I just completed the IANTD IWR course run by Don Shirley last weekend, and it was certainly a wake up call for me and 14 of my tech buddies who took the course.
We had discussed this frequently and many of us have been trained by an instructor who had himself used IWR and always had kit on his boat should anything happen. However he left UAE a couple of years ago and our group of tech divers were a bit clueless as to what was really required hence the course which was organised by one of the South Africans in our group.
We now have two lines with measured loops (one foot apart) to use as the downline. A large buoy is used at the surface which is also tied to the boat via a line so it does not drift off any any current.
A Kirby Morgan M48 FFM was purchased with two pods, one for OC and another with a loop for AP valves CCR (as most of our CCR users have Inspirations).
Switch block and QC hoses in order to work air breaks with the tables and also switch to air should a diver tox or show signs of toxing.
Plenty of O2 and at least one tank of air (something we rarely carry as most OC divers use various percentages of Nitrox. I personally only have one tank that has air in it).
A harness to attach the person on IWR so they don't sink.
Ideally you need at least four people to run the IWR, Surface Supervisor, Scribe (taking notes and in charge of Comms to call for help and advice), In Water Supervisor taking care of the person being treated and an In Water Tender to provide assistance, relay messages, and possibly bring down additional gas.
The course was really good, we made many mistakes, but that is how you learn and better to do so under controlled conditions than on a real situation, which we really hope never happens.
Below photo shows the air tank being attached to the switch block which is then clipped off to the victim
Our course lasted three days with Day 1 in the classroom and going over how to assess the victim for IWR and take into account the various risks etc. Days 2 and 3 were practical in the sea just offshore in 12m of water using the FFMs (we had 3 for the course) and all of us taking turns for all of the positions mentioned above.
15mins on O2 moving from 9m to 7.6m will easily take you above 200% CNS before the air break, and we had practiced this for longer periods with no issues.
Where we normally dive off Fujairah in UAE the nearest chamber is a 4 hour drive away and we have to cross a small mountain where the road altitude is 500m above sea level.
Our group is now trained and aware of the hazards and drawbacks. We plan to run a practice of the drills every few months.
Some of the group who participated in the training