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2011 (pdf, 4 MB) - Universitätsklinikum Hamburg-Eppendorf

2011 (pdf, 4 MB) - Universitätsklinikum Hamburg-Eppendorf

WHO-Projekte completion

WHO-Projekte completion of the project Target group and/or beneficiaries Summary of the project (e.g. ECG by semiautomatic defibrillators, X-rays and photos) by considering ship-specific hazards (frequently injuries and diseases) - Reinforcing international standardisation, harmonisation and cooperation - Testing medical devices and the quality of transmitting telemedical signals on board Seafarers, health staff in departments of health/labour institutions, ship owners, insurance agencies, trade unions of seafarers Seafaring jobs belong to the most dangerous occupations due to the large number of traumatic work-related accidents. In case of accidents and diseases at sea, professional medical help is mostly not available. Therefore, telemedicine is an extremely useful new technology providing shipboard medical assistance. A pilot study involving the following steps has been started: We will promote further development of medical equipment and perform suitability and applicability tests, especially in simulated emergencies and diseases, e.g. cardiac diseases. A further step will be an appropriate education and training of ship officers. Dissemination International Maritime Health Organization, WHO Impact (global or regional) Progress on Project List of outcomes already achieved by this project List of additional outcomes expected from this project by 2012 Describe the impact or influence of this project Global Germany is the first flag state that mandatorily prescribes to carry automatic external defibrillators with telemedical function on seagoing vessels by September 2012 at the latest. Two years before this deadline, the German maritime experiences in the implementation of AEDs on merchant ships were summarized and were published in an international maritime journal (Journal of Travel Medicine). Four different commercial AEDs were investigated with regard to quality, suitability and user-friendliness as telemedicine devises in shipboard use. The results of this investigation were also submitted for publication in an international research journal. - The 4 tested AEDs differed in their suitability for shipboard use - Major problems were telemedical transmission of an 1-lead ECG, and the energy supply over several days - Development of evidence-based recommendations about suitable telemedicine devices on board. The project has now been stopped because of other priorities (see project 4.21am) and limited resources. - To recommend ship owners or ship supplying pharmacies which preconditions AEDs should meet for use on ships - evidence-based data to prove the efficiency of AEDs handled by ship officers - to demonstrate how medical care onboard can be improved by use of telemedicine. The treatment at sea is mainly based on the skills and knowledge of medical laypersons. The project’s findings shall impact decisions about changes of the shipboard medical chest regulated by International Medical Guide for Ships (IMGS). 91

WHO-Projekte Medical care onboard ships: Creating a framework towards an evidence-based revision of the International Medical Guide for Ships 3 rd Project leader(s) Dr. Clara Schlaich; Dr. Marcus Oldenburg Network partners Institute of Maritime and Tropical Medicine, Gydnia, Poland Country ministries involved in this project External partners for this project Summary of the project Target group and/or beneficiaries Major Milestones Dissemination Funding source(s) No funds List of outcomes already achieved by this project National and EU legislative bodies - Alf Magne Horneland, Centre for Maritime Medicine, Haukeland University Bergen, Norway - Dr Nebojsa Nikolic, International Maritime Health Association The publication of the International Medical Guide for Ships (IMGS) has initiated a discussion on the framework needed for it´s future revision. A general lack of scientific evidence concerning the impact of the medical interventions in the setting of ships was identified. The project aims to review the current evidence of health risks and needs for the population of seafarers. The available evidence on the efficacy and safety of medical interventions globally used on board will be assessed and areas of uncertainty identified. The impact of interventions on costs and on the seafarer´s health will be questioned. A recommendation will be given to the future revision of the IMGS. Seafarers, port health authorities, ship owners, telemedicine centres, medical education centres for ship officers, port doctors. 1. Establishment of the working group, definition of the scientific questions and development of a work plan, during the Scientific Conference of the International Maritime Health Association in GOA, India in September 2009. 2. Systematic review on the evidence of health risks and needs for the population of seafarers (by 2012). Creation of a Database on the currently recommended interventions globally and on the available evidence on the efficacy and safety of medical interventions in the setting of a ship. Identification of areas of uncertainty (by 2013). 3. Definition of indicators for outcomes of interventions considering costs and impact on health. Development of final recommendations for the revision of the current IMGS (by 2012) Results and recommendations will be published in international journals and presented to the scientific community on conferences. The database will be made available on the website of the Hamburg Port Health Center, ZfAM- The final recommendations will be presented to WHO as an aid for the future revision of the IMGS. 2009: Publication of a Joint Statement of WHO Collaborating Centres for the Health of Seafarers and the International Maritime Health Association - 2009 Version (“Guidance to the International Medical Guide for Ships 3rd edition: Interim advice regarding the best use of the medical chest for ocean-going merchant vessels without a doctor onboard”). Accepted for publication May 7 th 2009 International Maritime Health. 2011 Workshop on the IMGS 3 rd edition during the conference of the International Maritime Health Association in Odessa 92

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