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MLML SCUBA DIVING INJURY PROTOCOL
1. Protect yourself and victim from further injury.
2. Assess victim, follow EMERGENCY FLOWCHART- next page
3. Contact EMS, and DAN for diving emergencies, Coast Guard if offshore (VHF 16).
4. Administer CPR/First Aid and Oxygen as needed, begin transport unless EMS
recommends otherwise
If victim is a member of DAN and you are more than 50 miles from campus,
you can call 1-800-DAN-EVAC
You can call 911 and request an ambulance
You can use a private or university vehicle
5. Check and monitor victim's dive buddy for any signs or symptoms of DCI.
Administer CPR/First Aid, Oxygen and treat for shock as needed.
6. If victim is unstable, check and record vital signs every 5 min during transport/while
awaiting care.
Check: pulse/min, blood pressure, respirations/min
If stable, check and record every 15 minutes
7. Begin filling out PATIENT INFORMATION sheet, to give to EMS.
8. If conscious, perform FIELD NEUROLOGICAL EXAMINATION, record results
9. Contact Diving Safety Officer (831-771-4440 or 831-588-5591-cell), Supervisor/PI
or member of Diving Emergency Personel as soon as is practical.
See EMERGENCY TELEPHONE NUMBERS sheet.
10. Retain victim's diving equipment:
Leave gear assembled, turn off air (count number of turns it takes to close valve),
and rinse with fresh water (do not exhaust air from reg)
11. Gather dive history and other important information, fill out PATIENT INFO sheet:
Take note of any dive data from a computer, depth gauge, timing device, SPG.
Get the names, phone numbers and addresses of any witnesses.
Note time and list first aid procedures initiated.
12. Collect victim's belongings.
13. Arrange for return transportation or any necessary phone calls for victim if needed.
14. If the victim is:
A student, use the following forms:
MLML Accident Form
NAUI Accident Form (if a NAUI class)
Staff or a volunteer, use the following forms:
MLML Accident Form
NAUI Accident Form (if a NAUI class)
Worker's Compensation Packet
Contact Insurance and Risk Management (831-750-9563) and complete a
CSU Property / Casualty Loss Report
14. Submit all completed forms to the Diving Safety Officer within 24 hours of Accident
MLML DEMP-updated 1-14-14.xls
MLML SCUBA DIVING EMERGENCY FLOWCHART
Protect yourself & victim from further harm, transport victim to safer location if necessary
ASSESS VICTIM
CONSCIOUS
SEVERE
UNCONSCIOUS
MILD
CONTACT 911/COAST GUARD ON VHF 16-SEE CALL SCRIPTS ON CONTACT SHEET
CONTACT 911/COAST
GUARD ON VHF 16-SEE
CALL SCRIPTS ON
CONTACT SHEET
ADMINISTER O2. IF DIVER IS REPORTING
MILD SYMPTOMS AND IS ALERT AND
ORIENTATED CALL DAN NONEMERGENCY # AND FOLLOW THEIR
ADVICE, 1-800-446-2671 OR 1-919-6842948, MON.-FRI. 9AM – 5PM E.S.T. IF
AFTER HRS., USE EMERGENCY #1-919-6849111
ADMINISTER O2,
IMMEDIATE
EVACUATION TO
HOSPITAL OR CHAMBER
IF NECESSARY
ABCs
BREATHING
PERFORM FIELD NEUROLOGICAL
EXAMINATION, RECORD
CALL MLML DIVE PERSONNEL – DSO (831)
588-5591 CELL, (831) 771-4440 DO NOT
STOP UNTIL YOU REACH A PERSON.
DIVER IS NOT TO RETURN TO THE WATER
UNTIL CLEARED BY DAN, A DIVE
PHYSICIAN (IF TRANSPORTED TO AN
EMERGENCY FACILITY) AND MLML DIVE
PERSONNEL
MAINTAIN AIRWAY,
BREATHING,
CIRCULATION - GIVE O2 TREAT FOR SHOCK MONITOR - REASSURE
NOT BREATHING
PULSE
NO PULSE
RESCUE
BREATHING: 1
BREATH/ 5
SECONDS
CPR/AED: 30
COMPRESSIONS /
2 BREATHS
MLML DIVING SAFETY OFFICER Office: 831-771-4440, Cell: 831-588-5591
Divers Alert Network (DAN) # 919-684-4326 (can call collect, 24 hours)
PATIENT INFORMATION
DATE & TIME OF ACCIDENT:
NAME, GENDER & AGE:
CURENT ADDRESS & ZIP:
EMERGENCY CONTACT:
CURRENT MEDICATIONS:
KNOWN ALLERGIES:
KNOWN MEDICAL CONDITIONS:
LOCATION OF ACCIDENT:
NATURE OF ACCIDENT:
SIGNS & SYMPTOMS:
TIME 02/CPR/First Aid STARTED:
ANY CHANGES IN SIGNS/SYMPTOMS AFTER ONSET OF CARE:
LAST FOOD/FLUID INTAKE:
DIVE PROFILE:
SIT:
1st Dive
Time In
LG:
Time Out
SIT:
LG:
2nd Dive
Time In
Depth/BT
LG:
Time Out
4th Dive
Time In
LG:
Time Out
Depth/BT
3rd Dive
Time In
Depth/BT
LG:
Time Out
Depth/BT
SIT:
LG:
SIT:
LG:
SIT:
LG:
5th Dive
Time In
LG:
Time Out
Depth/BT
LG:
6th Dive
Time In
LG:
Time Out
Depth/BT
Please use the reverse side to document specifics of the incident. Please be sure to include:
(1) Events leading up to incident
(2) Time patient was transferred to EMS/Emergency room care
(3) Statements from dive buddy/other witnesses
MLML DEMP-updated 1-14-14.xls
MLML SMALL BOATS & DIVING EMERGENCY TELEPHONE NUMBERS
ON LAND In any emergency, the correct procedure is to call 911.
BOATING EMERGENCY - If you are in immediate danger notify the US Coast Guard - see MAYDAY
instructions below. If you need assistance and are not in immediate danger contact Small Boat Operations
by VHF or phone.
The following is supplementary information only. It is subject to change.
DIVING & BOATING EMERGENCY PERSONNEL OF MLML (call any time - we are here to help)
BOATING
Small Boats
John Douglas (831) 633-7022 Boat Ops, cell (831)254-7024
DIVING
Diving Safety Officer
Diana Steller (831)771-4440 office, (831) 588-5591 cell, (831) 423-8759 home
DCB Chair
Kenneth Coale (831) 771- 4406 office, (831) 750-9562 cell
DCB Co-Chair
Mike Graham (831) 771-4481 office, (831) 224-3444 cell
DCB Co-Chair
Stacy Kim
(831) 771-4429 office, (831) 345-0361 cell
Dive Assistant
Clint Collins (209) 221-5663 cell, (831) 771-4123 Small Boats
MLML Diving Doctor
Dr. Tak Hattori (831) 624-7695
MLML Safety Officer
Jocelyn Douglas(831) 750-9563
MLML Main Lab Number
(831) 771-4000
** remember all accidents must be reported within 24 hours
Diving Related References for Diving Emergencies
EMS -
911
EMERGENCY CALL-IN SCRIPT
"I am calling to report a
Divers Alert Network (DAN)
EmergencyHotline (919) 684-4326 diving-related emergency
Diving Emergency (919) 684-9111
requiring immediate medical
Travel Assist (800) 326-3822
assistance.
Non-emergency (919) 684-2948
Community Hospital of Montery Peninsula (CHOMP)
23625 WR Holman Highway
Monterey
Pacific Grove Hyperbaric Facility
Emergency (831) 625-4900
Tak Hattori MD, Medical Supervisor Pacific Grove
David Auerbach MD
Emergency 911
(831) 648-3110
Home (831) 624-7695
Business (831) 649-4000
Dominican Hospital
1555 Soquel Dr., Santa Cruz
Santa Cruz
Emergency (831) 462-7710
Catalina Hyperbaric Chamber
Catalina Island
Emergency (310) 510-1053
Business (310) 510-4020
Emergency (866) 940-4401
Public Info (323) 226-2622
Emergency (818) 885-5396
Business (818) 993-0263
LA CO / USC Medical Alert Center Los Angeles
USC Medical Center
Northridge Medical Center
Doctors Medical Center
East Bay Area, San Pablo
Paul Cianci MD, Med. Supervisor
San Pablo
Emergency (510) 970-5430
7 days, 8a-5p only
Ben Slade, MD
John Muir Medical Center (hyperbaric)
Walnut Creek
Saint Francis Hospital
San Francisco
Emergency (925) 947-3212
Emergency (415) 353-6300
MARINE DISTRESS COMMUNICATION SPEAK: CLEARLY ---CALMLY---SLOWLY
1. Tune VHF radio to Channel 16. Select HIGH power.
2. Press microphone button and say, "MAYDAY, MAYDAY, MAYDAY".
3. Say " THIS IS -your boat name, over."
4. Tell WHERE you are and state the NATURE of your DISTRESS
5. Give the NUMBER OF PERSONS aboard and CONDITIONS of any INJURED
6. BRIEFLY DESCRIBE your BOAT
7. Say, "I WILL BE LISTENING ON CHANNEL 16".
8. End message by saying, "THIS IS -your boat name-, OVER."
9. Release microphone button and listen. Someone should answer. If they DO NOT, REPEAT CALL
The victim is a
(age) year
old
(gender) who is
(conscious/unconscious), with
the following
symptoms…..(describe
signs/symptoms).
We are at the following
location….(address,
landmarks, etc.)
We have initiated care (first
aid/CPR/O2), and the last vital
signs were as follows.....(pulse,
respirations, B/P).
We are requesting immediate
transport to.....(recieving
facility of choice), via
(air/ground) transport.
NOTE: DO NOT
TERMINATE CALL! The
receiving unit will end the call.
MISSING DIVER PROTOCOL
MAN OVERBOARD PROTOCOL
1. Mark starting point of dive OR last known
location - Use GPS or anchored buoy
(weightbelt, line & life jacket)
1. Immediately throw float & yell "man
overboard", continue to point toward person,
note color of clothing of person
2. Note current direction/speed when diver
last seen - Use floating object to help in
determination - Note sea and weather
conditions
2. If Needed - Note vessel heading and
speed and take visual sightings as well as
GPS location
3. Note time when dive began, current time &
depth of dive to determine when air supply
should be depleted. Note time diver was last
seen.
3. If Needed - Note sea and weather
conditions at time of loss overboard
4. Note visual reference points above &
below the water of last known location
4. If Needed - Check time of day for daylight
hours remaining
5. Look down-current and towards shore for
diver
5. If Needed - Contact USCG via vhf radio
CH16 or cell phone 911
6. Question dive buddy - anything unusual
about dive?
6. If Needed - Contact DSO & Diver's
Supervisor or PI
7. AT SEA - radio USCG on vhf radio CH16
or call via cell phone 911 -- ON LAND call 911
and state that you have an Ocean Rescue
Situation
8. Contact DSO & Diver's Supervisor / PI
or someone on Diving Emergency
Personnel list, you must speak to a person.