open access

Vol 68, No 4 (2017)
MARITIME MEDICINE Review articles
Published online: 2017-12-22
Submitted: 2017-10-02
Accepted: 2017-10-02
Get Citation

Debriefing of the medical team after emergencies on cruise ships

Eilif Dahl
DOI: 10.5603/IMH.2017.0034
·
Pubmed: 29297567
·
International Maritime Health 2017;68(4):183-186.

open access

Vol 68, No 4 (2017)
MARITIME MEDICINE Review articles
Published online: 2017-12-22
Submitted: 2017-10-02
Accepted: 2017-10-02

Abstract

Done to improve safety and patient outcome but not to lay blame, debriefings on cruise ships should preferably be conducted as standard practice in the medical facility immediately after all critical events aboard. The key questions to be asked are: What went well, what could have gone better and what must participants do to improve care? Post-debriefing the ship’s doctor might have to deal with team members’ mental stress resulting both from the event and from debriefing it. Required by most cruise companies, standardised advanced life support courses teach effective high-performance team dynamics. They provide the multinational medical staff with a clearer understanding of the rescue sequence, which again will reduce the risk of mistakes and simplify post-event debriefings. Their systematic approach to the chain of survival is also helpful for post-event debriefings if something went wrong.

Abstract

Done to improve safety and patient outcome but not to lay blame, debriefings on cruise ships should preferably be conducted as standard practice in the medical facility immediately after all critical events aboard. The key questions to be asked are: What went well, what could have gone better and what must participants do to improve care? Post-debriefing the ship’s doctor might have to deal with team members’ mental stress resulting both from the event and from debriefing it. Required by most cruise companies, standardised advanced life support courses teach effective high-performance team dynamics. They provide the multinational medical staff with a clearer understanding of the rescue sequence, which again will reduce the risk of mistakes and simplify post-event debriefings. Their systematic approach to the chain of survival is also helpful for post-event debriefings if something went wrong.
Get Citation

Keywords

debriefing, cruise ships, emergency, medical teamwork, life support courses, communication, maritime medicine

About this article
Title

Debriefing of the medical team after emergencies on cruise ships

Journal

International Maritime Health

Issue

Vol 68, No 4 (2017)

Pages

183-186

Published online

2017-12-22

DOI

10.5603/IMH.2017.0034

Pubmed

29297567

Bibliographic record

International Maritime Health 2017;68(4):183-186.

Keywords

debriefing
cruise ships
emergency
medical teamwork
life support courses
communication
maritime medicine

Authors

Eilif Dahl

References (15)
  1. Macmillan Dictionary. Debriefing. http://www.macmillandictionary.com/dictionary/american/debriefing.
  2. International Maritime Organisation (IMO). Sub-committee on human training and watch keeping, 3rd session, (HTW/3). Review of STCW passenger ship-specific safety training. Specification of minimum standard of competence in crisis management and human behaviour. Table A-V/2-2; 2015. . https://www.cruising.org/docs/default-source/imo/proposed-amendments-to-the-stcw-convention-passenger-ship-specific-safety-training.pdf?sfvrsn=0.
  3. International Labour Organization. Maritime Labour Convention, 2006. . http://www.ilo.org/wcmsp5/groups/public/@ed_norm/@normes/documents/normativeinstrument/wcms_090250.pdf.
  4. Kessler DO, Cheng A, Mullan PC. Debriefing in the emergency department after clinical events: a practical guide. Ann Emerg Med. 2015; 65(6): 690–698.
  5. Taylor CJ. Medical emergency announcements on cruise ships: an audit of outcome. Int Marit Health. 2015; 66(4): 203–206.
  6. Dahl E, Diskin A, Giusti AC, et al. A first response bag with standardized contents for medical emergencies on cruise ships. Int Marit Health. 2010; 61(1): 18–23.
  7. American College of Emergency Physicians (ACEP). Health Care Guidelines for Cruise Ship Medical Facilities. https://www.acep.org/Content.aspx?id=29980 (Revised July 2014).
  8. Cruise Lines International Association (CLIA). Medical Facilities. https://www.cruising.org/about-the-industry/regulatory/industry-policies/health/medical-facilities.
  9. American Heart Association. Advanced cardiovascular life support – Provider manual. AHA, USA 2016 (ISBN 978-1-61669-400-5).
  10. Sawyer T, Loren D, Halamek LP. Post-event debriefings during neonatal care: why are we not doing them, and how can we start? J Perinatol. 2016; 36(6): 415–419.
  11. Devilly G, Gist R, Cotton P. Ready! Fire! Aim! The Status of Psychological Debriefing and Therapeutic Interventions: In the Work Place and After Disasters. Rev General Psychology. 2006; 10(4): 318–345.
  12. Mullan PC, Wuestner E, Kerr TD, et al. Implementation of an in situ qualitative debriefing tool for resuscitations. Resuscitation. 2013; 84(7): 946–951.
  13. Donabedian A. The quality of care - how can it be assessed? JAMA. 1988; 260(12): 1743–1748.
  14. The Australian Transport Safety Bureau (ATSB) Interview protocols in transport safety investigations. https://www.atsb.gov.au/publications/2014/interview_protocols/.
  15. Dahl E. Cruise ship's doctors - company employees or independent contractors? Int Marit Health. 2016; 67(3): 153–158.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl