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Citation |
Montocchio-Buadès C, Daurat M, Ducombs M, Vallet CE. Int. Marit. Health 2018; 69(2): 126-128. |
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Affiliation |
Université de Bretagne Occidentale, 22, rue Camille Desmoulins, 29200 Brest, France. cecile.montocchio@laposte.net. |
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Copyright |
(Copyright © 2018, International Maritime Health Association, Publisher Via Medica) |
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DOI |
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PMID |
29939389 |
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Abstract |
BACKGROUND: A polytraumatised person is a severely injured patient with an association of several injuries including at least one life-threatening. In an isolated and hostile environment like the maritime environment, the principles of early care and fast evacuation of a polytraumatised person are sometimes difficult to apply. CLINICAL CASE: We report the story of a patient with a bilateral fracture of the lower extremities following an accident on board a Moldavian tugboat off the coasts of Djibouti. He received a medical treatment thanks to the intervention of a French military frigate after receiving a message of assistance by very high frequency, and then a helicopter evacuation to the Medicine and Surgery "Bouffard" Hospital. The pre-hospital care of a polytraumatised patients with limb injuries and the specificities of an intervention in a maritime environment are described. The maritime international conventions relating to rescue at sea as well as the specificities of the management of an injured person on a ship sailing under the Moldavian flag are explained. Emphasis is placed on the importance of watchkeeping at sea and the presence on board of trained first-aid personnel. Finally, a point is made on the French organisation of health support for ships, through the Maritime Medical Consultation Centre and the Regional Operational Centres for Surveillance and Rescue. Language: en |
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Keywords |
Search and Rescue; maritime conventions; polytrauma |