I am pleased to announce that the UHMS paper which Dr Simon Mitchell's Eurotek 2012 presentation on Unconscious Diver Recovery was based on is available for download from this site.
Permission to upload the paper to The Dive Forum has been granted by the UHMS Journal Editor and I am very grateful for that permission to be granted. I would ask that you do not upload this paper elsewhere as UHMS are tracking downloads but point people to this post on TDF.
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Recommendations for rescue of a submerged unresponsive compressed-gas diver
Authors: S.J. Mitchell 1,2, M.H. Bennett 1,3, N. Bird 1,4, D.J. Doolette 1,5, G.W. Hobbs 1,6,7, E. Kay 1,8, R.E. Moon 1,6, T.S. Neuman 1,9, R.D. Vann 1,4, R. Walker 1,6,7, H.A. Wyatt 1,10
1 The Undersea and Hyperbaric Medical Society Diving Committee
2 Department of Anesthesiology, University of Auckland, New Zealand
3 Department of Anesthesia, University of New South Wales, Sydney, Australia
4 Divers Alert Network, Durham, North Carolina, USA
5 Navy Experimental Diving Unit, Panama City, Florida, USA
6 Center for Hyperbaric Medicine and Environmental Physiology, Duke University Medical Center,
Durham, North Carolina, USA
7 Rubicon Foundation Incorporated, Durham, North Carolina, USA
8 HealthForce Partners and University of Washington, Seattle Washington, USA
9 University of California San Diego, San Diego, USA
10 Department of Hyperbaric Medicine and Wound Care, West Jefferson Medical Center, Marrero, Louisiana, USA
CORRESPONDING AUTHOR: Dr. Simon Mitchell
The Diving Committee of the Undersea and Hyperbaric Medical Society has reviewed available evidence in relation to the medical aspects of rescuing a submerged unresponsive compressed-gas diver. The rescue process has been subdivided into three phases, and relevant questions have been addressed as follows.
Phase 1, preparation for ascent: If the regulator is out of the mouth, should it be replaced? If the diver is in the tonic or clonic phase of a seizure, should the ascent be delayed until the clonic phase has subsided? Are there any special considerations for rescuing rebreather divers?
Phase 2, retrieval to the surface: What is a “safe” ascent rate? If the rescuer has a decompression obligation, should they take the victim to the surface? If the regulator is in the mouth and the victim is breathing, does this change the ascent procedures? If the regulator is in the mouth, the victim is breathing, and the victim has a decompression obligation, does this change the ascent procedures? Is it necessary to hold the victim’s head in a particular position? Is it necessary to press on the victim’s chest to ensure exhalation? Are there any special considerations for rescuing rebreather divers?
Phase 3, procedure at the surface: Is it possible to make an assessment of breathing in the water? Can effective rescue breaths be delivered in the water? What is the
likelihood of persistent circulation after respiratory arrest? Does the recent advocacy for “compression only resuscitation” suggest that rescue breaths should not be administered to a non-breathing diver? What rules should guide the relative priority of in-water rescue breaths over accessing surface support where definitive CPR can be started?
UHMS 39-6<<Download from here