Palm thrust ? Might be a good idea, never heard of that. However nor PADI nor SSI instructors are taught this method when conducting a CESA : the rule is to always have 1 hand in contact with a thick rope to simply be able to stop the (breathholding) student ascent. For rescue skills during exploration time, the rule is to slow down the ascent by grabbing the diver's fins for as long as possible
What if there is no line? I was taught the arrest using the line as well. But if you are doing a free ascent or a diver bolts then yes, grab them. AND if they are not exhaling a shove to the stomach is also all that's required to remind them to exhale. If they exhale the airway is open and then they will inhale and start breathing again.
CESA is an incredibly stupid and unnecessary exercise that only encourages poor gas management and lousy buddy skills. It's a holdover from j-valves and no octos.
It's dangerous for the student and instructor. I taught it diagonally in the pool. But not in open water after SEI changed the standards to make it optional in open water.
Then with SDI it was required in open water but flexible on which dive it should occur. I never took more that 2 students at a time as an SDI Instructor and so would do one student on dive 3 and one on dive 4 with the buddy/other student ascending with us at a safe rate.
Even then, I stressed that this was an absolute last resort and buddy skills and gas management should be the first methods used to deal with OOA scenarios.
It should be done away with in open water. And no instructor should have to do multiple students on a single dive.
The risk of barotrauma to both the instructor and student is unacceptable and not worth it.
With what we know of how dangerous this is, it's clear that all agencies that still require it don't care about getting someone hurt. And this attitude was one of the factors that helped me decide to retire from teaching.
I can't believe the insurance companies still allow it.
I know of one lawsuit that has been filed in connection with an injury that supposedly occurred when a CESA was done in training.