Most are taught to pass their octopus. YMCA standards require me to teach students to pass their octopus. Prior to that change in standards, that choice was left to the instructor. When it was my option, I taught students to pass their primary. Now I teach as standards require, but I also teach them that there are other possibilities and that other divers may pass their primary. I try to prepare them for all possibilities.
The first SCUBA Rescue course was developed in 1978 with grants from the Council for National Cooperation in Aquatics and the Manned Underseas Science and Technology Program of NOAA. Representatives of both these groups contributed to the development of this course along with representatives from Canadian Royal Lifesaving Society, National YMCA Aquatic Program, American Red Cross, Newport Beach (California) Marine Department, PADI, US Army Medical Corps, Canadian Council of Underwater Clubs, Ontario Heart Foundation, Surf Lifesaving Association, Canadian Red Cross, National Forum for Advancement of Aquatics, University of Rhode Island, Association of Canadian Underwater Clubs, and Allegheny College.
This program was initiated in 1977 by Robert W. Smith, Director of the National YMCA Center for Underwater Activities. The result of the committee's work was the YMCA SLAM (SCUBA Lifesaving and Accident Management) course.
SLAM is broken down into 4 interelated and overlapping components represented by CARE: Cognizance, Assessment, Rescue and Evacuation and support proceedures.
Current standards require:
Prerequisites for SLAM are:
1. Age 15 or older
2. Completed medical questionnaire
3. Statement of understanding/Waiver
4. Advanced rating or 10 logged dives after OW certification
5. CPR
Corequisites are:
1. First Aid
2. Oxygen provider.
Required lectures:
1. Cognizance of diving accidents (victim detection)
2. Assessment of diving accidents
3. Rescue techniques
4. Evacuation and support proceedures
Required pool training:
1. 300 yd swim
2. 15 minute tred/float
3. 50 feet underwater swim
4. Extensions
5. Approaches
6. Lifesaving & Lifequard swim skills
7. Stabilization of a surface victim
8. Contact & handling of a stationary submerged victim
9. Descent arrests
10. Ascent arrests
11. OOA Emergencies
12. Retrieval & stabilization of unconscious submerged victim
13. Tows
14. Mouth to mouth rescue breathing (simulated)
15. Mouth to snorkel rescue breathing (simulated)
16. Water egress
Required open water training:
1. Detailed predive briefing
2. Rescues
3. Transporting victim and water egress
4. Evacuation
80% or better (counseled to 100%) closed book examination.