LEADER
Maritime health care
Correspondence to:
Correspondence to:
Dr Putnam
Maridocs, Des Moines, WA 98198, USA; jdpjkg@earthlink.net
The delivery of health care to seafarers is described
Keywords: cruise medicine; maritime medicine; seafarers; travelling
| The first 150 words of the full text of this article appear below. |
Maritime medicine refers to providing medical care for seafarers1 including the people working in the merchant marine, the commercial fishing fleets, offshore oil platforms, and the cruise ship industry, the segment best known to most of us. It also includes provision of care through shore based pre-employment and seafarer consultation clinics. These various maritime medical practices present very different alternatives to the clinics, emergency rooms, and hospital environments where most of us practice. They may provide a working vacation (often emphasis on "work"), a few months sabbatical, or a career.
Practicing medicine at sea incorporates many aspects of "wilderness medicine." Dr Warren Bowman’s editorial in Wilderness Medicine,2 "Perspectives on being a wilderness physician" describes wilderness medicine as medical care delivery in situations where "definitive medical care may be hours or days away because of distance, adverse environmental conditions, lack of transportation, or difficulties in communication." This definition applies to
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