Jacksonville Commodores League, Inc.

Cruise Handbook

Section I – Guidelines Section II – Cruise Preparation Section III – Cruise Emergencies Section IV - Landmarks

August 2008

Disclaimer: The Jacksonville Commodores League, Inc. offers the material contained in this document exclu- sively for the use of our boat captains as general information only to assist in dealing with emergency situa- tions until nautical assistance and/or a medical professional’s help can be obtained. This material in no way constitutes medical advice for medical emergencies nor does it cover all non-medical situations, circumstances or resolutions, hence, should never supersede or take the place of the experience and judgment of the boat cap- tain or medical professionals when available. The Jacksonville Commodores League, Inc. does not warrant or make any representations regarding the use of or the result of the use of this material in terms of its reliabili- ty, accuracy, correctness, or application. Please consult nautical and/or medical professionals for specific advice on the procedures and treatments discussed in this document. Table of Contents Page

Section I Guidelines ...... 1 - Conduct of Cruises ...... 3 - Duties of the Cruisemaster ...... 5 Section II Cruise Preparation ...... 7 - Checklist ...... 8 - Contact Numbers ...... 9 - First Aid Kit ...... 10 Section IV Cruise Emergencies ...... 13 - Accident Reports ...... 15 - Communications – Mayday ...... 16 - Fire Onboard ...... 17 - Man Overboard ...... 18 - Rendering Assistance ...... 19 - Running Aground ...... 20 - First Aid - Bleeding ...... 21 - CPR ...... 22 - Heart Attack/Stroke ...... 23 - Shock ...... 24 Section IV Landmarks ...... 25 - City of Jacksonville ...... 27 - St. Johns River ...... 28 - Naval Air Station ...... 29 - Epping Forest Yacht Club ...... 30 - Florida Yacht Club ...... 31 - Baptist Medical Facility ...... 32 - ...... 33 - Jacksonville Municipal Stadium ...... 34 - Talleyrand Marine Terminal ...... 35 - Jacksonville University ...... 36 - ...... 37 Section I – Guideines

Conduct of Cruises

Duties of the Cruisemaster

1 of 37 Cruise Handbook Date: August 2008 Section I – Guidelines Topic: Conduct of Cruises Subtopic:

The purpose of a cruise is to present the city of Jacksonville to visiting dignitaries in a way that could not be seen by driving, and to emphasize the impact the St. Johns River has on the city. 1. A Cruise Notice will be sent to participating Captains and crew members beforehand. (If short notice, may be handled by phone/email.) The notice will contain the sponsor, guest names, cruise departure point and time, uni- form-of-the-day, and refreshment arrangements. When multiple yachts are used, a cruise master will be appointed to co-ordinate the cruise directions. Any special notes will be included on this notice. 2. It is the joint responsibility of the Captain and crew to contact each other by telephone/email in a timely manner to establish a place and time for the crew to report on board. (It is a point of pride with the League never to be late picking up guests.) 3. At the cruise pick-up point, be ready to receive and stow food/beverages supplied by the sponsor. Unless notified on the Cruise Notice, sponsor should furnish everything needed for serving quests. Generally, the Captain and crew are requested to arrive 30 minutes prior to departure time in order to load provisions and board guests. 4. Welcome the guests aboard at the gangway and introduce them to the Captain and crew. 5. Before getting underway, announce any ship rules/cautions, the ship’s smoking policy (Captain’s option), location and operation of head(s), advise guests of the locations of all life jackets and fire extinguishers. 6. Prior to getting underway, Captain or crew should describe the vessel (size, make, year) and inform them about the Commodore’s League (with empha- sis on the volunteer nature of the organization) and explain to the guests where the cruise will be going. (The guests are always interested in the vessel and are impressed by the volunteer nature of the Jacksonville Commodores League.) 7. Invite any questions from quests and ask all participants to sign the Guest Log. (Our objective is to make the guests comfortable - informality is the keynote.) The crew and Captain will set up and arrange the food/snacks/beverages and invite the guests to help themselves to the pre- pared food and take photos. A cruise package containing the details of the cruise, guest log form and vessel check-off sheet will be provided to each captain prior to cruise departure. 8. Return guests on schedule. Thank them for sailing with the Jacksonville Commodores League and shake hands with each guest.

3 of 37 Cruise Handbook Date: August 2008 Section I – Guidelines Topic: Conduct of Cruises Subtopic:

9. The Captain and/or crew are requested to promptly summarize the cruise with a short narrative and pictures for inclusion into the clubs website. If no camera is available, a disposable camera will be issued to take photos of the group.

10. Vessels are requested to fly the JCL flag from the starboard yard or antenna.

Other Points of Note:

• The Captain has the final word on canceling a cruise due to inclement weather. • Guests are requested to wear soft-soled shoes but this cannot be assured. • Make your smoking policy very clear to guests. • All cruises must be approved by the Rear Commodore of Operations prior to acceptance of the cruise to assure that they meet safety guidelines. We are not to be considered a taxi service and after dark cruises are discour- aged due to the liability to the Captain. Most cruises are scheduled for two hours.

4 of 37 Cruise Handbook Date: August 2008 Section I – Guidelines Topic: Duties of the Cruisemaster Subtopic:

1. Maintain contact with the Rear Commodore of Operations regarding weather or change of plans for cruise. 2. Make certain all Captains’ and crew are standing by and operational. 3. Command the “flotilla”, determine the route, establish and maintain radio contact with all yachts. 4. Distribute log sheets to each Captain, and transmit comments at the con- clusion of the cruise to the Rear Commodore of Operations. 5. Commodore League members who provide their private vessel for authorized cruises shall have in effect Watercraft Liability and/or Protection and Indemnity insurance coverage with limits of no less than $500,000. It is the responsibility of each Commodore League member to make sure this coverage is in force and current during any sanctioned Commodore League cruise.

5 of 37 Section II – Cruise Preparation

Checklist

Contact Numbers

First Aid Kit

7 of 37 Cruise Handbook Date: August 2008 Section II – Cruise Preperation Topic: Checklist Subtopic:

Need/Issue/Problem: Thoughtful planning and preparation prior to any boating venture is highly recommended and a checklist is an essential element of that preparation. Action Steps: Carefully review and verify for compliance each of the items listed in the boat checklist below with the crew prior to getting underway.

Boat Pre-Departure Checklist Vessel Name: ______Date: ______Captain: ______Number of Crew & Guests: ____ Area Description of Areas/Items Verified 1 Personal Flotation Device (PFD) Number of Type I, II or III PFDs aboard Number of type IV PFDs (throw able) aboard Observed onboard PFDs before cruise Informed crew of location of Type I, II, III, and IV PFDs 2 Fire Extinguishers Observed condition and gauges Informed crew of location of Fire Extinguishers 3 Flares Observed condition and expiration date Informed crew of location of flares 4 Sound Signal Sound signal tested Informed crew how to operate sound signal 5 VHF Radio VHF radio tested Informed crew how to operate VHF radio 6 First Aid Kit Observed onboard First Aid Kit Informed crew of location of First Aid Kit 7 Running Lights ** Observed operation of running lights

** Proper operation of running lights is important for cruises that began during daylight hours but may end after sunset. Because of the higher risk involved the Jacksonville Commodores League does not normally conduct evening cruises.

9 of 37 Cruise Handbook Date: August 2008 Section II – Cruise Preperation Topic: Contact Numbers Subtopic:

Need/Issue/Problem: Ability to quickly contact appropriate federal, state and local gov- ernment agencies regarding boating accidents and violations. Action Steps: Dial and make phone calls as appropriate.

Government Agency/Violations Phone Numbers Emergency 911 Florida Fish and Wildlife Conservation Commission 904-359-3883 Report B.U.I. and Wildlife Violations 1-888-404-3922 Report Boating Accidents 904-359-3883 U.S. Coast Guard 904-247-7318 Clay County Sheriff’s Office 904-264-6512 Nassau County Sheriff’s Office 904-225-5174 St- John’s Sheriff’s Office 904-824-8304 Jacksonville City Dock master 904-630-0839 or Ch 72 for Events Environmental Crimes or Emergencies 1-800-320-0519 Manatee Sighting Manatee Injuries and Deaths 904-256-7525 1-888-404-3922 Customs and Border Protection 904-751-2827

Source: Boating Safety Pamphlet of the Jacksonville Sheriff’s Office – Marine Unit

10 of 37 Cruise Handbook Date: August 2008 Section II – Cruise Preperation Topic: First Aid Kit Subtopic:

Need/Issue/Problem: Provide adequate materials and medications to support first aid activities in case of an onboard emergency

Action Steps:

1. Maintain an appropriate, easily accessible first aid kit onboard the vessel at all times. The American Red Cross recommends that all first aid kits for a family of four include the following:

• 2 absorbent compress dressings (5 x 9 inches) • 25 adhesive bandages (assorted sizes) • 1 adhesive cloth tape (10 yards x 1 inch) • 5 antibiotic ointment packets (approximately 1 gram) • 5 antiseptic wipe packets • 2 packets of aspirin (81 mg each) • 1 blanket (space blanket) • 1 breathing barrier (with one-way valve) • 1 instant cold compress • 2 pair of no latex gloves (size: large) • 2 hydrocortisone ointment packets (approximately 1 gram each) • Scissors • 1 roller bandage (3 inches wide) • 1 roller bandage (4 inches wide) • 5 sterile gauze pads (3 x 3 inches) • 5 sterile gauze pads (4 x 4 inches) • Oral thermometer (non-mercury/no glass) • 2 triangular bandages • Tweezers • First aid instruction booklet

© Copyright The American National Red Cross. All rights reserved.

11 of 37 Section III – Cruise Emergencies

Accident Reports

Communications-Mayday

Fire Onboard

Man Overboard

Rendering Assistance

Running Aground

First Aid – Bleeding

First Aid – CPR

First Aid – Heart Attack/Stroke

First Aid - Stroke

13 of 37 Cruise Handbook Date: August 2008 Section III – Cruise Emergencies Topic: Accident Reports Subtopic:

Need/Issue/Problem: Florida Law requires the operator of a vessel involved in a boat- ing accident to expediciously file an accident report with an appropriate government agency. This law is based on the following:

• A Boating Accident is defined as any mishap (capsizing, crew overboard, colli- sions, fire, sinking & flooding, explosions, and disappearance) that involves one or more of the following: - Personal injury beyond immediate first-aid - Damage to the vessel(s) or personal property of at least $2000 - Death - Disappearance of any person under circumstances that indicate death or injury

• Appropriate Local Government Agencies can include any one of the following: - Florida Fish and Wildlife Conservation Commission - Sheriff of the County in which the accident occurred - Police Chief of the municipality in which the accident occurred, if applicable

Action Steps: The operator of a vessel involved in a boating accident, is required by Florida Law to carry out the following:

1. Stop and give assistance to other persons involved in the mishap to the extent that they do so without endangering themselves or their passengers

2. Provide in writing your name, address and number of the vessel (if num- bered) to all owners of any property damaged in the accident

3. File an accident report with the appropriate local government agency via the quickest means possible. A sample of an accident report can be viewed at www.boatingbasicoutline.com/course/boating/accidentreport.php

15 of 37 Cruise Handbook Date: August 2008 Section III – Cruise Emergencies Topic: Radio Communications Subtopic: Mayday

Need/Issue/Problem: Making a MAYDAY call to the US Coast Guard. Please note that a MADAY call is reserved for situations in which “there is immediate risk of loss of prop- erty or life”. In other words, your vessel is sinking or on fire or someone on board is seri- ously injured or ill. On the other hand, a PAN call to the Coast Guard conveys that you are requesting assistance for a vessel that is in trouble but not immediate danger.

Action Steps:

1. Select Channel 16 on your VHF radio, key the microphone and speak clearly and slowly the following:

MAYDAY, MAYDAY, MAYDAY; This is the vessel ______(State the name of your ves- sel three times), State your call sign if appropriate, MAYDAY, the vessel ______, state your position (preferably latitude and longitude or by geographical reference), The nature of your emergency, A description of your vessel, The number of people on-board your boat. Say again the name of your boat and your call sign.

2. Unkey the microphone and wait for a response 3. If you get no response after a minute or so, repeat steps 1 and 2 above. 4. If you still get no response then assume your radio is not working, get life jackets on everyone, gather emergency supplies, and prepare your flares and any other signaling devices to solicit help. 5. STAY CALM and set an example for your passengers.

16 of 37 Cruise Handbook Date: August 2008 Section III – Cruise Emergencies Topic: Fire Onboard Subtopic:

Need/Issue/Problem: Make immediate preparation to extinguish fire onboard vessel or abandon the vessel if necessary.

Prior to Departure: • Assure that you have the required number, types, and capacities of fire extin- guishers onboard that have been inspected within the past year • Purchase a small flame retardant blanket that you can use to smother an open flame in the galley • A handheld VHF radio will become invaluable if you loose your DC power source or have to abandon ship .

Action Steps: 1. Assessment - Verify the existence of an onboard fire. The discovery of an onboard fire will normally be the consequence of loosing engine power when the automatic fire extinguisher is activated in the engine room or the sight of smoke or the smell of something burning 2. Slow/Stop Vessel - Slow or stop the vessel and position it to keep the fire downwind in addition to closing any open hatches and ventilators 3. Classification - Attempt to classify the fire into one of four groups: Type A for wood, fabric, etc.; Type B for flammable liquids such as gasoline, oil, etc.; Type C for electrical and; Type D for metals 4. Shut off Fuel/Electrical - If the fire is a Type B or Type C shut off the fuel supply or electrical power as appropriate 5. Activation - Activate your fire extinguisher and direct it at the base of the flames, sweeping from side to side with short bursts making sure that the fire is really out. Water should only be used to extinguish Type A fires involving wood, mattresses, rags, trash and alcohol 6. Engine Room Fire - If the fire is in the engine room, the automatic fire extinguishers should have activated and brought the fire under control. Be very careful not open the hatch within the first hour as you may reignite the fire with a fresh supply of oxygen 7. Abandon Ship - If the fire cannot be brought under control, direct all pas- sengers to put on their PFDs; utilize your radio, cell phone, or distress sig- nals to get help; and prepare to launch the life raft or dingy with lifejackets.

17 of 37 Cruise Handbook Date: August 2008 Section III – Cruise Emergencies Topic: Man Overboard Subtopic:

Need/Issue/Problem: Make immediate preparation to locate and retrieve per- son(s) from water. Prior to Departure: • A readily deployable boarding ladder, if not already part of the vessels design, that can be used to recover a person from the water • Place at least one readily available Type IV flotation device in the stern of the vessel • Provide an easily accessible life ring/LifeSling with attached buoyant line approximately 3 to 4 times the length of the vessel. Action Steps: 1. Raise Awareness - When you first discover a Man Overboard situation exists, raise awareness by calmly shouting “Man Overboard, Starboard/Port Side” 2. Throw Floatation - Throw any available floatation device to the person in the water 3. Assign Lookout - Assign a person to maintain constant visual contact and point to person in the water 4. Return - If you can see the person in the water, slow the boat and turn the vessel around 180 degrees. If you cannot see the person in the water, record your position by utilizing the MOB function on your chart or radar device and use a Williamson turn to return to the area where the person entered the water 5. Deploy - As you return to the person in the water, deploy a life ring/LifeSling overboard and reel out the attached buoyant line after you tie one end to the vessel. 6. Pull LifeSling to Victim - Circle the person in the water as you would a water skier pulling the life ring/LifeSling to the person, or carefully approach the person and throw the life ring/LifeSling when close by. 7. Pull Victim to Boat - When the victim has a firm grip on the life ring/LifeSling, put your engines in neutral and began pulling the person to the boat. 8. Retrieve Victim - Once the person is near the boat, assist them aboard utilizing a boarding ladder and/or a Lifesling. If the victim is unable to get aboard, use the LifeSling or boarding ladder to retrieve the person.

18 of 37 Cruise Handbook Date: August 2008 Section III – Cruise Emergencies Topic: Rendering Assistance Subtopic:

Need/Issue/Problem: Provide assistance to a distressed vessel. Prior to Departure: Assure that you have the following items available prior to leaving the dock: • First Aid Kit • Fully Charged Cell Phone and/or VHF Radio • Extra Lines – Carry extra lines that can be utilized to make a bridle, a heaving line and a tow line if you do not carry an anchor line. Action Steps: 1. Assessment - Assess the situation and determine your course of action - This will normally involve taking passengers to shore or towing the vessel to shore 2. Transport Passengers - If you decide to take the passengers to shore carry out the following: • Mark location of the vessel • Call the Coast Guard or the Marine Patrol to relay your plan of action • Request that the passengers in the distressed vessel put on their PFDs • Using the utmost caution and weather permitting, carefully transfer passengers to your vessel • Once passengers are safely on land, call the Coast Guard/Marine Patrol to report your progress 3. Tow Vessel - If you decide to tow the vessel to shore carry out the following: • Request that all passengers on both vessels put on their PFDs • Rig a bridle that can be attached to the stern of your vessel • Rig a tow line by transferring one end of either vessels anchor line to the other vessel utilizing a heaving line or by attaching fenders to your anchor line and pulling them around the stern of the distressed vessel so they can be retrieved with a boat hook. • Adjust the length of the tow line to provide proper separation between the vessels and tie the tow line to your bridle utilizing a bowline. The separation distance should allow a dip in the tow line and be determined by sea conditions, line size and towing speed • Tow distressed vessel to shore using a relatively show speed not to exceed 7 knots • Before entering the marina, call the harbormaster to arrange the use of a landing area or face dock that affords the best chance of avoid- ing a collision with other vessels, docks and pilings • When approaching the marina landing area reduce your speed and the length of the tow line for landing approach and final detachment.

19 of 37 Cruise Handbook Date: August 2008 Section III – Cruise Emergencies Topic: Running Aground Subtopic:

Need/Issue/Problem: Free a grounded vessel. Generally there are two types of groundings: Soft grounding normally results in minimal hull damage and/or leaks; hard grounding involves damage to the hull and/or running gear possibly involving more sub- stantial leaks. Prior to Departure: Assure the following items/services are available prior leaving the dock: • Join a commercial towing service • Boaters should assure that their marine insurance policies cover salvage operations for the full value of their vessel and that there is no deductible for salvage costs • Tender/Dingy and outboard motor in working order • Anchor and anchor line in working order • Set of wooden cones that can be used to stop bilge leaks in the hull. Action Steps: 1. Initial Assessment – Assess the situation to determine whether to shut down your engines, the type of grounding, hull damage and/or leaks, the state of the wind and tide, and were the deeper water is 2. Soft Grounding – If you are grounded lightly and hull damage appears minimal you can try to free yourself by putting your engines in reverse and backing down. When you try to back off, monitor your temperature gauges as the raw water intakes may have sucked up mud and debris into your cooling system. 3. Hard Grounding – If you are hard aground and suspect that you have sustained damage to your vessel, carry out the following: • PFDs - Put on your PFDs • Inspect - Check for damage to the hull and running gear and attempt to stop any leaks utilizing wooden cones and bedding • Inform - Even if you do not need immediate assistance, inform the Coast Guard on channel 16 of your situation and your intentions. Only if the ves- sel is in danger of sinking or the lives of the crew are at risk should you hail the Coast Guard with a “MAYDAY” call • Anchor - Set an anchor in deeper water at an appropriate distance from the vessel utilizing a dingy/tender or a PFD to float the anchor to the desired area. Anchoring will keep your vessel from getting further aground and can be useful in freeing your vessel if you winch the boat toward the anchor • Assistance - If you are unable to free your vessel, contact a commercial tower to come to your assistance. Be careful in dealing with these organ- izations as hard groundings can be considered a “salvage” operation as opposed to a “towing” operation. The difference in cost can be consider- able.

20 of 37 Cruise Handbook Date: August 2008 Section III – Cruise Emergencies Topic: First Aid Subtopic: Bleeding

Need/Issue/Problem: Control bleeding, prevent infection, and protect with appropriate bandaging.

Preparation Prior To Departing: Prior to departing the dock, make sure you have the following items and skills available: • First Aid Kit – A first aid kit that contains materials such as gauze pads, pressure bandages, large syringe, etc. • Mouth-to-Barrier Device • Vinyl or Latex Gloves • Fully Charged Cell Phone • First Aid Course – Completion of a first aid course conducted by an organ- ization such as the American Red Cross

Guidelines During a Medical Emergency: 1. Assessment – Assess the situation to determine if the victim is uncon- scious or has severe bleeding that appears will be difficult to stop. If either of these two conditions exist call 9-1-1 or the Coast Guard on channel 16 to report the situation and obtain instructions and advice on how to handle the medical emergency. Additionally the captain should arrange a shore location and ETA that will facilitate expeditious professional care and/or transportation to a care center/hospital. 2. Wash Hands – Wash hands with soap and water prior to treating a wound 3. Medical Gloves – Put on vinyl or latex gloves to protect you against blood born infections. If gloves are not available use plastic bags or any water- proof material to provide protection. 4. Obtain Permission – If victim is responsive obtain permission to begin first aid, however, if victim is unresponsive then permission is implied. If vic- tim is under 18 years of age and the parents are not available, then per- mission is also implied 5. Ask Victim to Sit or Lie Down 6. First Aid to Control Bleeding and to Prevent Infection - Perform appro- priate first aid to control bleeding and infection by utilizing techniques of direct pressure, elevation of extremities and wound irrigation and cleaning 7. First Aid to Bandage Wound – Utilize appropriate first aid techniques to apply bandage materials that are designed to protect the wound being careful not to apply the bandage so tightly that is stops circulation 8. Expeditiously transport victim to shore location

21 of 37 Cruise Handbook Date: August 2008 Section III – Cruise Emergencies Topic: First Aid Subtopic: CPR

Need/Issue/Problem: Provide emergency first aid CPR to an adult victim that is unre- sponsive and/or not breathing with no AED available Preparation Prior To Departing: Assure that you have the following items and skills available prior to leaving the dock: • Mouth-to-Barrier Device • Vinyl or Latex Gloves • Fully Charged Cell Phone • First Aid Course – Completion of a first aid course conducted by an organization as the American Red Cross or American Heart Association Guidelines During a Medical Emergency: 1. Assessment - Assess the situation by determining if the victim is con- scious. • This can be accomplished by shaking the person and saying loud- ly, “Are you okay?. If the victim appears unconscious call 9-1-1 or the Coast Guard on channel 16 to report the situation and obtain guidance before starting CPR. Also arrange a place where the vic- tim can be expeditiously transported and turned over to a medical professional 2. Breathing - • If the victim is not already on their back, roll the victim onto their back and determine if the victim is breathing by utilizing the head tilt- chin lift technique. As you listen, sense the movement of air, and look for the rise and fall of their chest 3. Rescue Breaths - • If victim is not breathing, keep the airway open, using the head tilt- chin lift technique, and administer two rescue breaths by pinching the nostrils shut and placing your mouth over theirs, employing a mouth-to-barrier device if available 4. Circulation - • If no breathing is restored in item 3 above, perform 30 compres- sions using both hands located between the nipples of the victim to compress the chest from 1-1/2 to 2 inches at the rate of 100 per minute. Continue this resuscitation pattern, 2 rescue breaths fol- lowed by 30 compressions, until the victim starts breathing or med- ical personnel take over 5. Transportation - Expeditiously transport victim to prearranged location to continue care by professional medical personnel.

22 of 37 Cruise Handbook Date: August 2008 Section III – Cruise Emergencies Topic: First Aid Subtopic: Heart Attack/Stroke

Need/Issue/Problem: A guest or a member of the crew exhibits symptoms of a heart attack or stroke.

Preparation Prior To Departing: • Cell Phone – Captains should carry a fully charged cell phone on all cruises • CPR Training – Captains should undergo CPR training conducted by a creditable agency such as the American Red Cross. This training will pro- vide boat captains with the critical skills needed to identify the medical emergency from the symptoms exhibited by the victim and how to carry out appropriate first aid. • Mouth to Barrier Device – Should be carried in the First Aid Kit • Vinyl or Latex Gloves – Should be carried in the First Aid Kit • Aspirin – Captains should assure that aspirin tablets are available onboard their vessel prior to the cruise.

Guidelines During a Medical Emergency:

1. Assessment - Identify medical emergency from symptoms exhibited by the victim 2. Call for Help - CALL 9-1-1 or the Coast Guard on channel 16 for instruc- tions and advice to handle the medical emergency. Additionally, the cap- tain should arrange a shore location and ETA that will facilitate expeditious professional care and/or transportation to a care center/hospital. Be pre- pared to describe the victims situation with the following information: • Approximate age and weigh • Symptoms exhibited • Gender • Pulse rate 3. First Aid - Render appropriate first aid utilizing a mouth-to-barrier device and/or Vinyl/Latex gloves as needed. The first aid may include aspirin ther- apy and/or CPR and should be undertaken only after obtaining a victims consent. If the victim is not responsive, consent is implied as it is for a minor under the age of 18 if their parents are not available 4. Transport - Expeditiously transport victim to shore location.

23 of 37 Cruise Handbook Date: August 2008 Section III – Cruise Emergencies Topic: First Aid Subtopic: Shock

Need/Issue/Problem: A guest or a member of the crew exhibits symptoms of shock. Preparation Prior To Departing: Assure that you have the following items and skills available prior to leaving the dock: 1. Completion of a First Aid Course conducted by an organization such as the American Red Cross 2. Fully charged Cell Phone.

Guidelines During a Medical Emergency: Shock can cause death when the cardio- vascular system that carries oxygen to the body’s vital organs has low blood volume or pressure. Appropriate first aid may include the steps below:

1. Assessment – Assess the situation to determine the type of medical emer- gency demonstrated by the victim. Signs of shock include the following: • Rapid, weak pulse • Labored or rapid breathing • Pale or bluish skin, nail beds and lips • Damp, clammy skin • Nausea and vomiting • Restlessness, anxiety, and weakness • Profuse sweating

2. Call for Help - Call 9-1-1 or the Coast Guard on Channel 16 for help and guidance and arrange a place to evacuate the victim to obtain assistance from professional medical personnel

3. Treatment – First Aid treatment for shock includes the following: • Lay victim on back and cover with blankets to prevent heat loss • Elevate feet 8 to 12 inches higher than the head to increase blood flow to the heard • No food or clear liquids to drink. If shock is due to dehydration and victim is able to swallow safety, administer only clear liquids to drink • Keep victim comfortable

4. Transportation – Evacuate victim to prearranged location that will allow the most expeditious assistance from professional medical personnel.

24 of 37 Section IV – Landmarks

1. City of Jacksonville 2. St. Johns River 3. Naval Air Station 4. Epping Forest Yacht Club 5. Florida Yacht Club 6. Baptist Medical Center 7. Jacksonville Landing 8. Jacksonville Municipal Stadium 9. Jacksonville Marine Terminal 10. Jacksonville University 11. Dames Point Bridge

25 of 37 Cruise Handbook Date: August 2008 Section IV – Landmarks Landmark Name: Jacksonville, Florida Landmark: 1

Jacksonville, commonly known as “River City”, is the largest city in area in the continental United States and is located on the banks of the St. Johns River approximately 20 miles from the Atlantic Ocean. Facts about Jacksonville: • Jacksonville is the 14th largest city in the United States in population with over 800,000 residents in Duval County • The Jacksonville metropolitan area, which includes three beach cities and Clay, Baker, Nassau and St. Johns counties, has a population of more than 1,348,000 residents. • The City of Jacksonville covers 841 square miles • There are three major Interstate Highways running through Jacksonville - I-95, I-295 and I-10 in addition to four major highways US-1, US-17, US- 90 and US-301 • Divided into four main sections: Downtown, Southside, Northside and Westside • Established in 1822 and named after Andrew Jackson, the first military governor of Florda • Four modern seaport facilities, including America’s newest cruise port, make Jacksonville a full-service international seaport and the 14th largest deepwater port in the US • Over the past three years, JAXPORT’s three public marine terminals han- dled over 8 million tons of cargo per year • Has one of the lowest overall costs of living in Florida and is 92.6% of the national average • The median age of Jacksonville residents is 35.3 with an average house- hold income of $50,475, and a median household income is $40,792.

27 of 37 Cruise Handbook Date: August 2008 Section IV – Landmarks Landmark Name: St. Johns River Landmark: 2

The St. Johns River rises in the swamps of Brevard county, southwest of Melbourne, in the east-central part of the state and flows north for 310 miles, generally parallel to the Atlantic coast, until it turns at Jacksonville to empty into the ocean, 20 miles to the east. Facts about the St. Johns River: • Longest river in the state of Florida and the second longest river in the US that generally flows North • Elevation change from the headwaters to the mouth is only about 30 feet • Alligators, bald eagles, ospreys, stingrays are found living in the river and on its banks. • Known for excellent fishing for both freshwater and saltwater/brackish-water species especially large mouth bass. Saltwater species include redfish, floun- der, tarpon, and sea trout. • The St. Johns is navigable from Sanford to its mouth, a distance of some 200 miles • Lake George is the widest and largest lake on the St. Johns River approximately 12 miles long and six wide and averaging a rather uniform depth of about ten feet • The river passes through eight lakes and receives many tributaries; the Oklawaha River, over 120 miles long, is the most important

28 of 37 Cruise Handbook Date: August 2008 Section IV – Landmarks Landmark Name: Naval Air Station Landmark: 3

The Naval Air Station at Jacksonville is a naval air base whose primary mission is to provide services and materials to support the aviation activities of the Navy. The base is a multi-mission facility hosting more than 100 tenant commands and is the third largest naval installation in the United States. The facility is located 13 miles south of the cen- tral business district of Jacksonville along the scenic St. Johns River Facts about the Naval Air Station: • NAS Jacksonville was officially commissioned on October 15, 1940 • NAS Jacksonville employs more than 23,000 active duty and civilian personnel • NAS Jacksonville services thousands of retirees and dependents resulting in more than $2 billion being infused into the local community • The facility occupies 3,896 acres along the west bank of the St. Johns River • NAS Jacksonville houses the Commander of the base, Naval Aviation Depot (NADEP), Patrol Wing 11, Helicopter Anti-Submarine Wing Atlantic, Patrol Squadron 30, Naval Air Reserve and a Naval Hospital in addition to many other commands and tenants • On April 13, 2006, the Navy broke ground on a new 277,000 square foot, $123 million hanger at NAS Jacksonville adding over 1,600 personnel, 33 P-3s and four C-130s to the facility

29 of 37 Cruise Handbook Date: August 2008 Section IV – Landmarks Landmark Name: Epping Forest Yacht Club Landmark: 3

The Epping Forest Yacht Club is located on the east bank of the St. Johns approxi- mately 10 miles from the center of Jacksonville. The 25 room mansion was formerly the residence of Alfred I. Dupont, and is now considered to be one of the finest residential marina communities in the Jacksonville area. Facts about the Epping Forest Yacht Club: • In 1926, construction on the mansion began under the supervision of Mr. Dupont and his architect, Harold Saxelbye. • This historic mansion has been recognized as an American landmark by the United States Department of the Interior, and is included in the “National Register of Historic Places” • After the Dupont’s passed away, the Mason family purchased the home and lived there for more than a decade before it was purchased by the Gate Petroleum Company • The club offers three pools, tennis courts, 1200 sq. ft. fitness center, child care facility, casual and formal dining, Chartroom Lounge in addition to small and large meeting rooms for all types of weddings, business meetings and conferences • Marina facility with 68 floating slips that can accommodate vessels from 20’ to 65’ feet in length

30 of 37 Cruise Handbook Date: August 2008 Section IV – Landmarks Landmark Name: Florida Yacht Club Landmark: 5

The Florida Yacht Club is located on the west bank of the St. Johns River approxi- mately 8 miles south of the center of downtown Jacksonville. Since 1876 the club was organized for the purpose of promoting yachting and social enjoyment and is one of the country’s oldest private yacht clubs. Facts about the Florida Yacht Club: • FYC held its first meeting on December 18, 1877, in a newly completed facility located on the St. Johns River at the foot of Market Street • The original club burned in the . • After this catastrophe, the club took up temporary quarters in the 500 block of Riverside Avenue while the search for a new permanent site began. • After a donation of property on the south side of the mouth of Willow Branch Creek, a formal re-opening of the club was celebrated by a cotillion on November 28th, 1907, Thanksgiving Day • In 1928 the club was relocated to a new facility located on a dredged area of marsh in Venetia, known today as Pirates Cove • FYC currently has casual and formal dining rooms, a lounge, extensive full serv- ice kitchen facilities, more than 1000 feet of docks and slips, clay tennis courts, and a health club and swimming pool • The FYC is host to many district and national regattas and has both wet and dry storage available with a large fleet of sailing vessels including Opti, Laser, Thistle, Snipes and J-24s.

31 of 37 Cruise Handbook Date: August 2008 Section IV – Landmarks Landmark Name: Baptist Medical Center Landmark: 6

The Baptist Medical Center is a full-service hospital located in downtown Jacksonville on the south bank of the St. Johns River. It provides a wide range of services that include cardiology; oncology, women’s health, obstetrics, gynecology, orthopedics and pediatrics Facts about the Baptist Medical Center: • Wolfson Children’s Hospital - a facility within the Baptist Medical Center complex and the area’s only children’s hospital • Adjacent to the Baptist Medical Center is Nemours Children’s Clinic, a pediatric research clinic. • Baptist Heart Hospital — a state-of-the-art facility within the Baptist Medical Center that is dedicated to preventing and fighting heart disease with the best pro- grams, physicians, staff and technology available • Baptist Medical Center has been designated a Magnet™ hospital- the highest honor a health care organization can receive for excellence in patient care • Total number of beds is 583 • Total number of full-time equivalent professional registered nurses is 700 • Baptist Health, the parent corporation, also operates a 122-bed full service med- ical center in Jacksonville Beach, a 54-bed acute care hospital in Amelia Island and a new full service hospital in South Jacksonville.

32 of 37 Cruise Handbook Date: August 2008 Section IV – Landmarks Landmark Name: Jacksonville Landing Landmark: 7

The Jacksonville Landing is a waterfront mall located in the heart of Jacksonville on the Northbank of the St. Johns River. The Landing is comprised of many unique shops, dining establishments and live entertainment that showcase the river and Jacksonville’s southern hospitality. Outdoor concerts and special events take place on a regular basis, making it a favorite gathering spot in the city for visitors and locals alike. The Landing is also one of the top visitor attractions in the city, attracting a large share of the 5.18 mil- lion visitors that visit Jacksonville each year. Facts about the Jacksonville Landing: • Over 40 unique shops and boutiques featuring clothing, home furnishings, appar- el, and toys • Hosts over 250 events each year from the American Cancer Society Duck Race to the Florida/Georgia game after-party, • 11 full-service restaurants — including a sushi bar, Italian bistro, and steak house — and an internationally flavored food court. • Water access via water taxi to the Southbank of the river that features the Jacksonville Maritime Museum, and a Museum of Science and History • Long floating dock that allows free 72 hour tie-ups for vessels (no water or elec- tricity available)

33 of 37 Cruise Handbook Date: August 2008 Section IV – Landmarks Landmark Name: Jacksonville Municipal Stadium Landmark: 8

Jacksonville Municipal Stadium is the home of the NFL Jacksonville Jaguars and is located on the St. Johns River in the heart of downtown Jacksonville. The stadium was previously known as the Gator Bowl and was almost completely demolished and rebuild in 19.5 months at a cost of $135 million dollars. This facility hosts all of the Jaguars home games in addition to the annual NCAA University of Florida vs. University of Georgia and Gator Bowl football games. Facts about Alltel Stadium: • Originally named Jacksonville Municipal Stadium • Jaguars played their first game at the stadium on August 18, 1995 • The stadium will seat over 76,000 sport fans • The stadium has many amenities including 10,000 club seats and two Touchdown Clubs that provide more than 65,000 square feet of air-conditioned comfort with a variety of food and beverage selections • Two 60-by-156-foot video/scoreboards are located at both ends of the stadium • In 1997, Alltel Communications purchased the naming rights to the stadium and renamed the stadium to Alltel Stadium • During the 10th year of operation the stadium was the host site of Super Bowl XXXIX, the biggest single-day sporting event in the world • In 2007, the stadium was renamed Jacksonville Municipal Stadium.

34 of 37 Cruise Handbook Date: August 2008 Section IV – Landmarks Landmark Name: Talleyrand Marine Terminal Landmark: 9

Talleyrand Marine Terminal is a 173 acre marine terminal located on the St. Johns River just north of downtown Jacksonville and approximately 21 miles from the mouth of the river and the Atlantic Ocean. The terminal primarily handles bulk commodities and containerized cargoes of frozen and chilled goods, steel, paper and automobiles from the Caribbean and South America. Facts about the Talleyrand Marine Terminal: • Terminal has 6 container cranes, two gantry cranes and one 100 ton whirly crane • On-dock refrigerated & freezer warehousing • Foreign Trade Zone status • Access to three major railroads: CSX, Norfolk Southern and Florida East Coast Railway • Access to three interstate highways: I-95, I-10 and 1-75 • Three Jaxport terminals handled 8,309,201 tons of cargo from 1800 vessels in 2007 • 713,000 square feet of on-dock warehousing comprised of 120,000 square feet of refrigerated/freezer space and 593,000 square feet of dry storage • Depth of 38 feet at MLT along its docks

35 of 37 Cruise Handbook Date: August 2008 Section IV – Landmarks Landmark Name: Jacksonville University Landmark: 10

Jacksonville University is a four-year, private, co-educational university oriented on the banks of the St. Johns River. The university is located just minutes from downtown Jacksonville, Florida, and North of the on the West side of the river. The 198-acre campus includes a half-mile of riverfront with historic and modern campus buildings housing programs in more than 70 majors, programs and concentrations. Facts about Jacksonville University: • Student Enrollment is approximately 3,400 with 50 foreign countries and 45 U.S. states represented • Minority students represent approximately 25% of the student population with equal proportions of men and women • Seven bachelor’s degrees and more than 70 majors, programs and concentrations • Graduate programs in nursing, business, education and orthodontics. • Adult Degree Program offers classes during evenings and weekends for nontra- ditional students. • Average class size is 18 with 79% of the full-time faculty possessing terminal degrees • 17 Division I athletic teams with nearly 400 students competing in one or more intercollegiate varsity sports.

36 of 37 Cruise Handbook Date: August 2008 Section IV – Landmarks Landmark Name: Dames Point Bridge Landmark: 11

The Dames Point Bridge spans the St. Johns River northeast of downtown Jacksonville, Florida and connects northern Duval County with the Arlington and Beaches areas of Jacksonville via Florida Highway 9A. Opened to traffic in 1989, it is an excellent example of the beautiful simplicity of a cable-stayed bridge. Facts about Dames Point Bridge • America’s longest cable-stayed bridge is two miles long, and 175 feet above the main channel of the river. • The central span of the bridge is 1300 feet between the two towers which are 471 feet above the waterline at the top. • The tower verticals are 7.25 feet thick and 35 feet wide at road level and 15 feet wide at the pinnacle. • Dames Point’s foundations extend roughly 80 feet beneath the surface of the St. John’s River. The dredged channel underneath the bridge is 38 feet deep at high tide. • Dames Point Bridge carries six lanes of traffic on a deck 106 feet wide. • The concrete and steel deck is suspended by 168 steel cables which extend from the towers and connect to the edge girder of the span at 35 foot intervals. The cables consist of steel cable sheathed within steel pipe. • The longest cable is 720 feet long, the shortest 65. Twenty-one miles of steel cables are used overall. Over 94,000 cubic yards of concrete were used. • The formal name for the Dames Point bridge is the Napoleon Bonaparte Broward Bridge, named after the 19th Governor of Florida from 1905 to 1909.

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