CPR, First Aid and Oxygen Provider

For all of you interested in becoming volunteer divers at Utah’s Hogle Zoo, remember there are some prerequisites.   You need current CPR & First Aid training as well as Oxygen Provider.

DAN DEMP Diving Emergency Mangement Provider

One way to meet this is the DAN DEMP, Diving Emergency Management Provider, certification.   It includes the recently revised Emergency Oxygen for Scuba Diving Injuries, Basic Life Support CPR & First Aid, First Aid for Hazardous Marine Life Injuries and Neurological Assessment.    So it covers both the Hogle Zoo’s CPR/First Aid & Oxygen Provider requirements and takes you a couple of steps further.

CPR, First Aid, Oxygen Provider, First aid for Hazardous Marine Life injuries and Neurological assessment

CPR, First Aid, Oxygen Provider, First aid for Hazardous Marine Life injuries and Neurological assessment

Ready to hop in the water and help take care of the Hogle Zoo’s Rocky Shores exhibit?   Then it’s time to get prepared.

Contact me to get going with training.   DAN DEMP gets you going on your way.

Need additional training?  I teach the Dry Suit and many other specialty training courses.


Aquarium Injuries

Aquarium injuries?   Why is this on a scuba website?


octopus on cross logo

DAN (Divers Alert Network) Hazardous Marine Life Injuries was originally created for scuba divers due to the potential for injury whilst diving.   Aquarium workers and aquarium owners, though, can also benefit from this information.   In addition to CPR and First Aid training, you’ll be well prepared for potential problems.

What you should know:

  • First, make sure the scene is safe.   If you’re providing care to someone that is injured, make sure you don’t become a victim.   Alert EMS if needed.
  • For jellyfish, the current guidelines are to use vinegar to neutralize the sting.   Use tweezers to remove tentacles.  Don’t touch them with your bare hands!
  • For punctures from various spines, remove visible pieces with tweezers.   Immerse in hot water for 30-90 minutes (113F/45C max).
  • For bites, control bleeding with direct pressure.   Once bleeding stops, bandage the wound.  Monitor for shock and/or infection.
  • For any severe reaction or signs/symptoms of shock, alert EMS.

For anyone working with aquatic life, I highly suggest you complete a CPR/First Aid class, the DAN Hazardous Marine Life Injuries class and the DAN Emergency Oxygen course.  Combining the three, you’ll learn:

  • Scene assessment, barrier use, primary assessment of an injured person
  • CPR and Choking Management
  • Shock, Spinal Injury and Serious Bleeding Management
  • Bandaging and splinting
  • Illness and Injury management
  • How to set up and deliver emergency oxygen to an injured person using a non-rebreather mask, a demand valve, a manually-triggered ventilator and a bag-valve mask.
  • Be able to identify four types of hazardous marine life injuries, name five venomous fish and list five common signs of envenomation.
  • Be able to name at least three aquatic animals that might bite someone and list two common warning signs of a marine animal bite.
  • and much more, but the most important thing is:
  • You’ll practice how to take care of these problems

Not sure if there are many aquarium injuries?   Check out this recent article in the Journal of EMS (JEMS) about a toddler bitten by a pet piranha.

This applies to not just home aquariums with exotic fish, but can also apply to commercial aquariums.   I’ve often been told by aquarists I know that their hands are inflamed and feel odd after handling jelly fish.  Luckily, none of them have had allergic reactions to the jellyfish.

Contact me now to talk about how you can be better prepared for aquarium injuries.   If you are a diver working at an aquarium, I also teach the DAN Diving First Aid for Professional Divers course that also covers some skills at the healthcare-provider level.


[Also, don’t be worried about shark bites.   They’re quite rare.   Sharks have much more to fear from us than we do from them.]


Scuba Diving Emergency Management

Scuba Diving Emergency Management

All of the tenets of Emergency Management apply to scuba diving:

  • Prevention/preparation
  • Mitigation
  • Response
  • Recovery


Recreational scuba diving has a good track record of safety.   That said, there are still a number of scuba diving emergencies that occur each year, many of which can be prevented.   As with any activity, being prepared is key.  How do we prepare to handle scuba diving emergencies?

  • In the Open Water Diver Course, entry level divers are taught how to assemble their equipment, do a pre-dive check with a buddy and to dive with a buddy.   The pre-dive check, checking BCD, Weights, Releases, Air and a final check of everything else, can catch a lot of problems.   Too much weight, not enough air, etc.
  • Also, in Open Water, entry level divers are taught how to adjust their gear underwater or deal with certain equipment issues underwater.   By learning what to do, a bit of extra water in your mask doesn’t become a source of panic.
  • Advancing on in education, through the Adventures in Diving/Advanced Open Water course, divers dive in different environments and practice new skills.
  • In the PADI Rescue Diver Course, divers extend their skills to handle scuba diving emergencies, starting with a review of what they’ve already learned in Open Water and Advanced.
  • The next step is to start paying attention to other divers behavior.  Do they appear nervous (talking too much or not at all), unsure of what they’re doing (fumbling with gear),  not ready for the dive (inappropriate scuba equipment), etc?
Divers doing a pre-dive safety check. Rescue Divers should make sure other divers do a pre-dive check to prevent problems.

Predive safety checks can prevent diving emergencies.

So far, that covers prevention and mitigation.   How do we respond to problems?

  • Like other emergency care, start with a scene assessment.   Are there hazards?   Is the diver missing and we need to search, or was the diver found unresponsive?
  • A Rescue Diver builds a tool kit of skills in the PADI Rescue Diver course: assisting from shore or a boat, surfacing an unresponsive diver, attending to an unresponsive, non-breathing diver at the surface, egress.
  • Rescue Divers also learn the basics of emergency management for a scuba diving emergency.   This can be managing the scene, working with other responders, organizing logistics for a search & rescue, etc.
Rescue divers practicing how to respond to a scuba emergency: assisting an unresponsive, non-breathing diver at the surface.

Rescue Diver practice: responding to a scuba emergency on the surface.

Since scuba diving is often done in remote locations, EMS isn’t readily available.   Additional training on how to handle scuba diving emergencies can make a big difference in outcome.   I highly recommend the DAN Training programs, including:

DAN First aid supplies including DAN Oxygen kit, bag valve mask, AED, pocketmask and other training aids.

Beyond the response to a scuba diving emergency, Rescue Divers also learn how to help the diver and themselves recover from an incident.   This starts in the response phase: if the injured diver can help with their own care, that gives them a sense of control which will help their recovery.   For the Rescue Diver, learning about how to handle their own stress after an incident can help them personally recover.


All of these skills are reviewed and practiced at higher levels in diver education.   Divemasters and Scuba Instructors need to be able to respond to scuba diving emergencies and manage them.

DAN Instructor

Are you a dive leader that wants to make sure your divers are safe?   Becoming a DAN Instructor is definitely the way to go.

DAN Instructors are trained to teach programs specifically for diving related accidents.  If you’re a scuba instructor, these are great programs to complement your Rescue Diver training.   Divemasters can become DAN Instructors and offer additional training to the divers they supervise and they’ll also have more opportunities working with instructors.

The DAN Instructor Qualification Course is made up of two or more segments.   The first is the core segment that covers topics general to all DAN courses.   The additional segments are course-specific and may include:

Basic Life Support & First Aid

Oxygen First Aid for Scuba (including Advanced skills such as a bag valve mask, BVM, and a manually triggered ventillator, MTV)

Hazardous Marine Life Injuries

On-Site Neurological Exam for Divers

Dive Medicine for Divers (three levels)

…and several others.

[Note: this list has been revised to reflect DAN’s new training curriculum launched in 2011.]

What does it cost?   Anywhere from $250 up to $1500, depending on classes and materials.

What are the prerequisites?    Dive Leader (Divemaster, DiveCon or higher), CPR/First Aid Instructor (or complete the Basic Life Support/First Aid module).



I’m currently offering several programs during 2012 (and one more before the end of 2011).   Consult the course schedule to the right, or click here.    Please contact me if you have any questions.



On-Site Neurological Exam for Divers

Many cases of Decompression Sickness (DCS) involve neurological complications.   The two DCS cases I saw during my Diver Medical Technician course on Roatan made that abundantly clear.   Often, we dive far from medical help.   Transportation to medical care can take time.  To help the physicians and medics, getting a baseline of the patients neurological symptoms is key.   Sometimes, people don’t even notice they have symptoms unless you point them out.  They might also try to deny they have symptoms.  The DAN Neuro course helps on both fronts.

Skills Development

  • Taking a History
  • Taking vital signs
  • Mental Function
    • Consciousness
    • Speech and Language
    • Orientation to Time and Place
    • Judgment
    • Short-term Memory
    • Abstract Reasoning
    • Calculations
  • Cranial Nerves
    • Eye Control
    • Facial Control
    • Facial Sensation
    • Hearing
  • Motor Function
    • Shoulders
    • Biceps
    • Triceps
    • Finger spread
    • Grip strength
    • Hip flexors
    • Quadriceps
    • Hamstrings
    • Feet
  • Sensory Function
    • Light Touch
    • Sharp Touch
  • Balance and Coordination
    • Walking
    • Finger-Nose-Finger