Medical assistance at the sea: legal and medico-legal problems

Ricci, Giovanna; Pirillo, Isabel; Rinuncini, Cristian; Amenta, Francesco

doi:10.5603/imh.2014.0039

Cited by 27 publications

(30 citation statements)

References 8 publications

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“…Today thanks to technological evolution, communications from ashore to a ship are much easier and this can result in an improvement of medical assistance to people on board seagoing vessels. There is general agreement that medical background of ship captains or officers with medical assistance duties on board is quite limited [23]. Hence, if technology helps to remain connected, it should be use to transmit medical advice in real time.…”

Section: Discussionmentioning

confidence: 99%

Eighty years of CIRM. A journey of commitment and dedication in providing maritime medical assistance

Mahdi

Amenta

2016

International Maritime Health

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Section: Discussionmentioning

confidence: 99%

Eighty years of CIRM. A journey of commitment and dedication in providing maritime medical assistance

Mahdi

Amenta

2016

International Maritime Health

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“…The ethics of maritime medicine can be defined as the general principles of medical ethics, but with more complexities. In reality the patient is in a remote location [3] and the person providing medical assistance may not have the advanced knowledge necessary to put a doctor's prescription into practice.…”

Section: Medical Ethics At Seamentioning

confidence: 99%

“…The maritime doctor may face particularly complicated health choices but also decisions that could be problematic, such as quarantines and landings, and must always act in accordance with international/national regulations as well as medical ethics [3]. The ethics of maritime medicine can be defined as the general principles of medical ethics, but with more complexities.…”

Section: Medical Ethics At Seamentioning

confidence: 99%

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Ethical challenges to medical assistance at sea

Ricci¹,

Pirillo

Amenta

2017

Marine Policy

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A B S T R A C TIllnesses and accidents occur on board seagoing vessels. In these cases, lacking medical or paramedical personnel, the ship's captain or an officer delegated by him provides medical care and in general asks for medical advice by means of telecommunication systems. The situation is in general different on passenger ships, on board of which are doctors or paramedical personnel. Telemedicine services for ships without medical facilities are provided by the Telemedical Assistance Services (TMAS). The captain is always responsible for medical care and final decisions regarding health of seafarers. Full responsibility for the diagnosis and prescription of treatments belongs to the doctor on board or to the TMAS physician. The physician on the ship or at TMAS should protect the privacy of patients. The telemedicine services and in particular the doctor-patient relationship on vessels present ethical and legal issues that are not the same as those experienced ashore. These issues are discussed and some possible solutions to improve patient-physician relationships are suggested.

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“…That is, all team members are charged to scan continuously for threats, and more important, for speaking up when they identify potential threats, regardless of their status in the hierarchy or their defined role [12]. On a ship that is to speak up against the captain with the overall responsibility [13], or the officer of the watch responsible for a safe and secure voyage.…”

Section: Theory Crew Resource Management and Speak Up Behaviourmentioning

confidence: 99%