1. Comprehensive Maritime Incident Management: protocols, roles, and chain of command for coordinated response
2. Operational Planning and Execution: briefing, routes, weather windows, and go/no-go criteria
3. Rapid Risk Assessment: criticality matrix, scene control, and decision-making under pressure
4. Operational Communication: VHF/GMDSS, standardized reports, and inter-agency liaison
5. Tactical Mobility and Safe Boarding: RHIB maneuvers, approach, mooring, and recovery
6. Equipment and Technologies: PPE, signaling, satellite tracking, and field data logging
7. Immediate Care of the Affected: primary assessment, hypothermia, trauma, and stabilization for evacuation
8. Adverse Environmental Conditions: swell, Visibility, flows, and operational mitigation

   Simulation and training: critical scenarios, use of VR/AR, and exercises with performance metrics

   Documentation and continuous improvement: lessons learned, indicators (MTTA/MTTR), and SOP updates

1. Introduction to Basic Life Support (BLS) in the maritime environment: particularities and challenges.
2. Initial patient assessment: primary and secondary ABCDE adapted to the marine environment.
3. CPR in adults, children, and infants: adaptations for confined spaces and ship movements.
4. Management of the obstructed airway: maneuvers and devices available on board.
5. Hemorrhage and shock: control of external bleeding, fluid resuscitation, and management of hypovolemic shock.
6. Trauma: immobilization, transport, and initial treatment of fractures, sprains, and dislocations.
7. Burns: classification, initial treatment, and special considerations in marine environments.
8. Common medical emergencies in
9. Onboard: chest pain, respiratory distress, seizures, and allergic reactions.
10. Communications and Telemedicine: communication protocols with land-based medical centers and use of telemedicine equipment.
11. Legal and Ethical Aspects: responsibility of onboard personnel and documentation of medical care.

1. Basic Anatomy and Physiology Applied to Maritime Emergencies
2. Patient Assessment: ABCDE in the Maritime Environment
3. Basic Life Support (BLS) and Automated External Defibrillation (AED) at Sea
4. Airway Management and Oxygen Therapy in Emergency Situations
5. Hemorrhage and Shock: Control and Management in the Maritime Environment
6. Trauma: Management of Fractures, Dislocations, and Injuries at Sea
7. Burns: Assessment and Initial Treatment in Maritime Emergencies
8. Drowning and Near-Drowning: Rescue and Resuscitation in the Water
9. Wildlife Injuries Marine: Identification, Treatment, and Prevention
10. Hypothermia and Hyperthermia: Management in Maritime Rescue and Evacuation Situations

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1. Introduction to Basic Life Support (BLS) and Advanced Life Support (ALS) in the maritime environment.
2. Initial patient assessment: ABCDE, taking vital signs, and assessing level of consciousness.
3. Airway management: opening techniques, suctioning, placement of devices (Guedel airway, laryngeal mask airway).
4. Ventilation: bag-valve-mask ventilation (Ambu bag), oxygen administration.
5. Circulation: chest compressions, defibrillation (AED).
6. Recognition and management of acute myocardial infarction and stroke at sea.
7. Trauma: assessment, immobilization, and initial management of fractures, dislocations, Sprains and spinal cord injuries.
8. Hemorrhages: control of external and internal bleeding, use of tourniquets and compression bandages.
9. Burns: assessment of extent and depth, initial management, and prevention of hypothermia.
10. Maritime evacuation: preparation of the patient for evacuation, communication with emergency services, logistical considerations.

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1. Initial Patient Assessment: Offshore Triage, ABCDE, Vital Signs
2. Basic Life Support (BLS) and Advanced Life Support (ALS): CPR, AED, Airway Management
3. Offshore Trauma: Fractures, Wounds, Burns, Spinal Cord Injuries
4. Cardiovascular Emergencies: Myocardial Infarction (MI), Arrhythmias, Acute Pulmonary Edema
5. Respiratory Emergencies: Asthma, COPD, Pneumothorax, Drowning
6. Neurological Emergencies: Stroke, Seizures, Traumatic Brain Injury
7. Environmental Emergencies: Hypothermia, Hyperthermia, Wildlife Injuries

marine

8. Common Illnesses at Sea: Infections, gastroenteritis, allergic reactions
9. Emergency Pharmacology: Essential medications, administration, and precautions
10. Medical Evacuation Coordination: Communication, patient preparation, transfer procedures

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1. System Architecture and Components: Structural design, materials, and subsystems (mechanical, electrical, electronic, and fluid) with selection and assembly criteria for marine environments
2. Fundamentals and Principles of Operation: Physical and engineering foundations (thermodynamics, fluid mechanics, electricity, control, and materials) that explain performance and operating limits
3. Safety and Environmental (SHE): Risk analysis, PPE, LOTO, hazardous atmospheres, spill and waste management, and emergency response plans
4. Applicable Regulations and Standards: IMO/ISO/IEC requirements and local regulations;
5. Conformance criteria, certification, and best practices for operation and maintenance
6. Inspection, testing, and diagnostics: Visual/dimensional inspection, functional testing, data analysis, and predictive techniques (vibration, thermography, fluid analysis) to identify root causes
7. Preventive and predictive maintenance: Hourly/cycle/seasonal plans, lubrication, adjustments, calibrations, consumable replacement, post-service verification, and operational reliability
8. Instrumentation, tools, and metrology: Measuring and testing equipment, diagnostic software, calibration and traceability; selection criteria, safe use, and storage
9. Onboard integration and interfaces: Mechanical, electrical, fluid, and data compatibility; Sealing and watertightness, EMC/EMI, corrosion protection, and interoperability testing.

   Quality, acceptance testing, and commissioning: process and materials control, FAT/SAT, bench and sea trials, go/no-go criteria, and evidence documentation.

   Technical documentation and integrated practice: logs, checklists, reports, and a complete case study (safety → diagnosis → intervention → verification → report) applicable to any system.

1. Introduction to Maritime Emergencies: Types, Causes, and Consequences
2. Initial Patient Assessment: Vital Signs, ABCDE, Medical History
3. Onboard First Aid Kit: Contents, Maintenance, Legislation
4. Immobilization and Mobilization Equipment: Cervical Collars, Splints, Stretchers
5. Hemorrhage and Shock: Hemorrhage Control, Shock Treatment
6. Trauma: Management of Fractures, Dislocations, Sprains
7. Burns: Classification, Treatment, Infection Prevention
8. Drowning and Immersion Syndrome: Rescue, Resuscitation, Complications
9. Preparation for Transfer: Communication, Stabilization, Documentation
10. Coordination with emergency services: protocols, roles, and responsibilities

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