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GUIDANCE NOTES
ON
MEDICAL FACILITIES ABOARD
SHIPS
Australian
Maritime Safety Authority
February 2002
Guidance notes on medical facilities aboard ships
1 Introduction
Marine
Orders, Part 10, provides that, to the extent that is reasonable, adequate medical
supplies and appropriately competent persons must be available to treat
injuries and diseases aboard ship, until a patient can be transferred to the
care of a medical practitioner.
2 Provision of medical supplies
2.1 Marine Orders, Part 10 lists the basic
responsibilities of the operator of a ship to arrange for the provision of such
medical supplies as are reasonably necessary to ensure that persons on board
the ship have access to adequate first-aid. What constitutes "reasonably
necessary" will depend on circumstances and the operator will need to take
into account a number of factors including the following:
· the number and sex
of persons who will be on board ship at any particular time;
· the type of ship and
the particular health hazards of the cargoes being carried;
· the length of the
proposed voyage;
· the facilities
available for communication with shore-based advice;
· the distance the
ship will be from medical facilities on shore and the capacity for evacuation
of sick or injured persons in an emergency.
2.2 It is the responsibility of the master of a
ship to ensure that the medicines are in date and the medical and surgical
stores and appliances are in working order and readily available for use. The
master of a ship must also ensure that non-reusable medical supplies used, or
otherwise becoming unserviceable, during a voyage are replaced at the earliest
opportunity and if, for whatever reason, the master of a ship considers that
the medical supplies provided on the ship are inadequate, he or she must take
necessary steps to rectify the deficiency. For example, a ship might take on
board an unplanned cargo presenting hazards for which adequate provision has
not been made by the operator in advance.
2.3 The Annex to these Guidance Notes sets out some
scales of medical supplies that may assist ship operators in meeting their
obligations. Although there is no internationally agreed list of medical
supplies that should be carried on a ship, the scales in the Annex are based on
experience of operating conditions on ships of various types and trades. In
addition, the Ship Captain's Medical Guide contains information to
assist ships' crews in diagnosing and treating sick and injured seafarers.
2.4 Medical supplies which are goods for
therapeutic use within the meaning of the Therapeutic Goods Act 1989,
should conform to both the general standards and the specific standards
applicable to the goods under that Act.
3 Storage of medical supplies
3.1 Marine Orders, Part 10 requires the operator of
a ship to ensure that medical supplies are capable of being stored on board the
ship in such a way that they are adequately protected from premature
deterioration. Drugs and other medicines should be stored in a cool place,
below 25°C if possible, but no such item should be frozen.
3.2 Storage should be secure enough to prevent
misuse, while ensuring that prompt access to them is available when they are
required. The nature of some medicines requires special care to be taken in
their storage and security. The following suggestions may assist operators to
meet their obligations in this regard.
Medical cabinet
3.3.1 The medical supplies provided in a ship should
be kept in a medical cabinet of a suitable size, design and construction. It
should be provided with the following:
· an outer
door fitted with an efficient lock;
· an inner
cupboard, independently lockable, for the storage of the medical supplies
referred to in 3.3.4;
· shelves so
constructed as to facilitate identification of articles stored on them,
and ideally:
· at least 2
drawers suitable for the storage of articles;
· a rack
suitable for holding articles for measurement of medicine.
3.3.2 The medical cabinet should be a separate
compartment adjacent to the ship's hospital accommodation or adjacent to the
accommodation provided for the ship's officers. It should not be located in a
recreation room, sleeping room, mess room, wash place or other space provided
as accommodation for the crew if it unduly reduces the space available in that
area.
3.3.3 The medical cabinet should be lit by an
electric light located inside or immediately outside the cabinet that enables
all the contents of the cabinet to be clearly seen in the absence of light from
another source. The cabinet and the place in which it is located should be
ventilated so as to avoid deterioration of its contents.
3.3.4 Medical supplies marked with the symbol * in
the Annex should be stored in a locked inner cupboard of the medical cabinet.
Each inner cupboard key carried on board should be kept in the custody of the
Master or one officer.
Refrigerated storage
3.3.5 Medical supplies marked with the symbol § in
the Annex should be kept in refrigerated storage between 2C and 8C.
4 Labelling of medical supplies
4.1 A drug, other medicine or disinfectant should be
correctly labelled in English. The label should be durably affixed to the
container and of such nature as to be clearly readable for the normal life of
the contents of the original manufacturer's container showing the storage
conditions, batch number and expiry date. In the case of a drug or other
medicine supplied in Australia, the label should bear such information as is
specified by Therapeutic Goods Order No. 48, made under the Therapeutic
Goods Act 1989.
A drug or medicine supplied in a country
other than Australia should comply with the equivalent labelling requirements
of that country.
4.2 If a pharmacist supplies a drug or medicine the
use of which is not described in the Ship Captain’s Medical Guide, the
pharmacist should, unless already provided by the manufacturer, provide
advisory and cautionary labels describing the substitute’s safe and efficient
use and warnings regarding side effects and adverse indications.
5 Packaging of medical supplies
Drugs,
other medicines and disinfectants should be packed in containers conforming to
the requirements of the laws of the State, Territory or country of manufacture.
6 Use of medical supplies
6.1 Marine Orders, Part 10, requires the operator
of a ship to ensure that the master and crew of the ship are provided with a
list of medical supplies on the ship, written instructions and adequate
training on the proper use of medical supplies. The instructions must cover
the obtaining of advice from qualified medical personnel.
6. 2 The master must ensure that all members of the
crew are aware of the operator's instructions on the proper use of medical
supplies.
6.3 Each member of the crew of a ship must comply
with the operator's directions on the use of medical supplies and to report to
a responsible officer any deficiencies in the medical supplies that comes to
the crew member's notice.
7 Publications
The
following publications may assist operators in demonstrating compliance with 5.2.3
of Marine Orders, Part 10:
· Ship
Captain’s Medical Guide (published by HMSO, London) provides information to
assist in diagnosing and treating the sick and injured, as well as general
information regarding the obtaining of radio medical advice. Its carriage is
strongly recommended.
· Medical First
Aid Guide, for use in accidents involving dangerous goods (published by
IMO) is required by Marine Orders, Part 41, to be carried on ships carrying
dangerous goods. It is contained in the Supplement to the IMDG Code, 2000
Edition.
Annex 1
Medical Supplies
1
General
This Annex
provides guidance on the appropriate medical supplies to be carried on ships.
The supplies and quantities are based on experience of the range of medical and
surgical emergencies that can arise on board. However, they should be adjusted
in accordance with the particular risks inherent on the voyage, the length of
voyage, ports of call, the cargoes carried, and the persons on board.
Operators
should obtain medical advice from their consultant medical practitioners or
pharmacists in specifying medical supplies for their ships, especially should
they wish to differ from the suggested listings. They must provide the Master
of each ship with a written list of the medicines to be provided on board. In
appropriate cases, other, or additional, medicines may be desirable.
CAUTION: All
injectable medications should only be administered by the IM (intramuscular) or
SC (subcutaneous i.e. under the skin) routes. Refer to pages 66 to 68 of the Ship
Captain’s Medical Guide, 22nd edition, for information on these
injections. (Note that references to Figures 3.7 to 3.11 in the text should be
to Figures 3.9 to 3.13.) Do NOT attempt to use IV (Intravenous) injections, as
this requires considerable skill and practice, and often requires different
doses and rates of administration.
Medicines
in the attached tables are grouped according to purpose. Thus Group 1 covers
medicines for dealing with cardiovascular problems. In the rows below the
shading, ‘A’, ‘B’, etc. refer to sub-groups; thus ‘1C’ relates to medicines
with a diuretic effect.
Some
medicines fall into two groups. For instance, ‘hyoscine hydrobromide’ is both
in group 4C, as a seasickness remedy, and group 3C, as an anti-spasmolytic.
Where this occurs, the later group usually refers to the earlier group. The
main exception to this is Group 15, where a large number of medicines are also
listed in earlier groups. Quantities are specifically listed for all items in
Group 15 (Poison Treatments and Antidotes), being the quantity required to be
carried by the latest edition of the IMO Medical First Aid Guide. Where
quantities are listed in Group 15 and another Group, eg, ‘100’ in Group 15 and
‘12’ in Group 4, the amount that should be carried is the higher of the two,
not the sum of both (eg, 100, not 112).
Except for
Group 15 (see below), the quantity specified in the column headed “Cat A” is a
suggested quantity for a seagoing vessel on unlimited voyages, and assumes that
supplies can be restocked if necessary from acceptable sources at wayports
without problems. The quantity should be sufficient for a crew of about 20
people. If the voyage is to be lengthy, without a satisfactory opportunity of
replenishing supplies from reputable sources, some quantities may need to be
increased. For larger crews, an increase in quantity may be desirable (an
extra quarter or half quantity is suggested for each extra 5 or 10 crew).
Again
excepting Group 15, the quantity specified in the column headed “Cat B” is a
suggested quantity for a seagoing vessel on short voyages, generally not
extending more than 150 miles from the nearest port with adequate medical
equipment. This distance could be increased to 200 miles from the nearest port
with adequate medical equipment if the ship remains continuously within range
of helicopter rescue services.
For
Group 15 (Poison Treatments and Antidotes), the Category A quantity is for
ships where casualties cannot, or may not, be able to be hospitalized on shore
within 24 hours. Category B is for ships where casualties can always be
hospitalized within 24 hours.
Most
medicines have an expiry date. It is recommended that unopened packs, bottles
or other containers of unused medicines be landed at an appropriate time before
they become time expired. Pharmacists can advise on appropriate disposal. In
particular, unused controlled drugs (see 5.5.1 of Marine Orders, Part 10) must
not be disposed of other than by transferring them to the control of a
registered pharmacist on receipt of new stock.
Sections
4 and 5 cover medicines and medical equipment for ships that operate in smooth
and partially smooth waters, and those which stay close to the shore.
2 Medicines for ships of
Categories A and B
Explanation of symbols:
* must be stored
in a locked inner cupboard of the medical cabinet.
§ must be
kept in refrigerated storage between 2C and 8C.
# must be
stored in a locked inner cupboard of the medical cabinet. Special recording
requirements apply - see provision 5.5.1 of Marine Orders, Part 10, and 3.3.4
of the Guidelines.
† for items so marked
in column 4, the specified quantity is considered sufficient regardless of the
number of persons on board.
Names in brackets refer
to the same medicines, but may be a local name used outside Australia.
Medicines and
dosages are given in the following format: Name of medicine, dosage/strength, type of supply (eg, tablet, bottle,
pack, &c, and unless included in name of medicine), or size. In the case
of injections supplied in ampoules, the word ampoule is omitted and strengths
are given as “total quantity per ampoule/size of ampoule”. If the quantity
suggested of a particular drug is less than the manufacturer’s smallest pack,
the smallest available pack should be used.
|
1
|
2
|
3
|
4
|
|
Ref No
|
Treatment and storage
symbols
|
Recommended Medicine and Dosage Strength
|
Suggested quantity
|
|
|
|
|
Cat A
|
Cat B
|
|
1
|
Cardio vascular
|
|
|
|
A
|
Cardio vascular
restoratives Sympathomimetics
|
|
|
|
1A
|
*
|
Adrenaline
(Epinephrine) 1.0mg/1mL, injection.
|
5†
|
5†
|
|
B
|
Anti-angina
preparations
|
|
|
|
1B
|
|
Glyceryl trinitrate 400 micrograms, spray, 200 metered dose aerosol.
|
2
|
1
|
|
C
|
Diuretics
|
|
|
|
|
1C1
|
*
|
Frusemide 40mg, tablet.
|
20†
|
-
|
|
1C2
|
*
|
Frusemide 20mg/2mL, injection.
|
5
|
5
|
|
D
|
Anti-haemorrhagics
(including uterotonics
if there are women with potential for child bearing working on board)
|
|
1D1
|
|
Phytomenadione
Paediatric 1mg/0.5mL, injection (Vitamin
K1).
(Note: intended for use
with new-born infants)
|
1†
|
1†
|
|
1D2
|
§*
|
Ergometrine Maleate 500
micrograms & Oxytocin 5 units,
injection.
|
5†
|
5†
|
|
|
|
(additional
quantity recommended if there are women with potential for child bearing
working on board)
|
5†
|
5†
|
|
E
|
Anti-hypertensive
|
|
|
|
1E
|
|
Atenolol 50mg, tablet, pack of 28.
|
1 pack
|
-
|
|
1
|
2
|
3
|
4
|
|
Ref No
|
Treatment and storage
symbols
|
Recommended Medicine and Dosage Strength
|
Suggested quantity
|
|
|
|
|
Cat A
|
Cat B
|
|
2
|
Gastro intestinal system
|
|
|
|
A
|
Medicines for gastric
and duodenal disorders
|
|
|
|
|
Histamine H2
receptor anti ulcer antagonists
|
|
|
|
2A1
|
|
Cimetidine 400mg, tablet, pack of 60.
|
1 pack
|
-
|
|
|
Antacids
|
|
|
|
|
2A2
|
|
Proprietary antacid of
choice, tablet, or corresponding quantity of powder or liquid.
|
500
|
100
|
|
B
|
Anti-emetics
|
|
|
|
|
2B1
|
*
|
Prochlorperazine 3mg, buccal tablet or
|
30†
|
30†
|
|
2B1
|
|
Prochlorperazine 5mg, tablet.
|
25†
|
25†
|
|
2B2
|
|
Promethazine 25mg/1mL, injection.
|
10†
|
10†
|
|
2B3
|
*
|
Prochlorperazine 12.5mg/1mL, injection.
|
5†
|
5†
|
|
C
|
Lubricant laxatives
|
|
|
|
2C
|
|
Glycerol Suppository, 4g.
|
12
|
-
|
|
D
|
Anti-diarrhoeals
|
|
|
|
2D1
|
|
Codeine Phosphate 30mg, tablet,
|
60
|
30
|
|
2D2
|
|
Loperamide 2mg, capsules.
|
24
|
16
|
|
E
|
Intestinal
anti-infective
|
|
|
|
2E
|
|
Trimethoprim 200 or 300mg, tablet.
|
20
|
20
|
|
F
|
Haemorrhoid
preparations
|
|
|
|
2F
|
|
Proprietary preparation
of choice, pack.
(Increase
quantity if needed).
|
1
|
1
|
|
3
|
Analgesics and Anti-spasmodics
|
|
|
|
A
|
Analgesics, anti-pyretics
and anti-inflammatory agents
|
|
|
|
3A1
|
|
Paracetamol 500mg, tablet, pack of 100.
|
5
|
5
|
|
3A2
|
|
|
10
|
-
|
|
3A3
|
|
Ibuprofen
200 or 400mg, tablet, pack of 24, or
|
2
|
1
|
|
3A3
|
|
Mefenamic
acid 250mg, capsules, pack of 20, or
|
3
|
1
|
|
3A3
|
*
|
Naproxen 275mg, tablet, pack of 12.
|
4
|
2
|
|
1
|
2
|
3
|
4
|
|
Ref No
|
Treatment and storage
symbols
|
Recommended Medicine and Dosage Strength
|
Suggested quantity
|
|
|
|
|
Cat A
|
Cat B
|
|
B
|
Powerful analgesics
|
|
|
|
3B1
|
*
|
Codeine
Phosphate 30mg, tablet.
|
see 2D1
|
see 2D1
|
|
3B2
|
#
|
Morphine
Sulfate 10mg/1mL, injection.
|
10
|
5
|
|
3B3
|
(Emergency antidote to
Morphine)*
|
Naloxone 0.4mg/1mL, injection.
Note:
Naloxone is a Morphine antidote or antagonist, NOT an analgesic.
|
5
|
5
|
|
C
|
Anti-Spasmolytics
|
|
|
|
3C
|
|
Hyoscine hydrobromide
0.3mg, tablet.
|
100
|
20
|
|
4
|
Nervous system
|
|
|
|
A
|
|
|
|
|
4A1
|
#
|
Diazepam
10mg/2mL, injection
(See
also Group 15).
|
2†
|
-
|
|
4A2
|
#
|
Diazepam 5mg, tablet.
|
40†
|
20†
|
|
B
|
Major tranquilizers
|
|
|
|
4B1
|
|
Chlorpromazine
25mg/1mL, injection.
|
10†
|
5†
|
|
4B2
|
*
|
Chlorpromazine
25mg, tablet.
|
100†
|
20†
|
|
4B3
|
*
|
Benztropine
2mg, tablet.
(for
concurrent therapy with chlorpromazine, to control side effects, on
doctor’s recommendation).
|
100†
|
50†
|
|
C
|
Seasickness remedies
|
|
|
|
4C
|
|
Hyoscine
hydrobromide 0.3mg, tablet.
|
Use 3C
|
Use 3C
|
|
D
|
Anti-epileptics
|
|
|
|
4D
|
|
Diazepam
10mg, rectal.
|
5
|
5
|
|
E
|
Anti-depression
|
|
|
|
4E
|
*
|
Amitriptyline
50mg, tablet.
|
20
|
10
|
|
F
|
Anti-insomnia
|
|
|
|
|
4F
|
#
|
Nitrazepam
5mg, tablet.
|
25
|
10
|
|
1
|
2
|
3
|
4
|
|
Ref No
|
Treatment and storage
symbols
|
Recommended Medicine and Dosage Strength
|
Suggested quantity
|
|
|
|
|
Cat A
|
Cat B
|
|
5
|
Anti-allergics and Anti-anaphylactics
|
|
|
|
A
|
H1
Anti-histamines
|
|
|
|
5A
|
*
|
Loratadine 10mg, tablet.
(Note:
This anti-histamine can be used where patient sedation MUST be
avoided or some alcohol has been consumed.)
|
30†
|
30†
|
|
B
|
Cortisones
|
|
|
|
|
5B1
|
*Injectable
|
Hydrocortisone powder for injection 100mg vial, each with 2mL water for reconstitution.
(use on medical
advice only)
|
5
|
-
|
|
5B2
|
*Oral
|
Prednisolone, tablet,
5mg.
(use on medical
advice only)
|
60
|
60
|
|
6
|
Respiratory System
|
|
|
|
A
|
Bronchospasm
preparations
|
|
|
|
6A1
|
*
|
Salbutamol,
100 micrograms per metered dose, 200 dose inhaler.
|
2
|
1
|
|
6A2
|
|
Beclomethasone,
50 micrograms per metered dose, 200 dose inhaler.
|
2
|
1
|
|
B
|
Anti-cough
|
|
|
|
|
6B1
|
|
Codeine
Phosphate 30mg, tablet.
|
Use 2D
|
Use 2D
|
|
6B2
|
*
|
Codeine
Phosphate, linctus, 100mL bottle.
|
6
|
4
|
|
C
|
Medicines for colds and
sinusitis
|
|
|
|
6C1
|
|
Paracetamol
500mg, tablet.
|
Use 3A
|
Use 3A
|
|
6C2
|
|
Menthol
& benzoin, inhalation, 50mL.
|
2
|
1
|
|
6C3
|
|
“Cold &
Flu” tablets
|
120
|
-
|
|
7
|
Anti-infection
|
|
|
|
A
|
Antibiotics
|
|
|
|
|
7A1
|
|
Benzyl
Penicillin 600mg, injection, vial.
|
20
|
5
|
|
7A1a
|
|
Water for
injection, to suit Benzyl Penicillin injection.
|
20
|
5
|
|
7A2
|
|
Ciprofloxacin
500mg, tablet.
|
28
|
14
|
|
1
|
2
|
3
|
4
|
|
Ref No
|
Treatment and storage
symbols
|
Recommended Medicine and Dosage Strength
|
Suggested quantity
|
|
|
|
|
Cat A
|
Cat B
|
|
7A3
|
|
Ceftriaxone
1g, injection, vial.
(To
be diluted with Lignocaine injection, see 13B2.)
(Note:
for category A vessels which may be more than 48 hours from medical
assistance)
|
20
|
-
|
|
7A4
|
*
|
Erythromycin
250mg, tablet.
|
100
|
50
|
|
7A5
|
*
|
(General
requirement for treatment of STDs. Additional product, if required, may be
available from Group 14 (anti-malarial regime))
|
21
|
7
|
|
B
|
Anti-bacterial
|
|
|
|
7B
|
|
Trimethoprim
200 or 300mg, tablet.
|
40
|
-
|
|
C
|
Urinary anti-infective
|
|
|
|
7C
|
|
Trimethoprim
200 or 300mg, tablet.
|
Use 7B
|
-
|
|
D
|
Anti-parasitics
|
|
|
|
7D
|
|
Mebendazole
100mg, tablet.
|
6†
|
6†
|
|
E
|
Intestinal
anti-infectives
|
|
|
|
7E1
|
|
Metronidazole
0.5g, suppository.
|
20
|
-
|
|
7E2
|
*
|
Metronidazole
400mg, tablet.
|
42
|
21
|
|
7E3
|
*
|
Tinidazole
500mg, tablet.
|
24
|
12
|
|
F
|
Anti-tetanus vaccines
and immunoglobulins
|
|
|
|
7F1
|
§*
|
Tetanus
Adsorbed Vaccine, injection, 0.5mL.
|
5†
|
1†
|
|
7F2
|
§*
|
Tetanus
Immunoglobulin 250 units, injection.
|
1†
|
1†
|
|
8
|
Compounds promoting
rehydration, caloric intake and plasma expansion
|
|
8
|
|
Sodium chloride and
glucose or dextrose compound, powder sachets, 4.9g.
Equivalent other
formulations may be used.
|
120
|
40
|
|
9
|
Skin medicines
|
|
|
|
A
|
Antiseptic solutions
|
|
|
|
9A
|
|
Pre-diluted aqueous
solution containing cetrimide and chlorhexidine, bottle, 100mL, for individual use.
|
24†
|
12†
|
|
1
|
2
|
3
|
4
|
|
Ref No
|
Treatment and storage
symbols
|
Recommended Medicine and Dosage Strength
|
Suggested quantity
|
|
|
|
|
Cat A
|
Cat B
|
|
B
|
Antibiotic ointments
|
|
|
|
9B
|
|
Bacitracin
Co., tube, 15g
or
proprietary brand of antibiotic ointment or cream.
|
3
|
1
|
|
C
|
Anti-inflammatory and
analgesic ointments
|
|
|
|
9C1
|
|
Hydrocortisone
1% cream or ointment, tube, 30g.
|
2
|
1
|
|
9C2
|
|
Calamine
15%, Lotion, non-oily, bottle, 200mL.
|
2
|
1
|
|
D
|
|
|
|
|
9D1
|
|
Benzoic
acid compound ointment 100g
(synonym:
Whitfields ointment).
|
1
|
-
|
|
9D2
|
*
|
Miconazole
nitrate 2% vaginal cream 40g
(Only
if one or more persons on board is female. Increase quantity if four or more
females are on board.)
|
2
|
1
|
|
9D3
|
*
|
Miconazole
nitrate 100mg vaginal pessary, pack of 7
(Only
if one or more persons on board is female.)
|
2
|
-
|
|
9D4
|
*
|
Miconazole
nitrate 2 % topical cream 30g.
(Double
quantity should be supplied if one or more persons on board is female.)
|
2
|
1
|
|
|
Burn preparations
|
|
|
|
9E
|
*
|
Silver
sulfadiazine 1% and chlorhexidine digluconate 2% cream, sterile tube, 50g.
|
4
|
4
|
|
|
Miscellaneous skin
preparations
|
|
|
|
9F1
|
|
|
6
|
2
|
|
9F2
|
|
Gamma
benzene or Pemethrin (hair application), bottle, 100mL.
|
2†
|
-
|
|
9F3
|
|
Petroleum
Jelly 50g.
|
2
|
1
|
|
9F4
|
|
Potassium
permanganate, crystals, 25g.
|
1†
|
1†
|
|
9F5
|
|
Zinc oxide,
ointment, 100g.
|
1†
|
1†
|
|
10
|
Eye medicines
|
|
|
|
|
Antibiotic eye ointment
|
|
|
|
10A
|
|
Framycetin
0.5 % eye ointment, tube, 5g.
|
5
|
2
|
|
1
|
2
|
3
|
4
|
|
Ref No
|
Treatment and storage
symbols
|
Recommended Medicine and Dosage Strength
|
Suggested quantity
|
|
|
|
|
Cat A
|
Cat B
|
|
|
Antibiotic and
anti-inflammatory eyedrops
|
|
|
|
10B
|
§
|
Betamethasone
sodium phosphate 0.1 % neomycin sulfate 0.5%, eyedrops, 5mL.
Use
on radiomedical advice only, and preferably after diagnosis by an eye specialist.
|
2
|
1†
|
|
|
Anaesthetic eyedrops
|
|
|
|
10C
|
§*
|
Amethocaine
0.5%, eye drops, (individual doses).
|
20†
|
20†
|
|
|
Glaucoma treatment
|
|
|
|
10D
|
|
|
1†
|
1†
|
|
|
Detection of foreign
bodies
|
|
|
|
10E
|
§*
|
Fluorescein
2% eye drops, disposable units.
|
20†
|
20†
|
|
11
|
Ear medicines
|
|
|
|
11A1
|
|
Antibiotic
eardrops containing in each mL; neomycin 3 400 units, polymixin B sulfate 10
000 units, hydrocortisone 10mg, in a 5mL dropper bottle, or
|
1†
|
1†
|
|
11A1
|
*
|
Cortisone
ear drops (containing Framycetin 5mg, Dexamethasone 0.5mg, Gramicidin
0.05mg/ml) 8mL.
|
3†
|
1†
|
|
11A2
|
|
|
2
|
1
|
|
|
Wax softener,
lubricating
|
|
|
|
11B
|
|
Arachis
Oil, ear drops, with dropper, 15mL.
|
2
|
-
|
|
|
Nasal decongestants
|
|
|
|
11C
|
|
Ephedrine
0.5%, nasal drops, 15mL
|
2†
|
1†
|
|
12
|
Medicines
for mouth and throat infections
|
|
|
|
|
Mouthwash, antiseptic
|
|
|
|
12A
|
|
Chlorhexidine gluconate 0.2%, mouthwash, 300mL.
|
2
|
1
|
|
1
|
2
|
3
|
4
|
|
Ref No
|
Treatment and storage
symbols
|
Recommended Medicine and Dosage Strength
|
Suggested quantity
|
|
|
|
|
Cat A
|
Cat B
|
|
13
|
Local Anaesthetics
|
|
|
|
|
Local anaesthetics
using freezing
|
|
|
|
13A
|
|
Ethyl chloride, liquid spray, 100mL.
|
1†
|
1†
|
|
|
Local anaesthetics
given by subcutaneous injection
|
|
|
|
13B2
|
*
|
Lignocaine 1%, injection, 2mL.
Note:
In addition to its use as an anaesthetic, Lignocaine is used as a diluent for
Ceftriaxone, q.v. (see 7A3).
|
25
|
5
|
|
|
Dental anaesthetic and
antiseptic mixtures
|
|
|
|
13B2
|
(see 22 for other
dental preparations)
|
Lignocaine 2%, gel, water miscible base, 15g.
|
4
|
2
|
|
14
|
|
|
|
|
A
|
Prevention
|
|
|
|
|
14A1
|
*Regime 1
|
Chloroquine
150mg base (approx.), tablet and
|
500
|
250
|
|
14A2
|
*
|
Proguanil
100mg, tablet.
|
1000
|
500
|
|
14A3
|
*Regime 2
|
For
prolonged visits to malarial areas, sufficient Doxycycline must be carried to
allow administration of one tablet per adult per day for the period 2 days
before to 14 days after potential exposure.
|
420
|
420
|
|
14A4
|
Regime 3
|
Mefloquine
250mg, tablet
(Note:
for prolonged visits to malarial areas, sufficient Mefloquine should be
carried to allow administration of one tablet per adult per week for the
period 7 days before to 14 days after potential exposure.)
|
120
|
60
|
|
|
For prevention,
alternate between regimes 1 and 2 on an alternate voyage basis (provided a
full course of treatment of each regime is completed).
Use Regime 3 if malaria
is known to be resistant to Regimes 1 or 2.
|
|
|
|
B
|
Treatment
|
|
|
|
|
14B1
|
*
|
Pyrimethamine
(25mg) & Sulfadoxine (500mg), tablet
(Note: Use only
on medical advice).
|
12
|
12
|
|
14B2
|
|
Quinine 300mg, tablet.
|
100
|
100
|
|
|
Use Regime 3 above also
for treatment.
|
|
|
|
1
|
2
|
3
|
4
|
|
Ref No
|
Treatment and storage
symbols
|
Recommended Medicine and Dosage Strength
|
Suggested quantity
|
|
|
|
|
Cat A
|
Cat B
|
|
15
|
Poison treatments and Antidotes
|
|
|
|
|
Note: Quantities
specified against items in the following table are those listed in the IMDG
Code, 2000 Edition. Where quantities are listed in Group 15 and in another
group or groups, the amount that should be carried is the higher or highest
of the individual quantities, not the sum of all quantities listed.
With the revision of the Medical First
Aid Guide (MFAG), contained in the Supplement to the IMDG Code (2000
Edition), except for a few specific treatments there is no longer a set link
between poison and antidote. The Group 15 medicines in italics are no longer
contained in the Medical First Aid Guide, but are recommended as specific
antidotes for the substances listed with the entry.
Should the Master
consider that the nature or quantity of specific hazardous materials carried
warrants the carriage of specific antidotes or treatments, not listed in
Group 15, advice should be obtained from the Company’s medical or
pharmaceutical consultant, or from the State Poisons Treatment Centre.
|
|
|
|
|
*
|
Amoxycillin
500mg, capsule.
|
30
|
-
|
|
|
*
|
Amyl
Nitrite Vitrella 0.3mL.
Antidote
for poisoning by cyanides, nitriles or hydrogen sulphide
|
96
|
96
|
|
|
§*
|
Anaesthetic
eye drops, eg Amethocaine 0.5%, eye drops, (individual use).
|
5
|
5
|
|
|
*
|
|
5
|
5
|
|
|
|
Ascorbic
Acid 500mg/5mL, injection.
Treatment
for methaemoglobinaemia
|
5
|
5
|
|
|
*
|
|
15
|
15
|
|
|
|
Beclomethasone,
50 micrograms per metered dose, 200 dose inhaler.
|
5
|
5
|
|
|
|
Calcium
Gluconate 2%, gel.
|
150g
|
150g
|
|
|
|
Calcium
Gluconate 1g, tablet, effervescent.
|
20
|
20
|
|
|
|
Ceftriaxone
1g, injection, plus 5 Lignocaine 1%, as diluent.
|
5
|
-
|
|
|
|
Charcoal,
activated 300mg, tablet.
|
200
|
200
|
|
|
|
Diazepam
10mg, rectal.
|
5
|
5
|
|
|
|
Dimercaprol
100mg/2mL, injection.
Antidote
for poisoning by arsenic and mercury compounds
|
10
|
10
|
|
|
*
|
Erythromycin
250mg, tablet.
|
75
|
-
|
|
|
|
Ethyl
Alcohol 90%, solution, 500 mL.
|
3
|
1
|
|
1
|
2
|
3
|
4
|
|
Ref No
|
Treatment and storage
symbols
|
Recommended Medicine and Dosage Strength
|
Suggested quantity
|
|
|
|
|
Cat A
|
Cat B
|
|
|
*§
|
Fluorescein
2% eye drops, disposable units.
|
20
|
20
|
|
|
*
|
Frusemide
20mg/2mL, injection.
|
15
|
-
|
|
|
*
|
Metoclopramide
10mg/2mL, injection.
|
30
|
10
|
|
|
|
Metronidazole
0.5g, suppository.
|
20
|
-
|
|
|
#
|
Morphine
sulfate 10mg/1mL, injection.
|
40
|
10
|
|
|
*
|
Naloxone
0.4mg/1mL, injection.
|
5
|
5
|
|
|
|
Oral
rehydration salts, sachets, 4.9 g, (or tablet to produce the equivalent).
|
90
|
30
|
|
|
|
Paracetamol
500mg, tablet.
|
200
|
100
|
|
|
|
Phytomenadione
10mg/1mL, injection.
|
10
|
-
|
|
|
|
Plasma
expander, infusion, 500mL.
|
3
|
3
|
|
|
|
|
1
|
1
|
|
|
*
|
|
5
|
5
|
|
|
|
Sodium
chloride 0.9%, solution, isotonic (saline), 1L.
|
5
|
3
|
|
16
|
Vitamins
|
|
|
|
|
16
|
|
Vitamin K1
(Phytomenadione) See Groups 1 & 15.
|
|
|
|
17
|
Disinfectants and Antiseptics
|
|
|
|
|
General Purpose
Disinfectant/deodorant
|
|
|
|
17
|
|
Solutions of alkylphenols
in a saponaceous solvent or a quaternary ammonium compound, litres.
|
18
|
9
|
|
|
Antiseptics
|
|
|
|
|
17
|
|
Solution of
Chlorhexidine 0.05% & Cetrimide 0.5% in an aqueous vehicle.
|
Use 9
|
Use 9
|
|
17
|
|
Hydrogen peroxide 6% (20 vol), solution, 100mL.
|
2
|
-
|
|
1
|
2
|
3
|
4
|
|
Ref No
|
Treatment and storage
symbols
|
Recommended Medicine and Dosage Strength
|
Suggested quantity
|
|
|
|
|
Cat A
|
Cat B
|
|
|
|
|
|
|
17
|
|
Calcium
hypochlorite, high test, powder.
Note
1: Do not store near metal objects, instruments, sinks, &c. Keep in
sealed container until used.
Note
2: Replace annually if not used.
Note
3: Calcium hypochlorite is an oxidising agent and has been implicated in
fires. It is recommended that if stored on board it should be kept at
temperatures less than 35°C and, so far as possible, only purchased for
immediate use.
|
8kg
|
8kg
|
|
18
|
Insecticides and Repellents
|
|
|
|
18
|
Repellent, personal
|
Diethyltoluamide.
(Recommended 1 pack per
crew member)
|
As reqd
|
As reqd
|
|
18
|
Insecticide, liquid
|
The insecticide should
not be harmful to humans, should be free from offensive odour and so far as
possible non-staining, should be effective for killing insects or keeping
spaces clear of insects, and be suitable for use in crew and passenger
accommodation and food preparation areas. Instructions should be specified
on the packaging.
|
5L
|
-
|
|
19
|
Vaccines
|
|
|
|
|
19
|
§*
|
Tetanus Vaccine
Adsorbed, injection, 0.5mL
|
Use 7F1
|
Use 7F1
|
|
19
|
|
Tetanus Immunoglobulin.
|
Use 7F2
|
Use 7F2
|
|
20
|
Anti-Inflammatory
|
|
|
|
20
|
|
Diclofenac.
|
Use 3B2
|
-
|
|
21
|
Endocrines
|
|
|
|
|
21
|
|
-
|
-
|
-
|
|
22
|
Dental
|
|
|
|
|
22
|
|
Oil of
Cloves, 15mL.
|
1
|
1†
|
|
22
|
|
Zinc oxide
dental paste, tube, 7g.
|
1
|
-
|
3 Medical equipment
(This is the recommended
quantity irrespective of the number of persons on board.)
Equipment marked MF is
additional equipment recommended in the Medical First Aid Guide,
published by IMO, for ships carrying dangerous goods. It is not required for
other ships.
|
|
Equipment Category
|
Recommended Specification
|
A
|
B
|
|
1
|
Resuscitation Equipment
|
|
|
|
|
Manual resuscitation appliance
|
Valve and bag type. One should be
supplied for ordinary ships. Two are required for ships carrying dangerous
cargoes.
|
1 or 2(MF)
|
1 or 2(MF)
|
|
|
Appliance for the administration of
oxygen
For tankers.
|
Oxygen Giving Set comprising the
following:
1) Oxygen reservoir, 2 cylinders with 60
- 90 minutes total supply
2) 1 flow meter unit giving a minimum
setting of 4 litres per minute
3) 1 pressure regulating unit
4) 1 set of tubing
5) 5 x 24% oxygen disposable face masks
6) 5 x 35% oxygen disposable face masks.
Each part must be constructed so that it
can only be assembled in the correct manner.
Note 1: Items (2) and (3)
may be combined in one unit.
Note 2: A carry case for
the set need only contain one oxygen cylinder if a second is stored nearby
and is interchangeable with the first with negligible interruption to the
flow of oxygen.
|
1
|
1
|
|
|
Appliance for the administration of
oxygen
For ships carrying
dangerous cargoes, other than tankers
|
In addition to the above, ships carrying
dangerous cargoes should carry 10 x 60% disposable facemasks.
There should be a minimum of 44 litres
of oxygen at 200 bar. This supply (including the above) should be composed
as follows:
|
MF
|
MF
|
|
|
Equipment Category
|
Recommended Specification
|
A
|
B
|
|
|
|
1 portable set with at least 1 x two
litre 200 bar cylinder ready for use, with a spare two litre 200 bar
cylinder, and
1 x 40 litre 200 bar cylinder ready for
direct use at the ship’s hospital, with one flowmeter unit (two ports) for
supplying of oxygen to two persons at the same time. (Small cylinders may be
used to give the equivalent amount.)
If more than one non-portable oxygen
cylinder is used, there must be two flowmeter units for supply of oxygen to
two persons at the same time.
|
|
|
|
|
Mechanical aspirator to clear upper
respiratory passages
|
Aspirator to clear airways (manual, hand
operated) + two catheters
|
1
|
1
|
|
|
Equipment for mouth to
|
Pocket Mask or
|
1
|
1
|
|
|
mouth
resuscitation
|
Disposable mouth-to-mouth
plastic shield.
|
6
|
6
|
|
|
|
Guedel Airway Sizes 1, 3 and 4
For ships carrying dangerous cargoes,
the quantity should be increased to 2 of each size.
|
1
2(MF)
|
1
2(MF)
|
|
2
|
Dressing and suturing
equipment
|
|
|
|
|
Balls, cotton wool, sterile
|
Pack of 5, in damp proof
packaging.
|
100
|
50
|
|
|
Bandage, crepe
|
7.5cm x 1.5m when stretched
|
4
|
2
|
|
|
Bandage, elastic, adhesive
|
7.5cm x 4m
|
2
|
1
|
|
|
Bandage, gauze, conforming
|
5cm x 5m
|
4
|
4
|
|
|
|
7.5cm x 5m
|
6
|
6
|
|
|
Bandage, gauze, tubular
|
Seamless, of a size suitable
for finger dressings, 5m with applicator, plus 1 refill
|
1
|
1
|
|
|
Bandage, suspensory
|
Large size
|
1
|
1
|
|
|
Bandage, triangular
|
Calico, with two sides about
90cm and a base about 127cm
|
4
|
4
|
|
|
Equipment Category
|
Recommended Specification
|
A
|
B
|
|
|
Bandage, zinc oxide
|
Zinc Oxide Plaster,
waterproof, on a spool:
2.5cm x 5m
7.5cm x 5m
|
1
1
|
1
1
|
|
|
Buds, cotton tipped, sterile
|
Pack of 2, sealed
|
10
|
10
|
|
|
Closures, wound, sterile, adhesive
|
Pack of 8 strips (“Butterfly
closures”), 4 x 38mm.
|
4
|
4
|
|
|
Dressing strip, elastic adhesive
|
Medicated dressing strip, 6
cm x 1 m, in a pack
|
2
|
1
|
|
|
Dressings, adhesive, plastic, waterproof
|
19mm x 72mm, or pack of 100,
assorted, sterile
|
2
|
2
|
|
|
Dressings, paraffin gauze, sterile
|
Individually wrapped, 10 x
10cm
|
50
|
50
|
|
|
Dressings, plain wound, unmedicated
|
(1) small, BPC 13
(2) medium, BPC 14
(3) large, BPC 15
|
5
5
5
|
5
5
5
|
|
|
Gauze, absorbent
|
Pack containing one piece,
size 1m x 90cm
|
4
|
2
|
|
|
Gauze, compresses, sterile
|
Pack containing 5 pads, size
7.5 x 7.5cm
|
5
|
5
|
|
|
Gauze, ribbon, absorbent, sterile
|
Pack containing ribbon, size
2.5cm x 2.5m
|
1
|
1
|
|
|
Gloves, disposable
|
Polyethylene or latex, large
or extra large
|
40
|
20
|
|
|
Suture kit, disposable, with needles
|
Sutures, sterile, of
monofilament nylon or silk (except 3), swaged to a 26mm, or 40mm half circle
needle with a cutting edge. (sizes approximate)
Each needle and suture to be
in a sealed pack
|
|
|
|
|
|
suture, non-absorbable, 26mm
half circle needle
|
3
|
1
|
|
|
|
suture, non-absorbable, 40mm
half circle needle
|
3
|
1
|
|
|
|
suture, absorbable, catgut,
40mm half circle needle
|
26
|
|
|
|
Equipment Category
|
Recommended Specification
|
A
|
B
|
|
|
Suture strips, sterile, adhesive
|
75mm adhesive suture strips.
|
4
|
4
|
|
|
Swabs, alcohol impregnated
|
Pack of 100
|
1
|
1
|
|
|
Talc
|
A closable tin containing
100g of talc dusting powder, BP or similar
|
1
|
-
|
|
|
Tampons/sanitary napkins
|
Small pack. On voyages of
more than 48 hours, it is recommended that the quantity carried be 2 packs
per female per month.
|
4
|
2
|
|
|
Towels for treating burn victims
|
Towels, assorted,
non-adhering, non-linting, in sachets ready for hydrating with normal saline,
in a portable kit.
Each kit should contain at
least:
2 towels -
body dressing size
2 towels -
leg dressing size
2 towels -
arms dressing size
2 towels -
hand dressing size
1 towel -
face mask dressing
6 x 500mL
bottles/sachets normal saline irrigation
3 crepe
bandages, light 10cm width
2 rolls
adhesive tape,
1 x
scissors, s/b stainless steel, 12cm.
Note: the above can be obtained
in a proprietary kit.
|
1
|
-
|
|
3
|
Instruments
|
|
|
|
|
|
Bottle, eye wash, for irrigation
|
Alternative
to eye spud
|
1
|
1
|
|
|
Box, instrument, stainless steel,
with lid.
|
For forceps, scissors and
thermometers. Alternative to instrument roll.
|
1
|
1
|
|
|
Forceps, dissecting
|
Stainless steel, 12.5cm
|
1
|
1
|
|
|
Forceps, epilation (tweezers)
|
Oblique ends
|
1
|
1
|
|
|
Forceps, needle
|
(for holding needles for suturing)
|
1
|
-
|
|
|
Equipment Category
|
Recommended Specification
|
A
|
B
|
|
|
Forceps, packing
|
Stainless steel
|
1
|
-
|
|
|
Forceps, sinus
|
Stainless steel, 12.5cm
|
1
|
-
|
|
|
Forceps, Spencer Wells’
|
Stainless steel, 12.5cm
|
1
|
1
|
|
|
Razors, disposable
|
|
5
|
-
|
|
|
Roll, instrument, fabric
|
For forceps, scissors and
thermometers.
Alternative to
instrument box.
|
1
|
1
|
|
|
Scalpels, disposable, sterile
|
Straight, size 23
|
6
|
6
|
|
|
Scissors, surgical, stainless steel
|
About 18cm, one blade sharp
pointed and the other round-ended
|
1
|
1
|
|
|
Scissors, surgical, stainless steel
|
12.5cm, both blades sharp
pointed
|
1
|
1
|
|
|
Spud, eye, rubber
|
Alternative to eyewash bottle
|
2
|
2
|
|
4
|
Examination &
monitoring
|
|
|
|
|
Charts, temperature
|
Am/pm, four hourly
|
1 pad
|
1 pad
|
|
|
Container, specimen, for blood and urine
testing
|
Strong, transparent,
sterilizable plastic or glass, size 50mL
|
2
|
-
|
|
|
Cup, sputum with cover
|
Wax paper or plastic,
disposable
|
20
|
20
|
|
|
Jars, specimen
|
Strong glass or plastic,
with airtight lid, with blank labels, size 50mL
|
5
|
-
|
|
|
Labels
|
Plain, self adhesive, about
5 x 3cm
|
10
|
5
|
|
|
Reports, medical evaluation
|
|
1 pad
|
1 pad
|
|
|
Sphygmomanometer
|
|
1
|
-
|
|
|
Stethoscope
|
|
1
|
-
|
|
|
Strips, reactive, for urine analysis
|
Multistix, in manufacturer’s container,
with instructions
|
100
|
100
|
|
|
Tags, identification
|
For patients who have been given
morphine
|
10
|
5
|
|
|
Thermometer, hypothermic
|
Sub-normal range, low body temperature,
stubby bulb pattern
|
1
|
1
|
|
|
Thermometer, rectal
|
Ordinary range, case clearly marked:
“For Rectal Use”
|
2
|
1
|
|
|
Equipment Category
|
Recommended Specification
|
A
|
B
|
|
|
Thermometer, standard medical
|
To AS 2190
|
2
|
2
|
|
|
Tongue Depressors, disposable
|
|
10
|
10
|
|
|
Torch, disposable
|
Pencil or other torch suitable for
examining eyes.
|
2
|
2
|
|
5
|
Equipment for
injection, perfusion puncture and catheterization
|
|
|
Catheter, rectal
infusion
|
Size 26 or 28, French gauge
|
6(MF)
|
-
|
|
|
Catheter, sterile
|
1) Foley type, 16 gauge,
with 5mL balloon (Short/medium term use in adults)
|
1
|
-
|
|
|
Catheter, sterile
|
2) Nelaton or Jacques type,
16 gauge (with no balloon)
|
1
|
-
|
|
|
Condom, urinary
|
With teat connexion for
incontinence
|
1
|
-
|
|
|
Drainage instrument, urine/bladder
|
Bladder drainage set
(including 2 litre capacity bag, spigots and tube)
|
1
|
-
|
|
|
Rectal Infusion Set
|
A drip set for giving into
the rectum 200mL of fluid over a period of 10-15 minutes. Comprises:
a 2 m
length of transparent plastic tubing attached to a reservoir;
a device
for attaching the tube to a rectal catheter;
a device
for regulating the flow of liquid from the reservoir;
a spigot to
close the catheter when the drip set is disconnected; and
an
appropriate rectal catheter.
(see above for additional
rectal catheters if the ship carries dangerous goods.)
|
1
|
-
|
|
|
Infusion equipment, intra-venous
|
Cannula,
(size 1.2mm)
|
10(MF)
|
10(MF)
|
|
|
Infusion equipment,
intra-venous
|
Intra-venous
administration set, with disposable infuser filters.
|
10(MF)
|
10(MF)
|
|
|
Syringes and needles disposable
(additional, for ships carrying dangerous cargoes)
|
2.5mL syringe/0.8mm (21
gauge) 4cm needle
5mL syringe/0.8mm (21 gauge)
4cm needle
|
60(MF)
5(MF)
|
30(MF)
10(MF)
|
|
|
Equipment Category
|
Recommended Specification
|
A
|
B
|
|
|
Syringes and needles, disposable
|
2.5mL syringe/0.8mm (21
gauge) 4cm needle
|
40
|
20
|
|
|
Syringes and needles, disposable
|
5mL syringe/0.8mm (21 gauge)
4cm needle
|
5
|
-
|
|
|
Syringes and needles, disposable
|
10mL syringe/0.8mm (21
gauge) 4cm needle
|
20
|
-
|
|
6
|
General Medical
Equipment
|
|
|
|
|
Bedpan
|
Stainless steel to BS 2588.1, or
sterilizable plastic
|
1
|
-
|
|
|
Bottle, hot water
|
rubber, with a non-burn
surface or a fabric cover, size about 30 x 20cm
|
2
|
1
|
|
|
Bottle, urine, male
|
Glass or sterilizable
plastic, graduated in mL
A female
bottle should also be carried if there are female crew members
|
1
|
1
|
|
|
Pack, hot/cold
|
Flexible, re-usable
|
2
|
-
|
|
7
|
Immobilization &
setting
|
|
|
|
|
Collar for neck immobilization
|
Adult size set of 3, small, medium and
large, adjustable, rigid, with chin support for fractured neck.
|
1
|
1
|
|
|
Splint, inflatable
|
Set of six (half-leg,
full leg, half arm, and full arm, ankle and wrist)
|
1
|
1
|
|
|
Splint, malleable, finger
|
|
1
|
1
|
|
|
Splint, malleable, forearm and hand
|
|
1
|
1
|
|
|
Splint, thigh
|
Thomas, adjustable
|
1
|
1
|
|
|
Stalls, finger
|
With tapes, of robust material
throughout, two or more sizes
|
5
|
2
|
|
8
|
Disinfection,
Disinsectization and Prophylaxis
|
|
|
|
|
Sterilizer
|
Electrically heated sterilizer for
unwrapped utensils and instruments. Capacity: at least two kidney dishes,
one pair of scissors, and three forceps, at one sterilization.
A sterilizer designed for
sterilizing baby’s bottles should normally be suitable.
|
1
|
-
|
|
|
Equipment Category
|
Recommended Specification
|
A
|
B
|
|
|
Water-Disinfection compound
|
See ‘Chlorine compound’ in Group 17 in
Section 2.
|
|
|
|
|
|
See Group 18 in Section 2 for other
disinfection supplies.
|
|
|
|
9
|
Other Equipment
|
|
|
|
|
|
Bags, for records
|
Approx. size 30cm x 50cm, to
hold medivac records, dirty bandages, after-birth, &c
|
6
|
-
|
|
|
Bags, mortuary
|
Body bag - Large size, heavy
duty opaque plastic, with a zip closure on the long side, designed to store a
dead person in a refrigerator for up to 14 days or in a cool place for up to
5 days
|
1
|
1
|
|
|
Bags, specimen
|
strong, approx. size 15cm x
30cm, to hold specimen jars/containers
|
6
|
-
|
|
|
Box, “sharps” disposal
|
For used needles and
scalpels
|
1
|
1
|
|
|
Bowl, lotion
|
Size at least 200mm x 90mm,
stainless steel to BS 1823, or sterilizable plastic to BS 5452
|
1
|
-
|
|
|
Brush, nail
|
Strong, sterilizable plastic
throughout
|
1
|
1
|
|
|
Dish, kidney
|
Size 250mm stainless steel
to BS 1823, or sterilizable plastic to BS 5452.
|
2
|
-
|
|
|
Eye products
|
Eye bath, plastic,
sterilizable
|
2
|
2
|
|
|
|
Eye Pads, sterile, 50
individual
|
1
|
1
|
|
|
|
Eye shades, either eye
|
2
|
2
|
|
|
|
Eye wash solution, normal
saline or similar, 500mL
|
6
|
6
|
|
|
Face masks
|
Disposable
|
12
|
6
|
|
|
Equipment Category
|
Recommended Specification
|
A
|
B
|
|
|
First Aid Kits
|
Vessels should carry first
aid kits to be distributed in appropriate locations on the ship e.g. in the
galley, engine room and bridge.
|
3
|
3
|
|
|
|
The kit should include the
following items to be kept in a portable waterproof container.
|
|
|
|
|
|
(1) 8 x triangular bandages
(90 x 90 x 127cm base)
|
|
|
|
|
|
(2) 2 x No 13 BPC sterile unmedicated
dressings
|
|
|
|
|
|
(3) 2 x No 14 BPC sterile unmedicated
dressings
|
|
|
|
|
|
(4) 1 x No 15 BPC sterile unmedicated
dressings
|
|
|
|
|
|
(5) 12 medium safety pins, rustless
|
|
|
|
|
|
(6) 30 assorted elastic adhesive
waterproof dressings medicated BPC. Those supplied for use in the galley
should be blue or other easily detectable colour.
|
|
|
|
|
|
(7) 2 x sterile eye pads with attachment
|
|
|
|
|
|
(8) 6 x packs each containing 5 sterile
cotton balls
|
|
|
|
|
|
(9) 5 pairs large or extra
large size disposable polythene or latex gloves.
|
|
|
|
|
|
(10) 10 paraffin gauze
dressings, BP, 10 x 10cm, in individual sterile pack
(11) one pair of stainless
steel scissors, about 18cm long, one blade sharp pointed, the other round
ended.
|
|
|
|
|
|
In addition, it is suggested that in other areas where
injuries are possible, such as workrooms, kits for immediate first aid be
stored with materials such as hydrogen peroxide solution for disinfection and
cleaning minor wounds, sterile pads and adhesive tape. The kits should
contain eyewash materials in the engine room workshop areas and any areas
where liquids or solids may splash into the eye, and burn treatments in areas
where high temperature burns are likely.
|
|
|
|
|
Glass, magnifying
|
7.5cm diameter on handle
|
1
|
1
|
|
|
Equipment Category
|
Recommended Specification
|
A
|
B
|
|
|
Gloves
|
Latex gloves surgical quality - sterile
(large and extra large)
|
5 pairs
|
5 pairs
|
|
|
Instruments, dental
|
1) Excavator double ended Guy’s pattern
G2
2) Filling paste inserter or cotton
tipped applicators (for inserting filling paste into the tooth)
3) Dental mirror size 4 on handle
4) Cavit (temporary dental filling) tube, 7g
5) Oral splinting tape
Note: Items 2 to 5 can
be obtained prepacked in a proprietary kit, “Dentist in a Box™ – plus tooth
trauma care”, which also provides information on emergency dental treatment.
See Group 22 above for
other dental requisites.
|
1 set all
items
|
1 set items
2, to 5
|
|
|
Kit for protection against blood
transmitted diseases
(BTD kit)
|
For all vessels trading
in known malarial areas and in areas where medical facilities are limited and
emergency shore based treatment may be necessary.
To be kept in a heavy gauge polythene
bag, and labelled “to be used only for the treatment of …” (insert the name
of the seafarer going ashore for emergency treatment)
Each kit to
contain the following
(1) 10 x 2.5mL syringes
(2) 10 x 10mL syringes
(3) 20 x 21G 0.8mm needles
(4) 1 blood giving set
(5) 1 blood taking set
(6) pack of pre-injection site swabs
(7) Disposable plastic or latex gloves 2
pairs. (large size)
|
1
|
-
|
|
|
Equipment Category
|
Recommended Specification
|
A
|
B
|
|
|
Measuring equipment
|
Transparent plastic
measuring jug, strong, sterilizable, 750mL, graduated
|
1
|
1
|
|
|
|
Medicine measures, plastic,
size 30 to 40mL, graduated
|
6
|
2
|
|
|
|
Dropper, plastic (for
infants) (see disposable syringes)
|
-
|
-
|
|
|
|
Spoon, measuring, plastic,
size 5mL, conforming to AS 1325
|
50
|
50
|
|
|
Pins, safety
|
Rustless medium, size 5cm or
assorted
|
12
|
12
|
|
|
Publications
|
Marine Orders Part 10, and
the Guidelines
|
1
|
1
|
|
|
|
Controlled Drugs Register
|
1
|
1
|
|
|
|
Dispensary Book or Medical
Log
|
1
|
1
|
|
|
Sheeting, waterproof
|
Smooth, strong,
non-adhesive, rubber or plastic sheeting, size 1m x 2m, or fitted sheets of
similar type and size
|
2
|
1
|
|
|
Slides, microscope
|
Microscope slides in individual transit
containers.
Ships in malarial areas only
|
5
|
5
|
|
|
Stretcher equipment
|
An efficient carrying stretcher,
suitable for lifting the patient horizontally and vertically
|
2
|
1
|
|
|
Tissues
|
Soft paper, in closable container
|
200
|
200
|
|
|
Towels, paper
|
Paper, disposable, individual, hand size
|
100
|
100
|
4 Medical
Supplies for Category C Ships
(Ships in smooth or
partially smooth waters, and those that stay close to the shore.)
|
Ref no
|
Treatment, and Storage Symbols
|
Recommended Medicine and
Dosage Strength
|
Recommended Quantity
|
|
1
|
Cardio
vascular
|
|
|
|
B
|
Anti-angina
preparations
|
|
|
|
1B
|
|
Glyceryl trinitrate 400
micrograms metered 200 doses, spray, aerosol
|
1 unit
|
|
Ref no
|
Treatment, and Storage Symbols
|
Recommended Medicine and
Dosage Strength
|
Recommended Quantity
|
|
D
|
Anti-haemorrhagics
(including uterotonics if there are women with potential for child bearing
working on board)
|
|
1D1
|
|
Phytomenadione paediatric
1mg/0.5mL, (Vitamin K1) injection
|
1*
|
|
1D2
|
|
Ergometrine 500 microgram
Oxytocin 5 units, injection, 1mL
|
1*
|
|
2
|
Gastro
intestinal system
|
|
|
|
B
|
Anti-emetics
|
|
|
|
2B
|
|
Hyoscine hydrobromide 0.3mg,
tablet
|
60
|
|
(D)
|
Anti-diarrhoeals
|
|
|
|
|
|
Codeine Phosphate 30mg, tablet
|
20
|
|
3
|
Analgesics and
Anti-spasmodics
|
|
|
A
|
Analgesics
|
|
|
|
3A1
|
|
Paracetamol 500mg,
tablet
|
50
|
|
3A2
|
|
Codeine Phosphate (See 2D)
|
Use 2(D)
|
|
4
|
Nervous
system
|
|
|
|
C
|
Seasickness remedies
|
|
|
|
4C
|
|
Hyoscine hydrobromide (See 2B)
|
Use 2(B)
|
|
9
|
Medicines for External Use
|
|
|
|
A
|
Skin medicines
|
|
|
|
9A
|
Antiseptic solutions
|
Pre-diluted aqueous
solution containing Cetrimide and chlorhexidine, bottles, 100mL, disposable, for individual use.
|
6
|
|
9A
|
Burn preparations
|
Cetrimide Cream, tube, 50g, with local
anaesthetic effect.
|
1
|
5 Medical Equipment for
Category C Ships
|
|
Equipment category
|
Recommended Specification
|
Quantity
|
|
1
|
Resuscitation
Equipment
|
|
|
|
|
Mask, for mouth
to-mouth resuscitation
|
Pocket Mask
|
1
|
|
2
|
Dressing and
suturing equipment
|
|
|
|
Bandage, adhesive elastic
|
7.5cm x 4m
|
1
|
|
|
Bandages, sterile compression and
Dressings, unmedicated
|
(1) No 13, BPC
(2) No 14, BPC
(3) No 15 BPC
|
6
2
2
|
|
|
Bandages, triangular
|
about 90 x 90 x 127cm
|
4
|
|
|
Closures, wound, sterile, adhesive,
|
Pack of 8 strips (“Butterfly
closures”), 4 x 38mm.
|
6
|
|
|
Compresses, sterile gauze
|
Pack containing 5 sterile
gauze pads. Size 7.5 x 7.5cm
|
2
|
|
|
Dressings, adhesive
|
Assorted, sterile
|
20
|
|
|
Instruments, dental
|
1) Filling paste inserter or cotton
tipped applicators (for inserting filling paste into the tooth)
2) Dental mirror size 4 on handle
3) Cavit (temporary dental filling) tube, 7g
4) Oral splinting tape
Note: These items can be
obtained prepacked in a proprietary kit, “Dentist in a Box™ – plus tooth
trauma care”, which also provides information on emergency dental treatment.
|
1 set all items
|
|
|
Dressings, paraffin gauze
|
Sterile, 10 x 10cm
|
10
|
|
|
Gloves, disposable
|
Polyethylene or latex, large
or extra large
|
5 pairs
|
|
|
Pins, safety
|
Medium, rustless, assorted
|
6
|
|
|
Scissors, surgical
|
Stainless steel, 12.5cm
|
1 pr
|
|
|
Strips, suture
|
Adhesive, 75mm
|
4
|
|
|
Recommended
Additional Item
|
|
|
|
Bag, hazardous waste, plastic
|
For disposal of
hazardous waster materials
|
1
|
|