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  1. #1
    Moderator GLOC's Avatar
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    UHMS #39 Paper on Unconscious Diver Recovery

    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.

    The Undersea and Hyperbaric Medical Society (UHMS) https://uhms.site-ym.com/default.asp? is an international, non-profit organization serving over 2,400 members from more than 50 countries. The UHMS is the primary source of scientific information for diving and hyperbaric medicine physiology worldwide. You can help support them by becoming a member, you also get access to the journals.

    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
    __________________________________________________ ______________________
    ABSTRACT

    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
    Last edited by GLOC; 31-08-2016 at 09:23 AM.
    Gareth

    www.imagesoflife.co.uk - Underwater Print Sales, Teaching and Stock Library
    www.cognitas.org.uk - Improving Safety by Challenging Current Practices
    www.divingincidents.org - Diving Incident and Safety Management System (DISMS)
    - 2014 Report here

    “Set your expectations high; find men and women whose integrity and values you respect; get their agreement on a course of action; and give them your ultimate trust.”

    “It is far better to be trusted and respected than it is to be liked.”

  2. #2
    TDF Member TxNinja's Avatar
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    UHMS #39 Paper on Unconscious Diver Recovery

    Have you a link to the full paper? Can't seem to locate on site ! Ta

  3. #3
    Loathes Snorkels String's Avatar
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    The full paper is the 10 page PDF linked at the bottom surely?

  4. #4
    Moderator GLOC's Avatar
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    Quote Originally Posted by String View Post
    The full paper is the 10 page PDF linked at the bottom surely?
    Yep, thats the full paper. I have attached it here because I need to be able to track the downloads.

    Regards
    Gareth

    www.imagesoflife.co.uk - Underwater Print Sales, Teaching and Stock Library
    www.cognitas.org.uk - Improving Safety by Challenging Current Practices
    www.divingincidents.org - Diving Incident and Safety Management System (DISMS)
    - 2014 Report here

    “Set your expectations high; find men and women whose integrity and values you respect; get their agreement on a course of action; and give them your ultimate trust.”

    “It is far better to be trusted and respected than it is to be liked.”

  5. #5
    Moderator GLOC's Avatar
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    UHMS #39 Paper on Unconscious Diver Recovery

    60 downloads already. Happy reading.

    Regards
    Gareth

    www.imagesoflife.co.uk - Underwater Print Sales, Teaching and Stock Library
    www.cognitas.org.uk - Improving Safety by Challenging Current Practices
    www.divingincidents.org - Diving Incident and Safety Management System (DISMS)
    - 2014 Report here

    “Set your expectations high; find men and women whose integrity and values you respect; get their agreement on a course of action; and give them your ultimate trust.”

    “It is far better to be trusted and respected than it is to be liked.”

  6. #6
    Remember, remember Adrian's Avatar
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    Thanks Gareth.

    Good to have some good s**t (with respect to Simon and co of course) to read from the internet.

    Adrian

  7. #7
    Moderator GLOC's Avatar
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    Nearly 100 downloads. Hope some people have found it useful. I know that Simon is very keen to get important safety information which is published in the journals into the wider public domain. I know that I have had similar conversations with the Editor of the SPUMS journal but they are somewhat influenced by more traditional models of information exchange.

    Regards
    Gareth

    www.imagesoflife.co.uk - Underwater Print Sales, Teaching and Stock Library
    www.cognitas.org.uk - Improving Safety by Challenging Current Practices
    www.divingincidents.org - Diving Incident and Safety Management System (DISMS)
    - 2014 Report here

    “Set your expectations high; find men and women whose integrity and values you respect; get their agreement on a course of action; and give them your ultimate trust.”

    “It is far better to be trusted and respected than it is to be liked.”

  8. #8
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    Very good paper. have read it this morning and some very interesting points to take on board and learn from. Thank you GLOC for posting the link.

  9. #9
    New TDF Member baza's Avatar
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    Thanks for sharing... Looking forward to reading it now...

  10. #10
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    Great stuff, thanks for posting.

    Err, may I respectfully suggest that this be moved or copied somewhere else? I mean there's sections like "Incidents and Safety Information", "I Learned About Diving From That inc DISMS Feeds", "Dive Medicine" in the general diving forums, and then "General Training Posts" or "Physics and Physiology" in the training area, and this ends up here along with "Accommodation Thurso" and "Where did you dive today"?

    Cheers,

    Matthieu


 
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