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 DIVING SAFETY OFFICER Office: 831-771-4440, Cell: 831-588-5591

Divers Alert Network (DAN) # 919-684-4326 (can call collect, 24 hours)

MAINTAIN AIRWAY,

BREATHING,

CIRCULATION - GIVE O2 -

TREAT FOR SHOCK -

MONITOR - REASSURE

PULSE NO PULSEPERFORM FIELD NEUROLOGICAL

EXAMINATION, RECORD

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

CALL MLML DIVE PERSONNEL – DSO (831)

588-5591 CELL, (831) 771-4440 DO NOT

STOP UNTIL YOU REACH A PERSON.

ADMINISTER O2,

IMMEDIATE

EVACUATION TO

HOSPITAL OR CHAMBER

IF NECESSARY

RESCUE

BREATHING: 1

BREATH/ 5

SECONDS

CPR/AED: 30

COMPRESSIONS /

2 BREATHS

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 SHEETABCs

BREATHING NOT BREATHING

ADMINISTER O2. IF DIVER IS REPORTING

MILD SYMPTOMS AND IS ALERT AND

ORIENTATED CALL DAN NON-

EMERGENCY # AND FOLLOW THEIR

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

MLML SCUBA DIVING EMERGENCY FLOWCHART

Protect yourself & victim from further harm, transport victim to safer location if necessary

ASSESS VICTIM

CONSCIOUS UNCONSCIOUS

SEVERE MILD

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:

LG: LG: LG: LG: LG:

Time In Time Out Time In Time Out Time In Time Out

LG: LG: LG: LG: LG: LG:

Time In Time Out Time In Time Out Time In Time Out

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

Depth/BT

Depth/BT

4th Dive 5th Dive 6th Dive

SIT: SIT:

Depth/BT Depth/BT

Depth/BT Depth/BT

PATIENT INFORMATION

1st Dive 2nd Dive 3rd Dive

SIT: SIT:

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

Divers Alert Network (DAN) EmergencyHotline (919) 684-4326

Diving Emergency (919) 684-9111

Travel Assist (800) 326-3822

Non-emergency (919) 684-2948

Community Hospital of Montery Peninsula (CHOMP)

23625 WR Holman Highway Monterey Emergency (831) 625-4900

Pacific Grove Hyperbaric Facility Emergency 911

(831) 648-3110

Tak Hattori MD, Medical Supervisor Pacific Grove Home (831) 624-7695

David Auerbach MD 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

LA CO / USC Medical Alert Center Los Angeles Emergency (866) 940-4401

USC Medical Center Public Info (323) 226-2622

Northridge Medical Center Emergency (818) 885-5396

Business (818) 993-0263

Doctors Medical Center San Pablo Emergency (510) 970-5430

East Bay Area, San Pablo 7 days, 8a-5p only

Paul Cianci MD, Med. Supervisor Ben Slade, MD

John Muir Medical Center (hyperbaric)Walnut Creek Emergency (925) 947-3212

Saint Francis Hospital San Francisco Emergency (415) 353-6300

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

MARINE DISTRESS COMMUNICATION SPEAK: CLEARLY ---CALMLY---SLOWLY

"I am calling to report a

diving-related emergency

requiring immediate medical

assistance.

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.

EMERGENCY CALL-IN SCRIPT

MISSING DIVER PROTOCOL MAN OVERBOARD PROTOCOL1. 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.