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Medical Matters at sea.

Medical Seminar for OCC Members Messages in this topic - RSS

Dick
Posts: 254


7/17/2017
Dick
Posts: 254
Hi Simon & Daria,
It might be a good idea to garner all the posts pertaining to developing a medical kit for offshore boats in a separate topic. When I went to post the one pertaining to Clozex, I was not sure where to put it. It seems a topic worthy of its own stream. Dick

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Dick Stevenson, s/v Alchemy
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Dick
Posts: 254


7/17/2017
Dick
Posts: 254
Hi all,
In a series of emails with our fellow OCC member, Charles Starke, I have gleaned the following information from his writing for those who might be preparing/designing their medical kit.
Dick Stevenson, s/v Alchemy

Hi:
I've tried these (http://www.clozex.com/) out and recommend that we add this article as a safety addition to the OCC website. They are excellent to carry aboard for lacerations, and can save time and cut risk. I had to staple myself up in 15 foot seas off Bora Bora without anesthesia and wish I had these instead.

Best wishes,
Charles
Charles L Starke MD FACP

The product is just coming out and I haven't found it yet online. Searches seem to lead to the old product, Steristrips. Steristrips are worth having too but the Clozex is a new development.

" Clozex will be available in one to two months on their website (http://www.clozex.com/) and probably on Amazon. I have no economic relationship to Clozex.

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Dick Stevenson, s/v Alchemy
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derekbreth
Posts: 4


3/27/2017
derekbreth
Posts: 4
Hi, As the recipient of Simon 's advice I can testify that it was first rate and very reassuring. We learned a lot, became confident in what we should and shouldn 't do and equipped ourselves with a number of useful meds. Thankfully 6 months and some 6,000 miles cruising later we haven 't had to use any but I would recommend that anyone who is not medically trained takes advantage of this type of seminar. This type of initiative is exactly where the OCC benefits cruisers and volunteers like Simon make it happen. Thanks all round.
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Simon Currin
Administrator
Posts: 728


3/27/2017
Simon Currin
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Posts: 728
JoJo
No the idea did not die and infact it went ahead. I got Committee approval and we did a Skype tutorial as time and geography conspired to make face to face impossible on that occasion. Having satisfied myself that the drugs were to be appropriately used I has happy to provide the prescriptions for most of the drugs on the list I posted some months ago. I just never got around to writing up the happy ending.

Better still though is this projects knits very well with the Telemedicine project Susie Plume (s/v Adina) has been working for occ members as it provides boats with the tools required for a successful telemedicine consultation.

If there is demand I 'd be happy to make this into a proper webinar which I think would be the only way of overcoming geographical constraints. Of course I can only prescribe for those in the U.K.

I had no idea about your Ship 's Captain clause. That 's brilliant.
Simon

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Simon Currin
S/V Shimshal simon@medex.org.uk
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archive
Posts: 0


3/27/2017
archive
Posts: 0
Hi Dick,
I did not know anyone at the store.
I found a regulation that stated that a ships captain, that will be sailing more than 150NM offshore, can order prescription drugs without a prescription.
This was three years ago, but I will check on the boat tomorrow for more information.
They checked and confirmed that this was possible, and I ordered everything I wanted.
It was easy and straightforward. But I don 't know if this regulation has been changed.

What happened about the idea of a OCC seminar and medical supply list?
I would love to do some more training in this very important area.

JoJo
s/v Island Swift
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Dick
Posts: 254


3/27/2017
Dick
Posts: 254
Hi JoJO,
Good report on the course and your success with the Pharmacy. I am pleased and a bit surprised that a big chain like Boots was so flexible. Were you familiar with them as a person/family? I do not know of a greater depth course in UK, just US. I would also try climbing/backpacker/back country sites. The skills are very similar. Let us know what you find.
My best, Dick Stevenson, s/v Alchemy

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Dick Stevenson, s/v Alchemy
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archive
Posts: 0


3/27/2017
archive
Posts: 0
Wow what a wonderful thread!
I have just joined and would love to know what happened about this idea?

I managed to get prescription drugs with an prescription at Boots in Falmouth before we left.
I took along ships papers, a letter explaining that we would be offshore cruising and they ordered nearly everything on the list.
The things they did not order where because they could not get them.

I was very surprised but please as my doctor was not going to help in any way.

I would love to do an in-depth course, weekend course.
I found the RYA course to be very basic.

JoJO
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Simon Currin
Administrator
Posts: 728


3/7/2016
Simon Currin
Administrator
Posts: 728
Beth,
That 's great I will add you to our growing list of volunteer medics for this project and will be in touch.
Simon

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Simon Currin
S/V Shimshal simon@medex.org.uk
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Bethbone
Posts: 5


3/7/2016
Bethbone
Posts: 5
Hi Simon,

Happy to help in any way. I have now retired as a GP but still cruising. I seem to have spent a lot of time over the past 20 years cruising holding impromptu surgeries in exotic surroundings. Fellow cruisers are often anxious regarding the contents of their medical kits and the difficulties in obtaining replacements.

Beth
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Simon Currin
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Posts: 728


2/25/2016
Simon Currin
Administrator
Posts: 728
Anne,
Your attachment is not included in you post. This may be because the forum does not accept Word/Excel documents but prefers PDF 's. If you are struggling then please send to me and I will attach. My email is simon@medex.org.uk.
Simon

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Simon Currin
S/V Shimshal simon@medex.org.uk
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mrsannelloyd
Posts: 3


2/25/2016
mrsannelloyd
Posts: 3
This is a really first rate initiative. When preparing for our circumnavigation we spent some tim eon this but as if we were inventing th ewheel

We used some other peoples lists and modified according to our understanding of risk/cost

Evan Starzinger has a good list, our mentors gave us theirs and we found the contents list for Ocean Safety big kit. Plus lots of ideas bout hardware, sam splints etc

We did get our GP to prescribe about 10 items, but in small quantities and with little interest on his part, Even as private prescriptions they were surprisingly inexpensive. Of course now we cannot remember expiry information on the drugs.

So far incidents have been broken ribs [twice] and crush injuries to fingers. ie pain killers and bleeding.

I look forward to developments.

I would suggest any course be run near Christmas, as many of us long distance types return for that occasionally!



But an OCC kit list: Drugs/equipment etc would be grand, plus a course [too late for us]

The RYA first aid course- every incident finished with a defibrillator it seemed!

I have added our prescription drugs list. I do worry about the co codomol but so far no reactions by officialdom.

[Attachment will not attach}

Anne
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Simon Currin
Administrator
Posts: 728


2/1/2016
Simon Currin
Administrator
Posts: 728
David,
Our circumnavigation is in chunks so keeping one foot in the work place.
Simon

Daria,
I would prefer not to put anything on Facebook for now as I think this needs to be discussed in Committee first. I have a draft paper to circulate in time for the February Committee Meeting.
Simon

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Simon Currin
S/V Shimshal simon@medex.org.uk
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dcaukill
Posts: 48


2/1/2016
dcaukill
Posts: 48
Sorry Simon - I understood you were circumnavigating. If you can handle it for the UK that would be a great service. And if we managed to replicate it elsewhere that would be a real USP for the OCC!
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Daria Blackwell
Administrator
Posts: 718


2/1/2016
Daria Blackwell
Administrator
Posts: 718
Simon, have you thought of reaching out to potential OCC MDs around the world via the Facebook page as a start? Would you like to post a note on the website?

Might even consider a poll for interest on the FB page.

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Daria Blackwell - Rear Commodore, PR Officer, Editor OCC Digital Comms & Port Officer, West of Ireland s/v Aleria http://www.coastalboating.net
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Simon Currin
Administrator
Posts: 728


2/1/2016
Simon Currin
Administrator
Posts: 728
David,
The suggestion (buried way back in this topic) is designed to provide OCC members with global access to these drugs. I am happy to lead on this in the UK but we will need the international cooperation of OCC medics as I can only prescribe within the UK. Clearly, until we ask, we don 't know our international OCC medics would be prepared to take part.
Simon

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Simon Currin
S/V Shimshal simon@medex.org.uk
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dcaukill
Posts: 48


2/1/2016
dcaukill
Posts: 48
I think this would be a good service if we could support it AND find a way for our members to buy the necessary drugs. I have found that latter quite a challenge.

There are many commercial courses available for sailors. In my experience, they tend to seek to cover all eventualities - including remote contingencies. We did do a course before we began our circumnavigation which the instructor tailored to our needs (because all of the participants were owners about to go ocean sailing). So in addition to basic first aid, the instructor concentrated on the things that were most likely to happen - cuts, bruises, breakages; how to treat them, suturing, and immobilisation of fractures for extended periods etc. together with the administration of various drugs and anesthetics. We also dealt with procdures that older people might require including catheterisation etc., what to do if a crewman had a heart attack etc.

I dont know any friendly doctors. My crew 's GPs were all prepared to provide scripts for ongoing treatments (e.g. hypertension) for extended periods but were not prepared to prescribe drugs "just in case" - not even on a private prescription.

There are a number of organisations that will supply such drugs; initially mine came from a pharmacist in Jersey. He had retired by the time I needed replacements and so I contacted Medical Support Offshore (https://www.msos.org.uk/home.html) who replaced them for me - at a price. Once they have supplied the drugs they will support you at sea - (call a their doctor 24/7 via sat phone) - he knows exactly what kit you have and can advise you what to do. Theirs is a comprehensive service which you can pick and choose from but it is aimed at SuperYachts so they are not shy about billings!

OthersI am aware that Vortec Marine (https://www.vortecmarine.com/medicalkits) will arrange the supply of non-controlled drugs. As to ongoing advice, they refreshingly point out that FREE emergency medical advice is available 365 days a year 24/7 by contacting a UK Maritime Rescue Co-ordination Centre (MRCC) (HF radio or Sat Phone) and being linked to the duty doctor with whom you can agree a care plan for a casualty on board.
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Dick
Posts: 254


1/31/2016
Dick
Posts: 254
Trying again to get my Alchemy 's meds list to attach. Dick
[attachment=323]AlchemyMedicationList.pdf[/attachment]
Alchemy medication list

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Dick Stevenson, s/v Alchemy

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Simon Currin
Administrator
Posts: 728


1/31/2016
Simon Currin
Administrator
Posts: 728
Daria,
Anti-virals are not much used in the UK with the exception of acyclovir for Herpes Zoster and recurrent Herpes Simplex. Flu is only treated when epidemic levels of virus are circulating in the community and evidence for its effectiveness is limited. I am aware that other health systems place more emphasis on these drugs.
Simon

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Simon Currin
S/V Shimshal simon@medex.org.uk
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Daria Blackwell
Administrator
Posts: 718


1/31/2016
Daria Blackwell
Administrator
Posts: 718
Simon, I wasn 't implying it was OTT. Ours probably had almost as much in it.

One thing I don 't see on your list is antivirals. Can you please comment on your thoughts there?

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Daria Blackwell - Rear Commodore, PR Officer, Editor OCC Digital Comms & Port Officer, West of Ireland s/v Aleria http://www.coastalboating.net
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Daria Blackwell
Administrator
Posts: 718


1/31/2016
Daria Blackwell
Administrator
Posts: 718
I just googled medical injuries at sea and came up with this very useful presentation. Although much relates to racing rather than cruising, it may be helpful to see the stats on the most common types of injuries on sailboats.

http://www.ucdenver.edu/academics/colleges/medicine/sportsmed/cusm_events/2014-Extreme-Sports-Medicine-Congress/Documents/Presentations/Extreme%20Sailing%20Injuries.pdf

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Daria Blackwell - Rear Commodore, PR Officer, Editor OCC Digital Comms & Port Officer, West of Ireland s/v Aleria http://www.coastalboating.net
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