Acute gastrointestinal haemorrhage on board a cruise ship in the Antarctic Peninsula
Antarctic tourism on board cruise ships has expanded since the 1990s, essentially in the Antarctic Peninsula. Due to remoteness, medical cases may evolve into life threatening conditions as emergency medical evacuations are challenging. We discuss the case of a young crew member who suddenly fainted...
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ftviamedicaojs:oai:czasopisma.viamedica.pl:article/48794 2023-05-15T14:02:00+02:00 Acute gastrointestinal haemorrhage on board a cruise ship in the Antarctic Peninsula Carron, Mathieu Globokar, Peter Sicard, Bruno A 2016-12-23 application/pdf https://journals.viamedica.pl/international_maritime_health/article/view/IMH.2016.0040 https://doi.org/10.5603/IMH.2016.0040 en eng Via Medica Completion of the online submission form electronically is tantamount to automatically and free-of-charge transferring of the copyright for publishing and distribution of the submitted material (in all known now and developed in the future forms and fields of exploitation) to the Owner, i.e. International Maritime Health Foundation, under condition that those materials are accepted for publication. The authors agree not to publish any data or figures presented in their work anywhere and in any language without the prior written consent of the owner of the copyrights, i.e. the Owner. Legal relations between the Publisher and the author(s) are in accordance with Polish law and with international conventions binding to Poland. The legal bases to acquiring the copyright are article 921 section copyright law and related law as well as the international conventions binding to Poland. International Maritime Health; Vol 67, No 4 (2016); 223-226 gastrointestinal haemorrhage cruise ship Antarctic transfusion 2016 ftviamedicaojs https://doi.org/10.5603/IMH.2016.0040 2019-03-25T12:56:52Z Antarctic tourism on board cruise ships has expanded since the 1990s, essentially in the Antarctic Peninsula. Due to remoteness, medical cases may evolve into life threatening conditions as emergency medical evacuations are challenging. We discuss the case of a young crew member who suddenly fainted with an epigastric pain and abundant rectal bleeding while on board a cruise ship heading to the Deception Island (62°57.6 South, 60°29.5 West), 44 h away from Ushuaia by sea. A medical evacuation was necessary to save the patient whose haemoglobin level rapidly decreased from 11 g/dL to 8.7 g/dL over an 8 h period due to uncontrolled gastrointestinal bleeding. Following discussions between the French, Chilean and Argentinean Medical Top Side Support and Maritime Rescue Authorities and despite poor weather conditions, an emergency medical evacuation by air to Chile was made possible. The evacuation, which was 2 days shorter compared to an evacuation by sea, allowed the patient to reach a hospital facility in time to save his life whereas he decompensated in haemorrhagic shock. As passengers on cruise ships are typically elderly and often following anticoagulant therapies, the risk of bleeding is most important. Facing a gastric haemorrhage, a transfusion is often required. In remote areas, transfusion of fresh whole blood to stabilize a critical patient until he reaches a hospital must be considered. Other/Unknown Material Antarc* Antarctic Antarctic Peninsula Deception Island Via Medica Journals Antarctic The Antarctic Antarctic Peninsula Deception Island ENVELOPE(-60.633,-60.633,-62.950,-62.950) Ushuaia ENVELOPE(-40.000,-40.000,-82.167,-82.167) International Maritime Health 67 4 223 226 |
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Via Medica Journals |
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ftviamedicaojs |
language |
English |
topic |
gastrointestinal haemorrhage cruise ship Antarctic transfusion |
spellingShingle |
gastrointestinal haemorrhage cruise ship Antarctic transfusion Carron, Mathieu Globokar, Peter Sicard, Bruno A Acute gastrointestinal haemorrhage on board a cruise ship in the Antarctic Peninsula |
topic_facet |
gastrointestinal haemorrhage cruise ship Antarctic transfusion |
description |
Antarctic tourism on board cruise ships has expanded since the 1990s, essentially in the Antarctic Peninsula. Due to remoteness, medical cases may evolve into life threatening conditions as emergency medical evacuations are challenging. We discuss the case of a young crew member who suddenly fainted with an epigastric pain and abundant rectal bleeding while on board a cruise ship heading to the Deception Island (62°57.6 South, 60°29.5 West), 44 h away from Ushuaia by sea. A medical evacuation was necessary to save the patient whose haemoglobin level rapidly decreased from 11 g/dL to 8.7 g/dL over an 8 h period due to uncontrolled gastrointestinal bleeding. Following discussions between the French, Chilean and Argentinean Medical Top Side Support and Maritime Rescue Authorities and despite poor weather conditions, an emergency medical evacuation by air to Chile was made possible. The evacuation, which was 2 days shorter compared to an evacuation by sea, allowed the patient to reach a hospital facility in time to save his life whereas he decompensated in haemorrhagic shock. As passengers on cruise ships are typically elderly and often following anticoagulant therapies, the risk of bleeding is most important. Facing a gastric haemorrhage, a transfusion is often required. In remote areas, transfusion of fresh whole blood to stabilize a critical patient until he reaches a hospital must be considered. |
author |
Carron, Mathieu Globokar, Peter Sicard, Bruno A |
author_facet |
Carron, Mathieu Globokar, Peter Sicard, Bruno A |
author_sort |
Carron, Mathieu |
title |
Acute gastrointestinal haemorrhage on board a cruise ship in the Antarctic Peninsula |
title_short |
Acute gastrointestinal haemorrhage on board a cruise ship in the Antarctic Peninsula |
title_full |
Acute gastrointestinal haemorrhage on board a cruise ship in the Antarctic Peninsula |
title_fullStr |
Acute gastrointestinal haemorrhage on board a cruise ship in the Antarctic Peninsula |
title_full_unstemmed |
Acute gastrointestinal haemorrhage on board a cruise ship in the Antarctic Peninsula |
title_sort |
acute gastrointestinal haemorrhage on board a cruise ship in the antarctic peninsula |
publisher |
Via Medica |
publishDate |
2016 |
url |
https://journals.viamedica.pl/international_maritime_health/article/view/IMH.2016.0040 https://doi.org/10.5603/IMH.2016.0040 |
long_lat |
ENVELOPE(-60.633,-60.633,-62.950,-62.950) ENVELOPE(-40.000,-40.000,-82.167,-82.167) |
geographic |
Antarctic The Antarctic Antarctic Peninsula Deception Island Ushuaia |
geographic_facet |
Antarctic The Antarctic Antarctic Peninsula Deception Island Ushuaia |
genre |
Antarc* Antarctic Antarctic Peninsula Deception Island |
genre_facet |
Antarc* Antarctic Antarctic Peninsula Deception Island |
op_source |
International Maritime Health; Vol 67, No 4 (2016); 223-226 |
op_rights |
Completion of the online submission form electronically is tantamount to automatically and free-of-charge transferring of the copyright for publishing and distribution of the submitted material (in all known now and developed in the future forms and fields of exploitation) to the Owner, i.e. International Maritime Health Foundation, under condition that those materials are accepted for publication. The authors agree not to publish any data or figures presented in their work anywhere and in any language without the prior written consent of the owner of the copyrights, i.e. the Owner. Legal relations between the Publisher and the author(s) are in accordance with Polish law and with international conventions binding to Poland. The legal bases to acquiring the copyright are article 921 section copyright law and related law as well as the international conventions binding to Poland. |
op_doi |
https://doi.org/10.5603/IMH.2016.0040 |
container_title |
International Maritime Health |
container_volume |
67 |
container_issue |
4 |
container_start_page |
223 |
op_container_end_page |
226 |
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1766272054871457792 |