|1. Immediate action (2
||Revise as necessary, important aspects of the Marine Basic First Aid training course;
- Identification of probable cause, nature and extent of injuries is prompt, complete and conforms to current first-aid practice.
- Indication of risks of harm to self and others is minimized at all times.
- Treatment of injuries and the patient’s condition is appropriate, conforms to recognize first-aid practice and international guidelines.
|Trainees must be able to apply immediate first aid in the event of accident or illness on board.
|2. First Aid Kit (1.5
- Describe and list the contents of the first-aid kit required by national regulations and the international convention.
- List location of first-aid kits on board.
- Describe contents of lifeboat kit.
- Demonstrate use of the first-aid kit in appropriate medical situations.
- Importance of routine checks.
|Trainees must be able to describe and list the contents of the first-aid kit required by regulations.
|3. Body structure and functions (1
Use a chart, dummy, human body or other suitable medium, such as audio-visual aids, to describe and explain the structure of the human body and functions of the important parts and systems; in particular;
- For the skeletal system:
- lists the major parts of the skeleton.
- describe the different kinds of bones.
- explain the function of the skeleton.
- For the muscular system:
- list the major muscles of the human body.
- explains their operation and function.
- For the cardiovascular system:
- identify main organs of the chest and the location of the heart.
- describe the distribution of arteries and veins.
- describe the physiological function of the blood.
- describe the heart as a pump.
- explains how the circulatory system operates.
- state the location of the arterial pressure points and explain how they can be effectively used in an emergency involving bleeding.
- For the respiratory system:
- state the location of the lungs.
- explain the function of the lungs in terms of gas exchange.
- state the importance of respiratory rate.
- explain the importance of the composition of inspired and expired air.
- For the digestive system and abdomen:
- describe in simple terms the digestive system and its operation.
- list the abdominal organs and describe their function.
- Identify parts of reproductive system and functions of each.
- Identify structures of the skin and related elements.
|Trainees must be able to describe and explain the structure of the human body and functions of the important parts and systems.
|4. Toxicological hazards aboard ship
- State that there are important regulations to be observed for the transport of dangerous cargo aboard ship as required by the
- knowledge of potentially toxic substances.
Class identification system and the information available.
- Material Safety Data Sheets
, their location and the type of information available.
- proper safeguards to be followed in the use and storage of dangerous goods carried on board.
- Apply first-aid in accordance with the International First Aid Science Advisory Board or its national equivalent;
- Use, in particular, the appropriate First Aid techniques for:
- identifying the symptoms and clinical aspects of poisoning.
- applying first aid in cases of poisoning by ingestion, inhalation, or skin/eye injuries.
- applying first aid in cases of acid and caustic solutions that have been swallowed.
- identifying the symptoms of and treatment for acid and caustic burns.
- Use of oxygen administration:
- components of the delivery system
- operation of the delivery system.
- changing cylinders.
with supplemental oxygen.
- after use care and servicing.
- Entry in confined spaces:
- characteristics and dangers associated with confined spaces.
- limitations of responsibilities and abilities when dealing with confined spaces.
- appropriate precautions and procedures for incidents in and around confined spaces.
|Trainees must be able to evaluate toxicological hazards aboard ship.
|5. Examination of patient
- Conduct a systematic and complete:
- primary assessment (airway, breathing, circulation);
- and secondary assessment (history, vital signs, head-to-toe examination);
- including appropriate record keeping of findings and action taken.
- Provide assessment from a large variety of individual facts based on:
- information derived from medical history;
- general appearance;
- answers to specific questions;
- physical examination.
- Draw conclusions by process of elimination and comparison;
- recognize feigning of illness.
- recognize airway obstruction and provide appropriate care for obstructed airways.
- recognize breathing emergencies and provide artificial respiration for casualty without suspected head/spinal injury; for casualty with suspected head/spinal injury; and oxygen administration including an overview of endotracheal intubation.
- recognize signs and symptoms of angina/heart attack.
- recognize signs and symptoms of cardiac arrest.
- Demonstrate one rescuer
, two rescuer
|Trainees must be able to make detailed observations of casualty and provide assessment.
|6. Spinal injuries
- Recognize the signs and symptoms of spinal injury;
- recognize signs of possible head/spinal injury based on mechanism of injury.
- Identify the complications, which may be caused by unconsciousness.
- Apply appropriate first aid measures, including:
- take precautions to avoid further damage where head/spinal injuries are suspected.
- appropriate rescue transport and treatment for cases of suspected fracture of the spine.
- Head injuries;
- levels of consciousness or unconsciousness.
|Trainees must be able to recognize the symptoms of spinal injury and provide suitable care.
|7. Burns, scalds and effects of heat and cold
- Recognize the signs of: burns, scalds, heatstroke, hypothermia, frostbite and identify them according to type (heat, electrical, chemical, radiation).
- Apply appropriate first-aid measures including;
- the definition, complications and treatment of the general condition of burns.
- Distinguish between burns and scalds.
- Describe the differences between partial thickness and full thickness burns.
- Classify burn and apply the correct first-aid procedures according to the seriousness of the burned area.
- State the importance of sterile dressings.
- Describe the effects of heat and state the importance of positioning the patient in the shade, providing the increased fluid requirement and careful cooling of the body.
- Distinguish between hypothermia and frostbite and apply the correct first aid procedures, including rewarming and attention to possible tissue damage
|Trainees must be able to recognize signs of burns, scalds and effects of heat and cold and provide suitable care.
|8. Fractures, dislocation and muscular injuries
- Apply practical first-aid procedures for the assessment and treatment of fractures, dislocations and muscular injuries.
- Describe types of fractures as;
- open or compound, closed or simple, complicated
- assess from indications that a bone is broken
- Describe the treatment for injured parts;
- stop bleeding from open fracture
- relieve pain and treat fractures
- State the importance of immobilization of the injured part.
- Describe the special requirements for the treatment of pelvic and spinal injuries.
- Describe the signs, symptoms and treatment of sprains, strains and dislocations;
- recognize dislocations from signs.
- prevent movement in affected area by suitable immobilization and take precautions during transportation.
- Demonstrate the correct procedures to be used in cases of fractures, dislocations and muscular injuries.
- Recognize and treat muscular injuries.
- State the necessary precautions while using splints.
|Trainees must be able to apply practical first-aid procedures for the assessment and treatment of fractures, dislocations and muscular injuries.
|9. Medical care of rescued persons, including distress, hypothermia and cold exposure
- Apply appropriate skill in the care of rescued persons;
- handle immediate medical problems
- Recognize the special problems in cases of;
- hypothermia, applying the correct treatment and taking precautions against heat loss and taking into account the effects of wind and humidity.
- frostbite, applying the correct treatment for cold injury, immersion foot, etc.
- treat for oil contamination, dehydration and malnutrition.
- treat for sunburn, heat exhaustion, cramps and sunstroke.
- seasickness, describing the cause and provide treatment.
- sunburn, describing the cause and providing the correct treatment and prophylaxis (prevention).
- dehydration and nutrition in rescue situations, describing frequent errors and hazards.
- Provide follow-up care.
|Trainees must be able to apply basic medical skill in the care of rescued persons.
|10. Radio medical advice
- State that radio medical advice is available using
- Describe the methods used to obtain radio medical advice;
- prepare information before asking for advice.
- provide information to advisor and record exchange of information.
- repeat information to advisor.
- Interpret advice obtained from external sources.
- Maintain all records on board.
- Make all arrangements for helicopter or ship to ship transfer.
|Trainees must be able to describe the methods used to obtain radio medical advice.
- Drug list on board;
- usage.- dosages.
- side effects and precautions related to specific medications available on board
- Describe how injections (
) are given.
- Describe how a test dose for penicillin is given.
- Describe what qualifications are required to administer each medication.
|Trainees must be able to list medications carried on board.
- Discuss disinfection of surgical instruments.
- Apply knowledge of universal precautions.
- Take precautions against infecting the wound.
|Trainees must have knowledge of methods of disinfection and of universal precautions.
|13. Cardiac arrest, asphyxia and drowning
- State the cause of and apply the appropriate treatment for;
- recognize a stroke/
and provide first aid.
- recognize signs and symptoms of congestive heart failure (
- provide immediate first aid to casualty in a drowning emergency.
- recognize asphyxia and provide first aid.
- Explain how mouth-to-mouth resuscitation is applied and state under what conditions it cannot be used.
- Explain how chest compressions are applied and state the limiting factors related to the use of cardiopulmonary resuscitation
practice on a mannequin.
- Demonstrate the correct procedures for mouth-to-mouth resuscitation and chest compressions using a practice mannequin.
|Trainees must be able to apply the appropriate treatment for cardiac arrest, asphyxia and drowning.
|14. Psychological and psychiatric problems
- Explain that situational disturbances may be influenced by;
- psychological characteristics of seafarers.
- psychological consequences of separation.
- State that these may be contributory factors for psychological malfunctioning.
|Trainees must be able to recognize contributory factors for psychological malfunctioning.