Not Only for Diving

Photo David Henry/Pexels
CREDITS | Text By Gary Fetterman
WHILE DAN’S SUITE OF EDUCATIONAL PROGRAMS focus primarily on diving, graduates of the courses can apply the skills and knowledge they learned to many circumstances outside the aquatic realm.
My wife and I were driving home from a weekend getaway to Myrtle Beach, South Carolina, heading northbound on Interstate 95. As expected, I-95 was moderately packed with traffic, including unusually high motorcycle traffic, which we later found out was due to a nearby rally. As we were driving, my wife commented about all the bikes and hoped nothing would happen to a rider. A couple of minutes after she made that comment, the traffic slowed, and we noticed a motorcycle accident had just occurred.
I pulled onto the off-ramp and exited my vehicle to see if I could be of assistance. A motorcycle rider was stumbling around in the grassy area between the highway and the off-ramp, where his bike was in pieces and strewn over a 50-yard trail. Another person who had stopped was on the phone calling for help.
After quickly observing the situation, my training kicked in. I first asked the individual who was on the phone with 911 to remain on the line until we could get information about the rider. Then I approached the rider, who appeared injured. When I stepped in front of him to get his attention, I could tell that he had a neurological issue. He was mumbling and had a blank stare. I kept talking to him while I attempted to stabilize his neck and get him to sit down. Based on the 70 mph speed limit in that area and the destruction of his motorcycle, I knew a neck injury was a distinct possibility and that there could be other injuries, including internal.
After getting the rider to sit, I began to assess his neurological status by asking him some basic questions such as his name, the year, where he was, and what happened. He could remember his name but nothing else. I then began to use some of the skills from the neurological assessment component of the DAN Diving First Aid for Professional Divers course. I attempted to perform a F-A-S-T (facial drooping, arm weakness, speech difficulties, and time) assessment, obtain a S-A-M-P-L-E history (signs/symptoms, allergies, medications, pertinent medical history, last oral intake, and events leading to the current situation), and check his mental and motor functions.
As when I first approached the rider, he could still remember only his name, and he appeared to have an altered level of mental status. He was unable to answer basic questions or perform a simple task such as repeating a common phrase.
During this time I also started an initial first aid assessment, looking for any apparent life-threatening injuries or bleeding. A visual inspection revealed no obvious issues, so I began a secondary examination with assistance from another individual who had stopped to help. I directed this person to hold the rider’s neck for stability while I performed the head-to-toe secondary survey. As I went through the assessment, I could not detect any abnormalities needing attention. The rider could move his arms, legs, fingers, and toes and did not complain about any other pain.
Just as I finished the assessment, medical personnel arrived on the scene, and I passed along the information I had ascertained. I was able to use the skills I had learned to convey the status of the injured rider in a clear way that the medical responders could understand.
Because of my DAN training, I quickly and effectively recognized what I needed to do and responded correctly to the situation. The training style DAN uses — repeating skills and information as building blocks to the next topic — gave me a reliable memory bank of the steps for first aid and neurological assessment. I easily recalled the necessary information to assist the injured person and first responders.
© Alert Diver Magazine Q1 2022/ DAN.org
WHILE DAN’S SUITE OF EDUCATIONAL PROGRAMS focus primarily on diving, graduates of the courses can apply the skills and knowledge they learned to many circumstances outside the aquatic realm.
My wife and I were driving home from a weekend getaway to Myrtle Beach, South Carolina, heading northbound on Interstate 95. As expected, I-95 was moderately packed with traffic, including unusually high motorcycle traffic, which we later found out was due to a nearby rally. As we were driving, my wife commented about all the bikes and hoped nothing would happen to a rider. A couple of minutes after she made that comment, the traffic slowed, and we noticed a motorcycle accident had just occurred.
I pulled onto the off-ramp and exited my vehicle to see if I could be of assistance. A motorcycle rider was stumbling around in the grassy area between the highway and the off-ramp, where his bike was in pieces and strewn over a 50-yard trail. Another person who had stopped was on the phone calling for help.
After quickly observing the situation, my training kicked in. I first asked the individual who was on the phone with 911 to remain on the line until we could get information about the rider. Then I approached the rider, who appeared injured. When I stepped in front of him to get his attention, I could tell that he had a neurological issue. He was mumbling and had a blank stare. I kept talking to him while I attempted to stabilize his neck and get him to sit down. Based on the 70 mph speed limit in that area and the destruction of his motorcycle, I knew a neck injury was a distinct possibility and that there could be other injuries, including internal.
After getting the rider to sit, I began to assess his neurological status by asking him some basic questions such as his name, the year, where he was, and what happened. He could remember his name but nothing else. I then began to use some of the skills from the neurological assessment component of the DAN Diving First Aid for Professional Divers course. I attempted to perform a F-A-S-T (facial drooping, arm weakness, speech difficulties, and time) assessment, obtain a S-A-M-P-L-E history (signs/symptoms, allergies, medications, pertinent medical history, last oral intake, and events leading to the current situation), and check his mental and motor functions.
As when I first approached the rider, he could still remember only his name, and he appeared to have an altered level of mental status. He was unable to answer basic questions or perform a simple task such as repeating a common phrase.
During this time I also started an initial first aid assessment, looking for any apparent life-threatening injuries or bleeding. A visual inspection revealed no obvious issues, so I began a secondary examination with assistance from another individual who had stopped to help. I directed this person to hold the rider’s neck for stability while I performed the head-to-toe secondary survey. As I went through the assessment, I could not detect any abnormalities needing attention. The rider could move his arms, legs, fingers, and toes and did not complain about any other pain.
Just as I finished the assessment, medical personnel arrived on the scene, and I passed along the information I had ascertained. I was able to use the skills I had learned to convey the status of the injured rider in a clear way that the medical responders could understand.
Because of my DAN training, I quickly and effectively recognized what I needed to do and responded correctly to the situation. The training style DAN uses — repeating skills and information as building blocks to the next topic — gave me a reliable memory bank of the steps for first aid and neurological assessment. I easily recalled the necessary information to assist the injured person and first responders.
© Alert Diver Magazine Q1 2022/ DAN.org
Posted in Alert Diver Spring Editions, Dive Safety FAQ, First Aid Training
Tagged with DAN Courses, DANTraining, First Aid Trainig, CPR
Tagged with DAN Courses, DANTraining, First Aid Trainig, CPR
Categories
2022
January
February
UNCERTAINTY AFTER DIVING: Case Report and Recommendations #1.UNCERTAINTY AFTER DIVING: Case Report and Recommendations #2UNCERTAINTY AFTER DIVING: Case Report and Recommendations #3UNCERTAINTY AFTER DIVING: Case Report and Recommendations #4DIVERS LOSING ACCESS TO EMERGENCY CAREPreventing Breathing gas Contamination
March
When Should the Rescue Begin?Celebrating Young and Old in Turks and CaicosScuba Cylinder RundownChasing WeedsUnderwater Smartphone PhotographyAir and a SpareUnderwater Photographer: Fred BuyleBuilding Better BalanceLow-Visibility DivingMore Than a Sore ShoulderNot Only for DivingLaryngospasm and AnxietyPulmonary Hypertension and DivingTitan Meets TitanicPool Operation: Know Before you GoThe Argonaut Octopus and the jellyfishShort but Beautiful Lives
April
A Sense of PurposeMexico’s Sardine RunHigh-Pressure Hose injuriesA Hole in My HeartGoing UpConcussion and Return to DivingMarfan Syndrome Recommendations.South African Sardine Run by Walter BernardisSouth African Sardine Run By ProdiveSardine Run Port Elizabeth by ProDiveSardine Run Port St Johns by ProDiveScuba Diving In MauritiusScuba Diving in TanzaniaScuba Diving in the SeychellesScuba Diving in Nosy BeScuba Diving in MalawiScuba Diving in KenyaScuba Diving in South AfricaScuba Diving in Mozambique
2021
March
Old Habits Die HardSave a Diver, Save YourselfCylinder SafetyUndercover CrabsReef safe sunscreenPhysics, Biophysics and Decompression SicknessModels and Marine LifeSunscreen and CoralCristina Mittermeier: Commitment to ConservationDiving After a StrokeCurrent DivesThis Bites: Prevention TreatmentEnvironmental Considerations for Disinfection
April
Aqua Pool Noodle ExercisesUnderwater Photographer and DAN Member Madelein Wolfaardt10 Simple Things You Can Do to Improve Your Underwater PhotographyCOVID-19 and Diving: March 2021 UpdateDiver Return After COVID-19 Infection (DRACO): A Longitudinal AssessmentGuidelines for Lifelong Medical Fitness to DiveExperienceFitness Myth or Fitness Fact?The Safety of Sports for Athletes With Implantable Cardioverter-DefibrillatorsCardiovascular Fitness and DivingHypertensionPatent Foramen Ovale (PFO)Headaches and DivingMiddle-Ear Barotrauma (MEBT)O’Neill Grading SystemMask Squeeze (Facial Barotrauma)Sinus BarotraumaInner-Ear Barotrauma (IEBT)Middle-Ear EqualisationAlternobaric VertigoDecompression IllnessOn-Site Neurological ExaminationTreating Decompression Sickness (The Bends)Top 5 Factors That Increase Your Risk of the BendsHow to Avoid Rapid Ascents and Arterial Gas EmbolismUnintended Rapid Ascent Due to Uncontrolled InflationUnexpected Weight LossFlying After DivingWisdom Tooth Extraction and DivingYour Lungs and DivingScuba Diving and DiabetesDiving after COVID-19: What We Know TodaySwimmer’s Ear (Otitis Externa)Motion SicknessFitness for DivingDiving After Bariatric SurgeryWhen to Consult a Health-Care Provider Before Engaging in Physical ActivitiesFinding Your FitnessHealth Concerns for Divers Over 50Risk Factors For Heart Disease