Cruise ship requests blood donors from guests during middle of the night, passengers report
In:If someone needs a blood transfusion, the situation is treated as a medical emergency. What, however, happens when you're stuck in the middle of the ocean and can't reach a hospital?

Unfortunately, life doesn't slow down when we're on vacation. Medical emergencies can happen anywhere — even hundreds of miles from shore on a cruise.
Recently, one Redditor posted a thread about an early-morning announcement on Oasis of the Seas. According to ClearContribution286, the Oasis Class vessel requested blood donors around 4:00 a.m. aboard the 8-night Southern Caribbean cruise.
"At about 4am a shipwide call went out for blood donors... We were near Cuba, and it was too far to evacuate by helicopter," they explained.

Thankfully, the Captain provided an update around breakfast time. However, the original poster was still stunned that cruise ships could perform blood transfusions at sea.
"I figured it was more like an urgent care. Not the way I wanted to learn that they do so much more, but really glad that I was so wrong," they added.
Although cruise ships have medical centers on board and can handle minor injuries and illnesses, they are not fully equipped like standard hospitals. As such, it's not uncommon for crew members to ask eligible passengers to donate blood.

"I [had this happen] this earlier this year - a call out went for my blood type and someone who hadn't drunk alcohol for 24 hours and [was] younger than 50 - out of the 3 thousand people on board only about 10 met the criteria and came forward," MeridianNZ commented on the post.
"I had a photo of my donor card on my phone, they accepted that - but said they would have also done a test if I was pretty sure. They then took some of my blood and the other 10 and then ranked us on some sort of quality scale and 2 of us ended up giving."
On a different thread, another passenger shared their experience aboard their cruise, with passengers jumping at the opportunity to help the guest in need.

"This happened on the cruise I was just on back in September. It took all of 5 minutes, if that, after the cruise director made the announcement for him to come back on to announce there were plenty of volunteers and more were appreciated but not needed," said ArtichokeDistinct762.
"I had literally just made it to the elevator, so I figured I’d take a look just in case. There had to have been like 20 people already, they definitely didn’t need me. It was pretty cool to see people show up for a complete stranger like that, restored my faith in humanity a little bit."
Cruise ships don't have blood banks on board

No government agency officially regulates medical practice aboard cruise ships. However, most ships follow the guidelines set by the American College of Emergency Physicians (ACEP).
These guidelines state that cruise ship medical facilities should be able to provide quality medical care for passengers and crew; initiate appropriate stabilization, diagnostic, and therapeutic maneuvers for critically ill or medically unstable patients; and assist in the medical evacuation of patients in a timely fashion, when appropriate.
According to the Centers for Disease Control and Prevention (CDC), while roughly 3% of cruise medical center visits are for cardiovascular reasons, 80% of onboard deaths are caused by cardiovascular events. During these instances, rapid interventions — such as blood transfusions — are critical.

Because cruise ship medical facilities are so small, they don't have the space to store a full-scale blood bank. As such, when a passenger or crew member needs a blood transfusion, they have to ask for donors.
In many cases, those who are willing to donate may need to show the medical team a valid donor card. In other cases, they may perform a quick test to confirm blood type and screen for basic safety criteria.
"Our ships do not carry blood or blood products and do not routinely perform blood transfusions. However, in emergent situations, a blood transfusion may be possible if a donor can be identified on board," Carnival's FAQ reads.

Sometimes, they may request a specific donor, such as someone with a certain blood type (i.e., O- or A-) or sex. Males, for example, are often preferred as blood donors because women who have been pregnant may carry antibodies in their blood that could trigger a serious reaction in recipients called Transfusion-Related Acute Lung Injury (TRALI).
TRALI is a serious complication of blood transfusions that occurs when antibodies in the donor’s plasma react with the recipient’s white blood cells. This causes fluid to leak into the lungs, leading to respiratory distress. TRALI typically develops rapidly, often within hours of a transfusion, and can be life-threatening, which is why careful donor selection is so important.
"I’ve been on several TransAtlantic cruises and on three of them they had medical emergencies. They asked for males with O Negative blood 🩸 No tattoos and No piercings," commented one Redditor.

Someone else said, "[Cruise ships] don't have the resources/time to test for everything like the antibodies they usually test for to prevent Transfusion-Related Acute Lung Injury. If they're asking for blood on a ship, the person will die without it, so it's life or death...they're doing all they can."
In emergencies, it's often easier to simply specify criteria to quickly narrow down eligible donors and ensure the medical team can collect blood and perform the transfusion.
If a donor isn't available, the medical team may focus on stabilizing the patient while other crew members try to coordinate a safe medical evacuation. That could mean calling in the United States Coast Guard (USCG) to assist with a helicopter medevac or diverting to the nearest port of call.
Read more: US Coast Guard rescues sick passenger from floating cruise ship at sea
Should you buy travel insurance for cruise vacations?

Trips to cruise medical facilities are costly because ships don't accept traditional health insurance policies. While you may have heard of medical evacuation stories costing thousands of dollars, it's just as easy to rack up a hefty bill below deck.
For example, a few years ago, Vincent Wasney and his fiancée, Sarah Eberlein, were traveling aboard Royal Caribbean's Independence of the Seas when Wasney began suffering from a series of seizures.
He was eventually evacuated by a rescue boat; however, the couple was shocked by a $2,500.22 medical bill that covered his general and enhanced observation, a blood test, and anticonvulsant medicine, as well as a fee for services performed outside the medical facility.
According to Royal Caribbean's Cruise Ticket Contract, all passengers agree "to pay in full...all charges for entertainment, goods, and services incurred by [the] Guest, or incurred by [the] Carrier on Guest's behalf."
The Contract further states that the "Guest shall pay for all medical care or other personal services requested or required, whether onboard or ashore...If [the] Guest is unable to pay and the Carrier pays for such expenses, then [the] Guest shall reimburse [the] Carrier for those expenses."
Because many health insurance policies do not cover international treatment, those without travel insurance could be stuck paying for all the onboard medical expenses out-of-pocket.

Not only that, but travel insurance can also provide some compensation for unforeseen travel-related mishaps like lost luggage, delayed flights, and trip cancellations or interruptions.




















































































