1. Emergency

Serious Injuries,

Illnesses

• at sea

• in port

2. Application

• Shorebased Organisation

• All Ships

3. Situations and Action on Board

3.1 Accident

For immediate measures, First aid and rescue of injured persons refer to Emergency Response Plan NP-004 “Rescue of Injured or Seriously Sick Persons"

3.2 Treatment of Sick and Injured Persons

Situation	Respon­sibility	Action	Comments
Breathing Circulation	Safety Officer	Establishes whether there exists danger for breathing and circulation -which must be treated with priority ! (artificial respiration, cardio pulmonary resuscitation) Supports circulation: places person on flat surface; puts up person's legs if person suffering from shock. In case of serious injuries, applies infusion at wrist and administers physiological injection
Injuries	Safety Officer	Stops bleeding (compresses), rinses wounds, disinfects edges of wounds, dresses wounds. Splints/plasters fractures Pupillary reflex tests for brain injuries: direct beam of torchlight into one eye - pupil of other eye should contract simultaneously !
Pains	Safety Officer Master	Administers painkillers. Patients convalesce faster when feeling comfortable. Severe pains: administers narcotics if appropriate	Drug Book

Situation	Respon­sibility	Action	Comments
Medical History	Safety Officer	Gets complete account of development and history of illness, makes notes. Enquires about permanent illnesses, allergies and previous medications.
Examination	Safety Officer	Makes total examination of patient. Notes general condition. Takes rectal temperature, blood pressure and pulse. Watches condition of larynx (throat), tongue and eyes.	Records
Diagnosis	Safety Officer Master	From symptoms, do not jump to conclusions. Consider all possible alternatives. Most wrong treatments stem from rash judgements and one-sided examinations !	Medical Aid Guide
Informing Master	Safety Officer	Informs Master immediately and at any time if severe injury/illness suspected. Keeps Master continually informed if so instructed
Radio Medical Assistance	Master Safety Officer	Collects all data and facts, requests assistance via coastal radio station. To this end, observes patient as closely and precisely as possible.
Treatment	Safety Officer	Conducts treatment as per Medical Aid Guide's instructions. Records method(s) of treatment, names and dosage of medicines administered.	Medical protocol
Observation	Safety Officer	Establishes and tests communication between patient and bridge (telephone, walkie-talkie). Regularly sees/examines patient (minimum 4-hour intervals), continues making notes even when patient recovers	Medical protocol
Informing shorebased units	Master	In serious cases requiring assistance from the shore, informs: agents, consulate, headoffice.	Fax, Telephone

Situation	Respon­sibility	Action	Comments
Treatment in port, ashore	Safety Officer	In a letter to the doctor, describes all facts, data and development of illness. Requests doctor to supply initial evaluation and proposed treatment plan. In severe cases and in case of language problems, accompanies patient. Involves agency.	Letter with data
Documentation	Safety Officer, Master	Have complete records and data on patient, make entries into ship's log, medical chart, medical report, write accident report. Pass above on to See-BG, Arbeitsschutzbehörde (German-flag ships)
Transfer to other ship helicopter port rescue service		Refer to Emergency Response Plan NP-004 "Rescue of Injured or Serious Sick Persons"

4. Training on Board

• Immediate measures in case of accidents at work: discuss, demonstrate, and practise (checking of breathing and circulation, artificial respiration, cardio pulmonary resuscitation-CPR, stable positioning, application of compresses in cases of severe bleeding)

• Eye Douching: Checking of eye douche flasks at places of work. Provision and checking of clean water for eye douching. Whenever eye affected by acid or lye, immediate douching is essential, the earlier the better: every second counts ! Therefore, make all concerned aware of importance of eye douche flask ! Continue to douche eye(s) for 20 minutes, if possible with body-temperatured water.

• Preparing and getting ready of First Aid Kit. Informing crew about location and use of kit.

• Practise securing and taking up of injured person with spinal support board. Practise stabilising the head.

5. Situations and Action Ashore

The shore-bases organisation does not take action until the injured person has to be transferred.

Situation	Respon­sibility	Action	Comments
Report from ship	Fleet Manager	Stand by
Instructing agents	Fleet Manager	Instructs agents in relevant port to attend to person (visits in hospital, repatriation, authorities)	Telephone and Fax
Informing next of kin	Fleet Manager	Informs next of kin of whereabouts of person	Telephone
In case of accident	Fleet Manager	Reports to See-BG, Arbeitsschutz­behörde (German-flag ships) or flag state administration (Forms from Scott Shipping Management Ltd.) Collects and files securely, all data and reports	Accident report and Master's reports

6. Training Ashore

• Joint exercises with ship

7. Reference Documents

• Emergency Response Manual

• Medical Aid Guide

• Seamen's Law

• Accident Prevention Regulations

• Ships' Logs Regulations

• Training Manual

• Personal Accident Form (Scott Shipping Management Ltd.)

• Medical Examination Form (Scott Shipping Management Ltd.)

Emergency Response Plan

Schiffahrtskontor tom Wörden GmbH & Co. KG Wilhelm-Schröder-Str. 3 D-21726 Oldendorf

NP-008

Revision 3

18.12.2002

Page 1 of 5

Emergency Response Plan

Reederei Heinz Corleis Kampweg 4a D-21706 Drochtersen

prepared: 28.03.1998	approved:	released:	Revision 0
			Emergency Response Plan No.: NP-008
J.Köster	H.Corleis	H.Corleis	Page 1 of 5

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