New concept for medical support of the maritime counter terrorism and counter piracy operations of the French navy

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  • The generalization of POC on-board laboratories will be a cost-effec-tive way to increase the medical care of personnel and tourists, whileconstituting a sentinel system for the permanent monitoring ofinfectious diseases worldwide.http://dx.doi.org/10.1016/j.admp.2013.07.170

    130New concept for medical support of the maritimecounter terrorism and counter piracy operations ofthe French navyA. Puidupin*, O. Dubourg, J. Stephan, N. Cazes, P. BalandraudHopital dinstruction des armees Laveran, Marseille, FranceE-mail address: a.puidupin@netcourrier.comFrench Navy is involved in naval coalitions in order to protect vesselsfrom being hijacked and their crews being taken hostage duringpirate attacks. When pirates succeed in tacking the control of a ship,military actions by force can be decided to save crew members.Medical support of the assault is provided by medical team of marinecommandos and surgical team of French armed forces health service.Recent experiences to free hostages show that combatants duringspecial force actions are particularly exposed to preventable death,which are death due to fatal injuries which are considered as poten-tially treatable. Facing that risk, the forward medical staff (anemergency physician and a nurse) follows an operational trainingin order to be included in the assault group. In addition, a new conceptof surgical support has been created: the life-saving surgical unit.Medical requirements consist in providing initial trauma care anddamage control resuscitation for 34 casualties. Moreover, this unitcan be dropped on sea. After sea landing, the boxes can be easilyrecovered by use of inflatable boats, and then deployed in a frigate inless than 30 min. In terms of personals, the team is composed onegeneral surgeon, one anesthesiologist, one operating room nurse andone anesthetist. Triage, resuscitation, anesthesia and damage controlsurgery can be done on board, just before the evacuation, whichfollows as soon as possible.http://dx.doi.org/10.1016/j.admp.2013.07.171

    Parallel Session 11Training in maritime medicine

    131International postgraduate courses in maritimemedicine, a challenge to joint universitiesM.L. Canalsa,b,*, P.J. Noguerolesa,b, F. Rodrguezb, M.R. Fenollc,D. Jegadend, M.M. Rodriguezea SEMM/IMHA, Santa Cruz de Tenerife, Spainb University of Cadiz, Cadiz, Spainc University Rovira and Virgili of Tarragona, Spaind University of Bretagne Occidentale, Brest, Francee Caribean Maritime University, Caracas, VenezuelaE-mail address: semm@semm.orgKeywords: Health Postgraduate Programs, Professional training,Occupational medicine, Universities, Naval medicineIntroduction. Universities are responsible for Health PostgraduatePrograms. Continuing education (CE) is fundamental for quality in anyjob. For maritime health doctors, several competences may be met:general practitioners/internalmedicine, emergencymedicine, tropicaland travel medicine, naval or occupational maritime health.

    Objectives. To describe the international cooperation for training inpostgraduate education in MaritimeMedicine and the future projectsthat are starting.Methodology. An historical background of the line of this CE processfor doctors is described with perspectives to the future.Results. There are quite big differences in training maritime healthdoctors per countries. Supported by scientific associations like SEMM(Spanish) and IMHA (International), the University has provided anadapted, modular, international training system, mainly for doctors(e.g. Spanish/English versions of postgraduate courses in the Univer-sity of Cadis with an online training + practical; + research work tillthe level of master or postgraduate courses). A proposal of a Europeanthird cycle Postgraduate interuniversities Programme is in the air, anIMHA workshop in Tenerife, in November 2012, has started a group towork in it. Universities from Spain (Master Degree), France (Diploma),Poland (Specialization), Venezuela (Navy), Denmark (Research) andNorway (Textbook) are in the line of collaboration.Conclusions. The advantages of all these resources per countriesshould be shared in a net (research, textbook, scientific journals,postgraduate courses), agreements and common accreditations areneeded. A proposal of an international postgraduate programme inMaritime Medicine, 120 ECTS, for health professionals, sharing edu-cational materials in different languages is under discussion.http://dx.doi.org/10.1016/j.admp.2013.07.172

    132Evaluation of basic training of petroleum doctors inaccordance with Norwegian requirements fortrainingA. Magne HornelandNorwegian Centre for Maritime Medicine (NCMM), Department ofOccupational Health, Haukeland University Hospital, Bergen, NorwayE-mail address: alf.magne.horneland@helse-bergen.noKeywords: Medical examination, Decision-taking, Evidence-based,Seafarers medicals, Quality assurance, Petroleum doctors, BasictrainingObjective. To evaluate the basic training of petroleum doctors inNorway in accordance with Regulations on health requirements forpersons working on installations in the offshore petroleum industryon the Norwegian shelf. To evaluate the use of audience responsetechnology as a tool to assess level of harmonisation of judgementduring training.Methods. Two hundred and fifty-nine participants in four consecu-tive basic training courses conducted by the Norwegian Centre forMaritime Medicine evaluated the basic course for petroleum doctors.The evaluation assessed teaching methods, combination of distantlearning and taught course, and benefits of case discussions with thepurpose of increasing the degree of harmonization of doctors judg-ment and level of quality decision taking in accordance with theregulations. Audience response technology was used to assess thelevel of harmonization of judgment during the course.Results. Harmonisation of judgment between the participantsincreased during case discussions. The evaluation also showed thatmedical selection requires a mind-set different for regular clinicalpractice and that the awareness of the needs for specific trainingincreased during the course. E-learning is suitable for learning facts,but taught courses are important to harmonize clinical judgement,even if there are guidelines in place.Conclusion. The mind-set of medical selection is not well establishedamong general practitioners, even if they have practiced medicalselection for many years. E-learning is suitable for parts of the basictraining, but harmonisation of clinical judgement will be better

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