title: Seasickness in totally-enclosed motor-propelled survival craft: remedial measures.
abstract: Totally-enclosed motor-propelled survival craft (TEMPSC) are used to evacuate the crews of mobile offshore drilling units in emergencies. The small size and flat bottom of the TEMPSC predispose most occupants to seasickness, even in relatively calm waters. This paper discusses efforts required to improve the well-being of occupants in terms of reducing seasickness, dehydration, hypothermia, anxiety, and the other factors that contribute to loss of comfort and the will to survive. Specific recommendations include the provision of climatic control to regulate temperature, remove odors and provide fresh air; potable water, electrolytes, and survival rations; and an ample supply of motion sickness bags. Overcrowding should be avoided. Anti-motion-sickness drug therapy to control vomiting should be administered in two ways: initial injection of intramuscular scopolamine for fast action followed by a transdermal ear patch for long-term protection. Leadership and seasickness management should be requisite survival training for all oil rig workers.
authors.affiliation: Defence and Civil Institute of Environmental Medicine, North York, Ont., Canada.
authors.forename: J P
authors.initials: JP
authors.lastname: Landolt
authors.forename: C
authors.initials: C
authors.lastname: Monaco
mesh_terms: D000932:Antiemetics / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D004779:Environment Design; D006801:Humans; D009041:Motion Sickness / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D009326:Naval Medicine; D011322:Primary Prevention / Q000379:methods; D012307:Risk Factors; D012767:Ships; D013534:Survival
chemical_list: D000932:Antiemetics