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 First Aid: Basic principles, scene assessment, biosafety.
2. Bandaging: Types of bandages (elastic, triangular, gauze), bandaging techniques (circular, spiral, sling).
3. Immobilization: Splints (rigid, malleable, improvised), immobilization of upper and lower extremities.
4. Bone and Joint Injuries: Sprains, dislocations, fractures (types, signs, symptoms), specific immobilization.
5. Transporting the Injured: Lifting techniques (one, two, three people), stretchers (types, use), safety considerations.
6. Head and Spinal Injuries: Assessment, immobilization Cervical spine injury, appropriate transport.
7. Hemorrhage and Shock: Hemorrhage control (direct pressure, elevation, pressure points), signs and treatment of shock.
8. Burns: Classification, initial treatment (cooling, protection), appropriate bandaging.
9. Asphyxiation and Airway Obstruction: Heimlich maneuver (adults, children, infants), basic CPR.
10. Legal and Ethical Considerations: Informed consent, legal responsibility, limits of first aid intervention.

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1. Introduction to First Aid: Basic principles and legal considerations.
2. Basic Anatomy and Physiology: Bones, muscles, and the circulatory system related to fractures and wounds.
3. Scene and Patient Assessment: Priorities and safety in prehospital care.
4. Wound Management: Cleaning, hemorrhage control (tourniquets, compression bandages), and dressings.
5. Types of Fractures: Classification, signs, and symptoms.
6. Fracture Immobilization: Use of splints, slings, and other devices.
7. Common Musculoskeletal Injuries: Sprains, dislocations, and contusions.
8. Bandaging: Basic techniques for support, compression, and immobilization.
9. Shock Hypovolemic: Causes, signs, symptoms, and initial management.

   Patient Transport: Safe techniques and special considerations.

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1. Initial Assessment of the Trauma Patient: ABCDE, Pediatric Assessment Triangle
2. Airway Management: Opening, Suctioning, Devices (OPA, NPA, I-Gel), Intubation (considerations)
3. Hemorrhage Control: Direct Pressure, Tourniquets, Hemostatic Agents
4. Spinal Immobilization: Indications, Techniques (Cervical Collar, Spinal Board, Lateral Positioning Devices)
5. Extremity Injuries: Fractures, Sprains, Dislocations (Splints, Bandages, Slings)
6. Compartment Syndrome: Etiology, Diagnosis, Initial Treatment
7. Traumatic Brain Injury (TBI): Glasgow Coma Scale (GCS), Intracranial Pressure (ICP) Management
8. Thoracic Trauma: Tension Pneumothorax, Hemothorax, Pulmonary Contusion
9. Abdominal Trauma: Assessment, Specific Considerations (Organ Injuries)
10. Patient Transfer and Handover: Effective Communication, Documentation

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1. Initial Trauma Assessment: ABCDE (airway, breathing, circulation, neurological deficit, exposure), identification of priorities.
2. Airway Management in Trauma: Opening, clearing, use of devices (oropharyngeal and nasopharyngeal airways), basic intubation (if applicable according to level).
3. Hemorrhage Control: Direct pressure, tourniquets, hemostatic agents, management of internal bleeding.
4. Circulatory Support: Vascular access, fluid administration, recognition of hypovolemic shock.
5. Traumatic Brain Injury (TBI): Glasgow Coma Scale assessment, intracranial pressure management, cervical spine stabilization.
6. Spinal Injuries: Immobilization Spinal cord (cervical collar, spinal board), prevention of secondary injuries.

   Thoracic Trauma: Pneumothorax, hemothorax, flail chest, initial management and decompression (if applicable according to level).

   Abdominal Trauma: Assessment, recognition of signs of internal bleeding, preparation for transfer.

   Bone Injuries: Fractures (closed and open), dislocations, sprains, immobilization with splints and bandages.

   Compartment Syndrome: Recognition, initial management, and preparation for referral.

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. Basic Anatomy and Physiology: Cardiovascular, respiratory, and nervous systems.
2. Patient Assessment: Primary (ABCDE) and secondary assessment.
3. Basic CPR in Adults: Chest compressions, ventilation, and AED use.
4. Basic CPR in Children and Infants: Adaptations and special considerations.
5. Airway Obstruction: Heimlich maneuver in adults, children, and infants.
6. Bleeding: Direct control, compression bandages, and tourniquets.
7. Wounds and Burns: Cleaning, disinfection, dressings, and initial treatment.
8. Sprains and Fractures: Immobilization with splints and bandages.

   Patient Transfer: Mobilization and safe transport techniques.

   Medical-Legal Considerations: Informed consent, liability, and documentation.

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