Maritime QuestionsFirst Aid Afloat

A crew member is confused, has a dry mouth, and has not urinated for 6 hours on a hot passage. What condition is this and how is it treated?

A. Seasickness — give anti-emetics and withhold all fluids
B. Heat stroke — cool the casualty with ice and give cold drinks immediately
C. Salt deficiency — give salty food and drinks only, not plain water
D. Moderate dehydration — give oral fluids (water, diluted sports drinks) if conscious and not vomiting; 500ml over the first hour then 250ml/h; rest in shade; monitor urine output as a recovery guide; severe dehydration with unconsciousness requires IV fluid and urgent medical evacuation
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A crew member recovered from cold water is shivering violently, confused, and pale. What stage of hypothermia is this and what is the correct treatment?
A. Severe hypothermia — perform CPR immediately regardless of pulse
B. Heat exhaustion — cool the casualty and give cold water
C. Mild to moderate hypothermia (core temp ~32–35°C) — remove wet clothing, insulate from wind and cold, warm with blankets and foil, give warm sweet drinks if conscious and no injury suspected, handle gently and do NOT rub limbs
D. Mild hypothermia — exercise to generate body heat
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A near-drowning casualty has been recovered from the water. They are unconscious and not breathing. What is the immediate priority?
A. Start rescue breaths (5 initial breaths) immediately, then begin standard CPR (30 compressions : 2 breaths) — airway and breathing take priority as drowning is a hypoxic event
B. Place in recovery position and monitor — never start CPR on a drowning victim who may vomit
C. Clear the airway by holding the casualty upside down first
D. Start chest compressions only — do not give rescue breaths
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