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Volume 29, Issue 2

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If You Were The Ship’s Captain, What Would YOU Have Done?

Written by  ALBERT J. MARCELLA Jr., Ph.D., CISA, CISM Monday, 21 October 2013 12:16

The fictional Fantome Marques, registered out of the Cayman Islands, a 249,000-ton 6,296-passenger floating city, the flagship of Seahorse Lines, departs Miami for an eight-day Caribbean cruise. On day two of the cruise, while sailing between ports, passengers are reporting to the ship’s infirmary (sickbay) with complaints of nausea, vomiting, bloody diarrhea, and abdominal pain. Medical personnel treat these initial cases, recommending increased fluids to prevent dehydration, instructing passengers to drink plenty of liquids, especially water and juices, as passengers are exhibiting typical symptoms of a norovirus infection, unfortunate but common on cruise ships. Ship security brings one passenger to sickbay complaining of excessive vomiting, and when vitals are taken the passenger’s blood pressure was 122/80 mmHg with irregular pulse of 46/minutes, and looking toxic due to excessive vomiting. These vital signs are not indicative of a typical norovirus infection. Medical personnel are being paged to separate deck levels as more passengers and


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