International maritime health
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The natural electrical phenomena fascinated humans since antiquity. The electrical discharges produced by the torpedo fish were highly appreciated among ancient physicians as Hippocrates, Scribonius Largus and Galen and were prescribed for headache, gout and prolapsed anus. In the medieval period, torpedo's electrical properties were attributed to occult powers, while Renaissance physicians' and scientists' studied the anatomy and mechanical nature of the provoked shock paving the way for the discovery of the electrical nature of torpedo's activity and the evolution of electrotherapy.
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Physicians and nurses from shore based practice who move to work on cruise ships often have concerns about the management of critically ill patients and questions about the resources available to transfer by helicopter to a tertiary care facility. This article seeks to outline some of the clinical, operational and logistical issues associated with using a helicopter to transfer a patient from a ship to a shore-side hospital. While it focuses on resources available in the maritime areas around North America, most of the clinical comments would apply to helicopter evacuations anywhere in the world.