Table 2.

The proposed general medical examinations and tests for seafarers on board ships using telemedicine technologies.

Features	Medical Examination	Periodicity	Telemedicine Modality	Equipment
General well-being	Medical history	Annual basis	Video, e-mail	Telemedicine devices
Noise	Audiometry test	Annual basis	Audio, video	Telemedical devices
General well-being Stress-related	Electrocardiogram (ECG), spirometry, urinalysis	Every six months	Still image Video	Telemedical devices
Vibrations	Postural evaluation: manual handling of loads	Annual basis	Video	Telemedicine devices
Exposure to toxic substances	Blood chemistry tests aimed at checking cardiovascular and renal function (blood count, blood sugar, liver and kidney function, lipid structure); leukocyte formula, urinalysis, determination of urinary hydroxypyrene.	Annual basis	E-mail, audio, video	Telemedicine devices
	Pulse oximetry, blood pressure	Every month	Video, e-mail	Telemedical devices
Postural workload	Body mass index evaluation; postural evaluation	Annual basis	Video	Telemedical devices
Fatigue and stress assessment	Electrocardiogram and saturimetry for fatigue; stress assessment, see the appropriate section of this protocol	Annual basis	Video, e-mail	Telemedical devices