Hi Adam,
The information awap posted earlier contained information from your website for Dolphin Dive,
Home The following is also posted on your website:
DIVERS AGED 50 OR OVER - Anyone wishing to undertake a PADI program or refresher with us will be required to bring written medical clearance from their doctor before starting any program (irrespective of whether they answer yes or no to the questions on the PADI Medical Statement below).
Certified divers aged 50 or over will be required to show proof of valid medical insurance covering their diving activities, including contact details for medical emergencies *
* INSURANCE - we are located in a remote location with very limited access to medical facilities. There is usually no doctor on the island, just a nurse. Big Corn has a basic hospital facility but medical emergencies will require boat evacuation to Bluefields or Managua. Dive emergencies will require evacuation to the re-compression chamber in Puerto Cabezas in the north of the country, a boat trip of 6-8 hours. We recommend that divers carry adequate travel insurance and have confirmation from their insurance company that the cover extends to Little Corn Island, and that the provider is able to arrange treatment, transport etc as recommended by medical staff. We require all divers over 50 to provide insurance details before diving.
So, you already require anyone 50 or older to submit medical clearance if they are taking any course from you, regardless of the answers to the screening questionare. You also, already require, anyone 50 or older to show proof of dive insurance. The new issue you brought up is whether all divers 50 or older should have to submit medical clearance to dive with you. Clearly, the sentiment from SB was against this measure.
If you really want your divers to be as safe as possible, I see two things you need to do. As uncnp pointed out, you need to develop your own high quality emergency plan. This would require education/training, personnel, and equipment. A good place to start might be the DAN education offerings
Scuba Diving Safety & Training Courses - DAN| Divers Alert Network - DAN | Divers Alert Network I would suggest that, at a minimum, you should be able to supply adequate support to cover the period until emergency transport can be arranged, this might dictate a considerable oxygen supply. Assuming you meet the requirements of this emergency plan, you could inform potential visitors of this level of support. This may or may not differentiate you from your competitor(s)
That brings up the second, and perhaps the most difficult topic, emergency transport. I'm not sure you or we fully understand what kind of transport might be available and what DAN (or other carriers) might do to facilitate transport. In the DAN outline description of medical coverage, the following is listed:
Ambulance transportation by ground, air or marine ambulance services to the nearest Hospital or Hyperbaric Chamber where prescribed care or treatment can be given
Many of us have read of the extraordinary lengths DAN has gone to in order to evacuate divers from some remote areas, including seaplane. At the very least, it would seem that an injured diver could be evacuated by boat to Big Corn, and then by plane to Managua, or perhaps even directly to Puerto Cabezas. It would behoove you to work with DAN to devise an acceptable emergency transport plan. Given your statements to date in this thread, if I were considering a trip to Little Corn, I would contact DAN first, to make sure reasonable transport was available for me.
Best of luck,
Craig