On Board Health Guide

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SERIOUS DIVING ACCIDENT

Suspect SERIOUS DIVING ACCIDENT if:

Symptoms appear after diving (immediately or minutes or hours after coming out of the water).
Muscle or joint pain.
Weakness.
Numbness, pins and needles, even paralysis.
Dizziness and nausea.
Difficult breathing.
Low consciousness level.

What TO DO:

If the patient is unconscious, follow instructions on Chapter 1.1.
If the patient is conscious, remove the diving suit and give liquids by mouth, preferably warm.
Give 250 mg. (half tablet) of acetyl salicylic acid (DRAWER 3, First aid kits A, B, C and RAFTS).
Administer oxygen (OTHER MATERIAL OUTSIDE THE DRAWERS, First aid kits A and B). (Refer to Chapter 6.8, OTHER NURSING CARE (OXIGENOTHERAPY)).
Protect the victim against excessive cold or heat.
Evacuate urgently to closest multiple hyperbaric
chamber. Notify them Anteriorly.
If airlifted, make sure the cabin pressure is kept
similar to that of sea level.
Ask for MEDICAL ADVICE VIA RADIO .
Send all diving equipment for inspection.

Multiple hyperbaric chamber

Picture 2-24.

What NOT TO DO:

Under no circumstances attempt to re-pressurize under water.
Do not give alcoholic beverages or food.

MULTIPLE HYPERBARIC CHAMBERS IN SPAIN
ORGANISATION	LOCATION	SERVICES	TELEPHONE
Hyperbaric Medicine Palamós Hospital	Palamós Hospital, Palamós (Girona)	(1) (10)	972 60 01 60
Hyperbaric Medicine Palamós Hospital	Palamós Hospital, Palamós (Girona)	(1) (10)	972 60 06 20
Hyperbaric Therapy Unit	Red Cross Hospital Barcelona	(1) (3)	93 450 37 36
Menorca Island Council	Fire Department ,Mao (Balearic Is.)	(1) (4)	971 35 10 11
Menorca Island Council	Fire Department ,Mao (Balearic Is.)	(1) (4)	971 35 15 15
Ntra. Sra. del Rosario Policlinic	Eivissa (Balearic Is.)	(1) (3)	971 30 19 16
MEDISUB	Juaneda Clinic, Palma (Balearic Is.)	(2) (12)	908 83 99 99
MEDISUB	Juaneda Clinic, Palma (Balearic Is.)	(2) (12)	971 73 16 47
North Coast Unit	Calviá, Mallorca (Balearic Is.)	(4) (10)	971 10 26 76
Hyperbaric Medicine, MEDIBAROX	Perpetuo Socorro Hospital, Alicante	(1) (3)	965 20 11 00
Holy and Royal Charity Hospital	Cartagena (Murcia)	(2) (10) (11)	968 51 03 00
Hyperbaric Medicine Unit, JACRISSA	The Angel Clinic, Málaga	(2) (3) (6)	952 33 02 23
Hyperbaric Medicine Unit, JACRISSA	The Angel Clinic, Málaga	(2) (3) (6)	952 34 81 00
TOP DIVING	Puerto Rico (Gran Canaria)		928 56 06 09
Canary Is. University Hospital	La Laguna (Tenerife)	(2) (10)	922 64 12 00
Atlantic Diving Centre	Puerto del Carmen (Lanzarote)		928 51 07 17
INSALUD	University Hospital, Marqués de Valdecilla (Santander)	(1) (3)	942 20 25 20
MINISTRY OF DEFENCE	Army Diving Centre, Cartagena (Murcia)	(2) (4) (13)
	Cantabric Diving Centre, Ferrol (La Coruña)	(2) (4) (13)
	Navy Hospital Ferrol (La Coruña)	(2) (13)
	Strait Diving Centre (Cádiz)	(2) (4) (13)
	Las Palmas Armoury Diving Centre (Gran Canaria)	(2) (4) (13)
	Military Hospital Zaragoza	(2) (13)
	Monzalbarba (Zaragoza)	(2) (4) (12) (13)
Civilian Guard Mobile Command	Civilian Guard Car Depot	(4) (12) (13)

(1) Medical on-call cover 24 hours/day
(2) Medical on-call cover
(3) Intensive care unit available
(4) Not installed within a hospital
(5) Monday to Friday working hours
(6) Monday to Friday working hours
Other days and hours by appointment
(7) Operational from 1 May to 31 October
(8) Provided by National Health System
(9) Out of order
(10) Non member of HMCCC
(11) Maximum working pressure 3 ATA
(12) Mobile chamber installed on vehicle
(13) Provided by and on military site

This information has been provided by the Hyperbaric Medicine Centres Coordinating Committee (HMCCC) (August 1999).

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