Emergency Checklist

MEDICAL EMERGENCY

Vessel		Position	Date
MV DELIA
Master		Officer on watch
Full Name		Full Name

Items to be checked / done :

N°	Item	o.k.	Remarks
01	Conduct assessment of victim for primary medical treatment using Int. Medical Guide for Ships	o.k.
02	Attend treatment with on-board facilities	o.k.
03	Prepare MEDICO message	o.k.
04	Inform Company	o.k.
05	Record all the relevant medical information (symptoms, treatment, description of accident, statements of witnesses etc)	o.k.
06	Request for medical advise from CIRM (Centro Internazionale Radio-Medico) or other Centres (Contact numbers are listed in ALRS), or other ships	o.k.
07	Prepare for medical evacuation, if applicable (see “MEDEVAC” in IAMSAR Manual Vol.III)	o.k.
08	Collect all the documents and personal belongings of victim and hand over to evacuating personnel together with list of items	o.k.

Statement :

SUNSHIP Schiffahrtskontor KG	Tel. ;	[phone]
(Reederei M. Lauterjung)	Fax: :	[phone]
Promenade Am Alten Binnenhafen 10	E-mail :	[e-mail]
26721 Emden / GERMANY

Doc.-N°	Revision	Date	Prepared	Approved	File No	Emergency Checklist	Page
C.12.00	0.20	01.01.2010	SM	MD	4	Medical Emergency	1 of 1

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