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[Guest guest]

Dear ,

 

Good reading and interesting ideas to look at...

 

Thanx

 

P.

> Hi

>

> I saw your original post last maybe an hour or so after you put it out

> there. From my short time on the group and as a 2+ year seagoing doc I

> didn't feel qualified to jump right in to the fire as it were. I was

> going

> to ask if your situation was truly a ship type platform or a

> stationary rig.

> I kind'a got the feeling it was a ship from the phrase " marine crew "

> as in

> Deck Department (to me).

>

> Knowing now the specs your working out of now, my 1st question would

> be, is

> there any reinforcing or barriers between the helo deck and your

> sick bay?

> Aviation fuel fires and explosions can be monsters for radiating heat

> depending on the section of the helo deck involved (w/out barriers)

> you may

> have to pull stuff out before they start cooling (Flooding) the

> bulkhead in

> your space. As a contingency on the 3 vessels I've worked (1 120 meter

> Bearing Sea Fish processor trawler & 2 US Navy sealift vessels),

> there has

> been a Portable Mass Cal Box located away from sick bay. Primary

> role is if

> sickbay is taken out (and worse if I am too) Its an oversized foot

> locker

> supporting the idea of treating about 25 -30 persons. Burn care is a

> key

> player given the amount of Silvadine stored in it. IV's, Bandages

> Suture

> sets & even Quick Clot. Something to consider, if there isn't one in

> existence already. I updated them to include a Medical Care in Remote

> locations, an EMT-I manual, map of ALL the Emergancy medical Equipment

> locations And a copy of all the Medical liaison ashore information

> numbers,

> freqs, even the old international signals. (USCG & Navy inspectors

> thought

> it was a nice touch.)

>

> Any how back to your original question to the group (knowing there's

> a ship

> involved).

>

> Find out what the ship's Master and Chief mate believe is going to

> happen

> expectation wise. That's where I've approached the chief mate about

> integrating in to the planning mix. I get them to think " where's the

> closest safest place for doc to start seeing multiple people.

> WITHOUT HAVING

> TO RETEAT FROM IF IT GOES SOUTH!. Your already integrated into the

> drills it

> sounds like.Find out who either by Station bill or Emergancy duties

> are

> assigned to assist you as a litter team or aid person. I get the

> galley

> staff. The ones and twos will go to sick bay by escort or litter

> team with

> me leading that team.

>

> Because all best laid plans when its big fall to sh*# after 5

> min...therefore. ..

>

> I reality, Initially, I personally plan for Custer's last stand. A

> space

> to hold every stokes onboard-4 and 5 persons sitting along the wall.

> Initially my 3 different level jump bags (one has an O2 tank and AED,

> another is a US Navy IDC Bag) and a runner (for coms, handing me

> things from

> my bags holding bodyparts). About the time I wipe those out I

> Hopefully

> will have gotten the Mass Cal & Narc box (via the Master's Safe).

> These are

> the few things I reiterate with the key players onboard. Quarterly.

>

> God help you or anyone else for that matter having to deal with

> something

> like that. It will be a living nightmare for Doc for the next 24 to

> 72 Hours

>

> Shounder, RN/ MDR

>

> Contract Medical Services Officer and Purser JA

>

> Formerly USAF SERE School medic

>

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