Planned Voyage Crew Considerations Boat Equipment Legal
Compliance - Drugs Before you leave.....
Slide 3
Before you leave.....CREW Personal Fitness GP Visit Travel
Consult Dental check up Crew Confidential Medical Questionnaire
Medications including for seasickness Allergies Action Plans for
chronic disease Own Water bottle
Slide 4
YA Blue Book Special Regulations Section 2 Medical Guides
Injury/Illness Chart Apply First Aid Certification Medical Kits
Contents, storage Simplified Day Medical Kit Accessing Drugs for
Ships Supplies Before you leave.....BOAT EQUIPMENT
Slide 5
Medical Kits Contents Medication Storage Simplified Day Medical
Kit Accessing Drugs for Ships Supplies Before you leave.....BOAT
EQUIPMENT
Slide 6
Drugs for Ships Supplies S4 (antibiotics, pain killers,
prescription drugs) S8 (restricted drugs, opiates) Legal
requirements DHS Drugs & Poisons (Victoria) Customs Storage
Record of Supply & Administration Before you leave.....BOAT
EQUIPMENT
Slide 7
Contact details and coverage for Emergency Medical Assistance
Communications HF/VHF Radio, Satphone, Mobile phone Authorities
Organising Authority SAR (Search & Rescue) - AMSA Water Police
Ambulance - Local 000 or International 112 (GSM) Hospital Before
you leave.....BOAT EQUIPMENT
Slide 8
On the Water Medical Emergencies requiring Advice Before
administering prescription drugs Cardiac emergency Eye injury
Severe pain Diarrhoea with fever Severe burns
Slide 9
On the Water Illness / Injury Chart Monitor patient over time
Record admin of medication Fluid balance Hand-over to SAR,
ambulance, hospital Next of Kin Notify and keep them posted
Slide 10
Medical Emergencies First Aid Priorities Head Injuries
Fractures Dislocations
Slide 11
First Aid Priorities Danger Response Send for Help Airway
Breathing Circulation
Slide 12
First Aid Priorities REMOVE FROM DANGER EXPOSURE Sunstroke /
Sunburn Hypothermia DROWNING MOB DANGER RESPONSE SEND AIRWAY
BREATHING CIRCULATIO N
Slide 13
First Aid Priorities ASSESS CONSCIOUS STATE (Shout and squeeze
hand) Unconscious Needs constant supervision Conscious Record obs
over time ? MOVE CASUALTY Safe protected area No risk of falling
Observer access Observation over time DANGER RESPONSE SEND AIRWAY
BREATHING CIRCULATIO N
Slide 14
OBSERVATION SHEET
Slide 15
First Aid Priorities SEND FOR HELP On the boat Emergency
Authorities DANGER RESPONSE SEND AIRWAY BREATHING CIRCULATIO N
Slide 16
First Aid Priorities AIRWAY Clear Airway of obstructions (loose
teeth, tongue, vomit) Lie Casualty on their side ? Oral airway
DANGER RESPONSE SEND AIRWAY BREATHING CIRCULATIO N
Slide 17
First Aid Priorities BREATHING Disposable face shields or CPR
mask +/- hand operated breathing bag Ventolin puffer if wheezing
DANGER RESPONSE SEND AIRWAY BREATHING CIRCULATIO N
Slide 18
First Aid Priorities CIRCULATION Pulses Wrist (Radial) Groin
(Femoral) Neck (Carotid) Chest (Cardiac) Skin Colour White - blood
loss Blue- Hypothermia Green Seasickness Red Sunburn / hyperthermia
DANGER RESPONSE SEND AIRWAY BREATHING CIRCULATIO N
Slide 19
Injuries Head Injuries Open / Closed Fractures Dislocations
Fish Hooks Wounds
Slide 20
Head Injuries Open Closed Observation - Modified Glascow Coma
Scale (GCS)
Slide 21
Fractures
Slide 22
Fracture Management - Limbs Immobilisation of joint above and
joint below the fracture site
Slide 23
Fracture Management Upper limbs Air splints Slings Lower limbs
Air splints Tying legs together Fingers Taping Splinting Ribs
Supportive clothing/ brace Hugging a cushion
Slide 24
Dislocations - Fingers 1.Face the patient, both in standing
positions. 2.Firmly grasp the end of the dislocated finger.
3.Request the patient to lean backwards while maintaining the
finger in a fixed position. 4.As the patient leans back sudden
painless reduction should occur.
Slide 25
Dislocated shoulder 1.Hang affected arm over back of seat.
2.Grasp the patients wrist with one hand and exert a steady
downward pressure. 3.Place the other hand in the armpit exerting a
direct outward pressure against the upper part of the upper arm.
4.When appropriate muscle relaxation is achieved, the head of the
upper arm slips back into the shoulder joint.
Wounds Get the patient comfortable ? Analgesia Get yourself
comfortable Non skid mats Tray for instruments Elbows braced on the
tab le
Slide 35
Sharps Disposal Do not re-use syringes, needles or suture
material. Dispose of needles into impervious screw top
container
Slide 36
Burns TypeAppearanceCauses First degree RednessSunburn, scalds,
chemicals Second degree Redness, blisteringHot liquids Third degree
Full thicknessFire
Slide 37
Burns Cold water immersion for > 20mins Cool compresses
Analgesia Rehydration Severe burns Antibiotics Medical
evacuation
Slide 38
Burns TypeManagement First degree Solosite gel applied
repeatedly Second degree Solosite or Flamazine (silver) under
padded dressing Third degree Flamazine & padded dressing
Rehydration. Analgesia. Antibiotics