Strange-Vognsen H H, Knudstorp N D
Ortopaedkirurgisk afdeling U, Rigshospitalet, København.
Ugeskr Laeger. 1996 Sep 9;158(37):5166-8.
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 distribution of the diagnoses in the overseas contacts were: Diseases in the digestive and genitourinary system 30%, traumatic lesions 23%, infectious diseases 14%, diseases in the cardiovascular and respiratory system 9%. The only trend over the years was a significant (p = 0.01) decrease in psychiatric diagnoses. Evacuation was recommended in 53% and medicine was prescribed in 61% of the contacts. 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 officers would be beneficial. The education of the officers on the ships should include intravenous infusion. The 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中心（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。海外咨询病例的诊断分布情况如下：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疾病诊断显著减少（p = 0.01）。53%的咨询建议进行后送，61%的咨询开具了药物。参与RMAS的医生医学专业应为普通外科或整形外科，但也应能获得所有其他医学专业的咨询意见。有海军军医经验会有帮助。船上船员的培训应包括静脉输液。沟通方式应为电话，若能使用电视则更佳。
