Strange-Vognsen H H, Knudstorp N
Orthopaedic Department, Rigshospitalet (State Hospital), Copenhagen, Denmark.
J R Nav Med Serv. 1995 Spring;81(1):12-5.
From 1980 to 1993, the Danish Radio Medical Advice Service (RMAS) had 1136 contacts from overseas Danish merchant ships and 213 contacts from Danish territorial waters. The diagnoses were almost always of acute conditions. The distribution of the diagnoses in the overseas contacts were; diseases in the digestive and genitourinary system 30%, traumatic lesions 23%, infectious diseases 14% and diseases in the cardiovascular and respiratory system 9%. The only trend over the years was a significant (P = 0.01) decrease in psychiatric diagnosis. Evacuation from the ship was recommended in 53% and medicine was prescribed in 61% of the contacts. The medicine was antibiotics in 40% and analgesics in 29% of the contacts. Intravenous infusion was evaluated as relevant in 5% of the cases and this procedure will be included in the new education of officers on the ships. In the contacts from Danish territorial waters, where many ships are recreational yachts, evacuation was recommended in 79% and medicine was prescribed in 28% of the contacts. This was probably due to the short distance to the nearest harbour and the variation in medical equipment and knowledge. The medical speciality for doctors participating in RMAS should be general surgery or orthopaedic surgery but access to advice from all other medical specialities should be available. Experience as a naval medical officer would be beneficial. The education of the officers on the ships should be more comprehensive including e.g. intravenous infusion. Communication should be by telephone and television would be an advantage.
1980年至1993年期间，丹麦广播医疗咨询服务（RMAS）接到来自丹麦海外商船的1136次咨询以及来自丹麦领海的213次咨询。诊断结果几乎都是急性病症。海外咨询中诊断结果的分布情况为：消化系统和泌尿生殖系统疾病占30%，创伤性损伤占23%，传染病占14%，心血管和呼吸系统疾病占9%。这些年来唯一的趋势是精神科诊断显著减少（P = 0.01）。53%的咨询建议将患者撤离船只，61%的咨询开具了药物。开具的药物中，40%为抗生素，29%为镇痛药。5%的病例评估静脉输液是必要的，这一操作将纳入船上船员的新培训内容。在来自丹麦领海的咨询中，许多船只都是休闲游艇，79%的咨询建议将患者撤离船只，28%的咨询开具了药物。这可能是由于距离最近港口较近以及医疗设备和知识的差异。参与RMAS的医生的医学专业应为普通外科或整形外科，但应能获得所有其他医学专业的建议。有海军军医经验将很有帮助。船上船员的培训应更加全面，包括例如静脉输液。沟通方式应为电话，电视辅助会是一个优势。
