This new handbook prepared by Tim Carter, from the Centre, and developed with a grant from the ITF Seafarers’ Trust, will enable doctors who perform seafarer fitness examinations to perform them in more valid and consistent ways. It is a freely available interactive publication that includes sixteen decision trees to assist with decision taking on individual seafarers.
The first chapters address the basis for seafarer medical fitness standards and how they have been developed. Later chapters cover some of the commonest and most complex medical conditions that are seen by seafarer medical examiners. They do this for each condition in a systematic way as far as is possible. The risks arising from the condition are described, the evidence base for the recommendations for each condition are reviewed and the clinical decision process is discussed, aided by decision trees when appropriate. For some conditions additional material such as advice, which should be given to seafarers, about remaining healthy is covered.
The conditions covered at present are:
- pulmonary tuberculosis
- hepatitis (non A)
- diabetes mellitus
- mental ill-health
- loss of consciousness/seizure/sleep disorders
- cardiac events
- oral/dental health
- urine testing abnormalities
The format of the Handbook readily enables new conditions to be added and existing recommendations to be altered in the light of new knowledge.
The Handbook is designed for use in support of the information in the ILO/IMO International Guidelines on Seafarer Medical Examinations and is cross-referenced to them.
Read the Handbook – [link to http://handbook.ncmm.no/]