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A book to take with you when you go sailing or power-boating, in case a medical emergency or other medical problem arises. It emphasizes head trauma and management of orthopedic injuries, seasickness and issues relating to cold injuries (“cockpit foot”), illness after exposure after leaving a port-of-call, and burns (including exposure to the sun and/or boiling water in the galley). All these and more are discussed with treatment options included. It’s a must-have book for the serious (or weekend) sailor or power-boater.
You will learn
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An Introduction to Nautical Medicine
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Orthopedic Care
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Soft Tissue Care and Trauma Management
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Water Safety / Fluid Replacement
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Pain and fever
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Dental Emergencies
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Bites and Stings
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Environmental emergencies
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Poisoning
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Infectious Disease
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Body System Symptoms and Management
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Lifeboat Kit and Ship's Medicine Chest
Assessment and Care
How to Use This Book
Initial Assessment
Survey the Scene • Check the Airway and Breathing • Check Circulation • Check Severe • Bleeding • Check the Cervical Spine
Focused Assessment
The Physical Exam • General Principles of the Focused Assessment
Vital Signs
Level of Responsiveness • Pulse • Respirations • Skin Signs • Blood Pressure • Temperature • Oxygen Saturation
Medical History and Physical Examination
Head • Neck • Chest • Abdomen • Back • Pelvis/Hip • Legs • Shoulders and Arms
Stop the BleedingHemostatic DressingsWound Cleaning
Antibiotic Guidelines
Wound Closure Techniques
Tape Closure Techniques • Stapling • Suturing
Special Wound Considerations
Shaving the Wound Area • Bleeding from Suture or Staple Use
Scalp WoundsEyebrow and Lip ClosureMouth and Tongue LacerationsControl of PainDressingsAbrasionsPuncture WoundsSplinter RemovalFishhook Removal
Push Through, Snip Off Method • The String Jerk Method • The Dissection Method
Friction BlistersThermal BurnsHuman BitesAnimal BitesFinger and Toe Problems
Ingrown Nail • Paronychia (Nail Base Infection) • Felon • Blood Under Nail (Subungual Hematoma) • Wound Infection and Inflammation • Abscess • Cellulitis • Skin Rash • Fungal Infection • Allergic Dermatitis • Bacterial Skin Rash • Seabather’s Eruption
Muscle Pain—No Acute InjuryMuscle Pain—Acute InjuryJoint Pain—No Acute InjuryJoint Pain—Acute InjuryFractures—Broken Bones
Open Fracture • Diagnosis and Care Protocols
Head Fractures—Unconscious
Neck • Spine
Collarbone—ClavicleShoulder
Shoulder Blade—Scapula
Upper Arm Fractures (Near the Shoulder)Upper Arm Fractures (Below the Shoulder)Elbow TraumaForearm FracturesWrist Fractures and Dislocations Thumb Sprains and FracturesHand Fractures and Injuries
Finger Fractures and Sprains
Hip Dislocation and FractureThigh (Femur) FracturesKneecap (Patella) DislocationKnee Sprains, Dislocations, and FractureAnkle Sprains,Dislocations,and FracturesFoot InjuriesChest Injuries
Anaphylactic Shock
Use of Epipen • Snake Bites
Spider Bites
Black Widow Spider • Brown Recluse Spider
TicksCaterpillar ReactionsMillipede ReactionsCentipede BitesMosquitoesBlack FliesNo-See-Ums and Biting Gnats Scorpion StingsAnts/Fire Ants
Aquatic Stings, Cuts, and Rash
Sea Urchin
Jellyfish
Coral Stings
Coral and Barnacle Cuts • Stingray • Catfish • Scorpion Fish • Sponge Rash
Diagnosis of Infectious Diseases
So, What is the Approach to Infectious Disease?
• Anaplasmosis • Babesiosis • Blastomycosis • Chikungunya Fever • Cholera • Coccidioidomycosis • Colorado Tick Fever • Coronavirus • Dengue • Echinococcus • Ehrlichiosis • Encephalitis • Giardiasis • Hantavirus • Hepatitis A • Hepatitis B • Hepatitis C • Hepatitis D • Hepatitis E • Hepatitis G • Leptospirosis • Lyme Disease • Malaria • Measles (Rubeola) • Meningococcal Meningitis • Mumps • Plague • Rabies • Relapsing Fever • Rocky Mountain Spotted Fever • Rubella (German Measles, 3-Day Measles) • Schistosomiasis • Tapeworms • Tetanus • Tick Paralysis • Trichinosis • Trypanosomiasis, African (African Sleeping Sickness) • Trypanosomiasis, American (Chagas Disease) • Tuberculosis • Tularemia • Typhoid Fever • Endemic Typhus, Flea-Borne • Epidemic Typhus, Louse-Borne • West Nile Virus • Yellow Fever • Zika Virus
Hypothermia
Chronic Hypothermia • Acute Hypothermia • Cold Water Submersion
Cold-Stress Injuries
Frostnip • Frostbite • Cold-Induced Bronchospasm • Immersion Foot (Trench Foot, Cockpit Foot) • Chilblains
Heat Stress Injuries
Dilutional Hyponatremia • Heat Cramps • Heat Exhaustion • Heat Stroke • Prickly Heat
Lightning
Ship Damage • Crew Injury
Alternative ImprovisationLifeboat Kit Versus Ship’s Medicine ChestTopical Medication and Bandaging Kit
Coverlet Bandage Strips • Spenco 2nd Skin • Hemostatic Dressings • Nu-Gauze Pads • Silverlon Bandage • Waterproof Tape • Sam Splint • Elastic Bandages • Maximum Strength Triple Antibiotic Ointment With Pramoxine, 1 oz Tube • Lanacane Cream 1 ounce (30 g) Tube • Chlorhexidine Surgical Scrub • Opcon-A Eye Drops • Hydrocortisone Cream 1%, 1 oz Tube • Clotrimazole Cream 2%, 1⁄2 oz Tube • Cavit Dental Filling Paste • Protective Gloves • Irrigation Syringe • Surgical Kit • Foley Catheter Kit • Automatic External Defibrillator
Non-Rx Oral Medication Kit
Percogesic Tablets (Pain, Fever, Muscle Spasm, Sleep Aid, Anxiety, Congestion, Cough, And Nausea) • Ibuprofen Tablets (200 mg) (Pain, Fever, Bursitis, Tendonitis, Menstrual Cramps) • Diphenhydramine Tablets (25 mg) (Antihistamine, Antianxiety, Cough, Muscle Cramps, Nausea, Motion Sickness Prevention) • Bisacodyl Tablets (5 mg) (Constipation) • Loperamide Tablets (2 mg) (Diarrhea) • Famotidine (20 mg) (Heartburn, Certain Allergic Reactions)
Rx Oral/Topical Medication Kit
Doxycycline Tablets (100 mg) (Antibiotic) • Azithromycin Tablets (500 mg) (Antibiotic) • Levofloxacin Tablets (500 mg) (Antibiotic) • Diflucan Tablets (150 mg) (Antifungal) • Norco-10/325 Tablets (Pain, Cough) • Hydroxyzine Tablets (25 mg) (Nausea, Anxiety, Antihistamine, Pain Medication Augmentation) • Meloxicam (Mobic) 15 mg Tablets (Pain Medication, Anti- Inflammatory, Fever) • Desoximetasone (Topicort) Ointment (0.25%, 0.5 oz Tube) (Skin Allergy) • Tobradex Ophthalmic Drops (2.5 ml) (Eye And Ear Antibiotic, AntiInflammatory) • Tetracaine Ophthalmic Solution (Drops), 0.5%, 15 ml Bottle (Eye And Ear Anesthetic) • Penciclovir (Denavir) Cream, 1%, 5 gm Tube (Antiviral, Lip And Mouth Sores) • Butorphanol (Nubain) Nasal Spray (Severe Pain) • Dexamethasone (Decadron) Tablets (4 mg) (Allergy, Specific Trauma Situations) • Metronidazole (Flagyl) Capsules (250 mg) (Trichomonas or Giardia Infection) • Famciclovir Capsules (250 or 500 mg) (Cold Sores, Herpes Viral Infections) • Atovaquone And Proguanil (Malarone) (250 mg/100mg For Adult; 62.5 mg/25 mg Pediatric)
Rx Injectable Medication Kit
Nalbuphine (Nubain) (20 mg/ml, 10 ml Vial) • Lidocaine 1% (10 ml Vial) • Dexamethasone (Decadron) (4 mg/ml, 5 ml Vial) • Ceftriaxone (Rocephin) (500 mg Vial) • Hydroxyzine (Vistaril) (50 mg/ml, 10 ml Vial) • Epinephrine Auto Inject Pens (Epipen, Epipen Jr. and Symjepi®)
Cardiac Medication Kit
Aspirin (81 mg Chewable Tablets) • Nitroglycerin Sublingual Tablets (0.4 mg) • Clopidogrel (Plavix) Tablets (75 mg) • Atenolol (Tenormin®) Tablets (25 mg)
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