CG45613 responded to a call from vessel HENAKAI (D521873, 38.4 foot passenger vessel) about a passenger that had a head injury. We arrived on scene and sent EMT qualified on board to assess the injury of the patient. The patient had a 1.5" laceration to the frontal region of the scalp and 2" laceration on the parietal region of the scalp. Patient said he was 51 years old and is diabetic. Patient said he didn't have any other pain beside his head and had feeling and movement in his extremities. He was alert and oriented (x3) but he didn't remember the events leading up to the accident or directly after. EMT applied direct pressure to the wounds and also applied a cervical spine collar. He was strapped and immobilized to the medical evacuation board. One of the other passengers said the patient fell from the fly bridge of the vessel , about ten feet, and hit his head on the fisherman's fighting chair and hit the deck. After obtaining Flight Surgeon permission we transferred the patient to the 45613 and made way to Lahaina Harbor where EMS were pier side. Once 45613 arrived at Lahaina Harbor, the patient was transferred to EMS.
The accident occurred when Hinatea owner began having a seizure while climbing down the ladder from the fly bridge.  The seizure caused him to fall off the ladder onto the port aft deck. The subject was still seizing with convulsions and foam was coming out of his mouth for at least five minutes while on the port aft deck.  The US Coast Guard was contacted for assistance. 


KAPALUA                       