Baltimore (AP/PTI): The expert pilots who navigate massive ships in and out of Baltimore's port must often manoeuvre with just two feet of clearance from the channel floor and memorise charts, currents and every other possible maritime variable.

The highly specialised role - in which a pilot temporarily takes control of a ship from its regular captain - is coming under the spotlight this week.

Two pilots were at the helm of the cargo ship Dali about 1.25 am Tuesday when it lost power and, minutes later, crashed into a pillar of the Francis Scott Key Bridge, causing the bridge to collapse and kill six construction workers.

While the incident will undoubtedly raise larger questions about ship and port safety protocols, so far there is no indication the pilots on the Dali did anything wrong given the immediate situation they faced.

The ship sent out a mayday call, which gave just enough time for authorities to close the bridge to traffic and likely prevented further deaths. The lead pilot also dropped an anchor, issued steering commands and called for help from nearby tugboats, according to a preliminary timeline outlined by the National Transportation Safety Board.

But in the end, maritime experts say, there was likely nothing the pilots could have done to stop the 95,000-ton ship from ploughing into the bridge.

"It's completely their worst nightmare," said Capt Allan Post, the deputy superintendent of the Texas A&M Maritime Academy in Galveston. "It is terrifying to even imagine not being able to control the vessel, and knowing what's going to happen, and not being able to do anything about it."

Pilots are local knowledge experts, and they give commands to the bridge team for rudder and engine settings, and for what course to steer, Post said.

US pilots are typically graduates of maritime academies and have spent many years at sea before they join a lengthy apprentice programme to learn every aspect of a local area, including memorising charts, he said.

"A ship's captain is a general practitioner, if I was to use a medical term," Post said. "And a pilot would be a surgeon."

Ship pilots have been working in the Chesapeake Bay since 1640, and the Association of Maryland Pilots currently has 65 active pilots on its books.

The association describes on its website how the bay throws up unique challenges, including that pilots must manoeuvre container ships that can sit nearly 48 feet deep in the water through the main Baltimore shipping channels, which are only 50 feet deep.

"Pilots are on the front lines protecting the environmental and ecological balance of the Chesapeake Bay by ensuring the safe passage of these large ships that carry huge quantities of oil and other hazardous materials," the association says on its site.

The association, which didn't immediately respond to a request for comment, has issued a statement thanking first responders to the bridge accident and saying its members' thoughts and prayers are with the families of victims.

There is lucrative pay for pilots because the job comes with plenty of responsibility and risk, Post said.

On a typical day, he said, a pilot might make multiple trips. He or she would be assigned to one ship leaving a port, Post said, and then disembark to board a second, inbound ship.

He said that of the two pilots assigned to the Dali, one would have been in command, with the second able to assist if necessary. He said that, typically, the ship's regular captain would also have been on the bridge, along with one of the watch officers and a couple of other crew.

The NTSB timeline indicated the pilots had less than five minutes from when they first lost power to when the ship struck the pillar.

"They had very little time from the start of the incident until the time they were upon the bridge," Post said. "I believe the pilots did what they could with the abilities that they had onboard the ship at the time to avoid the collision."

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Sharjah (UAE): In a first, the Thumbay Group has announced plans to establish the region's first private Psychiatric and Rehabilitation Hospital in Sharjah Healthcare City. The Hospital is set to become the largest private facility of its kind in the region.

The hospital will focus on Innovation and Patient-Centered Care and the hospital is equipped to meet the highest clinical standards, offering Advanced Therapeutic Modalities, Comprehensive Rehabilitation Programs, Integrated Tele-health Solutions and Precision Medicine among others.

The hospital’s multidisciplinary model includes psychiatrists, psychologists, addiction counselors, family therapists, physical therapists, and occupational specialists, ensuring a holistic and individualized approach to patient care.

Thumbay Psychiatric and Rehabilitation Hospital will be developed in two phases. Phase 1 includes 60 inpatient beds and 12 outpatient clinics (OPDs) and Phase 2 adds another 60 beds, bringing the total capacity to 120 beds. Construction is set to begin in June 2025, with the hospital expected to be operational by mid-2026.

Key Features of the Hospital:

1. Psychiatric Care:

  • Diagnosis and Treatment.

  • Therapeutic Interventions.

2. Rehabilitation Services:

  • Substance Abuse Rehabilitation

3. Long-term Care and Aftercare:

  • Aftercare Programs

  • Inpatient VIP Villas.

4. Swimming Pool and Spa

5. A mosque (Thumbay Masjid) with a capacity for 500-600 worshippers, open to the public.

Commitment to International Standards

Thumbay Psychiatric and Rehabilitation Hospital seeks to achieve Commission on Accreditation of Rehabilitation Facilities (CARF) certification, reflecting its adherence to rigorous global benchmarks in safety, quality, and effectiveness. The hospital will also comply with all UAE healthcare regulations, further emphasizing its commitment to ethical and evidence-based practices.

Dr. Thumbay Moideen, Founder and President of Thumbay Group, said, “This is the first private Psychiatric and Rehabilitation Hospital in the region, catering to regional and international patients seeking world-class care. Our goal is to make it the best facility serving the community.”

In a statement, His Excellency Dr. Abdelaziz Al Mheiri, Chairman of Sharjah Health Authority and Sharjah Healthcare City, lauded the initiative, saying, “This project aligns with our vision for Sharjah Healthcare City, where we prioritize all aspects of healthcare. Mental health is increasingly critical and often overlooked, and we are proud to host such a pioneering hospital.”