Mahdi Syed Sarosh, Amenta Francesco
School of Medicinal and Health Products Sciences University of Camerino Via Madonna delle Carceri, 9 62032 Camerino (MC).
Int Marit Health. 2016;67(4):187-195. doi: 10.5603/IMH.2016.0036.
A review of activities of Centro Internazionale Radio Medico (International Radio Medical Centre, CIRM) from its foundation in 1935 until its 80th anniversary in 2015 was accomplished. CIRM was founded in 1935 to provide medical assistance via radio to ships with no doctor on board and other distant patients who cannot be reached by a doctor. In 1950 CIRM was established as a non-profit-making foundation and has benefited since 1957 from an annual contribution from the Italian government.
Review of CIRM case histories and other published material from 1935 to 2015 and presenting them in a scientific yet simplified manner through the use of basic mathematical analysis. All the data was collected from CIRM's official archives in Rome.
The results achieved by the Centre over 80 years include medical assistance to 81,016 patients on board ships (as well as on small islands and aircraft), with more than 500,000 medical messages received and transmitted. CIRM from its inception was organised into a medical service, a telecommunications service and a studies section. In 2002 the Centre was recognised as the Italian Telemedical Maritime Assistance Service (TMAS). In the 2010 the Centre was reorganised as a structure articulated in 4 departments, namely maritime telemedicine, telecommunication, research and occupational medicine. This was achieved to cover the different activities related to comprehensive health protection of seafarers. The 24-h continuous medical service is provided by doctors at the CIRM headquarters. The doctor on duty gives instructions for managing the case and continues to follow the patient with subsequent appointments until recovery or landing. In case of emergencies CIRM co-ordinates the transfer of patients assisted on board ships to a hospital ashore. CIRM has developed innovative approaches for the treatment of diseases and accidents on board of seagoing vessels by introducing standard telemedicine equipment on board ships, allowing the transmission of biomedical data from ships to the Centre. These new solutions are aimed at bringing a significant improvement of medical care for seafarers.
对国际无线电医疗中心（CIRM）自1935年成立至2015年80周年期间的活动进行了回顾。CIRM成立于1935年，旨在通过无线电向船上没有医生的船只以及医生无法到达的其他偏远患者提供医疗援助。1950年，CIRM成为非营利性基金会，自1957年起受益于意大利政府的年度捐款。
回顾CIRM 1935年至2015年的病历及其他已发表资料，并通过基本数学分析以科学且简化的方式呈现。所有数据均从罗马的CIRM官方档案中收集。
该中心80年来取得的成果包括为船上（以及小岛屿和飞机上）的81,016名患者提供医疗援助，接收和传递了超过50万条医疗信息。CIRM从成立之初就分为医疗服务、电信服务和研究部门。2002年，该中心被认可为意大利远程医疗海上援助服务（TMAS）。2010年，该中心进行了重组，形成了由4个部门组成的架构，即海上远程医疗、电信、研究和职业医学。这样做是为了涵盖与海员全面健康保护相关的不同活动。CIRM总部的医生提供24小时不间断医疗服务。值班医生给出病例处理指示，并通过后续预约持续跟踪患者直至康复或上岸。在紧急情况下，CIRM协调将船上受助患者转运至岸上医院。CIRM通过在船上引入标准远程医疗设备，开发了治疗远洋船舶上疾病和事故的创新方法，从而实现生物医学数据从船舶传输至中心。这些新解决方案旨在显著改善海员的医疗护理。
