Dive Medic

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Dive Medic

IDEA

INDEX Chapter 1 - Introduction Chapter 2 - First Aid Kit Chapter 3 - Anatomy, Diagnostic Signs & Symptoms Chapter 4 - First Aid Chapter 5 - Diving Accidents Chapter 6 - Quick Reference Guide p. 5 p. 14 p. 21 p. 35 p. 77 p. 87

IDEA Europe Dive Medic ManualJune 2001 Via Mulino di Pile 3 - 67100 LAquila (Italy) Phone +39 0862 318499 - Fax +39 0862 318542 Internet IDEA Europe: www.idea-europe.com www.idea-europe.org Duplication and reproduction, even partially, of this manual is prohibited unless with written authorization.2

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SCOPE AND PURPOSE OF THE IDEA DIVE MEDIC SPECIALTY TRAINING Beginning in 1980, IDEA initiated the first IDEA Dive Medic courses. The first IDEA Dive Medic specialty courses were Dive Medic I and Dive Medic II. These courses were taught by IDEA Scuba Instructors who were also certified as Emergency Medical Technicians and Paramedics. There have been many changes to both the Emergency Medical System and First Aid since these first Instructors started teaching the IDEA Dive Medic courses. The American Heart Association and American Red Cross have updated and simplified CPR (Cardio Pulmonary Resuscitation) for the lay person. Both the American Heart Association and The American Red Cross have programs that include the use of Automatic External Defibrillators (AED). These programs may be incorporated into each agencys CPR program. For more information on training in the use of Automatic Defibrillators ask your IDEA Instructor or contact the local branch of the American Heart or American Red Cross. The American Red Cross has for many years offered excellent training in Basic First Aid. There are also industrial First Aid courses available to the general public. In the past there was a gap between the First Aid provider and the EMS system. The EMS system consists of certified Emergency Medical Technicians and Paramedics of various levels. To address this GAP, a new level of care was introduced, The First Responder program. The First Responder program has been a great success and many lives have been saved with its advent. However, the First Responder program is generally used by the fire service and has a minimum training program of over forty hours. The First Responder program is generally beyond the interest of the average individual or scuba diver. There may also be legal implications involved that may influence the scuba diver or individual to not pursue certification as a First Responder. IDEA developed the revised Dive Medic Specialty to bridge the gap between the basic First Aid provider and First Responder. The Dive Medic course offers an intermediate level of basic life support and First Aid to assist in the care of sick or injured persons. The new IDEA Dive Medic specialty is a combination of the DAN Oxygen Provider, basic CPR certification and First Aid. Dive Medic offers two3

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levels of training. The first level (Dive Medic I) consist of first aid, CPR, primary survey, secondary survey and training individual to administer blood pressure checks. With the addition of DAN Oxygen provider training the student will qualify for the Dive Medic II rating. With the addition of blood pressure training and DAN Oxygen Provider training IDEA Dive Medics will be able to provide a higher level of care for the sick or injured. The four most important factors of the IDEA Dive Medic program are: 1. The ability of the IDEA Dive Medic I & II to conduct a primary and secondary survey of the victim to determine the best course of action and treatment. 2. The ability of the IDEA Dive Medic I & II to perform Mouth to Mouth Resuscitation and CPR on a victim. 3. The ability of the IDEA Dive Medic I & II to administer Basic Life Support and First Aid to the victim of illness or accident. 4. The ability of the IDEA Dive Medic II to administer the DAN Oxygen Provider Program to the victim if necessary.

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CHAPTER 15

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Chapter 1 INTRODUCTION 1. 2. 3. 4. Prerequisites Capabilities Emotional Reactions of the Victim Legal Responsibilities

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INTRODUCTION The IDEA Dive Medic is required to possess certain capabilities and skills. The IDEA Dive Medic is required to complete the prescribed course of study required by IDEA. The basic First Aid required for the IDEA Dive Medic course may be conducted by the IDEA Dive Medic Instructor or an individual designated by the Dive Medic Instructor. ndividuals designated must be certified in basic First Aid. CPR instruction may be conducted by a instructors certified by either the American Heart Association or Red Cross organization. The IDEA Dive Medic must be able to handle a variety of medical emergencies. These emergencies may vary from a simple application of a band aid to the administration of oxygen during CPR. We will divide these skills into three main categories during our course of instruction. CAPABILITIES OF THE IDEA DIVE MEDIC There are certain skills, procedures and capabilities that must be provided to a victim of accident, injury or illness. Properly trained and motivated individuals can make a major difference in the comfort and care of the victims of accident, injury or illness. Your efforts to obtain a higher level of skills and knowledge are commendable. Feel free to ask questions of your IDEA Dive Medic Instructor during your course. IDEA Dive Medic Instructor is limited to the materials contained in the Dive Medic text. Many IDEA Dive Medic Instructors are also MDs, Nurses, EMTs, and Paramedics. I. The IDEA Dive Medic must be able to: - Conduct a primary survey (A) Establish and maintain a patent airway (B) Control accessible bleeding (C) Administer Cardio - Pulmonary Resuscitation (CPR) - Administer the DAN Oxygen Provider program (Dive Medic II requirement) - Take a blood pressure and recognize abnormal blood pressures - Take a pulse to determine victims heart rate and function - Recognize breathing rates and patterns - Recognize and treat for shock7

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- Immobilize and stabilize victims with suspected Cervical and Spinal injuries - Treat for ingested or inhale poisons and toxic fumes - Treat for animal and snake bites There are other conditions which are not life threatening but must be treated prior to the arrival of EMS personnel. In these cases, early treatment may be required so that the problem does not escalate or turn into a life threatening situation or create irreversible damage to the victim. II. The IDEA Dive Medic must be able to: Clean, dress and bandage wounds Clean, dress and cover burns Splint fractures Splint or immobilize sprains

There are some important non medical skills the IDEA Dive Medic will need. These non medical skills will assist the Dive Medic with all the necessary skills needed to care for victims of accident, injury or illness. III. The IDEA Dive Medic must also be able to: Assemble a properly equipped Dive Medic Kit Maintain the Dive Medic Kit and supplies Give verbal and written communication Evaluate your personal safety and the safety of others in hostile or hazardous situations - Plan and execute proper rescue and extrication procedures in the water and on land - Direct less qualified persons to assist you

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EMOTIONAL REACTIONS OF THE VICTIM In most cases a victim of an accident or illness will cooperate with the care giver. The Dive Medic should identify himself to the victim and any family or persons assisting the victim. Always reassure the victim and explain to them what you plan of action is to assist him. At times a victim may appear to be over reacting to what appears to be a minor accident or injury. At other times when there is an obvious problem they may not show any signs of pain, illness or injury. What ever the circumstance is never question a victims complaints. Take the complaints at face value and let the arriving EMS personel determine the next step in the care of the victim. Your job is to assist the victim to the best of your training and ability until a higher level of care is available. Calmly appraise the situation and the victims condition. Be courteous, use the proper tone of voice and show confidence in your ability to administer First Aid to the victim. Victims, such as children, elderly or mentally handicapped persons, may be confused or terrified of the situation. Always show compassion and sincerity in your care of these special persons. Your reassurance and kind words will help in the administration of the care you are giving the victim. Your actions will also reassure bystanders and family members of your abilities and the quality of care you are providing the victim. There may be the possibility that you may be called upon to assist in a situation that involves a fatality.We hope that you never have to face this type of situation. In the event of fatality, it is extremely important that the deceased be handled with respect and dignity. It is generally an accepted practice to cover the body and minimize exposure. It is advisable not to move a body. Wait for law enforcement and EMS to arrive. Also keep in mind that only a medical doctor can pronounce a death. What may appear to be an apparent death may be deceptive. Unless there is obvious death from a traumatic injury such as decapitation or sever trauma to the body never assume a victim is deceased. Always continue basic life support until EMS arrives. If you are in the process of administering CPR, follow the recommendations of your CPR certification agency. Most agencies recommend that you continue CPR until you are relieved by another CPR provider, EMS arrives or you are no longer physically able to continue.9

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There may be possibilities of c