Telemedical Maritime Assistance Service
Telemedical Maritime Assistance Service (TMAS, Medico Talk) is a medical advice service for seafarers . The German service was founded in 1931 at the Cuxhaven Hospital .
TMAS can be reached over the phone, fax, email and marine radio.
TMAS inquiries from the clinic for anesthesiology, intensive care medicine, emergency medicine and pain therapy at the hospital are processed.
Use of the radio medical service in emergencies by people
In commercial shipping
In 1994 the Federal Republic ratified Decree 164 of the IMO / ILO ( International Maritime Organization and International Labor Organization ). This means that use by people in commercial shipping is free of charge for the inquirer.
Outside of commercial shipping
In principle, the use of the official German radio medical advice center Medico Cuxhaven is also possible and useful by non-professional seafarers, especially in medical emergencies. In these cases, the costs of a claim will be invoiced.
organization
The Clinic for Anaesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy is primarily responsible for the organization and implementation of the radio medical advice, in close cooperation with the medical departments (internal medicine, surgery, urology, ear, nose and throat medicine, gynecology, obstetrics, pediatrics, etc.) ). The TMAS headquarters is located directly on the interdisciplinary intensive care unit of the city hospital. In this way, a constant presence of emergency and intensive care physicians is guaranteed for immediate wireless medical advice.
In order to make the diagnosis easier for the radio doctor and to save time and questions, it is advisable to clarify the following points before submitting the inquiry:
- Name, first and last name, age, gender?
- Activity on board?
- Information on the accident or illness and the history. In the case of accidents, above all the time and other facts (e.g. height of fall when falling, injuries where and by what, duration of hypothermia, etc.)?
- Last stay of the sick person in the tropics (when and where), possibly in which areas suspected of being infected or infected with malaria?
- Vaccinations (which, when, where)?
- Alcohol, drug or medication exposure (amount)?
- Suspected poisoning (possibly by what means)?
- Main complaints (where and since when)?
- Previous history?
- Immediate state of health (e.g. slightly ill, seriously ill)?
- Skin color / skin changes?
- Color / coating of the tongue?
- Discoloration of the eyes?
- Pupils (narrow or wide, equally wide)?
- Breathing (fast / slow, deep / shallow, regular / irregular, breaths per minute)?
- Stool (color, consistency, frequency)?
- Urine (color, amount, frequency of emptying, test strip check)?
- Nausea, vomiting?
- State of consciousness (clear, dazed, unconscious)?
- State of mind (anxious, restless, aggressive, confused, etc.)?
- Body temperature (measured in the anus)?
- Local findings (as precise a description as possible)?
- Equipment of the on-board pharmacy?
The request must be formulated accordingly. A corresponding form can be downloaded online.
A digital camera on board as well as the technical requirements for the transmission of digital photos can also be very helpful for a variety of illnesses and injuries and is used regularly nowadays.
Web links
Individual evidence
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↑ : Phone: +49 4721 78 5
- Fax: +49 4721 78 1520
- Email: info@tmas-germany.de
- Marine radio: TMAS Germany (marine radio calls are transferred from there to the telephone network)
- ↑ PDF ( Memento of the original from April 1, 2013 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice.
