Presented by

Emergency Assistance Check List

 

Emergency Assistance Check List

Whether you're shore diving, boat diving or making your entry from a dock, make an Emergency Assistance Plan a critical part of your Pre-Dive Planning process.  Here's a useful template for you to use, based on the DAN Pocket Guide to First Aid for Scuba Diving Injuries by Dan Orr and Bill Clendenen.

Before each dive, prepare an emergency assistance plan. Critical information includes:

 

Initial Contact Information

In an emergency, please notify:____________________________

______________________________________________________

Emergency Medical Assistance Rescue Squad / EMS / Ambulance Services:

______________________________________________________

______________________________________________________

 

Diving Medicine Emergency Contact Information

Divers Alert Network (DAN)
919-684-8111 (toll) or 919-684-4DAN (collect)

DAN TravelAssist
215-245-2461 (toll) or 800-DAN-EVAC (toll free)  

Other Dive Medicine Reference

______________________________________________________

Recompression Chamber Information

______________________________________________________

DAN Membership and Insurance information
800-446-2671 or 919-684-2948

 

Injury Information

To aid medical personnel, please obtain as much information as possible from the injured diver or other divers.

Diver's Name___________________________________________

Age___________________________________________________

Address _______________________________________________

______________________________________________________

Contact  _______________________________________________

Contact Telephone______________________________________

Current Complaint ______________________________________

______________________________________________________

Significant Medical History (medications, allergies, previous illness or  injuries etc.)

______________________________________________________

______________________________________________________

Dive Profile:  DEPTH -- TIME -- S.I.

Dive #1________________________________________________

Dive #2 ________________________________________________

Dive #3 ________________________________________________

Exit Water Time _________________________________________

Breathing Gas: Air -- Nitrox -- Mix _____%

 


Home
  Search  About You  |  About Us  |  Contact ShoreDiving.com

 

Copyright 2000-2017 ShoreDiving.com, LLC. tm All rights reserved.
Please read and understand the
Disclaimer concerning information contained in this site.