Red flags
    • Drugs that can precipitate seizures
    • Loss of consciousness
    • Sudden loss of consciousness (syncope)
    • Finding an unconscious person
    • Diabetes mellitus and coma
    • Diabetic ketoacidosis
    • Hypoglycaemia
    • Bell’s palsy
    • Mental illness
    • Psychosis
    • Forms of psychosis
    • Depression
    • Violent or threatening behaviour
    • Suicide
    • After an unsuccessful suicide attempt
    • Post-traumatic stress disorder
  14. Chest pain and other disorders of the heart and circulation
    • Angina pectoris
    • Complications of myocardial infarction
    • Palpitations
    • Blocked arteries in the legs
    • Deep vein thrombosis
  15. Respiratory diseases
    • Bronchitis
    • Bronchitis due to infection
    • Bronchitis due to cigarette smoking
    • Bronchiectasis
    • Common cold
    • Pleurisy
    • Pneumothorax
    • Pneumonia
    • Lobar pneumonia
    • Empyema
    • Aspiration pneumonia and lung abscess
    • Sinusitis
    • Hay fever
    • Asthma
  16. Gastrointestinal and liver diseases
    • Abdominal pain – general points
    • Red flags in abdominal pain
    • Severe abdominal pain
    • Appendicitis
    • Pancreatitis
    • Bowel obstruction
    • Diarrhoea
    • Food borne illness
    • Dysentery
    • Traveller’s diarrhoea
    • Food poisoning from marine toxins
    • Inflammatory bowel disease (colitis)
    • Ulcerative colitis
    • Crohn’s disease
    • Antibiotic-associated colitis
    • Indigestion and pain related to meals
    • Gastro-oesophageal reflux disease
    • Peptic ulcer
    • Red flags
    • Heavy bleeding from the gastrointestinal tract
    •  (gastrointestinal haemorrhage)
    • Heavy upper gastrointestinal bleeding
    • Heavy lower gastrointestinal bleeding
    • Anal fissure
    • Haemorrhoids (piles)
    • Anal pruritis (anal itch)
    • Hernia
    • Inguinal (groin) hernia
    • Liver and biliary disease
    • Jaundice
    • Liver failure
    • Alcoholic liver disease
    • Gallstones
  17. Kidney and other urinary disorders
    • Disorders of the kidney
    • Acute renal (kidney) failure
    • Chronic renal failure (Bright’s disease)
    • Kidney stones (renal colic)
    • Other urinary disorders
    • Red urine
    • Urinary tract infection
    • Urinary tract infection in women
    • Urinary tract infection in men
    • Prostatitis
    • Chronic pelvic pain in men
    • Benign prostatic hyperplasia (BPH, enlarged prostate)
    • Acute urinary retention
  18. Pregnancy and childbirth
    • Pregnancy
    • Drugs in pregnancy
    • Vaginal bleeding during pregnancy or suspected pregnancy
    • Ectopic pregnancy
    • Miscarriage
    • Salpingitis (inflammation of a fallopian tube)
    • Pruritus vulvae (external genital itching)
    • Childbirth
    • Preparing for the birth
    • Managing the early stages of childbirth
    • Managing the birth
    • Caring for the baby after delivery
    • Caring for the mother after delivery
    • Post-partum haemorrhage
    • Other possible problems after childbirth
  19. Sexually transmitted infections
    • Urethritis
    • Urethritis in women
    • Gonococcal proctitis
    • Gonococcal pharyngitis
    • Genital ulcers
    • Acute pain in the scrotum
    • Epididymitis
    • Testicular torsion
    • Trauma to the scrotum
    • Testicular inflammation (orchitis)
    • Balanitis
    • Lymph node swelling in the groin
    • Vaginal discharge
    • Bacterial vaginosis
    • Vaginal candidiasis
    • Trichomoniasis
    • Pelvic inflammatory disease
    • Ano-genital warts
    • Pubiclice
    • Acquired immunodefi ciency syndrome (AIDS)
    • Later stages of HIV and AIDS
    • Treatment of HIV infection
    • Post-exposure prophylaxis
  20. Skin diseases
    • Questions to ask a patient
    • Barber’s rash
    • Folliculitis
    • Pseudofolliculitis (also called “razor bumps”)
    • Tinea barbae
    • Acne
    • Chaps
    • Dermatitis
    • Irritant contact dermatitis
    • Eczema (atopic dermatitis)
    • Allergic contact dermatitis
    • Fungal skin infections
    • Tinea pedis (athlete’s foot)
    • Tinea corporis (ringworm)
    • Tinea cruris (Jock itch, Dhobie itch)
    • Bacterial skin infections
    • Impetigo
    • Carbuncles and furuncles (furunculosis)
    • Skin abscess
    • Pediculosis (lice infestation)
    • Scabies
    • Shingles (herpes zoster and varicella zoster)
    • Urticaria (hives)
    • Cellulitis and erysipelas
    • Cellulitis arising from wounds exposed to estuary or seawater
  21. Bone, joint, and muscle disorders
    • Joint inflammation
    • Gout
    • Septic arthritis
    • Rheumatoid arthritis
    • Osteoarthritis
    • Problems in specific joints
    • The knee
    • The shoulder
    • The back
    • Red flags
    • The neck
    • Red flags
  22. Tobacco, alcohol, and drug use
    • Four main questions to consider
    • Alcohol intoxication
    • Alcohol withdrawl
    • Minor withdrawal (“the shakes”)
    • Major withdrawal (delirium tremens, DTs)
    • Cannabis intoxication
    • Opioids, opiates, and related drugs
    • Heroin intoxication
    • Heroin overdose
    • Infection in heroin users
    • Heroin withdrawal
    • Other opioids
    • Cocaine (“coke“, “snow“, etc.)
    • Amphetamines
    • Hallucinogen intoxication
    • Lysergic and diethylamide (LSD)
    • Phencyclidine (“PCP“, “angel dust“)
    • Plant hallucinogens
    • “Flashbacks“
    • Kava kava
  23. Infectious diseases
    • Infectious agents
    • How infections spread
    • Common terms used in connection with infections
    • Onset
    • Fever
    • Rash
    • Management of infectious diseases – general principles
    • Isolation
    • Needle-stick injuries
    • Treating infectious diseases
    • Food
    • Some common or important infections that could occur on board
    • Anthrax
    • Chickenpox and shingles (varicella-zoster virus)
    • Cholera
    • Dengue
    • Diphtheria
    • Ear infections
    • Hand infections in seafarers and fishers
    • Infectious mononucleosis (glandular fever)
    • Influenza
    • Malaria
    • Meningitis and meningococcal infection
    • Mumps
    • Plague
    • Rabies
    • Rubella (German measles)
    • SARS (severe acute respiratory syndrome)
    • Sore throat
    • Red flags
    • Tetanus (lockjaw)
    • Tuberculosis
    • Typhoid and paratyphoid fever
    • Viral hepatitis (hepatitis A, B, and C)
    • Whooping cough (pertussis)
    • Worms
    • Yellow fever
  24. Dental problems
    • Some common dental problems
    • Tooth decay (caries)
    • Pulpitis and peri-apical abscess
    • Periodontal disease (gum inflammation)
    • Pericoronitis
    • Red flags
    • Lost fillings and broken teeth
    • A bleeding socket
    • Lost teeth
  25. External assistance
    • Medical advice
    • Evacuation by helicopter
    • Ship-to-ship transfer of doctor or patient
    • Referral information to accompany evacuated patients
  26. Nursing care and medical procedures
    • Nursing care
    • Preparing sick-quarters
    • First steps on a patient’s arrival
    • Basic principles of nursing care
    • Caring for the bed-bound patient
    • Monitoring the vital signs
    • Bodily functions
    • Examining faeces, urine, sputum, and vomited matter
    • Mentally disturbed patients
    • The unconscious patient
    • Medical procedures
    • Applying cold
    • Applying heat
    • Catheterizing the urinary bladder
    • Surgical dressings
    • Administering medicines – basic principles
    • Routes of administration
    • Injections
    • Eye medication
    • Ear medication
  27. Death at sea
    • Signs of death
    • Examining a dead body
    • Disposal of the body
    • Burial at sea
  28. Medical care for survivors at sea
    • Abandoning ship
    • Surviving in a survival craft
    • Near-drowning
    • Generalized hypothermia due to cold water immersion
    • Cold exposure injuries
    • Frostnip
    • Frostbite
    • Immersion foot (trench foot)
    • Other medical problems aboard survival craft
    • Seasickness
    • Sunburn
    • Dehydration and malnutrition
    • Heat exposure
    • Contamination with oil
    • Food and water for rescued survivors
    • Medical resources on a lifeboat
  29. Environmental control and hygiene
    • Ventilation
    • Lighting
    • Food hygiene
    • Food-handlers
    • Food service facilities
    • Food storage
    • The galley (ship’s kitchen)
    • Toilet and washing facilities
    • Liquid transport and potable water
    • Potable water sources
    • Potable water transport system
    • Potable water storage
    • Taking water on board
    • Disinfection of potable water
    • Disposal of liquid and solid wastes
    • Combating disease vectors
    • Rodents
    • Insects
    • Flies
    • Mosquitoes
    • Cockroaches
    • Bedbugs
    • Sanitary inspection
  30. Preventing disease and promoting health in seafarers
    • Preventing communicable diseases
    • Isolation
    • Immunization
    • Hepatitis A and hepatitis B
    • Other infections
    • Preventing other diseases
    • Stopping smoking
    • A balanced diet
    • Personal hygiene
    • Sleep
    • Preventing illness from exposure to extremes of temperature
    • Sunburn and skin cancer
    • Lifting heavy weights
    • Foot Injuries
    • Lack of exercise and boredom
    • Preventing ill-health from seafaring work
    • General principles of promoting safety on board ship
    • The Health and Safety Committee
    • Briefing for new tasks
    • Work place assessment
    • Provision of good medical care
    • Seafarers’ lifestyles
  31. Anatomy and physiology
    • Cells
    • Tissues
    • Organs
    • Note on anatomical terms and descriptions
    • The skeletal system
    • The muscular system
    • The circulatory system
    • The respiratory system
    • The digestive system
    • The urinary system
    • The nervous system
    • The endocrine system
    • The blood
    • Blood and anaemia
    • The immune system
    • Allergy
  32. International Health Regulations
    • International Health Regulations (2005)
    • Part I – Definitions, purpose and scope, principles and responsible authorities
    • Part IV – Points of entry
    • Part V – Public health measures
    • Part VI – Health documents
    • Part VII –  Charges
    • Annex 1 – B. Core capacity requirements for designated airports, ports and ground crossings
    • Annex 2 – Descision instrument for the assessment and notification of events that may constitute a public health emergency of international concern
    • Annex 3 – Model ship sanitation control exemption certificate/ship sanitation control certificate
    • Annex 4 – Technical requirements pertaining to conveyances and conveyance operators
    • Annex 5 – Specific measures for vector-borne diseases
    • Annex 6 – Vaccination, prophylaxis and related certificates
    • Annex 7 – Requirements concerning vaccination or prophylaxis for specific diseases
    • Annex 8 – Model of maritime declaration of health
  33. The ship’s medicine chest
    • Introduction
    • Basic rules for managing the medicine chest
    • Anaphylaxis
    • Drug rash and other drug-related skin problems
    • Controlled drugs
    • Ships carrying dangerous goods
    • Specific categories of medicines
    • Fluids for intravenous infusion
    • List of recommended medicines and equipment
    • Annex A: Forms for case reporting, referral, and evacuation
    • Ship master’s report form
    • Ship’s identity and navigational status form
    • Patient health status form
    • Primary physician’s report form

About the author

Vikrant_sharma

Leave a Comment