Introduction address at the EFCA Symposium in Strasburg Discours d’introduction du Symposium EFCA de Strasbourg Authorities, Colleagues, Ladies and Gentlemen,authority; air pollution is commonly associated tourban or industrialized areas for which urgent localIt is a great pleasure and an honour to welcomemeasures are requested, while climate changeeach of you in this prestigious and
Rya.org.ukPRESIDENT: HRH The Princess Royal KG, GCVO Royal Yachting Association
CATEGORY C MEDICAL STORES .
Category C Stores, are required by MSN 1768 (M + F) (numbering refers) on all coded
vessels up to category 2. (Listed in annex 2 of MGN 280) (Quantities required.)
1. CARDIO VASCULAR
(b) ANTI - ANGINA PREPARATIONS
Glycerol Trinitrite (GTN) (1 unit)
GTN causes dilation of the coronary arteries and is used to ease the pain of angina and
a heart attack. A reduction of the blood flow to the heart muscle, due to a narrowing or
blockage of the coronary arteries, causes the pain. The pain may come on suddenly and
be induced by exercise. Possible side effects of GTN include throbbing headache,
flushed face, dizziness and feeling faint.
GTN SPRAY 400-microgram/200 dose aerosol. Spray into the mouth under the
tongue, keeping the spray button down until the entire dose has been released.
(Tablets, lozenges and patches are also found in the kits.)
Dosage: GTN should give relief within minutes. If the pain has not eased in 5 minutes
give a second dose, and if there is still pain after 15 minutes call Mayday.
If unsure about treatment get medical advice by VHF.
2. GASTRO INTESTINAL SYSTEM
(b) ANTI - EMETICS
Hyoscine Hydrobromide (Kwells) (60)
This is used in the prevention and control of motion sickness. It may cause drowsiness
and dry mouth, dizziness and blurred vision.
In tablet form 300 micrograms (or 0.3mg).
1 tablet 30 minutes before starting journey, then 1 tablet every 6 hours. Maximum: 3
tablets in 24 hours.
Cinnarizine 15mg (Stugeron) (60)
Used for motion sickness. Possible side effects fatigue, dry mouth and blurred vision.
15mg (1 tablet) 8 hourly.
(d) ANTI - DIARRHOEALS
Loperamide 2mg capsules ( Immodium) (30)
This is a drug used for the treatment of diarrhoea. It works by slowing the muscular
contraction in the intestines. Side effects may include drowsiness, dizziness and
4mg (2 capsules) initially and then 2mg after each loose stool.
The patent may need treatment for dehydration.
3. ANALGESICS AND ANTI - SPASMODICS
(i) Paracetamol (50)
Used for mild to moderate pain and fever.
500mg tablet form, taken by mouth and can be soluble.
ADULT: 1-2 tablets every 4 hours. Maximum 8 tablets in 24 hours.
Very dangerous in overdose.
(ii) Ibuprofen 400mg Tablets (50)
Anti-inflammatory painkiller, suitable for headache and muscle pain.
Possible side effects may include stomach pain, nausea and wheeziness. Do not give to
asthmatics or patient who has any form of ulcer.
Administration: 400mg tablet taken with or after food/milk every 8 hours.
4. NERVOUS SYSTEM
(c) SEASICKNESS REMEDIES
Hyoscine Hydrobromide OR Cinnaarizine
5. MEDICINES FOR EXTERNAL USE
(a) SKIN MEDICINES
Antiseptic solution of Chlorhexidine / Cetrimide (1)
100 ml solution or wipes for cleaning the skin. It can also used for cleaning
instruments and hard surfaces.
Burn preparation: antiseptic cream
Can be used on minor wounds, abrasions and burns (after cooling) (1) STORAGE OF MEDICATION ON BOARD
All medication should be stored on board in a marked, locked container under the
supervision of a suitably trained person. The location should be listed in the training
manual and covered in the safety brief to the crew. Medicines should be kept in a cool
place, protected from heat, light and damp. The dates should be regularly checked and
out of date medicines discarded. All instruction leaflets should be kept and any foreign
bought items marked with their generic name and instructions for use. Bandages and
dressings need to be checked for expiry dates too.
Pocket mask (not just a face shied) (1)
Dress and suturing equipment.
Adhesive elastic bandage (1)
Disposable gloves (5 pairs)
Adhesive dressings (plasters) (20 assorted)
Sterile bandages with unmediated dressings (wound dressings) (M x6, L x2, XL x2)
Adhesive sutures or zinc oxide bandages (75mm strips) (6)
Sterile gauge swabs (packet of 5) (1)
Recommended additional items
Triangular bandages (4)
Safety pins (6)
Sterile paraffin gauze dressings (10)
Plastic burn bags (1)
St Johns / St Andrews / Red Cross First Aid Manual Latest edition
First Aid Training
The skipper, or another member of the crew, must hold an MCA Elementary First Aid,
Medical First Aid or Medical Care Aboard Ship Certificate, or an RYA First Aid
Certificate or a Sea Fish Basic First Aid Certificate, provided use of the category C
stores was covered. Refresher training must be undertaken as shown on the certificate,
or at least every 5 years.
E Cystinuria: a rare diagnosis that should not be Peter KF Chiu Eddie SY Chan Cystinuria is a rare autosomal recessive defect causing recurrent urinary tract stone formation. Morbidity from stone formation and repeated urological interventions can be reduced by Simon SM Hou early diagnosis and adequate medical treatment. In this review, we illustrate these points by discussi