Telemedical Maritime Assistance Service (TMAS) to Swedish merchant and passengers ships 1997–2012

Westlund, Karin; Attvall, Stig; Nilsson, Ralph; Jensen, Olaf Chresten

doi:10.5603/imh.2016.0006

Cited by 24 publications

(33 citation statements)

References 6 publications

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“…Cardiovascular diseases are another group of diseases to which attention should be paid as they were the third most common cause of reports, and the first most common reason for evacuation recommendations, which -from the point of view of emergency services, ship owners and patients -is not a desirable situation. The main conclusions regarding the causes of evacuation recommended by the Polish TMAS center coincide with the previously mentioned Swedish study conducted by Westlund et al [5], in which it was observed that, except for non-specific diagnoses, diagnoses of injuries and CVDs were the most frequently occurring causes of evacuation among Swedish crews and ship passengers.…”

Section: Discussionsupporting

confidence: 86%

“…The results presented in this paper concerning infectious diseases are comparable to the results of Swedish research evaluating TMAS reports dated 1997, 2002, 2007, and 2009, in which infectious diseases, mainly respiratory tract infections, gastrointestinal and skin diseases, accounted for 33% of all TMAS contacts [5]. What is more, infectious diseases were, according to a study by Kaerlev et al, the first reason for hospital contacts for non-officers among Danish seafarers in 1994-1998 [6].…”

Section: Discussionsupporting

confidence: 84%

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Telemedical Maritime Assistance Service at the University Center of Maritime and Tropical Medicine in Gdynia. The analysis of 6 years of activity

Szafran-Dobrowolska¹,

Renke²,

Wołyniec³

2020

Med Pr

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Background: In the 1960s, the International Labour Organization passed a convention under which all countries with national shipping were obliged to create a 24-h telemedicine center for ships. In accordance with the convention, Telemedical Assistance Service centers were to provide permanent access to medical advice given by qualified doctors and to create an international platform for the exchange of information and experience. In Poland, the Telemedical Maritime Assistance Service (TMAS) was established in 2012, and its duties in a 24-h system are carried out by doctors from the University Center of Maritime and Tropical Medicine (UCMTM) in Gdynia. The aim of this work was to determine the reasons for medical officers reporting for help from the TMAS doctor on duty and to create a database of the most common diagnoses and actions undertaken, and in particular evacuation. Material and Methods: In the presented work, the authors analyzed TMAS telephony and e-mail advice provided by doctors of the UCMTM in Gdynia, in the period from October 2012 to the end of 2018. Results: In the 6-year period, UCMTM doctors provided TMAS advice 225 times, recommending evacuation in over 20% of these cases. Infectious diseases were the most common cause of contact in the entire period under analysis-61 cases were recorded, accounting for as many as 27% of all applications. Injuries were the second most frequent reason for seeking help from TMAS, and 20% of TMAS applications (44 cases) were related to trauma. Conclusions: The obtained data show that TMAS doctors face various medical problems; therefore, providing proper medical assistance to patients requires a close multidisciplinary cooperation between medical officers, TMAS doctors and emergency services.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 84%

Telemedical Maritime Assistance Service at the University Center of Maritime and Tropical Medicine in Gdynia. The analysis of 6 years of activity

Szafran-Dobrowolska¹,

Renke²,

Wołyniec³

2020

Med Pr

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“…For example, a study of American merchant seafarer mortality patterns identified high rates of respiratory cancer and overall cancer deaths, pointing towards potential occupational and behavioral risks specific to merchant seamen . More recently, telemedicine has expanded medical access to this vulnerable population, and telemedicine datasets have provided key information on seafarer medical incidents in their work environment . While telemedicine access for working seafarers continues to expand, studies of medical events in seafarers remain limited by available data, and to our knowledge only one study has described at‐sea medical conditions occurring on US‐flag vessels .…”

Section: Introductionmentioning

confidence: 99%

Injury, illness, and disability risk in American seafarers

Lefkowitz

Slade

Redlich

2017

American J Industrial Med

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“…These responsibilities are assigned in practice to officers on deck (first or second officer) designated by the master (Goethe, 1984), having a responsibility in assisting the master in case of injury or another emergency in the provision of medical care both to crew members and passengers onboard (Marine Colleges, 2017). Usually, the 2nd officer is responsible for medical care on board, delegated by the master (Westlund et al, 2016). The proper education and preparedness of the crew members in the provision of medical care on board vessels in emergency are essential for the safety of passengers and crew, especially the ones operating on ferries and passenger ships, given the fact that, unlike cruise ships, they are not required to possess a sick bay or ship's hospital if they are engaged for a voyage of fewer than three days (European Economic Community, 1992).…”

Section: Analysis Of the Current Regulations Regarding Medical Care Omentioning

confidence: 99%

Regulation for Providing Medical First Aid/Medical Care on Board Ferry Vessels in Croatia: Update Proposal

Vukić

Mulić

Peronja

et al. 2018

ToMS

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The Republic of Croatia is a leader in maritime passenger transport in the Adriatic with indications of the further growth. The paper analyses current regulations for providing medical care on board vessels in Croatia for the category C2 of navigation, referring to vessels in the national coastal navigation. The prescribed quantities of medicinal products and equipment on ferry vessels were compared with the data of most common diseases and injuries of passengers on board, retrieved from the relevant literature. The comparison was conducted based on two indicators: the frequency and urgency of diseases and injuries. The analysis indicated the insufficient quantity of medicines and equipment, especially in the cases of life-threatening medical conditions. The regulations should follow the growing maritime passenger transport, where the large inflow of passengers is expected regularly in the summer period. All the personnel on board appointed for the provision of medical care are required to provide immediate treatment, increase the level of preparedness, and improve the prevention of possible health risks onboard vessels. The authors want to emphasize the importance of passenger safety on board as well as the preservation of strategic resource for the Croatian economy.

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Telemedical Maritime Assistance Service (TMAS) to Swedish merchant and passengers ships 1997–2012

Cited by 24 publications

References 6 publications

Telemedical Maritime Assistance Service at the University Center of Maritime and Tropical Medicine in Gdynia. The analysis of 6 years of activity

Telemedical Maritime Assistance Service at the University Center of Maritime and Tropical Medicine in Gdynia. The analysis of 6 years of activity

Injury, illness, and disability risk in American seafarers

Regulation for Providing Medical First Aid/Medical Care on Board Ferry Vessels in Croatia: Update Proposal

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