DiGiovanna T, Rosen T, Forsett R, Sivertson K, Kelen G D
Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Ann Emerg Med. 1992 Dec;21(12):1476-9. doi: 10.1016/s0196-0644(05)80065-4.
To describe the spectrum of illness that presents to shipboard hospitals and thereby recommend optimal qualifications for the ship's medical personnel.
Retrospective review of medical logs from two cruise ships' hospitals.
Two passenger cruise ships, with seven-to-ten day cruises in the Caribbean.
All patients presenting to the ships' hospitals from January 4, 1989, to June 10, 1989, on one ship and from October 13, 1990, to November 10, 1990, on another ship.
Analysis of ship medical logs with regard to patient complaint, diagnosis, and treatment.
Of 1,547 new patient visits, 12% were related to injuries and 88% to medical problems; 97% of visits were noncritical, and 3% required immediate emergency intervention. Among these were four cardiac arrests, two stab wounds, two serious ocular injuries, one closed-head injury, and one near-drowning. Five patients required endotracheal intubation.
There is a sizeable number of visits to ships' hospitals by patients with acute and serious problems of a wide variety. Physicians and nurses with significant emergency training or experience are best qualified to deal with this broad spectrum of patient problems in this isolated environment.
描述出现在船上医院的疾病谱，从而为船上医务人员推荐最佳资质。
对两艘游轮医院的医疗日志进行回顾性研究。
两艘载客游轮，在加勒比海进行为期七至十天的航行。
1989年1月4日至1989年6月10日在一艘船上以及1990年10月13日至1990年11月10日在另一艘船上到船上医院就诊的所有患者。
分析船上医疗日志中关于患者主诉、诊断和治疗的信息。
在1547次新患者就诊中，12%与受伤有关，88%与医疗问题有关；97%的就诊情况不危急，3%需要立即进行紧急干预。其中有4例心脏骤停、2处刺伤、2处严重眼外伤、1例闭合性头部损伤和1例近乎溺水。5名患者需要进行气管插管。
有相当数量患有各种急性和严重问题的患者前往船上医院就诊。接受过大量急救培训或有相关经验的医生和护士最有资格在这种孤立环境中处理这类广泛的患者问题。
