APPENDIX 7 DIVING EMERGENCY MANAGEMENT PROCEDURES. Depending on and according to the nature of the diving accident:

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1 Introduction APPENDIX 7 DIVING EMERGENCY MANAGEMENT PROCEDURES A diving accident victim could be any person who has been breathing air underwater regardless of depth. It is essential that emergency procedures are pre-planned and that medical treatment is initiated as soon as possible. It is the responsibility of each AAUS organizational member to develop procedures for diving emergencies including evacuation and medical treatment for each dive location. General Procedures Depending on and according to the nature of the diving accident: 1. Make appropriate contact with victim or rescue as required. 2. Establish (A)irway, (B)reathing, (C)irculation as required. 3. Stabilize the victim 3. Administer 100% oxygen, if appropriate (in cases of Decompression Illness, or Near Drowning). 4. Call local Emergency Medical System (EMS) for transport to nearest medical treatment facility. Explain the circumstances of the dive incident to the evacuation teams, medics and physicians. Do not assume that they understand why 100% oxygen may be required for the diving accident victim or that recompression treatment may be necessary. 5. Call appropriate Diving Accident Coordinator for contact with diving physician and decompression chamber. etc. 6. Notify DSO or designee according to the Emergency Action Plan of the organizational member. 7. Complete and submit Incident Report Form ( to the DCB of the organization and the AAUS (Section 2.70 Required Incident Reporting). List of Emergency Contact Numbers Appropriate For Dive Locations in Alaska and the Pacific Northwest: 1. If emergency is Decompression Sickness or an Air Embolism, the dispatcher should contact the nearest Recompression Chamber facility. A. Dutch Harbor Dan Magone (PRIVATE COMPANY- check for availability) Dan Magone (cell) V.J. Cross (Magone s lead diver) (home) Magone s Shop Forman (cell) B. Anchorage Providence Hospital 1-(907) Providence Hospital Emergency Air Ambulance: Providence Outside Anchorage 1-(800) Recompression Chamber Supervisor:

2 Robert Thompson, MD American Marine, 6251 Tuttle Street, Anchorage, Ak Alaska Regional Hospital: Air Ambulance C. Juneau Bartlett Memorial Hospital 1-(907) Bartlett Memorial Hospital Emergency Recompression Chamber Supervisor: David Job, MD D. Seattle, WA Virginia Mason Medical Center The following emergency numbers are listed for additional reference and information in case of a diving-related emergency or for consultation regarding a diving-related problem. A. Diver s Alert Network (DAN) 1-(919) Duke University Medical Ctr. (Emergency only) Durham, North Carolina B. U.S. Coast Guard (USCG) Rescue Coordination Center National Center 1-(800) (888) Boating Safety 1-(800) Juneau 1-(907) Kodiak 1-(907) C. Alaska Rescue Coordination Center (AKRCC) Anchorage area 1-(907) Outside Anchorage area 1-(800) D. Kaktovik Emergency 611 Health Clinic Fire E. Prudhoe Bay/Deadhorse Public Safety Office F. Barrow Fire /3476 Hospital Health Services Rescue Coordination 1-(800) Public Safety Office G. Kotzebue Fire Police/Search & Rescue

3 Ambulance Public Health Service Hospital/ Maniilag Medical Center H. Nome Hospital /5411 I. Bethel Fire Police Hospital /3811/2251 Clinic /3774 J. Dillingham Fire Police Kanakanak Hospital Dillingham Health Center K. Cold Bay Fire & Crash Station L. Dutch Harbor/Unalaska Lliuliuk Health Clinic /1203 Public Safety, after hrs number for clinic State Trooper M. Kenai Fire Police /7980 Central Peninsula General Hospital /7361 N. Soldotna Fire Police Central Peninsula General Hospital /7361 O. Seldovia Fire/Ambulance/Clinic Police P. Kodiak Fire/Ambulance 911 Police Hospital USGC Coordination Center/Air Station 1-(907)

4 Q. Homer Fire Police Hospital R. Anchorage Providence Hospital 1-(907) Emergency Room Air Ambulance: Providence Outside Anchorage 1-(800) Recompression Chamber: Robert Thompson, MD American Marine Alaska Regional Hospital: Air Ambulance USCG S. Fairbanks Fire (UAF) Alaska State Troopers Fairbanks Memorial Hospital Police T. Seward Fire Police Providence-Seward Medical Center U. Valdez Fire/Police/Ambulance Valdez Community Hospital Valdez Medical Clinic USCG /4793 V. Cordova Fire/Police/Ambulance Medical Clinic Hospital USCG (Summer only: May 1- Oct. 1: Heliocopter) / /7898 W. Yakutat Yakatat Community Health Center /3391 X. Haines Fire Police Health Center Y. Skagway 4

5 Fire/Ambulance Police 911/ Hospital Z. Juneau Bartlett Memorial Hospital Emergency Room Recompression Chamber Contact: David Job, MD Juneau Health Center USCG Coordination Center AA. BB. CC. Sitka Fire Police Sitka Community Hospital / USCG (Air Station) Petersburg Fire Police Petersburg General Hospital Health Center Wrangell Fire/Ambulance 911 Police Wrangell General Hospital Health Center DD. Outside Alaska EE. Ketchikan Fire Police Ketchikan General Hospital USCG Prince Rupert, B.C. Fire 1-(604) Police Ambulance Hospital FF. Vancouver, B.C. Hospital 1-(604) / Canadian Coast Guard (CCG) Search & Rescue Rescue Coordination Center

6 GG. Seattle University of Washington Medical Center 1-(206) /3360 Virginia Mason General Hospital / USCG /

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