Refugee rescue at sea presents real and potential medical problems for the rescuing ship. Mass casualties must be managed by the principle of the greatest good for the greatest number. Treatment should be aimed at acute problems only and should be as simple as possible. The basic acute problem will probably be dehydration. This can be treated with restoration of oral intake and 'pushing' fluids. Such a program takes dedicated, unceasing help from medically untrained personnel. I.V. fluids are usually not required. Diarrhea is probably secondary to electrolyte imbalance and diet change. Treatment is by restoration of adequate oral intake of fluids and diet, and again does not require trained medical personnel. Antidiarrheal medication is usually not necessary. Prevention of epidemics, particularly to the crew, is important. Segregation, limited access, and, if necessary, isolation should be pre-planned and carried out. Early off-loading is desirable, but the decision is probably beyond the authority of the ship's command. Extended medical care for some of the refugees may be required.

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male Vietnam female Infant injury adult refugee Triage therapy prevention human rescue personnel Refugees Naval Medicine Child