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[接上页] 2 - - - PUBLICATIONS (a) "The Ship Captain's Medical Guide"-21st or latest subsequent edition (b) Medical First Aid Guide (MFAG) for Use in Accidents Involving Dangerous Goods (latest edition) (c) Temperature, pulse and respiration, etc. chart (d) Liquid intake and output form (e) Visit to doctor form (f) A copy of the Merchant Shipping (Seafarers)(Medical Stores) Regulation (Cap 478 sub. leg. and subsequent amendments) (g) Controlled drugs register 1 - 20 10 10 1 1 - - - 10 5 - - - - - - - - - - 1 - 10 10 - -NB: For notes see end of this Schedule. PART 5-SCALE IV 1. The notes at the head of this Schedule apply to this Part. 2. All of the medicines in this scale shall be kept in a medical practitioner's attache case, as should most of the medical stores in this scale. Any item which cannot be included in the case should, where possible, be strapped to it; otherwise, the item shall be kept in a place adjacent to the case. The case shall be locked, the key to the case kept in the possession of the master (or someone nominated by him), and the case kept in a locked cabinet. The case should be labelled clearly as follows- "The medicines in this case are to be used only by a qualified doctor, or by someone under the direct supervision of a doctor on board the ship.". 3. The obtaining, use, and disposal of morphine from this case shall be recorded in the ship's controlled Drugs Register, as stated in "The Ship Captain's Medical Guide". 4. The items listed in this Part are in addition to those of the main scale which the ship is required to carry. Where an injection is specified a prefilled syringe is acceptable in lieu. SCALE IV Name of Medicine, etc. (ordering name is in small letters) Ordering Size Quantity Required ADRENALINE Adrenaline tartrate injection (1 in 1000) 1.8 mg in 1 mL 1 mL ampoule 5 AMINOPHYLLINE Aminophylline injection 25 mg in 1 mL 10 mL ampoule 4 BROOK AIRWAY 1 CHLORPROMAZINE Chlorpromazine hydrochloride injection 25 mg in 1 mL 1 mL ampoule 10 CYCLIZINE Cyclizine lactate injection 50 mg in 1 mL 1 mL ampoule 5 DEXTROSE Dextrose intravenous infusion 50% 20 mL ampoule 2 DIAZEPAM Rectal dispenser 4 mg in 1 mL 10 mg rectal dispenser 5 FRUSEMIDE Frusemide injection 10 mg in 1 mL 2 mL ampoule 5 GLUCAGON Glucagon injection 1 mL with diluent 1 mL ampoule 1 GLUCOSE Glucose intravenous infusion 5% 1 litre 1 GLUCOSE IN BLOOD (1) Blood test sticks-glucose (2) Blood lancets, sterile 10 10 HYDROCORTISONE Hydrocortisone sodium succinate powder for reconstitution with diluent 100 mg vial 2 INSULIN Insulin injection, soluble, 100 units per mL 10 mL vial 1 INTRAVENOUS INFUSION GIVING SET WITH CANNULA Intravenous, 18 gauge 1 MORPHINE Morphine sulphate 15 mg in 1 mL 1 mL ampoule 1 OXYGEN RESUSCITATOR(d) To deliver 35% oxygen by positive pressure 1 PAEDIATRIC PARACETAMOL 120 mg tablet 24 PREDNISOLONE Prednisolone 5 mg tablet 25 SALBUTAMOL Salbutamol aerosol inhaler unit, giving 100 micrograms per metered inhalation 1 SKIN SWABS Alcohol impregnated swabs, sterile 10 SYRINGE AND NEEDLE, HYPODERMIC, PACK Sterile disposable conforming to British Standards Institution Standard BS 691 published on 31.12.79 (1) 2 mL syringe with a 0.8 mm (21 g) × 4 cm needle (2) 20 mL syringe with a 0.8 mm (21 g) × 4 cm needle (3) 1 mL insulin syringe 100 units with a 0.5 mm (25 g) × 16 cm needle 2 2 2 STETHOSCOPE 1 SPHYGMOMANOMETER 1 Notes: (a) To be used ONLY on medical advice and to be labelled accordingly. (b) An oxygen resuscitator set with accessories that will permit the equipment to give therapy with both 24% and 35% oxygen will be acceptable in lieu of this item if sufficient oxygen is carried for 3 hours treatment at 35% in addition to that required for resuscitation. (c) A pre-packed press-button pressure canister may be used in lieu. (d) Where an oxygen resuscitator is carried in compliance with Scale III it will not be necessary to carry a second set to meet Scale IV. (e) It is recommended that ships trading extensively to tropical countries carry, in addition to the specified quantities, sufficient hypodermic syringes to provide for all crew innoculations individually. (f) This item need not be carried if it is already required under Scale I. (Enacted 1996) Cap 478X Sched 2 ADDITIONAL ITEMS REQUIRED ON SHIPS CARRYING CHEMICALS AS WHOLE OR PART OF CARGO [sections 5, 6(3)(a), 8(1)(a) & 11] 1. When a ship is carrying a chemical (in quantities in excess of those defined in Volume 1, Section 18 of the IMDG Code) as whole or part of the cargo the master must ensure that the correct antidote to the chemical (plus the necessary ancillary equipment, e.g. syringes) is carried. 2. The correct antidote can be identified from the following table. The table numbers shown at the top of each column relate to the tables in the IMO Medical First Aid Guide (MFAG). 3. The IMO MFAG has been adopted in place of the Chemical Supplement to the SCMG and the following points should be noted- |