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Pattern of passenger injury and illness on expedition cruise ships to Antarctica.
J Travel Med. 2014 Jul-Aug; 21(4):228-34.JT

Abstract

BACKGROUND

Expedition ships to Antarctica travel to remote areas with limited medical support.

OBJECTIVES

This study determines the rate and patterns of passenger illness and injuries among those traveling on expedition ships to Antarctica. We hypothesize that severe medical conditions are encountered that require physicians serving on these ships to be skilled enough to care for critically ill or injured patients.

METHODS

We performed a retrospective analysis of the medical records of all passengers who were provided medical care on 26 Antarctica voyages from October 2010 to March 2011 (four different expedition ships). A structured system was used to categorize the diagnoses from each patient encounter. The pattern of traumatic injuries was noted, including location of occurrence. Treatments rendered including patient evacuations were documented. The population is described with incidence rates.

RESULTS

A total of 2,366 passengers traveled on 26 trips, for a total of 34,501 person-days. In all, 680 physician visits were done, including 150 consultations for motion sickness preventive care, leaving 530 visits (15.4 visits per 1,000 person-days) for active medical care. Median age was 50 (range 10-90) years and 51% were females. Incidence rates per 1,000 person-days for the most common processes include motion sickness (4.2), infections (3.5), and injury (2.0). Injuries were more likely to occur on the ship (66%, 95% CI: 54-77%) compared to off the ship (34%, 95% CI: 23-46%). Four subjects (0.12/1,000 person-days) were evacuated (three due to traumatic conditions and one due to medical complications) and one person died (medical complication).

CONCLUSION

Passengers on expedition ships to Antarctica may experience significant illness and injury. Ship physicians should be aware of the patterns of injuries and illnesses that occur on expedition ships and should have appropriate training to treat various medical and traumatic conditions including life-threatening illnesses.

Authors+Show Affiliations

Department of Emergency Medicine, University of California at Davis School of Medicine, Sacramento, CA, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24831067

Citation

Schutz, Lusana, et al. "Pattern of Passenger Injury and Illness On Expedition Cruise Ships to Antarctica." Journal of Travel Medicine, vol. 21, no. 4, 2014, pp. 228-34.
Schutz L, Zak D, Holmes JF. Pattern of passenger injury and illness on expedition cruise ships to Antarctica. J Travel Med. 2014;21(4):228-34.
Schutz, L., Zak, D., & Holmes, J. F. (2014). Pattern of passenger injury and illness on expedition cruise ships to Antarctica. Journal of Travel Medicine, 21(4), 228-34. https://doi.org/10.1111/jtm.12126
Schutz L, Zak D, Holmes JF. Pattern of Passenger Injury and Illness On Expedition Cruise Ships to Antarctica. J Travel Med. 2014 Jul-Aug;21(4):228-34. PubMed PMID: 24831067.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pattern of passenger injury and illness on expedition cruise ships to Antarctica. AU - Schutz,Lusana, AU - Zak,Dan, AU - Holmes,James F, Y1 - 2014/05/15/ PY - 2013/10/08/received PY - 2013/12/13/revised PY - 2013/12/18/accepted PY - 2014/5/17/entrez PY - 2014/5/17/pubmed PY - 2015/2/24/medline SP - 228 EP - 34 JF - Journal of travel medicine JO - J Travel Med VL - 21 IS - 4 N2 - BACKGROUND: Expedition ships to Antarctica travel to remote areas with limited medical support. OBJECTIVES: This study determines the rate and patterns of passenger illness and injuries among those traveling on expedition ships to Antarctica. We hypothesize that severe medical conditions are encountered that require physicians serving on these ships to be skilled enough to care for critically ill or injured patients. METHODS: We performed a retrospective analysis of the medical records of all passengers who were provided medical care on 26 Antarctica voyages from October 2010 to March 2011 (four different expedition ships). A structured system was used to categorize the diagnoses from each patient encounter. The pattern of traumatic injuries was noted, including location of occurrence. Treatments rendered including patient evacuations were documented. The population is described with incidence rates. RESULTS: A total of 2,366 passengers traveled on 26 trips, for a total of 34,501 person-days. In all, 680 physician visits were done, including 150 consultations for motion sickness preventive care, leaving 530 visits (15.4 visits per 1,000 person-days) for active medical care. Median age was 50 (range 10-90) years and 51% were females. Incidence rates per 1,000 person-days for the most common processes include motion sickness (4.2), infections (3.5), and injury (2.0). Injuries were more likely to occur on the ship (66%, 95% CI: 54-77%) compared to off the ship (34%, 95% CI: 23-46%). Four subjects (0.12/1,000 person-days) were evacuated (three due to traumatic conditions and one due to medical complications) and one person died (medical complication). CONCLUSION: Passengers on expedition ships to Antarctica may experience significant illness and injury. Ship physicians should be aware of the patterns of injuries and illnesses that occur on expedition ships and should have appropriate training to treat various medical and traumatic conditions including life-threatening illnesses. SN - 1708-8305 UR - https://www.unboundmedicine.com/medline/citation/24831067/Pattern_of_passenger_injury_and_illness_on_expedition_cruise_ships_to_Antarctica_ L2 - https://academic.oup.com/jtm/article-lookup/doi/10.1111/jtm.12126 DB - PRIME DP - Unbound Medicine ER -