German Telemedical Maritime Assistance Service

TMAS Germany - Medico Cuxhaven

Emergency: Tel.: +49 (0) 4721 78-0 or +49 (0) 4721 785
RADIO MEDICAL ADVICE
Fax.: + 49 (0) 4721 1520, E-mail: medico@tmas-germany.de
In order to support Medico Cuxhaven to quickly establish a working diagnosis and ease reasonable judgement of the situation on board it
helps to answer the following questions if possible prior seeking radio medical advice. If possible and appropriate please send suitable
digital photos to optimize radio medical advise.
1. Name of the ship 2. Call sign 3.1 Telephone: +870 773 201 336 4. Position
MV CARO A8VK5 3.2 Fax +870 783 159 223
3.3 E-mail: caro@orionship.com
3.4 Telex
5. Contact – Master 6. Ship operator 7.1 Port of Destination 7.2 ETA
SIKORSKI JAROSLAW ORION REEDEREI GMBH SEVEN ISLANDS / CANADA 29.11.2019/pm
& CO.KG

8. Level of urgency 9. Druglist*) 10.1 Next port: 10.2 ETA

Emergent-urgent  A1  A2  B KIMITSU / JAPAN 18.01.2020
semi-urgent  C1  C2 
 Routine WHO A

11. Patient: Name/Nationality 12. Sex 13. Age 14.Bodyweight 15. tropical stay  (Yes)
GEBALANA ARACHCHIGE MAHESH HEMANTHA  male 31 kg : 70  (No)
RANAWAKE / SRI LANKAN  female

16. Basic findings Date / UTC: 14.07.2012 at 18:30 hrs / 22:30 lt Basics all normal) Yes  No
16.1Consciousness Is the patient awake or able to talk?  Yes  No Does patient respond to shouting or gentle shaking? Yes No
16.2 Respiration rate /min Does the patient breathe normally? Difficulty in breathing ?  Yes No
Respiration non-regular   Yes  No
/Breathing
16.3 Heart/Circulation Heart frequency 80 /min Blood pressure Chest pain present? Yes  No
non-regular  127 / 71 mmHg
16.4 Skin/Appearance  normal  blue-grey Temp. °C Injury  Yes)  No
 pale  sweaty oral Typ:
36.6 axillar Location:
rectal

17. Data to the accident / the illness / the prehistory / the income of medicines / well-known allergy:
(Details with respect to the case of accident or disease as well as to medical history and medication or known allergy):

18. Main complaints / pain - where, how and since when? (Main complaints / pain – location, description and time of onset):

19. Suspected diagnosis on board:

20. Actions taken so far:

*) according German Krankenfuersorge Verordnung

Falls möglich und angemessen übermitteln Sie zur Optimierung der funkärztlichen Beratung bitte geeignete Digitalfotos.
(If possible and appropriate please send suitable digital fotos for optimising radio medical advice.)
Medico Cuxhaven  2003