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7 Illness

Causes:Illness claims case study 4

The advice stated that a cerebral aneurism can be present The Chief Engineer was taken to hospital with heart

from birth, but can also be caused by hypertension, whichproblems and irregular blood pressure. His condition soon

the crew member had apparently been suffering from and deteriorated and it was decided that he should be taken to
which had been disclosed during the Pre-Engagement Medical a better, specialist hospital, where he was immediately taken

Examination (PEME) when he was declared it for duty.into intensive care.

It was established that he had chronic pneumonia with
very high blood pressure and his lungs were in a very bad

Illness claims case study 3condition. After a month in intensive care his condition

The vessel was forced to deviate as the Master was suffering improved and it was decided to try to take him by air
ambulance to his native country. However his condition
from severe abdominal pain and cramps and needed
deteriorated and the air ambulance had to be cancelled. A
hospitalisation. When arriving at hospital he was diagnosed
as suffering from diverticulitis with bowel obstruction, similar repatriation attempt failed a couple of weeks later
and the Chief Engineer passed away soon thereafter.
severe dehydration and malnutrition. The doctor at the

hospital stated that the Master would have died had he Causes:
spent one more day at sea. The severity of illness and
The Chief Engineer was a heavy smoker. His poor lung
the time that elapsed before deinite treatment could be
provided resulted in ive operations and major complications. capacity had not been identiied when his health certiicate
was issued.
The Master was inally repatriated to his native country.

Causes:

The Master had a ten-year history of diverticulitis episodes and

it was known that his present condition had commenced prior
to this incident as he had seen a doctor in a previous port.

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