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Worse Things Happen at Sea… a salty tale of dysentery, haemorrhoids, accidents, depression and death!

You might wonder about the title of this month’s guest blog, as Worse Things Happen at Sea is also the name of our monthly newsletter. But this month, we’re delighted to introduce Andrew Edwards as our Guest Blogger, and we felt his amazing story about life at sea really deserved a dramatic headline…

Dysentery...
In the summer of 1966, I was a cadet on a cargo ship that loaded in the UK for 9 ports in West, South and East Africa. Our first port of call was Luanda, the capital of Angola – which was then a colony of Portugal. Next, 300 miles down the coast we called in to Lobito – also in Angola. In Lobito two of the ship's company contracted dysentery; myself and a big Irishman called Reg. The shoreside Doctor we saw simply diagnosed the condition (amoebic dysentery) and said, ‘sorry but I have no antibiotics for this!’. Thankfully the ship’s purser stood our corner and demanded that the Doctor find some. The following day the antibiotics  were flown in from the Belgian Congo. 

The Doctor gave us no advice as to how to deal with the condition, not a word about how contagious it was, not a word as to the importance of thoroughly washing our hands and maintaining scrupulous personal hygiene. Thankfully both Reg and I were quartered just a short sprint from the heads, and we were left to get on with it by our shipmates. It took about a week to get over the dysentery, by which time I had lost several stone in weight and was as weak as a kitten. By the time we arrived in Walvis Bay, South West Africa (now known as Namibia), a further 1000 miles south, I was just about fit enough to play football for the ship against a local team. Their football ground had a main road going right through the middle of it which made for some challenging moments, but they still beat us comfortably and they were playing in bare feet!

Haemorhoids...

In 1967 I spent 7 months on a wartime built refrigerated cargo ship. Our trade was centred around loading fruit – mainly oranges, grapes and avocados, in various ports of South Africa from Cape Town to Durban, and bringing it up to Europe. We never knew where we were due to unload until we got up level with the Canary Islands – our directions were always ‘to the Canary Islands for orders’.


This old ship was nearing the end of her days, and our job as deck cadets involved turning to at 0600 every single morning and refilling ALL the fire extinguishers used to put out the numerous fires in the engine room over the previous 24 hours. This situation worsened as the months and miles went by, and our last port of call in the UK was Swansea and we were heading there from Bremerhaven. It all came to a head in the North Sea some 20 miles off Great Yarmouth. One of the turbo blowers caught fire and this time our fire extinguishers were not man enough for the job. 


We did lower the lifeboats with a view to abandoning ship but unfortunately, they sank as fast as they were being lowered. Clinker built boats that had spent almost all their life in the tropics meant that the planks had shrunk a tad! We did have life rafts, but at this stage a firefighting tug arrived from Rotterdam, so we all collected on the bridge and let them do their thing. A day later we resumed our journey with one engine (on a twin screw ship) going at half speed. Five days later we arrived in Swansea. It was mid- February and very cold.


In Swansea, one of the Seacunnies (a Helmsman - we had what was then known as a Lascar crew) came to me to tell me that he had a pain in his bottom. I took him to the Chief Officer who decided that he should visit the doctor and that I should take him as I knew a few words of Hindi. With considerable help from me and the doctor we finally persuaded him to take off his 7 layers of clothing in order that the doctor could investigate. Within 10 seconds he diagnosed haemorrhoids. We then went through the elaborate pantomime of showing him how a suppository worked, how often it was to be administered and, most importantly, where it was to be placed. The doctor kindly inserted the first one for our man and we went to great lengths to ensure that he understood what, why, when and how. We returned to the ship.


The following day our patient, let’s call him Abdul, knocked on the chief officer's door holding up the empty suppository box.  “All finished sahib” he said! “How… what… eh…?” said the chief officer.  “All eaten sahib”. He never came back to us and his work was unaffected. We did wonder whether his tonsils might now be the size of a pea!

A bump to the elbow...

A year later I was on another general cargo ship heading to Australia. We had Zulu deck crew with Natal Indian catering crew. We arrived at our first port of call in Albany, Western Australia. Local protocol demanded that before we could obtain quarantine clearance a doctor was ferried out to the ship on the pilot’s boat to inspect the ‘member’ of every single person on board. Accordingly, we lined up on the boat deck in order of rank with the Captain at one end and the youngest junior ordinary seaman at the other. The doctor solemnly walked down the row of men, black, white and brown and inspected the bared member of everyone.


He nodded approval and left. We had now passed quarantine.


In Melbourne, which worked 24/7 on discharge, we maintained sea watch patterns. Although the chief officer pulled rank and ordered me and the 2nd mate to work 12 on 12 off. Our duties now were cargo watch. In order to get reasonable time ashore, we would agree between ourselves an arrangement such that the mate who wanted a full day ashore worked 2 x 12 hour shifts which would give him a full day off when the roles were reversed. It seemed like a great plan!


I was well into my 2nd stint of 12 hours, up and down the 5 holds, into the small hours. I was dog tired. Climbing the vertical ladder from No 3 hold, I accidentally banged my elbow really hard against the iron hatch coaming. Within an hour I had a soft spongy lump on my elbow the size of an orange. The purser (who held the first aid kit) sent me ashore to see the doctor who produced an enormous needle the size of a knitting needle, pushed it into the lump and attempted to draw the fluid from the spongy lump. He failed. I was advised to return to the ship and take aspirin; “It will go down of its own accord in a few days”. 


I was more concerned about the intense pain that I was in – not from the bang on the elbow, from the bodged attempt to drain the fluid off! The pain would not go away, and really was excruciating pain. Aspirin wasn’t touching it. So, some 6 hours later I went to see the purser who happened to be in the chief officer’s cabin enjoying an end of day cold beer. I asked him if there was anything he could give me for this pain. He discussed it with the chief officer who mentioned ‘morphine’. The purser said “Well I do have morphine but the forms I must fill in, and the interrogation they give me if I dispense it… It’s just such a pain that I would rather not administer the stuff. If you had cut a finger off or been crushed by a wayward derrick I would happily dispense it but a bang on the elbow? No!”


The chief officer then reached behind him and brought out a full bottle of Bells whiskey, and advised “drink that”.  I asked “Is that an order sir?” “Yes, drink as much of it as you can and then go to your cabin and sleep, that is an order”. Well, it worked; the hangover headache was a lot easier to manage than the elbow pain!

Depression....

I did a couple of years on three different refrigerated cargo ships and several times did what was known as a ‘double header’, and once a ‘triple header’ The double header would involve leaving a UK port sailing to South Africa, load fruit in any one of 4 different ports, and then return to Europe (via the ‘Canary Islands for orders!’). We would then discharge our cargo in one of four or five European countries, and then return to South Africa and do it all over again. A triple header involved doing it three times. 


The toughest part of these voyages was sailing the 6,000 miles from Cape Town up to UK waters; through the English Channel, up the North Sea, into the Baltic and then all the way back but not actually stopping in the UK. We could see and almost touch the white cliffs of Dover and the green rolling hills of the South Downs: tune into Tony Blackburn on Radio 1. But we couldn’t speak to our family (this was years before mobile phones or the internet), step ashore in the UK, or call in at an English pub and drink an English beer. I think we all found it hard, but some found it very hard and went into a deep depression which could last for a week. Heavy consumption of alcohol often accompanied this depression. 


Doing a triple header was exponentially worse. There was no help available to help you deal with this, it was a case of ‘pull yourself together and get on with it’. Personally the worst one I did was a triple header on another wartime built refrigerated ship that really had seen better days. 

We had just completed our second visit to the Baltic, and on leaving Helsinki having discharged the last of our cargo, were given 47 days to get to Durban – a journey of some 8,500 nautical miles – which we would normally cover in 22 days. The 47 days was our ‘fruit date’. That’s the date when the port expected our fruit to arrive from the Transkei. We set off at three-quarter revs, and very slowly crossed the entire Baltic and then down the North sea, through the English channel.   


Somewhere down off the coast of Senegal, West Africa, one engine broke. We then wandered around in huge circles on one engine at half speed and the rudder set at a permanent 30 degrees for 4 days. Having repaired the second engine, we arrived in Durban bang on the 47th day to be informed that we were to anchor as the fruit had not yet arrived. 


Two weeks later we finally tied up in Durban and that was really hard to deal with. It was not a happy ship with us deck officers, bored with wandering around the south Atlantic, seemingly aimlessly; and the engineers seriously overstretched in trying to deal with everyday maintenance on a very tired old pair of engines, as well as repairing a major breakdown. As far as I’m aware, when the ship did finally return to the UK, not one of the officers returned to the ship.

Some distinguished medical guests...

A couple of years later I was a fully qualified watch keeping officer and was 3rd Officer on a cruise ship based in Cape Town, cruising to Rio de Janeiro, Montevideo, Santos and Buenos Aires. Midway through this season of cruises the ship was chartered lock stock and barrel by none other than Dr. Christian Barnard. In order to avoid the apartheid regime’s rules he chartered the ship and invited several hundred distinguished doctors, surgeons and consultants of all colours and creeds, from all 4 corners of the globe, for a ‘cruise in the blue’.


We duly sailed straight out into international waters and wandered up into the Indian ocean for five days whilst the distinguished guests exchanged knowledge, views, expertise and opinions. As an officer of the watch twice a day from 8-12, I then had to ‘do rounds’ with the master of arms when I came off watch just after midnight. We patrolled every deck of the ship just to check all was well. We noticed that many of our guests were to be seen visiting or leaving cabins that were not their own – and this in the early hours of the morning!


For what it is worth, the Surgeon on the Union Castle cruise ship enjoyed the second highest income on board, beaten only by the chief barman! In the case of the chief barman the arrangements with the company were that he personally bought all the drinks from the company, and then sold them on to the passengers and the crew. In contrast, the surgeon paid rent for the medical facilities and simply charged the passengers for his services. The crew were not required to pay. He did have two nursing sisters at his disposal who were full time employees of the company – but they were rarely busy. 


Despite being only the second highest paid onboard, the Surgeon generously took ten of us ashore in Barbados for a meal. It was 1970 and the bill was £130. The equivalent today would be £2,019!

Ran out of Union Jacks...

In 1972/3, I moved from Union Castle to P&O. I was now a watch keeper on another cruise ship, this time based in Sydney doing two week cruises around the South Pacific. Over the next few months, we carried out many burials at sea and sometimes wondered amongst ourselves whether some of our passengers (we carried 1,100 per cruise) actually came on the cruise with the express purpose of dying. It certainly made for a very cheap funeral for them! 


The practice back then was that the bodies were sewn into a large bag, with a large stitch through the canvas, through the deceased person's nose and back through the canvas, and with several iron shackles placed in the bag. Then a Union Jack was sewn onto the bag, and placed on a long timber board. The actual burial happened at 0530 hrs to avoid crowds of onlookers, and at the given moment the Captain would give the nod, one of us would radio to the engine room and they would drop the revs right off so that all the vibration stopped and it appeared that we had stopped the engines. The board with body on would be lifted on to the side rails and tipped up so that the body would dive into the sea and disappear. 


Sometime into our eighth cruise we ran out of Union Jacks. On this particular occasion we omitted to stitch the Union Jack onto the bag and when the moment came to lift one end of the board the Captain’s last words were “and so we commit his/her body to the deep”… and then in just above a whisper, “and for Christ’s sake hang onto the flag”!

We hope you’ve enjoyed Andrew’s very amusing and entertaining recount of his days at sea – we certainly did! It also amazed us to hear how things used to be, compared with the slick medical services found on cruise ships in this day and age. 


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.
by Rachel Smith 17 June 2024
Working at sea can be one of the most rewarding and fulfilling careers. But you can’t gloss over the fact that it can be dangerous. Whether you’re working on a tanker, ploughing up and down the oceans, a Superyacht enjoying a busy season of charters, or any vessel in between; our love/hate relationship buddy Neptune takes no prisoners! The Safety of Lives at Sea (SOLAS) Convention in its successive forms is generally regarded as the most important of all international treaties concerning the safety of merchant and other vessels. The first version was adopted in 1914, in response to the Titanic disaster, and went through several iterations up to 1974. The Convention in force today is generally referred to as SOLAS 1974, as amended. SOLAS regulations cover all areas of safety at sea, including construction, fire prevention and detection, life saving equipment, cargo carriage, navigation, communications and a host of other areas. Regulation 33 of the SOLAS Convention applies to all ships, and places an obligation on Masters to respond to distress calls at sea and proceed ‘with all speed’ to their assistance. Anyone working in the maritime sector, hopes that they are never on the receiving end of this regulation, but we’ve experienced two quite different instances, where the ships we work with have responded and our Medical teams have played an important part in rendering aid.
by Rachel Smith 29 May 2024
This week’s blog is an introduction to telemedicine as although it’s probably been around for longer than you think, you might not be familiar with what’s available to help you. So whether you’re a leisure sailor taking on the ARC; work in commercial shipping, spend your time on a Superyacht, or anything in between, read on for more information… According to the UKs National Institute for Clinical Excellence, (NICE: https://www.nice.org.uk/), ships being on the water for months at a time mean that health can be a life-threatening challenge for sailors and seafarers. Access to healthcare providers has always been one of the most critical issues for offshore crews and it’s worth remembering that the International Labour Organization (ILO), dictates that access to medical treatments and health services should be guaranteed to seafarers in the same way as for people working ashore. Nowadays, telemedicine technology has emerged to improve healthcare delivery in many remote areas where there is no direct access to healthcare services using telecommunication services. Among them, maritime Telemedical Assistance Services (TMAS) have become more readily available and are now considered an integral part of a shipowner's emergency response operations. The advent and uptake of Starlink in both the commercial and leisure sectors can only be a positive from a medical perspective. So, what is Telemedicine? What does it do and how does it work? Telemedicine is a term that’s becoming more and more common in the maritime world. Quite simply, it is the provision of remote clinical services, via real-time two-way communication between the onboard medic (trained crew or healthcare professionals) and/or the patient themselves, and a shore-based healthcare professional, using electronic audio and visual means. The modern history of Telemedicine can be traced back as far as 1905, when a Dutch physician used long distance transfer of ECGs (electrocardiograms) to be read remotely. But as early as the 1920s onwards, radio communications were being used to pass medical information to patients at sea on ships and on remote islands. More recently, the COVID-19 pandemic has brought Telemedicine to the forefront of healthcare. Though we may not easily recognise what it actually is, the majority of GPs (certainly in the UK) and other allied healthcare professionals in the non-acute world, such as Physiotherapists and Mental Health support, have relied heavily on telephone and video consultations since March 2020. A survey conducted by Nautilus International and Martek Marine (2017) showed that a staggering 98% of seafarers believed that greater access to Telemedicine support would save lives at sea. Of those questioned, 68% had been on a vessel that was forced to divert due to a medical emergency and 70% had been on a vessel where there had been a medical evacuation. Emergencies experienced at sea ranged from severed limbs and broken bones, to gunshot wounds, tropical diseases, allergic reactions and sudden cardiac arrest. Whether you’re a commercial seafarer or leisure sailor, it would improve confidence in making a decision on whether an injury, or illness was severe enough to warrant a diversion, or evacuation, if there was a trained medic on the end of the phone or radio. Ever improving communications also means that we can now go far beyond voice calls. Photos of injuries, files of test results and even live streaming is all possible and helps to provide a much more indepth service. Our own team member, Rachel, received Telemedicine support via SatPhone and email, on a 7 metre Ocean Rowing Boat (yes, you did read that right!) in the middle of the Atlantic, when her rowing partner developed a painful injury. Remote intervention from a Doctor onshore helped to maximise use of the medical kit contents for the short and long term, rule out immediate worries of infection, and develop a pain management plan for the rest of the rowing race. One in five commercial ships a year are forced to divert for a medical emergency, with unknown numbers of other, non-commercial vessels on top. So there is also consideration for the cost and time involved, plus the stress to both the patient, and their medic who is managing a situation onboard, possibly alone!
by Rachel Smith 8 May 2024
At Red Square Medical, we’re keen to support those who have a passion for maritime medicine. While we can’t provide placements for everyone, occasionally a request pops up at just the right time and we can provide some experience and insight into our unique and specialised world. Last year we were contacted by Jordan Lin, a medical student with a love of the ocean. This is his story… When I was a boy, my dad and I used to go fishing with a local fisherman off the Norfolk coast. I absolutely loved being on the sea and so for quite a long time, I wanted to be a fisherman. When I got a bit older I kind of forgot about this and think I may have been slightly put off by watching the TV series ‘World’s Deadliest Catch’! But I have always loved being on the water and spent a lot of time sailing dinghies; I was also a swimming teacher for children back in high school and college. Later, I decided to study medicine and I’m now a final year medical student at the University of Bristol where I completed an intercalated degree; a Masters in Health Sciences Research. I’m now looking forward to starting work as a qualified Doctor in August. Though having spent 6 years training, my next 2 years will be spent working for the required two foundation training years that must be completed before being able to work independently as a Doctor in the UK. At university, I joined the VITA network which is a group dedicated to developing a health and public health approach at the heart of any response to human trafficking and exploitation. I became the blog coordinator for the organisation and you can read the blogs, including those that I have written, here: https://vita-network.com/blog/ In my spare time, I have been involved with the Bristol University Hot Air Ballooning Society and trained through the society to get my Balloon pilots licence. So, I often spend weekends during the summer flying in a leisurely fashion over Bristol and the surrounding area!
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