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Signalman 1 & C - Historic Naval Ships Association

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5. MISCELLANEOUS6. METEOROLOGY—WEATHER7. ROUTING OF SHIPS8. COMMUNICATIONS9. INTERNATIONAL SANITARY REGULA-TIONS10. TABLE OF COMPLEMENTSYou can see that almost every situation possible iscovered in the General Signal Code. This code is veryimportant, so familiarize yourself with it.MEDICAL SIGNAL CODELEARNING OBJECTIVES: Explain proceduresfor encoding and decoding medical signals.List procedures for instructions to Masters andDoctors.Chapter 3 of the International Code of Signalscovers the Medical Signal Code. This code is dividedinto the four following sections:1. Explanations and Instructions2. Request for Medical Assistance3. Medical Advice4. Table of ComplementsMedical advice should be sought and given inplain language whenever possible, but if languagedifficulties arise, the Code should be used.Even when plain language is used, the text of theCode and the instructions should be followed as far aspossible.Reference is made to the procedure signals C, Nor NO, and RQ, which when used after the main signal,change its meaning into affirmative, negative, andinterrogative, respectively.Example:MFE RQ—Is bleeding severe?MFE N—Bleeding is not severe.INSTRUCTIONS TO MASTERSThe master should make a careful examination ofthe patient and should try to collect, as far as possible,information covering the following subjects (underchapter 3 of the Code):1. Description of the patient2. Previous health3. Localization of symptoms, diseases, or injuries4. General symptoms5. Particular symptoms6. DiagnosisSuch information should be coded by choosing theappropriate groups from the corresponding sections ofthe Code. It would help the recipients of the signal ifthe information were transmitted in the order shownin the previous list.After a reply from the doctor has been receivedand the instructions therein followed, the master cangive a progress report by using signals fromchapter 3.INSTRUCTIONS TO DOCTORSAdditional information can be requested by usingchapter 3, section 3A.Example:MQB—I cannot understand your signal. Please usestandard method of case description.For diagnosis, chapter 3, section 3B should be usedExample:MQE 26—My probable diagnosis is cystitis.Prescribing should be limited to the “List ofMedicaments” which comprises table M-3 in chapter3, section 4.For special treatment, signals from chapter 3,section 3C should be used.Example:MRP 4—Apply ice-cold compress and renewevery 4 hours.When prescribing medication, three signals foundin chapter 3, section D, should be used as follows:1. The first (chapter 3, section 3D-1 and table M-3in chapter 3, section 4) signifies the medicationitself.Example:MTD 32—You should give aspirin tablets.2. The second (chapter 3, section 3D-2) signifiesthe method of administration and dose.6-11

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