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Topic 7
Medical Assistance
Starter
1 Discuss.
| 1. Have you ever been ill aboard the vessel? 2. Who treated you when you were ill? 3. What disease did you have? 4. What health problems cannot be treated aboard? 5. What books or guides can help you get well? | 
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Vocabulary
2 Translate the words and word-combinations.
outcome-
to fulfill –
prompt access –
favourable –
treating –
injury –
disease –
medical care –
no less –
to diagnose –
3 Write down the word combinations.
| to fulfill favourable to diagnose treating positive | conditions disease requirement outcome seamen | serious prompt negative tropical medical | access disease care outcome injury |
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
4 Complete the sentences with the words and word-combinations from act.2.
1.___________________ seafarers at sea presents big problems.
2. Last voyage he got both legs ______________.
3. It is the case on most merchant ships - a non-medical person holds the responsibility for _____________ ______________.
4. Ship medical officer must be able ____________ different diseases.
5. Medical care on board must be __________ __________ favourable than that which is generally available to workers ashore.
6. Seamen should have __________ __________ to the necessary medicines and medical equipment aboard.
7. Maritime Labour Convention ensures the best possible health ____________ for their seafaring population.
Reading
5 Read the text and translate it.
| 1. Diagnosis and treatment of the sick and injured onboard is a challenge to seafaring. This has always been true despite recent developments in telemedicine. Where no doctor is on board - as it is the case in most merchant ships - a non-medical person holds the responsibility for medical care. He has to rely on his medical training, written information, and - if appropriate - shore based radiomedical or telemedical advise. This information will help him to make best use of the medical chest and equipment on board. Appropriateness of the information available, adequacy, uniformity and quality of the medical chest and equipment is a key to the safeguard of the seafarer’s health at his work-place. 2. The International Medical Guide for Ships (IMGS) serves as a practical guide for treating injuries and diseases on board. It shows designated medical care providers how to diagnose, treat, and prevent the health problems of seafarers on board ship. |
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3. The International Medical Guide for Ships supports a key principle of the Maritime Labour Convention: to ensure that seafarers are given health protection and medical care no less favourable than that which is generally available to workers ashore, including prompt access to the necessary medicines, medical equipment and facilities for diagnosis and treatment and to medical information and expertise. By ensuring that this guide is carried on board ships countries can fulfill their obligations under the terms of the Maritime Labour Convention and ensure the best possible health outcomes for their seafaring population.
4. The International Medical Guide for Ships is a standard reference for medical care on board ships. The ILO, 2006, requires that all ships should carry a medicine chest, medical equipment and a medical guide, such as this one. The importance of a thorough knowledge of the Guide is highlighted in the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers (STCW), 78/95, as amended.
6 Write down in full.
1. STCW _____________________________________________________________________
2. IMGS _____________________________________________________________________
3. MLC ______________________________________________________________________
4. ILO _______________________________________________________________________
7 Finish the sentences.
1. The greatest problem of treating sick seamen aboard is…………………………………………
……………………………………………………………………………………………………...
2. The International Medical Guide for Ships is …………………………………………………..
……………………………………………………………………………………………………..
3. The main principle of IMGS is ………………………………………………………………….
……………………………………………………………………………………………………
8 Answer the question.
1. What can a non-medical person on board rely on when there is a need to treat somebody?
2. What is a key to the safeguard of the seafarer’s health at his work-place?
3. What’s the International Medical Guide for Ships?
4. What’s a key principle of IMGS?
5. How can countries fulfill their obligations under the terms of the Maritime Labour Convention?
9 Read the case and answer the questions.
| In the incident which occurred on board the M/V Sally Maersk in June 2000 on a voyage from Hong Kong to Long Beach, a repairman from Poland suffered from pain in his back and fever. Due to poor English language skills he asked his colleague – another repairman from Poland – to act as an interpreter for him during the medical consultation with the chief officer. The sick repairman had an injury in his back few days ago. His colleague was aware about this and assumed that the pain was caused by the injury. The sick repairman explained and asked his colleague to translate that he had pain and felt sick with fever, but the information about fever was lost in the translation and the chief officer got the impression that the problem was the pain assumably* caused by the injury. The chief officer prescribed mild** pain killers as the only treatment. The Polish repairman paid several visits to the sick repairman in the following two days. The sick repairman complained about his illness and the fever which had become worse. During the last visit the sick repairman seemed to be asleep and his colleague left him without talking to him. Later that day the sick repairman was found dead and the cause of death was pneumonia. Note: * assumably – most likely, seemingly ** mild (of a medicine) - acting gently |
Radio medical advice
Starter
Write out the phone numbers and define in what emergencies they are used.
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1__________ 2__________ 3__________ 4__________
5__________ 6__________ 7__________
Reading
1 Discuss.
| · What can be the reasons for requesting radio advice? · Who has the right to call Radio Medical? · Where should he call to request medical advice? · Are there any other ways to ask for medical advice beyond the vessel? |
2 Decide what must be done before asking for a radio medical advice.
| Radio medical advice is available free of charge to provide support in cases where an individual suffers either illness or an accident at sea. The advice is intended to supplement the first aid training of the ship’s crew and the written guidance that is available, such as the International medical Guide for Ships. |
3 Read the text, translate and check your guesses.
Radio medical advice
This is available by radio telegraphy, or by direct contact with the doctor by radio telephony from a number of ports in all parts of the world. Details of world wide services can be found in the Admiralty List of Radio Signals (ALRS) Vol 1. Satellite telecommunications using facsimile and voice have facilitated this direct contact. Additionally, it may, on occasion, be obtained from other ships in the vicinity which have a doctor on board. In either instance it is better if the exchange of information is in a language common to both parties. Coded messages are a frequent source of misunderstanding and should be avoided as far as possible. However, the medical section of the International Code of Signals should be used whenever appropriate.
Telemedicine systems are in development, exploiting digital image handling and telecommunications technology. As yet they are experimental, expensive and of limited benefit, however, in the near future well supported, effective and affordable systems will occur.
| It is very important that all the information possible is passed on to the doctor and that all his advice and instructions are clearly understood and fully recorded. A comprehensive set of notes should be ready to pass on to the doctor, preferably based on the appropriate format: one for illnesses, another for injuries. Have a pencil and paper available to make notes and remember to transcribe these notes to the patient’s and to the ship records after receiving them. It is a good idea to record the exchange of information by means of a tape recorder if one is available. This may then be played back to clarify written notes. Some countries may not be aware of the contents of your ship’s medical chest and it will save time and bother if you have a list of drugs and |
appliances available. When contacting British or other doctors who may be aware of the standards required in British ships, be prepared to notify them of the category of medical stores carried and whether there are any deficiencies likely to affect treatment in the particular case.
It may be necessary, under certain circumstances, to withhold the name of the patient when obtaining medical advice in order to preserve confidentiality. In such cases the patient’s name and rank may be submitted later in writing to complete the doctor’s records. Age, sex and ethnic origin are more important than the patient’s name.
4 Mark the statements as True (T) or False (F). Correct the false ones.
5 Answer the questions.
1. Where can you find details about radio medical services?
2. How should information exchange over radio be organized?
3. What information should be passed on to the doctor?
4. What information may British doctors ask you for?
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