TMAS — Maritime Telemedical Assistance Service at the University Centre of Maritime and Tropical Medicine in Gdynia. The first year activity report

Kurlapski, Michał; Wójcik-Stasiak, Małgorzata; Klincewicz, Paweł; Januszczyk, Jacek; Wołyniec, Wojciech; Renke, Marcin; Trzeciakowska-Aziz, Karolina

doi:10.5603/imh.2014.0033

Cited by 5 publications

(6 citation statements)

References 3 publications

(2 reference statements)

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“…RMD can be contacted by seafarers on board Danish trading and fishing vessels and ferries, no matter where in the oceans they may be 10. The TMAS is responsible for giving medical advice via radio, especially for help in preliminary diagnosis and treatment, making recommendations comprising deviation from planned course to the closest harbour or immediate helicopter transport to shore-based medical facilities depending on the patient’s condition 11 12. Every contact to the TMAS with health-relevant information, such as personal data and diagnosis, is recorded.…”

Section: Methodsmentioning

confidence: 99%

Age and nationality in relation to injuries at sea among officers and non-officers: a study based on contacts from ships to Telemedical Assistance Service in Denmark

et al. 2019

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ObjectivesCharacterisation of worker injuries on board merchant ships is modest. Using telemedical service contacts in Denmark, we describe the worker injuries patterns and factors related to injury incidence.MethodsThe data for this study were based on contacts (n=1401) from ships to Telemedical Assistance Service (TMAS) in Denmark in 2004–2014, which were supplemented with data on the annual estimation of all seafarers from the Danish Maritime Authority (n=73 336). The final data included information on broad age groups, occupation and nationality. The outcomes were injuries from any cause and six broad categories of injuries characterised by anatomic location or type of injury.ResultsDuring the observation period of 11 years, there were 1401 contacts to TMAS due to injuries, of which 36% were in upper limb, 18% in lower limb and 13% in the head. Age-adjusted incidence rates for all injuries varied between 13.6 and 26.8 incidences per 1000 person-years in 2004–2014. In most types of injuries, younger and older seafarers had higher risk for injuries than seafarers aged 30–49 years. Depending on the type of injury, non-officers had threefold to fivefold increased odds of injuries compared with officers, the risk being highest for head injuries with an OR of 5.00 (95% CI 3.19 to 7.83). Non-officers from the European Union (EU) had higher risk in most types of injuries than non-officers from outside the EU, whereas the pattern of this risk was inverse among officers.ConclusionsThese findings suggest that non-officers and European seafarers have an increased risk for several types of injuries on board Danish-flagged merchant ships. Additionally, age affected risk with the younger (<30 years) and older (>50 years) seafarers having increased risk.

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Section: Methodsmentioning

confidence: 99%

Age and nationality in relation to injuries at sea among officers and non-officers: a study based on contacts from ships to Telemedical Assistance Service in Denmark

et al. 2019

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“…Currently, TMAS centers operate on various principles in more than 60 countries around the world. In Poland, the TMAS center was established in 2012 under the Act on Maritime Safety of August 18, 2011 [2], and its duties in a 24-h system are carried out by doc-tors from the University Center of Maritime and Tropical Medicine (UCMTM) in Gdynia [3].…”

Section: Introductionmentioning

confidence: 99%

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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“…Offshore operating locations are challenging for delivering emergency medical care to personnel due to inadequate coverage of communication networks, bad weather conditions, absence of health professionals, or trained paramedics on board. However, regardless of these limitations, for the last 50 years, telemedicine by use of various means of communication such as telephone [22, 23, 26, 28, 30, 32-34, 37, 39-43, 46, 47], radio [22,23,26,27,34,36,39,40,44,45,47,48], videoconference [24,25,29,47], email [26, 28, 30-35, 37-42, 46-48], and telefax [22,23,28,34] has been offered different emergency medical services at sea successfully. As a result, telemedicine in the maritime industry has made it possible to reduce number of unnecessary evacuations (nearly by 20% per year), reduce treatment delay, improve the perception of safety, and increase patient satisfaction [29,32,49,50].…”

Section: Discussionmentioning

confidence: 99%

Past, present, and future perspectives of telemedical assistance at sea: a systematic review

Sagaro

Amenta

2020

International Maritime Health

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Background: Telemedicine is an effective technology for evaluating, diagnosing, treating, and providing health care services for remote populations, including seafarers, in case of diseases or accidents on board. Delivery of telemedicine in a maritime environment is not an easy task and, in general, differs from what can be done onshore. The aim of this review is to provides an overview of Telemedical Maritime Assistance Services (TMAS) in Europe by describing the previous and current status in terms of communication technologies as well as the nature of services rendered at sea. Secondly, to discuss the areas needing improvement and future directions to improve the quality of offshore telemedicine services.

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TMAS — Maritime Telemedical Assistance Service at the University Centre of Maritime and Tropical Medicine in Gdynia. The first year activity report

Cited by 5 publications

References 3 publications

Age and nationality in relation to injuries at sea among officers and non-officers: a study based on contacts from ships to Telemedical Assistance Service in Denmark

Age and nationality in relation to injuries at sea among officers and non-officers: a study based on contacts from ships to Telemedical Assistance Service in Denmark

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

Past, present, and future perspectives of telemedical assistance at sea: a systematic review

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