Vol 70, No 1 (2019)
Review article
Published online: 2019-03-28

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A Medical Support in Offshore Racing — Workshop on Medical Support for Offshore Yacht Races, Telemedical Advice Service (TMAS), 1–2 December 2018, London, United Kingdom

Nebojša Nikolić1, Roger Nilson2, Spike Briggs3, Arne J. Ulven4, Agnar Tveten5, Simon Forbes6, Carmen Vaz Pardal7, Lucas Viruly8, Rob Verbist9
Pubmed: 30931515
IMH 2019;70(1):27-41.


The safety and health of sailors offshore is of major concern. World Sailing (WS) and International Maritime Health Association (IMHA) are taking seriously the potential dangers to the safety and health at sea. By the nature of their sport, the sailors racing in offshore racing environment can be exposed to injuries and other health problems that can endanger their lives. Being aware of the potential dangers caused by the distance from onshore health facilities and lack of professional help on board, IMHA and WS decided to support the activities that are leading to the enhancement of safety and health protection on board. With common initiative, joint Workgroup on Medical Support in Offshore Racing has been formed and the series of workshop organised. The WS/IMHA Workgroup on Medical Support for Offshore Yacht Races previously reached consensus on the common competences and learning outcomes for medical training for offshore racing. In addition, the Workgroup has also set standards for required medical kit inventory for yachts par- ticipating in the various categories of offshore yacht races. Documents were both approved by WS Medical Commission and the IMHA Board. Fourth workshop on Medical Support for Offshore Yacht Races was held in London, United Kingdom, 1–2 December 2018 and workgroup reached consensus on the standards for availability of Telemedical Advice Services (TMAS) for the various categories of offshore yacht races held under the authority of WS. This position paper sets out how the TMAS should be integrated with the practical usage of medicines and medical equipment on board offshore racing yachts. In addition, this position paper also sets out how the level of medical training integrates with appropriate use of the TMAS. Overall, the three WS/IMHA position papers on the triad of medical inventories, medical training and TMAS, are aimed at providing the best possible medical care on offshore racing yachts, by fully integrating each part of the triad of medical support. 

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  1. Nathanson A. Sailing Injuries: A Review of the Literature. R I Med J (2013). 2019; 102(1): 23–27.
  2. Nikolić N, Denisenko I, Nilson R, et al. A Medical Support in Offshore Racing Workshop, 6 November 2015, Sanya, China. Int Marit Health. 2016; 67(4): 255–259.
  3. Nikolić N, Horneland AM, Denisenko I, et al. A Medical Support in Offshore Racing Workshop on Learning Competences/Outcomes, 4-5 November 2016, Barcelona, Spain. Int Marit Health. 2017; 68(3): 178–182.
  4. Nikolić N, Nilson R, Briggs S, et al. A Medical Support in Offshore Racing — Workshop on Medical Kit Inventory in Offshore Yacht Racing, 12–13 May 2017, Lorient, France. Int Marit Health. 2018; 69(3): 1–9.
  5. Ross MT, Nikolić N, Peeraer G, et al. Report of the MEDINE2 Bachelor of Medicine (Bologna First Cycle) tuning project. Med Teach. 2014; 36(4): 314–321.
  6. Carr SJ. Assessing clinical competency in medical senior house officers: how and why should we do it? Postgrad Med J. 2004; 80(940): 63–66.
  7. World Sailing [Internet] Offshore Special Regulations. https://www.sailing.org/specialregs (Acessed 08.02.2019).
  8. Sood S, Mbarika V, Jugoo S, et al. What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings. Telemed J E Health. 2007; 13(5): 573–590.
  9. Doarn CR. Challenges and barriers to development of telemedicine programs. Stud Health Technol Inform. 2004; 104: 41–48.
  10. Henny C, Hartington K, Scott S, et al. The business case for telemedicine. Int Marit Health. 2013; 64(3): 129–135.
  11. Ricci G, Pirillo I, Rinuncini C, et al. Medical assistance at the sea: legal and medico-legal problems. Int Marit Health. 2014; 65(4): 205–209.
  12. Guitton MJ. Telemedicine at sea and onshore: divergences and convergences. Int Marit Health. 2015; 66(1): 18–21.
  13. Luger TJ, Giner R, Lorenz IH. Cardiological monitoring of sailors via offshore Internet connection. J Sports Med Phys Fitness. 2001; 41(4): 486–490.
  14. Inmarsat/VolvoOcean Race [Internet] Staying in touch. http://volvo.inmarsat.com/item/staying-in-touch (Acessed 08.02.2019).
  15. Volvoocean race.com [Internet] Technical equipmenthttps. http//www.volvooceanrace.com/en/boat/12_Technical-equipment.html (Acessed 08.02.2019).
  16. Nikolić N. Yachting and Sailing: “Nautical Tourism”. In: Dawood R. ed. Travellers’ Health – How to stay healthy abroad. Oxford University Press, Oxford 2012: 282–287.
  17. Mahdi SS, Amenta F. Eighty years of CIRM. A journey of commitment and dedication in providing maritime medical assistance. Int Marit Health. 2016; 67(4): 187–195.
  18. Amenta F. The Centro Internazionale Radio Medico Symposium "The Way Forward of Maritime Telemedicine". Int Marit Health. 2016; 67(1): 56.
  19. Dahl E. Briefing notes on maritime teledermatology. Int Marit Health. 2014; 65(2): 61–64.
  20. Nikolić N. Health care for nautical tourist. Bull Inst Marit Trop Med Gdynia. 1992; 43(1-4): 75–77.
  21. Westlund K, Attvall S, Nilsson R, et al. Telemedical Maritime Assistance Service (TMAS) to Swedish merchant and passengers ships 1997-2012. Int Marit Health. 2016; 67(1): 24–30.
  22. Dehours E, Roux P, Tabarly J, et al. French maritime procedures concerning the Ebola infection, experience of the French Tele-Medical Assistance Service (TMAS). Int Marit Health. 2015; 66(3): 184–185.
  23. Zeidler F, Načinović A, Rubinić M, et al. Frequency and Quality of Radio-medical Advice Service Calls in Rijeka/Croatia. Medicina . 1999; 35: 55–59.
  24. Schlaich C, Reinke A, Savenich C, et al. Guidance to the International Medical Guide for Ships 3(rd) edition: interim advice regarding the best use of the medical chest for ocean-going merchant vessels without a doctor onboard: joint statement of WHO Collaborating Centres for the health of seafarers and the International Maritime Health Association - 2009 version. Int Marit Health. 2009; 60(1-2): 51–66.