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MD Solutions International (MDSI) was founded in 1996 in Seattle, Washington to provide medical management solutions for corporate Public Access Defibrillation Programs. Key business lines include physician oversight for remote clinical operations and worksite medical services, nurse case management of occupational injury and illness, medical bill review, adjusting and payment, and supporting clients who require DEA compliant controlled substance management for their clinical operations. Occupational health solutions include drug testing and medical review officer review, corporate influenza and vaccination programs, respirator questionnaire and post-offer medical screening surveys, and development of customized corporate medical delivery and risk-management solutions. MDSI’s professional leadership includes maritime, occupational and emergency physicians, emergency and cruise line executive level nursing, and senior leadership in emergency medical systems and firefighting.

Professional organizations we belong to


Commercial fishing is an inherently dangerous occupation. When every second counts, a well-trained crew is vital to survival at sea. Since 1985 NPFVOA has teamed with the Coast Guard and led the way in developing the safety standards for the maritime industry.


Since 1945, their mission has been to promote workplace safety, health, and environmental interests of the Pacific Northwest Maritime Industry, working together on common issues through education and the exchange of information and experience.

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