Maritime QuestionsDg Medical Ice Cm

TMAS has advised that the crew member with suspected MI requires immediate hospital treatment. The vessel is 300nm from Aberdeen. Describe the medevac coordination process.

A. MEDEVAC COORDINATION — CHIEF MATE's PROCESS: AUTHORITY AND DECISION: the MASTER decides whether to request medevac — but the decision is usually based on TMAS advice. TMAS physician recommends medevac based on clinical assessment. MEDEVAC INITIATION: (1) VHF/HF to MRCC Aberdeen (or JRCC in Scotland — operated by HM Coastguard): initial contact on VHF 16 or MF 2182 kHz. Switch to working channel as directed; (2) MESSAGE FORMAT: (a) Vessel name, call sign, IMO number, flag; (b) Position (lat/lon) — current and updated ETA position in 4 hours; (c) Speed and course; (d) Wind, sea state, visibility; (e) Nature of medical emergency (brief: "suspected MI in 45M, 300nm from Aberdeen, TMAS advises immediate hospital treatment"); (f) Number of persons on board; (g) Landing area for helicopter (if applicable — clear deck, fire hose/extinguisher standby); (3) VESSEL COURSE ALTERATION: alter course toward Aberdeen to reduce helicopter range if requested. Confirm with MRCC; (4) HELICOPTER PREPARATION (if helicopter coming): (a) Mark the helicopter deck — if the vessel has an HDA (Helicopter Designated Area), clear it; (b) Wind sock or smoke marker upwind; (c) Brief the patient on the helicopter lift procedure; (d) Prepare patient documentation — patient notes, TMAS consultation record, medication given, vital signs record; (e) Remove loose items on deck; (f) Post fire watch — fire extinguisher standby during helicopter operations; (5) PATIENT PREPARATION: prepare patient on stretcher if possible, in warm clothing, with documentation. Continue monitoring vital signs.
B. Contact the nearest coast radio station on HF to request helicopter assistance. The process is the same globally for medevac.
C. A medevac decision can only be made by the flag state Maritime Operations Centre. Contact the MCA Southampton to authorise the medevac.
D. Aberdeen is 300nm away — beyond helicopter range. There is nothing further that can be done at sea. Monitor the patient until the vessel arrives in port.
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As Chief Mate on a chemical tanker, you are planning to load benzene (UN 1114, Class 3, PG I) after carrying methanol. What segregation, tank preparation, and safety measures apply?
A. BENZENE LOADING AFTER METHANOL — CHIEF MATE's PLANNING: CARGO COMPATIBILITY CHECK: (1) Are methanol and benzene compatible for sequence loading? Methanol (Class 3/6.1) and benzene (Class 3) are both flammable — BUT they are not compatible in the sense that residual methanol in a benzene cargo = CONTAMINATION. Check the IBC Code compatibility matrix and the charterer's cargo compatibility requirements; (2) TANK WASHING: tanks previously carrying methanol must be thoroughly washed before benzene loading. Methanol is water-soluble and miscible — water washing followed by recirculation is appropriate. Complete drying is required as water in benzene cargo = haze/contamination; (3) BENZENE PROPERTIES (UN 1114): (a) Class 3, Packing Group I (very high flammability); (b) Boiling point 80°C, flashpoint -11°C (extremely flammable); (c) TOXIC: a human carcinogen (Group 1 IARC). Vapour exposure risk — PPE: SCBA and full chemical protection suit for all operations; (d) Vapour density 2.7 (heavier than air — accumulates in low areas); (4) MARPOL ANNEX II: benzene is Annex II Category X substance (most hazardous). Pre-washing before any discharge — MANDATORY; (5) IBC CODE SPECIAL REQUIREMENTS: benzene requires closed loading, vapour return line (vapour recovery or destruction), enclosed gauging (no open ullaging), and restricted access during loading; (6) SAFETY ZONE: 3-metre exclusion zone around manifold during loading operations. No ignition sources within 30m. IGS may not be required (benzene is non-reactive to inert gas atmospheres) but nitrogen blanket may be required; (7) EMERGENCY: EmS F-E (flammable liquids fire) and S-E (spillage).
B. Benzene and methanol are both flammable liquids. Carry over residues between them is acceptable — clean the tank with seawater and load immediately.
C. Class 3 carriage requires no special safety measures beyond normal liquid cargo handling. SCBA is only needed for Class 2 gas cargoes.
D. All dangerous goods are covered by the standard SOPEP. Dangerous goods incidents are handled identically regardless of the specific class.
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In port, a cargo hold is opened and a strong smell of chlorine is detected. The manifest shows UN 1017 (Chlorine, Class 2.3 Toxic Gas) in the lower hold. Crew members are near the hold. As Chief Mate, what do you do?
A. CHLORINE GAS RELEASE — EMERGENCY RESPONSE: UN 1017, CHLORINE, CLASS 2.3: (a) Extremely toxic gas — IDLH (Immediately Dangerous to Life and Health) 10 ppm; (b) Heavier than air (vapour density 2.5) — accumulates at low levels in holds; (c) Bleach-like odour detectable at 0.5 ppm — if crew can smell it, concentrations may already be dangerous. IMMEDIATE ACTIONS — FIRST 60 SECONDS: (1) SHOUT AND CLEAR: warn all crew in the vicinity to MOVE AWAY UPWIND. Do not send crew into the hold without SCBA; (2) WIND AWARENESS: position crew UPWIND of the hold opening. Chlorine disperses downwind; (3) NO IGNITION SOURCES: chlorine in combination with hydrogen (from bilge gas) could explode — no smoking, no naked flames. However, chlorine itself is not flammable; (4) CALL THE MASTER: immediate notification; (5) SOUND GENERAL ALARM: if the release is significant or risk of spread to accommodation; (6) CLOSE THE HOLD: if it can be done safely from outside without entering — secure the hold to contain the release; (7) EMERGENCY SERVICES: contact port authority and emergency services (shore fire brigade with HazMat team); (8) IMDG EmS: EmS code for UN 1017 is F-C (non-flammable gas fire) and S-U (toxic gas spillage). S-U: keep people away from damaged area. Contact 24-hour emergency advice centre; (9) EMERGENCY CONTACT: the DG manifest must show a 24/7 emergency contact. Call them immediately; (10) DO NOT VENTILATE BY BLOWING AIR INTO HOLD: this could disperse chlorine gas to adjacent areas.
B. Open all hold ventilation fans to maximum to clear the chlorine gas. Fresh air will dilute and remove the hazard quickly.
C. Enter the hold with a rag over the face to locate and close the leaking drum. Quick action before the gas builds up is more effective than waiting for SCBA.
D. Chlorine has an obvious smell — once the smell is detectable, it is not at dangerous concentration. Monitor from the hold entrance before calling emergency services.
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