Who to call first? Not DAN?
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diverDano
Contributor
Wildcard:
Huh??....medical control???....if you suspect there is barotrauma, 911 will send you to a hospital with a running chamber, and not to one that doesn't. I'm 3 hrs from Seattle, and people have been medivacted to Seattle, and not taken to a local hospital, even with a chamber, because nobody was there to run it.
H2Andy
Contributor
diverDano:
no, not really
911 gets the medical responders on the scene. what happens from there depends on who responded, the protocol of the responders, and facility availability
has nothing to do with 911 anymore
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Here, you go to an ER and once triaged/determined you need recompression, another ambulance takes you there. The facility doesn't have a real ER, it is a long term rehab care facility and uses the hyperbaric chamber primarily for wound healing. If you were to go directly to the chamber, you would find some old boy already in it. I wonder what the average time is prior to an acutely ill diver getting in to a chamber. I bet it is longer than you think, due to all the red tape of getting admitted to an ER first. In the USVI where I was a flight RN, we took them on small plane to Roosevelt Rhodes Navel base, because we did not have a chamber.
I have been very involved in critical care transport in SoCal for about 11 years, and I can never really get a clear understanding of exactly how one would comply with DAN requirements. It would be nice to see an open accounting of dive accidents and what actions were approved or facilitated by DAN (arrangements, payment, etc) as far as the resolution. Do they provide that? It would be very educational.
I have been very involved in critical care transport in SoCal for about 11 years, and I can never really get a clear understanding of exactly how one would comply with DAN requirements. It would be nice to see an open accounting of dive accidents and what actions were approved or facilitated by DAN (arrangements, payment, etc) as far as the resolution. Do they provide that? It would be very educational.
Yea who cares about loosing out on the dan insurance coverage, when your talking about your life.
redrover
Guest
Catherine, So the only chamber here in the middle of nowhere is not at one of the big hospitals?!!!! I soooo did not know that. Do you know anything about their experience with divers? I started thinking with our low population maybe there is a very low occurrence of needing the chamber for divers.
Hmmm, maybe this is a hijack. Direct me to PM land someone, if I should.
Hmmm, maybe this is a hijack. Direct me to PM land someone, if I should.
chasanova
Registered
DAN does not require that you consult with them regarding emeregency treatment and the transport required to get you stabilized etc. What they require you to have them arrange is evacutation and/or repatriation.
Ive been a paramedic for more than twenty years with something more that 20,000 ambulance calls under my belt. im pretty sure I know just a little more than you about the subject. 911 dispatches a call then they are done, period, end of story, no exceptions. Destination is the call of medical control at the base hospital.diverDano:
call 911 in an emergency. if you are driving home and feel weird...i would call dan first but try to find the nearest hospital
Yea so you can be driving when paralaysis hits? Seems like a very bad idea.
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