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Examine the Case Study for your analysis about professional responsibilities and decision-making during a crisis called "Command at Sea." In teams or partners, discuss the decision possibilities within the case study and write a report of your findings. Be sure to read and understand the case thoroughly.

Our Case Study:

The weather would be turning bad overnight, but late on a sunny afternoon in gentle seas, the Commanding Officer (the CO) had a fresh cup of coffee in hand and enjoyed what little was left of the day in his designated chair on the bridge. It was an older ship, but she could still perform in an award-winning way, even if she could not land helicopters like the newer ones. They had just secured a helicopter from "flight quarters." The aircraft carrier had delivered the mail and some repair parts by lowering them by winch while still flying over the stern. The coffee was good, and all was well on board.

Most of the planned work for the day had been accomplished as well, and crewmembers not on watch had some time for themselves. A young seaman was getting his physical fitness training by lifting free weights with friends. Unexpectedly, the restraining collar on the barbell came loose and the weights on that end fell off--the heavy end came straight down on the seaman's foot and broke some bones. After a quick check by Doc, a senior enlisted Hospital Corpsman, it was clear that the seaman needed a medical evacuation to the aircraft carrier, where higher levels of diagnosis and care were available. The CO would surely not be pleased!

Only the helicopter flight crew was certified to fly after dark, and twilight was coming soon. The seaman's needs were beyond the capability of the medical staff on board. No further helicopter operations were scheduled for the day. The aircraft carrier was a significant flying time away, and it was unclear whether an unscheduled mission could be completed before dark. The weather conditions would be too bad for flying tomorrow--probably the next day as well. If the flight was to happen, the CO would need to arrange it with the Carrier Air Group Commander right away.

Meanwhile, the injured seaman was in much pain and in significant need of care. He had never flown in a helicopter and was afraid of flying. He had not received the training for being hoisted from the deck into a flying helicopter or training in emergency egress procedures, and the broken bones in his foot were causing lots of pain anyway.

A decision was needed, and there was little time to make it. If the medical evacuation mission were to be conducted, the conditions were less than great. Good advice was to be had from the Corpsman and others in the command, but the final assessment of the risks involved and the decision of what to do would rest with the CO alone. There was nothing else to be done on the ship for the injured seaman except to sedate him.

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