The Value of a Properly Stocked Medical Chest and Equipped Telemedicine Kit

Jul 18, 2019
The Value of a Properly Stocked Medical Chest and Equipped Telemedicine Kit
A medical emergency can happen at any time when you are at sea for a week or a year. While nothing can replace the peace of mind that comes with 24/7 telephonic access to a doctor, you can significantly enhance your medical care through a properly stocked medical chest and equipped telemedicine kit.  

Now instead of being the exception, the combination of these two items is becoming the norm.

A properly stocked medical chest is designed to support the treatment of injuries or illnesses you may encounter during your voyage. The contents of your medical chest depend on the size of your vessel, the number of crew and passengers, and how far you are travelling.  

There are a variety of configurations, some of which include narcotics, oxygen, IV kits, and more. I suggest you communicate with your medical supply provider to determine your specific needs. Once you obtain your medical chest, it’s just as important to ensure your telemedicine provider has an updated inventory list. So, make sure you keep them up to date whenever you restock or make any changes to your inventory.

What Are the Benefits of Telemedicine Kits?

The current standard for remote medical support is through the vessel’s satellite phone. While this provides access to critical remote medical support, a telemedicine kit with built-in video conferencing that’s specifically designed to be used over satellite or cellular communication networks could significantly enhance that level of care you are seeking.  

A properly equipped telemedicine kit assists the remote medical specialist (doctor) in making a more accurate diagnosis, allowing them to provide better medical care and to reduce the likelihood of diversions. This is a significant enhancement compared to the doctor using a phone to talk with the patient or the Designated Medical Officer (DMO) listening to them describe the situation and making a diagnosis based on that they are being told. 

Having the ability to use a video conferencing application in a telemedicine kit increases the chances that the right diagnosis is made. The telemedicine kit ‘virtually’ brings the doctor to the patient’s bedside. Together, the doctor (your private physician or contracted medical specialist) and the DMO (which can be either a trained crew or family member) work together as a team to diagnose and treat the patient effectively.  

Although crew and certain family members (especially family members with children or parents with special medical needs) should be familiar with the contents of a medical chest and the operation of a telemedicine kit, they may forget their training during an emergency situation due to the heightened emotion that occurs in these scenarios. 

They may have never been trained in the use of a medical chest or telemedicine kit, or they just don’t deal with emergencies that well. Either way, the simple color-coded layout of a medical chest makes it easy for the doctor to guide the DMO in selecting the correct bandage or medication. An intuitive, easy to use telemedicine kit with remote control features, allowing the doctor to remotely activate and control certain features on the kit, which can ease some of the burden placed on the DMO while they are dealing with the patient.

What Features Are Essential in a Telemedicine Kit?

Certain built-in features on the telemedicine kit can assist the DMO in dealing with the medical emergency. A few features you should look to have on your telemedicine kit include: 
  • An integrated camera to provide the doctor with an overall firsthand view of the situation so they can see what they are dealing with.  
  • A hands-free speakerphone that allows the DMO to converse freely with the doctor as if they were in the same room, while freeing up their hands and allowing them to focus on the patient.  
  • An interactive wizard feature that assists the DMO in administering treatment as required. 
  • Functionality that lets doctors remotely access the microphone, adjust video quality, bandwidth consumption rates, and capture still images as required.
All of these features are designed to facilitate the delivery of treatment during medical emergencies. Telemedicine kits allow for quick and thorough examinations that aim to enhance the quality of care that an individual receives.

An Example of Telemedicine in Practice

Your DMO is expected to work with the doctor during a medical emergency. Let’s assume the DMO is using one of the kit’s cameras (such as an otoscope) to provide the doctor with a real-time view of the inside of the patient’s ear. 

The doctor can remotely record the video and command the camera to take a still image, automatically sending it to their computer desktop so they can study it more closely. This not only captures the specific image the doctor wants to see for closer examination, but it also alleviates the DMO from performing an unnecessary task and allows them to continue to focus on positioning the camera and the patient’s comfort.  

If the doctor determines there is an infection, they can refer to the medical chest inventory list, and guide the DMO in the quick selection of the proper antibiotic and recommended dressing using the chest’s color-coded labeling system. 

Telemedicine kits are a communication and diagnostic tool, and when combined with a properly stocked medical chest, they become part of the overall medical solution. Together with the doctor and DMO, the level of medical care for your crew and family is significantly enhanced and contribute to a safe and enjoyable voyage.

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