MIAMI, Florida–Sometimes we do not think about what happens if there is a serious accident or injury when a cruise ship is at sea, and the injured person requires immediate specialized medical treatment, such in the case here for a Royal Caribbean crew member. The 20-year-old crew member suffered a serious spine injury performing her regular job duties on board the Legend of the Seas ship.
Various news reports discuss how difficult the evacuation proceedings were, which indicates the seriousness of the injuries, and suggests potential paralysis as a concern. Evacuations at sea are very difficult and normally will not be performed except in the most serious situations where the injured person is suffering a potential life-threatening condition, or a condition that must be treated immediately by the appropriate specialists.
Cruise ship companies typically have on board a doctor that have some training in emergency room medicine. Historically, doctors on cruise ships have been from all over the world with questionable credentials. Many were not licensed in the United States, and many did not have a specialty with any relevancy to the type of injuries or illnesses that would typically be faced by a ship’s doctor on a cruise ship. In fact, I remember a incident where a crew member suffered heatstroke at a port, which can be treated successfully, but the ship’s doctor, who was from a foreign country and who had failed a test to become licensed in the United States on three separate occasions, completely misdiagnosed the condition. As a result, the appropriate treatment was not provided and the crew member died.