Guest Blog - Sam Kelly MSA

Today we start the first in a series of blogs in conjunction with our friends at the Maritime Skills Academy, and kicking it all off is a Guest Blog from MSAs Head of Training, Sam Kelly.

Sam is 37 and lives in southeast Kent, in the quaint seaside town of Deal with with his wife, two children and a ‘Golden Doodle’ called Pringle. He has lived in the area ever since his father, a serving Royal Marine at the Deal Depot, and mother decided this was the place to raise their family. And it is, quite frankly, an excellent place to live. Here is his story…

I’m the Head of Training for the Maritime Skills Academy, based in our head office in Dover. I oversee a team of Maritime Safety Instructors who deliver all STCW training for seafarers. Outside the Dover base, we have MSA Gibraltar. This location is operated in partnership with the University of Gibraltar and delivers Basic Safety Training and most recently Operational Firefighting, We are actually in the process of building a state-of-the-art Fire Training Module on ‘the Rock’.

The Maritime Skills Academy has also delivered Operational Firefighting training to Philippine crew in Manilla, after working out that sending two of our instructors there was actually more cost-effective than bringing the 20 crew over to the UK! 


I work closely with our clients to create bespoke training based on their specific Safety Management Systems and Emergency Response Plans. Together with my assistant, Dean Stores, I work through our Quality Management System in the background to make sure we remain ISO compliant as a training centre, and keep our delivered courses up to date.


Before I went to sea, I had tried my luck with the Royal Marine Commandos. But, having

spent a fair bit of time in Hunter company (where the injured rehabilitate before continuing training), the recruitment advert strapline of ‘99.9% should not apply’ rang true!  Handing my CS95 back to the storekeeper I was now on my way to the Alps, where I became a chalet host for the company Crystal holidays. This job involved cleaning the chalet and preparing cakes and hot meals for the guests that stayed with me for the week,and of course there was the downtime of snowboarding nearly every day all day. For the summer season I chose Ibiza, and it was here that a good friend came out to visit and stay with me during one of his rather frequent and lengthy time off periods. The reason for the time off being that it turns out the upside to working at sea is the time for time rotas and you don’t pay tax!

Sadly, my Dad fell critically sick in 2009, so I flew home to be with him and he passed away only a few weeks later. But, this was the kick I needed to make a career for myself. I got in contact with a lady called Jo Carrol, from the Ship Safe Training Group. I found my sponsor in P&O Ferries and made my way up North to start my nautical training to become a Deck Officer at the South Shields Training centre in Newcastle.

Attending South Shields Marine School, studying to become a Deck Officer was the very start of my maritime career. After qualifying, I spent a few years with P&O Ferries and DFDS, but the highlight was working for Seabourn when I was able to visit countries and ports I had never thought possible. If I had to choose, my favourite port was Bequia, an island in Saint Vincent and the Grenadines.


After a few years though, I hung up my epaulettes to pursue a career in shoreside marine operations with Saga Cruises. It was a great experience and I was involved in designing cruise itineraries, managing port turnaround operations and representing the company at industry events such as Seatrade, International Cruise summits and CLIA.. It was brilliant to be part of the team who saw in two new ships - the Spirit of Discovery and Spirit of Adventure. 


One of the standout moments when working for Saga took place early one morning in February 2020. when I was at the gym. I received a call from the Captain of Saga Sapphire stating that COVID-19was present at their next port and asking what we wanted him to do. Two weeks later, the world stopped. Luckily we had both vessels in the UK and managed to seek refuge in the port of Tilbury. We successfully repatriated all crew and laid the vessels up. Sadly, I became a COVID-19 statistic as the job market destabilised, but luckily managed to walk straight into Viking Maritime Group as a Maritime Safety Instructor.


Training was never really something I thought I would pursue as a career, but also something I didn’t realise I was quite so passionate about. Covid effectively forced my hand and a phone call from Mark Jaenicke resulted in an invitation to the Maritime Skills Academy (MSA) to see just what they do. Sitting in on a few courses, I could see the instructors enjoyed what they did - I loved the way they interacted with the class, the good humour, teamwork, and they were so knowledgeable about their subjects. It felt like being back at sea. 


My role has evolved since joining MSA and so has our reach. Be it one day courses in Gibraltar, ship or port visits globally - even spending a week in the jungle in a town called Tagaytay in the Philippines delivering a fire course in 90% humidity conditions one week, and a typhoon the next! I do enjoy the travel and having the autonomy to grow the Maritime Skills Academy into what it is now. 


A typical day at MSA starts with a coffee and a team catch up, to run through who is leading what course, room allocation, and any assistance required. The team then sets up the Fire Ground, preparing breathing apparatus and cylinders, plus PPE for the delegates. The pool cover is removed and Liferafts or rescue boats prepared, life jackets and immersion suits inspected and laid out ready to be worn. If we are on the boats, we drive down to Ballast Quay in Dover Port and sling out the Fast Rescue Boats or Totally Enclosed Lifeboat, issue PPE and, in the winter months, extra layers and coats! 


If an instructor hasn’t been assigned a course to lead or assist, then the behind the scenes work starts - there’s always something to do! We continually update our courses to ensure they are industry leading and in line with current legislation and M-Notices. Any changes are submitted to the MCA as part of our approval process. If paperwork is up to date, we can focus on our own Continuous Professional Development; this could be in the form of online courses, off site courses (such as Working at Height with our partners at Guardian), or setting up a range of scenarios involving injured casualties or tricky situations, and working out how best to safely resolve it. I also try to make sure I take any opportunities to keep in contact with our clients and represent MSA at a host of events and working groups through the year.

One of my favourite parts of the job is having the autonomy to steer the training pathway. This is a real highlight, and a good example is creating an operational fire fighting course that can be delivered during the port stay of a vessel. Locations for this are currently Dover and Gibraltar. I also really enjoy getting involved with the training when the diary permits. There’s real satisfaction when leading a course, to see the crew walk away either having learnt something new or remembering something that they had forgotten.


Medically speaking, I’ve dealt with a range of different situations, but one stands out from my time at sea. We were discharging cars and freight on a wet evening in Dunkirk, out on the top deck, when I received a call from the Bosun to say there was a car coming down the ramp to me with its hazard lights on as the driver wasn’t feeling very well. 


I managed to speak to the driver who could only manage few English words, but as she was holding her heavily pregnant belly, was in tears and in severe pain, I realised the severity of the situation straight away. We are having a baby on board! I highlighted the urgency to the Master and requested an ambulance as soon as possible. The lady managed to move to the back seats on her own and within 5 minutes, though it felt like hours, a French ambulance was on deck and took the lady inside. Just two minutes later, the baby was born! I was MEGA not prepared for this on board and it’s not something I recall being taught in all the medical courses I’ve attended!


For anyone interested in this kind of career, I’d say that my several years sailing as a qualified Deck Officer, and time spent as a marine operations manager, really helped me to gain the knowledge and skill set from both sides of the table. This helps to ensure the level of training I give is relevant to the crew attending. So gain as much seagoing experience as possible during your career, understand the legislation and information sharing processes that exist. A good understanding of the STCW Code and MNTB guidelines would really help too. 


In order to stay up to date, I carry out Continual Professional Development training, both individually and as part of the MSA team. We regularly complete planned drills in a variety of scenarios - from someone with a major injury in the pool, to a fall inside the fire training centre. It’s really practical training and helps us to look at all aspects of the situation - how would you get someone injured in a life raft to the side and to safety? How do we make the area safe for responders and rescuers? Where is the nearest medical kit? Who should take on what role in an emergency? How do you debrief staff afterwards? Training in a real environment, or as close to real as you can get, can really make a difference in an emergency situation. 


Which brings me nicely to Beyond Compliance, a phrase I’ve developed over the last few years. We all know it’s mandatory for vessels to sail with crew that are fully certified in their specific duties, but I’m a passionate advocate for ‘Beyond Compliance’ - further investing in the crew through training. 


Did you know that on average, 90% of a company’s training budget is allocated to just 10% of the crew? Yet we know that investing time and effort into training crew will improve morale, retention, confidence and a feeling of being valued by their employer.

I believe in training for the worst and hoping for the best! Fires do happen and Lloyd’s Register have reported 55 accidents involving fire or grounding on yachts over 24m in the last 5 years. Additionally, we’re seeing an increase in lithium-ion battery fires, often caused by stored lithium gadgets in tender garages and other areas.


For instance, think about the crew responsible for fire fighting onboard. Fire training is held in a purpose-built centre that mimics the environment on board a vessel. Here we can train safely in hot and smoky conditions, teaching the crew company specific requirements when dealing with a real fire on board. 


The statistics show that fire prevention training for ALL crew, going beyond the mandatory standards set, ensures they are equipped with the knowledge and skills to confidently deal with an emergency on board. If crew complete our operational firefighting training, they will take away confidence in the equipment, improved communication skills and a greater understanding of the importance of teamwork. They will also have a much better knowledge of their own company’s emergency response procedures.


So, for the future you can expect to hear more about Beyond Compliance, plus more about our fantastic partnership with Red Square Medical who share our passion for quality training that really works. 


We hope you’ve enjoyed this insight into Sam’s work at the Maritime Skills Academy. If you’d like to find out more, please head over to https://www.maritimeskillsacademy.com/ where you can find out more about the courses available at all locations. 


Sam is a great person to work with, you should definitely share this with others who are interested in how varied a career in the Merchant Navy can be.....

by Rachel Smith 18 December 2024
Welcome to our December blog, which is all about the recovery position and how to manage an unconscious casualty who is breathing normally. Unconsciousness is a medical emergency as the person is very vulnerable and may not be able to manage their own airway effectively. We also need to think about the cause of unconsciousness. Is it a simple fainting episode due to illness? Is it a massive hemorrhage causing hypovolemic shock? Or is it due to some kind of external factor or injury? This blog looks at how to manage an unconscious casualty. So, if we have a casualty who is unconscious, but who is breathing normally for themselves, and we’re not suspecting a serious injury, the recovery position is the best position to use while monitoring them. The recovery position keeps their airway open and makes sure that vomit or liquid won’t cause them to choke.
by Rachel Smith 11 December 2024
All the guest blogs! When we started adding blogs to our website back in early 2021, we did a little feature on each of our instructors of the time. They’re quite a fascinating bunch and the series proved quite popular amongst our followers. In addition to our amazing instructors, we work with some utterly incredible human beings all over the world, and the idea of sharing their stories grew and developed into what eventually became a monthly guest blog. It’s been interesting to find out more about how medical care at sea or in remote locations features in their work, and to discover a few fun facts along the way. This month, we thought that it might be a fun idea to give you a chance to go back into the archives and review all the guest blogs over the last few years! Maybe even let us know which your favourite one is?
by Rachel Smith 27 November 2024
We’ve taken a look at the 2023 Casualty Summary Report from the Maritime Authority of the Cayman Islands (MACI) to see what kind of incidents and trends their data shows us, even with relatively small data sets, and how this may be able to transfer to our own risk assessments and actual practice. You can find the report here: Cayman Maritime Report 2023 The first thing we noted was the authors note that the data is split out into incidents. This means that one incident may include a number of events. So a collision and any resulting injury is one incident, but is reported as two events, or more, if more than one person is injured. It made us wonder whether this method of reporting by an authority represents how incidents are reported onboard and whether it should be a consideration? Of course, for any set of statistics presented at the moment, we also have to consider the COVID-19 pandemic and the impact this has on trends including that period. While essential shipping continued, the cruise and superyacht sectors reduced activity and staffing, often to a skeleton crew while anchored somewhere. So this will be reflected in the historic data sets that we analyse from 2019 to 2021 and may not accurately reflect increases and decreases during and since then. In some situations, we may need to look further back for accurate data. We also need to consider whether increases in incidents and events is also down to increased reporting - suggesting an improvement in the awareness of reporting requirements and greater engagement from the industry and individual sectors - this can only be a good development. Since 2020, the type of injury has been recorded in 8 different categories, with hand and foot injuries topping the leaderboard, closely followed by head, body, and back injuries. So if you were looking to run drills, or practise medical skills, these would be the key areas to cover. Only one death was an occupational accident, and is being investigated here: MAIB Investigations (search for case #9229607). It relates to a fall down a ventilation shaft on a bulk carrier in a Greek shipyard. The full report was still pending at the time of writing. Merchant ships are heavily regulated by a number of authorities, and the requirements for personal protective equipment and safe systems of work are enforced and applied to reduce accidents and incidents onboard. This has led to a lower reporting of incidents than in the commercial yacht sector. Could there be room for improvement here in this area? We certainly think so. Many of the hand and foot injuries reported can be career ending or life changing, but are preventable. Follow up has shown that there is a link here with injuries being sustained when inappropriate or no PPE was used. The supply and use of appropriate PPE is mandatory on vessels subject to the MLC and it’s worth remembering that some PPE can be produced in styles and designs compatible with the aesthetics of a yacht if required! On a much wider scale, a lack of transparency and standardisation globally can affect the collection of data and the issue of under reporting. While the MACI figures may be accurate, we need other accurate figures to compare them to, in order to build a bigger picture across the world as we have in aviation. From December 2024, the Maritime Labour Convention (MLC) will be enforcing an amendment so that seafarer deaths will be recorded and reported annually. The MACI and Cayman Islands Shipping Registry produces a number of safety flyers that are publicly available HERE that may be useful. In summary, analysing data can sometimes result in more questions than answers. But even this can lead to interesting and important developments that result in improved safety and reduced incidents and accidents onboard. Key points to take from this report are: Use the correct PPE for the task. Employ approved systems of work and risk assessments for the task. Reporting is key for safety in the future of our industry. Enjoy a night ashore, but don’t over do the cocktails! As always, if you’d like any input on medical training onboard or ashore, or drills that you can run yourselves, please just get in touch. References: https://www.lloydslist.com/LL1145359/Increase-in-incidents-of-deaths-at-sea
by Rachel Smith 6 November 2024
Welcome to our latest guest blog where we’ve been chatting to James Griffiths, General Manager of Ocean Operations for Scenic Group and finding out more about what happens behind the scenes in order to keep a fleet of luxury expedition ships running. Here’s what James told us… As General Manager of Ocean Operations, I’m responsible for the operations of our fleet which includes four ships in service with around 850 colleagues. I currently live in Mumbles, near Swansea in the UK, but due to the nature of my work I spend a significant amount of time living in Croatia. Prior to this role, I spent many years working at sea and worked up through the ranks to Captain and over the last 15 years, my main focus has been on polar expedition travel. I hold a master mariner certificate of competency in addition to a degree in engineering and a post graduate diploma in law. Part of my job is to work with our medical service provider (Red Square Medical) to ensure that our ships are offering medical services that are appropriate for their deployment, and this can often be to some of the most extreme and remote locations around the world. It’s extremely varied, though during the COVID-19 pandemic, I came ashore when our operations paused for a significant period of time. I was fortunate enough to be given the opportunity to lead the restart of our Ocean Operations, which included setting up everything from a company to manage the ships, to selecting our crewing, medical, helicopter and submarine partners and providers, amongst many other things. Our areas of operation, and the nature of our cruises (expedition), plus having aircraft and submersibles onboard some, do mean additional elements involved in the management of these ships. You could say that this current position is more of a happy coincidence than one that I actually planned for! In some ways this is a great positive - I do think it’s possible to plan a little too much and then be disappointed if things don’t go quite the way you had imagined. But there’s no danger of that here!
by Rachel Smith 3 October 2024
Back in February 2022, we brought you one of our very first guest blogs from Simon Lawton, a Paramedic who has swapped out his ambulance for a Superyacht! You can read the original blog here: https://www.redsquaremedical.com/superyacht-paramedic-a-guest-blog-from-simon-lawton Over the last 2+ years, we’ve followed Simon’s career, and some of you may even recognise him as he does put a Red Square Medical instructor hat on from time to time. But, as for all healthcare professionals, Simon has to keep his skills up to date. So, we asked him to tell us a bit more about how he juggles this along with a rota onboard. Here’s what he told us… I’m originally from Stoke-on-Trent in the UK and trained as a HCPC registered Paramedic. I’ve spent almost 5 years working at sea now, with almost continuous employment on three different vessels, after leaving the ambulance service in 2019. My first role was as a Paramedic/Deck hand on Superyachts, and I now work as a Medical Officer on a maritime vessel. Even before I applied to become a Paramedic, I intended to complete my studies to help find employment in a remote or offshore environment. I had always been attracted to the idea of being able to travel the world while earning a salary. Working at sea has meant that I have travelled extensively, earnt a higher salary, and have a better work/rest balance than would be possible in a role on land. Note: At the time of writing, a qualified Paramedic’s starting pay in the UK was £28,407 and Simon’s old rota was 2 days, 2 nights (all 12 hours) and 4 days off with very inflexible annual leave. This year I decided to carry out some continual professional development (CPD) at a hospital in Mexico, to keep my skills up to date. I was interested in travelling to find out more about how healthcare services are provided outside the UK and Europe. The CPD activity in Mexico allowed me to do exactly that, while caring for and treating a wide variety of patients who had either self-presented in the emergency department, or been conveyed to hospital by ambulance.
by Rachel Smith 25 September 2024
Welcome to our September blog, and as we all start (in the UK at least!) to think about adding a few layers for warmth, we’d like to talk about getting naked! Well, to be more specific, getting bra’s off. Fact: Women are dying because bystanders are less likely to carry out CPR on women than men. Research shows that women are 27% less likely to receive CPR than men and if a defibrillator is used, their chance of survival is affected by bra’s being left on. Most of us have never had the chance to train using a female manikin. The #BraOffDefibOn campaign aims to address the inequality in CPR for women and we’re supporting it.
by Rachel Smith 4 September 2024
In August, we brought you a Guest Blog from Mark Hannaford, the founder of World Extreme Medicine. This month, it’s the turn of another of the key WEM faculty members… introducing Dr Will Duffin. Hello everyone, I’m Dr Will Duffin and I’m a GP in Devon in the UK. I’m the Joint Medical Director of World Extreme Medicine (WEM) and the Lead Medic for the US CBS TV show ‘Survivor’ - for Seasons 43, 44, 46 and 48, which is also through WEM. Extreme Medicine is healthcare that is delivered across the full spectrum of remote, austere and challenging environments. This includes high mountains, deep oceans, jungles, deserts, polar, low earth orbit and refugee camps… the list is endless. Being a part of the wider Extreme Medicine community through WEM has been a portal into new worlds of possibility and opportunity in my medical career as an NHS GP. It’s a huge privilege to treat patients in a remote setting. You get to do proper ‘hands on’ medicine that truly tests your clinical skills, risk management and decision making. Even basic techniques and principles done well can transform patient outcomes. That’s the big reward. I graduated from Bristol Medical School in 2008 and completed my GP Training in Cornwall, UK in 2016. In between, I spent 18 months in Australia to gain as much emergency department experience as I could, whilst doing Wilderness Medicine Courses. I landed my first expedition gig 12 years ago when I was post-FY2 (Foundation Years follow on after qualifying as a doctor). I covered a Kilimanjaro Trek after another doctor dropped out at the last minute. Once I had this under my belt, I was able to leverage this experience to get the next trip. So, I soon found myself providing regular medical cover for various commercial and charity sector expeditions. These expeditions have taken me all over the world: Kilimanjaro, the Peruvian Andes, the Himalayas, Northern China, Eastern Europe, Myanmar and Madagascar. One highlight was working as the private doctor for a Luxury Trans-Siberian Train! Though I became frustrated having to constantly wrangle annual leave to go away, so I made the switch to being a freelance (locum) GP, which has given me the flexibility I need. I joined WEM in 2018 after responding to a Facebook Ad for the ‘Survivor’ job. I was invited to a selection weekend in the Peak District, which is when I first met Mark Hannaford WEM founder and CEO and Dr Joe Rowles, WEM’s other Medical Director, and it all went on from there. Early on, I was given the opportunity to lead on the content for the annual World Extreme Medicine Conference and our various podcasts and webinars. Through doing this, I have met a colourful cast of characters; other extreme medics who are as audacious as they are inspirational! We have a lot of fun at the conference every year, learning from one another. https://worldextrememedicine.com/registration/wem-conference-2024 (Note from the RSM team – the conference is highly recommended and well worth a visit!)
by Rachel Smith 5 August 2024
Last year, the Red Square Medical team descended on the World Extreme Medicine (WEM) conference for the very first time. We’d been aware of this unique organisation for many years, but just not had the chance to get involved. Liz was involved in a panel discussion and spoke at the conference, and we came away literally buzzing with enthusiasm - our first impressions were that WEM is a place with no ego’s, where everyone wants to learn, and is willing to share. We met some of the most fascinating people ever and can’t wait to go back this year. But what about the person who started it all… We spoke to Mark Hannaford, founder of World Extreme Medicine and its far reaching impact. Here’s what he had to say. I’ve been involved in expeditions, working in low resource environments and extreme medicine for the past three decades! My family was made up of generations of seafarers from Cornwall although I was brought up variously in Devon, Antigua in the Caribbean and the Middle East; reflecting my father’s job as a Master Mariner. My father was at one time the youngest captain aboard the UK’s largest registered vessel, and my grandfather was Harbour Master for Malta and the first in that role in Plymouth at the start of Queen Elizabeth’s reign. I wear a number of hats but primarily I am the founder and CEO of World Extreme Medicine, and the annual WEM Conference. I also founded the MSc in Extreme Medicine at the University of Exeter and Graduate Certificate program at Bouvré College of Health Sciences, Northeastern University, Boston.
by Rachel Smith 3 July 2024
Women’s health is a huge topic, while it’s true that in the maritime sector women make up just 2% of seafarers at sea, up to 34% of the shore based staff are female. Looking at the bigger picture, women’s health directly affects just under half of our population globally, and indirectly (whether you like it or not!) the other half, we thought it was worth a blog about some of the issues, and the taboo’s, that could be affecting our maritime workforce and the women in our lives. It's common knowledge that women experience huge hormonal changes at puberty and menopause, both of which can have significant physical and mental health impacts. In the UK, there is a growing discussion and openness about peri-menopause (the years before periods stop altogether) and how for some women, this has devastating effects across all aspects of their lives, including work. Of course men experience changes at puberty, but their later life changes are less significant and generally don’t affect their ability to work. In December 2023 the World Health Organisation (WHO) issued a statement to advise that every year, at least 40 million women are likely to experience a long term health problem caused by childbirth. So there’s a good chance that we all know one or more women affected, or if you are female… this could be you. As part of a special series on maternal health, the study showed a high burden of postnatal conditions that persist in the months and years after giving birth. These issues include more than a third of women experiencing pain during intercourse, urinary incontinence (8-31%), anal incontinence (19%), anxiety (9-24%), depression (11-17%), perineal pain (11%), a fear of childbirth (6-15%) and secondary infertility (11%). All in all it doesn’t paint a great picture of life after childbirth for some women. If any of your workers experience these issues, either on or off shore, it could have a significant impact on areas of their working life and it’s something they may be reluctant to open up about. Even before childbirth, we may take it for granted that contraception is available, certainly in the developed world. But in developing countries where sexual violence is not uncommon, contraception is considered lifesaving due to the high level of unsafe abortions carried out. Around 13 million women (and girls) under 20 give birth annually and complications in the pregnancy and birth is a leading cause of death. Consequently abortion is an option, but this carries its own huge risks.
by Rachel Smith 25 June 2024
We just love speaking to and finding out more about the people who inspire us and we guarantee that this month’s blog will not disappoint! We first got in touch with Wendy Sullivan via LinkedIn and thought she seemed like a pretty awesome human. Wendy and her company, Maritime Medical Solutions in Australia, certainly share the same outlook as Red Square Medical. Fast forward a couple of years and we’re now collaborating on a project in Australia and the Pacific Islands. What we’ve learnt along the way is simply fascinating and Wendy has kindly agreed to share her story with us… Here is Wendy’s Guest Blog: I was born in Canada, grew up in Africa and now call Australia my home. I feel lucky to live in paradise where the weather allows us to be on the water year-round. I had to work hard to gain my Australian citizenship and I credit my work in the marine industry with giving me a pathway to stay in Australia permanently. It took years of hard work and uncertainty to gain my residency and is still one of the achievements I am most proud of. I started sailing in Canada and since emigrating to Australia gained my professional and commercial qualifications as a vessel master, marine engine driver, trainer and assessor. I also have a Diploma of Paramedical Science, ship masters medical qualifications, business administration and development and there is still so much more to come.
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