Surgical Problems Presenting at Sea during 100 British Polaris Submarine Patrols

Abstract

Surgical problems presenting at sea during 100 British Polaris submarine patrols have been reviewed. In 106 patients the medical officer of the submarine made a diagnosis of surgical illness sufficiently serious that in normal practice referral to hospital might be considered necessary. The emergency “operating theatre” has been used on only one occasion. One patrol was broken because of surgical illness but this did not break the continuous deterrent threat. There has been no death at sea and as far as we are aware no maior morbidity has arisen as a result of delayed definitive treatment. The policy of conservative management of surgical problems presenting at sea in submarines is considered fully justified.

Emergency and Wilderness Medicine Training for Physician Astronauts on Exploration Class Missions

“…Analysis of other remote care medical systems reveals that some surgical diseases can be treated medically in combination with careful and continuous evaluation of the patient. 24 –28…”

“…Analysis of other remote care medical systems reveals that some surgical diseases can be treated medically in combination with careful and continuous evaluation of the patient. [24][25][26][27][28] In the end, it is all about the ability to operate autonomously at a remote location. That calls for a doctor who has great improvisational skills on top of a broad skills set.…”