1. Introduction.- Geological Exploration.- Drilling Rigs.- Exploratory Drilling.- Development.- Production.- Communications and Transport.- Hazards.- Costs of Offshore Operations.- Implications for the Doctor.- Incidence of Major Mishaps.- 2. Legal Aspects of Safety, Health and Welfare on the United Kingdom Continental Shelf.- The Continental Shelf Doctrine.- Territorial Waters, Contiguous Zones and Continental Shelves.- The United Kingdom Continental Shelf.- Safety, Health and Welfare Legislation on the United Kingdom Continental Shelf.- Offshore Installations and Pipelines.- I Employer’s Liability Insurance Offshore.- Summary.- References.- Schedule of Principal Legislation Governing Safety, Health and Welfare Offshore in Denmark, France, The Netherlands and Norway.- 3. Pre-plaeement and Periodic Medical Examinations.- Pre-placement Examinations.- Periodic Examinations.- 4. Provision of Back-up Services.- Specialist Services.- Offshore Disasters.- 5. Offshore Medical Care.- Functions of the Offshore Medic.- Number and Type of Patients Seen by Medics.- Selection and Training of Medics.- Medics and Diving.- Medical Facilities and Supplies.- Stretchers.- Mechanical Aids to Respiration.- Instruments, Drugs and Dressings.- Survival Suits.- Communications and Transport.- Transporting a Sick or Injured Person.- Stand-by Vessels.- Medical Selection of Crew.- First-Aid Instruction and Training.- Medical Equipment for Stand-by Vessels.- Supply Vessels.- 6. Some Special Problems.- Hydrogen Sulphide.- Radioactivity.- Methane.- Methanol.- Ethylene Glycol.- Obesity.- Dust.- DrillingMud.- Welding.- Noise and Vibration.- Trauma.- Scabies and Other Infestations.- Tropical and Other Endemic Diseases in Immigrants.- Psychological Disturbances.- Drugs and Alcohol.- Partial Drowning and its Treatment.- Immediate First Aid.- Hypothermia.- Treatment.- 7. Diving.- Diving Techniques.- SCUBA Diving.- Surface-Orientated Surface-Supplied Diving.- Submersible Decompression Chambers and Deck Chambers.- Gases Used in Diving.- Air.- Mixed Helium and Oxygen (Heliox).- Decompression Techniques.- Medical Problems.- Ear and Sinus Problems.- Other Injuries in the Water or in Chambers.- Near-Drowning.- Pulmonary Barotrauma.- Decompression Sickness.- Treatment of Gas Embolism and Decompression Sickness.- Air Diving.- Mixed Gas Diving.- Notes.- Immediate Treatment of Decompression Sickness when a Chamber is not on site.- Professional Bodies Associated with Diving.- Medical Examination of Divers.- Physical Standards.- Results of Examination.- Return to Diving Following Decompression Sickness and Other Illnesses.- After Type 1 Decompression Sickness.- After Type 2 Decompression Sickness.- Flying After Diving.- Transport of a Patient with Decompression Sickness.- Transfer Under Pressure and Hyperbaric Rescue.- Sources of Assistance in a Diving Emergency.- Long-term Effects of Diving.- Drugs Under Pressure.- The Use or Misuse of Addictive Drugs.- The Incidental Use of Drugs in Diving.- The Use of Drugs as Adjuvant Therapy in Decompression Sickness.- 8. Catering and Hygiene.- Critical Areas.- Food Sources.- Containers and Transport.- Storage Offshore.- Thawing Frozen Foods.- Galley Design.- Floors and Scuppers.- Galley Bulkheads.- Ventilation.- Food Handlers’ Toilet Facilities.- Preparation Surfaces.- Catering Machinery (Galley).- Cleaning of Specific Items.- Dining Room.- Cooks’Tools.- Food Handlers.- Nutrition Offshore.- Routine Health and Hygiene Inspections.- 9. Dental Problems Offshore.- Dental Standards.- Dental Jurisprudence.- Dental First Aid.- Dental Problems in Diving.- Dental Treatment.- 10. Investigation of Fatal and Non-Fatal Accidents.- The Fatal Accident.- Legal Investigative Aspects.- Personnel.- Permission.- The Non-Fatal Accident.- Accident History.- Diving Accidents.- Causes.- Accident Check List.- Organisation of Accident Investigation.- Recovery, Storage and Preservation of Bodies.- Equipment.- Role of the Pathologist.- Autopsy Technique.- Unascertainable Cause of Death.- Laboratory Support in Diving Accidents.- Transport of Bodies.- Return of a Body to the United Kingdom.- Export of Bodies from the United Kingdom.- Conclusion.- Appendices.