- First aid
- First aid on board
- A basic life support sequence
- Choking
- Bleeding
- Shock
- Pain management
- Head injuries
- Anatomical note
- General note on head injuries
- Skull fractures
- Traumatic brain injury (brain damage)
- Post-concussion syndrome
- 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
- 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
- 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
- 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
- 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
- Heat stroke and other heat disorders
- Heat stroke
- To prevent heat stroke
- Stoker’s cramps
- Heat exhaustion (or “heat collapse”)
- 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
- Examination of the patient
- Introduction
- Consent
- Privacy and confidentiality
- The physical examination
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- External assistance
- Medical advice
- Evacuation by helicopter
- Ship-to-ship transfer of doctor or patient
- Referral information to accompany evacuated patients
- 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
- Death at sea
- Signs of death
- Examining a dead body
- Disposal of the body
- Burial at sea
- 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
- 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
- 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
- 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
- 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
- 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
