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Table Of Contents

CHOKING
BLEEDING
Head injuries
ANATOMICAL NOTE
General note on head injuries
Skull fractures
Traumatic brain injury (brain damage)
Post-concussion syndrome
EYE INJURIES
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 fash”)
NONINFECTIOUS EYE DISEASES
Subconjunctival haemorrhage
Cataract
Glaucoma
INFECTIOUS EYE DISEASES
Blepharitis
Wrist and forearm fractures
Fractures of the pelvis, hip, and femur
Knee injuries
Shin (tibia and fbula) fractures
Ankle injuries
Fractures of the foot and toes
SPLINTS AND SLINGS
ABDOMINAL INJURIES
Blunt abdominal injuries
Penetrating abdominal injuries
CHEST INJURIES
Simple rib fracture
Flail chest
Pneumothorax
Spontaneous pneumothorax
Tension pneumothorax
Penetrating chest wounds
WOUND HEALING
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
HEAT BURNS AND SCALDS
Infection of a burn
Respiratory tract burns
ELECTRICAL BURNS AND ELECTROCUTION
SMOKE INHALATION
Heat stroke and other heat disorders
HEAT STROKE
TO PREVENT HEAT STROKE
Stoker’s cramps
Heat exhaustion (or “heat collapse”)
POISONING WITH INGESTED DRUGS AND CHEMICALS
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
Carbon monoxide
Cyanide
Irritant gases – phosgene, chlorine, ammonia
Carbon dioxide
Flammable liquid vapours
Freons
Hydrogen sulphide (“Rotten egg gas”, “Sewer gas”)
BITES AND STINGS
Rat bites
Snake bites
THE PHYSICAL EXAMINATION
Paralysis, strange behaviour, unconsciousness
STROKE
Transient ischaemic attack (TIA)
HEADACHE
SEIZURES AND EPILEPSY
Types of epileptic seizure
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
deep vein thrombosis
BRONCHITIS
Bronchitis due to infection
Bronchitis due to cigarette smoking
BRONCHIECTASIS
COMMON COLD
PLEURISY
PNEUMONIA
Lobar pneumonia
Empyema
Aspiration pneumonia and lung abscess
SINUSITIS
HAY FEVER
ASTHMA
Gastrointestinal and liver diseases
ABDOMINAL PAIN – GENERAL POINTS
Red fags in abdominal pain
SEVERE ABDOMINAL PAIN
Appendicitis
Pancreatitis
Bowel obstruction
DIARRHOEA
Foodborne illness
Dysentery
Traveller’s diarrhoea
Food poisoning from marine toxins
Infammatory bowel disease (colitis)
Ulcerative colitis
Crohn’s disease
Antibiotic-associated colitis
INDIGESTION AND PAIN RELATED TO MEALS
Gastro-oesophageal refux disease
Peptic ulcer
(gastrointestinal haemorrhage)
Heavy upper gastrointestinal bleeding
Heavy lower gastrointestinal bleeding
Haemorrhoids (piles)
Anal pruritis (anal itch)
HERNIA
Inguinal (groin) hernia
LIVER AND BILIARY DISEASE
Jaundice
Liver failure
Alcoholic liver disease
Gallstones
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
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
URETHRITIS
URETHRITIS IN WOMEN
GONOCOCCAL PROCTITIS
GONOCOCCAL PHARYNGITIS
GENITAL ULCERS
ACUTE PAIN IN THE SCROTUM
Epididymitis
Testicular torsion
Trauma to the scrotum
Testicular infammation (orchitis)
BALANITIS
LYMPH NODE SWELLING IN THE GROIN
VAGINAL DISCHARGE
Bacterial vaginosis
Vaginal candidiasis
Trichomoniasis
PELVIC INFLAMMATORY DISEASE
ANO-GENITAL WARTS
ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS)
Later stages of HIV and AIDS
Treatment of HIV Infection
Post-exposure prophylaxis
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
URTICARIA (HIVES)
CELLULITIS AND ERYSIPELAS
Cellulitis arising from wounds exposed to estuary or seawater
Bone, joint, and muscle disorders
GOUT
SEPTIC ARTHRITIS
RHEUMATOID ARTHRITIS
OSTEOARTHRITIS
PROBLEMS IN SPECIFIC JOINTS
The knee
The shoulder
The back
The neck
FOUR MAIN QUESTIONS TO CONSIDER
ALCOHOL INTOXICATION
Alcohol withdrawal
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
AMPHETAMINES
HALLUCINOGEN INTOXICATION
Lysergic acid diethylamide (LSD)
Plant hallucinogens
“FLASHBACKS”
KAVA KAVA
INFECTIOUS AGENTS
HOW INFECTIONS SPREAD
COMMON TERMS USED IN CONNECTION WITH INFECTIONS
Onset
Fever
fever
Rash
MANAGEMENT OF INFECTIOUS DISEASES – GENERAL PRINCIPLES
Needle-stick injuries
TREATING INFECTIOUS DISEASES
Food
Anthrax
Chickenpox and shingles (varicella-zoster virus)
Cholera
Dengue
Diphtheria
Ear infections
Hand infections in seafarers and fshers
Infectious mononucleosis (glandular fever)
Malaria
Meningitis and meningococcal infection
Mumps
Plague
Rabies
Rubella (German measles)
SARS (severe acute respiratory syndrome)
Sore throat
Tetanus (lockjaw)
Tuberculosis
Typhoid and paratyphoid fever
Viral hepatitis (hepatitis A, B, and C)
Whooping cough (pertussis)
Worms
Yellow fever
SOME COMMON DENTAL PROBLEMS
Tooth decay (caries)
Pulpitis and peri-apical abscess
Periodontal disease (gum infammation)
Pericoronitis
Lost fllings 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
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
SIGNS OF DEATH
● Examining a dead body);
EXAMINING A DEAD BODY
DISPOSAL OF THE BODY
BURIAL AT SEA
ABANDONING SHIP
SURVIVING IN A SURVIVAL CRAFT
■ Near-drowning
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
Contamination with oil
FOOD AND WATER FOR RESCUED SURVIVORS
MEDICAL RESOURCES ON A LIFEBOAT
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
Immunization
Hepatitis A and hepatitis B
Other infections
Stopping smoking
Personal hygiene
Sleep
Sunburn and skin cancer
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
Work place assessment
Provision of good medical care
Seafarers’ lifestyles
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 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
Ship Sanitation Control Certifi cate
BASIC RULES FOR MANAGING THE MEDICINE CHEST
Drug rash and other drug-related skin problems
LIST OF RECOMMENDED MEDICINES AND EQUIPMENT
Forms for case reporting, referral, and evacuation
Ship’s identity and navigational status form
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International Medical Guide for Ships 3rd Edition

International Medical Guide for Ships 3rd Edition

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Published by Agus Budiono
The third edition of the International Medical Guide for Ships could not have been completed without the advice and support of the International Transport Workers’ Federation (ITF), the International Shipping Federation (ISF), and the International Maritime Health Association (IMHA). The International Transport Workers’ Federation funded content development for this edition
The third edition of the International Medical Guide for Ships could not have been completed without the advice and support of the International Transport Workers’ Federation (ITF), the International Shipping Federation (ISF), and the International Maritime Health Association (IMHA). The International Transport Workers’ Federation funded content development for this edition

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Published by: Agus Budiono on Feb 05, 2014
Copyright:Attribution Non-commercial

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04/26/2014

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