- Laws of Fiji

7.0 Medicines for ships of Category A — Ships on unlimited voyage

7-0

7.1 Explanation of symbols—

	* —	must be stored in a locked inner cupboard of the medical cabinet;
	§ —	must be kept in refrigerated storage between 2°C and 8°C;
	# —	must be stored in a locked inner cupboard of the medical cabinet. Special recording requirements apply; and
	† —	for items so marked in column 4, the specified quantity is considered sufficient regardless of the number of persons on board.

7.2 Names in brackets refer to the same medicine. Medicine and dosage are given in the following format: Name of medicine, dosage/strength, type of supply (eg, tablet, bottle and pack, unless included in name of medicine) or size. In the case of injections supplied in ampoules, the word ampoule is omitted and strengths are given as “total quantity per ampoule/size of ampoule”. If the quantity suggested of a particular drug is less than the manufacturer’s smallest pack, the smallest available pack must be used.

Table 6 — Medical stores to be carried on ships engaged in unlimited voyages

1	2	3	4
Ref No	Treatment and storage symbols	Recommended Medicine and Dosage Strength	Suggested quantity Category A
1	Cardio vascular
A	Cardio vascular restoratives Sympathomimetics
1A	*	Adrenaline (Epinephrine) 1.0 mg/1 ml, injection	5†
B	Anti-angina preparations
1B		Glyceryl trinitrate 400 micrograms, spray, 200 metre dose aerosol	2
C	Diuretics
1C1	*	Frusemide 40 mg, tablet	20†
1C2	*	Frusemide 20 mg/2 ml, injection	5
D	Anti-haemorrhagics (including uterotonics if there are women with potential for child bearing, working on board)
1D1		Phytomenadione Paediatric 1 mg/0.5 ml, injection (Vitamin K1). (Note: intended for use with newborn infants)	1†
1D2	§*	Ergometrine Maleate 500 micrograms and Oxytocin 5 units, injection.	5†
		(additional quantity recommended if there are women with potential for child bearing working on board)	5†
E	Anti-hypertensive	Atenolol 50 mg, tablet, pack of 28.	1 pack
1E
2	Gastro intestinal system
A	Medicines for gastric and duodenal disorders
2A1	Histamine H2 receptor anti-ulcer antagonists
2A1		Cimetidine 400 mg, tablet, pack of 60.	1 pack
2A2	Antacids	Proprietary antacid of choice, tablet or corresponding quantity of powder or liquid.	500
	Anti-emetics	Prochlorperazine 3 mg, buccal
2B1	*	tablet	30 +
2B1		Prochlorperazine 5 mg, tablet	25 +
2B3		Promethazine 25 mg/1 ml,	10 +
2B4	*	injection
		Prochlorperazine 12.5 mg/1 ml, injection.	5 +
2C	Lubricant laxatives
2C		Glycerol Suppository, 4 g.	12
D	Anti-diarrhoeals
2D1		Codeine Phosphate 30 mg, tablet,	60
2D2		Loperamide 2 mg, capsules	24
E	Intestinal anti-infective
2E		trimethoprim 200 or 300 mg, tablet	20
F	Haemorrhoid preparations
2F		Proprietary preparation of choice, pack. (Increase quantity if needed).	1
3	Analgesics and Anti-spasmodics
A	Analgesics, anti-pyretics and anti-inflammatory agents
3A1		Paracetamol 500 mg, tablet, pack of 100.	5
3A1		Diclofenac 100 mg, suppository.	10
3A2		Ibuprofen 200 mg or 400 mg, tablet, pack of 24 or	2
3A3		Mefenamic acid 250 mg, capsules, pack of 20 or	3
3A3	*	Naproxen 275 mg, tablet, pack of 12.	4
B	Powerful analgesics
3B1	*	Codeine Phosphate 30 mg, tablet.	see 2D1
3B2	#	Morphine Sulfate 10 mg/1 ml, injection.	10
3B3	Emergency antidote to Morphine*	Naloxone 0.4 mg/1 ml, injection. Note: Naloxone is a Morphine antidote or antagonist, NOT an analgesic.	5
C	Anti-Spasmolytics
3C		Hyoscine hydrobromide 0.3 mg, tablet.	100
4	Nervous system
	Tranquilisers, muscle relaxants
4A1	#	Diazepam 10 mg/2 ml, injection (See also Group 15).	2 +
4A2	#	Diazepam 5 mg, tablet.	40 +
B	Major tranquilisers
4B1		Chlorpromazine 25 mg/1 ml, injection.	10 +
4B2	*	Chlorpromazine 25 mg, tablet.	100 +
4B3	*	Benztropine 2 mg, tablet.	100 +
		(for concurrent therapy with chlorpromazine , to control side effects, on doctor’s recommendation).
C	Seasickness remedies	Hyoscine hydrobromide 0.3 mg, tablet.
4C	Seasickness remedies	Hyoscine hydrobromide 0.3 mg, tablet.	Use 3C
D	Anti-epileptics
4D		Diazepam 10 mg, rectal.	5
E	Anti-depression
4E	#	Amitriptyline 50 mg, tablet.	20
F	Anti- insomnia
4F	#	Nitrazepam 5 mg, tablet.	25
5	Anti-allergics and Anti-anaphylactics
A	H1 Anti-histamines
5A	*	Loratadine 10 mg, tablet. (Note: This anti-histamine can be used where patient sedation MUST be avoided or some alcohol has been consumed.)	30†
B	Cortisones
5B1	*Injectable	Hydrocortisone powder for injection 100 mg vial, each with 2 ml water for reconstitution. (use on medical advice only)	5
5B2	*Oral	Prednisolone, tablet, 5 mg. (use on medical advice only)	60
6	Respiratory System
A	Bronchospasm preparations
6A1	*	Salbutamol, 100 micrograms per metered dose, 200 dose inhaler.	2
6A2		Beclomethasone, 50 micrograms per metered dose, 200 dose inhaler.	2
B	Anti-cough
6B1		Codeine Phosphate 30 mg, tablet.	Use 2D
6B2	*	Codeine Phosphate, linctus, 100 ml bottle.	6
C	Medicines for colds and sinusitis
6C1		Paracetamol 500 mg, tablet.	Use 3A
6C2		Menthol and benzoin, inhalation, 50 ml	2
6C3		“Cold and Flu” tablets	120
7	Anti-infection
A	Antibiotics
7A1		Benzyl Penicillin 600 mg, injection, vial.	20
7A1a		Water for injection, to suit Benzyl Penicillin injection.	20
7A2		Ciprofloxacin 500 mg, tablet.	28
7A3		Ceftriaxone 1 g, injection, vial. (To be diluted with Lignocaine injection, see 13B2.) (Note: for Category A ships which may be more than 48 hours from medical assistance)	20
7A4	*	Erythromycin 250 mg, tablet	100
7A5	*	Doxycycline 100 mg, tablet (General requirement for treatment of STDs. Additional product, if required, may be available from Group 14 (anti-malarial regime))	21
B	Anti-bacterial	Trimethoprim 200 mg or 300 mg, tablet.	40
7B	Anti-bacterial	Trimethoprim 200 mg or 300 mg, tablet.	40
	Urinary anti-infective
7C		Trimethoprim 200 mg or 300 mg, tablet	Use 7B
7D	Anti-parasitics	Mebendazole 100 mg, tablet	6†
7E	Intestinal anti-infectives
7E 1		Metronidazole 0.5 g, suppository	20
7E 2	*	Metronidazole 400 mg, tablet.	42
7E 3	*	Tinidazole 500 mg, tablet.	24
F	Anti-tetanus vaccines and immunoglobulins
7F1	§*	Tetanus Adsorbed Vaccine, injection, 0.5 ml	5†
7F2	§*	Tetanus Immunoglobulin 250 units, injection.	1†
8	Compounds promoting rehydration, caloric intake and plasma
8		Sodium chloride and glucose or dextrose compound, powder sachets, 4.9 g. Equivalent other formulations may be used.	120
9	Skin medicines
A	Antiseptic solutions	Pre-diluted aqueous solution	24†
9A		containing cetrimide and chlorhexidine, bottle, 100 ml, for individual use
B	Antibiotic ointments
9B		Bacitracin Co, tube, 15 g or proprietary brand of antibiotic ointment or cream	3
C	Anti-inflammatory and analgesic ointments
9C1		Hydrocortisone 1% cream or ointment, tube, 30 g	2
9C2		Calamine 15%, Lotion, non-oily, bottle, 200 ml.	2
D	Anti-fungal skin creams
9D1		Benzoic acid compound ointment 100 g (synonym: Whitfields ointment).	1
9D2	*	Miconazole nitrate 2% vaginal cream 40 g (Only if one or more persons on board is female. Increase quantity if 4 or more females are on board.)	2
9D3	*	Miconazole nitrate 100mg vaginal pessary, pack of 7 (Only if one or more persons on board is female.)	2
9D4	*	Miconazole nitrate 2% topical cream 30 g. (Double quantity must be supplied if one or more persons on board is female.)	2
	Burn preparations
9E	*	Silver sulfadiazine 1% and chlorhexidine digluconate 2% cream, sterile tube, 50 g.	4
	Miscellaneous skin preparations
9F1		Gamma benzene 1% or Pemethrin, 5% cream, 30 g	6
9F2		Gamma benzene or Pemethrin (hair application bottle) 100 ml.	2†
9F3		Petroleum jelly 50 g.	2
9F4		Potassium permanganate, crystals, 25 g	1†
9F5		Zinc oxide, ointment, 100 g.	1†
10	Eye medicines
10A	Antibiotic eye ointment
10A		Framycetin 0.5% eye ointment, tube, 5 g.	5
	Antibiotic and anti-inflammatory eyedrops
10B	§	Betamethasone sodium phosphate 0.1% neomycin sulfate 0.5%, eyedrops, 5 ml Use on radiomedical advice only, and preferably after diagnosis by an eye specialist	2
	Anaesthetic eyedrops
10C	§*	Amethocaine 0.5%, eye drops, (individual doses).	20†
	Glaucoma treatment
10D		Pilocarpine 0.5%, eyedrops, 15 ml	1†
	Detection of foreign bodies
10E	§*	Fluorescein 2% eye drops, disposable units.	20†
11	Ear medicines
11A1		Antibiotic eardrops containing in each ml; neomycin 3 400 units, polymixin B sulfate 10 000 units, hydrocortisone 10 mg, in a 5 ml dropper bottle, or	1†
11A1	*	Cortisone ear drops (containing Framycetin 5 mg, Dexamethasone 0.5 mg, Gramicidin 0.05 mg/ml) 8 ml	3†
11A2		Aluminium acetate ear drops, with dropper, 15 ml	2
	Wax softener, lubricating
11B		Arachis Oil, ear drops, with dropper, 15 ml	2
	Nasal decongestants
11C		Ephedrine 0.5%, nasal drops, 15 ml	2†
12	Medicines for mouth and throat infections
	Mouthwash, antiseptic
12A		Chlorhexidine gluconate 0.2%, mouthwash, 300 ml	2
13	Local Anaesthetics
13A	Local anaesthetics using freezing
13A		Ethyl chloride, liquid spray, 100 ml.	1†
	Local anaesthetics given by subcutaneous injection
13B2	*	Lignocaine 1%, injection, 2 ml. Note: In addition to its use as an anaesthetic, Lignocaine is used as a diluent for Ceftriaxone, qv (see 7A3).	25
	Dental anaesthetic and antiseptic mixtures
13B2	(see 22 for other dental preparations)	Lignocaine 2%, gel, water miscible base, 15 g.	4
14	Anti-Malarials
A	Prevention
14A1	*Regime 1	Chloroquine 150 mg base (approx.), tablet and	500
14A2	*	Proguanil 100 mg, tablet.	1000
14A3	*Regime 2	Doxycycline 100 mg, tablet. For prolonged visits to malarial areas, sufficient Doxycycline must be carried to allow administration of one tablet per adult per day for the period 2 days before to 14 days after potential exposure.	420
14A4	Regime 3	Mefloquine 250 mg, tablet (Note: for prolonged visits to malarial areas, sufficient Mefloquine must be carried to allow administration of one tablet per adult per week for the period 7 days before to 14 days after potential exposure.)	120
	For prevention, alternate between regimes 1 and 2 on an alternate voyage basis (provided a full course of treatment of each regime is completed). Use Regime 3 if malaria is known to be resistant to Regimes 1 or 2.
	Treatment
B	* Pyrimethamine (25 mg) and Sulfadoxine (500 mg), tablet
14B1	(Note: Use only on medical advice) Quinine 300 mg, tablet.		12
14B2	Use Regime 3 above also for treatment		100
15	Poison treatments and Antidotes
	Note: Quantities specified against items in the following table are those listed in the IMDG Code, as amended. Where quantities are listed in Group 15 and in another group or groups, the amount that must be carried is the higher or highest of the individual quantities, not the sum of all quantities listed. With the revision of the Medical First Aid Guide (MFAG), contained in the Supplement to the IMDG Code, as amended, except for a few specific treatments there is no longer a set link between poison and antidote. The Group 15 medicines in italics are no longer contained in the Medical First Aid Guide, but are recommended as specific antidotes for the substances listed with the entry. Should the master consider that the nature or quantity of specific hazardous materials carried warrants the carriage of specific antidotes or treatments, not listed in Group 15, advice must be obtained from the Company’s medical or pharmaceutical consultant or a registered pharmacist.
	*	Amoxycillin 500 mg, capsule.	30
	*	Amyl Nitrite Vitrella 0.3 ml. Antidote for poisoning by cyanides, nitriles or hydrogen sulphide	96
	§*	Anaesthetic eye drops, eg. Amethocaine 0.5%, eye drops, (individual use).	5
	*	Antibiotic eye ointment — Framycetin eye ointment.	5
		Ascorbic Acid 500 mg/5 ml, injection. Treatment for methaemoglobinaemia	5
	*	Atropine 1.2 mg/1 ml, injection.	15
		Beclomethasone, 50 micrograms per metered dose, 200 dose inhaler.	5
		Calcium Gluconate 2%, gel.
		Calcium Gluconate 1 g, tablet, effervescent	150 g 20
		Ceftriaxone 1 g, injection, plus 5 Lignocaine 1%, as diluent	5
		Charcoal, activated 300 mg, tablet.	200
		Diazepam 10 mg, rectal.	5
		Dimercaprol 100 mg/2 ml injection, Antidote for poisoning by arsenic and mercury compounds	10
		Erythromycin 250 mg, tablet	75
	*	Ethyl Alcohol 90%, solution, 500 ml	3
16	Vitamins
16		Vitamin K1 (Phytomenadione) See Groups 1 and 15.
17	Disinfectants and Antiseptics
	General Purpose Disinfectant/deodorant
17		Solutions of alkylphenols in a saponaceous solvent or a quaternary ammonium compound, litres.	18
	Antiseptics
17		Solution of Chlorhexidine 0.05% and Cetrimide 0.5% in an aqueous vehicle.	Use 9
17		Hydrogen peroxide 6% (20 vol), solution, 100 ml.	2
	Chlorine compound
17		Calcium hypochlorite, high test, powder. Note 1: Do not store near metal objects, instruments, sinks etc Keep in sealed container until used. Note 2: Replace annually if not used. Note 3: Calcium hypochlorite is an oxidising agent and has been implicated in fires. It is recommended that if stored on board it must be kept at temperatures less than 35°C and, so far as possible, only purchased for immediate use.	8 kg
18	Insecticides and Repellents
18	Repellent, personal	Diethyltoluamide. (Recommended one pack per crew member)	As required
18	Insecticide, liquid	The insecticide must not be harmful to humans, must be free from offensive odour and so far as possible non-staining, must be effective for killing insects or keeping spaces clear of insects, and must be suitable for use in crew and passenger accommodation and food preparation areas. Instructions must be specified on the packaging.	5 L
19	Vaccines
19	§*	Tetanus Vaccine Adsorbed, injection, 0.5 ml	Use 7F1
19		Tetanus Immunoglobulin.	Use 7F2
20	Anti-Inflammatory
20	Diclofenac.		See 3B2
21	Endocrines
		—	—
22	Dental
22		Oil of Cloves, 15 ml.	1
22		Zinc oxide dental paste, tube, 7 g.	1

Medical equipment
(This is the recommended quantity irrespective of the number of persons on board.)
Equipment marked ‘MF’ is additional equipment recommended in the Medical First Aid Guide, published by IMO, for ships carrying dangerous goods. It is not required for other ships.

	Equipment Category	Recommended Specification	Category A
1	Resuscitation Equipment
	Manual resuscitation appliance	Valve and bag type. One must be supplied for ordinary ships. Two are required for ships carrying dangerous cargoes.	1 or 2(MF)
	Appliance for the administration of oxygen For tankers	Oxygen Giving Set comprising the following: (1) Oxygen reservoir, 2 cylinders with 60–90 minutes total supply; (2) one flow metre unit giving a minimum setting of 4 litres per minute; (3) one pressure regulating unit; (4) one set of tubing; (5) 5 × 24% oxygen disposable face masks; and (6) 5 × 35% oxygen disposable face masks. Each part must be constructed so that it can only be assembled in the correct manner. Note 1: Items (2) and (3) may be combined in one unit. Note 2: A carry case for the set need only contain one oxygen cylinder if a second is stored nearby and is interchangeable with the first with negligible interruption to the flow of oxygen
	Appliance for the administration of oxygen For ships carrying dangerous cargoes, other than tankers	In addition to the above, ships carrying dangerous cargoes must carry 10 × 60% disposable facemasks. There must be a minimum of 44 litres of oxygen at 200 bar. This supply (including the above) must be composed as follows: one portable set with at least 1 × 2 litre 200 bar cylinder ready for use, with a spare 2 litre 200 bar cylinder, and 1 × 40 litre 200 bar cylinder ready for direct use at the ship’s hospital, with one flowmeter unit (2 ports) for supplying of oxygen to 2 persons at the same time. (Small cylinders may be used to give the equivalent amount.) If more than one non-portable oxygen cylinder is used, there must be 2 flowmeter units for supply of oxygen to 2 persons at the same time.	MF
	Mechanical aspirator to clear upper respiratory passages	Aspirator to clear airways (manual, hand operated) + 2 catheters	1
	Equipment for mouth to mouth resuscitation	Pocket Mask or	1
		Disposable mouth-to-mouth plastic shield.	6
		Guedel Airway Sizes 1, 3 and 4	1
		For ships carrying dangerous cargoes, the quantity must be increased to 2 of each size.	2(MF)
2	Dressing and suturing equipment
	Balls, cotton wool, sterile	Pack of 5, in damp proof packaging	100
	Bandage, crepe	7.5 cm × 1.5 m when stretched	4
	Bandage, elastic, adhesive	7.5 cm × 4 m	2
	Bandage, gauze, conforming	5 cm × 5 m	4
	Bandage, gauze, tubular	7.5 cm × 5 m Seamless, of a size suitable for finger dressings	6
	Bandage, suspensory	5 m with applicator, plus one refill	1
	Bandage, triangular	Large size	1
	Bandage, triangular	Calico, with 2 sides about 90 cm and a base about 127 cm	4
	Bandage, zinc oxide	Zinc Oxide Plaster, waterproof, on a spool:
		2.5 cm × 5 m	1
		7.5 cm × 5 m	1
	Buds, cotton tipped, sterile	Pack of 2, sealed	10
	Closures, wound, sterile, adhesive	Pack of 8 strips (“Butterfly closures”), 4 × 38 mm.	4
	Dressing strip, elastic adhesive	Medicated dressing strip, 6 cm × 1 m, in a pack	2
	Dressings, adhesive, plastic, waterproof	19 mm × 72 mm, or pack of 100, assorted, sterile	2
	Dressings, paraffin gauze, sterile	Individually wrapped, 10 × 10 cm	50
	Dressings, plain wound, unmedicated	(1) small, BPC 13	5
		(2) medium, BPC 14	5
		(3) large, BPC 15	5
	Gauze, absorbent	Pack containing one piece, size 1 m × 90 cm	4
	Gauze, compresses, sterile	Pack containing 5 pads, size 7.5 × 7.5 cm	5
	Gauze, ribbon, absorbent, sterile	Pack containing ribbon, size 2.5 cm × 2.5 m	1
	Gloves, disposable	Polyethylene or latex, large or extra large	40
	Suture kit, disposable, with needles	Sutures, sterile, of monofilament nylon or silk (except 3), swaged to a 26 mm or 40 mm half circle needle with a cutting edge. (sizes approximate)
		Each needle and suture to be in a sealed pack
		suture, non-absorbable, 26 mm half circle needle	3
		suture, non-absorbable, 40 mm half circle needle	3
		suture, absorbable, catgut, 40 mm half circle needle	26
	Suture strips, sterile, adhesive	75 mm adhesive suture strips.	4
	Swabs, alcohol impregnated	Pack of 100	1
	Talc	A closable tin containing 100 g of talc dusting powder, BP or similar	1
	Tampons/sanitary napkins	Small pack. On voyages of more than 48 hours, it is recommended that the quantity carried be 2 packs per female per month.	4
	Towels for treating burn victims	Towels, assorted, non-adhering, non-linting, in sachets ready for hydrating with normal saline, in a portable kit. Each kit must contain at least: (1) 2 towels — body dressing size; (2) 2 towels — leg dressing size; (3) 2 towels — arms dressing size; (4) 2 towels — hand dressing size; (5) 1 towel — face mask dressing; (6) 6 × 500 ml bottles/sachets normal saline irrigation; (7) 3 crepe bandages, light 10 cm width; (8) 2 rolls adhesive tape; and (9) 1 × scissors, s/b stainless steel, 12 cm. Note: the above can be obtained in a proprietary kit.	1
3	Instruments
	Bottle, eye wash, for irrigation	Alternative to eye spud	1
	Box, instrument, stainless steel, with lid.	For forceps, scissors and thermometers. Alternative to instrument roll.	1
	Forceps, dissecting	Stainless steel, 12.5 cm	1
	Forceps, epilation (tweezers)	Oblique ends	1
	Forceps, needle	(for holding needles for suturing)	1
	Forceps, packing	Stainless steel	1
	Forceps, sinus	Stainless steel, 12.5 cm	1
	Forceps, Spencer Wells’	Stainless steel, 12.5 cm	1
	Razors, disposable		5
	Roll, instrument, fabric	For forceps, scissors and thermometers. Alternative to instrument box.	1
	Scalpels, disposable, sterile	Straight, size 23	6
	Scissors, surgical, stainless steel	About 18 cm, one blade sharp pointed and the other round-ended	1
	Scissors, surgical, stainless steel	12.5 cm, both blades sharp pointed	1
	Spud, eye, rubber	Alternative to eyewash bottle	2
4	Examination and monitoring
	Charts, temperature	Am/pm, 4 hourly	one pad
	Container, specimen, for blood and urine testing	Strong, transparent, sterilisable plastic or glass, size 50 ml	2
	Cup, sputum with cover	Wax paper or plastic, disposable	20
	Jars, specimen	Strong glass or plastic, with airtight lid, with blank labels, size 50 ml	5
	Labels	Plain, self-adhesive, about 5 cm × 3 cm	10
	Reports, medical evaluation		one pad
	Sphygmomanometer		1
	Stethoscope		1
	Strips, reactive, for urine analysis	Multistix, in manufacturer’s container, with instructions	100
	Tags, identification	For patients who have been given morphine	10
	Thermometer, hypothermic	Sub-normal range, low body temperature, stubby bulb pattern	1
	Thermometer, rectal	Ordinary range, case clearly marked: “For Rectal Use”	2
	Thermometer, standard medical	To Australian Standard — AS 2190	2
	Tongue Depressors, disposable		10
	Torch, disposable	Pencil or other torch suitable for examining eyes.	2
5	Equipment for injection, perfusion puncture and catheterisation
	Catheter, rectal infusion	Size 26 or 28, French gauge	6(MF)
	Catheter, sterile	(1) Foley type, 16 gauge, with 5 ml balloon (Short/medium term use in adults)	1
	Catheter, sterile	(2) Nelaton or Jacques type, 16 gauge (with no balloon)	1
	Condom, urinary	With teat connection for incontinence	1
	Drainage instrument, urine/bladder	Bladder drainage set (including 2 litre capacity bag, spigots and tube)	1
	Rectal Infusion Set	A drip set for giving into the rectum 200 ml of fluid over a period of 10–15 minutes. Comprises: (1) a 2 m length of transparent plastic tubing attached to a reservoir; (2) a device for attaching the tube to a rectal catheter; (3) a device for regulating the flow of liquid from the reservoir; (4) a spigot to close the catheter when the drip set is disconnected; and (5) an appropriate rectal catheter. (seeaboveforadditionalrectalcathetersiftheshipcarriesdangerousgoods.)	1
	Infusion equipment, intra-venous	Cannula, (size 1.2 mm)	10(MF)
	Infusion equipment, intra-venous	Intra-venous administration set, with disposable infuser filters.	10(MF)
	Syringes and needles disposable (additional, for ships carrying dangerous cargoes)	2.5 ml syringe/0.8 mm (21 gauge) 4 cm needle	60(MF)
		5 ml syringe/0.8 mm (21 gauge) 4 cm needle	5(MF)
	Syringes and needles, disposable	2.5 ml syringe/0.8 mm (21 gauge) 4 cm needle	40
	Syringes and needles, disposable	5 ml syringe/0.8 mm (21 gauge) 4 cm needle	5
	Syringes and needles, disposable	10 ml syringe/0.8 mm (21 gauge) 4 cm needle	20
6	General Medical Equipment
	Bedpan	Stainless steel to BS 2588.1, or sterilisable plastic	1
	Bottle, hot water	rubber, with a non-burn surface or a fabric cover, size about 30 cm × 20 cm	2
	Bottle, urine, male	Glass or sterilisable plastic, graduated in ml A female bottle must also be carried if there are female crew members	1
	Pack, hot/cold	Flexible, re-usable	2
7	Immobilisation and setting
	Collar for neck immobilisation	Adult size set of 3, small, medium and large, adjustable, rigid, with chin support for fractured neck	1
	Splint, inflatable	Set of 6 (half-leg, full leg, half arm, and full arm, ankle and wrist)	1
	Splint, malleable, finger		1
	Splint, malleable, forearm and hand		1
	Splint, thigh	Thomas, adjustable	1
	Stalls, finger	With tapes, of robust material throughout, 2 or more sizes	5
8	Disinfection, Disinsectisation and Prophylaxis
	Steriliser	Electrically heated steriliser for unwrapped utensils and instruments. Capacity: at least 2 kidney dishes, 1 pair of scissors, and 3 forceps, at 1 sterilisation. A steriliser designed for sterilising baby’s bottles must normally be suitable.	1
	Water-Disinfection compound	See ‘Chlorine compound’ in Group 17 in the previous table
9	Other Equipment
	Bags, for records	Approx. size 30 cm × 50 cm, to hold medivac records, dirty bandages, afterbirth	6
	Bags, mortuary	Body bag — Large size, heavy duty opaque plastic, with a zip closure on the long side, designed to store a dead person in a refrigerator for up to 14 days or in a cool place for up to 5 days	1
	Bags, specimen	strong, approx. size 15 cm × 30 cm, to hold specimen jars/containers	6
	Box, “sharps” disposal	For used needles and scalpels	1
	Bowl, lotion	Size at least 200 mm × 90 mm, stainless steel to BS 1823, or sterilisable plastic to BS 5452	1
	Brush, nail	Strong, sterilisable plastic throughout	1
	Dish, kidney	Size 250 mm stainless steel to BS 1823, or sterilisable plastic to BS 5452.	2
	Eye products	Eye bath	2
		plastic, sterilisable Eye Pads, sterile	1
		50 individual Eye shades, either eye	2
		Eye wash solution, normal saline or similar, 500 ml	6
	Face masks	Disposable	12
	First Aid Kits	Ships must carry first aid kits to be distributed in appropriate locations on the ship eg in the galley, engine room and bridge. The kit must include the following items to be kept in a portable waterproof container:
		(1) 8 × triangular bandages (90 cm × 90 cm × 127 cm base);
		(2) 2 × No 13 BPC sterile unmedicated dressings;
		(3) 2 × No 14 BPC sterile unmedicated dressings;
		(4) 1 × No 15 BPC sterile unmedicated dressings;
		(5) 12 medium safety pins, rustless;
		(6) 30 assorted elastic adhesive waterproof dressings medicated BPC. Those supplied for use in the galley must be blue or other easily detectable colour;
		(7) 2 × sterile eye pads with attachment;
		(8) 6 × packs each containing 5 sterile cotton balls;
		(9) 5 pairs large or extra-large size disposable polythene or latex gloves;
		(10) 10 paraffin gauze dressings, BP, 10 cm × 10 cm, in individual sterile pack; and
		(11) 1 pair of stainless steel scissors, about 18 cm long, 1 blade sharp pointed, the other round ended.
		In addition, it is suggested that in other areas where injuries are possible, such as workrooms, kits for immediate first aid be stored with materials such as hydrogen peroxide solution for disinfection
	Glass, magnifying	7.5 cm diameter on handle	1
	Gloves	Latex gloves surgical quality — sterile (large and extra-large)	5 pairs
	Instruments, dental	(1) Excavator double ended Guy’s pattern G2 (2) Filling paste inserter or cotton tipped applicators (for inserting filling paste into the tooth) (3) Dental mirror size 4 on handle (4) Cavit (temporary dental filling) tube, 7 g (5) Oral splinting tape Note: Items 2 to 5 can be obtained prepacked in a proprietary kit, “Dentist in a Box™ — plus tooth trauma care”, which also provides information on emergency dental treatment. See Group 22 above for other dental requisites.	one set all items
	Kit for protection against blood transmitted diseases (BTD kit)	For all ships trading in known malarial areas and in areas where medical facilities are limited and emergency shore based treatment may be necessary. To be kept in a heavy gauge polythene bag, and labelled “to be used only for the treatment of .........................” (insert the name of the seafarer going ashore for emergency treatment) Each kit to contain the following: (1) 10 × 2.5 ml syringes; (2) 10 × 10 ml syringes; (3) 20 × 21G 0.8 mm needles; (4) 1 blood giving set; (5) 1 blood taking set; (6) pack of pre-injection site swabs; and (7) disposable plastic or latex gloves 2 pairs. (large size)	1
	Measuring equipment	Transparent plastic measuring jug, strong, sterilisable, 750 ml, graduated	1
		Medicine measures, plastic, size 30 ml to 40 ml, graduated	6
		Dropper, plastic (for infants) (see disposable syringes)	—
		Spoon, measuring, plastic, size 5ml, conforming to AS 1325	50
	Pins, safety	Rustless medium, size 5 cm or assorted	12
	Publications	Marine Orders Part 10, and the Guidelines	1
		Controlled Drug Register	1
		Dispensary Book or Medical Log	1
	Sheeting, waterproof	Smooth, strong, non-adhesive, rubber or plastic sheeting, size 1 m × 2 m, or fitted sheets of similar type and size	2
	Slides, microscope	Microscope slides in individual transit containers. Ships in malarial areas only	5
	Stretcher equipment	An efficient carrying stretcher, suitable for lifting the patient horizontally and vertically	2
	Tissues	Soft paper, in closable container	200
	Towels, paper	Paper, disposable, individual, hand size	100

Medical Supplies for Category C Ships
(Ships in smooth or partially smooth waters, and those that stay close to the shore.)

Ref No	Treatment, and Storage Symbols	Recommended Medicine and Dosage Strength	Recommended
1	Cardio vascular
B	Anti-angina preparations
1B		Glyceryl trinitrate 400 micrograms metered 200 doses, spray, aerosol	1
D	Anti-haemorrhagics (including uterotonics if there are women with potential for child bearing working on board)
1D1		Phytomenadione paediatric 1mg/0.5 ml, (Vitamin K1) injection	1*
1D2		Ergometrine 500 microgram Oxytocin 5 units, injection, 1ml	1*
2	Gastro intestinal system
B	Anti-emetics
2B		Hyoscine hydrobromide 0.3 mg, tablet	60
(D)	Anti-diarrhoeals	Codeine Phosphate 30 mg, tablet	20
3	Analgesics and Anti-spasmodics
A	Analgesics
3A1		Paracetamol 500 mg, tablet	50
3A2		Codeine Phosphate (See 2D)	Use 2D
4	Nervous system
C	Seasickness remedies
4C		Hyoscine hydrobromide (See 2B)	Use 2B
9	Medicines for External Use
A	Skin medicines
9A	Antiseptic solutions	Pre-diluted aqueous solution containing Cetrimide and chlorhexidine, bottles, 100 ml, disposable, for individual use	6
9A	Burn preparations	Cetrimide Cream, tube, 50 g, with local anaesthetic effect	1

Medical Equipment for Category C Ships

	Equipment category	Recommended Specification	Quantity
1	Resuscitation Equipment
	Mask, for mouth to-mouth resuscitation	Pocket Mask	1
2	Dressing and suturing equipment
	Bandage, adhesive elastic	7.5 cm × 4 m	1
	Bandages, sterile	(1) No 13, BPC	6
	compression and	(2) No 14, BPC	2
	dressings, unmedicated	(3) No 15 BPC	2
	Bandages, triangular	about 90 cm × 90 cm × 127 cm	4
	Closures, wound, sterile, adhesive	Pack of 8 strips (“Butterfly closures”), 4 mm × 38 mm.	6
	Compresses, sterile gauze	Pack containing 5 sterile gauze pads. Size 7.5 cm × 7.5 cm	2
	Dressings, adhesive	Assorted, sterile	20
	Instruments, dental	(1) Filling paste inserter or cotton tipped applicators (for inserting filling paste into the tooth) (2) Dental mirror size 4 on handle (3) Cavit (temporary dental filling) tube, 7 g (4) Oral splinting tape These items can be obtained pre-packed in a proprietary kit, “Dentist in a Box™ — plus tooth trauma care”, which also provides information on emergency dental treatment.	one set all items
	Dressings, paraffin gauze	Sterile, 10 cm × 10 cm	10
	Gloves, disposable	Polyethylene or latex, large or extra large	5 pairs
	Pins, safety	Medium, rustless, assorted	6
	Scissors, surgical	Stainless steel, 12.5 cm	one pair
	Strips, suture	Adhesive, 75 mm	4
	Recommended Additional Item
	Bag, hazardous waste, plastic	For disposal of hazardous waste materials	1