In
the event of an emergency aboard a fishing vessel, the United
States Coast Guard may be the difference between life and
death for the injured person. Proper preparation for their
arrival and compliance with these guidelines can help to facilitate
the rescue effort and save precious time. These guidelines
should be read by all crew members and they should be familiar
with them in case of an emergency evacuation. It is not always
the uniformed who can get hurt and need to be flown to a hospital. New crew members may have to take charge of a situation
if the caption or mate are incapacitated.
- Give
accurate position, time, speed, course, weather conditions,
wind directions and velocity, and voice frequencies.
- If
already provided, give complete medical information, including
whether or not the patient can walk on his own.
- If
you are beyond helicopter range, advise your diversion intentions
so that a rendezvous point may be arranged.
- If
there are any changes, advise immediately. Should the patient
expire prior to arrival of the helicopter, be sure to advise.
Remember, the flight crew are risking their lives attempting
to help you.
- Provide
continuous radio guard on Channel 16 RM (156.800 MHz), 2182
kHz, or specified VOICE frequency if possible.
- Select
and clear the hoist area, preferably aft, with a minimum
50-foot radius. This must include the securing of loose
gear, awnings and antenna wires. Trice up running rigging
and booms. If the hoist is aft, lower flagstaff.
- If
hoist is at night, light pickup area as much as possible.
Do Not Shine Any Lights On The Helicopter, the pilot
can be blinded by these lights. If there are obstructions
in the vicinity, put a light on them so the pilot will be
aware of their positions.
- Point
searchlights vertically to aid in locating the ship, and
secure them when helicopter is on scene.
- Advise
location of pickup area BEFORE the helicopter arrives so
that he may make his approach aft, amidships or forward,
as required.
- There
will be a high noise level under the helicopter, making
voice communication almost impossible. Arrange a set of
hand signals among the crew who will assist.
- If
possible, move the patient to a position as close to the
hoist area as his condition permits - Time Is Important.
- Normally,
if a litter is required, it will be necessary to move the
patient to the special litter which will be lowered by the
helicopter. Be prepared to do this as quickly as possible.
Be sure patient is strapped in face up With the Life
Jacket, if his condition permits.
- Be
sure patient is tagged to indicate what medication, if any,
was administered, and when.
- Have
patients medical record and necessary papers in envelope
or package ready for transfer WITH the patient.
- Change
course so the ship rides as easily as possible with the
wind on the bow, preferably on the port bow. Try to choose
a course to keep stack gases clear of the hoist area. Once
established, maintain course and speed.
- Reduce
speed if necessary to ease ships motion, but maintain steerageway.
- If
you do not have radio contact with the helicopter, when
you are in all respects ready for the hoist, signal the
helicopter in with a come on by hand, or at night by flashlight.
- Allow
basket or stretcher to touch deck prior to handling to avoid
static shock.
- If
a trail line is dropped by the helicopter, guide the basket
or stretcher to deck with line - keep line clear at all
times.
- Place
patient in basket, sitting with hands clear of sides, or
in the litter as described above. Signal hoist operator
when ready for hoist. Patient signals by nodding head if
he is able. Deck personnel give thumbs up.
- If
necessary to take litter away from hoist point, unhook cable
and keep free for helicopter to haul line. Do Not secure
cable to vessel or attempt to move stretcher without unhooking.
- When
patient is strapped in stretcher, signal helicopter to lower
cable, hook up, and signal hoist operator when ready to
hoist. Steady stretcher from turning or swinging.
- If
trail line is attached to basket or stretcher, use to steady.
Keep feet clear of line.
Supplied
by Rutgers Cooperative Extension and the New Jersey Marine
Advisory Service through cooperation with the United States
Coast Guard.
The
following information is required for Medical Evacuation. Boat
captain or crew member in charge should have this information
ready for the radio man from the Coast Guard helicopter.
Save
this checklist- The information contained here is essential!
Medical
Evaluation Check-off List
- Vessel
Information:
- Name/Type:
- Call
Sign:
- Nationality/Port:
- Description
of vessel:
- Frequencies
Available:
- Position:
- Course:
- Speed:
- Person
Calling:
- Patients
Vital Statistics:
- Name:
- Home
Port:
- Sex:
- Age:
- Seaman's
Pager No.:
- When
did injury occur?
- Bleeding?
- Where?
- How
Much?
- Temperature:
- Pulse:
- Any
respiration?
- Conscious?
- Location
of Pain:
- Type
of Pain:
- Is
patient Coherent?
- Can
patient Walk?
- Treatment/Meds
given:
- When?
- Does
vessel have standard medical chest?
- Weather
and Sea Conditions:
- Wind
Velocity/directions:
- Sea
direction/height:
- Visibility:
- If
Evacuation is Necessary:
- Have
Master insure that proper certificates/papers accompany
patient.
- Radioman's
instruction for helo/vessel MEDEVAC
Publication #: FS662
This document
is apart of
a series from the Rutgers Cooperative Extension, Rutgers, the
State University of New Jersey. Publication date: September
1992.
Gef
Flimlin, Marine Extension Agent, New Jersey Marine Advisory
Service, Rutgers, The State University of New Jersey, New
Brunswick, NJ 08903.
Disclaimer and Reproduction Information: Information in
NASD does not represent NIOSH policy. Information included in
NASD appears by permission of the author and/or copyright holder.
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