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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.