Maritime Health Onboard - Treatment Pathways IMHF Expert Panel Consensus Statement.

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Maritime Health Pub Date : 2025-01-01 DOI:10.5603/imh.104147

Nebojša Nikolić, Haga Jon Magnus, Spike Briggs, Sue Stannard, Beate Stelzer, Alf Magne Horneland, Tim Carter, Bill Kavanagh, Steven Shackleton

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Abstract

Background: Medical emergencies on board are seriously impairing seafarers' safety and health, as well as future work prospects. The purpose of this International Maritime Health Foundation's (IMHF) initiative was to establish common principles for the management of disease and injury by non-medical professionals at sea.

Materials and methods: Nine expert participants actively participated in the workshop in order to identify common principles that should guide the future development of treatment pathways by evaluating selected treatment pathways from The Ship Captain's Medical Guide 23rd Edition in the context of medical intervention on board merchant ships and consensus statements from previous four IMHF EP Workshops on Medical Help on Board. Delphi study survey and a modified RAND-UCLA Appropriateness Method (RAM) were used in the process of reaching the consensus.

Results: The result of the workshop is a set of consensus statements on the general principles of development of the future treatment pathways, Results reflect the need for further tuning of the existent treatment pathways or creating new ones, considering their development in the digital format.

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海上卫生船上-治疗途径国际海事高频专家小组共识声明。

背景：船上医疗紧急情况严重损害海员的安全和健康，以及未来的工作前景。国际海事健康基金会这一倡议的目的是为海上非医疗专业人员的疾病和伤害管理确立共同原则。材料和方法：九名专家与会者积极参加了讲习班，以便通过评估《船长医疗指南第23版》中关于商船上医疗干预的选定治疗途径和前四届国际海事组织关于船上医疗帮助的EP讲习班的共识声明，确定指导治疗途径未来发展的共同原则。在达成共识的过程中，采用了德尔菲研究调查和改进的RAND-UCLA适当性方法（RAM）。结果：研讨会的结果是一组关于未来治疗途径发展的一般原则的共识声明，结果反映了进一步调整现有治疗途径或创建新途径的需要，考虑到它们在数字格式中的发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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