dive emergency assistance plan - tamiro catamaran · 2017. 6. 28. · transportation between...
TRANSCRIPT
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1 © 2017 TAMIRO CATAMARAN SAIL & DIVE – WWW.TAMIRO-CATAMARAN.COM
EMERGENCY ASSISTANCE PLANVERSION 1.3 – 28.06.2017
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2 © 2017 TAMIRO CATAMARAN SAIL & DIVE – WWW.TAMIRO-CATAMARAN.COM
Table of Content
Alerting: Procedures, hints & contact information 3
Emergency Equipment on board of S/C Tamiro: Overview 11
Injuries and Treatements: Overview 15
Transportation between Islands: Ferry & Airline Network in Greece 18
Man Over Board: Procedures & Hints 22
Missing Diver: Procedures & Hints 26
Additional useful Information: About TAMIRO, Taxi & Dive Shops, Links 28
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3 © 2017 TAMIRO CATAMARAN SAIL & DIVE – WWW.TAMIRO-CATAMARAN.COM
ALERTING
Procedures, hints & contact information
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Alerting Procedure in Case of Emergency
Call DAN+39 0642115685
Inform Christos Mylonas+30 694 640 9482
Trigger «Distress»VHF Radio
See page #5, Step 3
Call MRCC «Mayday»VHF Channel 16
See pages #5 and #7
1
2
Call MRCC using Satellite Phone
See pages #5 and # 7
Trigger «EPIRB»
No Yes
Follow Instructions
given by MRCC
Yes
3
No
Call MRCC «Normal»VHF Channel 16
See pages #6 and #7
Follow Instructionsgiven by MRCC
Yes
Call Doctor / Hospital
See page #9
No
Listen to Channel 16 andfollow instructions given by MRCC
Arrange Transportation
See page #30
QUESTIONS
1. Patient unconscious, badly injured, or life-threatening situation? Boat sinking or under fire?
2. Contact with MRCC successful?
3. Need help for evacuation?4. Diving-related accident?
2No
Yes
4
Yes
Call DAN+39 0642115685
4
YesNo
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5 © 2017 TAMIRO CATAMARAN SAIL & DIVE – WWW.TAMIRO-CATAMARAN.COM
VHF Radio is your first choice of technology to ask for professional help in case of an emergency. If no response, try to call MRCC using Satellite- or Cell Phone (numbers listed on page #7). Range of VHF is 25nm (50km). General Rule: Mobile Phones shall not be used in case of Emergency!
Call MRCC «Mayday» using VHF Radio
1) Turn on VHF Radio and switch to Channel 162) Check that power is set to HI (High)3) Press the red button on the right of the VHF Radio for five seconds (Distress Button)4) Call an MRCC (Maritime Rescue Coordination Centre) by following phrases:
Mayday, Mayday, MaydayThis is Sailing Catamaran Tamiro, Tamiro, TamiroSierra Victor Alpha Six Five One SixAt Position “NN” degrees “NN” minutes, “NNN” seconds north, “NN” degrees “NN” minutes, “NNN” seconds eastAt hh:mm UTCMaydayWe have an unconscious patient on board, and we required an immediate transportation to a hospital by speed boat or helicopter. Over
5) If no answer, repeat this procedure, starting from point #2
See VHF Radio Displayfor Position and UTC Time
See page #13 for VHF instructions
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Call MRCC «Normal» using VHF Radio
1) Turn on VHF Radio and switch to Channel 16
2) Check that power is set to HI (High)
3) Call an MRCC (Maritime Rescue Coordination Centre) by following phrases:
Pan Pan PanThis is Sailing Catamaran Tamiro, Tamiro, TamiroSierra Victor Alpha Six Five One SixAt Position “NN” degrees “NN” minutes, “NNN” seconds north, “NN” degrees “NN” minutes, “NNN” seconds eastAt “hh:mm” UTC
4) Wait for answer, switch to another channel if advised by the MRCC staff
5) Explain the problem:
“Call Name (e.g. MRCC Piraeus)”, we have an patient on board that needs medial support, and we require an immediate transportation to a hospital. Please advise options. Over
or …
“Call Name (e.g. MRCC Piraeus)”, we have an patient on board that needs medial support. We are “distance” nautical miles away from “name of town”, and navigating to this place. We need an ambulance at the marina? Can you support? Over
6) If no answer, try again or use Satellite- or Cell Phone. Numbers are listed on page 5.
See VHF Radio Displayfor Position and UTC Time
See page #13 for VHF instructions
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▪ Use VHF channel 16 to contact MRCC (Maritime Rescue Coordination Centre)
▪ Always call MRCC in serious emergency case first, they will coordinate rescue with local knowledge
Important Contact Information
Who Role Contact Information
JRCC Piraeus (MRCC) Maritime Rescue Coordination Centre Tel: +30 210 411 2500, 422 [email protected]
DAN Europe Divers Alert Network, 7x24 +39 06 4211 [email protected]
Swiss Air Rescue Service Evacuation flights from Greece to Switzerland
+41 333 333 333
European Emergency Number 112 (from Greek Networks only)
Emergency Medical Service 166 (from Greek Networks only)
Police 100 (from Greek Networks only)
Coast Guard 108 (from Greek Networks only)
Decompression Chambers See page #8 See page #8
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Decompression / Diving Chambers in Greece
Location Contact Details Additional Information
Kalymnos KALYMNOS HOSPITAL(+30) 22430 28455
[email protected]: Dr. Nikolaos KOUNTOURIS
Athens Naval Hospital in AthensDeinokratous 70Athens+30-210-72.16.166
[email protected]: Dr Pavlos Vavasis
Thessaloniki St. Paul's General Hospital Hyperbaric DepartmentEthnikis Antistasis 131Thessaloniki+30 2310 493407
[email protected]: Theodoris Mesimeris
Additional Information
http://www.londondivingchamber.co.uk/index.php?id=contact&page=11®ion=5&country=29http://www.oxynet.org/03HBOCenters/Index03.php?country=Greecehttps://link.springer.com/content/pdf/bbm%3A978-1-4020-4448-9%2F1.pdf
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List of medical services (Dodecanes and others)
Area Type Address
Kos Hospital Mitropoleos 9, Kos 853 00+30 2242 054200
Kalymnos Hospital Nik. Zervou 22, Kalimnos 852 00 +30 2243 023027
Leros Hospital Vasilissis Olgas, Lakki 854 00+30 224 736 0100
Patmos Hospital +30 22470 31211+30 22470 32669
Patmos Health Center +30 22470 31577
Lipsi
Rhodes Hospital Agioi Apostoloi, 851 00 Rhodes+30 224 136 0417
Symi Doctor Chorio, +30 22460 71316Yialos, +30 2460 71290
Mykonos Hospital Aggelika, 846 00 Mykonos+30 228 902 7350
Area Type Address
Samos Hospital 17 Syntagmatarchi Kefalopoulou Street, 831 00 Samos+30 227 308 3235
Santorini Hospital Mesarias - Pyrgou Provincial Road, Santorini, 847 00 Santorini +30 228 603 0403
Skiathos Doctor F.Georgiadou 1, 370 02 Skiathos, Skiathos Magnesia +30 210 674 9349
Volos Hospital 29 Agiou Nikolaou Street & Ermou Street, Plateia Agiou Nikolaou, 382 21 Volos Magnesia+30 242 103 3230 +30 697 269 1883
Athens Hospital Asklipiou 31, Athens 106 80+30 21 0367 4000
Bodrum Hospital Cevat Şakir Mh., Gavaklı SarnıçCad. No:7, 48400 Bodrum, Turkey+90 252 319 15 15
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Other useful Contact Information
Who Role Contact Information
Christos Mylonas Yacht Manager of SC Tamiro, based in Kos/Greece
+30 (694) 640 [email protected]
Urs Tanner Owner Tamiro Catamaran MCPY +41 79 3417707, +41 41 [email protected]
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EMERGENCY EQUIPMENT ON BOARD OF S/C TAMIRO
Overview
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Technologies to Call Emergency Medical Services
Priority What Description Remarks Location
1 VHF Radio Radio with 25nm range to call maritime rescue coordination center (MRCC)
Use Channel 16,ensure that signal is set to «HIGH»
Cockpit Table
2 Mobile Phone Your personal mobile phone Call MRCC or other emergency number (see pages #7, #8 and #9)
3 Satellite Phone Phone using Satellite Signal Only use in case you cannot reach MRCC via VHF Radio. Call MRCC closest to you.
Cockpit Table, right side (not always on board)
4 EPIRB Emergency Position Indication Radio Beacon, triggers sea rescue via Satellite
Only use in case you cannot reach MRCC via VHF Radio, and accident is life-threatening (Patient unconscious, or badly injured)
Entrance to the saloon, right side
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13 © 2017 TAMIRO CATAMARAN SAIL & DIVE – WWW.TAMIRO-CATAMARAN.COM
B&G V50 VHF Radio with DSC Option
14
5
6
7
8
9
3
2
9
8
5
1. On/Off, Volume2. Squelch3. Select Channel4. Selected Channel5. Speak / Send6. Current Position and UTC Time7. Sending Power High / Low8. Sending Power Selector9. Distress Button (DSC Emergency Call)
Quick Guide▪ Turn on device (#1)▪ Adjust volume (#1)▪ Adjust squelch (#2)▪ Check selected channel (#4), and optionally
change to required channel (#3)▪ Check that radio is set to HIGH Power (#7, Hi),
if not, switch to HIGH (#8)▪ Speak into radio by pressing «speak-button»
(#5)▪ Read UTC time and current position from
display (#6)
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14 © 2017 TAMIRO CATAMARAN SAIL & DIVE – WWW.TAMIRO-CATAMARAN.COM
Medical Equipment on Board of S/C TAMIRO
What Description Location
1st Aid Kit Dressing material, ointments, tablets Saloon, below the bench on the right side, or medical box in Skipper’s cabin
Pure Oxygen 10ltr of pure oxygen, pocket masks, pressure valve, hoses
Saloon, ???
AED Automated External Defibrillator, necessary accessories
Saloon, right side, mounted on cupboard
“Medizin an Bord” Encyclopaedia for medical support (in German) Cockpit Table, bag number 2, “Books”
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INJURIES AND TREATMENTS
Overview
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Decompression Sickness (DCS)
Steps in case patient has symptoms of DCS
▪ Call DAN for support (+39 0642115685)
▪ Provide 100% Oxygen
▪ Keep a breathing patient lying level
▪ Lie a non-breathing patient on back for rescue breathing and CPR
▪ Advise patient not to sit up, even during transport of if feeling better
▪ Monitor airway, breathing and circulation, and contact emergency medical service
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Lion Fish Puffer Fish (rare)
Scorpion Fish
A selection of poisonous fishes in Greece
▪ Remove Remaining Spines
▪ Clean and Disinfect Wound
▪ Control Bleeding
▪ Apply Non-Scalding Hot Water or other heat
▪ Take Pain Medication
▪ Seek Medical Treatment
Till today researchers are not able to find any antidote for tetrodotoxin which is a potent poison found in puffer fish. Thus treatment is entirely supportive and symptomatic. The sooner the patient takes treatment lesser is the mortality risk. If puffer fish is consumed within few hours of developing symptoms, doctors may induce vomiting to flush out content from the stomach and prevent absorption of left over toxin.
Patient is given gastric lavage with activated charcoal which can bind with the toxin that is still not absorbed. Other vital parameters such as respiratory rate, pulse rate, blood pressure are constantly monitored and treated accordingly in ICU.
The first 24 hours after poisoning from puffer fish are critical. Usually if patient survives first 24 hours the prognosis is much better. Patient may survive without any residual deficits.
▪ Remove the exposed person from the water to prevent drowning.
▪ Immerse the wound for 30 to 90 minutes in water as hot as the poisoned person can tolerate (up to 60 C) because the poisons are heat-sensitive. Repeat as necessary to control pain.
▪ Local or regional anesthetics (blocks) may be useful
▪ Use tweezers to remove any spines in the wound using caution to not squeeze venom glands that may have broken off in the wound with the spine. Scrub the wound with soap and water. Then flush the affected area with fresh water.
▪ Do not apply tape to close the wound as this may increase the risk of infection.
▪ Patients may need a tetanus booster; this is usually recommended for all patients with this type of poisoning.
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TRANSPORTATION BETWEEN ISLANDS
Ferry & Airline Network in Greece
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Getting to Athens, Kos or Rhodes by Ferry
▪ Kos and Rhodes have reasonablehospitals
▪ A ferry cruises approx. 3 to 5 timesfaster than S/C Tamiro
▪ You might win time to bring a patient by ferry to one of theislands
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Getting to Athens, Kos or Rhodes by Ferry
Main Hospitals▪ Athens▪ Bodrum (Turkey)▪ Thessaloniki▪ Heraklion (Crete)▪ (Rhodes)▪ (Kos)
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Airports on the Islands
▪ From international Airports, and national Airports, scheduled flights to Athens and Thessaloniki
▪ From municipal Airports, scheduled flights to Athens, Thessaloniki, Kos, Rhodes, and Crete
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MAN OVER BOARD
Procedures & Hints
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General Rules MOB Emergency – Steps to Rescue
Supporting Technology
«MOB» – Man Over Board Procedure
▪ Always try to keep an eye on the victim▪ Don’t risk the boat and the crew by performing
dangerous manoeuvre (especially under sail)▪ Use the MOB function on the Plotter or VHF (Plotter is
recommended)▪ Throwables: Rescue ring at the back of the boat, any
fender, life wests in the ceiling of the rear cockpit ▪ Avoid that another person is jumping into the water to
help the victim
▪ Shout “Man Over Board”
▪ Keep an eye on the victim, or ask someone to do so
▪ Throw something floatable and visible into the water to mark position, and to have a reference for the current
▪ Activate «MOB» on Plotter or VHF (see pages #13 and #25)
▪ Stop the boat by sailing into the wind (AWA 0 degrees), or put the engine speed to idle
▪ If under sail, bring the boom to «middle position»
▪ Take all sails down, or at least roll in the Genoa sail
▪ In case the victim carries a MOB-1 device, watch for the Alert Signal on the Plotter (may takes up to 1 minute)
▪ Navigate the boat towards the MOB position (under engine), indicated on the plotter (either MOB-1 or the position set manually)
▪ If you can see the victim, throw something floatable towards the victim
▪ Navigate to the victim from “Luv”, and recover him from the back of the boat
▪ In case you cannot find the person within 5 minutes, call Mayday using radio (see page #24)
▪ MOB-1 Personal MOB Device
▪ MOB Function on B&G Plotter
▪ MOB Function on VHF Radio
▪ Binoculars
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Radio Protocol for Man Over Board
Mayday «Man Over Board»
Mayday, Mayday, MaydayThis is Sailing Catamaran Tamiro, Tamiro, TamioSierra Victor Alpha Six Five One SixAt Position “NN” degrees “NN” minutes, “NNN” seconds north, “NN” degrees “NN” minutes, “NNN” seconds eastAt hh:mm UTCMaydayMan Over Board, we require support in rescuing the victim. We ask all boats in vicinity for support in search and rescue.Over
You might also press the Distress Button on the VHF (see page #13)
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Trigger «Man Over Board» on Plotter
1. Switch to «Main Menu» by pressing the button in the upper-right corner2. Press the X symbol next to the «Settings» icon3. Device will switch to “Chart” mode, and will show MOB marker
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MISSING DIVER
Procedures & Hints
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Missing Diver Procedure
Beyond their planned Dive
Duration?
Place people to look out for divers in expected direction
they will emerge
Ask crew members if/when they have seen the divers
(last)
Mark current position using «MOB» function on Plotter
Enough Rescue
Divers on Board?
Trigger Alert (see page #5)
Partner Rescue Divers withAOWD and start «Expanding
Square U-Pattern» Search
Keep visual look and wait for qualified divers
▪ Have people watching all sides of the boat (place them on fly-bridge)
▪ Share information when help arrives
No Yes
Yes
No
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ADDITIONAL USEFUL INFORMATION
About TAMIRO, Taxi & Dive Shops, Links
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Information about the Vessel
Key Value
Name of the Vessel TAMIRO
Port of Registry Piraeus
Flag Greek
Registration Number 11254
MMSI 239890400
Call-Sign SVA 6516
Satellite Phone +870776109919 (not always on board)
Active AIS Yes
Type of Boat Sailing Catamaran
Size of Boat 13.96m x 7.84m
Speed Catamaran (none to moderate waves) 7 to 9 knots (14 to 17 km/h)
Speed Dinghy (no waves) 15+ knots (30km/h)
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Contact Information of Taxi Services
Area Name Phone Number
Kos Kos Taxi Radio Association
+30 2242 023333
Kalymnos Taxi Station +30 22430 50300
Leros Taxi No. 17 +30 697 176 5779
Patmos Taxi Station +30 2247 031225
Lipsi
Rhodes Diagoras - Taxi +30 2241 066555
Area Name Phone Number
Samos Taxi Station +30 2273 028404
Santorini Santorini Transport
+30 698 463 7384
Mykonos Taxi Stand +30 694 536 7624
Paros
Skiathos Stathmos Taxi
Bodrum Marina Taxi +90 252 316 16 34
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Contact Information of Diving Organizations
Island Name Contact Information
Kos Kos Divers +30 693 215 5422kosdivers.com
Liamis Dive Centre +30 694 429 5830kosdiving.com
ARIAN-DIVING-CENTRE +30 2242 092465arian-diving-centre.com
Kalymnos Kalymnos Diving +30 694 206 2215scubakalymnos.com
KALYMNOS Diving Center +30 2243 047890kalymnosdiving.gr
Leros Leros Active +30 22470 24590www.lerosactive.com
Source: https://www.scubahellas.com/dive-centers/ and Google Maps
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Contact Information of Diving Organizations
Island Name Contact Information
Samos Samos Dive Center +30 697 299 7645samosdiving.com
Santorini Santorini Dive Center +30 2286 083190divecenter.gr
Volcano Dive Center +30 2286 033177scubagreece.com
Amorgos Amorgos Diving Center +30 2285 073611amorgos-diving.com
Rhodes H2O Diving Center h2orhodes.com+30 697 208 9306
Lipsi -
Patmos -
Source: https://www.scubahellas.com/dive-centers/ and Google Maps
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Useful Links
Topic URL
Call «Mayday» using a VHF Radio http://www.wikihow.com/Call-Mayday-from-a-Marine-Vessel
AED Tutorial English https://www.youtube.com/watch?v=W_CkSv3sBZ8 https://www.youtube.com/watch?v=FqY2hrHrKQs
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SAIL & DIVE ALWAYS ON TH SAFE SIDE
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