To be asked to prepare a second edition of a book is heartening for any author or editor. Apart from the opportunity to make the corrections and amendments which are inevitable in a practical manual there is also the possibility to make additions which enhance its usefulness. Above all a further edition usually means that the book has been found to be accept able to a large number of readers and has fulfilled a need. This is indeed the case with Offshore Medicine, which in its description of the medical aspects of offshore work has provided a unique guide to the occupational health of a new industry. The rapid development of offshore exploration for gas and oil which began in the 1960s created a whole new range of related industries. Most attention was focused on the problems of deep diving in the North Sea because of the great expansion of the diving industry, its technological advances and the high mortality of divers in the early years. Diving, however, is only a fraction of the total endeavour concerned with the offshore industry. The much larger population of workers offshore who man the rigs and barges, the toolpushers, helicop ter pilots, crane drivers, scaffolders and roustabouts, geologists and so on, so sympathetically described by A. Alvarez in his recent book Off shore, A North Sea Journey, and the harsh and difficult conditions in which they often have to work are sometimes forgotten.
|Edition description:||2nd ed. 1987. Softcover reprint of the original 2nd ed. 1987|
|Product dimensions:||6.69(w) x 9.61(h) x 0.02(d)|
Table of Contents1. Introduction.- Geological Exploration.- Drilling Rigs.- Exploratory Drilling.- Development.- Production.- Communications and Transport.- Hazards.- Costs of Offshore Operations.- Implications for the Doctor.- Incidence of Major Mishaps.- 2. Legal Aspects of Safety, Health and Welfare on the United Kingdom Continental Shelf.- The Continental Shelf Doctrine.- Territorial Waters, Contiguous Zones and Continental Shelves.- The United Kingdom Continental Shelf.- Safety, Health and Welfare Legislation on the United Kingdom Continental Shelf.- Offshore Installations and Pipelines.- I Employer’s Liability Insurance Offshore.- Summary.- References.- Schedule of Principal Legislation Governing Safety, Health and Welfare Offshore in Denmark, France, The Netherlands and Norway.- 3. Pre-plaeement and Periodic Medical Examinations.- Pre-placement Examinations.- Periodic Examinations.- 4. Provision of Back-up Services.- Specialist Services.- Offshore Disasters.- 5. Offshore Medical Care.- Functions of the Offshore Medic.- Number and Type of Patients Seen by Medics.- Selection and Training of Medics.- Medics and Diving.- Medical Facilities and Supplies.- Stretchers.- Mechanical Aids to Respiration.- Instruments, Drugs and Dressings.- Survival Suits.- Communications and Transport.- Transporting a Sick or Injured Person.- Stand-by Vessels.- Medical Selection of Crew.- First-Aid Instruction and Training.- Medical Equipment for Stand-by Vessels.- Supply Vessels.- 6. Some Special Problems.- Hydrogen Sulphide.- Radioactivity.- Methane.- Methanol.- Ethylene Glycol.- Obesity.- Dust.- DrillingMud.- Welding.- Noise and Vibration.- Trauma.- Scabies and Other Infestations.- Tropical and Other Endemic Diseases in Immigrants.- Psychological Disturbances.- Drugs and Alcohol.- Partial Drowning and its Treatment.- Immediate First Aid.- Hypothermia.- Treatment.- 7. Diving.- Diving Techniques.- SCUBA Diving.- Surface-Orientated Surface-Supplied Diving.- Submersible Decompression Chambers and Deck Chambers.- Gases Used in Diving.- Air.- Mixed Helium and Oxygen (Heliox).- Decompression Techniques.- Medical Problems.- Ear and Sinus Problems.- Other Injuries in the Water or in Chambers.- Near-Drowning.- Pulmonary Barotrauma.- Decompression Sickness.- Treatment of Gas Embolism and Decompression Sickness.- Air Diving.- Mixed Gas Diving.- Notes.- Immediate Treatment of Decompression Sickness when a Chamber is not on site.- Professional Bodies Associated with Diving.- Medical Examination of Divers.- Physical Standards.- Results of Examination.- Return to Diving Following Decompression Sickness and Other Illnesses.- After Type 1 Decompression Sickness.- After Type 2 Decompression Sickness.- Flying After Diving.- Transport of a Patient with Decompression Sickness.- Transfer Under Pressure and Hyperbaric Rescue.- Sources of Assistance in a Diving Emergency.- Long-term Effects of Diving.- Drugs Under Pressure.- The Use or Misuse of Addictive Drugs.- The Incidental Use of Drugs in Diving.- The Use of Drugs as Adjuvant Therapy in Decompression Sickness.- 8. Catering and Hygiene.- Critical Areas.- Food Sources.- Containers and Transport.- Storage Offshore.- Thawing Frozen Foods.- Galley Design.- Floors and Scuppers.- Galley Bulkheads.- Ventilation.- Food Handlers’ Toilet Facilities.- Preparation Surfaces.- Catering Machinery (Galley).- Cleaning of Specific Items.- Dining Room.- Cooks’Tools.- Food Handlers.- Nutrition Offshore.- Routine Health and Hygiene Inspections.- 9. Dental Problems Offshore.- Dental Standards.- Dental Jurisprudence.- Dental First Aid.- Dental Problems in Diving.- Dental Treatment.- 10. Investigation of Fatal and Non-Fatal Accidents.- The Fatal Accident.- Legal Investigative Aspects.- Personnel.- Permission.- The Non-Fatal Accident.- Accident History.- Diving Accidents.- Causes.- Accident Check List.- Organisation of Accident Investigation.- Recovery, Storage and Preservation of Bodies.- Equipment.- Role of the Pathologist.- Autopsy Technique.- Unascertainable Cause of Death.- Laboratory Support in Diving Accidents.- Transport of Bodies.- Return of a Body to the United Kingdom.- Export of Bodies from the United Kingdom.- Conclusion.- Appendices.