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Medical Emergency
How to manage a medical emergency at sea
MEDICO CORK Is based in Cork University
Hospital and provides 24 hour medical advice for
Irish Seafarers. Medico Cork provides a free ser-
vice accessing highly skilled medical staff. They
may be contacted through the Irish Coast Guard.
Another free safety
publication produced by
The Marine Safety
Working Group
www.safetyonthewater.ie
IF YOU HAVE A MEDICAL EMERGENCY AT SEA
Call for assistance if it is required using a Pan Pan or Mayday message on VHF Radio
(see back of this card). Do this as soon as possible as it may prevent any condition
worsening and allow time to implement an evacuation.
For an unresponsive casualty
Airway
Breathing
Circulation
Check Airway is open
Tilt head back and lift chin
Visually check mouth for foreign objects & remove
Look for rise & fall of chest or breath sounds from mouth.
If casualty is not breathing normally, chest compressions are necessary
and their breathing needs to be supported. Assist breathing by mouth to
mouth resuscitation or by using breathing bag, if you are trained in its use.
For all adults and children / infants - alternate 30 chest compressions with
2 rescue breaths.
Continue CPR until emergency services take over, the casualty moves or
takes a breath or you cannot continue.
Making a Pan Pan Urgency Call
If you have difficulty in making contact with one of the Coastal Radio Stations listed
above, use the following procedure to request assistance.
⇒ Check that your radio is switched on and high power setting is selected.
⇒ Select Channel 16
⇒ Press the transmit button, and say slowly & clearly:
⇒ Pan Pan, Pan Pan, Pan Pan.
⇒ All Stations (repeat 3 times) or Individual Coast Guard Radio Station (repeat 3 times)
⇒ This is … (repeat the name of your boat 3 times)
⇒ My position is… (use latitude and longitude, or a true bearing and distance from a known point.
……….If you don’t know, don’t guess.
⇒ I require (describe type of assistance that you require e.g. “I require medical assistance”).
⇒ Over - this means please reply
⇒ Now release the transmit button and listen for a reply
⇒ Keep listening on Channel 16 for instructions
⇒ If you hear nothing then repeat the call.
CALLING FOR HELP
If you require medical assistance or advice you should contact the nearest Maritime
Radio Station to you using Channel 16 VHF or 2182 MF. If necessary and / or appro-
priate they will put you through to MEDICO CORK.
If a vessel or person is in grave or imminent danger you should issue a Mayday call.
BEFORE YOU GO
Check that everyone on board is fit and able for the intended passage or activity.
Ensure that at least one person on board has had appropriate First Aid Training.
Check that your first aid kit is appropriately stocked and stowed in a secure dry
place.
Ensure that you are carrying appropriate communications equipment and that you
and the members of the crew know how to use it.
For a responsive casualty
Provide basic First Aid.
For all casualties
Try to ensure that the casualty is warm, dry and secure.
Once contacted, Coast Guard will determine if and how any casualty should be
evacuated.
If medical advice is appropriate, Coast Guard will put you through to MEDICO
CORK. If they do so you will need to have available those details listed on the in-
side of this card.
i.e. No response when you rub their shoulders and ask
“Are you alright”.
Glen Head Coast Guard Radio
Donegal Bay Coast Guard Radio
Belmullet Coast Guard Radio
Clifden Coast Guard Radio
Galway Coast Guard Radio
Shannon Coast Guard Radio
Valentia Coast Guard Radio
Bantry Coast Guard Radio
Mizen Head Coast Guard Radio
Malin Head Coast Guard Radio
Belfast Coastguard Radio
Carlingford Coast Guard Radio
Lough Ree Coast Guard Radio
Lough Derg Coast Guard Radio
Dublin Coast Guard Radio
Wicklow Head Coast Guard Radio
Rosslare Coast Guard Radio
Mine Head Coast Guard Radio
Cork Coast Guard Radio
Irish Coast Guard Maritime Radio Stations
Casualty Record Card Keep this card with the casualty at all times.
Fill in as much of this section as you can before you call the Coast Guard
Level of consciousness
Alert,
Reacts to Verbal stimuli,
Reacts to Painful stimuli,
Unresponsive
Breathing
Normal Distressed. If so is it;
Fast or Slow
Deep or Shallow
Noisy or Quiet
Pulse
Normal Not normal. If so is it;
Fast or Slow
Strong or Weak
Is Spinal injury suspected?
Yes
No
Skin
Colour Normal Pale
Temperature Very cold Cold Normal Hot Very hot
Moisture Clammy Dry
Review the signs listed above regularly (at least every 10—15 minutes).
If anything changes contact MEDICO CORK via the Coast Guard.
Name of casualty
Date of Birth
/ / Age Male or Female
Next of Kin (NOK) or
other contact
NOK or contact’s
phone number
NOK or contact’s
address
Relationship to
casualty
Date of incident
/ / :
Time of incident
Description of injury or illness Location
on body
Level of Pain
Use
chart
opposite
None
Mild
Moderate
Severe
Use
chart
opposite
None
Mild
Moderate
Severe
Use
chart
opposite
None
Mild
Moderate
Severe
Other useful information Details
Allergies None Yes
Medications None Yes
Past Medical History None Yes
:
Events - Fill in chart opposite
Last Fluid / Food consumed when
First Aid given Time By
Complete this section as First Aid is administered

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Medical Emergency Card Final version.pdf

  • 1. Medical Emergency How to manage a medical emergency at sea MEDICO CORK Is based in Cork University Hospital and provides 24 hour medical advice for Irish Seafarers. Medico Cork provides a free ser- vice accessing highly skilled medical staff. They may be contacted through the Irish Coast Guard. Another free safety publication produced by The Marine Safety Working Group www.safetyonthewater.ie IF YOU HAVE A MEDICAL EMERGENCY AT SEA Call for assistance if it is required using a Pan Pan or Mayday message on VHF Radio (see back of this card). Do this as soon as possible as it may prevent any condition worsening and allow time to implement an evacuation. For an unresponsive casualty Airway Breathing Circulation Check Airway is open Tilt head back and lift chin Visually check mouth for foreign objects & remove Look for rise & fall of chest or breath sounds from mouth. If casualty is not breathing normally, chest compressions are necessary and their breathing needs to be supported. Assist breathing by mouth to mouth resuscitation or by using breathing bag, if you are trained in its use. For all adults and children / infants - alternate 30 chest compressions with 2 rescue breaths. Continue CPR until emergency services take over, the casualty moves or takes a breath or you cannot continue. Making a Pan Pan Urgency Call If you have difficulty in making contact with one of the Coastal Radio Stations listed above, use the following procedure to request assistance. ⇒ Check that your radio is switched on and high power setting is selected. ⇒ Select Channel 16 ⇒ Press the transmit button, and say slowly & clearly: ⇒ Pan Pan, Pan Pan, Pan Pan. ⇒ All Stations (repeat 3 times) or Individual Coast Guard Radio Station (repeat 3 times) ⇒ This is … (repeat the name of your boat 3 times) ⇒ My position is… (use latitude and longitude, or a true bearing and distance from a known point. ……….If you don’t know, don’t guess. ⇒ I require (describe type of assistance that you require e.g. “I require medical assistance”). ⇒ Over - this means please reply ⇒ Now release the transmit button and listen for a reply ⇒ Keep listening on Channel 16 for instructions ⇒ If you hear nothing then repeat the call. CALLING FOR HELP If you require medical assistance or advice you should contact the nearest Maritime Radio Station to you using Channel 16 VHF or 2182 MF. If necessary and / or appro- priate they will put you through to MEDICO CORK. If a vessel or person is in grave or imminent danger you should issue a Mayday call. BEFORE YOU GO Check that everyone on board is fit and able for the intended passage or activity. Ensure that at least one person on board has had appropriate First Aid Training. Check that your first aid kit is appropriately stocked and stowed in a secure dry place. Ensure that you are carrying appropriate communications equipment and that you and the members of the crew know how to use it. For a responsive casualty Provide basic First Aid. For all casualties Try to ensure that the casualty is warm, dry and secure. Once contacted, Coast Guard will determine if and how any casualty should be evacuated. If medical advice is appropriate, Coast Guard will put you through to MEDICO CORK. If they do so you will need to have available those details listed on the in- side of this card. i.e. No response when you rub their shoulders and ask “Are you alright”. Glen Head Coast Guard Radio Donegal Bay Coast Guard Radio Belmullet Coast Guard Radio Clifden Coast Guard Radio Galway Coast Guard Radio Shannon Coast Guard Radio Valentia Coast Guard Radio Bantry Coast Guard Radio Mizen Head Coast Guard Radio Malin Head Coast Guard Radio Belfast Coastguard Radio Carlingford Coast Guard Radio Lough Ree Coast Guard Radio Lough Derg Coast Guard Radio Dublin Coast Guard Radio Wicklow Head Coast Guard Radio Rosslare Coast Guard Radio Mine Head Coast Guard Radio Cork Coast Guard Radio Irish Coast Guard Maritime Radio Stations
  • 2. Casualty Record Card Keep this card with the casualty at all times. Fill in as much of this section as you can before you call the Coast Guard Level of consciousness Alert, Reacts to Verbal stimuli, Reacts to Painful stimuli, Unresponsive Breathing Normal Distressed. If so is it; Fast or Slow Deep or Shallow Noisy or Quiet Pulse Normal Not normal. If so is it; Fast or Slow Strong or Weak Is Spinal injury suspected? Yes No Skin Colour Normal Pale Temperature Very cold Cold Normal Hot Very hot Moisture Clammy Dry Review the signs listed above regularly (at least every 10—15 minutes). If anything changes contact MEDICO CORK via the Coast Guard. Name of casualty Date of Birth / / Age Male or Female Next of Kin (NOK) or other contact NOK or contact’s phone number NOK or contact’s address Relationship to casualty Date of incident / / : Time of incident Description of injury or illness Location on body Level of Pain Use chart opposite None Mild Moderate Severe Use chart opposite None Mild Moderate Severe Use chart opposite None Mild Moderate Severe Other useful information Details Allergies None Yes Medications None Yes Past Medical History None Yes : Events - Fill in chart opposite Last Fluid / Food consumed when First Aid given Time By Complete this section as First Aid is administered