Sailor Rollo, a boatman who has worked on the water for more than ten years, let's talk about the things that the crew got sick during the voyage.
First, see a doctor if you are sick, moan if you are sick, and follow up. How simple it is. Sailors at sea get sick, especially some emergencies, which are fatal. It's okay to have a minor illness, but when a serious illness comes, God sometimes doesn't speak. One second, the young man was alive and kicking, and the next, something unusual might happen, scaring people half to death. In addition to their own involvement, medical care is not easy. No, there's a mechanic on board just now.
Pushing open the heavy hatch, there are two basins at the head of the bed. You don't have to look at it to know it's not a good thing. The sour smell in the room came at me head-on, and the chief officer (the ship's military doctor) who had no time to put down the medicine box began to simply look, smell, ask and "diagnose". The mechanic in the light looked sad and rolled on the bed with his hands covering his stomach.
Nose quickly put out your hands to hold it. The first mate uncovered the clothes on his stomach and attached a stethoscope. I saw his stomach shaking slightly, which should be the normal contraction of muscles under the stimulation of cold. The first mate held her breath, listened carefully to the voice coming from the receiver and observed his reaction. Then the first mate put his hand on the other person's stomach and pressed it, and the mechanic purred to varying degrees. At this time, the mechanic is like an electronic button, constantly feeding back the information in his stomach for the first mate to diagnose. The problem lies in the stomach and intestines, and the symptoms are obvious. The next step is to narrow down the scope and find specific problems. There was no time to wipe the sweat, and the first mate began to slap each other again.
"Gastrointestinal problems, take some medicine first and then observe the situation." Recording the preliminary diagnosis, the first mate reported the diagnosis result to the captain who arrived, and told Nose to go to the pharmacy to get the medicine together, and then let the mechanic take it for observation. I don't know if it's psychological or the situation has improved. The mechanic lying in bed slowly stopped moaning, but his hand covering his stomach was still on. The captain nodded, and the first mate led the nose out of the cabin. The first visit is over.
"Chief officer, it's not good. The medicine that the mechanic just took was spit out. "
Soon after sitting down, the phone of the nose reached the first mate's room. The first mate who picked up the medicine chest trotted downstairs again. At this time, his brow not only frowned.
Take another blood pressure test, gently press everywhere, auscultate the stomach, and record all kinds of measurement data one by one. Busy with the diagnosis, the first mate solemnly spit out two words-meet again. At the end of the first mate's instruction, the second chef brought a glass of salt water for the mechanic to gargle first, and then poured a glass of warm water for him to take the prepared medicine again. Although his nose looked puzzled at this time, he had no other way. I just kept staring at the mechanic's mouth, afraid it would spit out again.
The ship slowly stopped shaking and the mechanic gradually fell asleep. The first mate observed for a while, waved his hand at his nose, raised it like a phone call gesture, pointed to the person on the bed and left.
Ship, continue to sail in the depths of the sea; People are still asleep in a daze. One side of the nose looked at the mechanic who stopped rolling, and slowly put down his heart. It seems that the first mate's diagnosis is correct. The mechanic must have been a little seasick when he first arrived. In addition, he ate some cold food and his stomach didn't adapt immediately, so his symptoms eased after taking the medicine. Fortunately, it's not serious. The first mate's diagnosis is valid and the ship continues to sail.
Second, in those years, the crew who cut "meat" for sailing fell ill at sea, especially in an emergency. What measures do they usually take?
1. Condition-based self-help
The first mate is the medical staff on board. He can see some simple diseases and prescribe some medicine. When you encounter a serious illness, you are helpless. What's more, the ship's infirmary has limited conditions and only stores some commonly used drugs. In case of emergency, it is necessary to start a higher-level rescue plan.
2. Shore-based support
One is remote diagnosis support, which is remotely guided by onshore experts and operated by medical staff (chief officer) on board. The ship will send the medical information of the crew to the shore, and the experts will determine the medication after diagnosis and implement it on board. Such a situation needs the support of communication, and it is better to transmit video signals, which can make the expert group diagnose the patients more intuitively. In another case, helicopters or coastal ships pick people up and transfer them to land hospitals. Helicopters are generally used when they are too far from land for rescue boats to catch up with them for a while.
I once heard a friend share a true story about a helicopter saving lives.
At that time, they were sailing in the middle of the Yellow Sea, and a crew member on board was crushed by a machine and injured the aorta. Blood was sprayed all over the floor, and the captain was frightened. The first mate is busy reminding the captain to contact the helicopter. Whoever doesn't rescue at night will get lost. As there is no better communication facilities on board, other passing ships help to contact the company. Surprisingly, the HR manager had to ask the superior leader before replying, on the grounds that the helicopter fee was too high.
At that time, the crew who forwarded the information was very angry and called the manager names. The rest of the buddies on board were also outraged. Everyone asks which shipping company is so inhuman. I suggest you pull such a "black-hearted enterprise". The helicopter finally came out and the injured crew was taken to the hospital for medical treatment, but such a cold-blooded company finally caused a stir.
3. Independent doctors
This category is mainly the way to choose ships sailing near the shore. Because it is not restricted by communication and berthing wharf, you can contact the nearest hospital on land if there is any abnormality. You just need to send the wounded to the nearest dock on the ship to call an ambulance and enter the hospital quickly, which provides conditions for medical treatment.
4. Others
People who eat whole grains get sick. Sailors drift at sea all the year round, and the chances of getting sick in the face of bad sea conditions are naturally not low. The ship has its own set of rescue procedures, and it is really unbearable to be subject to too many restrictions. In the face of various complex diseases, it is often necessary to turn to shore-based support.
When I was young, I heard a rumor: for safety, crew members who run the ocean, good or bad, will have their appendices cut off before boarding the ship. I was young at that time, and I was frightened to hear about it. The question is what happens when you cut off a piece of good health? Until an accidental opportunity a few years ago, I had an intuitive understanding of this disease. Father is in hospital with a stomachache and a high fever. The injection and infusion didn't stop all night. It was not until the next morning that I was diagnosed with appendix, so I arranged the operation immediately and finished the operation in a short time.
Parents are sick and their children are anxious. Dad returned to the ward after the operation, and our hearts hanging in our throats were put down. In the process of communicating with doctors before operation, I learned that my medical skills have improved now. The improvement of treatment scheme and the investment of new equipment have reduced a lot of pain for patients. Judging from the trauma, it's three small holes in a triangle. Although it is a small hole, it is still scary to think of it. I wondered at that time, isn't it just an appendix? It took me all night to make a diagnosis. Passing by the doctor's office, I not only threw a long hug at the doctor sitting inside.
What I heard as a child was really a rumor, and it was that kind of rumor. Now I have embarked on the road to the sea, and I have encountered similar scenes around me, but these are not as exaggerated as everyone imagined. Both the ship's emergency mechanism and the shore-based support are gradually strengthened with the development of the ship. In the face of the life and death of the crew, the first factor that the company considers is the cost or the minority. The introduction of commercial insurance, to a certain extent, reduced the burden on shipowners and protected sick crew members. This is a good thing.
Sailors, a group of mortals living at sea. The attack of diseases is like typhoons and waves, which makes sailors hard to prevent. Although there is no chapter to find, it is necessary to do some countermeasures in advance. Just like a weather station, it can tell us to return to Hong Kong early or choose a safe anchorage to take shelter from the wind. In the face of diseases, besides strengthening sports confrontation, it is also a good choice to plan a health insurance every day.
A group of people on board were full of doubts about the captain's firm health. A sailor's answer was unbearable: "The boss invited him at a high price. What can he do without exercise for a day? " More importantly, you can get more money through exercise! "At this time, the captain walking on the bridge not far away seemed to hear this explanation and smiled.
I am a sailor Rollo, sharing more interesting and informative industry stories; Spread the positive energy of the industry, I am acting. The health of the crew at sea is at stake. How can we save ourselves?
The ship is drifting in the endless ocean. Once pirates and crew members get sick, the captain and crew members will be helpless and cornered for a while. Because the ship is too far from the coast, the cell phone signal is very weak, or even no signal at all. I really don't shout every day. The only way is to find a way to save myself.
One of my comrades-in-arms, a sailor, earns a considerable monthly income, as well as a sea allowance. According to him, once a sailor gets sick on board, first, there is a medical room on board, but there is no professional medical staff. The captain and the first mate know a little medical knowledge. If the crew is not seriously ill and has a headache or a cold, tell the first mate or the captain to take some medicine to relieve it.
If the crew has an acute disease and has to be hospitalized, the captain will go to the coast of a nearby country for help. If it is too far from the coast, we must wait for the warships of the escort formation to come to the rescue. This happened to my comrades in arms. Last year, he was at sea. When the ship sailed to the depths of the ocean, he suffered from acute appendicitis and his stomach ache was unbearable. As it happens, our naval escort formation passed by and used the semaphore to be in a hurry. The navy sent him to a hospital in a nearby country by ship-borne helicopter, which gave him a new life.
To sum up, seafarers usually try to keep in good health before going out to sea and pay attention to health on board to avoid getting sick or not getting sick. Once sick, they are really helpless.
In the 1980s, the captain of a foreign cargo ship died suddenly during the voyage (estimated to be a sudden heart attack or cerebral hemorrhage in the middle of the night), and the first mate acted as the captain. I boarded the ship for quarantine, sampling and eliminating infectious diseases. Finally, the ocean shipping agency will handle the aftermath. Now, if a ship is suffering from an acute disease and its life is dying, it can contact the country through the ship's head office and ask the country to send a speedboat or helicopter to hand over the patient to the other country for rescue. Every country has a maritime rescue agency. China has a maritime search and rescue center, which is mainly responsible for early warning and prevention of maritime (water) emergencies, life assistance, environmental assistance and property assistance, clearing obstacles in important navigable waters and receiving and processing information on piracy incidents.
Ships sail in the depths of the ocean, especially international crew. Sometimes it takes ten days or even a month for a ship to leave a port and arrive at another port. What if the crew suddenly falls ill? As a sailor, I will give you a general idea of the real situation on board.
Real case one:
The first ship I worked for ran on the China-Australia route, that is, from China to Australia, the one-way trip took about 15 days. There was once a ship anchored in Australia waiting to enter the port, but an accident happened during the anchoring. According to the normal operation procedure, the boatswain should take a sailor and the first mate to the bow to anchor! It was the day when the boatswain had loose bowels, and the first mate let two sailors anchor at the bow. Due to improper operation, the chain stopper bounced off and knocked down a sailor at once, and one arm was broken on the spot. The second mate on the ship simply bandaged it for the first time, and when the ship was approaching the Australian port, he was asked to fly back from Australia for treatment.
Real case 2:
My third ship runs an uncertain global route, which means that all countries in the world may go, but the dangers and risks have also increased. At that time, we loaded 200,000 tons of soybeans from Brazil and prepared to ship them to South Korea. Ten days after the ship set sail from Brazil, the third mate felt a stomachache. According to the second mate's preliminary observation, it should be appendicitis. At that time, he was only given a little painkiller. But after a while, I found that it might be more serious, and it should be acute appendicitis, because the third pair could not sit up at all when it hurt, and the face was sweaty. There are no surgical conditions on board, and no one dares to operate on him. He can only be maintained with painkillers and report to the company via satellite phone. The reply given by the hateful intermediary company is only to let the patients endure for a few days as much as possible, and then send a boat to pick up the patients when they arrive at the right port. In this way, the ship can use painkillers to help him persist. On the third day of illness, he lost his vital signs directly because of the untimely treatment.
First of all, there are simple medical conditions on board, and certain medicines will be reserved in advance, but this can only treat simple ailments such as colds, fever and diarrhea. The second mate on the ship plays the role of a doctor. According to the relevant regulations, the second mate must be able to perform simple surgery to hold this position. But in order to cope with the work, few second officers dare to operate on patients in reality. For the crew, the most terrible thing is acute appendicitis. Therefore, even if some crew members are healthy, they will have their appendices removed before boarding the ship.
Secondly, when the crew meets an emergency, the first step is to save themselves by simple medical measures. If the situation is serious, the captain will report to the company and follow the instructions of the company. The company also has certain rules to deal with this kind of thing. If the ship is close to the port, it will send a boat to treat the patients next. If the ship sails in the ocean and is close to the coastline of a country, a helicopter will be sent to take the patient to the next treatment point. If the ship sails in the depths of the ocean, it will have to be resigned!
Finally, I will tell you a particularly real situation. In fact, the shipping company will buy insurance for each crew member before boarding the ship. In the view of these shipping companies, if seafarers encounter an emergency and the cost of sending helicopters is relatively high, the company will secretly tell the captain to give up treating patients. The insurance company is responsible for the final compensation. It's cruel. At present, many companies don't like to recruit older seafarers, because the older they are, the worse their physical fitness will be and the greater their chances of getting sick on board. Therefore, interested friends can know that the crew in our country are basically middle-aged people aged 20-40. The body is in the prime of life, and the probability of acute disease is relatively small.
First: the crew's own physical quality. As mentioned above, if you run a global route, the ship happens to be in the depths of the ocean, and you have an acute illness, and there is no medicine that can be treated on your urgent illness ship, then you can only resign yourself to fate! In reality, there are really crew members who lost their lives on the ship because of acute illness. In addition, the ship is always in motion. If you accidentally fall into the sea in stormy weather, it is basically a narrow escape. Ships are made of steel, and the risk of wrestling and bumping is much greater than working on land.
Second: the pirate zone. Although there are escort formations now, we also have anti-piracy exercises at ordinary times. We will also take certain anti-piracy measures when crossing the pirate zone. But pirates in some sea areas are not real pirates, usually fishermen, and occasionally pirates. It's hard to prevent. Every year, a large proportion of crew members are killed or injured by piracy accidents. In some places, it's ok for pirates to kidnap and extort money. In some places, pirates directly kill and rob goods, which is really dangerous.
Third: the contradiction between seafarers. Usually everyone lives in a closed space, and it is easy to be depressed or irritable after a long time. Moreover, the A-class departments and the marine engineering departments of many ships do not get along very well because of the interests. After a long time, there will inevitably be contradictions between people. The conflict on the ship will be particularly terrible. Because the crew are not allowed to lock the door when they sleep at night, there is a conflict and they are thrown into the sea unconsciously. In the end, it ended with maritime accidents and missing persons, and was paid by the insurance company.
I am a sailor, and my best friend in college has left. He is also a sailor. I still dare not delete his wechat. Every time I think of him, I can only take out the WeChat chat record and look at it.
My friend is very good, but his life is not good. I want to take an extra trip to subsidize my family. I have a younger brother who is studying at home. My father is hospitalized with a brain tumor and my mother is ill.
Before he left, he also contacted me and said, "How big ship are you going to board and where are you going to board?" Finally, I wish him a safe journey.
They lost contact as soon as they got on the boat, and when they heard from him again, he was gone.
Their ship is a bulk carrier, equipped with a crane, sailing in the Indian Ocean. Normal ordinary crew members do maintenance work during the day. Because of the good weather, they organized the maintenance of crane wires, so their friend was a diligent person, so they took the job. But what people didn't expect was that when they were working at heights, they fell from the sky and fell heavily on the steel plate, and they were still breathing.
The ship was given simple treatment, including oxygen inhalation and infusion, and immediately reported to the head office, ordering the captain to sail to the nearest port near the Indian Ocean immediately to prepare for ashore treatment.
But in the vast sea, the speed of the ship is not as fast as that of the plane, and it will take more than two days to go faster. What makes people feel distressed is that during the whole treatment process, due to the limited treatment on board, and the medical level on board is far less than that of treating a seriously wounded person, there is no equipment such as B-ultrasound and X-ray machine, and my friend's situation is very bad. He began to vomit blood and turned purple all over. Finally, he died before he reached the other shore.
Knowing the news, I was frightened. I quickly contacted the manager of his company's recruitment department and learned more. The news is exactly the same as what was said in the college class. It was like a bolt from the blue. I can hardly believe this fact any more, as if I had just contacted him yesterday. There are countless beautiful memories in my mind, but looking at the WeChat chat record, I look helpless.
For several days in a row, I asked the manager how he was doing, which made me wonder what the meaning of running a boat was. My friend's body is in a port in India, so transshipment is not allowed. He had to be cremated in India and asked his parents to go. However, because his passport and visa could not come out for a while, he waited for another month. I really don't know how his parents and family spent this month.
……
There are so many chilling things on board that I dare not think about them easily, otherwise life can't be taken seriously. I often wonder if I should delete his wechat, otherwise my heart aches every time I see it, and I will have thoughts.
I don't want too many good days at sea, I just want to go home safely.
Life hangs by a thread on the ship. How to treat it? It is better to ask how strong life is when something happens on the ship.
The medical treatment on board can only meet minor injuries. Although there are ventilators, defibrillators and pacemakers on board, and even each of us has mastered simple artificial respiration and cardiopulmonary resuscitation, once a person's life is at stake, it really depends on how strong his life is.
Running a ship doesn't need a happy life, but it's always a good idea for the crew to work hard and put safety first. I'm @ sailor. I wish all sailors a safe journey and a safe home.
Seeing this problem, it suddenly occurred to me that a crew member of our ship was forced to take a vacation due to illness in recent days.
The last group of people worked on the ship for nearly a year and took a vacation in Tianjin on July 12. A new group of people, electricians, are 72 years old. It stands to reason that they are not too old and they are very nice. They met and talked happily.
I didn't think there was anything wrong with him at first. This time, the weather in Fangcheng anchorage was hot. He was walking on the deck with a mechanic after dinner that day. Walking, the electrician shook his head and didn't talk to anyone. The mechanic thinks he drank too much. In a few minutes, the man sat directly on the deck and the mechanic told them to carry him to his room. At this time, the leaders also went to see what was going on.
Coincidentally, the captain said that the room was too hot and wanted to open the air conditioning hole in the room. At that time, more than half of the air conditioning holes in his room were blocked by cardboard. Take off the cardboard, and a lot of medicine will fall out of it.
As soon as the captain saw it was insulin, he knew he had diabetes. The electrician was unconscious at that time. The captain quickly contacted his family. The family is in no hurry. Maybe they have seen more, so they say it's nothing. The incidence of hypoglycemia caused by insulin is low. Give him some sugar water and he'll be all right in a minute.
Indeed, he was given sugar water and recovered in 20 minutes. The captain was afraid that someone would die in the sea and wanted him to take a vacation. As we all know, it is difficult for the crew to take a vacation during the epidemic. There's nothing the company can do.
Later, he was asked to write a letter of guarantee, and so was the electrician. Thought it was over.
I remember that on the morning of the 3rd, when I was patrolling the boat, I saw an electrician videotaping my home at the seaside, so I said hello. After a while, I was on duty with a sailor, and the electrician came. He smiled at me when I spoke to him. I want to know why this person is like this. A few minutes later, he was sitting on the stool on duty at the stairs, unable to open his eyes. I didn't pay special attention. The sailor said that the old electricity was going to faint. As soon as I sat on the stool, my body began to tremble. Call someone quickly.
Later, the old track came down, and he was sent back to his room and found that he could no longer walk by himself, let alone go to the third floor room. So he had him carried back.
This time, the captain's old track was not at ease, because it was only three or five days before it was twice. In case no one finds out what happened, it will be a big deal.
The captain asked that he must be given a vacation, and the company agreed to let him disembark. But now that the epidemic is serious, whether you can take a vacation is another matter.
If you are seriously ill when you go to the ocean, it must be a big deal.
Therefore, it is really necessary to have a physical examination before boarding the ship and predict your health. If you are really sick at sea, you will really carry it yourself.
From my previous experience on fishing boats, there are only two ways to deal with it. 1 is to use the medical supplies on board and the medical knowledge of the crew on board to save themselves, and 2) to take a boat back to Hong Kong and bring it back to the port for treatment. I saw it once before. The fishing boat ran out to sea for four or five days, and it happened that a sailor had a bad stomachache. At this time, the shipyard did not want to return to Hong Kong, so it contacted the ship that had just returned to Hong Kong and took it back. (Because we only stop at the port once a year to fish, all for repairing and maintaining the boat, otherwise the boss doesn't want to stop at the port, so he will contact the frozen boat to collect the fish when the fish is full. The daily necessities of the crew will also be brought by other ships.
If you wear a life-saving diving suit, you should use a speedboat to go to the shore to save yourself.