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Fishing and workboat crew medicine
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Fishing and workboat crew medicine

Small crews, long seasons and the nearest hospital days away. This category is written for commercial fishing and workboat operators, the vertical Discovery Health MD was built around in Seattle.
8 articles
Reviewed by Ann Jarris MD, FACEP
Primary sources cited
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About this category

Written for the operator, cited to the rule

What this category covers

The medical realities of commercial fishing and workboat operations: what a small crew carries, who they call, and how operators keep a season staffed.

Why this vertical is different

Most maritime medical content is written for cruise and merchant fleets. Fishing vessels have smaller crews, longer isolation and their own rule set, including 46 CFR 28.210 for the medicine chest. Discovery Health MD was founded in Seattle around exactly this work.

What medical equipment and guides must a ship carry?

Under MLC 2006 Standard A4.1(4)(a), every ship must carry a medicine chest, medical equipment and a medical guide, inspected at regular intervals and at least once every 12 months. Contents are set by the flag state using the WHO International Medical Guide for Ships. Vessels holding controlled substances also need a DEA-registered medical officer under 21 CFR 1301.25.
Sources: MLC 2006 Standard A4.1 and Guideline B4.1.1 (ILO), WHO International Medical Guide for Ships 3rd edition and its Quantification Addendum, 21 CFR 1301.25 (eCFR).
Start here

The guide operators open first

MOST READ · GUIDE

21 CFR 1301.25 explained, for the people who have to comply with it

The whole rule, paragraph by paragraph: who it applies to, the three medical officer conditions, and both annual reports.
All guide articles

Everything in Guide

What the Coast Guard dockside exam checks in your medical kit, | Discovery Health MD

What the Coast Guard dockside exam checks in your medical kit

The ten drills a US fishing vessel must run every month | Discovery Health MD

The ten drills a US fishing vessel must run every month

What kills US commercial fishermen, and what the numbers change | Discovery Health MD

What kills US commercial fishermen, and what the numbers change

Cold water immersion: what keeps a fisherman alive | Discovery Health MD

Cold water immersion: what keeps a fisherman alive

Remote Vessel Medical Planning by Voyage Length, Discovery Health MD

Days from shore: planning medical capability by time to definitive care

Commercial Fishing Vessel Medical Requirements, US, Discovery Health MD

What a US commercial fishing vessel actually has to do about medical care

Alaska Fishing Vessel Medical Compliance, Discovery Health MD

Alaska fishing vessel medical compliance: one federal trigger and three clocks

Vessel Medical Program Setup: Six Decisions, Discovery Health MD

Setting up a vessel medical program: the six decisions that come first

Common questions

Answers operators and search engines look for

US commercial fishing industry vessels have medicine-chest requirements under 46 CFR 28.210. What goes in it depends on the vessel, route and crew size. See MedChest.

46 CFR part 28 sets the first aid and medicine chest duties, and there is no federal crew fitness certificate for fishing crew. The full set of obligations is in US commercial fishing vessel medical requirements.

The free radio medical advice service is the baseline. The harder calls are whether to evacuate and what the chest can treat in the meantime, set out in when to medevac a seafarer and Alaska fishing vessel medical compliance.

Yes. The company was founded in Seattle in 2016 around commercial fishing and workboat operations, and Alaska Sea Grant risk-management guidance names Discovery Health as a provider of remote medical advice to Alaska fishing fleets.

Reading about compliance is not the same as being compliant

Tell us your vessels, flags and routes. A physician reviews your controlled substances, medicine chest and regulatory picture and shows you the gaps.

Call our physician team

888.683.7988

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