GR 1144

COMPREHENSIVE TRAINING FOR MARITIME MEDICS

Essential Skills and Medical Knowledge for Safe Onboard Care

Training for Ship Medics

Maritime Medics require a broad range of medical skills to ensure the safety and well-being of crew members during voyages. This comprehensive training program equips medics with the necessary knowledge and practical experience to perform essential medical procedures. From understanding human anatomy to mastering advanced techniques such as venipuncture and tracheal intubation, participants will gain the expertise needed to handle medical emergencies at sea.

Anatomy

A thorough understanding of human anatomy forms the foundation of any medical training. In this course, participants will study the structure of the human body, focusing on key regions, bones, cavities, vessels, and organs. Hands-on practice with anatomical models allows medics to explore the layout of the body’s major systems. Special attention is given to the skeletal system, with models providing a tactile learning experience to help participants better understand bone structure and its clinical significance. Mastering anatomical knowledge is crucial for conducting physical examinations and interpreting medical imaging.

Physiology

Understanding how the body functions is essential for diagnosing and treating medical conditions. In the physiology segment, participants will study how the body’s key systems—nervous, cardiovascular, respiratory, digestive, and musculoskeletal—operate. Through lectures and assessments, including multiple-choice questions, medics will develop a solid understanding of physiological processes. This knowledge is critical when analyzing patient symptoms and making quick decisions about treatment options. Participants will also learn how these systems interact with one another, providing a holistic view of human health.

Radiology

Radiology plays a key role in diagnosing medical conditions at sea, especially in the absence of immediate hospital access. During this segment, trainees will learn how to use X-ray machines and practice radioprotection principles to ensure safety. The ability to identify normal anatomical structures on X-rays and diagnose serious conditions such as pneumothorax, bowel obstruction, and fractures is a crucial skill. Digital X-ray images can be sent remotely for evaluation by radiologists, making the proper use of this equipment vital for on-board diagnostics. Participants will receive hands-on training with X-ray machines and learn how to manage image quality and accuracy.

Ultrasound Imaging

Ultrasound imaging is an invaluable tool in maritime telemedicine, allowing medics to detect key organs like the kidneys, liver, and pancreas, and identify free fluid in the body. Trainees will familiarize themselves with the ultrasound machine and learn how to capture accurate, high-quality images. Practical sessions will focus on locating and examining organs, assessing fluid buildup, and transmitting ultrasound images to remote doctors for further diagnosis. Understanding how to operate ultrasound equipment and interpret images quickly can be the difference between life and death in a medical emergency at sea.

Electrocardiography (ECG)

ECG training is essential for recognizing heart conditions such as atrial fibrillation, ischemia, and myocardial infarction. Participants will learn to operate ECG machines and identify key features on an electrocardiogram, such as heart rate, rhythm, and electrical axis. By understanding these measurements, medics can quickly assess a patient’s cardiac health. This is particularly important in emergency situations where rapid diagnosis of heart issues can guide treatment and prevent complications. Hands-on training with ECG machines ensures that participants gain practical experience in interpreting electrocardiograms and responding to cardiac events.

Physical Examination of the Body

Conducting a thorough physical examination is one of the most important skills for a Maritime Medic. Participants will learn to perform inspection, auscultation, palpation, and percussion to assess the condition of patients onboard. Training in the use of electronic stethoscopes enables medics to listen for abnormal sounds in the lungs, heart, and abdomen. Medics will also practice transmitting these audio files remotely to shore-based doctors for further evaluation. Practical sessions will provide ample opportunity to refine these essential diagnostic skills, ensuring medics can assess patients confidently and effectively.

Venipuncture

The ability to insert intravenous catheters into peripheral veins is a critical skill in administering fluids and medications. Participants will receive both theoretical instruction and hands-on practice in venipuncture techniques, focusing on challenging cases such as patients with thin veins or those experiencing uncontrollable bleeding. Practical exercises will be conducted using simulation models, helping medics develop precision and confidence when performing venipuncture under difficult conditions.

Arterial Blood Sampling

Training in arterial blood sampling is essential for analyzing oxygen levels and other critical blood parameters. Participants will practice using specialized models to draw arterial blood and learn how to operate blood gas analyzers. This skill is vital for diagnosing respiratory and metabolic conditions at sea. By becoming proficient in arterial blood sampling, medics can provide accurate information to remote medical professionals, aiding in the management of serious conditions like acidosis or respiratory failure.

Wound Suturing

Wound care is a fundamental aspect of maritime medicine. Participants will receive theoretical instruction in suturing techniques and then apply this knowledge in practical exercises using fresh animal models. These exercises simulate real-life wound types, helping medics develop the necessary skills to close wounds effectively. The ability to suture wounds quickly and accurately is essential for preventing infections and promoting proper healing, particularly in remote maritime environments where immediate hospital access is unavailable.

Tracheal Intubation

In cases of severe respiratory distress, tracheal intubation can be a life-saving procedure. Participants will practice intubation on artificial models, gaining experience with varying levels of difficulty. This training ensures that medics are prepared to manage airways in critical situations, ensuring oxygen delivery when patients cannot breathe adequately on their own. Tracheal intubation is a highly technical skill, and this training offers medics the experience needed to perform it confidently during emergencies.

Cardiopulmonary Resuscitation (CPR)

CPR is one of the most vital skills for responding to cardiac emergencies at sea. Participants will undergo practical CPR training using mannequins and ventilators, ensuring they can perform life-saving measures when needed. Upon successful completion of the training, participants will receive CPR certification, verifying their ability to perform this critical procedure.

Injections and Blood Draws

Participants will receive training in subcutaneous, intramuscular, and intravenous injection techniques. They will also learn to use a centrifuge for serum separation, which is essential for certain diagnostic tests. Practical exercises will focus on safely administering injections and drawing blood, ensuring participants are capable of performing these tasks efficiently in real-world situations.

Abdominal and Thoracic Paracentesis

Participants will practice paracentesis on specially processed animal cadavers to simulate the removal of fluid from the abdominal or thoracic cavities. This procedure is crucial for diagnosing conditions such as ascites or pleural effusion. Using specialized catheters, medics will learn how to safely perform paracentesis under conditions that closely mimic real-life scenarios.

Insertion of  Chest Drainage Tube

Chest tube insertion is necessary in cases of pneumothorax or hemothorax, where air or blood accumulates in the chest cavity. Participants will practice inserting Bulaw chest drainage tubes on animal cadavers, gaining experience in handling these life-saving procedures under simulated emergency conditions. This training ensures medics can respond effectively to chest injuries and respiratory crises at sea.

Insertion of Central Venous Catheters

Participants will practice inserting central venous catheters on artificial models and fresh animal models, using both ultrasound guidance and non-ultrasound techniques. This skill is essential for administering medications and fluids in critically ill patients. Training will focus on ensuring precision and safety, even in high-pressure situations.

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Training for Ship Medics