First Aid Knowledge among Seafarers: An Analysis of Competency and Training Needs

Background: Maritime operations inherently present significant challenges for healthcare delivery, primarily due to the isolated working environments of seafarers, often situated considerable distances from professional medical assistance. The International Maritime Organisation (IMO) has acknowledged this critical issue through the establishment of the Standards of Training, Certification and Watchkeeping (STCW) Convention, which mandates a certain level of first aid training for seafarers. However, despite these crucial regulations, the occurrence of maritime accidents remains a persistent reality, and instances of inadequate or delayed first aid response have the potential to worsen the outcomes of injuries sustained onboard significantly. Aims and Objectives: To elucidate the findings of an observational study meticulously designed to evaluate the existing first aid knowledge and practical competency levels among a cohort of active seafarers. Material and methods: To achieve this objective, a comprehensive assessment tool was employed, consisting of a fundamental yet insightful 20-question survey. The survey instrument strategically encompassed a range of common and critical first aid topics relevant to the maritime environment. These topics included the immediate and appropriate management of burns of varying degrees, the initial recognition and response to a suspected heart attack, the correct procedures for assisting an individual experiencing a seizure, the treatment of minor and major wounds, the stabilization and care of suspected fractures, the essential steps in managing a snake bite incident, and the life-saving techniques of cardio-pulmonary resuscitation (CPR). Results: The outcomes of this research have successfully identified specific areas within the broad spectrum of first aid where significant knowledge gaps appear to exist among the surveyed seafarers. Furthermore, the study highlights the imperative need for targeted and enhanced training interventions that are specifically tailored to address these identified deficiencies. Conclusion: By strategically focusing on improving the first aid competency of seafarers, this research posits that a substantial enhancement in the emergency response capabilities to accidents occurring onboard vessels can be achieved. Ultimately, the successful implementation of such targeted training programs holds the considerable potential to contribute to a tangible reduction in both morbidity and mortality rates associated with maritime accidents, thereby fostering a safer and more secure working environment for seafarers worldwide. This study underscores the ongoing importance of continuous evaluation and improvement in maritime first aid training protocols to safeguard the well-being of this vital workforce.