R105 Ships' Medicine Chests Recommendation, 1958
Recommendation concerning the Contents of Medicine Chests on Board Ship
Session of the Conference:41
Date of adoption=13:05:1958
Subject classification: Safety, Health and Welfare
Status: Outdated instrument
The General Conference of the International Labour Organisation,
Having been convened at Geneva by the Governing Body of the International Labour
Office, and having met in its Forty- first Session on 29 April 1958, and
Having decided upon the adoption of certain proposals with regard to the contents of
medicine chests on board ship, which are included in the fifth item on the agenda of the
Having decided that these proposals shall take the form of a Recommendation,
adopts this thirteenth day of May of the year one thousand nine hundred and fifty-eight,
the following Recommendation, which may be cited as the Ships' Medicine Chests
The Conference recommends that each Member should apply the following provisions:
(1) Every vessel engaged in maritime navigation should be required to carry a medicine
chest, the contents of which should be prescribed by the competent authority, taking into
account such factors as the number of persons on board, and the nature and the duration
of the voyage. Special provision should be made for the custody, by the master or other
responsible officer, of medicaments the use of which is restricted.
(2) The rules and regulations concerning the minimum contents of the medicine chests
should apply whether there is a ship's doctor on board or not.
(1) In establishing or reviewing rules or regulations concerning the contents of the
various types of medicine chests, the competent authority should take into consideration
the list of minimum contents appended to this Recommendation.
(2) Such rules or regulations should be subject to periodical revision in the light of new
medical discoveries, advances and approval methods of treatment, in accordance with
any proposals for such revision which may be adopted in a manner agreed between the
International Labour Organisation and the World Health Organisation.
3. All medicine chests should contain a medical guide approved by the competent
authority, which explains fully how the contents of the medicine chest are to be used. The
guide should be sufficiently detailed to enable persons other than a ship's doctor to
administer to the needs of sick or injured persons on board both with and without
supplementary medical advice by radio.
4. The rules and regulations should provide for the proper maintenance and care of
medicine chests and their contents and their regular inspection at intervals not normally
exceeding 12 months by persons authorised by the competent authority. ANNEX
Minimum List of Medicaments and Medical Equipment (Note: It is recommended that
medicaments given by injection and included in this list, such as adrenalin, should
whenever possible be supplied in single-dose containers. )
A. Medicaments Corresponding to the Following Preparations Described in the
(a) In Volume I: (Note: Optional.)Antidiphtheria serum. (Note: Optional.)Antitetanus
serum (small quantities).
Ethanolic solution of iodine.
Tincture of opium (and/or equivalent).
(b) In Volume II:
(Note: Optional.)Injection of adrenalin.
(Note: Optional.)Injection of atropine sulfate.
Injection of morphine.
(Note: Optional.)Injection of nikethamide.
(Note: Optional.)Injection of procaine hydrochloride.
Tablets of acetylsalicylic acid.
(Note: Optional.)Tablets of ascorbic acid.
(Note: Optional.)Tablets of amphetamine sulfate.
Tablets of codeine phosphate (and/or equivalent).
Tablets of ephedrine hydrochloride.
(Note: Optional.)Tablets of glyceryl trinitrate.
(Note: Optional.)Tablets of mercurous chloride (calomel).
Tablets of proguanil hydrochloride (and/or other anti- malarial drug).
Tablets of succinylsulfathiazole (or equivalent).
Tablets of sulfadiazine (or equivalent).
(Note: Optional.)Tincture of belladonna.
Water for injection.
B. Other Medicaments
(a) Preparations for external application:
An antiseptic for use in wounds.
A lotion for acute dermatitis. An ointment for haemorrhoids. A preparation for ringworm, such as compound of benzoic and salicylic acid. A preparation for chronic skin inflammations, e.g. compound zinc oxide paste. A preparation for burns. An application of benzyl benzoate for scabies. (Note: Optional.)A venereal-disease prophylactic package. (b) Preparations for use in the eye: An anaesthetic. An antiseptic. (Note: Optional.)Yellow mercury oxide eye-ointment. (c) A preparation for toothache. (d) Preparations for internal use: Tablets of barbituric acid derivatives: (i) short-acting and hypnotic; (ii) long-acting and sedative. Tablets of hyoscine hydrobromide (scopolamine hydrobromide) or equivalent sea-sickness remedy. Tablets of sodium chloride (for heat cramp). An injection of repository form of penicillin, e.g. procaine penicillin G fortified (procaine penicillin G with crystalline penicillin), or PAM (procaine penicillin G in oil with aluminium monostearate), or benzathine penicillin G. (Note: Optional.)An antibiotic for oral use, e.g. oxytetracyline hydrochloride or penicillin V. (Note: Optional.)An antihistamine preparation. Medicine to control gastric acidity. Laxatives. (e) Others: Olive oil (or equivalent). A copy of the International List of Venereal-Disease Treatment Centres at Ports, published by the World Health Organisation. Personal booklets for venereal-disease treatment in the form appended to the above publication. Of the above list, the tablets of barbituric acid derivatives and of codeine phosphate, the injection of morphine and the tinctures of opium and of belladonna should be kept under lock and key by the master of the vessel or other responsible officer, who should also be responsible for the procaine and penicillin. C. Surgical Instruments, Appliances and Equipment Thermometer. Hypodermic syringe and needles (suitable both for serums and for other injections). Suture and ligatures (catgut, silkworm gut). Suture needles (and possibly a needle holder). Haemostatic forceps. Splinter forceps. Dissecting forceps.
Soft-rubber catheters of various sizes.
Splints (wooden or wire).
Stretcher (a type suitable for transferring patients from one part of the ship to another,
such as the Neil- Robertson stretcher or equivalent).
Elastic adhesive bandages.
Plaster of Paris bandages. Cross references
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