This information is from Scuttlebutt--the excellent sailing blog.
http://www.sailingscuttlebutt.com
Even if you are not a sailor, there is some good information for
passagemakers, but you'll have to sort thru a lot of racing material.
"Marbella V" is the worlds largest sloop at 247 feet in lengh and recieved a
distress call via sateliite initiated by "Compromise" a 32 foot Nicholson
sloop with a crew of three Participating in the Atlantic Rally For cruisers
(formed by "World Cruising Club")--no relation to "Ocean Cruising Club". So
much for the rally being of help--Marbella was on her "normal" migration--and
not part of the ARC--and was 160 miles away when she recieved the distess call
by satellite. The nature of the "emergency" was that the skipper/owner was
acting in a psychotic manor. There was a 30 year old female physician aboard
as well as an older male who was described as a "retired fisherman"--but these
people did not apparently have the ability to treat the skipper or bring the
boat safely across the Atlantic (rescue was about 300 miles beyond the Cape
Verde Islands.) The rescue was co-ordingated by Falmouth Coast Guard via
Satellite phone.
I have seen several other cases where the crew had serious health problems and
abandoned ship. I have on two occasions treated psychotic crew members at
sea--once on another boat off the coast of Mexico, and once on a vessel where
I was watch captain and a member of our crew developed a psychosis. Dealing
with pyschosis is not part of "normal" first aid. However I have always made
sure that appropiate medications were in the ship's medicine chest. Most of
the time, the person has some underlying history of previous psychiatric
problems; the stress of the voyage, and sleep deprivation precipitate the
episode.
The 32 footer was left adrift with mast head light on. No decision had been
made to sink or salvage the vessel. The skipper of Marbella V declined to
allow some of his crew to sail the boat to the Caribbean. The articles also
address some of the problems of abandonship--and and boarding a much larger
vessel
Interesting read and some issues which apply to any voyaging vessel.
http://www.bymnews.com/news/newsDetails.php?id=1109
Bob Austin