open access

Vol 70, No 4 (2019)
MARITIME/OCCUPATIONAL MEDICINE Original article
Published online: 2019-12-24
Submitted: 2019-05-10
Accepted: 2019-10-18
Get Citation

Medical kit for single-handed offshore yacht races

Jean Christophe Fimbault, Jean Marc Le Gac, Bruno Barberon, Vincent Lafay, Jean Pierre Auffray
DOI: 10.5603/IMH.2019.0035
·
Pubmed: 31891175
·
International Maritime Health 2019;70(4):220-225.

open access

Vol 70, No 4 (2019)
MARITIME/OCCUPATIONAL MEDICINE Original article
Published online: 2019-12-24
Submitted: 2019-05-10
Accepted: 2019-10-18

Abstract

Background: The medical kit is the basis of medical support in maritime environment; it is defined by international or national regulations and guidelines. For offshore races, rules and recommendations are proposed by national or international sailing federations. Sailing and racing offshore alone presents specificities that sometimes make it difficult to apply the usual recommendations. The epidemiology of single-handed offshore race is dominated by traumatic risks. Medical events are relatively rare because competitors are high-level athletes, generally young and subject to complete medical assessments. The scarcity of available scientific data makes it necessary to choose appropriate methods for developing recommendations. The purpose of this work is to propose a medical kit adapted and applicable to these situations.

Materials and methods: The method used was that of “Professional recommendations by formal consensus of experts” derived from the Rand/UCLA method. After a critical analysis of the literature, a panel of 19 experts having expertise in medicine in maritime environment was gathered from various medical specialties (cardiologist, internist, intensivist and emergency physician, ear-nose-throat physician and general practitioner) and from varied medical activities. They had not declared any direct conflict of interest.

Results: A medical kit proposal has been developed. The choice of drugs was based on the analysis of the epidemiology of medical events observed during the last offshore races. The experts’ choice was to reduce the quantity of medication and medical devices in order to limit the risk of confusion of medicines and dosages. Drugs with significant side effects or requiring third party monitoring have been removed. Medical devices designed to do an intervention impossible to perform on oneself have also been eliminated.

Conclusions: Solo sailing remains a marginal maritime activity with specific risks. The development of single-handed races requires an adaptation of medical support through the development of a specific medical kit and adapted training. The formalised consensus of experts seems to be an appropriate method for developing recommendations in the field of maritime medicine.

Abstract

Background: The medical kit is the basis of medical support in maritime environment; it is defined by international or national regulations and guidelines. For offshore races, rules and recommendations are proposed by national or international sailing federations. Sailing and racing offshore alone presents specificities that sometimes make it difficult to apply the usual recommendations. The epidemiology of single-handed offshore race is dominated by traumatic risks. Medical events are relatively rare because competitors are high-level athletes, generally young and subject to complete medical assessments. The scarcity of available scientific data makes it necessary to choose appropriate methods for developing recommendations. The purpose of this work is to propose a medical kit adapted and applicable to these situations.

Materials and methods: The method used was that of “Professional recommendations by formal consensus of experts” derived from the Rand/UCLA method. After a critical analysis of the literature, a panel of 19 experts having expertise in medicine in maritime environment was gathered from various medical specialties (cardiologist, internist, intensivist and emergency physician, ear-nose-throat physician and general practitioner) and from varied medical activities. They had not declared any direct conflict of interest.

Results: A medical kit proposal has been developed. The choice of drugs was based on the analysis of the epidemiology of medical events observed during the last offshore races. The experts’ choice was to reduce the quantity of medication and medical devices in order to limit the risk of confusion of medicines and dosages. Drugs with significant side effects or requiring third party monitoring have been removed. Medical devices designed to do an intervention impossible to perform on oneself have also been eliminated.

Conclusions: Solo sailing remains a marginal maritime activity with specific risks. The development of single-handed races requires an adaptation of medical support through the development of a specific medical kit and adapted training. The formalised consensus of experts seems to be an appropriate method for developing recommendations in the field of maritime medicine.

Get Citation

Keywords

medical kit, single handed, offshore yacht races

About this article
Title

Medical kit for single-handed offshore yacht races

Journal

International Maritime Health

Issue

Vol 70, No 4 (2019)

Pages

220-225

Published online

2019-12-24

DOI

10.5603/IMH.2019.0035

Pubmed

31891175

Bibliographic record

International Maritime Health 2019;70(4):220-225.

Keywords

medical kit
single handed
offshore yacht races

Authors

Jean Christophe Fimbault
Jean Marc Le Gac
Bruno Barberon
Vincent Lafay
Jean Pierre Auffray

References (13)
  1. Word Health Organisation. International medical guide for ships: including the ship’s medical chest. http://www.who.int/iris/handle/10665/43814.
  2. Genton B, D'Acremont V. To prevent and deal with medical problems on board. Rev Med Suisse. 2017; 13(561): 934–937.
  3. 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): 214–222.
  4. Nathanson AT, Baird J, Mello M. Sailing injury and illness: results of an online survey. Wilderness Environ Med. 2010; 21(4): 291–297.
  5. Jacolot L, Gabart C, Chauve JY. Traumatologie en course au large. Étude épidémiologique de 2008 à 2015. J de Traumatologie du Sport. 2018; 35(1): 60.
  6. Mahé C, Jacolot L, Loddé B, et al. Pathologie dermatologique chez des skippers avant et après une transatlantique de haut niveau. Ann de Dermatologie et de Vénéréologie. 2013; 140(12): S476–S477.
  7. Fitch K, Bernstein SJ, Aguilar MD, et al. The RAND/UCLA appropriateness method user's manual. Santa Monica (CA): RAND. 2001.
  8. Tayebati SK, Nittari G, Mahdi SS, et al. Identification of World Health Organisation ship's medicine chest contents by Anatomical Therapeutic Chemical (ATC) classification codes. Int Marit Health. 2017; 68(1): 39–45.
  9. Carron M, Coulange M, Dupuy C, et al. Preparation and medical follow-up for a single-handed transatlantic rowing race. Int Marit Health. 2017; 68(1): 7–11.
  10. Juliard JM. Antiplatelet and anticoagulant agents during acute coronary syndromes. Réanimation. 2010; 19: 95–102.
  11. Russell KW, Scaife CL, Weber DC, et al. Wilderness Medical Society practice guidelines for the treatment of acute pain in remote environments. Wilderness Environ Med. 2014; 25(1): 41–49.
  12. Recommandations formalisées d’experts 2010: sédation et analgésie en structure d’urgence. Ann Fr Med Urgence. 2011; 1: 57-71.
  13. Martindale the complete drug reference. The pharmaceutical press, London. www.medecinescomplete.com.

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