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Medical care beyond the horizon

Physician-designed medical kits, hands-on training aboard your own vessel, and a physician who knows you, your boat, and your route before you ever leave the dock.

The gap

Offshore sailors carry redundant navigation, a full tool kit, and a working knowledge of every system aboard. Then they carry a first aid box built for day sailors.

That box is not adequate for a deep laceration three days from port, for urinary retention on a long passage, or for a fracture sustained in heavy weather. That is where Pelagic Medical comes in — with the right equipment, real training, and a physician who already knows your history.

Pelagic Medical exists to close the gap between what most vessels carry and what offshore medicine actually requires. Kai Engstad, MD — cardiac surgeon, pilot, mariner
Founder & Medical Director

Choose by distance from care

The right kit is the one that matches your worst realistic day.

Every kit is specified by a board-certified surgeon, packed in a waterproof hard case with labeled, color-coded pouches, and shipped with the spiral-bound Pelagic Protocol Manual. What changes between them is how long you have to manage a patient alone.

At the dock 6 hours out 48 hours out Days offshore

Coastal

Within 6 hours of a hospital

$795

  • Bleeding control — tourniquet, hemostatic gauze, trauma bandage
  • Fractures, sprains, and splinting
  • Burns, dental, and eye care
  • OTC medication set
Most chosen

Bluewater

12 to 48 hours from care

$1,495

  • Everything in Coastal
  • Diagnostics — blood pressure, stethoscope, pulse oximetry
  • Wound closure — suture kit, skin stapler, closure strips
  • IV access and fluid administration

Expedition

Passages measured in days

$2,395

  • Everything in Bluewater
  • Chest trauma equipment
  • Blood glucose and otoscopic diagnostics
  • Foley catheter kit and extended sustainment

Not sure which one fits your cruising plans? Tell us about your boat and your route and we will point you at the right kit — including the smaller one, if that is the honest answer.

Physician Access

The best equipment still leaves one gap: judgment.

When you are days from care and something goes wrong, what you will want most is a physician who already knows your medical history, has reviewed your vessel and your route, and helped you prepare for exactly this moment. Not a call centre. Not a stranger reading from a script.

$120

Per adult, per month

Month to month, no minimum term. Enrolment is arranged directly with our affiliated physician practice, Pelagic Medical Services, PLLC — not through this website.

How it works

Clinical training

A kit is only as good as the crew opening it.

A physician and a nurse come to your boat for the day and teach your crew on the equipment you actually own — bleeding control, wound closure, IV access, catheterization. Small groups, real hands-on time, and written competency documentation for every participant.

See the courses

  • FormatAboard your vessel or classroom
  • Led byBoard-certified physician, supported by an RN
  • Group sizeUp to 6 participants
  • Day rateFrom $3,950 — $2,950 booked with an Expedition Kit
  • WhereWorldwide, no service radius

Two companies, one clear line. Pelagic Medical LLC builds and sells the kits, guides, and training that prepare your vessel. Pelagic Medical Services, PLLC is our affiliated physician practice, where all medical care happens. Buying a kit does not enrol you as a patient or create a physician–patient relationship. Physician Access is not health insurance and is not a rescue, evacuation, or emergency medical service — in an emergency, contact the appropriate maritime rescue authority and activate your emergency signalling equipment first. Please do not send health information through this website.