Nautical officers at sea: emergency experience and need for medical training.
| Title: | Nautical officers at sea: emergency experience and need for medical training. |
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| Authors: | Oldenburg, Marcus1 marcus.oldenburg@bgv.hamburg.de, Rieger, Jan1 rieger.j@googlemail.com, Sevenich, Christoph1 christoph.sevenich@bgv.hamburg.de, Harth, Volker1 volker.harth@bgv.hamburg.de |
| Source: | Journal of Occupational Medicine & Toxicology. 2014, Vol. 9 Issue 1, p1-13. 13p. 1 Diagram, 2 Charts, 1 Graph. |
| Subject Terms: | *CHI-squared test, *STATISTICAL correlation, *MEDICAL emergencies, *OCCUPATIONS, *OCEAN, *QUESTIONNAIRES, *STATISTICS, *DATA analysis software, STUDY & teaching of medicine |
| Abstract: | Background On merchant ships, the medical treatment including emergency interventions on the high seas are carried out by nautical officers who have to pass a forty hours medical refresher course every five years in order to meet international requirements. This study aims to show the most frequent kinds of medical emergencies on the high seas and to assess the seafarers' knowledge about their treatment. Methods 465 nautical officers who participated in the medical refresher course at the Institute for Occupational and Maritime Medicine in Hamburg, within the period from 2006 to 2013, were interviewed about their experience of serious diseases and accidents on board, which had led to an emergency port call, a course deviation or an evacuation. Furthermore, prior to the course the officers were asked to answer 18 basic medical questions about common medical issues on board. Results 133 seafarers (28.6%) reported that they had been confronted with at least one serious medical emergency at sea. These emergencies encompassed trauma (37.9%), cardiovascular diseases (18.2%), severe gastrointestinal diseases (15.9%), serious skin or pulmonary infections (9.8%), neurological (9.1%) and urological diseases (4.5%) as well as burns (4.5%). With regards to the basic medical questions, an average of 70.7% of the total score had been achieved (from 26.8% to 100%). On average, 65.5% of internal and 65.6% of surgical questions had been answered correctly. Proper answers to toxicological and infectious questions had been given by 93.3% and 94.1% respectively and to topics of hypothermia and medical treatment by 59.4% and 61.0%. In total, a significant number of younger seafarers answered the questions correctly (p = 0.001). Conclusions According to this study, serious emergencies on board are most frequently related to trauma or cardiovascular diseases. Taking into account the acquired medical knowledge, there seems to be a need to train deck officers within these fields more intensively. Considering the knowledge of seafarers about medical issues directly before attending their medical refresher course, the 5 years interval without any form of refresher course appears to be too long to guarantee adequate medical treatment by the lay persons on board. [ABSTRACT FROM AUTHOR] |
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| Items | – Name: Title Label: Title Group: Ti Data: Nautical officers at sea: emergency experience and need for medical training. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Oldenburg%2C+Marcus%22">Oldenburg, Marcus</searchLink><relatesTo>1</relatesTo><i> marcus.oldenburg@bgv.hamburg.de</i><br /><searchLink fieldCode="AR" term="%22Rieger%2C+Jan%22">Rieger, Jan</searchLink><relatesTo>1</relatesTo><i> rieger.j@googlemail.com</i><br /><searchLink fieldCode="AR" term="%22Sevenich%2C+Christoph%22">Sevenich, Christoph</searchLink><relatesTo>1</relatesTo><i> christoph.sevenich@bgv.hamburg.de</i><br /><searchLink fieldCode="AR" term="%22Harth%2C+Volker%22">Harth, Volker</searchLink><relatesTo>1</relatesTo><i> volker.harth@bgv.hamburg.de</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Occupational+Medicine+%26+Toxicology%22">Journal of Occupational Medicine & Toxicology</searchLink>. 2014, Vol. 9 Issue 1, p1-13. 13p. 1 Diagram, 2 Charts, 1 Graph. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22CHI-squared+test%22">CHI-squared test</searchLink><br />*<searchLink fieldCode="DE" term="%22STATISTICAL+correlation%22">STATISTICAL correlation</searchLink><br />*<searchLink fieldCode="DE" term="%22MEDICAL+emergencies%22">MEDICAL emergencies</searchLink><br />*<searchLink fieldCode="DE" term="%22OCCUPATIONS%22">OCCUPATIONS</searchLink><br />*<searchLink fieldCode="DE" term="%22OCEAN%22">OCEAN</searchLink><br />*<searchLink fieldCode="DE" term="%22QUESTIONNAIRES%22">QUESTIONNAIRES</searchLink><br />*<searchLink fieldCode="DE" term="%22STATISTICS%22">STATISTICS</searchLink><br />*<searchLink fieldCode="DE" term="%22DATA+analysis+software%22">DATA analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22STUDY+%26+teaching+of+medicine%22">STUDY & teaching of medicine</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background On merchant ships, the medical treatment including emergency interventions on the high seas are carried out by nautical officers who have to pass a forty hours medical refresher course every five years in order to meet international requirements. This study aims to show the most frequent kinds of medical emergencies on the high seas and to assess the seafarers' knowledge about their treatment. Methods 465 nautical officers who participated in the medical refresher course at the Institute for Occupational and Maritime Medicine in Hamburg, within the period from 2006 to 2013, were interviewed about their experience of serious diseases and accidents on board, which had led to an emergency port call, a course deviation or an evacuation. Furthermore, prior to the course the officers were asked to answer 18 basic medical questions about common medical issues on board. Results 133 seafarers (28.6%) reported that they had been confronted with at least one serious medical emergency at sea. These emergencies encompassed trauma (37.9%), cardiovascular diseases (18.2%), severe gastrointestinal diseases (15.9%), serious skin or pulmonary infections (9.8%), neurological (9.1%) and urological diseases (4.5%) as well as burns (4.5%). With regards to the basic medical questions, an average of 70.7% of the total score had been achieved (from 26.8% to 100%). On average, 65.5% of internal and 65.6% of surgical questions had been answered correctly. Proper answers to toxicological and infectious questions had been given by 93.3% and 94.1% respectively and to topics of hypothermia and medical treatment by 59.4% and 61.0%. In total, a significant number of younger seafarers answered the questions correctly (p = 0.001). Conclusions According to this study, serious emergencies on board are most frequently related to trauma or cardiovascular diseases. Taking into account the acquired medical knowledge, there seems to be a need to train deck officers within these fields more intensively. Considering the knowledge of seafarers about medical issues directly before attending their medical refresher course, the 5 years interval without any form of refresher course appears to be too long to guarantee adequate medical treatment by the lay persons on board. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Occupational Medicine & Toxicology is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1186/1745-6673-9-19 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 13 StartPage: 1 Subjects: – SubjectFull: CHI-squared test Type: general – SubjectFull: STATISTICAL correlation Type: general – SubjectFull: MEDICAL emergencies Type: general – SubjectFull: OCCUPATIONS Type: general – SubjectFull: OCEAN Type: general – SubjectFull: QUESTIONNAIRES Type: general – SubjectFull: STATISTICS Type: general – SubjectFull: DATA analysis software Type: general – SubjectFull: STUDY & teaching of medicine Type: general Titles: – TitleFull: Nautical officers at sea: emergency experience and need for medical training. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Oldenburg, Marcus – PersonEntity: Name: NameFull: Rieger, Jan – PersonEntity: Name: NameFull: Sevenich, Christoph – PersonEntity: Name: NameFull: Harth, Volker IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: 2014 Type: published Y: 2014 Identifiers: – Type: issn-print Value: 17456673 Numbering: – Type: volume Value: 9 – Type: issue Value: 1 Titles: – TitleFull: Journal of Occupational Medicine & Toxicology Type: main |
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