Notfallmedizin in der Deutschen Gesellschaft zur Rettung Schiffbrüchiger – Auswertung medizinischer Notfälle auf der Nord- und Ostsee über 2 Jahre

Schemke, Simon; Schwalbe, Holger; Mäurer, H.

doi:10.1007/s00101-020-00885-5

Cited by 3 publications

(4 citation statements)

References 13 publications

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“…Few studies have reported about medical operations by lifeboat crews at sea. Studies on this subject endorse that these operations are diverse, demanding and complicated, caused by the combination of limited resources, large distance from land and medical facilities, and often serious medical problems [ 2 , 3 , 6 , 7 ]. The studies also report a wide variety of medical problems, from small wounds to death, resembling the findings in this study [ 2 , 3 , 7 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…A study from Hawaii reports significant improvement in patient outcome after ambulance crew co-responded to emergencies at sea [ 4 ]. A German study demonstrated a higher severity of disease in maritime rescue compared to emergency medical services in a nearby town, recommending more professional support on board, for instance by an emergency physician [ 2 ]. One of the observations in this German study was the delay of departure (average of 18 min longer), due to the waiting time for arrival of the physician at the rescue station.…”

Section: Discussionmentioning

confidence: 99%

“…Very little data is available about the involvement of lifeboat crews in medical emergencies at sea [ 2 – 9 ]. The aim of this study is to become informed about medical emergencies at sea.…”

Section: Introductionmentioning

confidence: 99%

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Medical emergencies at sea: an analysis of ambulance-supported and autonomously performed operations by lifeboat crews

Messelink,

van der Ploeg,

van der Linden

et al. 2023

BMC Emerg Med

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Background Very little data is available about the involvement of lifeboat crews in medical emergencies at sea. The aim of this study is to analyze the medical operations at sea performed by the Royal Netherlands Sea Rescue Institution (KNRM). Methods This is a retrospective descriptive analysis of all medical operations at sea performed by the KNRM between January 2017 and January 2020. The operations were divided in three groups: with ambulance crew aboard the lifeboat, ambulance crew on land waiting for the arrival of the lifeboat, and autonomous operations (without ambulance crew involvement). The main outcome measures were circumstances, encountered medical problems, follow-up and crew departure time. Results The KNRM performed 282 medical operations, involving 361 persons. Operations with ambulance crew aboard the lifeboat (n = 39; 42 persons) consisted mainly of persons with serious trauma or injuries; 32 persons (76.2%) were transported to a hospital. Operations with ambulance crew on land (n = 153; 188 persons) mainly consisted of situations where time was essential, such as persons who were still in the water, with risk of drowning (n = 45, 23.9%), on-going resuscitations (n = 9, 4.8%) or suicide attempts (n = 7, 3.7%). 101 persons (53,7%) were transported to a hospital. All persons involved in the autonomous operations (n = 90; 131 persons) had minor injuries. 38 persons (29%) needed additional medical care, mainly for (suspected) fractures or stitches. In 115 (40.8%) of all operations lifeboat crews did not know that there was a medical problem at the time of departure. Crew departure time in operations with ambulance crew aboard the lifeboat (13.7 min, min. 0, max. 25, SD 5.74 min.) was significantly longer than in operations with ambulance crew on land (7.7 min, min. 0, max 21, SD 4.82 min., p < 0.001). Conclusion This study provides new information about the large variety of medical emergencies at sea and the way that lifeboat and ambulance crews are involved. Crew departure time in operations with ambulance crew aboard the lifeboat was significantly longer than in operations with ambulance crew on land. This study may provide useful indications for improvement of future medical operations at sea, such as triage, because in 40.8% of operations, it was not known at the time of departure that there was a medical problem.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Medical emergencies at sea: an analysis of ambulance-supported and autonomously performed operations by lifeboat crews

Messelink,

van der Ploeg,

van der Linden

et al. 2023

BMC Emerg Med

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“…Dykes et al found that approximately 19% of all search-and-rescue missions in the maritime environment included the need for at-sea medevacs, and Peake et al demonstrated that the average cruise ship's physician could expect to see a life-threatening illness or injury four times per voyage with at least one requiring urgent transportation ashore [5,6]. Schemke et al analyze the operations of search-and-rescue providers, utilizing triage severity scores to demonstrate that the disease and injury acuity for maritime missions were much higher than those reported in an average city's land-based emergency medical services [7].…”

Section: Introductionmentioning

confidence: 99%

The Epidemiology of Maritime Patients Requiring Medical Evacuation: A Literature Review

Dillard,

Maynard,

Kashyap

2023

Cureus

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This literature review aims to provide an analysis of the current trends in at-sea medical evacuations (medevacs), with the objective of providing insights to decision-makers to improve patient outcomes. Sixteen sources spanning diverse research methodologies were employed for data collection. The findings point to medical disease processes outweighing trauma and psychiatric conditions as the primary justifications for medical evacuations in the international maritime community. In particular, suspected cardiovascular pathologies emerge as the most prevalent grounds for recommended evacuations, underscoring the impact of their diagnosis and treatment in maritime healthcare scenarios. Enhancing the capabilities of on-site maritime healthcare providers to obtain cardiovascular diagnostic data to facilitate shoreside interpretation is proposed to mitigate the speculations inherent to long-distance medevac decisions. Furthermore, existing research indicates that sustaining a proactive approach focusing on prevoyage health screenings for seafarers and passenger vessel patrons holds promise in minimizing the risk of emergency evacuations resulting from the exacerbation of chronic medical conditions. This review reveals that while a limited portion of the cruise ship industry possesses established tactical medevac data on crucial aspects of patient care (such as transportation delay, pre-and mid-transport level of care, and ultimate patient outcomes), there exists a dearth of equivalent information for comparable maritime communities. This knowledge gap necessitates further exploration and research to understand and address diverse seafaring populations' unique challenges. In conclusion, this literature review holistically examines the landscape of at-sea medical evacuation statistics. By assimilating the collective knowledge gleaned from internationally sourced data, this study underscores the urgent need for continued research, comprehensive data collection, and strategic interventions to optimize patient care, enhance tactical decision-making, and ultimately shape a more resilient and responsive healthcare network for maritime communities worldwide.

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Energy Efficiency of Transport Tasks Performed by the Air SAR System in the Baltic Sea: Case Study

Fiuk¹,

Chamier-Gliszczyński²,

Jacyna³

et al. 2022

Energies

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The issues discussed in this article concern the energy efficiency of transport tasks carried out by the air SAR system in the Baltic Sea. Search and rescue (SAR) are rescue operations consisting of finding people in danger, providing them with help, and delivering them to a safe place. The transport task is an element of the rescue operations carried out in the open water area. It is carried out by a given type of helicopter from a strictly defined rescue base. The aim of the article is to develop a method of selecting the base and means of transport for the transport task carried out by the air SAR system, based on the assessment of energy efficiency of a given transport task. The article proposes a selection model; parameterization of the model was carried out, indicators of energy efficiency evaluation were determined, and limitations were indicated. In practical terms, the authors’ model of selection is presented on the example of transport tasks carried out by the air SAR system in the Polish zone of responsibility in the Baltic Sea.

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Notfallmedizin in der Deutschen Gesellschaft zur Rettung Schiffbrüchiger – Auswertung medizinischer Notfälle auf der Nord- und Ostsee über 2 Jahre

Cited by 3 publications

References 13 publications

Medical emergencies at sea: an analysis of ambulance-supported and autonomously performed operations by lifeboat crews

Medical emergencies at sea: an analysis of ambulance-supported and autonomously performed operations by lifeboat crews

The Epidemiology of Maritime Patients Requiring Medical Evacuation: A Literature Review

Energy Efficiency of Transport Tasks Performed by the Air SAR System in the Baltic Sea: Case Study

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