98% of seafarers agree that a greater provision of telemedicine on vessels would save lives, a survey by Nautilus International and Martek Marine shows.
Maritime professionals’ trade union Nautilus International and global maritime technology innovator Martek Marine’s 2017 survey of seafarers, indicates that much more must be done to improve the accessibility and quality of healthcare services onboard seafaring vessels.
The Maritime Labour Convention (MLC) states that all ships carrying over 100 crew members and passengers for voyages of three days or more must have a medical doctor onboard. However, the majority of merchant vessels are crewed by fewer than 25 people and therefore don’t benefit from an onboard healthcare professional offshore. When asked if seafarers felt that they had the same quality of healthcare at sea as they did onshore, 82% of those surveyed stated “no” and the main reasons given related to the lack of access to a GP.
Results of the survey also indicated how common medical evacuations and diversions are at sea: alarming considering the average cost of a ship diversion is $180,000. “We divert, speed up, slow down, whatever is needed to help if there is a serious enough medical issue,” said one seafarer, who explained, “it’s not always clear how urgent a case is.”
In fact, a staggering 68% of those questioned had been on a vessel that was forced to divert due to a medical emergency and 70% had been on a vessel where there had been a medical evacuation. Emergencies experienced at sea ranged from severed limbs and broken bones, to gunshot wounds, tropical diseases, allergic reactions and Sudden Cardiac Arrest.
In the event on an injury or illness at sea, when asked what their main concern would be, nearly half of those questioned specified the lack of adequate healthcare provision offshore. In addition, 66% of people stated that they would be concerned about their own ability to handle a medical emergency.
In contrast, 69% of people surveyed said that they would be confident making a decision on whether an injury, or illness was severe enough to warrant a diversion, or evacuation, if they had a trained medical consultant on the end of the phone. “There should be a means where increasing connectivity can be taken advantage of, like a video chat to enable trained health personnel to see the casualty, or patient and advise,” said one participant. “An instantly advisable system via a video link to a qualified medical practitioner,” would be beneficial according to another.
Many crew rely on a physical copy of the Ship Captain’s Medical Guide for medical guidance when working on board a ship. When asked what would make them feel safer at sea, 82% of those questioned specified the ability to transfer live vital signs to a UK based medical professional who can diagnose patients and offer advice. 98% of seafarers agreed that a greater provision of telemedicine on vessels would save lives. “In this day and age, it is crazy that I should be flicking through an outdated book to try and diagnose appendicitis, when there is technology available to let an expert diagnose it for me,” said one seafarer.
Martek Marine offer the first marine approved, wireless telemedicine solution available for a monthly fee. iVital™ advances offshore medical care and saves lives. Available with no capital investment, iVital™ is cost-effective and accessible. The impact on safety of life at sea is huge, with benefits including; increased patient engagement and better patient care quality; quicker and more convenient clinical access; a reduction in lost time through illness and injury & improved crew retention and reduced, unnecessary patient evacuations.
“The survey results show that crew, often with little medical training, are too often left with an impossible decision to make when someone falls ill offshore,” says Paul Luen, Martek Group CEO. “They’re forced to judge the severity of a condition, typically without the assistance of diagnostic equipment, leaving them with the choice of risking the wellbeing of the crew member, or substantial diversion costs. Telemedicine is the answer. iVital™ gives seafarers access to top level healthcare at a small cost, meaning it’s an accessible way to safeguard the wellbeing of those onboard ships and dramatically reduce the amount of unnecessary diversions and medical evacuations.”
“This is truly an informative survey and such information assists Nautilus in seeking an improvement to medical provision at sea. Telemedicine is essential for today’s shipping industry. As well as establishing the need for appropriate treatment of seafarers and ensuring that they get it, the use of telemedicine may reduce the need for deviation,” said Allan Graveson, Nautilus Senior National Secretary.
Those interested in discussing the benefits of telemedicine further are invited to contact Martek Marine.