Medicine on board

Nobody wants to fall ill, especially not during the trip. However, often it is not in our hand if things go as smoothly as planned. This is why we carefully took precautions to be ready for the worst case – hoping it would never come. We measured our medical need alongside our longest trip without the possibility to go on land: the Bay of Biscay. Should something happen during that time, it could take up to three days without access to medical care. To be prepared we took the course ‘medicine on board’ which is given by the Kreuzer division of the DSV. It was a weekend very well spent!

To show us the worst case, we were confronted with all sorts of bloody pictures (one example was a poor fellow who scalped himself when his head got caught on the door frame), but quickly we delved into theory and practice. In the end, everyone was able to practice their sewing skills on a pork knuckle. The course was also helpful to get an idea of what medical equipment we would need for our trip. We followed our three day principle as well as the most common and most frequently occurring health problems on board. We then discussed our list with a emergency doctor in Henning’s firm as well as with our doctor and a friend of our’s who is an pharmacist. She then also helped us out with the acquisition of the drugs. She even categorized and labeled every product according to the rules of the international on-board pharmacy – thanks again!

We also have the book ‘Medicine at see’ on board and like it as a thorough book for medical amateurs. In case of emergency it quickly leads from symptoms to first diagnoses and therapy options. The drugs are also organized according to the international on-board pharmacy rules. Additionally, we always had our satellite phone with us to be able to access medical advice via phone.

In practice, we always have a little first aid kit next to the stairs to react quickly to any emergency. This came in handy for many little cutting wounds. Two meters further along, at the entrance of our workshop, we store the first aid kit ‘Sailing’. It can quickly be accessed and be opened up in the pantry. The drugs and other tools are in a cool space in our little stern bunk. Everything is packaged in plastic bags and labeled according to international codification.

Fortunately, we only needed a minimal part of our on-board pharmacy, mostly the ‘classics’: one of our guests had a horrible stomach bug and nothing seemed to help. At last, Sylvia injected an antiemetic; an infusion would have been the last resort. Drugs against stomach bugs had to be used a couple of times.

In Scotland, Henning suffered a bad contusion at the lower leg, when he slipped and fell on the metal part of the railing. He then had an allergic reaction to the salve, which had to be treated. We also had to treat minor cuts quite frequently, because all our knifes were very sharp. Once we almost had to sew a deeper wound on Sylvia’s violin hand because the butterfly bandages were excellent. Besides these little mishaps, we only used the occasional painkiller to treat headaches and some drugs against seasickness. Thank goodness we did not need more than that!

Lastly, we also wanted to do something for prevention: before we started our trip, be were gifted TRX bands. However, we must admit, after a long day at sea we often felt that we had enough sport for one day… Luckily, we had our little bikes with us!

The following list may help a sailor, who is planning a similar route to ours:

Medical equipment and medication list “Amazing Grace”

Basic configuration:
First aid Kit and Emergency box “sailing”

Additional medical equipment (without personnel medication):
(Literature „Medizin auf See“ ISBN 978-3-88412-488-8)

Bordmedizinische No MarkennameEinheitenPackungen
1.01..2Paracodin 10 mg Tabl., Reizhusten13stk1 Packung
1..03Salbutamol, Dosieraerosol1Dosieraer.1 Packung
2.09..2Fraxiparine 0,810 Fertigspr.1 Packung
3Tannacomp, Durchfälle20 stk1 Packung
3Motilium Tropfen 10 mg30ml1 Packung
3..01MCP 10 mg Tabl. , Erbrechen20stk1 Packung
3..02Paspertin 10mg/2ml Ampullen, Injekt.5 Ampullen1 Packung
3.04..1Pantoprazol dura 40mg, tabl.100 stk1 Packung
3..05Iberogast 20ml Tropfen20ml2 Packung
3..06Imodium akut lingual12 Schmelztabl.1 Packung
3..07Elotrans Pulver, Durchfall10 Beutel1 Packung
5Wobenzym plusca.750 tabl.1 Packung
5Novaminsulfon 500mg Tropfen50ml1 Packung
5Novaminsulfon 500mg tabl.48stk1 Packung
5..01Thomapyrin20stk2 Packung
5..01Aspirin complex granulat20 stk1 Packung
5..04Voltaren Resinat20stk1 Packung
5..04.1Ibuprofen 600 mg50stk1 Packung
5.04..1Ibuprofen 600 mg100 stk1 Packung
5..05Buscopan 10 mg20 dragees1 Packung
5..09Lidocaion-HCL 2% Lösungen, 5ml10 stk1 Packung
7..01VomexA20 dragees1 Packung
7..03Scopoderm TTS ,Pflaster Übelkeit5stk1 Packung
8..01AmoxiHexal Antibiotik. 1000 mg20stk1 Packung
8..01AmoxiHexal Antibiotik. 750 mg30stk1 Packung
8..06Clindamycin Antibiotik. 600mg19stk1 Packung
9..01nobite hautspray100ml1 Packung
10..01Desloratadin 5mg Kapseln, Antihistam.20 stk1 Packung
10..03Prednisolon AL 50mg Tabl., Cortison50stk1 Packung
11..01Infusionslösung 500ml1 stk4 Packung
11..03Butterfly8 stk8 stk
11..03Venenkatheter 20G, 14G1+12 stk
11..03Infusionsgerät/schläuche4 stk4 stk
14Solaraze gel50g gel1 Packung
14..01Bepanthen Salbe20g Salbe1 Packung
14..01MediGel Lipogel, akute u chron. Wunde20g Salbe1 Packung
14..03BetaCreme 1mg25g Creme1 Packung
14..06Fucidine 20mg Creme15g Creme1 Packung
14..08Aciclovir akut Creme2g Creme1 Packung
15Cationorm Augentropfen Befeuchtung5 einzeldosen1 Packung
15.00..1Berberil Nedo Augentropf.10 einzeldosen1 Packung
15.00..3Prednisolon Augensalbe (auch Gerst.k.)5 g Salbe1 Packung
15.02..1Ofloxacin-Ophtal Augentropf., Einzeld.10 einzeldosen1 Packung
15.02..1Ofloxacin-Ophtal Augentropf.5ml1 Packung
16.01..1Otalgan Tropfen mit Cortison10g1 Packung
16.01..2Panotile Cipro 1 mg, Ohrentropfen20 einzeld.3 Packung
16 . 03    ..Otriven, einzeldosispipetten40 stk2 Packung
16.05..1Gelo Revoice Halstabletten20stk1 Packung
18..01.3octenisept wund+schleimhautantisept.250ml1 Packung
19..01Metalline Kompresse 10×12 cm10stk1 Packung
19..01ES-Kompressen, 7,5×7,5cm , 25x2st.25x 2stk1 Packung
19..18Wundpflaster wasserdicht5 stk, 10x6cm1 Packung
19. JanKlammerpflaster Leukostrip 3x6mmx764x3mmx38mm1 Packung
19. JanPorofix,Klammerpfl. 2,5×12,5 cm10stk1 Packung
20..11Nadeln5x 20Gx2 3/4″
21..01Spritzen, verschiedene Gr.12 stk12 stk
21..02Nadeln2x gr.1,10xgr.20
Skalpell3stk3stk
22..07Stethoskop1stk1 Packung
Kältesofortkompresse einmalig2stk2 Packung
Latexhandschuhe100stk1 Packung
22..08Visomat, Blutdruckmessgerät1stk1 Packung
23..04Guedel Mundstück, Beatmung2stk2 Pack
SonstigesBlutzuckermessgerät Accu-Chek Mobile1stk1 Packung
SonstigesCOMBUR 10 Urinschnelltest50stk1 Packung