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 UNCONSCIOUS
SEVERE MILD CONTACT 911/COAST GUARD ON VHF 16-SEE CALL SCRIPTS ON CONTACT SHEET
ADMINISTER O2. IF DIVER IS REPORTING CONTACT 911/COAST MILD SYMPTOMS AND IS ALERT AND GUARD ON VHF 16-SEE ORIENTATED CALL DAN NON- CALL SCRIPTS ON EMERGENCY # AND FOLLOW THEIR ABCs CONTACT SHEET ADVICE, 1-800-446-2671 OR 1-919-684- 2948, MON.-FRI. 9AM – 5PM E.S.T. IF AFTER HRS., USE EMERGENCY #1-919-684- 9111 ADMINISTER O2, IMMEDIATE BREATHING NOT BREATHING EVACUATION TO HOSPITAL OR CHAMBER IF NECESSARY
PERFORM FIELD NEUROLOGICAL EXAMINATION, RECORD PULSE NO PULSE
CALL MLML DIVE PERSONNEL – DSO (831) RESCUE 588-5591 CELL, (831) 771-4440 DO NOT MAINTAIN AIRWAY, CPR/AED: 30 BREATHING: 1 STOP UNTIL YOU REACH A PERSON. COMPRESSIONS / BREATHING, BREATH/ 5 2 BREATHS CIRCULATION - GIVE O2 - SECONDS TREAT FOR SHOCK - MONITOR - REASSURE
DIVER IS NOT TO RETURN TO THE WATER UNTIL CLEARED BY DAN, A DIVE PHYSICIAN (IF TRANSPORTED TO AN EMERGENCY FACILITY) AND MLML DIVE MLML DIVING SAFETY OFFICER Office: 831-771-4440, Cell: 831-588-5591 Divers Alert Network (DAN) # 919-684-4326 (can call collect, 24 hours) PERSONNEL 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: SIT: SIT: 1st Dive LG: LG: 2nd Dive LG: LG: 3rd Dive LG: Time In Time Out Time In Time Out Time In Time Out
Depth/BT Depth/BT Depth/BT
SIT: SIT: LG: 4th Dive LG: LG: 5th Dive LG: LG: 6th Dive LG: Time In Time Out Time In Time Out Time In Time Out
Depth/BT Depth/BT 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 Non-emergency (919) 684-2948 assistance. Community Hospital of Montery Peninsula (CHOMP) The victim is a (age) year 23625 WR Holman Highway Monterey Emergency (831) 625-4900 old (gender) who is (conscious/unconscious), with Pacific Grove Hyperbaric Facility Emergency 911 the following (831) 648-3110 symptoms…..(describe Tak Hattori MD, Medical Supervisor Pacific Grove Home (831) 624-7695 David Auerbach MD Business (831) 649-4000 signs/symptoms). We are at the following Dominican Hospital location….(address, 1555 Soquel Dr., Santa Cruz Santa Cruz Emergency (831) 462-7710 landmarks, etc.) We have initiated care (first Catalina Hyperbaric Chamber Catalina Island Emergency (310) 510-1053 aid/CPR/O2), and the last vital Business (310) 510-4020 signs were as follows.....(pulse, LA CO / USC Medical Alert Center Los Angeles Emergency (866) 940-4401 USC Medical Center Public Info (323) 226-2622 respirations, B/P). Northridge Medical Center Emergency (818) 885-5396 We are requesting immediate Business (818) 993-0263 transport to.....(recieving facility of choice), via Doctors Medical Center San Pablo Emergency (510) 970-5430 (air/ground) transport. East Bay Area, San Pablo 7 days, 8a-5p only NOTE: DO NOT Paul Cianci MD, Med. Supervisor Ben Slade, MD TERMINATE CALL! The John Muir Medical Center (hyperbaric)Walnut Creek Emergency (925) 947-3212 receiving unit will end the call. Saint Francis Hospital San Francisco 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 MISSING DIVER PROTOCOL MAN OVERBOARD PROTOCOL 1. Mark starting point of dive OR last known 1. Immediately throw float & yell "man location - Use GPS or anchored buoy overboard", continue to point toward person, (weightbelt, line & life jacket) note color of clothing of person
2. Note current direction/speed when diver 2. If Needed - Note vessel heading and last seen - Use floating object to help in speed and take visual sightings as well as determination - Note sea and weather GPS location conditions
3. Note time when dive began, current time & depth of dive to determine when air supply 3. If Needed - Note sea and weather should be depleted. Note time diver was last conditions at time of loss overboard seen.
4. Note visual reference points above & 4. If Needed - Check time of day for daylight below the water of last known location hours remaining
5. Look down-current and towards shore for 5. If Needed - Contact USCG via vhf radio diver CH16 or cell phone 911
6. Question dive buddy - anything unusual 6. If Needed - Contact DSO & Diver's about dive? 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.