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The Ship Surgeon's Handbook
By A. Vavasour Elder
408 pages 1911

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This book is included in the Self Reliance Transportation section.

xx

PREFACE to the SECOND EDITION.
The unexpected yet wholly gratifying reception accorded to the first edition has prompted the author to publish a 
second. While most of the fundamental principles have been retained almost unaltered, save for amplification in 
certain instances, the book has been considerably enlarged by the addition of five chapters. Two of these are 
special ones having regard to the routine of the American Passenger Service, and require no comment; whereas, 
the others are of a general nature, affecting all ship-surgeons. The one entitled 'Ship Etiquette and Customs' it is 
hoped will justify inclusion.

In the chapter on 'Medical Logs' special attention has been paid to the question of 'professional secrecy' in relation
to ship-surgeons, as it has always seemed that the prevailing custom at sea is somewhat at variance with generally
accepted rules of procedure, and one, moreover, which should be settled by a medical authoritative body.

In conclusion, the author wishes to tender sincere and grateful thanks to all his numerous critics and friends for 
advice and suggestions in regard to the former and present editions, more especially to Dr. G. W. Pfromm, of 
Philadelphia, for most invaluable hints and help in preparing the manuscript for the press.
A. V. E.
At Sea, 1910.

PREFACE to the FIRST EDITION
The author's excuse for writing upon what at first sight appears to be a commonplace subject is the absence of any
literature wholly devoted to the life and work of a ship-surgeon. His book is intended to be a guide only to the 
uninitiated, and it is hoped that it may save such from the numerous pitfalls to which they may find themselves 
exposed while engaged in their work. Some of these the author's own experience, and that of many 
contemporaries, has shown to be of actual daily occurrence. Where the text is somewhat colloquial and verbose, 
containing in places self-evident facts, it may be explained that it has been made so with a view to providing for 
nearly every contingency likely to be met with by the novice. In the author's opinion, no class of men undertake 
their professional duties knowing less of the surroundings in which these are performed than surgeons going to 
sea for their first voyage. He begs indulgence for literary style, or rather for lack of it, and hopes the book will be 
accepted in the spirit in which it has been written—as a guide, and not a textbook.
London, 1906.

Contents

CHAPTER I. CHOICE OF SHIP
CHAPTER II. OUTFIT AND UNIFORM
CHAPTER III. DRUGS
CHAPTER IV. INSTRUMENTS AND APPLIANCES
CHAPTER V. STATUS AND DUTIES ON BOARD
CHAPTER VI. PASSENGERS
CHAPTER VII. FEES AT SEA, ETC.
CHAPTER VIII. SEA-SICKNESS
CHAPTER IX. MEDICAL AND SURGICAL PRACTICE
CHAPTER X. MEDICAL AND SURGICAL PRACTICE (continued)
CHAPTER XI. OUTLINES OF TREATMENT
CHAPTER XII. HOSPITAL CABINS
CHAPTER XIII. AMERICAN SERVICE
CHAPTER XIV. AMERICAN SERVICE {continued)—TRACHOMA, FAVUS, ETC.
CHAPTER XV. MEDICAL LOGS, ETC.
CHAPTER XVI. SHIP ETIQUETTE AND CUSTOMS
CHAPTER XVII. SHIPS AS CONVALESCENT INSTITUTIONS

APPENDICES
APPENDIX I. UNIFORM AND OUTFIT
APPENDIX II. BOARD OF TRADE SCALE OF DRUGS
APPENDIX III. BOARD OF TRADE SCALE OF INSTRUMENTS
APPENDIX IV. ADDITIONAL STORES
APPENDIX V. EMERGENCY APPLIANCES

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