Most ships have onboard medical facilities. Thus, when someone becomes ill or gets hurt there are facilities aboard where they can seek treatment. This is usually an area well marked on maps of the ship’s layout. Also, a quick call to guest services or in some cases 911 will get you help or directions to the ship’s medical facilities.
Norovirus, a collection of stomach flu type virus illnesses, is one things that sends many folks to the medical facilities. Most cruise lines will evaluate and treat those with norovirus at no charge to the passenger because they tend to spread among passengers when the ill are not quickly and properly treated.
Although ships have medical facilities, it is not an open invitation for the sick and severely injured to travel by ship expecting treatment while at sea. In that kind of situation advanced communication with the cruise line and ship is needed to ensure the care needed while on the cruise will be readily available. Also, if you get injured while on shore on a shore excursion, it depends where you are traveling if you will be better seeking care in the port or back on the ship. Again, it boils down to the ship is not running a full specialty clinic or emergency room but instead hosts a clinic prepared to help in emergencies and treat most basic issues that your primary care doctor would see.
The ship and cruise line typically has arrangements with one of the telemedicine providers back in the USA, much like airlines have, where they can get advanced treatment information as needed. This may include assistance arranging medical evacuation from the ship where needed. In these cases the evacuation may be by air or thru an unscheduled port stop depending on many different factors. These factors include the needed care and what will get the needed care most quickly for the sick or injured crew member or passenger.
What to do is you get sick on the ship; first if it is something beyond what you can treat with the over the counter medicine you bring with you, go to the clinic during normal hours (it is less expensive than an after-hours visit) and get evaluated. Just because you are sick doesn’t mean you will be treated differently by the crews. Then take the treatment and get well so you can enjoy the rest of your cruise.
If you get hurt and need help getting to the clinic let the nearest crew member know or call 911 on a ships phone. This will begin an emergency response to the scene of your injury allowing the crew to assist you to the clinic for evaluation and management of the injury. Again, the ship may consult shore side physicians for advanced advice and assistance facilitating advanced care as needed. If the physicians agree an immediate evacuation is needed the Captain of the ship gets involved as a nearest port will be determined and possibly if near US waters a call to the United States Coast Guard will be called into action. There are even cases where the US Navy has assisted getting passengers off the ship to definitive care. Air evacuation is of course a last resort situation. At least in the US there is no charge by the US Coast Guard or Navy for their assistance, although in foreign countries it is possible a charge will apply.
Buying a travel insurance policy is very important when traveling on foreign trips. They may provide primary coverage for medical care on the ship in addition to helping cover the cost of medical evacuations as needed which can be really important. If you are taken off the ship in a foreign port and have to be evacuated back to the United States it can be a very costly endeavor, thus the insurance is critical.
If needed on most ships you can get medical care for illness and accidental injuries.
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