Marine medicine. Textbook for medical students
Medical University "Prof. Dr. Paraskev Stoyanov" - Varna is the only university in our country that offers its students training on health problems related to the relationship between man and the marine environment, they inform on the website of the University of Varna.
Students have the opportunity to learn about and gain knowledge about problems of ship and diving medicine, water rescue activities, as well as knowledge and skills in water sports.
The discipline is intended for students of the 3rd and 4th year, specialty "Medicine". The training takes place at the University of Varna, with classes held at the VVMU, on the vessels of the University of Varna, the rescue ship of the BCH and others. The training ends with the celebration of the European Day of the Sea in the month of May.
Registration is carried out through the student coordinator Dimitar Chavdarov Dimitrov, phone: 0886260559, email: [email protected] and/or in cab. 1007 (10th floor, RZI) with Associate Professor Dimitar Stavrev.
For the first time in the country, a study aid is printed, which collects in one place the medical aspects of human-marine contact, medicine on board a marine facility and ashore, water rescue, diving medicine, marine toxicology and pharmacology.
The publication does not duplicate the clinical diseases and problems studied in other disciplines, but considers drowning, barotrauma, hypothermia, seasickness, decompression sickness, sea poisoning, as well as specific treatment methods such as hyperbaric oxygenation and the pharmacological provision of marine medicine, which are characteristic of the marine environment.
Emphasis is on medical topics on offshore platforms and cruises. Current national and international regulations are presented, regulating the organization of medical assistance on board the marine facility, on the shore, the order and method of providing assistance in the event of accidents and accidents, organization of prevention, expertise and control and last but not least - the method and requirements for the training of maritime medical professionals and the medical training of maritime non-medical professionals.
The topics in the textbook are presented in an easy-to-understand way so that they can be understood by students who are not familiar with marine terminology. Most of the figures - photographs and graphics - are original.
CONTENTS
Review
Abbreviations used
Preface
Aquatic environment
Impact of the aquatic environment on the human body
Buoyancy
Vision
Rumor
Tactile sensitivity
Sense of smell
Thermoregulation
Breathing in water and under pressure
Cardiovascular system
Endocrine system
Energy expenditure
The sea - a source of healing effects
Marine products in nutrition
Recommendations for consumption of marine products
Risks of consuming seafood
Public importanceof water traumatism
Drowning and drowning
Historical data on water incidents
Mechanism of drowning
Treatment for suffocation and drowning
Historical data
Treatment
Establishing the need for breathing support andblood circulation
Place the victim in the correct position
Airway care
Artificial respiration
Restore and maintain circulation
Hypothermia (Hypothermia)
Clinical picture
Treatment of hypothermia
Traumas and injuries in the aquatic environment
Barotrauma
Water rescue activity
Regulations
Organization of the medical service of water rescue
Preparation of medical staff for the SCC
Medical training of water rescuers
Medicine on board a marine facility
Impact of the professional environment on the body
Risks from physical agents
Risks from chemical exposures
Biological hazards
Meals on board the ship
Socio-psychological features of the relationships ofon board the ship
Medical problems on board ship and other marine facilities
Motion sickness - motion sickness
Definition and frequency
Theories and mechanisms of motion sickness
Symptoms of motion sickness
Prevention and treatment
First aid on board marine vessels and equipment
Traumatic injuries
Wounds and bleeding
Basic limb and board bandaging methods
Restoration of blood circulation
Execution of the breath
Oxygen administration
Use of automatic external defibrillators - AED
Choking
Lateral stable position
Shock
Organization of healthcare activities on board
Ship doctor
The ship's medical unit
Port medicine
Cruise medicine
Medical insurance on offshore platforms
Medical training of marine medical professionals
Medical training of marine non-medical professionals
Poisoning in maritime practice
Poisoning of maritime professionals and passengers on board a vessel and marine facility
Poisoning with pharmaceutical preparations
Methanol and ethylene glycol poisoning
Poisoning by organophosphate and carbamate insecticides
Anticoagulant poisoning (warfarin, rat poison)
Oil poisoning
Poisoning from exposure to toxic gases
Poisoning by touch, sting and bite of marine animals in the World Ocean and the Black Sea
Poisoning by touching marine animals
Poisoning by marine animal stings
Poisoning by bites from marine animals
Diving medicine
Saturation and desaturation of the body with inert gas
Gas formation in body tissues
Diving diseases
Decompression sickness
Prevention and treatment of diving diseases
Medical insurance of the diving activity
Hyperbaric Oxygenation (HBO)
History of Hyperbaric Medicine
Physiological basis of hyperbaric oxygenation HBO
Internationally approved indications for HBO
Contraindications for HBO therapy
Equipment used in hyperbaric medicine
Staff of the hyperbaric complex
Pharmacotherapy of marine medicine
Regulatory base
Furnishing of a marine facility
Basic rules for managing the ship's first aid kit
Liability
Record keeping
Identification of drugs
Storage
Expiry date
Pregnancy
Adverse drug reactionsand drug interactions
Allergy to drugs
Controlled drugs
Specific categories of drugs
Medical equipment on a cruise ship
Medical equipment on lifeboats
Pharmaceutical preparations included in the furnishing of the medical units of the Supreme Court
Recommended literature