Add new heading and text on pages 4-8
and 4-9 before MEDICO section as follows:
MEDICAL ASSISTANCE TO VESSELS
Medical assistance is available using Telemedical Assistance
Services (TMAS). A TMAS is a medical service permanently staffed by
doctors experienced in conducting remote consultations and aware of
the particular nature of treatment on board ship. The system provides
for direct communication between ships and the TMAS.
The ship will normally contact the TMAS associated with
the RCC within whose SAR Region the ship is located.
Alternatively, the ship may contact another TMAS, usually
to overcome language difficulties. All medical information collected
by this TMAS should be transferred to the TMAS associated with the
RCC responsible for coordinating any further action required, to avoid
duplication.