Trauma
Some traumas may be treated on ship with enough time to consult medical books aboard, but other traumas may require emergency hospital admission because they are life threatening. This handbook mainly includes the latter that require examination and treatment by a medical specialist.
Note: "Application Volume (3) OO" is an abbreviation of "Guide to First - Aid Treatment Aboard Ships - Application Volume (3)" in Japanese edited and published by the Japan Seamen's Medical Affairs Corporation (JSMAC). "*OOP" represents the corresponding page of the "Guide to First-Aid Treatment Aboard Ships (Volume II)"in English published by the Japan Seamen's Medical Affairs Corporation (JSMAC), on which the description is given.
[Surgical]
14]Cut Wound, Chop Wound, Stab Wound, and Contusion
[Caution]
-Be sure to avoid contact with bloodstains.-
Diseases transmitted through blood include hepatitis B, AIDS, hepatitis C, adult T cell leukemia, and syphilis. If you come into contact with bloodstains during treatment, thoroughly flush the area with running water. Then disinfect the site carefully with cotton soaked in a 0.1% sodium hypochlorite solution.
Large wound:
[bleeding, pain]
1. Hemostasis 2. Suture 3. Compression bandage 4. Antibiotics
5. Antipyretic analgesic antiinflammatory agent
[when it cannot be sutured]
1. Keep the wound closed with adhesive tape. 2. Oxycel or Spongel 3. Compression bandage
4. Antibiotics 5. Antipyretic analgesic antiinflammatory agent
Contaminated wound:
1. Clean the area around the wound. 2. Remove foreign debris from the wound and wash the site.
3. Antibiotic gauze 4. Give an antibiotic (see Application Volume (3) 20P *4-5P).
Massive bleeding:
1. Tourniquet use (be careful about the period of hemostasis!) 2. Injection of hemostatic
3. Antipyretic analgesic antiinflammatory agent
Loss of a finger:
1. Hemostasis 2. Compression bandage 3. Antibiotics 4. Antipyretic analgesic antiinflammatory agent (Clean the amputated finger, cover it with sterile gauze, and insert it into a vinyl bag that can be tightly sealed and immersed in ice water).5. Emergency entry into port
Severe contusion: (subcutaneous hemorrhage, internal hemorrhage, Swelling, pain)
1. Cold compress 2. Antipyretic analgesic antiinflammatory agent
3. Immobilization with a splint if the symptoms are severe (see Application Volume (3) 22P*24P)
