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Further into First Aid: DAN’s Diver Medic Technician Course

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Let’s face the facts, diving accidents do happen. Thankfully not too often, but as an active scuba diver the law of probability states that sooner or later I will encounter some kind of first aid emergency. With this in mind I would hate to be unprepared or unable to help someone in their moment of need. So when I saw the advert on DAN Europe’s website promoting the diver medic technician (DMT) course run by Code Blue Education, I thought this was the perfect time for a refresher on the latest medical techniques and procedures.

stu 16As well as covering the basic ABC’s the 2-week (80 hour) course entered into the realms of suturing, IV cannulation, catheterisation and dealing with a real life pneumothorax. I was really looking forward to the suturing session but the thought of catheterising a patient didn’t really fill me with inspiration. In fact I went weak at the knees just thinking about the procedure.

My last dabble with any form of medical training was a St John’s Ambulance first aid at work course several years ago. I was worried that my level of knowledge would be way below the required standard, but Chantelle Taylor-Newman, Director of Code Blue Education, reassured me that my background would be fine. I didn’t need to bring along any materials as everything from tea, coffee, soft drinks and chocolate muffins to all the course notes and even my own personal stethoscope would be included. I was already starting to get delusions (but then again, Doctor Philpott did have a certain ring to it!).

Chantelle said the DMT course is aimed at commercial and recreational divers. It’s actually an offshore requirement to have one DMT in each commercial diving team. Chantelle, who is also a certified PADI Divemaster, said “The DMT course is designed for commercial divers, but these days there seems to be more accidents in recreational diving, so I feel that it should be taught to all recreational divers as well.”

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Code Blue Education is based in Brentford, London. They offer the full range of DAN courses up to Instructor level. The DAN/IMCA (International Marine Contractors Association) accredited DMT course is a new addition to their medical training portfolio. Chantelle said “We are looking at running the course every 2-3 months.” The content is currently around 40% theory and 60% practical work. There is a mid-week multiple choice exam followed by a final written and practical exam watched over by a practising medical professional.

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Chantelle gave me some website links for pre-course reading, so when I turned up on Monday morning, I was raring to go. Even having to give a personal introduction in front of the group couldn’t dampen my enthusiasm. There was a good mix of people from different countries and job backgrounds. Andrea had just completed a commercial job looking for dead bodies on the Concordia cruise liner in Italy, and Oliver had been welding pipe work inside a sewage tank somewhere in Oz. Jason was studying economics in Scotland and Chris was working for the forestry commission in the home counties. The white collar workers were represented by Morne from DAN South Africa and Clive who owned 2 decompression chambers in Cyprus.

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The first two days mainly consisted of theory focusing on physiology and basic first aid principles. Chantelle emphasised that hygiene was extremely important by saying “you can find faecal matter just about everywhere” (that’s such a nice thought!). Guest speaker Cary Marcelo, a care procedures and resuscitation Instructor working at Harley Street, went through the signs, symptoms and treatment for patients suffering from a variety of injuries. We had quite a few acronyms to remember. ABCDE and SAMPLE were the most widely used. Cary’s catchphrase was “Always treat what kills first.” During the practical sessions everybody had to wear gloves and use the oral nasal masks. I never realised how easy it was to use an AED (automated external defibrillator) – the unit basically talked me through the whole procedure. We also went through how to check blood pressure using a sphygmomanometer and a stethoscope.

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Police diver Steve McKenna turned up mid-week to go through wounds, bleeding and fractures. Steve has worked with the marine unit for the past 14 years and gets called out on jobs anywhere in London. He had some very interesting (and gory) stories about past investigations. I can still visualise the picture showing a severed penis! Steve’s catchphrase was “We are going to lose people.” Steve explained that even with first aid treatment some people will die; in fact, the actual quoted figure is a 5% survival rate if an accident happens out on the street.

The day wouldn’t be complete without a few new acronyms to memorise. This time SAFE and RICE seemed to be the favourites. By far the best product Steve showed us was Celox. The haemostatic granules were developed for military use to stop severe bleeding. They are now being used by civilian paramedics. DAN even sells the packs on their website. The practical session using spinal boards, scoop stretchers and cervical collars gave everybody a chance to stretch their legs. I soon realised that trying to manoeuvre a stretcher and patient up and over objects and around tight corners is not an easy task.

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To finish off the week we had a theory day on diving physics and diving related injuries. I already knew most of the information from my PADI Divemaster days so this was really just a refresher. Some of the pictures of skin and facial barotraumas (suit and mask squeeze) looked horrendous, but Chantelle reassured us that the injuries had healed up without any permanent injury.

stu 17stu 21The second week involved more complex procedures starting with IV cannulation. I am not a fan of needles so this was quite an interesting session. We all got to practise on the plastic/rubber training arms that were filled with fake blood. Even I managed to get the procedure right after a few tries. Catheterisation had everybody grimacing apart from Chantelle who seemed to be smiling as she performed the delicate demonstration. Watching someone put a 30cm long catheter inside a penis brought tears to my eyes (it wasn’t a real penis I might add. We used a training manikin). This is one procedure I would not want to do in real life. Morne, from DAN South Africa, pointed out to me that the correct medical term for the male genitalia is a winky!

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Doctor Mark Downs was our next guest speaker. Mark is an HSE Medical Examiner. He is one of only eighty doctors in the country that can conduct commercial diving medicals. Mark is an active PADI Divemaster and has been diving for 10 years. We listened to Mark’s presentations on diving related accidents and how to check out a possible bends case. Mark said “the 5 minute neuro exam provides a reliable system to judge the urgency of a diving emergency. It also demonstrates to the diver involved that there is a problem and convinces them to commence oxygen first aid treatment.” Mark’s catchphrase was “Oxygen is the answer to all diving related injuries.” He stated that in two thirds of all DCI cases there will be some kind of neuro damage, which is quite a sobering thought. We looked at the DDRC, DAN and Mark Powell’s neuro assessment sheets and tried them out on each other for good measure.

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Before taking the dreaded exams we spent an interesting day with Spencer Phillips at the Diver Clinic’s recompression chamber based in Reading. Spencer has more than 20 years experience in decompression therapy. We sat through an in-depth presentation on the ‘bends’ going through the general causes and treatments. Spencer said he had recently seen an increase in trimix rebreather related incidents quoting one particular case where a woman wasn’t carrying any bale out gas for a dive in the 50-100m range. When the unit failed she came to the surface missing a considerable amount of deco time. Spencer quoted some interesting statistics. He said that in the UK there is a one fatality per 200,000 dives and one decompression related incident for every 5,000 dives. Rapid ascents seemed to be the main problem. Between 70-80% of the cases he treats are Type 1 bends. 98% of symptoms appear within 24 hours, 50% are within the first hour. Spencer said “time to treatment is crucial for getting a good result.”

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On the final day everybody passed the written exams and scenarios with flying colours. Code Blue Education’s second ever DMT course had been a resounding success. The problem I find with any course is trying to retain all the relevant information. After 2 full weeks of theory and practical sessions my brain was about to explode. I had thoroughly enjoyed the course, especially the practical scenarios. Having specialists speakers come in and give presentations definitely made the course more interesting and helped increase everyone’s attention span, although on a few occasions listening to different perspectives did lead to confusion as to what was the correct procedure to use.

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Going through accident scenarios in a controlled classroom environment is never the same as facing a real life emergency situation. I kept wondering, how would I react? What I do know is Code Blue Education’s DMT course has certainly raised my first aid skill levels, so if there ever was a situation I had a far better chance of helping someone out.

Participant Fact File

Name: Morne Christou

Resides: Jo’burg, South Africa

Job title: DAN South Africa Office Manager

Years in diving: 12

Qualifications: PADI Instructor

Reasons for participating: To further my knowledge and see how the course is run from a DAN perspective so we can work together with Code Blue on future courses.

Observations: Great course, lots of information I didn’t know. Long days so need to stay focused.

Guest Speakers: From my experience it’s nice to have different speakers. It adds to the dynamics although sometimes there was conflicting information.

Best moments: Definitely the practical sessions, I can really relate to it.

Rating: 8/10

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Name: Clive Martin

Resides: Larnaca, Cyprus

Job title: Decompression Chamber owner

Years in diving: 27

Qualifications: PADI Master Instructor, BSAC Advanced Instructor

Reasons for participating: Increase knowledge.

Observations: Overall I really enjoyed the course. It’s not just diver related, other injuries are included.

Guest Speakers: Not so monotonous with other speakers, it really broke up the days.

Best moments: The hand’s on stuff, scenarios, especially the IV, advanced airway and suturing.

Rating: 7/10

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Name: Jason Teoh

Resides: Malaysia, Kuala Lumpa

Job title: Student studying economics at St Andrews in Scotland.

Years in diving: 5

Qualifications: PADI Instructor, Emergency Medical Technician.

Reasons for participating: I already have basic EMT knowledge but wanted more diving related knowledge.

Observations: Very informative. It covers lots of topics and encompasses lots of diving aspects. I originally trained on the American system so it was good to learn the European standard.

Guest Speakers: It was nice to get different perspectives.

Best moments: Definitely the suturing.

Rating: 8/10

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Name: Chris Jenkins

Resides: UK, Devon

Job title: MD of a forestry company

Years in diving: 2

Qualifications: PADI Rescue Diver

Reasons for participating: Increase personal knowledge.

Observations: I haven’t wasted my time, it was a good course. On a medical level I learnt an adequate amount. I would recommend it to the right person.

Guest Speakers: Nice to break the 2 weeks with different speakers.

Best moments: the practical sessions, especially life support.

Rating: 8/10

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Name: Andrea Cerilli

Resides: Monza, Italy

Job title: Commercial Diver

Years in diving: 4 years as a commercial diver, 8 saturation jobs including the Concordia.

Qualifications: PADI Instructor, air and saturation diver

Reasons for participating: There has to be a DMT on every sat diving team. It’s nice to learn more so maybe I can help someone.

Observations: Generally very good, I learnt a lot.

Guest Speakers: I liked the different lectures. It was nice to hear them talking about their own experiences.

Best moments: the practical

Rating: 7/10

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Name: Oliver Bittar

Resides: Perth, Australia

Job title: Commercial Diver, NW shelf

Years in diving: 4 years as a commercial diver

Qualifications: SSI Master Diver, commercial air diver, degree in marine biology

Reasons for participating: Gain better employment opportunities, extra knowledge.

Observations: Brilliant, really like the course. Lots of information condensed into 2 weeks, particularly the 2nd half. Good course construction and particularly good revision for me.

Guest Speakers: Having specialists added a massive part to being a good course.

Best moments: The hands on practical, especially the IV cannulation.

Rating: 9/10

Stuart has spent the past 26 years taking pictures and writing stories for diving magazines and other publications. In fact, this equates to more than a year of his life spent underwater. There have been plenty of exciting moments from close encounters with crocodiles and sharks to exploration of deep wrecks and more recently rebreathers. He lives in Poole, Dorset and is very much an advocate of UK diving.

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Four opportunities to go pro in 2024 with Dive Friends Bonaire

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idc

Dive Friends teaches the Instructor Development Course (IDC) several times a year to students who are eager to share their passion for diving with the world.

Dive Friends is known for the personal approach throughout the course. Their in-house course director will lead the students through every essential step, mentoring them to achieve their fullest potential as a dive instructor.

Applications for the following IDC start dates are now open:

  • 12 April
  • 5 July,
  • 20 September
  • 29 November

Partnership with Casita Palma

If the student opts for the IDC-Deluxe or IDC-Supreme package, their accommodation will be arranged for them at Casita Palma. This small and quiet resort is within walking distance from Dive Friends Bonaire’s main dive shop location and has everything you need to relax after an intense day of IDC training. Breakfast is included, so the student will always be fuelled and ready for their day.

Contact Dive Friends Bonaire’s Course Director Eddy for more information: coursedirector@divefriendsbonaire.com.

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Scubility: Achieving Success through Adaptability

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scubility

Introduction to Scubility

Being a scuba diving professional, I am always fascinated by the beauty of the underwater world, filled with colorful coral and a variety of marine species. Every dive site around the world has something unique to offer, attracting the diving community to immerse themselves time and time again. The feeling of being underwater is a unique experience, akin to being in space, where you can escape Earth’s gravity to enjoy the freedom of movement. However, water sports are often believed to be accessible only to those with good physical strength, leaving others to only dream of being there.

The Genesis of Scubility

Scubility was developed as a way to help people with disabilities experience the magic of scuba diving or snorkeling. A few years back we became involved in the SDI Scubility program as a way to use our diving experience and knowledge to bring disabled people beneath the ocean. To empower them with a feeling where they can forget their disability and limitations. The image of a Wheelchair Hero from the movie ‘AVATAR’, who could walk and run only in dreams, was the first seed of the idea for a local Scubility program.

scubility

Launching the Scubility Course

Since 2014, my friend has dedicated himself to helping disabled people. Knowing that I am an SDI/TDI Instructor Trainer, he called upon me to help bring them into the world of scuba diving. Captivated by this idea, I decided to offer a special diving course adapted for disabled people: the SDI Scubility Course. The sole purpose was to bring happiness and a feeling of belonging back to our precious disabled students, by giving them an immersive experience under the sea. Perhaps, the mother ocean has a way of treating us all equally, to rebuild confidence and give hope of being alive.

scubility

Adapting Diving for All Abilities

Initially, most Scubility divers in our programs were wheelchair users. The main challenge was to design a unique technique suitable for each Scubility diver, based on their limitations. To do so, we set up a protocol keeping in mind all the scenarios that could arise during diving, starting from boarding the boat, to diving, and the communication signals during the dive. Training was also provided to volunteer participants, mostly instructors and assistant divers.

scubility

The Scubility Program in Action

In the last four events, we have enrolled many Scubility divers in the program. We also have a team of trained instructors and assistants; without them, this wouldn’t be possible. The main objective was to make safe and comfortable diving experiences for Scubility students. In fact, in the last Scubility program, which concluded in March 2023, we included a blind diver along with six other Scubility divers. We also had 8 instructors and more than 10 assistant participants to make this possible.

scubility

The main challenge for blind divers is to set up a communication signal. So, I designed a unique ‘touch signal’ for blind students where they just need to touch an arm to convey a message. For example, when an instructor touches your arm twice, it means he is asking, “Are you okay?”. In case of any emergency during the dive, the blind diver just needs to squeeze the arm of the instructor to get his attention to solve the problem. For each Scubility diver, there were at least two personnel, an instructor, and an assistant, assigned.

Impact and Emotions of Scubility

The most satisfying experience of this program was to see Scubility divers happy, with emotional, teary eyes. I could imagine that probably for the first time, or perhaps the only time, some of them could walk, stand, and move again underwater without a wheelchair, feeling alive again. Seeing a courageous Scubility diver overcoming all challenges and obstacles to make it possible definitely inspires me to organize more events like this.

scubility

“Scuba Diving for All” Event

The biggest local Scubility program, named “Scuba Diving for All,” was organized in Khao Lak, Phang-nga Province, south of Thailand, from October 30 to November 5, 2018. We invited international Scubility participant divers for this event. Leading up to this program, we put in lots of effort, preparing hotels and resorts in a friendly design, making sure of choosing good dive sites, and above all, to bring a smile to our precious Scubility students.

scubility

I hope that this endeavor will serve as an inspiration for people worldwide to achieve what may seem impossible, while also raising awareness about the importance of charity and kindness in our society. I look forward to welcoming you soon to our joyful underwater realm.

As an SDI TDI & Scubility IT, Dan Phutthakhun Prungkananon, owner of All Star Diving Academy located in Thailand, has a deep-rooted passion for ensuring safety and fun in the water. Keep up with Dan and the All Star Diving Academy via Instagram  or Facebook and by checking out their Dive Center Facebook.

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