- Email: [email protected]
Teledermatology at sea
Recueil des re´sume´s Objective.– Organise thorough medical training for professional sailors, integrating both theory and practicals within the hospital. Materials and methods.– Medical theory lectures and various workshops were conducted to prepare for the practicals, which mostly took place at the Accident and Emergency Department of Bayonne. Pedagogical groups consisting of one nurse and three sailors were constituted for the practicals. All nurses were professionals from the Department, who had been trained for teaching nursing techniques and introduced to the specificities of professional maritime environment. Results The theoretical training appeared to be dense for both students and instructors, although a large body of information was properly assimilated by the sailors. All students were positive about the group system and in particular the ratio of nurses to students, which they judged to be optimal to guarantee instructor availability and quality of the training. The psychological impact of being exposed to difficult hospital cases was underestimated and will be an important aspect of future courses. Conclusions.– The provided training, based on instructor/student groups maintained in both workshops and practicals, was very efficient and allowed the objective to be reached. The results from this first session showed that the Accident and Emergency Department is likely to be the most adapted unit for such a course. http://dx.doi.org/10.1016/j.admp.2013.07.047
Plenary Session 2 Maritime dermatology 7
Teledermatology at sea A.E. Burdick University of Miami Health System, 1400 NW, 12th Avenue, Miami, FL 33136, USA E-mail address: [email protected] For over three years, the University of Miami has provided a store-andforward teledermatology service for cruise ships around the world. The service is designed to be primarily for crewmembers, but passengers are seen when necessary. This presentation will address the operational and clinical aspects of this service, including systems architecture and workflow, description and classification of volume, and presentation of interesting cases. Our experience demonstrates that a store-and-forward approach can be used to effectively provide teledermatology services for an employee population that is geographically dispersed. The service allows crew medical staff to effectively manage skin conditions for their employees, reduce the need for on shore dermatology visits, and more effectively make medical evacuation decisions. http://dx.doi.org/10.1016/j.admp.2013.07.048
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The skin of skippers before and after a transatlantic race C. Mahea, L. Jacolota, B. Lodde´b, T. Ionescuc, L. Miseryd,* a Poˆle France Voile, Port-La Foreˆt, La Foreˆt-Fouesnant, France b Service de sante´ au travail, CHRU de Brest, Brest, France c Laboratoires dermatologiques d’Uriage, Uriage, France d Service de dermatologie, CHRU de Brest, Brest, France E-mail address: [email protected] Keywords: Skin, Sailing, Sport Skin skippers are deemed to be damaged after a big race off high but we did not find any study on this subject. We conducted a prospective
study at the time of the last Transat AG2R. The 17 crews of two skippers participating in this race have all used the same boat (Beneteau Figaro 2). Clinical examination, photos and a questionnaire of 34 questions were proposed before departure and on arrival, 22 to 24 days later. Twenty-eight skippers agreed to participate in the study at baseline and 18 on arrival. The average age of skippers was 32 years. Seven hundred and eighty photos were taken. Before departure, mycoses of the feet and hyperkeratosis of the hands were very common. We observed less frequently folliculitis on thighs or xerosis of thighs. Upon arrival, mycoses were aggravated and wider, often affecting the inguinal folds. Hyperkeratosis was considerably more severe, with a peeling in shreds. Dyshidrosis from hands was common. On buttocks, there were often erosions, areas of thickening of the skin and folliculitis. Hence, numerous skin conditions were noted on arrival but also before departure. These athletes commonly used sunscreens and healing creams but rarely barrier creams, anti-fungals or antiseptics, which favors the occurrence of lesions that probably decreased their performance. http://dx.doi.org/10.1016/j.admp.2013.07.049 9
Skin reactions after stings and bites of marine animals: A recent review K. Boniface George Washington University, Washington DC, USA E-mail address: [email protected] Keywords: Marine dermatology, Marine bite and stings Mariners are exposed to sea life of all kinds in their travels around the globe. Most of these creatures offer no harm to humans, but encounters with some species can result in disease. In this presentation, the dermatologic manifestations of exposure to marine life will be reviewed, the characteristic features of these illnesses will be illustrated, and the treatment of skin manifestation of marine bites and stings will be discussed. http://dx.doi.org/10.1016/j.admp.2013.07.050 10
Occupational contact dermatitis from protein in sea products: Who is most affected, the fisherman or the chef? B. Lodde´a,b,c,f,*, A.M. Roguedas-Contiosd, D. Jegadene,f, R. Pougneta,b,c,f, J.-D. Dewittea,b,c,f, L. Miseryd,f a Universite´ europe´enne de Bretagne, Brest, France b EA 4686–CS 93837, universite´ de Brest, 29238 Brest cedex 3, France c Service de sante´ au travail et maladies lie´es a` l’environnement, CHRU Morvan, 2, avenue Foch, 29609 Brest cedex, France d Service de dermato-ve´ne´re´ologie, CHRU Morvan, 2, avenue Foch, 29609 Brest cedex, France e Service de sante´ au travail en Iroise, 37, rue Voltaire, 29200 Brest, France f Socie´te´ franc¸aise de me´decine maritime, 22, avenue CamilleDesmoulins, 29200 Brest, France E-mail address: [email protected] Keywords: Occupational, Contact dermatitis, Fisherman Objectives.– Firstly to determine the incidence of protein contact dermatitis in fishing in France and to compare it with data from work onshore where an exposure to seafood could be found. Second to discover what factors could explain any differences. Methods.– We analysed data from the French national occupational disease surveillance and prevention network (RNV3P) and occupational diseases declared in the seafarer health and social services. This retrospective study was done for a ten-year period.
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Plenary Session 2 Maritime dermatology 7
Teledermatology at sea A.E. Burdick University of Miami Health System, 1400 NW, 12th Avenue, Miami, FL 33136, USA E-mail address: [email protected] For over three years, the University of Miami has provided a store-andforward teledermatology service for cruise ships around the world. The service is designed to be primarily for crewmembers, but passengers are seen when necessary. This presentation will address the operational and clinical aspects of this service, including systems architecture and workflow, description and classification of volume, and presentation of interesting cases. Our experience demonstrates that a store-and-forward approach can be used to effectively provide teledermatology services for an employee population that is geographically dispersed. The service allows crew medical staff to effectively manage skin conditions for their employees, reduce the need for on shore dermatology visits, and more effectively make medical evacuation decisions. http://dx.doi.org/10.1016/j.admp.2013.07.048
8
The skin of skippers before and after a transatlantic race C. Mahea, L. Jacolota, B. Lodde´b, T. Ionescuc, L. Miseryd,* a Poˆle France Voile, Port-La Foreˆt, La Foreˆt-Fouesnant, France b Service de sante´ au travail, CHRU de Brest, Brest, France c Laboratoires dermatologiques d’Uriage, Uriage, France d Service de dermatologie, CHRU de Brest, Brest, France E-mail address: [email protected] Keywords: Skin, Sailing, Sport Skin skippers are deemed to be damaged after a big race off high but we did not find any study on this subject. We conducted a prospective
study at the time of the last Transat AG2R. The 17 crews of two skippers participating in this race have all used the same boat (Beneteau Figaro 2). Clinical examination, photos and a questionnaire of 34 questions were proposed before departure and on arrival, 22 to 24 days later. Twenty-eight skippers agreed to participate in the study at baseline and 18 on arrival. The average age of skippers was 32 years. Seven hundred and eighty photos were taken. Before departure, mycoses of the feet and hyperkeratosis of the hands were very common. We observed less frequently folliculitis on thighs or xerosis of thighs. Upon arrival, mycoses were aggravated and wider, often affecting the inguinal folds. Hyperkeratosis was considerably more severe, with a peeling in shreds. Dyshidrosis from hands was common. On buttocks, there were often erosions, areas of thickening of the skin and folliculitis. Hence, numerous skin conditions were noted on arrival but also before departure. These athletes commonly used sunscreens and healing creams but rarely barrier creams, anti-fungals or antiseptics, which favors the occurrence of lesions that probably decreased their performance. http://dx.doi.org/10.1016/j.admp.2013.07.049 9
Skin reactions after stings and bites of marine animals: A recent review K. Boniface George Washington University, Washington DC, USA E-mail address: [email protected] Keywords: Marine dermatology, Marine bite and stings Mariners are exposed to sea life of all kinds in their travels around the globe. Most of these creatures offer no harm to humans, but encounters with some species can result in disease. In this presentation, the dermatologic manifestations of exposure to marine life will be reviewed, the characteristic features of these illnesses will be illustrated, and the treatment of skin manifestation of marine bites and stings will be discussed. http://dx.doi.org/10.1016/j.admp.2013.07.050 10
Occupational contact dermatitis from protein in sea products: Who is most affected, the fisherman or the chef? B. Lodde´a,b,c,f,*, A.M. Roguedas-Contiosd, D. Jegadene,f, R. Pougneta,b,c,f, J.-D. Dewittea,b,c,f, L. Miseryd,f a Universite´ europe´enne de Bretagne, Brest, France b EA 4686–CS 93837, universite´ de Brest, 29238 Brest cedex 3, France c Service de sante´ au travail et maladies lie´es a` l’environnement, CHRU Morvan, 2, avenue Foch, 29609 Brest cedex, France d Service de dermato-ve´ne´re´ologie, CHRU Morvan, 2, avenue Foch, 29609 Brest cedex, France e Service de sante´ au travail en Iroise, 37, rue Voltaire, 29200 Brest, France f Socie´te´ franc¸aise de me´decine maritime, 22, avenue CamilleDesmoulins, 29200 Brest, France E-mail address: [email protected] Keywords: Occupational, Contact dermatitis, Fisherman Objectives.– Firstly to determine the incidence of protein contact dermatitis in fishing in France and to compare it with data from work onshore where an exposure to seafood could be found. Second to discover what factors could explain any differences. Methods.– We analysed data from the French national occupational disease surveillance and prevention network (RNV3P) and occupational diseases declared in the seafarer health and social services. This retrospective study was done for a ten-year period.
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