Ombordbehandling

Ombordbehandling refers to medical or therapeutic treatment delivered while the patient or subject is on board a vehicle or facility, rather than ashore. It encompasses emergency care, routine medical management, and stabilization of conditions during transport or while stationed on ships, aircraft, trains, or remote installations. The goal is to manage symptoms, prevent deterioration, and arrange onward care as needed.

Contexts and scope

In maritime settings, onboard treatment occurs on ships, ferries, and offshore platforms, where crew members or designated medics provide care until evacuation or shore-based care is available. In aviation, onboard medical care is provided by trained crew or medical volunteers using a stocked medical kit and, if necessary, telemedicine guidance from on‑shore clinicians. On rail or remote expeditions, similar protocols and equipment may apply. Onboard treatment is typically a bridge between initial first aid and professional care, prioritizing stabilization and timely transfer.

Organization and resources

Effective onboard treatment relies on trained personnel (crew with medical training or onboard medical staff), standardized protocols, and access to portable equipment. Common elements include medical kits or chest, oxygen, automated external defibrillators (AEDs), basic monitoring devices, and a supply of medications appropriate for emergencies. Telemedicine links to onshore physicians or hospitals are increasingly used to support decision-making.

Procedures and limitations

Standard practices involve rapid assessment, airway and circulation management, pain control, wound care, and infection prevention, followed by triage and decisions about evacuation. Regulations and guidelines from organizations such as SOLAS and the International Medical Guide for Ships, along with aviation authorities, shape equipment requirements and training. Limitations include restricted resources and the need for transfer to higher-level care when conditions exceed onboard capabilities.

Notes

Ombordbehandling complements shore-based care and is not a substitute for professional medical treatment. Proper documentation and adherence to regional regulations are essential.