Open Water Diver Course Knowledge Review Answer Keys Open Water Diver Course Knowledge Review Answer Keys © PADI 2009 Published by PROFESSIONAL ASSOCIATION OF DIVING INSTRUCTORS 30151 Tomas Rancho Santa Margarita, CA 92688 USA Printed in U.S.A. Name __________________________________________________________ Date __________________ Knowledge Review – Section One Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1. True or False. An object is neutrally buoyant when it displaces an amount of water less than its own weight. False 2. Explain why buoyancy control, both on the surface and underwater, is one of the most important skills you can master. To conserve energy while resting or swimming. To stay off the bottom and avoid crushing or damaging delicate aquatic life. On the surface: Underwater: 3. Fill in the blanks with the appropriate words: fresh water or salt water. “The same object would be more buoyant in salt ter.” water than it would be in fresh wa- 4. True or False. “Because water is much denser than air, the pressure change for a given distance ascent or descent is significantly greater in water than in air.’’ True 5. Complete the following chart for a sealed flexible bag, full of air at the surface. Depth Pressure Volume Density 0' 1 bar/ata 1 x1 10m/33' 1/2 30m/99' 2 bar/ata 4 bar/ata 1/4 x2 x4 40m/132' 5 bar/ata 1/5 x5 6. Circle the letter of the best definition for a squeeze. a. A condition that causes pain and discomfort when the pressure outside an air space of your body is less than the pressure inside an air space. b. A condition that causes pain and discomfort when the pressure inside an air space of your body is less than the pressure outside an air space. 7. Check each statement that describes a technique used to equalize air spaces during descent: □ a. Block your nose and attempt to gently blow through it. □ b. Swallow and wiggle the jaw from side to side. □ c. Block your nose and attempt to gently blow through it while swallowing and wiggling the jaw from side to side. 8. State how often you should equalize your air spaces during descent. Every few metre/feet, before discomfort is felt. 9. True or False. “If you feel discomfort in your ears while descending, continue downward until the discomfort is gone.” False 10. State the most important rule in scuba diving. Breathe continuously and never, never hold your breath. 11. Circle the letter of the best definition for a reverse block. a. A condition that occurs when expanding air cannot escape from a body air space during ascent, causing pain and discomfort. b. A condition that occurs when expanding air escapes from a body air space during ascent, causing pain and discomfort. 12. Describe what action you should take if you feel discomfort during ascent due to air expansion, whether in your ears, sinuses, stomach, intestines or teeth. Slow or stop ascent, descend a metre/few feet and allow trapped air to work its way out. 13. When scuba diving, why must your nose be enclosed in the mask? To exhale into it and equalize. 14. Explain the best way to prevent water from entering your scuba tank. Never allow a tank to be completely emptied of air pressure. 15. Circle the appropriate answer. The most important feature for consideration when selecting a regulator is: a. The color b. The number of hoses it has c. Ease of breathing d. Size Name __________________________________________________________ Date __________________ Knowledge Review – Section Two Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1. Check one. “Underwater, objects appear 33 percent __________ and/or __________.” □ a. smaller, further away □ b. larger, closer 2. Check one. Since it travels about four times faster in water than in air, you will have difficulty determining the origin of __________ underwater. □ a. light □ b. sound 3. Fill in the blank with the appropriate word: faster or slower. “Water conducts heat away from your body faster than air does.” 4. Describe what you should do if you begin shivering continuously underwater. Get out of the water, dry off and seek warmth. 5. Of the procedures you can follow to compensate for the increased resistance of water while diving, check those listed here: □ b. Avoid rapid, jerky movements. a. Streamline yourself and your equipment. □ □ d. Pace yourself. c. .Move slowly and steadily □ 6. Check the statement that best describes the proper breathing pattern for diving. □ a. Consistently rapid and shallow. □ b. Consistently slow and deep. 7. It is easy to prevent overexertion while diving. Check the proper preventative measures listed here. □ a. Move slowly and avoid extended strenuous activity. □ b. Use your arms rather than your legs for propulsion underwater. □ c. Know your physical limits. 8. Explain what to do if you become overexerted while diving. a. Under water: Stop all activity, breathe deeply and rest. Hold onto an object for support if possible. b. At the surface: Establish buoyancy and stop moving. Rest and catch your breath. Once recovered: move at slower pace. 9. Check each statement that describes a technique used for airway control: □ a. Use your tongue as a splash guard by placing the tip on the roof of your mouth. □ b. Inhale slowly. □ c. Avoid rapid, jerky movement. □d. Inhale cautiously. 10. Explain why it is important not to wear a tight-fitting hood. A hood that’s too tight can cause changes in the heart rate due to compression of the arteries in the neck. 11. Check the appropriate answer. The most important feature of any weight system is: □ a. the size and shape of the weights. □ b. the ease of adjustment. □ c. a quick-release mechanism. 12. Check one. An alternate air source should be ________________, so it can be quickly and easily identified by a diver needing the device. □ a. tucked under the weight belt □ b. conspicuously marked 13. Describe where you should attach an alternate air source to your body. In the triangular area between your mouth and the lower corners of your rib cage. 14. True or False. A dive knife is used as a tool (to measure, pry, dig, cut and pound), but is not intended to be, nor should be, used as a weapon. True 15. Identify the meaning of the standard hand signal illustrated here. b. Distress, help □ c. Out-of-air □ a. OK? OK □ 16. Explain how to check for proper weighting. You should float at eye level with an empty BCD and while holding a normal breath. 17. List and describe the steps of the predive safety check and explain when you should use this check. BWRAF – B-BCD, W-Weights, R-Releases, A-Air, F-Final ok. Should be done before each dive. Name __________________________________________________________ Date __________________ Knowledge Review – Section Three Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1. There are several factors that affect visibility underwater. Check those listed here. □ b. water movement □ c. ambient pressure □d. suspended particles a. weather □ 2. True or False. “To avoid problems associated with diving in clear water, use an accurate depth gauge, refer to it frequently, and it is recommended that you use a line for ascents and descents.’’ True 3. Explain what you should do if you find yourself caught in a current at the surface. Swim perpendicular to the current or establish buoyancy, signal for assistance and wait for help. 4. True or False. “You will find it easier to swim against a mild current along the bottom where it is generally weaker than on the surface.” True 5. Check one. If a current is present, you should generally begin your dive: □ a. with the current. □ b. across the current. □ c. against the current. 6. Check one. Nearly all injuries from aquatic life are caused by ____________action on the part of the animal. □ a. unpredictable □ b. unprovoked □ c. defensive 7. Describe what you should do if you spot an aggressive animal underwater. Remain still and calm on the bottom and watch what it does. Calmly move away from the area by swimming on the bottom and exit. 8. True or False. “For safety and enjoyment when diving in a new area or engaging in an new activity, be sure to obtain a proper orientation.” True 9. A rip current can be recognized as a line of turbid, foamy water moving ________________ □ a. toward shore. □ b. seaward. □ c. parallel to shore. 10. Outline three ways to prevent or control most diving problems that occur at the surface. 1. Dive within my limitations. 2. Relax while I dive. 3. Maintain positive buoyancy at the surface. 11. True or False. “The first step in assisting another diver with a problem at the surface is to talk to him, offering encouragement and persuading him to relax.” False 12. Arrange the five low-on-air/out-of-air emergency procedures in order of priority of 1 through 5. 5 3 1 4 2 Buoyant emergency ascent Controlled emergency swimming ascent Normal ascent Buddy breathing ascent Alternate air source ascent 13. Check one. If you become entangled underwater, you should: □ a. Twist and turn to free yourself. □ b. Stop, think and then work slowly and calmly to free yourself. 14. True or False. “With an unconscious diver, the primary concern is to remove him from the water.” False 15. True or False. Once removed from the water, an unconscious diver should be administered oxygen if available. True Name __________________________________________________________ Date __________________ Knowledge Review – Section Four Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1. A detailed log book is the proof-of experience documentation typically requested in many diving situations. Check those listed here. □ a. for additional diver training □ b. by dive stores when buying diving equipment □ c. when diving at resorts or on boats 2. Explain how to prevent problems with contaminated air. Have tanks filled only with pure, dry, filtered compressed air from a reputable air station. 3. State the two ways divers prevent problems with oxygen. a. Never fill a tank with pure oxygen b. Do not use enriched air or a cylinder marked for enriched air unless you are properly trained. 4. Check each symptom related to nitrogen narcosis: □ b. foolish behavior □ c. joint and limb pain a. impaired coordination □ 5. Check one. To prevent nitrogen narcosis: □ a. skip breathe. □ b. equalize your air spaces early and often. □ c. avoid deep dives. 6. Check each symptom which may be related to decompression sickness: □ a. foolish behavior □ b. moderate tingling □ c. cherry-red lips □ d. weakness and prolonged fatigue 7. Outline the first aid procedure for assisting someone with decompression illness. Get the person into medical care. Prevent/treat for shock, administer oxygen, if necessary, CPR. Put diver in a left-side down position. 8. True or False. “When using either version of the Recreational Dive Planner or any dive computer, you must ascend at a rate that does not exceed 18 metres/60 feet per minute.’’ True 9. Match the following by placing the correct letter in the blank. a. Maximum depth limit for Open Water Divers. c. Maximum depth limit for divers with training and experience beyond the Open Water Diver level. b. Maximum depth limit for divers with Deep Diver training. a. 18 metres/60 feet b. 40 metres/130 feet c. 30 metres/100 feet 10. According to the Recreational Dive Planner, the no decompression limit for 18 metres/60 feet is: Metric – 56 minutes Imperial – 55 minutes. 11. What is your pressure group after a dive to 14 metres/46 feet for 24 minutes? Metric – E Pressure Group Imperial – F Pressure Group 12. After a dive, you are in pressure group K. What will your new pressure group be after a 34-minute surface interval? F Pressure Group 13. A diver in Pressure Group G plans a dive to 17 metres/56 feet. What is the maximum allowable bottom time according to the Recreational Dive Planner? 34 min. Maximum Allowable Bottom Time 14. Indicate the final pressure group upon surfacing after the following series of dives. First dive: 16 metres/50 feet for 23 minutes; surface interval: 1:30. Second dive: 10 metres/35 feet for 46 minutes. Final Pressure Group = M 15. Indicate the final pressure group upon surfacing after the following series of dives. First dive: 18 metres/60 feet for 15 minutes; surface interval: 1:00. Second dive: 12 metres/40 feet for 30 minutes. Final Pressure Group = K Name __________________________________________________________ Date __________________ Knowledge Review – Section Five Answer the following questions and bring this completed Knowledge Review with you to your next training session. (Answer all questions, regardless of which Recreational Dive Planner your are using — the eRDPML or table version.) 1. Describe the three required situations in which a safety stop should be made. a. A dive has been to 30 metres/100 feet or deeper. b. Pressure group at end of dive is within three pressure groups of the no-decompression limit. c. A dive is made up to any limit on the Recreational Dive Planner. 2. Check one. “If you accidentally exceed a no-decompression limit or an adjusted no-decompression limit by no more than 5 minutes, you should slowly ascend at a rate not faster than 18 metres/60 feet per minute to 5 metres/15 feet and remain there for ________ minutes prior to surfacing. After reaching the surface, do not dive for at least ________ hours.” □ a. 8 minutes, 6 hours □ b. 15 minutes, 24 hours 3. State the altitude above which the Recreational Dive Planners should not be used unless special procedures are followed. 300 metres/1000 feet 4. True or False. “To be reasonably assured you remain symptom free from decompression sickness when flying in a commercial jet airliner after diving, wait 12 hours.’’ True 5. Explain the procedure you must follow when planning a dive in cold water or under strenuous conditions using the Recreational Dive Planner. Plan the dive as though the depth were 4 metres/10 feet deeper than it actually is. 6. What is the minimum surface interval required between a dive to 18 metres/60 feet for 40 minutes followed by a dive to 14 metres/50 feet for 60 minutes? Metric – Minimum Surface Interval = 0:28 Imperial – Minimum Surface Interval = 1:12 7. What is the minimum surface interval required between a dive to 20 metres/70 feet for 29 minutes followed by a dive to 14 metres/50 feet for 39 minutes? Metric – Minimum Surface Interval = 0:00 Imperial – Minimum Surface Interval = 0:04 8. With reference to the compass heading shown in Figure 1, select the figure letter that indicates a reciprocal heading. Reciprocal heading is shown by the figure letter: B 9. What is the purpose of the PADI System of continuing education? Continuing education courses let you: 1. Meet people. 2. Go places. 3. Do things. 10. State the purpose of PADI Discover Local Diving: To provide a single, supervised open water experience to a new diving area. 11. When should you consider taking PADI Scuba Review? If I go several months or longer without diving. 12. What is the relationship between Adventure Dives, Advanced Open Water course dives and Specialty Diver course dives? Adventure Dives can be credited toward the Advanced Open Water Diver course and/or corresponding Specialty Diver course. 13. What is a Course Evaluation Questionnaire (CEQ), and what is it’s purpose? PADI CEQs are surveys used to recognize outstanding performance by an instructor and to verify that all training elements were conducted in every course. Adventures in Diving Program Knowledge Review Answer Keys Adventures in Diving Program Knowledge Review Answer Keys © PADI 2009 Published by PROFESSIONAL ASSOCIATION OF DIVING INSTRUCTORS 30151 Tomas Rancho Santa Margarita, CA 92688 USA Printed in U.S.A. Name _________­­­______________________________________________________ Date ______________ Knowledge Review ­­– Altitude Dive To the student diver: Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1. Define “altitude dive” and briefly explain why there are special considerations when using tables and dive computers at altitude. Any dive made at 300 metres/1000 feet or greater above sea level. Special dive table considerations are needed to account for the difference in atmospheric pressure. 2. What’s the main difference between altitude diving and flying after diving? In altitude diving, the exposure to lower atmospheric pressure precedes the dive. The exposure to lower atmospheric pressure follows the dive when flying. 3.List the current recommendations for flying after diving. For a single dive within the no decompression limit, a minimum preflight surface interval of 12 hours is suggested. For repetitive dives and/or multiday dives, a minimum preflight surface interval of 18 hours is suggested. For dives requiring decompression stops, a minimum preflight surface interval greater than 18 hours is suggested. 4.List two possible detrimental physiological conditions, aside from decompression sickness, that may be concerns for altitude divers, and explain how to avoid them. 1. Hypoxia – pace yourself, avoid strenuous work 2. Hypothermia – use adequate exposure protection 5. Describe how altitude affects each of the following instruments, and how to adjust for those effects. a. Digital electronic depth gauge: Varies. Some adjust automatically – consult manufacturer’s instructions. b. Bourdon tube depth gauge: Reads shallower than actual depth – use adjustment knob if available. c. Capillary depth gauge: Reads deeper than actual depth. Reads theoretical depth – no adjustment necessary d. Dive computer: Varies. Some adjust automatically – consult manufacturer’s instructions. 6. Identify the following when using the RDP at altitude. 9 metres/30 feet or slower b. Safety stop time/depth: 3 minute stop at theoretical depth c. Maximum depth: Theoretical depth of 40 metres/130 feet d. Maximum altitude: 3000 metres/10,000 feet a. Ascent rate: 7. What’s the generally recommended maximum number of dives in a day when using the RDP at altitude. Two 8. You plan to dive to an actual depth of 18 metres/60 feet one hour after arriving to an altitude of 1090 metres/3578 feet. If you were to dive to the no-decompression limit, what would your no-decompression limit be for a repetitive dive to the same depth after a 45 minute surface interval? 16 min metric 18 min imperial 9. You plan to dive to an actual depth of 24 metres/80 feet after spending seven hours at the dive site altitude of 1226 metres/4023 feet. What is your no-decompression limit for this dive? If your bottom time is 15 minutes, what would your no-decompression limit be for a repetitive dive to an actual depth of 18 metres/60 feet after a one hour, five minute surface interval? Part 1: 20 minutes Part 2: Metric = 25 min Imperial – Table = 20 min, eRDPML = 24 min Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I understand what I missed. Name ______________________________________________________________ Date _____________ Adventure Dive: Altitude Skills Overview • Knowledge Review • Tour (time/air pressure permitting) • Briefing • Ascent – Safety Stop • Gearing Up • Exit • Predive Safety Check • Debrief • Entry • • Descent Log Dive – Complete Adventure Dive Training Record • Depth Gauge Comparisons at Depth Name _________­­­______________________________________________________ Date ______________ Knowledge Review – AWARE Fish Identification To the student diver: Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1. Why are scuba divers and snorkelers the “natural” ambassadors for the aquatic environment? Divers and snorkelers notice both short and long term changes in the aquatic realm. This intimate familiarity with the underwater world, makes them the natural ambassadors for the aquatic environment. 2. A.W.A.R.E. is an acronym for: Aquatic World Awareness, Responsibility and Education 3. True or False. Project AWARE’s mission includes teaching the world about the importance of preserving the aquatic environment. TRUE 4. The Project AWARE Foundation supports environmental efforts by: ❑ a. Encouraging aquatic ecology and education. ❑ b. Funding and assisting worthwhile projects that enrich humanity’s awareness and understanding of the aquatic world’s fragile nature. ❑ c. Supporting environmental research ■ d. All of the above. 5. Approximately how many different fish species exist worldwide? 21,000 6. True or False. The simple strategy for identifying fish is to focus on families, rather than trying to learn every fish species. TRUE 7.Fish identification is a(n) __________ activity. Avoid _________ fish to get a better look. ❑ a. interactive/photographing ❑ b. passive/staring at ■ c. passive/chasing ❑ d. interactive/drawing 8. List at least four common fish groupings used to identify fish in your local area. (Answers vary depending on location) 9. List some of the characteristics that assist in distinguishing between fish families. Possible answers include: 1. Size 2. Color 3. Body shape 4. Fin configuration 5. Mouth/jaw shape 6. Habitat and behavior 7. Propulsion method 10. Describe the “roving diver” survey technique? A technique that allows divers to swim along as usual, spotting fish along the way. The divers do not have to alter or restrict their normal dive pattern. Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I understand what I missed. Name __________________________________________________ Date _________________ Adventure Dive: AWARE Fish Identification Skills Overview • Slate preparation • Post dive procedures • Briefing • • Equipment preparation Use reference materials to identify unfamiliar fish • Predive Safety Check • Debrief • Entry • • Descent Log Dive – Complete Adventure Dive Training Record • Observe and identify fish families • Record sightings • Sketch/describe unfamiliar fish • Ascent and exit Name _________­­­__________________________________________________ Date ______________ Knowledge Review – Boat Dive To the student diver: Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1.On the illustration, label the following: bow, stern, port, starboard, windward and leeward. Windward ➞ ➞ Port ➞ Bow ➞ Starboard Stern Leeward 2.List eight pieces of emergency equipment commonly found on dive boats. 1. 2. 3. 4. PFDs (personal flotation devices) Fire extinguishers Sound signaling devices Visual distress signals 5. 6. 7. 8. First aid kit Oxygen equipment Marine radio Bilge pump or bailer 3. Describe how to help prevent seasickness, and what to do if you become seasick. Prevention: take a seasickness medication well in advance of boarding; avoid greasy foods; stay on deck, or at least in the fresh air, as close to the center of the boat as possible; look at something stationary on the horizon; avoid intricate tasks; enter the water as soon as possible; avoid breathing engine exhaust; and avoid using the head during rough weather. If seasickness occurs: stay out of the boat’s head; go to the lee side (downwind) rail to vomit; and drink some room temperature water. 4. Describe the “general” boarding procedure for a typical charter boat. Plan to board 1/2 hour prior to departure. Ask crew where to stow equipment. Sign-in and listen to predive briefings. 5.On most dive boats be sure to work from your dive bag and not take up ___________ . Excessive space 6.Explain the general guidelines for making proper entries from various types of boats. When ready to enter the water, make sure your buddy is also ready. Check in with the divemaster (if there is one). Partially inflate your BCD, put your regulator in your mouth (unless you are putting your unit on in the water). Make sure the entry area is clear and hold your mask firmly. Have your accessories handed down. 7.Explain the location and purpose for trip line, gear line, tag line and current line: Buoyed from front of the anchor, used to release anchor – sometimes used for descent/ascent line. Gear line: Usually near entry/exit area – used to secure gear when diving from a small boat, or to suspend accessories. Tag (swim) line: From stern or entry area to mooring/anchor line – used to pull yourself from the entry area to the mooring/anchor line. Current (trail or mermaid) line: Trailed behind boat – used to maintain position in a current and pull yourself to the boat. Provides a larger target if you have to swim across current to reach the boat. Trip line: 8. Describe the procedures for making a free descent from a boat. Take care to avoid disorientation. Watch descent rate – maintain buddy contact. 9. What are the general guidelines for making a proper exit into a charter boat? Wait your turn to exit, avoid positioning yourself under a diver on a ladder. Time swells to assist with your exit – letting them carry you onto the platform. Don’t remove fins until contact with the boat is made. Keep your mask on and breathe through your snorkel or regulator until you’re aboard. Hand up accessory equipment. 10.Explain why you should listen to post-dive roll calls by divemasters or crew members. This procedure makes sure everyone is aboard and accounted for before leaving the area. Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I understand what I missed. Name ______________________________________________________________ Date _______________ Adventure Dive: Boat Skills Overview • Knowledge Review • Dive for Fun and Pleasure • Briefing • Ascent – Safety Stop • Suiting Up • Boat Diving Exit • Predive Safety Check (BWRAF) • Stow Equipment • Boat Diving Entry • Debrief • Descent • Log Dive – Complete Adventure Dive Training Record Name _________­­­__________________________________________________ Date ______________ Knowledge Review – Deep Dive To the student diver: Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1.List five factors to consider when determining your personal deep diving depth limit. 1. 2. 3. 4. 5. Environmental conditions Physical and psychological fitness Surface interval – pressure group Geographic location Personal and buddy’s ability 2.Explain how to determine if your equipment is suitable for deep diving. Consider equipment condition and appropriateness for use while deep diving. Regulator and SPG serviced annually. BCD in good working condition. Exposure suit used based on deep water temperatures. Complete set of gauges – ideally on a console. 3.List five pieces of specialized equipment recommended for deep diving. 1. 2. 3. 4. 5. Reference line Emergency breathing equipment Wrist weights Underwater light First aid kit and emergency oxygen 4. Describe proper ascent and descent techniques for deep diving, including positioning, maintaining a proper ascent rate and descending/ascending without a visual reference. When possible, descend feet-first on deep dives. Estimate rate of ascent using depth gauge and timer together or electronic depth gauge/dive computer with ascent warning. Without a visual reference, ascend/descend in a feet-down position, face buddy, watch rate of ascent, adjust buoyancy frequently. Make a safety stop. 5.Explain how to avoid low-on-air or out-of-air emergencies while deep diving. Monitor SPG frequently – more often than on shallower dives. 6. Describe how to make a safety stop at 5 metres/15 feet with a usual reference (line or sloping bottom). Grasp line (or bottom) so that depth is at midchest level – body vertical. Maintain neutral or slight negative buoyancy – watch depth and time. Review dive time and depth limits. 7. Describe how to prevent narcosis, and how to treat it if it occurs. Stay in shallower water. If it occurs, ascend with buddy to shallower water until symptoms/signs subside. 8.List six symptoms and six signs of decompression illness. SymptomsSigns 1. 2. 3. 4. 5. 6. Pain in arms, legs or torso Local numbness, tingling, paralysis Dizziness and vertigo Unusual fatigue/weakness Skin itch Shortness of breath 1. 2. 3. 4. 5. 6. Blotchy skin rash Tendency to favor an arm or leg Staggering Coughing spasms Collapse Unconsciousness 9. What is the primary reason divers get decompression illness. Diver error 10.Explain how to minimize the risk of decompression sickness. Use all decompression devices and tables (including the RDP) accurately and never dive to their limits. Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I understand what I missed. Name ______________________________________________________________ Date _______________ Adventure Dive: Deep Skills Overview • • • • • • • Knowledge Review Briefing Timed Task on Surface Assembling and Positioning Emergency Equipment Suiting Up Predive Safety Check (BWRAF) Entry • • • • • • • Descent Timed Task on Bottom Depth Gauge Comparisons at Depth Guided Tour (time/air pressure permitting) Ascent and Safety Stop Debrief Log Dive – Complete Adventure Dive Training Record Name _________­­­__________________________________________________ Date ______________ Knowledge Review Level Two – Digital Underwater Photography Answer the following questions and hand them in to your instructor for review. 1. Which of the following format characteristics apply to JPEGs? (Check all that apply.) ■ a. compressed q b. used mainly for printing photos ■ c. less quality than other formats q d. unprocessed image data q e. slow to write 2. What four settings affect exposure? (Check all that apply.) ■ a. aperture q b. housing type ■ c. ISO ■ d. shutter speed ■ e. exposure compensation 3. Why do you need to be cautious about using your LCD monitor to assess your exposure underwater? (Check all that apply.) ■ a.LCD screens tend to have high contrast. ■ b.LCD screens look more bright/colorful in dim conditions. ■ c.LCD screens may be hard to see in bright conditions. 4. What characteristics would you expect from a photograph with this histogram? q a. underexposed ■ b. overexposed q c. flat q d. contrasty 5. What do you do if your histogram shows you your picture is too bright or too dark? ■ a. Adjust the exposure compensation, or use a different aperture or shutter speed if the camera is on manual. q b.Forget it and go elsewhere. q c.Fix it in post processing. 6. Why is negative space important to good composition? q a It prevents the image from having any tone or feeling. ■ b. It balances the subject in the image. 7. To use the Rule of Thirds (check all that apply): ■ a. mentally divide the frame into thirds both vertically and horizontally. q b. keep your subject away from these lines or where they intersect. ■ c. put your subject on these lines or where they intersect. 8. What helps you get good results from built-in flash underwater? (Check all that apply.) ■ a. Only use built-in flash in very clear water. q b. Don’t use the white balance. ■ c. Use a flash diffuser if your housing accepts one. q d. Stay at least 3 metres/10 feet from your subject. 9. Where do you place an external strobe for good results? q a. Place an external strobe directly next to the lens. q b. Place an external strobe to the side and well below the subject. ■ c. Place an external strobe away from the camera at an approximately 45º angle to the side or slightly above camera level. 10. What is the first thing you do after downloading your images? q a. Adjust their quality. q b. Email them to a friend. ■ c. Back them up to a separate medium. Student Statement: Any questions I answered incorrectly or incompletely I have had explained to me, and I understand what I missed. Signature_________________________________________________________________Date______________ Adventure Dive: Digital Underwater Photography Skills Overview • Briefing • Assemble and test camera equipment • Gearing Up • Predive Safety Check • Enter the water safely protecting camera system • Demonstrate care for the environment and avoid damaging it • Practice getting proper exposure, contrast and sharpness by using and controlling shutter, aperture, EV control, focus and flash • Practice getting good color by using white balance, flash, filters and wide angle lenses • Practice composition through choice of subject, subject positioning, negative space and other compositional elements • Demonstrate use of the PADI SEA Method by using the LCD monitor and/or histogram to evaluate exposure, sharpness and composition Ascent – Safety Stop • • • • Exit the water safely protecting camera system Debrief Log Dive – Complete Adventure Dive Training Record Name ________________________________________________ Date ________________ Knowledge Review – Diver Propulsion Vehicle To the student diver: Answer the following questions and bring this knowledge review to your next training session. 1. List two advantages of using a DPV. 1. You can cover significantly more area on a dive. 2. DPVs reduce exertion and air consumption. 2. What are five features common to all DPVs? 1. 2. 3. 4. 5. Thrust control/trigger mechanism Propeller and housing Handles Battery access Buoyancy characteristics 3.Explain why is it important to secure your DPV when traveling by boat? If the DPV slides or rolls, this could damage the unit, other equipment or cause injury. 4. What is a good guideline when using battery power or air supply to determine a turnaround point for a dive? The rule of thirds ‑ 1/3 air/power to reach your destination, 1/3 to return and 1/3 for reserve. 5. True or False. In extreme situations, you may need to abandon your DPV. True 6. True or False. When using a DPV, a diver should never exceed an ascent rate of 18 metres/60 feet per minute. True 7.List two suggestions/recommendations for avoiding propeller entanglements and obstructions. 1. Keep all buckles, lanyards, hoses and other equipment firmly secured and away from the propeller. 2. Be careful when maneuvering around areas with heavy aquatic vegetation. 8. True or False. Riding tandem while diving with a DPV is neither a common nor acceptable procedure. False 9. Explain the procedures entries from shore when using a DPV. Hold the vehicle in a way that the throttle control can not be accidentally engaged. Do not operate vehicle until you are in the water deep enough for it to tow you without obstruction from the bottom (usually about chest deep). Be sure to keep prop shroud completely below the surface of the water to prevent cavitation. 10. What are two things a diver can do to avoid damaging aquatic life while using a DPV? 1. Be aware of your fin position at all times when maneuvering around fragile aquatic life. 2. Avoid disturbing the bottom. Sand or silt not only decreases visibility, but can damage aquatic life and clog the propeller. Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I understand what I missed. Name __________________________________________________ Date _________________ Adventure Dive: Diver Propulsion Vehicle Skills Overview • DPV Preparation • Tandem Riding • Briefing • Parking • Equipment Preparation • Towing a DPV • Predive Safety Check (BWRAF) • Underwater Tour • Appropriate Entry with DPV • Appropriate Ascent with DPV • DPV Use at Surface • Appropriate Exit with DPV • Appropriate Descent with DPV • Post Dive Procedures • Riding Steady and Level • Debrief • Adjusting Depth • • Turning Log Dive – Complete Adventure Dive Training Record Name _________­­­______________________________________________________ Date ______________ Knowledge Review – Drift Dive To the student diver: Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1. List and explain four advantages and four considerations for drift diving. Advantages: 1. 2. 3. 4. Requires little effort Allows diving even when strong currents exist Can see more area Don’t have to return to a specific exit point 1. 2. 3. 4. Exit and entry must be coordinated Extra vigilance in maintaining buddy contact Coordination of surface support and supervision Must be done where there’s a long extensive bottom Considerations: 2. Explain why it’s recommended that you have some form of surface supervision for most forms of drift diving. Can lend assistance if necessary and if an emergency arises. 3. List seven considerations that should be part of planning a drift dive. 1. Surface conditions and current intensity 2. Depth and visibility 3. Dive objective 4. Number and size of dive teams 5. Diver experience levels 6. Bottom topography 7. Availability of surface support 4. Describe the difference between a buoyant and a negative drift diving entry, and explain when you would use each. Buoyant entry: Enter water with BCD partially inflated; used when problem solving must be done at the surface prior to entry. Negative entry: Enter water with BCD empty; used when dive must begin on a small site. 5. Explain the procedure for descending with a float so that a group stays together on a drift dive. Follow line down, using it as a visual guide. Maintain buddy contact, don’t drop straight down. If having trouble equalizing follow line up until problem is cleared, then follow it down. Swim around divers having trouble descending. 6. Describe several techniques used to stay with the group during the underwater tour portion of a drift dive. Stay up-current from group leader/line handler. Watch for his signals and if he stops, maintain position by swimming into current or holding on. 7. Describe how to ascend as a group and as individual buddy teams. Explain when buddy teams may ascend individually from a group drift dive. Group ascent: Ascent begins when first diver signals low on air or when planned bottom time is reached. Group makes normal ascent ahead of group leader/line handler. Make safety stop. Individual buddy team ascent: Make a normal ascent and safety stop. Individual ascents may be used when conditions are good and with experienced divers. 8. Describe the procedures for safely exiting the water onto a boat after a drift dive. Stay together with the group. Don’t swim toward boat until directed to do so by crew. Keep clear of boarding ladder until it’s your turn. 9.Explain how to avoid exhaustion in a current. Keep exertion below levels that induce heavy breathing. Underwater, stay at or near the bottom. Don’t fight the current. At surface inflate BCD and rest. 10. Define “being lost” in the context of drift diving, and how you might rejoin the group if you were “lost.” You’re lost when you can’t see the float line or the dive group – even if you’re with your buddy. Look for the group for no more than one minute before ascending. Look for group float and bubbles. Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I understand what I missed. Name ______________________________________________________________ Date _______________ Skills Overview • Knowledge Review • Briefing • Gearing Up • Predive Safety Check • Entry • Group Descent Adventure Dive: Drift • • • • • Drift Dive for Fun and Pleasure Ascent – Safety Stop Exit Debrief Log Dive – Complete Adventure Dive Training Record Name _________­­­______________________________________________________ Date ______________ Knowledge Review – Dry Suit Dive To the student diver: Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1.Explain why even mild hypothermia can be a problem for divers, and how to avoid it. It interferes with clear thinking, saps away strength and endurance. To avoid, always wear adequate thermal protection before, during and after a dive. 2. How do you check for proper weighting when diving in your dry suit? Wearing dry suit, undergarment and all regular equipment, you should float at eye-level while holding a normal breath with an empty BCD. When you exhale, you should sink. 3. Why is it important to not dive with an excessively tight neck seal? Can cause carotid sinus reflex, which results in changes in your heart rate and possible unconsciousness. 4. How do you attain positive buoyancy at the surface, attain and maintain neutral buoyancy underwater, and prevent dry suit squeeze when dry suit diving? At the surface, add air to BCD, not dry suit. Underwater, if you’re wearing a shell dry suit add air to the dry suit to adjust for neutral buoyancy. Underwater, if you are wearing a neoprene dry suit or if you are wearing a dry suit for tec diving, add air to your buoyancy compensator to adjust for neutral buoyancy. Add a little air to your dry suit on descent to prevent dry suit squeeze. 5. Describe how to add air to your dry suit while underwater. Short, light bursts of air. 6. How do you vent air from your dry suit while underwater? In a feet-down position, vent air through the exhaust valve regularly and gently. 7. What should you do if you become too buoyant due to excess air in your suit? Disconnect inflator valve hose (if it started the problem). Immediately dump air from exhaust valve or by pulling the neck or wrist seals open – flair body while dumping air to create drag. 8. How do you cope with too much air in your dry suit legs/feet? Rapidly tuck into a ball while rolling on to your back – dump air immediately if needed. 9. What should you remember about breathing if caught in a runaway or rapid ascent? Be sure not to hold your breath during the ascent 10.List what you should do if your dry suit floods. Terminate dive immediately. Use BCD to regain buoyancy – drop weights if necessary. Service your dry suit if necessary. Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I understand what I missed. Name ______________________________________________________________ Date _______________ Adventure Dive: Dry Suit Skills Overview • Knowledge Review • Briefing • Suiting Up • Predive Safety Check (BWRAF) • Entry • Controlled descent • Neutral Buoyancy – Fin Pivot • Neutral Buoyancy – Hover • Dry Suit Dive for Fun and Pleasure • Ascent – Safety Stop • Scuba Unit and Weight System Removal and Replace at Surface • Exit • Debrief • Log Dive – Complete Adventure Dive Training Record •Name _________­­­______________________________________________________ Date ______________ Knowledge Review – Enriched Air Dive 1. What is the primary purpose for using enriched air nitrox? To extend the no stop limits beyond the normal air no stop limits. 2. How does using enriched air well within air no decompression limits affect safety? It has no significant effect on safety, provided enriched air procedures are followed. 3. What five potential drawbacks does enriched air have that air does not? 1. Potential for oxygen toxicity. 2. Special equipment. 3. Availability. 4. Proper gas blending and handling. 5. Somewhat more complex dive planning. 4. What are the requirements and recommendations for scuba equipment (other than cylinders) used with enriched air with up to 40% oxygen? Regular scuba equipment may be used with any modifications specified by the manufacturer. Follow all manufacturer recommendations. Oxygen compatible lubricants and o-rings are generally recommended. Follow local laws and regulations. 5. Why does enriched air diving require a dedicated cylinder, and what color coding, stickers and tags should an enriched air cylinder have? • Dedicated cylinder is required to prevent confusion with air cylinders, and to ensure it is oxygen compatible if it will be used for partial pressure blending. • Yellow cylinders: 10 centimetre/4 inch green band with yellow/white “Enriched Air” or similar. • Nonyellow: 15 centimetre/6 inch band; yellow 2.5 centimetre/1 inch band at top and bottom, center 10 centimetre/6 inch green with yellow/white “Enriched Air”, or similar. • Dated annual visual inspection sticker for enriched air use. Contents sticker or tag. • Any markings required by local law. 6. What are the two primary concerns associated with filling enriched air cylinders, and how are they avoided? Two primary concerns: 1) fire/explosion hazard and 2) percentage of oxygen in the blend. To avoid concerns, always have an enriched air cylinder filled only by an enriched air blender, even if you want only air in it, and analyze your blend. 7. How do you recognize qualified enriched air blenders and enriched air service? Look for: 1) gas quality verification, 2) proper procedures, cylinder markings, analysis and record keeping and 3) documentation. 8. What are the maximum and contingency oxygen partial pressure limits? • Maximum oxygen partial pressure limit is 1.4 ata. • Contingency oxygen partial pressure limit is 1.6 ata. 9. What is the primary hazard of exceeding oxygen exposure limits, what six signs and symptoms may precede this hazard, and what should you do if you experience any of the signs and symptoms? • Primary hazard - a convulsion underwater caused by oxygen toxicity, leading to drowning and a fatal accident. • Warning signs for oxygen toxicity include: 1) visual disturbances, including tunnel vision; 2) ear ringing or other sounds; 3) nausea; 4) twitching or muscle spasms, especially in the face; 5) irritability, restlessness, euphoria or anxiety; and 6) dizziness. • If you experience symptoms, ascend immediately and end the dive. 10. Identify who must personally verify the analysis of the oxygen content in an enriched air cylinder before it is used, state the maximum allowable variation in oxygen content, and explain what must be done if the variation is greater. • Diver who will use the cylinder must personally verify the oxygen content. • Enriched air must be within 1% of the desired oxygen content. • If the blend is more than 1% off, the diver must either recalculate the EADs and oxygen exposure based on the actual oxygen percentage, or have the cylinder refilled with the desired blend. 11. What action should you take if a diver is suspected of having decompression illness after a dive using enriched air? Administer 100% oxygen and first aid as necessary. Activate local emergency medical services. Contact Divers Alert Network office that serves the area. Inform medical personnel that the diver used enriched air, and provide blend, depth and time. Adventure Dive: Enriched Air Skills Overview • • • • • • Knowledge Review Practical Application – analyze enriched air cylinder Complete contents sticker/tag and fill log Dive Planning – calculate maximum depth and time, and set dive computer Briefing Gear Up • • • • • • Predive Safety Check Entry Descent Dive within planned depth and time limits Ascent – Safety Stop Debrief • Log Dive – Complete Adventure Dive Training Record Name _________­­­______________________________________________________ Date ______________ Knowledge Review – Multilevel & Computer Dive To the student diver: Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1. Describe how no-decompression limits are determined. Through the actual results of manned dives. 2. Because people vary in their table computer or diving within its limits. physiology and susceptibility to decompression sickness, no can guarantee decompression sickness will never occur, even when 3. Describe how you should ascend when diving with any table or computer. Ascent should be no faster than 18 metres/60 feet per minute (slower if specified by computer or table) with a three minute safety stop at 5 metres/15 feet. 4. Why should a dive requiring a decompression stop be the last, and preferably only, dive of the day? Mathematical decompression models can’t adequately predict the combination of a repetitive dive with a decompression dive. 5. List eight rules that apply to computer diving. 1. Stay within the computer’s limits. 2. When multilevel diving – start deep, work shallower. 3. Control rate of ascent – 18 metres/60 feet or slower. 4. Make a safety stop at 5 metres/15 feet for three minutes. 5. Take a 60 minute surface interval between dives. 6. Limit repetitive dives to 30 metres/100 feet or shallower. 7. Watch air supply. 8. Beware of predisposing factors leading to decompression sickness – dive conservatively. 6. List the three pieces of dive equipment for any multilevel dive (in addition to the regular gear you need for the local environment). 1. The eRDPML 2. Depth gauge 3. Timer 7. List three potential hazards of multilevel diving. 1. Hypothermia 2. Running out of air 3. Disorientation 8. What are the two common mistakes to avoid while multilevel diving, with and without a computer? 1. Sharing a computer 2. Sawtooth diving 9. What three considerations do you include in planning a multilevel dive? 1. Topography 2. Air supply 3. Contingency plans 10. You can use the eRDPML to and repetitive dives. estimate the time your computer will allow on a first dive 11. Describe what to do if your computer fails during a dive. Immediately stop dive and make a normal ascent to 5 metres/15 feet. Make a safety stop for as long as your air supply permits. Do not dive again for 24 hours. Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I understand what I missed. Name ______________________________________________________________ Date _______________ Adventure Dive: Multilevel and Computer Skills Overview • • • • • • • • • • • Knowledge Review Briefing – Plan Dive with the eRDPML and (optional) Computer Gearing Up Predive Safety Check Entry Descent to Deepest Depth-Level Ascent to Second Depth-Level Ascent – Safety Stop Exit Debrief Log Dive – Complete Adventure Dive Training Record Knowledge Review – National Geographic Dive After reading the National Geographic Diver Almanac, please answer the following questions: 1. What unifies adventure, conservation, and exploration in diving? Education scientific and educational institutions that supports vital exploration, conservation, research, 2. The National Geographic Society is one of the world’s largest nonprofit and education programs. 3. The National Geographic Society’s current focus is guided by a keen awareness that our need protection planet’s future. natural resources and that better educating youngsters is key to the 4. The worldwide PADI organization is dedicated to: (choose all that apply) ■ a. quality diver education programs ■ b. preserving the aquatic environment ■ c. protecting our underwater cultural heritage ■ d. diver safety 5. Diving on a wreck provides an opportunity to: (choose all that apply) ■ a. delve into the past and learn about maritime history ■ b. explore an artificial aquatic life habitat ❑ c. collect ancient souvenirs and salvage sunken maritime history treasures ❑ d. safely swim into an overhead environment 6. As a diver, you can help protect the world’s coral reefs by: (choose all that apply) ■ a. Controlling your buoyancy and securing your equipment to avoid accidental contact ■ b. Using a camera to bring back memories and leaving everything else in place ■ c. Not purchasing souvenirs made from coral or any endangered species ■ d. Choosing resorts and tour operators that follow good environmental practices 7. What issues most affect the stability of marine mammal populations? Fishing and hunting practices, oil spills, plastic garbage, pollution, and noise pollution 8. True or False? Sharks are key predators that play a vital role in balancing the complex aquatic food chain and need to be protected. ■ True ❑ False 9.List at least four activities that divers enjoy at freshwater dive sites. 1. Artifact collecting 2. Visiting submerged structures or forests 3. Drifting down rivers 4. Ice diving 5. Aquatic life identification 10. In the future, underwater scientists hope to discover: (choose all that apply) ■ a. the origins of life – history and evolution ■ b. new medicines ■ c. new energy sources ■ d. how to more effectively conserve the aquatic world Adventure Dive: National Geographic Skills Overview • • • • • • • • • • • • • • Knowledge Review Weight System Assembly Briefing Suiting Up Predive Safety Check Entry Buoyancy Check Descent – Neutral Buoyancy Hover Exploration Project Ascent – Safety Stop Exit Debrief Log Dive – Complete Adventure Dive Training Record Name _________­­­__________________________________________________ Date ______________ Knowledge Review – Night Dive To the student diver: Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1. What’s the recommendation regarding the use of new or unfamiliar equipment on a night dive? When possible, avoid using unfamiliar equipment on night dives. 2.List three uses for marker lights and where you would attach them for those uses. 1. Marking buddy’s location - on tank valve, snorkel, etc. 2. Marking boats/buoys - on anchor line, swim step, etc. 3. Marking ascent/descent lines - float, mid-line, near bottom, etc. 3. Describe what to consider when evaluating a potential night dive site. Dive familiar sites; try to dive the site the day before the night dive. Night dive when conditions are good 4. What are the six environmental conditions you should avoid when night diving? 1. Moderate to high surf 2. Moderate to strong currents 3. Poor visibility 4. Thick kelp – or other entanglements 5. Heavy surge 6. Overhead environments 5. What are four general night diving planning considerations? 1. Prepare equipment ahead of time in daylight 2. Eat a proper meal a few hours before the dive 3. Dive with familiar buddies 4. Bring a nondiver friend 6. Briefly describe what you should do if you experience stress, light failure, buddy separation or disorientation while night diving. Stop, think and then act; breathe slow, deep and regular b. Light failure: Switch to backup light and signal your buddy a. Stress: Look for glow of buddy’s light; search for one minute, then surface d. Disorientation: Without a reference line, hold on to your buddy, hug self, watch your bubbles or look for the bottom in the visibility allows. c. Buddy separation: 7. Briefly describe the procedures for entering the water at night from a boat and from shore. Predive safety check: check lights and backups. From boat: check entry area, turn on light, enter water, signal “okay.” Clear entry area. From shore: check entry area with light, stay close to buddy, move quickly through surf, be cautious where you step. Swim when water is deep enough. 8. Describe the proper technique for descending and ascending at night so as to avoid disorientation and undue stress. Use a reference line for both descent and ascent. Descend feet-first pointing light downward to watch for bottom. During ascent, point light upward watching above, swim slowly (18 metres/60 feet per minute or slower). 9.List the methods of communication while night diving. Rapping on tank. Waving light or moving light in a predetermined pattern. Gently touch your buddy. Shining light on hand signals at waist level. Using a slate. Using a whistle on the surface. 10. Briefly describe the navigation techniques to use at night to avoid disorientation and loss of direction. Dive site during the day. Before descent, take a compass heading to shore or back to boat. Keep navigation patterns simple. Don’t stray far from entry/exit and reference line. Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I understand what I missed. Name _______________________________________________________________ Date ________________ Skills Overview • • • • • • • Adventure Dive: Night Knowledge Review Briefing Suiting Up Predive Safety Check (BWRAF) Entry Descent Acclimatization on the Bottom • • • • • • Navigation Exercise Guided Tour (time/air pressure permitting) Ascent – Safety Stop Exit Debrief Log Dive – Complete Adventure Dive Training Record Name _________­­­______________________________________________________ Date ______________ Knowledge Review – Peak Performance Buoyancy To the student diver: Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1. Using the Basic Weighting Guidelines, estimate the amount of weight (based on your present body weight), you want to begin a buoyancy check with if you plan to use: a.Neoprene dry suit, 12 l/80 cf cylinder in salt water: (Varies) b. 7mm/1/4in wetsuit with hood and boots, 12 l/80 cf cylinder in fresh water: c. 3mm/1/16in one piece wet suit, steel tank in salt water: (Varies) (Varies) 2. Under what three circumstances should you conduct a buoyancy check before diving? 1. When I change dive equipment 2 When I change diving environments 3. When I haven’t been diving for a while 3. A buoyancy check at the surface includes five steps. Arrange the following into order by putting a 1 next to the first, a 2 next to the second and so on. 5 As a test, exhale. You should sink slowly. 3 Hang vertical and motionless while holding a normal breath. 1 Put on all equipment. 2Enter water too deep to stand, and deflate your BCD (and dry suit) completely. 4 Add or subtract weight until you float at eye level while holding a normal breath. 4.Select those instances in which you need to adjust buoyancy during a dive. ■ To compensate for buoyancy changes as you use your air. ■ To compensate for buoyancy changes due to exposure suit compression. ❑ To begin an ascent. ■ To compensate for increased buoyancy during ascent. 5. When you’re neutrally buoyant, you exhale. rise slightly as you inhale and 6. Proper weight and distribution give you greater control 7.List four reasons for being streamlined while diving. 1. Encourages an efficient kicking style sink in the water. slightly as you 2. Provides comfort 3. Reduces energy needed to move 4. Keeps equipment off the bottom 8. True or False. Overweighting drags down the lower half of your body, so you want to avoid being overweighted. True 9. To improve your buoyancy control, visualization techniques can help you: (Check all that apply.) ■ relax. ■ establish a comfortable breathing pattern. ■ move more gracefully through the water. Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I understand what I missed. Name ______________________________________________________________ Date _______________ Adventure Dive: Peak Performance Buoyancy Skills Overview • • • • • • • • • • • • • • • • • • Knowledge Review Briefing Assembly of weight system Visualization practice Gearing Up Predive Safety Check Entry Predive buoyancy check Neutral buoyancy during slow descent Hovering practice Fine-tune with breath control Maneuver close to bottom – no touching Buoyancy game Ascent – safety stop Post-dive buoyancy check Exit Debrief Log Dive – Complete Adventure Dive Training Record Name _________­­­______________________________________________________ Date ______________ Knowledge Review – Search & Recovery Dive To the student diver: Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1. Describe a recreational search and recovery diver. Recreational search and recovery divers use simple equipment to find small to medium objects within recreational depths and environments. 2.List the six potential hazards of search and recovery diving. 1. Sharp objects and debris 2. Entanglement 3. Low visibility 4. Currents 5. Sinking recovered objects 6. Boat traffic 3.List the five general steps in planning a search and recovery dive. 1. 2. 3. 4. 5. Define objective Collect and analyze information Choose scuba or snorkel Select a buddy or team Briefing 4. Briefly describe when to use an expanded square and a U search pattern. Expanded Square: Well-suited for finding medium-sized objects missing in rough terrain in calm water. “U” Search: Well-suited for finding small or larger objects primarily in calm water over flat, unobstructed bottoms. 5. Briefly describe when to use and how to execute a circular rope search. Useful for finding a small object in a small area, over a flat bottom (even currents). One buddy stays in center, acts as pivot. Searcher has other end of rope and swims circle around pivot looking for object. 6.Explain why you should never use your BCD for lifting objects. Excess buoyancy could cause a runaway ascent if object is dropped or breaks free. 7. Identify the weight at which use of a lift bag become mandatory. 4 kilograms/10 pounds 8.List three reasons why commercially-made lift bags should be used for recovering underwater objects. 1. Constructed from heavy-duty materials 2. Have exhaust valves 3. Have loops, slings for rigging 9.Explain the procedures for controlling, rigging and lifting an object while using a lift bag. Rig the bag to the object using a bowline, sheet bend or two halfhitches knot. Attach marker buoy. Use alternate air source to fill lift bag – use just enough air to lift off bottom for neutral buoyancy. Position self away from bag – not under it during ascent. 10. Identify which air source should you use to filling a lift bag? Alternate air source Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I understand what I missed. Name ______________________________________________________________ Date _______________ Adventure Dive: Search and Recovery Skills Overview • Knowledge Review • Small Area Search • Briefing • Large Area Search • Practice Search Patterns on Land • • Practice Object Rigging on Land Rigging and Lifting an Object – Ascent and Safety Stop • Suiting Up • Exit • Predive Safety Check (BWRAF) • Debrief • Entry • • Descent Log Dive – Complete Adventure Dive Training Record Name _________­­­______________________________________________________ Date ______________ Knowledge Review – Underwater Naturalist To the student diver: Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1. Define the terms “ecology” and “ecosystem.” Ecology: Study of the interrelationship of living things and their environment. Ecosystem: The complex of living things and their environment functioning as a unit. 2.List three physical/structural differences between aquatic ecosystems and terrestrial ecosystems. (Answers vary) 3. What’s the most common cause of aquatic animal “attacks”? Defensive reactions 4. Describe an accurate view of potentially dangerous aquatic animals. Animals rarely attack unprovoked. They do not attack out of malice. Because we are vulnerable in the water, aquatic animal attacks seem worse than they are. (answers may vary) 5.List four inaccurate ways people may perceive aquatic animals. 1. As dangerous and harmful 2. As harmless – much like domestic animals 3. As nonliving, inanimate objects 4. As having human characteristics 6.Explain how to interact passively with aquatic organisms. Actions having least effect on aquatic life. Avoid touching and handling, riding, spearfishing, gathering and feeding aquatic life. Secure dangling equipment and use good diving techniques. 7. Explain how and when you can responsibly touch or handle aquatic organisms. May be done by those experienced with a particular organism. Action should not interrupt its natural behavior. 8. Explain why you shouldn’t ride aquatic animals. There are no circumstances in which it benefits the animal. 9. Why should divers avoid feeding aquatic animals? Feeding aquatic animals disrupts normal behaviors. It causes them to associate humans with food, and they may stop feeding on natural prey. It can cause the fed species to overpopulate, and to lose their natural fears. Animals can get sick from eating unnatural foods, or suffer internal blockages by eating plastic containers. 10. Describe the dive techniques to use to preserve bottom dwelling organisms and to minimize disturbing all aquatic life. Stay neutrally buoyant – off the bottom in a horizontal position. Minimize fin movement – use them gently. Rise off bottom to kick hard. Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I understand what I missed. Name ______________________________________________________________ Date _______________ Adventure Dive: Underwater Naturalist Skills Overview • Knowledge Review • Briefing • Gearing Up • Predive Safety Check • Entry • Descent • Identification of Aquatic Plant Life • Identification and Observation of Aquatic Invertebrate Animals • Identification and Observation of Aquatic Vertebrate Animals • Ascent – Safety Stop • Exit • Debrief • Log Dive – Complete Adventure Dive Training Record Name _________­­­______________________________________________________ Date ______________ Knowledge Review – Underwater Navigation To the student diver: Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1.List five benefits of learning to navigate underwater. 1. 2. 3. 4. 5. Reduce confusion and anxiety. Avoid long surface swims at the end of a dive. Increase effectiveness of planning a dive. Avoid buddy separation. Conserve air. 2. Describe how to estimate distance with kick cycles and with elapsed time. Kick cycles: Each time both your legs complete one fin stroke. Elapsed time: Measure how long it takes to cover a fixed distance. Swim at a normal relaxed pace preferably timing with a digital or sweep second hand stopwatch. 3.List four predive observations that can assist you with natural navigation. 1. 2. 3. 4. Waves, currents and tidal movement Sun angle Offshore objects and formations Fathometer readings 4. Describe how to descend so as to benefit natural navigation. Feet-first; facing the direction you intend to travel 5. What six natural references can help you navigate during a dive? 1. Light and shadows 2. Water movement 3. Bottom composition and formations 4. Bottom contour 5. Plants and animals 6. Noise 6. To maintain an accurate heading, describe how to hold and swim with an underwater compass. Hold compass squarely in front. Keep lubberline centered with body’s centerline, looking over the compass face. Keep compass level and needle inside the index marks on the bezel. 7. Describe how to set a compass heading and how to set a reciprocal heading. a.Setting a heading: Point lubberline in desired direction of travel, rotate bezel until index marks are set over compass needle. b.Setting a reciprocal (return) heading: First turn bezel so that the index marks are 180 degrees from original heading. Next, turn your body so the compass needle centers between index marks. 8.List several tips for using your compass. Trust the compass. Use natural references. Practice on land. Allow for effects of currents. Be prepared to navigate around obstacles. Share responsibilities midwater. Understand the limits. Swim slowly. Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I understand what I missed. Name _________________________________________________________ Date ______________ Adventure Dive: Underwater Navigation Skills Overview • Knowledge Review • Compass Use on Land • Briefing • Suiting Up • Predive Safety Check (BWRAF) • Entry • Descent • Distance/Time-Estimation Swim • Navigate a Straight Line Underwater Using Natural Navigation Techniques • Navigate a Straight Line and its Reciprocal Underwater Using a Compass • Navigate a Square Pattern Underwater Using a Compass • Ascent – Safety Stop • Exit • Debrief • Log Dive – Complete Adventure Dive Training Record Name _________­­­__________________________________________________ Date ______________ Knowledge Review – Underwater Photography To the student diver: Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1.List six ways to overcome light loss and four ways to overcome color loss underwater: Light loss: 1. Take pictures with sun overhead 2. Take pictures in clear, bright water 3. Use a strobe 4. Use high-speed film 5. Take pictures in shallow water 6. Get close to subject Color loss: 1. 2. 3. 4. Get close Stay shallow Use a color-correcting filter Use a strobe 2. Define “depth of field” and explain the relationship between aperture and depth of field. How much of the scene, from front to back, is in focus. The smaller the aperture (high f/number) the greater the depth of field. 3. Write three equivalent exposures for the two examples provided. f/16 at 1/60 = f/11 at 1/125 = f/8 at 1/250 = f/5.6 at 1/500 f/5.6 at 1/60 = f/4 at 1/125 = f/2.8 at 1/250 f/8 at 1/30 = 4. Describe how to set a nonautomatic light meter and how to program the electronics of an automatic camera for proper exposures. Set film ISO number, set desired shutter speed and match meter needle by turning f/stop. Automatic: Change ISO settings or use provided controls. Nonautomatic: 5.Explain how to bracket exposure with nonautomatic and automatic cameras. Vary shutter speeds or f/stops or strobe distance. Change ISO settings or use provided controls. Nonautomatic: Automatic: 6. Describe the differences between a TTL strobe and a manual strobe, and explain how to set a camera for proper exposure with each. TTL strobe couples with camera’s electronic automatic exposure device. Manual strobes have no automation. Set camera on “A” to get proper exposure with a TTL strobe. Manual strobe requires camera set at synchronization speed (1/60 or 1/90) and f/stop set by test roll data or exposure guide. 7. Describe the best way to aim a strobe, and how to hold a camera to avoid blurring and parallax error. Aim strobe on bracket (for new photographers). Positioned off to side from 45 degree angle. Steady camera with both hands, squeeze trigger slowly and steadily. 8. Define “photographic composition” and describe basic principles for better composition. The arrangement of objects in a photograph. Image completeness, clear foreground, clear background, subject direction, subject position and complimentary colors are basic principles. 9. Describe the recommended five-step procedure for removing, inspecting, cleaning, lubricating and replacing an O-ring. Remove O-ring – without sharp objects. Wipe clean – using soft cloth and inspect. Lubricate O-ring – thin coat. Clean groove. Reseat O-ring carefully. 10. The most important step in caring for underwater photo equipment is to fresh water rinse it in cool immediately after a dive. Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I understand what I missed. Name ______________________________________________________________ Date _______________ Adventure Dive: Underwater Photography Skills Overview • Knowledge Review • Expose a Complete Roll of Film (macro or still-life photos) • Briefing • Ascent – Safety Stop • Prepare and Assemble Underwater Camera System • Exit • Debrief • Gearing Up • • Predive Safety Check Post-Dive Care and Disassemble Underwater Camera System • Entry • Log Dive – Complete Adventure Dive Training Record • Descent Name _________­­­______________________________________________________ Date ______________ Knowledge Review – Underwater Videography To the student diver: Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1.Explain why the combination of a wide angle lens and dome port gives you the best sharpness, color and focus. Dome allows wide lens to stay wide, you get close and reduce amount of water light travels through preserving sharpness and color. Wide lenses have great depth of focus, so you don’t need to focus it much or at all. 2. What is the best general angle for all-round underwater videography? Get close to and slightly below your subject, shooting with an upward angle. 3.List four common errors to avoid while shooting underwater videos: 1. Failing to hold the shot. 2. Holding a shot too long. 3. Moving the camera rapidly. 4. Shotgun videotaping everything without thought. 4. Describe how to prepare and check an underwater video system. [The answer will be specific to the system to some degree, but should include maintaining O-rings and settings for focus, exposure and filters.] Check by operating all functions and immersing and watching for bubbles or moisture in the housing. 5. Describe post-dive care for an underwater video system. Immediately immerse the system in fresh water, agitating gently for 30 seconds to 1 minute. If making another dive, change the battery and tape if needed, and maintain O-rings. If not, disassemble and store in a cool, safe place. 6.Explain how to enter/exit the water with a video system. From boats, have someone hand you the system after you enter, or suspend if from a line to retrieve after you enter. You can also put it on the swim step. After the dive, hand the system up, put on the line for retrieval after you’re aboard, or put on the swim step. From shore, use a wrist lanyard and cover the lens port. Do not set the system down in the sand. If conditions are bad, don’t take the system diving. 7.Explain how video systems may affect buoyancy, drag and air consumption. They may make you more buoyant or less buoyant, and they add drag. This can make you use your air faster as you swim around with the system. 8. How often should you check your gauges when shooting underwater videos? You should check your air, depth, time and direction about twice as often when diving with a video system as when diving without one. 9. What should you do with a video system in a diving emergency, such as having to assist a buddy who’s out of air? In an emergency, ditch the video system. 10.Explain what to do if a video system has a major flood, and why. Make a normal ascent. There is no urgency because a flooded camcorder is usually beyond repair. Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I understand what I missed. Name ______________________________________________________________ Date _______________ Adventure Dive: Underwater Videographer Skills Overview • • • • • • • Video system preparation Briefing Gearing Up Predive Safety Check Entry – retrieve video system Descent Shooting with video system (assigned or student-selected subjects; all students • should practice each of the following) • • standing • • sitting • • kneeling • • lying • • swimming • holding steady – at all times • • staying close to subjects, using upward angle • holding takes five to twelve seconds, depending on subject – all shots • camera motion very slow and steady all camera moves • checking depth, time, air supply and location frequently – throughout dive • maintaining proper buoyancy – throughout dive Ascent Safety stop Exit Post dive procedures Video system disassembly Debriefing and review video Log Dive – Complete Adventure Dive Training Record Name _________­­­______________________________________________________ Date ______________ Knowledge Review – Wreck Dive To the student diver: Answer the following questions and bring this completed Knowledge Review with you to your next training session. 1.List two reasons why artifact recovery is discouraged when wreck diving. 1. Wrecks that are stripped are much less interesting. 2. Historical wrecks must be left undisturbed for research purposes. 2.Explain why divers must pay close attention to local laws before planning a wreck dive. A permit may be required and it may be illegal to either dive on the wreck or remove artifacts. 3. Describe how to avoid the following potential hazards common to wrecks: Sharp objects: Wear protective coverings and use good buoyancy control. Entanglement: Watch where you go, avoid swimming into or under potential entanglement, carry a knife 4.List five dive planning and equipment considerations for wreck diving deeper than 18 metres/60 feet. 1. 2. 3. 4. 5. PADI Deep Diver training Extra tank at 5 metres/15 feet Nitrogen narcosis Short time limits Become trained as a PADI Enriched Air Diver 5.List two reasons for obtaining a local orientation to an unfamiliar wreck before diving on it. 1. Dive techniques vary on wrecks 2. Unique hazards or points of interest 6.Explain why special training and equipment are necessary for shipwreck penetration. In your explanation, include the five hazards of entering a wreck. Special training is necessary because it is extremely hazardous. You can lose direction, there’s no direct access to surface, restricted passages, falling objects and silt. 7.List three aspects of a wreck that should be evaluated when diving on it. 1. Possible hazards 2. Points of interest 3. General condition 8. Describe the three methods of navigating on a shipwreck. 1. Following the wreck’s layout 2. Feature reference 3. Using a base line Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I understand what I missed. Name ______________________________________________________________ Date _______________ Adventure Dive: Wreck Skills Overview • Knowledge Review • Briefing • Suiting Up • Predive Safety Check (BWRAF) • Entry • Descent • Navigating the Wreck • Returning to Ascent Point • Ascent – Safety Stop • Exit • Debrief • Log Dive – Complete Adventure Dive Training Record Rescue Diver Course Knowledge Review Answer Keys Rexcue Diver Course Knowledge Review Answer Keys © PADI 2009 Published by PROFESSIONAL ASSOCIATION OF DIVING INSTRUCTORS 30151 Tomas Rancho Santa Margarita, CA 92688 USA Printed in U.S.A. PADI Rescue Diver Course Knowledge Review Chapter One – ANSWER KEY 1. What is the most common cause of diver emergencies? Poor judgment. 2. List three things to consider before attempting an inwater rescue. 1. Do you need to enter the water at all? 2. Do you have the equipment and training necessary for your safety and the victim’s safety? 3. Can you reasonably expect to accomplish the rescue without getting into trouble yourself? 3. What is diver stress? Explain what effects stress can produce in a diver and how perceptual narrowing relates to these effects. Stress is defined as a physical or mental tension that results in physical, chemical and/or emotional (psychological) changes in the body. A degree of stress causes biological changes that temporarily make you stronger, think faster and more pain tolerant. Extreme stress can cause you to flee when confronted by something frightening or overwhelm you emotionally so that you can not handle the situation rationally. As stress increases, a diver may experience perceptual narrowing – a decrease in broad awareness. Perceptual narrowing may reduce the ability to look for the real problem or alternate solutions, or to perceive other problems arising. 4. What are four advantages of a pocket mask? 1. It simplifies getting an effective seal and head positioning. 2. It reduces worries about disease transmission. 3. It is one of the most effective ways to provide inwater rescue breathing for a nonbreathing diver. 4. You can connect a pocket mask to emergency oxygen to provide oxygenated air with your rescue breaths. 5. What are two types of emergency oxygen systems recommended for PADI Rescue Divers? How do these systems differ? Nonresuscitator demand valve units and continuous flow units. Nonresuscitator demand valve unit. Oxygen flows only when the diver inhales Minimizes oxygen waste Can deliver nearly 100% oxygen Used with a breathing diver Continuous flow unit. Releases oxygen continuously More wasteful of oxygen Can deliver more than 90% oxygen Used with a diver who has difficulty breathing 6. What are six basic steps for emergency management? 1. Assess the situation 4. Attend to injuries 2. Act on your plan 5. Control the scene 3. Delegate 6. Arrange evacuation to medical care 7. What five skills increase your self rescue abilities? What should you do when you encounter a problem while diving? 1. Good buoyancy control 4. Handling air depletion 2. Proper airway control 5. Responding to vertigo 3. Cramp removal Stop. Breathe. Think. Act. 8. What are the signs and behaviors that indicate a diver may have a problem at the surface? Compare and contrast the characteristics of tired divers versus panicked divers. Distress signals Rejecting equipment Struggling on or just below the surface Clinging or clambering High treading or excessive kicking Not moving Tired Diver Adequately manages stress Asks for help and respond to directions Doesn’t reject their equipment Usually assists with your efforts Often recovers quickly Panicked Diver Overwhelmed by stress and fear Abandons rational responses Reacts through instinct and fear Tends to reject their equipment Fails to establish buoyancy and swims vigorously until exhausted Eyes tend to be wide and unseeing due to perceptual narrowing Does not respond to commands or questions Can do little to help themselves 9. Why does the rescuer’s safety take priority over the distressed diver’s safety? With that in mind, what four types of rescues should you consider before an inwater rescue? You can’t help a victim if you’re in trouble. If you become a victim, it divides the remaining rescue resources between you and the original victim. 1. Reaching assists 2. Extension assists 3. Throwing assists 4. Wadding assists 10. Describe the steps for inwater rescues of responsive divers at the surface. Explain how to make contact with a panicked diver at the surface. Responsive Diver Approach – keep your eyes on the victim and pace your swim. Evaluate – stop out of reach and assess whether the diver is rational or panicked. Note BCD inflator location and ask the diver to inflate the BCD or drop weights. Make Contact – establish ample buoyancy, approach from the front and assist the diver in establishing buoyancy. Reassure the Diver – make eye contact, talk directly to the victim and help the diver to relax. Assist and Transport – assist the diver to the boat or shore and allow them to self assist as much as possible. Panicked Diver Approach – keep your eyes on the victim and pace your swim. Evaluate – stop out of reach and assess whether the diver is rational or panicked. Note BCD inflator location and ask the diver to inflate the BCD or drop weights. Make Contact – make a surface or underwater approach. Gain control of the situation and assist the diver in establishing buoyancy by inflating the BCD or dropping weights. Reassure and Transport – reassure the diver while assisting them back to the boat or shore. Student Diver statement: I’ve reviewed the questions and answers, and any I answered incorrectly or incompletely, I now understand what I missed. Signature _____________________________________________ Date ______________ PADI Rescue Diver Course Knowledge Review Chapter Two – ANSWER KEY 1. Explain two steps to apply to recognize stress in a diver and what you should do when you recognize it. • Direct Observation – look for behavioral changes. • Ask the diver about what you’ve observed. Do not pressure the diver - ask about your concerns privately in an open, caring and nonjudgmental manner. Break the cycle that leads to anxiety and potentially, panic or other problems. Encourage solution thinking. 2. What three points does the dive community generally agree upon regarding alternate air sources? 1. The second stage the out-of-air diver should use should be clearly identified. 2. It should not be allowed to dangle. 3. It should be secured in the triangle formed by your chin and the corners of your rib cage. 3. What are six general causes of equipment-related problems? 1. Using unfamiliar equipment. 2. Using equipment that doesn’t fit properly. 3. Using makeshift or obsolete equipment. 4. Not using equipment essential for the dive environment. 5. Using modified equipment. 6. Using equipment that is not properly maintained or inspected. 4. What are the six types of releases commonly found in scuba systems? What is at least one problem each may have? 1. Release Quick release buckle. Problem The buckle not holding. 2. Release Quick disconnect fastener. Problem They may become less reliable with wear or pull free under strain. 3. Release Touch fastener. Problem They may wear out. They can become clogged with sand and lint, making them less reliable. 4. Release Tank band release. Problem The release is not threaded or adjusted properly. 5. Release Inflator quick disconnect. Problem Failure to connect it or not connecting it properly. 6. Release Integrated weight releases. Problem Unfamiliarity with their use. 5. What are three forms of aquatic life injuries? 1. Bites 2. Cuts, abrasions or punctures 3. Stings 6. What is the common treatment for aquatic life injuries? Begin with primary assessment. Remove spines or stingers with forceps or other tools, or by irrigating the wound. Soak the affected area with hot water for 30 to 90 minutes. If injury occurred to a limb, keep the limb below heart level. Treat the patient for shock. Maintain the ABCD’S and get the patient to emergency medical care as soon as possible. 7. What is the basic first aid for jellyfish stings? Remove tentacles or stingers with forceps or other tools, or by irrigating the wound with seawater and 5% solution of acetic acid. If possible, shave the affected area. Resoak the area with acetic acid or ammonia solution. Clean the wound with soap and apply an antihistamine or mild corticosteroid ointment. Ice packs may also help to reduce pain. Follow local protocol and get emergency care, if appropriate, as soon as possible 8. Describe the techniques and considerations for responding to a responsive diver at the surface from a distance, including the use of emergency flotation. The equipment you take will depend on the circumstances. In most cases, you’ll need your mask, fins, snorkel and some form of flotation. Enter the water as close to the distressed diver as possible. Don’t lose sight of the victim. Swim with your head up and eyes on the victim. Pace yourself to conserve energy to handle the rescue. Stop out of reach to evaluate the victim’s mental state. Note BCD inflator location and ask the diver to inflate the BCD or drop weights. Establish ample personal buoyancy but be ready for a quick reverse, if necessary. Use emergency flotation devices to provide immediate buoyancy and to avoid contact with a potentially panicked diver. Put it between you and the victim as you approach. It may be easier to tow the diver to safety using a flotation device than by towing the diver directly. 9. What are the general criteria for tows used for transporting a distressed diver in the water? The diver’s face is kept out of the water. Drag is minimized, letting you and the tired diver move through the water horizontally. You must be able to maintain control. Your swimming should not be restricted. The tow allows you to communicate with the tired diver. 10. What three concerns do you need to handle with a responsive diver once you get on the boat or shore? 1. Assess the diver for injuries or illnesses 2. If you find a serious medical condition contact EMS 3. Be sensitive to the diver’s feelings Student Diver statement: I’ve reviewed the questions and answers, and any I answered incorrectly or incompletely, I now understand what I missed. Signature _____________________________________________ Date ______________ PADI Rescue Diver Course Knowledge Review Chapter Three – ANSWER KEY 1. What is an emergency action plan? What five areas of information should it include? An emergency action plan is the information you will need in the event of a dive accident at a particular dive site. 1. 2. 3. 4. The sequence of steps to follow that may be affected by the local environment. A list of local emergency phone numbers. A script for what to say when calling emergency services. The procedures for responding to, moving and transporting an injured diver out of the area to within reach of emergency medical care. 5. Procedures for completing any required accident and incident reports. 2. What is meant by “Basic Life Support”? What types of dive accidents can require BLS? BLS includes monitoring and enacting emergency procedures for patient respiratory and /or cardiovascular system failure. Dive accidents involving drowning, decompression sickness and lung overexpansion injuries can cause respiratory and/or cardiac arrest. Heavy exposure suits in hot weather can cause heat stroke and heat exhaustion. Prolonged exposure to cold can cause hypothermia. Exertion beyond physical limits can cause heart attack or stroke. 3. Explain how time affects BLS? Without oxygen, brain damage can occur in four to six minutes. After six minutes brain damage is likely and after 10 minutes it is almost certain. 4. What are the steps, in order of priority, for conducting a primary assessment? How can diving circumstances affect each step? 1. Assess the situation – water can conceal potential dangers 2. Establish responsiveness – turn the diver face up in the water 3. Upon discovering unresponsiveness or other serious medical emergency, call for help as soon as possible – when diving, you may not be able to contact help easily. 4. Establish an airway if the diver is unresponsive – protect the victim’s airway from water. 5. Check for breathing – use techniques for doing so in the water. 6. Check for circulation – it’s difficult or impossible to detect a heartbeat in the water, so don’t waste time trying to do so. 7. Check for bleeding – it may be difficult or impossible to use pressure points through an exposure suit. 8. Manage shock – get the diver out of the water 5. What is the procedure for treating shock, and how may dive accident circumstances affect it? Once out of the water, begin with primary assessment and monitor the patient’s ABCD’S until a medical professional takes over. Maintain the patient’s body temperature. This may mean removing a wet exposure suit – cutting it away if necessary with a weak patient. It can also mean protecting the patient from heat, by providing shade and removing a hot exposure suit. 6. What are the differences between heat exhaustion and heat stroke, and how should you handle each? Heat Exhaustion Heat Stroke Body’s ability to cool becomes taxed. More serious condition. Rising temperatures exceed the body’s cooling mechanisms. Signs and symptoms include profuse sweating, nausea, dizziness weakness and faintness. Core temperature rises and may result in tissue damage and permanent disability. Body temperature will be near normal with cool clammy skin. Symptoms include hot, dry flushed skin. Patient is hot to the touch and does not perspire. Treatment – begin with primary assessment and move patient to a cool, shaded area. Remove wetsuit and have the patient drink water. Treatment – begin with primary assessment. Get the patient into a cool area, remove exposure suit and immerse the patient in cool water or apply cool wet towels. 7. What are the seven signs and symptoms of hypothermia? 1. Shivering 4. Loss of coordination 2. Numbness 5. Weakness and confusion 3. Blueness in the fingers, lips 6. Body systems fail and toes 7. Loss of consciousness 8. Explain what to do to help a diver with the following underwater problems: Overexertion – have the diver stop and rest. Encourage the diver to relax and resume breathing normally. Uncontrolled descent – you can often stop an uncontrolled descent by signaling to the diver to add air to the BCD and level off. If this doesn’t work, make contact with the diver to arrest the descent. If the diver has extreme negative buoyancy, you may need to drop the diver’s weights. Excessive buoyancy – escort an underweighted diver to the surface and get the right amount of weight. If you are close to someone as a runaway ascent begins, you need to make contact and correct the problem quickly. Use the quick dump on the diver’s BCD, and reduce your own buoyancy by dumping your BCD. Cramps – before helping the diver stretch and massage a cramp, point to the muscle you suspect has a cramp and confirm with the “cramp” signal. After relieving, encourage a slower pace and stay close, just in case the diver needs a tow back to the boat or shore. Entanglement – your first priority when dealing with entanglement is to have the victim hold still. Signal “stop,” and get the victim to hold still while you disentangle him. Entrapment – your first concern will be ensuring adequate air supply while working to free the diver. If you believe you won’t be able to free the victim before you run out of air, it may be best to ascend and get more while you still have ample time. If you decide to do this, mark the site in anyway you can so you can return easily with additional tanks. You may also consider leaving your scuba unit with the victim and making an assisted or emergency ascent. Passive panic – approach the diver from the front and signal, “Okay?” If you get no response, go behind the diver and, holding the regulator in place, take the diver to the surface. Once you reach the surface, establish buoyancy for the victim and yourself, and help the victim out of the water. Active panic – you probably can’t stop a panicked diver from ascending, but you don’t need to. You need to prevent a rapid breath-held ascent. If the victim has the regulator in the mouth, simply hanging on and flaring out will usually suffice to control the ascent rate. If the victim is breath holding, delay is your best bet at getting the diver to resume breathing before ascending too far. If the diver has dropped the regulator, slow the ascent as much as possible while providing your alternate air source. 9. List the steps you should take if you discover a diver is missing. 1. Have someone call for emergency help while you find out where the missing diver was last seen. 2. Assign spotters to look in that area for bubbles and to direct rescuers to that area. 3. Try to determine if the missing diver may have left without telling anyone. 4. Immediately assign qualified divers to don scuba equipment and head to the area where the diver was last seen to begin an underwater search. 5. If immediately available, send two or more skin divers to mark the search area with buoys. 10. What considerations should you take into account when implementing a search for a missing diver? 1. Have a way to recall searchers when someone finds the victim. 2. Permit searches in buddy teams only. 3. Begin searches where someone last saw the diver. 4. If you don’t have qualified divers present for the searches, you may need to choose a buddy and begin the search yourself. 5. Search for 30 minutes, until you find the victim, until you reach the safe limit of air supply, no decompression time or exposure for searchers, or until relieved by professionals. 6. If unsuccessful, turn the search over to professionals. Student Diver statement: I’ve reviewed the questions and answers, and any I answered incorrectly or incompletely, I now understand what I missed. Signature _____________________________________________ Date ______________ PADI Rescue Diver Course Knowledge Review Chapter Four – ANSWER KEY 1. Explain what critical incident stress is, its signs and symptoms, and what you should do to reduce it. The acute stress caused by an emergency involving a serious injury or death. Signs & symptoms include: confusion, lowered attention span; restlessness, denial, guilt or depression, anger, anxiety, unusual behavior, changes in interactions with others, increased or decreased eating, uncharacteristic excessive humor or silence, sleeplessness or nightmares. Requires professional help to prevent post-traumatic stress disorder. 2. Explain what decompression illness is. Term which combines both lung overexpansion injuries and decompression sickness. 3. What’s the most common cause of lung overexpansion injuries? How do you prevent it? Running out of air, panic and rushing to the surface without exhaling. Check your air often remember your training if you do run out of air and never hold your breath. 4. Explain the differences between air embolism, pneumothorax, subcutaneous emphysema and mediastinal emphysema. Air embolism: expanding air is forced into blood vessels in the lungs and enters the blood stream where they collect and block blood flow. Pneumothorax: total or partial collapsed lung. Subcutaneous emphysema: expanding air from torn lung accumulates under the skin around the neck and collar bone. Mediastinal emphysema: expanding air from torn lung lodges in the chest cavity between the lungs. 5. Describe the first aid steps to take for a diver with suspect decompression illness. Begin with primary assessment, if patient is unresponsive maintain the ABCD’S, provide rescue breathing and CPR if necessary. Encourage responsive patient to lie down and relax. Ask the patient or their buddy (if unconscious) questions about the incident and make notes on the PADI Diving Accident Management Work Slate. Give breathing patient 100% oxygen and maintain the patient’s lifeline. Protect the patient from excess heat or cold and arrange for emergency evacuation and medical care. Keep the patient comfortable, lying down and breathing oxygen or enriched air with the highest O2 content available until medical help arrives or patient gets to a medical facility. 6. What is the primary first aid for a serious near drowning accident? Immediate rescue breathing, with CPR if the patient has no heartbeat. Be alert for vomiting. Be prepared to turn the patient and keep the airway clear. Give breathing patient emergency oxygen, keep lying down and treat for shock. Contact local EMS. Patient should always go to hospital as soon as possible. 7. Imagine you’re rescuing an unresponsive diver at the surface. You find the diver isn’t breathing. What would you do if you’re more than an estimated five minute swim from safety? What would you do if you’re less than an estimated five minute swim from safety? More than 5 minutes: give rescue breaths for one more minute while checking for signs of movement or other responses to ventilations. If signs of response are present continue providing rescue breaths while towing to safety. No signs of response, discontinue rescue breaths, tow victim to safety as quickly as possible, exit water and perform CPR and rescue breathing as appropriate. Less the 5 minutes: tow the diver to safety while continuing rescue breaths. Begin CPR if necessary and continue with the ABCD’S. 8. Why do you give rescue breaths to an unresponsive diver with no apparent heartbeat? Describe how you would give rescue breaths using mouth-to-pocket mask. Even if you cannot detect a heartbeat one may be present. If you correct respiratory arrest quickly with rescue breaths, cardiac arrest may not occur. The survival rate for respiratory arrest is much higher than survival for full cardiac arrest. Mouth-to-Pocket Mask: approach victim, retrieve pocket mask and prepare for use. Move above the victim and place the mask on his face, thumbs on the mask and fingers on the bony part of the jaw. Secure the mask strap and administer the two initial breaths. Leave the mask on while you look, listen and feel for breathing. If the victim doesn’t breathe, give rescue breaths every five seconds as you tow the diver to safety. 9. Describe what to do when bringing an unresponsive diver to the surface from underwater. 1. Upon finding the victim, quickly note diver’s position, if regulator is in the mouth, mask on and any other clues about the accident. 2. If regulator is in victim’s mouth, hold in place. If not, don’t waste time putting it back in. 3. Hold the victim from behind, keep the regulator in the mouth and hold the head in a normal position. 4. Use your BCD to ascend with the victim. Begin your ascent and vent air from your BCD to maintain a safe ascent rate. You may need to vent the victim’s BCD to maintain control and flare out if needed to keep the ascent under control. If you cannot control the ascent, allow the victim to ascend separately, ascend at a safe rate and regain contact at the surface. 5. During ascent keep the victim’s head in a normal position so expanding air will vent by itself. 6. As you ascend, think about the steps you’ll take when you reach the surface. 7. If victim’s weights are still in place drop them just below the surface to assure the victim’s positive buoyancy. 10. Explain the priority equipment removal takes in rescuing an unresponsive diver at the surface. What considerations affect whether to remove gear, what gear to remove and when? Equipment removal takes a very low priority. Remove gear if doing so more than offsets the time required. For a long tow this could help reduce the equipment’s drag and speed up the swim. For a short tow it makes little sense to remove the gear. Think “What’s the fastest way out of the water?” rather than “I need to take this gear off.” 1. Think buoyancy- don’t dump anything you need to maintain buoyancy. 2. Do things in a logical order, always using one hand to ensure an open airway. 3. Keep a rhythm. When giving rescue breaths, remove gear between breaths. Breaths have priority. 4. Keep moving! Swim and tow while ditching the gear. Student Diver statement: I’ve reviewed the questions and answers, and any I answered incorrectly or incompletely, I now understand what I missed. Signature _____________________________________________ Date ______________ PADI Rescue Diver Course Knowledge Review Chapter Five – ANSWER KEY 1. When should you write up a report after a dive accident? What should you avoid doing on a report or when answering questions? Following an accident that requires first aid and summoning emergency medical care or other emergency personnel. Do not guess or speculate or offer opinions. 2. Explain why administering oxygen to a diver suspected of decompression illness is crucial. Emergency oxygen provides significant benefit in many (but not all) cases of DCS. 3. List six procedures to follow when handling oxygen. 1. Keep unit clean and protected in its box until needed. 2. Never attempt to lubricate oxygen equipment or use standard scuba parts in it. 3. Always open valves on oxygen equipment slowly. 4. Keep your unit assembled to minimize the possibility of contaminates getting into it and to save time in an emergency. 5. Never attempt to clean or service the equipment yourself. Have it serviced regularly as required by the manufacturer. 6. Always extinguish any source of flame before deploying oxygen. 4. Describe the procedure for administering oxygen to a breathing diver. Open the oxygen kit. The kit should be set up in advance. If not, set it up. Slowly open the valve and test the unit by inhaling from the mask. Do not exhale into the mask. Secure the tank and protect it from being knocked over or rolling loose. Say to the injured diver, “This is oxygen. It will help you. May I give it to you?” Assuming agreement, place the mask on the diver’s face and instruct the person to breath normally. If the diver is unresponsive and breathing, you may assume that the diver would want oxygen, and supply it. Monitor the oxygen pressure gauge and do not let it run empty with the mask still on the diver. 5. Describe the procedure for administering oxygen to a weakly breathing diver. Open the kit and attach the tube from the nonrebreather mask to the continuous flow outlet on the regulator. Slowly open the valve a set the continuous flow rate to 15 liters per minute. Using a nonrebreather mask, hold your thumb over the inlet inside the mask and allow the reservoir bag to inflate. Say to the injured diver, “This is oxygen. It will help you. May I give it to you?” Assuming agreement, place the mask on the diver’s face and instruct the person to breath normally. Use the head strap and be sure the mask fits snugly. You may assume consent with an unresponsive diver. If the reservoir bag collapses completely when the diver inhales, increase the flow rate to 25 litres per minute. Monitor the oxygen pressure gauge and do not let it run empty with the mask still on the diver. 6. Describe the procedure for administering oxygen to a nonbreathing diver. Have someone open the kit while you continue rescue breaths and attach the oxygen tube from the continuous flow outlet. Slowly open the valve a set the continuous flow rate to 15 liters per minute. Give rescue breaths through the pocket mask. If the diver begins to breath, switch to the demand or nonrebreather masks. 7. Describe what to do for a diver after beginning primary care, secondary care, oxygen and other first aid while waiting for emergency medical care to arrive. The priority is to continue to monitor the patient’s lifeline and the ABCD’S. Protect the patient from excess heat or cold (shock management), and control bystanders to keep the area open for arriving emergency medical personnel. Maintain contact with the local diver emergency service. Keep a responsive patient comfortable, but lying down. Try to collect information regarding the accident and write it down to send with the injured diver. 8. What information should you collect to send with the injured diver upon the arrival of emergency medical services? Diver’s name and contact information. Significant medical history. First aid procedures initiated. Dive profile information. Comments relative to emergency care received. Contact information for local diver emergency system and name of doctor or personnel you’ve spoken with. 9. Describe how to perform the lifeguard exit. The rescuer places the injured diver’s hands on the deck. The rescuer pushes out of the water keeping one hand on the victim’s hands so the victim doesn’t slide back in. Holding the diver by the wrists and standing, the rescuer lifts the victim’s waist to dock level, then lowers the diver face down on the deck. From there the rescuer rolls the victim over, and may drag the person the rest of the way from the water. 10. Explain how circumstances may affect exiting with an unresponsive diver. Environmental conditions and other circumstances will affect what you have to do when you exit the water, including the technique that you use. Shore exits: give two breaths then carry or drag the victim ashore. Exit through surf: protect the victim’s airway. Over rocks let the water carry you and the victim up the rocks in stages. A longer swim to an easier exit may be the fastest way. Swim steps, low docks and small boats: may be easiest using the lifeguard exit. Tall dock, boat or pier: you might be able to use the roll up technique. Student Diver statement: I’ve reviewed the questions and answers, and any I answered incorrectly or incompletely, I now understand what I missed. Signature _____________________________________________ Date ______________ Knowledge Review Chapter 1 Complete this review to be turned in to your instructor. 1. A growing number of dive operations have staff dress codes. How does this benefit the perceptions customers have of the operation in general, and staff members in particular? A dress code makes the staff look professional. This benefits customer perceptions of the operation and the staff because it gives them credibility. 2. List at least five characteristics of a good role-model PADI Divemaster. Have excellent dive skills 1. _______________________________________ Equipped with well-maintained gear 4. ______________________________________ Practice safe, responsible diving 2. _______________________________________ Easily build rapport with divers 5. ______________________________________ Demonstrate care for the environment 3. _______________________________________ 3. Answers may vary. Certified divers are responsible for following the safe diving practices they’ve been trained to use. However, if they see a “professional” disregarding them, how may that affect their perceptions? Depending upon the situation, seeing a “professional” disregard safe diving practices may cause questions about the practices, or raise questions about the professionalism and credibility of the individual violating the practices. 4. List five benefits of being a PADI Divemaster and a PADI Member. PADI's brand recognition 1. _______________________________________ Support of environmental efforts 4. ______________________________________ Ability to conduct certain programs 2. _______________________________________ PADI publications and Pros' Site 5. ______________________________________ Access to PADI services 3. _______________________________________ 5. Answers may vary. List five responsibilities of being a PADI Divemaster. Adhere to PADI Standards 1. _______________________________________ Renew annual membership 4. ______________________________________ Meet Code of Practice 2. _______________________________________ 5. ______________________________________ Fulfill listed divemaster duties (mulitple answers possible) 3. _______________________________________ Answers may vary. Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. The Role and Characteristics of the PADI Divemaster 15 6. Explain how you expect your relationship with your instructor in the PADI Divemaster course to differ from the relationship with your instructor in previous PADI courses. In previous courses, my instructor relationship has been primarily a student-teacher relationship. During the PADI Divemaster course, the instructor will, ideally, become more of a mentor and coach who treats me as a junior peer. The instructor will share thinking and explain judgment calls. The instructor will want to know how I think and why. 7. How does having a dive reference library relate to your ability to solve problems as a diving expert? Experts in a given field are better able to solve problems than nonexperts because they have a large knowledge and experience base to draw upon. This allows them to better recognize the relationships of factors involved and better define a problem. A dive reference library helps develop my knowledge base and puts the resources at my fingertips. 8. List at least five types of additional training you may want and how each may benefit you. 1. Specialty Diver courses Training ___________________________________________ Answers may vary. Expand knowledge and skill Benefit ____________________________________________ 2. Specialty Instructor courses Training ___________________________________________ Teach popular courses Benefit ____________________________________________ 3. PADI TecRec courses Training ___________________________________________ Expand knowledge and skill Benefit ____________________________________________ 4. Other dive-related or business courses Training ___________________________________________ Help reach career goals Benefit ____________________________________________ 5. Discover Scuba Diving Leader Training ___________________________________________ Introduce people to diving Benefit ____________________________________________ Candidate Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I now understand anything I may have missed. Signature _______________________________________________________________ Date_________________ 16 Chapter One Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. Knowledge Review Chapter 2 Complete this review to be turned in to your instructor. 1. broad As a divemaster, your role is generally to provide _________________________ planning that other divers use to plan their individual buddy team dives within. 2. List three ways that wind can affect dive conditions. Wind can cause upwelling that affects water 1. ____________________________________________________ Wind can cause upwelling that affects water temperature and visibility 2. ____________________________________________________ Wind can generate waves and surge 3. ____________________________________________________ 3. slack high The rule of thumb is that it is best to dive at _________________ tide, but this is a general rule. 4. List three broad considerations when planning dives for remote areas. Cover broad logistics - air fills, sleeping arrangements, food, etc. 1. _______________________________________ Emergencies – more medical supplies, transport. etc. 2. _______________________________________ Self-sufficiency - communications, etc. 3. _______________________________________ 5. The primary reason for having and using accounting procedures is to be sure every diver returns from the dive. Incident reports indicate that problems with this usually result from using an inaccurate accounting procedure. divers refusing to participate in roll calls. ■ failure to use an accounting procedure at all. 6. List six characteristics of responsible diver behavior. Plan dives within training/experience 1. _______________________________________ Check air frequently and end with reserve 4. ______________________________________ Properly equipped 2. _______________________________________ Stays well within no stop limits 5. ______________________________________ Maintains equipment and checks it 3. _______________________________________ Avoids contact with sensitive aquatic life 6. ______________________________________ Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. Supervising Diving Activities 51 7. What are four ways you can encourage responsible diver behavior? Be a good role-model 1. _______________________________________ Make responsible behavior easy 3. ______________________________________ Remind about responsible behavior 2. _______________________________________ Reward responsible behavior 4. ______________________________________ 8. behavior may help you assess for apprehension or stress Paying attention to a diver’s ______________ related to the dive. 9. Signs and symptoms of psychological stress include (choose all that apply) ■ a. being uncharacteristically withdrawn. ■ b. talkativeness. ■ c. irritability. ■ d. distraction. ■ e. perceptual narrowing. 10. Before a dive along a wall that drops into extremely deep water, you notice a diver seems preoccupied and withdrawn. You talk to the diver and learn the person doesn’t feel adequately skilled with buoyancy control and fears descending out of control. Give an example of helping this diver by removing the stressor. Move the boat to a new dive site. Guide the diver to a part of the site that is away from deep water. Answers may vary. 11. List the four aspects of supervision in managing dives and identify what each consists of. Planning - make/act on dive plan 1. _______________________________________ Vantage point - choose where to supervise 3. ______________________________________ Communication - inform divers 2. _______________________________________ Recognition – anticipate problems 4. ______________________________________ 12. List eight types of equipment that can assist in supervising certified divers. 52 Clipboard and dive roster 1. _______________________________________ Rescue float or life ring 5. ______________________________________ Binoculars 2. _______________________________________ Marine radio or cellular phone 6. ______________________________________ Dive site map 3. _______________________________________ Tool kit and spare equipment 7. ______________________________________ Emergency oxygen and first aid kit 4. _______________________________________ Dive specific equipment 8. ______________________________________ Chapter Two 13. List two advantages and two disadvantages of inwater supervision. Advantages Close to divers 1. _______________________________________ Guide divers and point out aquatic life 2. ______________________________________ Disadvantages Only watch one group 1. _______________________________________ Limits ability to explore independently 2. ______________________________________ 14. List two advantages and two disadvantages of out of water supervision. Advantages Give buddies more individual options Close to emergency-related equipment 2. ______________________________________ 1. _______________________________________ Disadvantages Can't remind divers of procedures 1. _______________________________________ Unable to show points of interest 2. ______________________________________ 15. List the 10 points a dive briefing usually includes. 1. Dive site name 2. Site description 3. Your role 4. Entry & exit techniques 5. Dive procedures 6. Emergency procedures 7. Signal review 8. Roster/buddy check 9. Environmental orientation 10. Predive safety check 16. List three ways you can prepare to handle novel problems at a dive site. Increase your knowledge, skill and experience 1. ___________________________________________________________________________________ Pay attention to steps required to deal with familiar and unfamiliar situations 2. ___________________________________________________________________________________ Gather physical resources 3. ___________________________________________________________________________________ 17. It is important to include an environmental orientation in dive briefings because it helps divers dive so that they minimize effects to the environment and familiarizes those with little or no experience with the specifics of the environment. ■ True False 18. To help divers interact responsibly with the environment, you should suggest that they: (choose all that apply): ■ Dive carefully to protect the ecosystem. ■ Secure gauges or alternate air sources so they don’t drag and damage aquatic life. Only touch or pick up creatures that seem docile. ■ Respect underwater life and be a role model for others. Supervising Diving Activities 53 experience 19. You develop good judgment through ________________. When making decisions that involve doubt, or when making decisions in areas with which you have less experience, err on the conservative ____________________ side. 20. You’re leading a group on a 12 metre/40 foot charter dive boat. The captain tells you that water is rising slowly in the bilge. There’s no imminent danger, because the bilge pumps are keeping up with it, but action is required. Following the problem-solving steps, you and the captain examine below the decks and discover that a cooling hose leading outboard has ruptured. What would you do next? Answers may vary. Inventory resources. Create several possible solutions. Choose the best and devote energy to that solution. Assess and revise solution as you go. 21. When managing an emergency situation, when delegating tasks one advantage you have as a divemaster is that you always have lots of Rescue Divers on hand. your training lets you handle anything. ■ people expect you to take charge, and will do what you ask if they’re able. Candidate Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I now understand anything I may have missed. Signature _________________________________________________________ Date 54 Chapter Two _______________ Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. Knowledge Review Chapter 3 Complete this review to be turned in to your instructor. 1. logistics As a PADI Divemaster assisting in training, your primary role is handling ______________ and supervision assisting with student diver _________________________. 2. Of the following, identify what your functions may include. (Choose all that apply.) ■ a. supervising the predive equipment distribution to student divers, post dive equipment collection, and handling equipment difficulties. ■ b. supervising student divers not being immediately watched by the instructor. ■ c. handling logistics, such as coordinating student diver flow to keep things moving during training. ■ d. conducting the tour for experience portion of dives. ■ e. providing the instructor with additional information about student diver performance. ■ f. checking divers in and out of the water at a training site. ■ g. helping student divers with learning difficulties on an individual basis. 3. Students may feel more comfortable confiding concerns and fears with you rather than the instructor. Why? a. They see you as being at the same level as they are. b. Most instructors are not interested in concerns and fears. ■ c. You may seem like a member of the instructional team who is closer to their level. 4. On an open water training dive for PADI Open Water Diver students, the bottom is very silty and easily stirred up. Of the student arrangements listed, which one would you probably pick if the instructor asked you for a recommendation? a. students in a line with you at one end and the instructor at the other; students rotate position after each skill b. students in a line with the instructor in the center and you centered above and behind the line; students rotate position after each skill ■ c. students in a line with the instructor in the center and you centered above and behind the line; the instructor goes from one student to the next for each skill Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. Assisting With Student Divers 75 5. Depending upon circumstances, if you must make direct contact with a student, holding the BCD at the shoulder or low on the outside is a good general method. ■ True False 6. Which of the following are duties normally expect of a PADI Divemaster when assisting with PADI Open Water Diver students in training? (Choose all that apply.) ■ a. supervising the group while the instructor focuses on a single student ■ b. leading the group with the instructor taking up the rear, or vice versa c. performing final skill mastery evaluations of students having skill learning difficulties ■ d. assisting with paperwork ■ e. enforcing facility safety rules ■ f. handling equipment and assisting students with it 7. Why would you demonstrate a skill? (Choose all that apply.) a. when the instructor can’t do the skill well ■ b. when the skill requires two people (you’re the instructor’s buddy) ■ c. to redemonstrate while working with a student having learning difficulties 8. Watching role model demonstrations and videos can help you develop demonstration- quality practice skills, but there is no substitute for _________________________. 9. The 20 basic dive skills from the PADI Open Water Diver course and the four skills from the PADI Skin Diver course are the only skills you need to be able to perform at the demonstration quality level. True ■ False 10. A student is having difficulty with regulator recovery and clearing. The instructor asks you to assist the diver with learning the skill. What would your first step probably be in helping the student? ■ a. redemonstrate the skill b. have the student attempt the skill c. point out what the student is doing wrong 76 Chapter Three 11. Specific requirements and obligations that apply to working with children may be found a. in the Professional Membership Guide of the PADI Instructor Manual b. in the Child Protection Guidelines for PADI Dive Centers and Resorts on Pro’s Site ■ c. Both a and b. 12. When helping a student, it is often best to let the student handle a problem to benefit from learning, unless you must handle it for safety or logistical reasons. ■ True False 13. When helping a student diver with a physical challenge accomplish a skill, focus on what the can do student _________________________. Candidate Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I now understand anything I may have missed. Signature ____________________________________________________________ Date _______________ Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. Assisting With Student Divers 77 Knowledge Review Chapter 4 Complete this review to be turned in to your instructor. 1. diver safety The primary goal of risk management is _________________________. 2. Duty of care _________________________ means that you are expected to act as a reasonably prudent divemaster would act under the same or similar circumstances to help protect less knowledgeable divers from harm. Most legal systems define failing to do this as negligence _________________________, which can lead to a lawsuit. 3. During a lawsuit, it is shown that divemaster Pat failed to properly use accounting procedures, so the dive boat left with two divers still in the water. They were picked up several hours later, but had mild hypothermia. The suit is seeking damages to compensate the two divers for the costs of the medical care. The defense is able to show that Pat normally uses a very accurate accounting procedure and intended to do so the day of the incident, but got distracted helping another diver. In most legal systems, which statement likely reflects the bearing of this on the case? ■ 4. Divemaster Carl does not exercise regularly to any significant degree, he does not eat a reasonably balanced diet, and he routinely pushes his dive computer’s no stop limits. He has not taken a diving course nor practiced or reviewed his dive skills in years. He may be increasing, depending upon the situation, the risk to ■ 5. a. By demonstrating that Pat is normally a competent, responsible divemaster, the suit will likely fail and Pat will win. b. Demonstrating what Pat intended to do will not help much, if at all, because the court primarily considers what actually happened. a. b. c. d. himself. his buddies. the divers he supervises. All of the above. Diving can cause elevated physical stress that can strain the heart and cardiovascular system. This can cause a heart attack, stroke or other heart/circulation-related event in predisposed individuals. ■ True False Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. Diver Safety and Risk Management 97 6. The first, and most important way you reduce risk by adhering to PADI Standards is that you accident or incident in the first place. reduce the risk of a(n) _________________________ 7. Should an accident occur despite your best efforts, and you can demonstrate you were following PADI Standards, you reduce your legal risk by showing that you acted credibly as a professional and met that expected duty of care. ■ 8. Local dive community and industry practices and regulations aren’t typically part of PADI Standards, ■ 9. True False a. but you should follow them conservatively as well as follow PADI Standards. b. so you should disregard them. c. and therefore have no legal merit. The fact you were within PADI Standards alone is sufficient to defend your actions in the event of a dive accident. ■ True False 10. Divemaster Dawn is escorting several PADI Advanced Open Water Diver course students on the AWARE, Fish Identification Adventure Dive. PADI Standards allow adult students to dive as deep as 30 metres/100 feet on this dive, but there is a substantial thermocline and visibility reduction at 12 metres/40 feet. Of the following choices, which is likely Dawn’s best decision under these circumstances? ■ a. Allow the divers to go as deep as standards allow. b. Cancel the dive entirely. c. Limit the dive to 12 metres/40 feet and shallower. intent 11. When applying a PADI Standard, consider the _________________________ of the standard and judgment then use good, conservative _________________________. 12. The PADI Member Code of Practice and the Youth Leader’s Commitment ■ 98 a. are suggestions that you should usually follow. b. are part of PADI Standards that all PADI Members must always follow. Chapter Four 13. The first and most important role of paperwork is to inform divers and student divers about the risks of diving, to confirm that they accept those risks, to confirm that they’re medically fit to participate in diving and to remind them that it’s important to follow safe diving practices. ■ True False 14. Enrolling in a PADI program, Lars checks “yes” to a condition listed on the medical history form. At this point ■ a. Lars needs a physician’s approval before being eligible to dive. b. the instructor or divemaster should ask Lars for more information to see if it is really a problem. c. Lars should have the option to complete a new medical form and indicate “no” if he wants. d. All of the above may be correct, depending upon circumstances. 15. At the scene of a dive accident in which she was involved, divemaster Alexandra is cooperating with authorities to find out what happened. Based on her extensive experience in diving, she tells them that the victim likely panicked and lost consciousness, though she didn’t actually see it happen. What is the most likely result of Alexandra offering her expertise? ■ a. Authorities will probably determine the accident’s cause more quickly. b. The situation will get confused, because Alexandra’s opinion is not based on observed facts. c. It is not likely to help or hinder the investigation. 16. PADI Standards require you to report all PADI Standards violations that you personally witness or hear about. ■ True False Candidate Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I now understand anything I may have missed. Signature ____________________________________________________________ Date _______________ Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. Diver Safety and Risk Management 99 Knowledge Review Chapter 5 Complete this review to be turned in to your instructor. 1. To find standards that apply to all PADI programs, your primary reference is _________________________ in the PADI Instructor Manual. a. PADI’s Guide to Teaching ■ b. the General Standards and Procedures c. the Discover Local Diving Program Guide d. the PADI Skin Diver Course Guide 2. If you’re looking for tips, suggestions and reminders for organizing training sessions, selecting dive sites, etc., you want to look in ■ a. PADI’s Guide to Teaching. b. the General Standards and Procedures Guide of the PADI Instructor Manual. c. individual program guides in the PADI Instructor Manual. d. All of the above list tips, suggestions and reminders for organizing training sessions, selecting dive sites, etc. 3. Participants in Scuba Review cover their knowledge development by reviewing their Open Water Diver course materials, by completing Scuba Tune-up online or by completing the Scuba Tune-up Guidebook _________________________. 4. Discover Local Diving as part of Scuba Review. If feasible, it is recommended you offer _________________________ 5. The number of divers you can take on a Discover Local Diving tour is based on your judgment regarding environmental conditions, logistics, diver training and experience levels, ages and other similar factors. ■ True False Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. Divemaster Conducted Programs 117 6. A couple tells you that they want to explore the underwater world, but that they don’t want to deal with scuba gear. They have a 9 year old daughter whom they want to participate with them. You would probably recommend a. Discover Scuba Diving. b. Discover Local Diving. ■ c. the PADI Skin Diver Course. d. Scuba Review. 7. After which of the following would you complete the PIC process for successful participants? a. Discover Scuba Diving b. Discover Local Diving ■ c. the PADI Skin Diver Course d. Scuba Review 8. As a PADI Divemaster who has completed the DSD Internship, you can take Discover Scuba Diving participants on their first open water dive. True ■ False 9. As a PADI Divemaster who is assisting an instructor with a Discover Scuba Diving experience or as a DSD Leader, you must position yourself so you can make immediate contact or render immediate assistance for participants at all times, and only look away from them briefly as needed to lead the dive. ■ True False Candidate Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I now understand anything I may have missed. Signature _________________________________________________________ Date 118 Chapter Five _______________ Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. Knowledge Review Chapter 6 Complete this review to be turned in to your instructor. 1. You and your buddy are planning to map a dive site that is 100 metres/330 feet by 100 metres/330 feet. You need a useable map that has reasonable accuracy, but the map will be used for dive briefings, not archaeology or anything scientific. What measurement method(s) would be appropriate? a. arm spans ■ b. timed swim c. measured tape or line ■ d. kick cycles 2. Which of the following patterns would generally be the preferred pattern for mapping? a. circular pattern ■ b. U-pattern c. semicircular pattern d. random path pattern 3. You have to anchor a float that will be used by Open Water Diver students on their first dive. You find a very small sand patch right next to a beautiful coral stand. Which statement mostly likely represents what you would do: a. You would anchor the float in the coral. b. You would anchor the float in the sand patch. ■ c. You would look for a better place to anchor the float. d. You would tie the float to the coral. 4. Identify the statement that is not true regarding towing a float or DSMB. a. Keep tension on the line to reduce the risk of entanglement. ■ b. Clip the line to your gear to keep your hands free. c. Be cautious that the line does not harm aquatic life. d. Pull down on the line to make a DSMB stand in the water. 5. The goal with any search pattern is to cover the search area as quickly as possible without gaps leaving _________________________. Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. Specialized Skills and Activities 155 6. Identify the characteristics of an expanding square search pattern. ■ a. well suited to looking for something lost in the immediate area b. best choice for finding a small object in a large area ■ c. requires no special equipment d. difficult to apply over obstructed bottom e. use to search a large area for a medium to large object f. requires a line and reel 7. Identify the characteristics of a circular or semicircular search pattern. a. well suited to looking for something lost in the immediate area b. best choice for finding a small object in a large area c. requires no special equipment ■ d. difficult to apply over obstructed bottom e. use to search a large area for a medium to large object ■ f. requires a line and reel 8. Identify the characteristics of a U-pattern search. a. well suited to looking for something lost in the immediate area b. best choice for finding a small object in a large area c. requires no special equipment d. difficult to apply over obstructed bottom ■ e. use to search a large area for a medium to large object f. requires a line and reel 9. Identify the characteristics of a jackstay search pattern. a. well suited to looking for something lost in the immediate area ■ b. best choice for finding a small object in a large area c. requires no special equipment d. difficult to apply over obstructed bottom e. use to search a large area for a medium to large object f. requires a line and reel 10. You’re ascending with a lift bag and it starts to runaway from you. You should ______________ let it go __________________________________. 156 Chapter Six 11. A team of recreational divers wants you to supervise a dive to 24 metres/80 feet to map a wreck’s wheelhouse, photograph the telegraph, locate a moray eel known to live there and photograph the eel. Which of the following would probably be the most appropriate response? a. Agree, but tell the divers to leave the eel alone. ■ b. Agree, but tell the divers they need to pick one or at most two, of those objectives. c. Decline, no explanation. d. Decline, but explain that when they’re all tec divers, you’ll reconsider. 12. When feasible, when deep diving it is good to practice to have spare weights and a spare cylinder with regulator hanging at 5 metres/15 feet. ■ True False 13. If divers appear uncomfortable while leading a deep dive underwater, at many dive sites an appropriate action is to a. share air for easier breathing. b. take them deeper so they enjoy the experience more. c. ascend rapidly. ■ d. lead the group to a shallower level and continue the dive. 14. One reason for altitude diving procedures is that most decompression models were developed sea level for use at _________________________. 15. It is common for groups of inexperienced drift divers to ascend as a group, whereas experienced drift divers commonly ascend as individual buddy teams. ■ True False 16. When surf diving, divers should move slowly through the surf zone so they remain stable and sure-footed. True ■ False 1 17. The minimum number of lights per diver on a night dive is _________________________, 2 though the recommended number is at least _________________________. Specialized Skills and Activities 157 18. Symptoms of hypothermia include (choose all that apply) ■ a. uncontrollable shivering. ■ b. loss of dexterity in fingers. ■ c. impaired mental processes. d. skin itch. 19. In cold water diving, sufficient time should be planned between dives so divers can rewarm _________________________. 20. It is acceptable for EANx divers to use any EANx cylinder available. True ■ False 21. Tec divers usually need you to set up their gear for them and remind them how to kit up. True ■ False 22. Do not touch a tec diver’s gear unless asked to do so by the diver. ■ True False Candidate Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I now understand anything I may have missed. Signature _________________________________________________________ Date 158 Chapter Six _______________ Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. Knowledge Review Chapter 7 Complete this review to be turned in to your instructor. 1. Two divers come into the PADI Dive Center or Resort with which you’re affiliated as part of the instructional staff, but not as an actual sales person. The divers ask you for guidance in selecting dive computers. Assuming it doesn’t conflict with the store’s policies, your best response is probably to ■ 2. a. politely decline and suggest the divers speak with a salesperson. b. agree because you have the best computer made and the store doesn’t stock it. c. help the divers choose the computer that has the features and benefits they want. The four Es of diving are Equipment 1. _______________________________________ Education 2. _______________________________________ Experience 3. _______________________________________ Environment 4. _______________________________________ 3. A diver asks for a wet suit with thigh pockets because they are ideal for storing slates and other accessories the person uses during tec dives and photography. The dive center has a single suit in stock with thigh pockets that the customer could probably make work, but you know that next week a shipment is due that has wet suits exactly like the diver has described. Following a customer-centric business philosophy while supporting the dive center’s business needs, your best option is probably to ■ a. say nothing about the suits coming in and sell the diver the suit you have in stock. b. tell the diver to come back next week because there will be more suits to choose from. c. explain that the suits due next week sound exactly right and encourage the diver to put down a refundable deposit on one. d. ask the store manager what to do. 4. Customers choose to do business with you over the long term when they know you have their best interests _________________________ in mind. 5. PADI Instructors There are more opportunities for_________________________ than for any other professional in the dive industry. Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. The Business of Diving and Your Career 171 6. Which of the following skills/qualifications are likely to make you more valuable in the dive industry? (Choose all that apply.) ■ ■ ■ ■ ■ 7. licensed boat captain web/media production retail sales training compressor repair scuba equipment technician If you forget to renew your PADI Membership ■ a. you are no longer qualified as a certified assistant for PADI programs. b. you may assist, but you aren’t authorized to conduct PADI Divemaster-conducted programs. c. you may assist, but do not have access to any other PADI benefits. d. nothing happens because renewal is only required at the PADI Instructor level. Candidate Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I now understand anything I may have missed. Signature ____________________________________________________________ Date _______________ 172 Chapter Seven Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. Knowledge Review Chapter 8 Complete this review to be turned in to your instructor. 1. Being knowledgeable about the biological and physical properties of the underwater world is important because it helps you with dive planning. It’s also important because divers are curious _________________________ about the organisms they’ve seen and discovered and expect you to be reasonably knowledgeable about the local aquatic habitat. 2. Project AWARE You can learn a great deal about the underwater environment in the ________________________ Specialty Diver courses, as well as the PADI Underwater Naturalist course. 3. Diving in an environmentally responsible manner is important so you role-model this behavior. It’s also important because a. divers are a significant threat to the underwater environment. b. anything else is actually unsafe. c. your buddy probably will not do so. ■ d. it’s part of the credibility needed to be environmental ambassadors. 4. 71 Water covers approximately _________________________ percent of the Earth’s surface. 5. hydrologic cycle The “oceans” are actually one big connected ocean. Beyond this, the ________________________ is thought to ultimately connect all water on Earth. 6. heat distribution The ocean provides oxygen and _________________________, both of which are vital to life on Earth. 7. Phytoplankton _________________________ are the base of the marine food chain. 8. Many scientists think the coral reef is the most diverse ecosystem on Earth. ■ True False Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. Awareness of the Dive Environment 199 9. Because they are highly productive, coral reefs require water that is high in nutrients. True ■ False Mangrove 10. _____________________ forests are important to the survival of adjacent coral reef ecosystems. 11. To support sustainable fisheries, be an educated consumer who only buys sustainable, Marine Protected Areas (MPAs). managed species and support the establishment of _________________________ 12. Heat can be a pollutant. ■ True False 13. Efforts to counter alien (invasive) species are very effective, especially the practice of introducing alien (invasive) counter species that act as predators. True ■ False 14. A good rule of thumb is that if you don’t recognize an aquatic organism you should a. kill it. b. end the dive. c. notify the local environmental authorities. ■ d. None of the above. 15. Currents that affect divers are most commonly caused by the Earth’s rotation, waves, tides and wind _________________________. 16. Generally, the recommendation when diving in a current is to swim ________________________ the current at the start of the dive. ■ a. into b. with c. perpendicular to d. away from Drift 17. _______________________ diving is a common practice where strong, unabated currents exist. 200 Chapter Eight wind 18. Most upwellings and downwellings result from the _________________________. 19. Depending upon how they affect conditions, dive planning may need to account for the tides and tidal currents, or the tides may have so little effect that you don’t need to consider them. ■ True False 1.3 20. A wave breaks in water that is _________________________ times its height. wind 21. The most common disturbing force that causes waves is _________________________, though passing vessels can also cause waves large enough to topple divers and equipment on a nearby dive boat. 22. Waves can affect divers by a. requiring the use of surf diving procedures. b. making it difficult to stand on a boat deck. c. causing seasickness. ■ d. All of the above. 23. The Project AWARE Foundation is a government-funded international organization that involves divers and water enthusiasts in projects, activities and efforts that protect and conserve underwater environments. True ■ False Candidate Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I now understand anything I may have missed. Signature ____________________________________________________________ Date _______________ Awareness of the Dive Environment 201 Knowledge Review Chapter 9 Complete this review to be turned in to your instructor. 1. Water absorbs more heat than air does because it is denser, and because a. it is thinner. ■ b. water molecules form weak bonds between themselves. c. water transmits light well. d. None of the above. 2. The tendency for water to cool you because water in contact with your skin warms, becomes less dense and rises, being replaced by cooler water, is called a. elasticity. b. conduction. ■ c. convection. d. induction. 3. Eventually, you chill even with an exposure suit on, unless you have on very heavy exposure in relatively warm water. ■ True False 4. When light passes from one material to another, such as from water into air, it changes speed _________________________ , which causes it to alter direction slightly. 5. Loosely, we say that sound travels faster through water than in air because water is denser elasticity than air. But, more precisely, it is because water has more _________________________ than air does. 6. At the surface at sea level, the absolute pressure is a. 0 bar/0 ata ■ b. 1 bar/1 ata c. 2 bar/2 ata d. None of the above. Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. Dive Theory Review 269 7. At the surface at sea level, the ambient pressure is a. 0 bar/0 ata ■ b. 1 bar/1 ata c. 2 bar/2 ata d. None of the above. 8. If you take a volume of air in a flexible container from 0 metres/feet to 10 metres/33 feet in seawater, the volume will be _________________________ what it was at the surface. a. 33 times b. 10 times c. 2 times ■ d. one half 9. To lift an object in 20 metres/66 feet of seawater, you must fill an open bottomed lift bag halfway full of air. Assuming you don’t vent air from a valve on the way up, will expanding air start bubbling out the bottom of the bag before you reach the surface? ■ Yes No There’s not enough information to answer the question. 30 10. If a given cylinder of air lasts 20 minutes at 20 metres/66 feet, it will last ________ minutes at 10 metres/33 feet, all else being the same. 11. One method of increasing your buoyancy is by increasing your displacement. How would you do this? a. by dropping your weights ■ b. by inflating your BCD c. by both dropping your weights and inflating your BCD d. None of the above. 12. A PADI Enriched Air Diver is planning a dive to 10 metres/33 feet using EANx32. The diver .64 bar/ata. would calculate oxygen exposure based on a PO2 of _______ 13. When gas in contact with a liquid has dissolved into the liquid to the point of equilibrium, no more gas can go into solution. This is called a. supersaturation. ■ b. saturation. c. desaturation. d. M-value. 270 Chapter Nine Arteries 14. _________________________ are blood vessels that carry blood away from the heart. Veins _________________________ are blood vessels that carry blood toward the heart. dead air 15. Long, slow deep breathing helps avoid concerns related to _________________________ spaces. 16. Excessive hyperventilation prior to a breathhold dive risks shallow water blackout, which is caused by significantly depleting body carbon dioxide and excessively delaying the urge to breathe. ■ True False 17. The primary way to avoid CNS oxygen toxicity is to stay within the time-exposure limits of the “CNS clock.” True ■ False 18. A patient who has recovered from near drowning feels fine, seems perfectly recovered and asks to go home. What would you recommend? a. No problem, drive safely. b. Go home, but stay near the telephone and call a doctor if you feel ill. c. Go home, but keep breathing oxygen for at least four hours. ■ d. Don’t go home; medical examination and care are still necessary. 19. A buddy team is planning a dive to 40 metres/130 feet and tells you that nitrogen narcosis won’t be a concern because they’re using EANx28. Is their thinking valid? Yes ■ No 20. Dissolved gases in the tissues exert pressure, even though they’re in solution. ■ True False 21. A diver surfaces and shortly after gearing down, begins to complain about pain in the right elbow and shoulder. Although you’re not a doctor and there’s no need to diagnosis to provide first aid for suspected DCI, the specific type of DCI is probably a. AGE. ■ b. Type I DCS. c. Type II DCS. d. subcutaneous emphysema. Dive Theory Review 271 22. Do physiologists think strenuous exercise makes you more or less at risk of DCS? a. More at risk. b. Less at risk. ■ c. More immediately before or after a dive, but less several hours before. d. There are no data to answer this question. 23. A diver in a dry suit in very hot weather is delayed entering the water. The diver was sweating profusely, but now is not sweating. The diver’s skin is hot and flushed, and the diver has a strong, rapid pulse. You would suspect ■ a. heat stroke. b. heat exhaustion. c. hypothermia. d. overexertion. 24. When severe, life-threatening hypothermia sets in, the victim often stops shivering, feels warm and becomes drowsy. ■ True False 25. What is the serious ear injury that can result from a long, forceful equalization? a. middle ear squeeze ■ b. round window rupture c. reverse squeeze d. pneumothorax 26. Arterial gas embolism is an injury characterized by air overexpanding in the lungs and ■ a. entering the arterial bloodstream. b. collapsing a lung. c. accumulating in the center of the chest. d. accumulating under the skin at the base of the neck. 27. Mediastinal emphysema is an injury characterized by air overexpanding in the lungs and a. entering the arterial bloodstream. b. collapsing a lung. ■ c. accumulating in the center of the chest. d. accumulating under the skin at the base of the neck. 140 percent of a cylinder’s working pressure. 28. A burst disk will burst at approximately _______ 272 Chapter Nine 29. A hydrostatic test checks for metal fatigue by comparing cylinder _________________________ before and after filling it to test pressure. ■ a. displacement b. color c. weight d. buoyancy 30. During a predive safety check, a diver’s SPG needle swings to almost zero then, rises back to full pressure, with each test breath. You would suspect a. the SPG is near failure. b. the regulator is out of tune. c. the cylinder needs to be filled. ■ d. the valve is only partially open. servicing 31. If a regulator freeflow persists, the regulator requires _________________________ . 32. A mechanical SPG has a curved tube in it that flexes when pressure is put into it. The degree of flex is what moves the SPG needle. ■ True False 33. The first step in dive computer use is to read the instructions for use manual. ■ True False 34. The dive community guideline is that standard regulators, BCDs, SPGs and alternate 40 percent oxygen, though air sources may be used with EANx blends with up to ______ manufacturer guidelines and local regulations should be followed. 35. A diver’s computer fails between dives, and the person has not been diving with a backup. The recorded depth and time limits are outside table limits. What should the diver do? a. Rent or borrow a computer and continue diving. ■ b. Discontinue diving for 12 to 24 hours before resuming with another computer. 36. To account for the fact that the body doesn’t absorb and release inert gas on a single time scale, tissues Haldanean models have theoretical _________________________ , also called “compartments.” halftime 37. Each compartment in a Haldanean model is assigned and named for a _____________________, which represents how fast it absorbs and releases inert gas. Dive Theory Review 273 38. The “fast” tissues have ____ M-values compared to “slow” tissues. ■ a. higher b. lower c. either higher or lower 39. Dr. Raymond Rogers created the RDP for ■ a. recreational divers. b. special forces. c. Commercial divers. d. All of the above. 40. The RDP concepts were tested with more than 1000 individual hyperbaric and inwater dives. These included multilevel and repetitive dives. ■ True False 41. Dive computers offer divers considerably more no stop dive time than do tables because computers use decompression models that differ substantially in their validity and reliability. True ■ False Candidate Statement: I’ve completed this Knowledge Review to the best of my ability and any questions I answered incorrectly or incompletely I’ve had explained to me, and I now understand anything I may have missed. Signature ____________________________________________________________ Date _______________ 274 Chapter Nine Knowledge Reviews may not be reproduced in any form without the written permission of the publisher. Open Water Diver Course Lesson Guide Presentation Notes Open Water Diver Course Lesson Guide Presentation Notes © PADI 2009 Published by PROFESSIONAL ASSOCIATION OF DIVING INSTRUCTORS 30151 Tomas Rancho Santa Margarita, CA 92688 USA Printed in U.S.A. Presentation Outline Complete System Lesson Guides Preparing Students for the Course When student divers enroll in the PADI Open Water Diver course, you set them up with the PADI Open Water Diver Manual and Video, or the Open Water Diver Multimedia. Schedule their first confined water dive as soon as possible — the same day, ideally. Have students fill out the information on the Student Record File, taking note of the PADI Medical Statement to determine if they need to see a physician. (Note: In some areas, physician approval is required by law.) This provides time for students who need to see a physician to do so, avoiding delays. Registration and Orientation Session Training Aid Recommendations 1. Motivational videos and slide programs. 2. Dive equipment - masks, fins, snorkels, scuba unit, weight systems, exposure suits, knives. 3. Materials to conduct Discover Scuba Diving experience Notes: 1. Beginning the PADI Open Water Diver course with an orientation session reduces the time of your first knowledge development review and elaboration. The idea is to get student divers excited about diving, and to get them into the water as soon as possible. Keep this session brief so you can do this, but use it also to handle administrative requirements and loose ends that may create delays later in the course. 2. When possible, conduct this session at a PADI Dive Center or Resort and use equipment on the sales floor as training aids. This familiarizes the students with equipment, and with the dive center/resort. 3. When youngsters take this course, encourage parents/guardians to come to this session. Parents/guardians must sign administrative paperwork prior to in-water activities. Open Water Diver Course Instructor Guide 3-5 Presentation Contact Suggestions l. Welcome the students and thank them for enrolling. Explain that the course will be adventurous and fun, with an emphasis on diving in confined water and then in open water. Explain that you and your staff are there to help them realize their desire to become divers, and to have fun in the process. 2. Show the This Is Diving video, plus some videos showing trips/classes/ fun with your dive operation. Overview, Learning Objectives and Example Value Statement I. Introductions • We’ll have more fun diving together if we know a bit about each other, so we’ll spend some time getting to know each other. II. Course Overview • • Why do you need to have a certification to dive? By understanding what certification means, you’ll understand what you’ll be qualified to do after you finish the course. What are the course requirements, structure and schedule? Knowing these eliminates misunderstandings regarding what we’re going to do, when, and the requirements for success in this course. III. Signing In, Gearing Up for Fun • We’ll handle any outstanding paperwork and look at some of the dive equipment you’ll be using during this course. IV. Experiencing Scuba [Optional activities] • After we finish, which won’t take long, we’ll go diving in the pool (or confined water). You’ll hear a short briefing, and then we’ll go get wet. [Note: Assuming all medical requirements are met.] Outline I. Introductions Introduce yourself and assistants. [Optional — have students introduce themselves. They can explain who they are, what they do, why they’re interested in diving, etc.] 3-6 Three: Knowledge Development II. Course Overview A. Certification 1. Upon successful completion of the course, you’ll receive the PADI Open Water Diver or PADI Scuba Diver (minimum age 15 years), or PADI Junior Open Water Diver or Junior Scuba Diver (minimum age 10 years). 2. A certification card shows that you completed the course according to PADI Standards. 3. Dive professionals (boat operators, dive store employees, resort owners, etc.) will ask to see your card. 4. A certification card allows you to: a. Rent or buy scuba equipment. b. Have your tank filled. c. Participate in dive activities. d. Take continuing education courses. e. Dive in areas and under conditions similar to those in which you having training or experience. B. Course Structure 1. The PADI Open Water Diver course is: a. Performance-based. This means that you can progress by meeting learning requirements. b. Divided into three segments: Confined Water Dives, Knowledge Development and Open Water Dives. 2. The course is taught in five confined water dives and five knowledge development sections (three each for Scuba Diver). You meet the requirements for each before moving on to the next. We’ll begin with your first confined water dive tonight [or state when scheduled]. 3. You’ll complete most of your knowledge development at your own convenience by reading the manual and watching the video (multimedia). When we meet, a short quiz tells me how well you understand the material; then we’ll review any areas where you have difficulty and I’ll fill in information specific to diving around here. After the last section, you’ll take a final exam that Open Water Diver Course Instructor Guide 3-7 makes sure you remember everything you’ve learned throughout the course. 4. We’ll make four scuba open water dives together (two for Scuba Diver), during which you’ll apply what you’ve learned, plus develop some new skills. But we’ll spend a good bit of time exploring and looking around, too. [Mention skin dive if included. Discuss the option of referrals and what it means.] C. Course Requirements 1. Attendance requirements [Emphasize performance based requirements and need to complete each section and session in order. Discuss how you’ll handle make-ups. Discuss what can be done if the course cannot be completed.] 2. Independent study a. Prior to each class, watch the Open Water Diver Video and complete the reading, exercises and Knowledge Review questions in your Open Water Diver Manual. (Or use the multimedia version) I’ll look over your Knowledge Review when we meet for the review. b. As you read, underline or highlight important information - particularly the information related to objectives. [Introduce your Learning Agreement if you’re using one.] 3. Equipment requirements [Outline what equipment student divers need for the confined water dives and the open water dives. Merely review the list here. Later, you’ll give a complete overview of dive equipment.] 4. Log books [Asks students to bring their log books to all sessions for your signature.] 5. Other: D. Course Schedule [Review the course schedule — times, locations, what everyone will be doing — in detail.] 3-8 Three: Knowledge Development III. Signing In [Be sure you have the following for each student: PADI Medical Statement, Standard Safe Diving Practices Statement of Understanding (or Scuba Statement of Understanding and Liability Release and Assumption of Risk form. Complete store required or local administrative paperwork.] IV. Gearing Up for Fun [Show the Lesson Guide, quickly reviewing the major pieces of dive equipment and discussing the equipment needed for the first confined water dive. Show, and as appropriate, have student divers try on actual masks, snorkels, fins, BCD, tanks and regulators. Emphasize various styles, different features and materials.] Summary Preview key points of the registration and orientation session. Reminders for Next Class Meeting Prior to the next meeting, complete Knowledge Development Sections One and Two in the Open Water Diver Manual and Video (or Multimedia). V. Dive Today [Provide the Discover Scuba Diving briefing; you may do this at the confined water dive site using the Discover Scuba Diving flip chart. Then conduct Confined Water Dive One.]. VI. Water Skills Assessment [Students must demonstrate, in confined water, they possess reasonable aquatic ability without using equipment before they participate in open water dives. At some point prior to certification, they must also complete a 200 metres/yard continuous surface swim or a 300 metre/yard mask, snorkel and fin swim, plus a swim/float without using a mask, fins, snorkel or any other swim aid. Following the confined water dive, or within it, you may get some of this out of the way. It’s not recommended that you perform water skills assessment without a confined water dive.] Open Water Diver Course Instructor Guide 3-9 Knowledge Development One Training Aid Recommendations 1. Complete System Lesson Guides. 2. Dive equipment as discussed. 3. PADI Open Water Diver Video. Presentation [Reminder: This is a review and elaboration. Move quickly over areas students know well based on their Knowledge Reviews and quiz scores. Spend more time where they had problems, where you need to add detail specific to your students and the local dive environment and where student divers express interest.] Contact Suggestions 1. Ask students to imagine what it’s like to be a fish and how it may be the same, and how it may differ from, being a diver. 2. Compare ear “popping” when flying with pressure changes in water. 3. Tell students a story about an unusual experience underwater that highlights the experience of neutral buoyancy, such as trying to turn a handle in a pool, only to find yourself turning the other way. Overview, Learning Objectives and Example Value Statements I. Buoyancy • • Why control your buoyancy? How do you control your buoyancy? Buoyancy control lets you control the dive — you can feel weightless, or float effortlessly on the surface. By learning buoyancy control, you’ll be able to relax and avoid accidentally harming the underwater world. II. Comfortable Descents • • • 3-10 How do you equalize your ears and other air spaces as you descend? What should you do if you feel discomfort in your air spaces when you descend? What can make equalization difficult or impossible? Three: Knowledge Development At one time or another’ you’ve probably dived to a pool bottom and felt discomfort in your ears. You’ll learn how to avoid discomfort, what to do if you feel discomfort, and some of the things that can make equalizing difficult. III. Comfortable Ascents • • What is the most important rule in scuba diving? In scuba diving, what you don’t know can hurt you. By knowing and following this rule, you can avoid one of the most serious injuries that can happen to a diver. What should you do if you feel discomfort in your ears and sinuses during ascent? Although it’s rare, if you have ear or sinus equalization problems when you ascend, you’ll want to know what to do about it. IV. Breathing Underwater • • What’s the relationship between depth and air supply? What is the most efficient way to breathe underwater? Breathing underwater differs in a couple respects from breathing at the surface. We’ll look at how you breathe as a diver so that you don’t waste air, and so you stay relaxed. Conduct [Ask divers to listen, to ask questions as necessary and to snore loudly if you’re boring them etc., – whatever works to keep things light and fun for you and them.] Outline I. Buoyancy - Positive, Neutral and Negative A. Why control your buoyancy? 1. At the surface - to help you conserve energy by floating. 2. Underwater - to help you become neutrally buoyant, remaining “weightless.” This saves energy and keeps you off the bottom, which in some areas can damage sensitive aquatic life. Staying off the bottom also keeps your equipment from being abused. [Apply to specifics of student/environment needs, such as buoyancy control for underwater photography, etc.] Open Water Diver Course Instructor Guide 3-11 B. How do you control your buoyancy? 1. BCD (buoyancy control device) — lets you vary buoyancy by adding and releasing air. 2. Weight system offsets positive buoyancy of exposure suit and your body. [Apply to specifics of suits students will use.] 3. Lung volume - you gain buoyancy when you inhale and lose buoyancy when you exhale. [Explain that they’ll practice buoyancy control during the confined water dives, using breath control to fine-tune how buoyant they are.] II. Comfortable Descents A. How do you equalize your air spaces during descent? 1. Block your nose and attempt to gently blow through it. 2. Swallow and wiggle your jaw from side to side. 3. Both together- swallow and wiggle your- jaw from side to side while attempting to blow through your blocked nose. [Have students try these techniques gently.] 4. Add air to your mask through your nose. This prevents an uncomfortable mask squeeze. 5. Equalize early and often - every metre/few feet while descending. Don’t wait for discomfort — by equalizing often, you shouldn’t feel discomfort. B. What should you do if you feel discomfort in your air spaces when you descend? [Squeezes] 1. Ascend until the discomfort goes away. 2. Gently attempt to equalize again. 3. If air space equalizes, continue down slowly if no discomfort. 4. If you can’t equalize, discontinue the dive. [Explain how students should signal you that they can’t equalize during confined and open water dives.] C. What can make equalization difficult or impossible? 1. Diving with a cold, allergy or other congestion. 3-12 Three: Knowledge Development 2. Blocking off an air space - such as with conventional ear plugs or a tight fitting exposure suit hood. [If using hoods during the course, discuss types in regards to squeeze prevention. Explain that vented ear plugs designed for diving are acceptable.] III. Comfortable Ascents A. What is the most important rule in scuba diving? 1. The most important rule in scuba diving is: Breathe continuously and never hold your breath when using scuba. [To apply this rule, inform students that you’ll help them overcome their instinct to hold their breaths underwater. For example, when the regulator is out of their mouth, they’ll exhale small bubbles.] 2. Important: Lung rupture can lead to serious injury, even death. A rupture can force bubbles into the bloodstream, blocking blood flow to the brain and other parts of the body, leading to paralysis, serious injury or death. It is difficult to treat, but easy to avoid – never hold your breath underwater. Remember the flexible bag filled with air at depth, sealed, and then brought to the surface? If you were to hold your breath while ascending (for even one metre/ a few feet), your lungs could over expand similarly, causing lung rupture. B. What should you do if you feel discomfort in your ears and sinuses during ascent? [Reverse Blocks] 1. If you feel discomfort in your ears or sinuses during ascent—stop. 2. Descend a metre/a few feet and allow the trapped air to work its way out. 3. To avoid ear and sinus reverse blocks, don’t dive with a cold; don’t use decongestants or medication before diving because it may allow you to equalize while descending, but then wear off, trapping air in the ears/sinuses. [Explain how you want students to communicate reverse block. Also, outline what you want other student divers to do if someone gets a reverse block. Explain that they may not participate in confined or open water dives with a cold.] Open Water Diver Course Instructor Guide 3-13 IV. Breathing Underwater A. What is the relationship between depth and air supply? 1. Shallow diving uses less air, giving you more time underwater. 2. Deeper diving uses more air, giving you less time underwater. [Compare the depths and approximate dive times using the same tank for local dives at various depths.] B. What is the most efficient method of breathing underwater? 1. Deep, slow breathing is the most efficient method of breathing dense air while diving. [Explain to students that they want to breathe this way during their confined and open water dives.] 2. For maximum air conservation and comfort, relax and don’t overexert yourself underwater. 3. Pace yourself - breathe normally and never get out of breath. The more you work, the more air you use. Summary [Review key points. Also, restate objectives as answers to questions and restate values.] 3-14 Three: Knowledge Development Knowledge Development Two Training Aid Recommendations 1. Complete System Lesson Guides. 2. Dive equipment as discussed. 3. PADI Open Water Diver Video. Presentation [Reminder: This is a review and elaboration. Move quickly over areas students know well based on their Knowledge Reviews and quiz scores. Spend more time where they had problems, where you need to add detail specific to your students and the local dive environment and where student divers express interest.] Contact Suggestions 1. Specific to heat loss and movement, have students compare the differences between being on land and underwater. 2. Explain how you stayed warm on a recent dive—what suit and accessories you used and why. 3. Tell students a story highlighting the benefits of the buddy system, perhaps how having a buddy at hand made what might have been a major problem an easily handled minor problem. Overview, Learning Objectives and Example Value Statement I. Staying Warm • • How can you stay warm underwater? What should you do if you begin shivering continuously? Getting cold takes the fun out of diving, and even a small loss of body heat has the potential to be a serious health threat. For these reasons, it’s important to know how to stay warm, and what to do if you don’t. II. Streamline Yourself • • Open Water Diver Course Instructor Guide How should you move underwater? What should you do if you get tired on the surface or underwater? 3-15 Diving is exciting, but you shouldn’t get winded. Keeping a few points in mind allows you to avoid getting out of breath, and helps you prevent cramping or fatigue. You also need to know how to respond if you do get tired. III. Diving Together • • What nine considerations should you discuss with your buddy when planning a dive? What should you do if you lose contact with your buddy or the class underwater? You’ve learned that you always dive with a buddy. Now we’ll look at steps you want to take to make the buddy system effective. Conduct [Ask divers to listen, to ask questions as necessary. Keep it light and fun.] Outline I. Staying Warm A. How can you stay warm underwater? 1. Exposure suit options. [Highlight exposure suits students will use for the confined and open water dives, those used locally, and those used when traveling to specific dive destinations.] 2. Exposure suit accessories needed for our confined and open water dives. [Show and explain exposure suit accessories needed for upcoming confined and open water dives, and those used locally, and those used when traveling to specific dive destinations.] B. What should you do if you begin shivering continuously? 1. Continuous shivering is a warning signal that means you’ve lost so much body heat that if you lose much more, your body will begin having trouble functioning (hypothermia). If you begin to shiver continuously during our open water dives, inform me or our assistant immediately. 2. If you begin to shiver continuously, immediately get out of the water, dry off and seek warmth. 3-16 Three: Knowledge Development [Outline a few methods local divers use to get warm after a dive: Showers on boats, hot drinks, warm clothing types, etc.] II. Streamline Yourself A. How should you move underwater? 1. Move slowly and steadily to avoid overexertion and getting out of breath. Watch how the staff and I move during our dives. 2. Avoid rapid and jerky movements — they waste energy. 3. Take your time underwater, avoid overexertion — doubling your speed takes four times the effort. 4. Streamline yourself to reduce drag. Don’t let equipment dangle; it slows you down, wastes energy and can damage the environment. Keep your arms at your side. You’ll use properly streamlined equipment in your confined and open water dives. [Encourage students to check for unsecured hoses and other dangling equipment during the predive safety check.] 5. As much as possible, move horizontally through the water. [Discuss the trim—avoiding overweighting, and adjusting weight for a comfortable, balanced horizontal swimming position.] B. What should you do if you get tired on the surface or underwater? 1. If you experience overexertion on the surface, establish buoyancy and stop moving. Rest, catch your breath and then continue at a slower pace. 2. If you experience overexertion underwater, stop all activity, breathe deeply and rest. Hold on to something for support if needed. If you become overexerted during our open water dives, inform me or our assistant immediately. [Show students the signal to use.] III. Diving Together A. What nine considerations should you discuss with your buddy when planning a dive? Open Water Diver Course Instructor Guide 3-17 [Explain that during their open water dives, they’ll cover these points during predive briefings, just as they will with their buddies after certification.] 1. Establish entry/exit points and techniques. [Briefly discuss common local entries.] 2. Choose a course to follow. [Explain that later they’ll learn to use a compass to follow a course underwater.] 3. Agree on maximum time and depth limits. [Describe various ways you can determine depth before a dive—charts, local divers, local dive centers and resorts, etc.] 4. Review communications. 5. Agree upon returning air pressure. 6. Discuss how to stay together. 7. Discuss what to do if separated. 8. Discuss emergency procedures, including air sharing procedures. 9. Agree on an objective — it may be simple, such as “sightsee the reef,” but you need to agree on what you’re doing together. B. What should you do if you lose contact with your buddy or the class underwater? 1. Search for each other or the class for not more than one minute. 2. If unable to locate, surface to reunite. 3. In some situations after you’re certified, you may want to avoid surfacing — in that case, discuss with your buddy and agree on how to reunite if separated. [Emphasis point: It is your responsibility to stay with your buddy, to plan your dive with your buddy, to follow that plan with your buddy and to be ready to assist each other. No one can do this for you—you have to do it.] Summary [Review key points. Also, restate objectives as answers to questions and restate values.] 3-18 Three: Knowledge Development Knowledge Development Three Training Aid Recommendations 1. Complete System Lesson Guides. 2. Slides/video of local dive environment. 3. PADI Open Water Diver Video. 4. Local environmental information (tide tables, fish and game laws, charts and maps, etc.) 5. PADI Rescue Diver course materials and promotional brochure. Presentation [Reminder: This is a review and elaboration. Move quickly over areas students know well based on their Knowledge Reviews and quiz scores. Spend more time where they had problems, where you need to add detail specific to your students and the local dive environment and where student divers express interest.] Contact Suggestions 1. Compare the planning of a long hike over unfamiliar territory with that of planning a dive at a new site. Relate hiking to diving by discussing knowledge of the environment, planning and problem management. 2. Tell students about your most memorable dive at the dive site they’ll go for open water dives. Work in descriptions of local aquatic inhabitants and the site itself. Overview, Learning Objectives and Example Value Statements I. What’s It Like Where We’ll be Diving? • • Open Water Diver Course Instructor Guide Relative to temperature, visibility, currents, and bottom composition, what is the dive environment like where we will make our open water dives? What aquatic animals and plants will we see during our open water dives? Soon you’ll be making open water dives, so you’ll probably like an idea of what you can expect during the dives. 3-19 II. Care for Yourself • • • Until you complete further training or gain more experience, where should you dive after this course? What are three ways to prevent or control most diving problems that occur at the surface? How can you help yourself in the unlikely event a problem does occur at the surface? You’ll find that if you and your buddy dive within your limits, plan your dives and follow safe diving guidelines, you’ll usually avoid problems. However, problems can occur, so you need to know the basics for handling them. III. Care for Others • What are the four basic steps to assisting another diver? Since you care about your diving buddy, you also need to know how to assist your buddy if necessary. IV. Solution Thinking Underwater • • How can you prevent or control most problems that may occur underwater? Given a certain out of air situation, what emergency procedure would you use to get to the surface? [Explain that you’ll look at several situations.] Knowing the basics for solving underwater problems prepares you to handle problems if they occur. V. Offshore Adventures [Use this topic if open water dives during the course will be conducted from a boat and/or if local diving typically involves boats.] • What are some specifics about the dive boat(s) you’ll ride aboard during this course or on dive vacations? When you dive from a boat, there are a few procedures to follow so you stay organized, know what to do and have fun. Conduct [Ask divers to listen, to ask questions as necessary. Keep it light and fun.] 3-20 Three: Knowledge Development Outline I. What’s It Like Where We’ll be Diving? A. Relative to temperature, visibility, currents, and bottom composition, what is the dive environment like where we’ll make our open water dives? 1. Water temperature. [Elaborate on the water temperature at local dive sites or wherever divers will be making their open water dives. Highlight the differences, if any, between surface temperatures and temperatures at depth. Give examples of varied conditions at popular dive destinations worldwide.] 2. Visibility. [Elaborate on the visibility at local dive sites or wherever student divers will be making their open water dives. Give other examples. Highlight local factors affecting visibility: a) water movement, b) weather, c) suspended particles and d) bottom composition. Discuss ways to keep visibility at its maximum during dives.] 3. Currents. [Elaborate on currents (if any) at local dive sites or wherever students will be making their open water training dives. If they’ll dive where currents are common, discuss current diving techniques. Give examples of varied conditions at popular dive destinations.] 4. Bottom compositions. [Elaborate on the bottom compositions at local dive sites or wherever students will be makings their open water dives. Emphasize the need for each student to be especially cautious when diving over bottoms inhabited by organisms, for personal safely and to protect the aquatic organisms.] B. What aquatic animals and plants will we see on our open water dives? [Elaborate on the aquatic animal and plant life at local dive sites or wherever students will make their open water dives. Emphasize that nearly all aquatic animals are nonaggressive and harmless, and to not chase, tease or threaten underwater creatures. If possible, show slides or videos of local, common aquatic creatures and plants.] Open Water Diver Course Instructor Guide 3-21 II. Care for Yourself A. Until you complete further training or gain more experience, where should you dive after this course? 1. Once you finish this course, dive in an environment and in conditions as good as or better than those with which you have training and/or experience, or with a professional level diver. [Remind Scuba Divers that they will always dive with a professional. Discuss specific areas locally that are well suited for new divers —conditions, site, emergency assistance close by, etc.] 2. The following courses expand your skills and broaden your experience with supervision there to guide you: a. Adventures in Diving program—advances your dive skills in different activities. b. Emergency First Response —training that teaches CPR and first aid emergency care. [Tell students when the next course will be and that nondiving friends and family may join.] c. PADI Rescue Diver course—fine-tunes your ability to prevent problems, and teaches you how to handle specific and potentially complex diving problems. [Tell students that the PADI Advanced Open Water Diver certification is a prerequisite to this course. Give them the dates of your next Advanced Open Water program, or Adventure Dives for those who just want to “try” one dive in an activity that interests them.] B. What are three ways to prevent or control most diving problems that occur at the surface? 1. Dive within your limits. 2. Relax while you dive. 3. Establish and maintain positive buoyancy when at the surface. C. How can you help yourself in the unlikely event a problem does occur at the surface? 1. Immediately establish buoyancy by either inflating your BCD or dropping your weights (weight system). 3-22 Three: Knowledge Development 2. 3. Stop, think and then act. Don’t hesitate to signal for help - use a whistle, signal tube or wave. [Outline specific common problems - leg cramps, overexertion, being out of breath, etc. Explain that they’ll learn how to handle these basic problems during confined and open water dives, but encourage them to continue their training.] III. Care for Others A. What are the four basic steps to assisting another diver? l. Provide ample positive buoyancy — throw/ extend flotation and/or inflate the BCD; drop weights. 2. Calm the diver. 3. Help the diver reestablish breathing control. 4. Assist diver back to shore/boat if necessary. [Explain that they’ll practice tired diver tows during Confined Water Dive Three.] IV. Solution Thinking Underwater A. How can you prevent or control most problems that may occur underwater? 1. Overexertion. a. Move and breathe slowly. b. Pace yourself. c. If overexerted, stop, rest, relax and breathe slowly. [Discuss environmental conditions that may cause overexertion - surf, currents, surge, etc.] 2. Entanglement. a. Stop, think and then act. Act based on a plan; don’t react based on instinct. b. Work slowly and calmly to free yourself. Don’t try to turn, because this tends to tangle you more. c. Get your buddy to help. [List the most common entanglement sources in the local aquatic environment.] Open Water Diver Course Instructor Guide 3-23 3. 4. Breathing from a free flowing regulator. [Describe how it happens (sand, freezing, poor maintenance, etc.) and briefly describe the technique they’ll use in Confined Water Dive Three.] Out of air. a. Monitor your air supply by looking at your pressure gauge/computer every few minutes. b. Being out of air is a big culprit in causing diver injury, yet it’s a problem you have complete control over. [Relate this to the air depletion exercise from Confined Water Dive Two. Emphasize that you would like to see them monitor their pressure gauge/computer often during the course.] B. Your buddy is out of air—given a certain situation, what emergency procedure should your buddy use to get to the surface? [Remind divers of the options they’ve studied. Also, remind them that discussing emergency procedures is part of dive planning: alternate air source location, air reserves for the return leg and ascending, whether buddy breathing is an option, etc.] 1. Situation One—Your buddy is suddenly out of air about a metre/three feet away. It is 10 metres/33 feet to the surface. Your buddy’s best option is: [Allow students to discuss their answer. The generally preferred answer is to signal “out-of-air,.” secure your alternate air source, begin breathing and when comfortable, ascend with you.] 2. Situation Two—Your buddy takes a breath from his regulator, it suddenly becomes difficult to inhale. The SPG shows zero, and you’re about 18 metres/60 feet away. It is 12 metres/40 feet to the surface. Your buddy’s best option is: [Allow students to discuss their answer. The generally preferred answer is: Your buddy should make a controlled emergency swimming ascent by swimming to the surface, exhaling continuously, making an aaahhhh sound. Point out that 3-24 Three: Knowledge Development for this situation to occur, you and your buddy would have been farther apart than you should be; an effective buddy system calls for staying close enough to assist each other.] V. Offshore Adventures [Use this topic if you will conduct open water dives from a boat. Suggested: Show slides or a video of boats used in the course or on sponsored dive trips.] A. What are some specifics about the dive boats we’ll use during this course or on your dive vacations? 1. Basic layout 2. General rules 3. Where to stow dive equipment and personal belongings 4. Entry and exit guidelines/suggestions 5. Emergency procedures Summary [Review key points. Also, restate objectives as answers to questions and restate values.] Reminder for Knowledge Development Section Four Read the Instructions for Use that comes with the RDP Table or eRDPML. If learning to use the eRDPML, read the first five sections and work the sample problems. If learning to use the Table, read and complete the sample problems and exercises up to “Finding a Minimum Surface Interval.” These are also in the Open Water Diver Multimedia. Open Water Diver Course Instructor Guide 3-25 Knowledge Development Four Training Aid Recommendations 1. Complete System Lesson Guides. 2. PADI Open Water Diver Video. 3. Giant RDPs. Presentation [Reminder: This is a review and elaboration. Move quickly over areas students know well based on their Knowledge Reviews and quiz scores. Spend more time where they had problems, where you need to add detail specific to your students and the local dive environment, and where student divers express interest.] Contact Suggestions 1. Compare using a road map to plan a journey with using the Recreational Dive Planner to plan a dive. 2. Tell students about the first time you ever experienced nitrogen narcosis. Explain how you handled it safely. 3. Ask students why they believe there are rules for driving a car—speed limits, rules of the road, etc. Most will answer “for safety.” Segue to the fact that safe diving has similar limits and rules, many of which they’ve already learned. Overview, Learning Objectives and Example Value Statements I. Nitrogen Narcosis • How should you react if nitrogen narcosis becomes a problem? Nitrogen narcosis can create a hazard, so you’ll want to know how to deal with it. II. Decompression Sickness • • 3-26 How do you avoid decompression sickness? What should you do if you suspect you might have decompression sickness symptoms? It’s easy to minimize the risk of decompression sickness by staying within established limits and following guidelines. If you fail to do this, decompression sickness is potentially life threatening. Three: Knowledge Development III. Dive Tables and Dive Computers Introduction • • • What do these terms mean: dive profile, no decompression limit, bottom time, repetitive dive, surface interval, and pressure group? What are the general rules for the Recreational Dive Planner? How does a dive computer compare to a dive table, and what rules and recommendations apply? As you know, dive tables and computers help you determine the maximum time and depth limits for avoiding decompression sickness. To use tables and computers, you have to understand the terminology, recommendations and guidelines that apply to them. IV-A. Using The eRDPML [Use this portion of the presentation when teaching the eRDPML. Use IV-B when teaching the Table RDP. When working sample problems, draw dive profiles to help students follow.] • How do you find the NDL for any depth between 0 metres/0 feet and 40 metres/130 feet? • How do you find the pressure group for a certain dive depth and time? • How do you find the pressure group after a surface interval? • How do you plan repetitive dives? • What are the special rules for three or more repetitive dives in one day? Knowing how to use the Recreational Dive Planner allows you to plan dives within appropriate limits. IV-B. Using the Recreational Dive Planner Table Version [Use this portion of the presentation, IV-B, when teaching the Table RDP. When working sample problems, draw out dive profiles to help students follow along.] • How do you find the NDL for any depth between 0 metres/0 feet and 40 metres/130 feet? • How do you find the pressure group for a certain dive depth and time? • From Table 2, how do you find the pressure group after a surface interval? • How do you find residual nitrogen times on Table 3? Open Water Diver Course Instructor Guide 3-27 • How do you find adjusted no decompression limits on Table 3? • How do you plan repetitive dives? • What are the special rules for three or more repetitive dives in one day? Knowing how to use the Recreational Dive Planner allows you to plan dives within appropriate limits. Conduct [Ask divers to listen, to ask questions as necessary. Keep it light and fun. For the RDP portions, students will need their RDPs, paper and pen. ] Outline I. Nitrogen Narcosis A. How should you react if nitrogen narcosis becomes a problem? 1. Nitrogen has an anesthetic quality under pressure. 2. If you begin to feel strange or intoxicated, ascend immediately until you reach a depth at which the feelings diminish. [Emphasize that it’s best to experience nitrogen narcosis for the first time under supervision, such as during the deep dive in the Adventures in Diving program.] 3. If acting impaired, assist your buddy to shallower depths. [Remind divers that nitrogen narcosis is not dangerous or harmful by itself, but creates a hazard by impairing judgment, reactions and problem solving ability.] II. Decompression Sickness A. How do you avoid decompression sickness? 1. Decompression sickness is a medical condition caused by excess nitrogen forming bubbles in the blood vessels and body tissues following a dive. Bubbles block blood flow and nerve signals. 2. Follow established safe time and depth limits from validated dive tables/computers. [Provide examples of how you follow tables/computers on every dive.] 3-28 Three: Knowledge Development 3. 4. Ascend slowly — maximum 18 metres/60 feet per minute (slower if stipulated by your computer). [Explain how they gauge their ascent rate in confined and open water dives.] Make a safety stop at 5 metres/15 feet for three minutes or longer after every dive. [Review the specifics of how you’ll make safety stops during the open water dives.] Emphasis Note: Dive tables are based on mathematical models. Because people differ in their susceptibility to decompression sickness, no dive table or computer can guarantee that decompression sickness will never occur, even though you dive within table/computer limits. Always dive well within the limits your computer or table provides. B. What should you do if you suspect you might have symptoms of decompression sickness? 1. Discontinue diving. 2. Seek medical attention. When possible, consult a physician trained in dive related problems, but any physician will do. [Provide students with local diving emergency phone numbers (DAN, DES, etc.)] 3. Breath oxygen at the highest concentration possible. Breathing oxygen helps eliminate nitrogen from the body. Emphasis Note: Even if you vaguely suspect you might have decompression sickness, seek treatment immediately; do not delay. Delays can result in permanent residual symptoms. III. Avoiding Decompression Sickness - Dive Tables Introduction A. What do the terms no decompression limit, bottom time, repetitive dive, surface interval, pressure group and dive profile mean? 1. Dive profile: a graphic representation of a dive. Open Water Diver Course Instructor Guide 3-29 [Use the dive profile on the lesson guide to review the following information. Explain how to use profiles to plan dives. Use examples of actual dives to show application and increase student interest when reviewing terms and rules.] 2. No decompression limits (NDLs) — a.k.a. no stop limits: found on dive tables — the maximum allowable bottom time for a given depth. 3. Bottom time: Using the RDP, the time in minutes from the beginning of descent until the beginning of final direct ascent to the surface or safety stop. 4. Repetitive dive: using the RDP, a dive made within six hours of another dive. 5. Surface interval: the time spent on the surface between repetitive dives. 6. Pressure groups: Letters that represent the amount of residual nitrogen—excess nitrogen left in your body after a dive. Pressure group A indicates the least amount of residual nitrogen. Pressure group Z indicates the greatest allowable amount. Using the RDP, after a six hour surface interval, there is no need for a pressure group since for practical purposes there is no remaining residual nitrogen. B. What are the general rules for the Recreational Dive Planner? 1. Plan any dive planned to 10 metres/35 feet or less as a dive to 10 metres/35` feet. 2. Use the exact or next greater depth shown for the depths of all dives. 3. Use the exact or next greater time shown for the times of all dives. 4. Slowly ascend from all dives at a rate that does not exceed 18 metres/60 feet per minute. This is a speed limit; it’s fine to go slower. The RDP was designed and tested using this ascent rate. A faster ascent rate increases the risk of decompression sickness. 5. Never exceed RDP limits and whenever possible, avoid diving to the limits of the planner. 42 metres/140 feet is for emergency purposes only, do not dive to this depth. 3-30 Three: Knowledge Development 6. When planning a dive in cold water, or under conditions that may be strenuous, plan the dive assuming the depth is 4 metres/10 feet deeper than actual. 7. Plan repetitive dives so each successive dive is to a shallower depth. The dive medical community recommends avoiding following a dive with a deeper dive — you can calculate such a dive with a table or computer, but this practice has a disproportionately high rate of decompression sickness. Always plan your deepest dive first. The RDP was designed and tested using this accepted practice. To dive otherwise increases the risk of decompression sickness. 8. Limit all repetitive dives to 30 metres/100 feet or shallower. 9. Limit your maximum depth to your training and experience level. Novice = 18 metres/60 feet. Recommended depth limit for Advanced Open Water Divers = 30 metres/ 100 feet. Diver with Deep Diver training and a reasonable objective = 40 metres/ 130 feet absolute maximum. C. How does a dive computer compare to a dive table, and what rules and recommendations apply? 1. A dive computer simply writes a custom dive table for your exact dive using the same theories and models used by tables. 2. Dive computers are no more or less valid than dive tables. 3. The guidelines for diving with tables apply to computers (make dives successively shallower, deepest dive first, etc.). 4. Always dive well within computer limits. You should always have ample no decompression time showing on your computer display. [If teaching students Table RDP, skip the next segment and go to IV-B.] Open Water Diver Course Instructor Guide 3-31 IV-A. Using The eRDPML [During this presentation demonstrate using the eRDPML Desktop Version.] A. How do you find the NDL for depths between 0 metres/0 feet and 40 metres/130 feet? M. Metric sample problem: Your first dive of the day is to 17 metres, the depth of a famous reef known for its abundant fish life, seals and manta rays. What’s the maximum allowable bottom time (no decompression limit—NDL) for this dive? [NDL = 56 minutes] I. Imperial sample problem: Your first dive of the day is to 57 feet, the depth of a famous reef known for its abundant fish life, seals and manta rays. What’s the maximum allowable bottom time (no decompression limit—NDL): for this dive? [NDL = 55 minutes] B. How do you find the pressure group for a certain dive depth and time? M. Metric sample problem: Continuing from the previous sample — After watching fish for 30 minutes, at a maximum depth of 17 metres, you notice that your SPG indicates you should ascend, which you do. What’s your pressure group at the end of this dive? [pressure group = L] I. 3-32 Imperial sample problem: Continuing from the previous sample — After watching fish for 30 minutes, at a maximum depth of 57 feet, you notice that your SPG indicates you should ascend, which you do. What’s your pressure group at the end of this dive? [pressure group = L] Three: Knowledge Development C. How do you find the pressure group after a surface interval? Sample problem: Continuing the previous sample—The weather is exceptional. After lunch, you and your buddy decide to make another dive on the same reef Just before you suit up, you notice that it’s been l-hour, 30-minutes since you got out of the water. Using the pressure group after your first dive, “L,” what’s your new pressure group? [pressure group = B] D. How do you plan repetitive dives? M. Metric sample problems a. Finding the NDL prior to a repetitive dive. Continuing from the previous sample — On the first dive you noticed a shallower portion of the reef that you and your buddy could visit about 16 metres deep, which is where you saw several manta rays. As a group B diver after your surface interval, what’s the maximum allowable time (NDL) you could watch manta rays? [NDL = 60 minutes] b. Complete two dive profile. Continuing the previous sample—You now know that the maximum time you can watch the rays on this second dive is 60 minutes. However after watching them for 35 minutes at 16 metres, your SPG indicates you should ascend soon, so you decide to return to the surface. What is your new pressure group? [pressure group = Q] I. Open Water Diver Course Instructor Guide Imperial sample problems a. Finding the NDL prior to a repetitive dive. Continuing from the previous sample— On the first dive you noticed a shallower portion of the reef that you and your buddy could visit about 50 feet deep, which is where you saw several manta rays. As a group B diver after your surface interval, what’s the maximum allowable 3-33 b. time (NDL) you could watch manta rays? [NDL = 67 minutes] Complete two dive profile. Continuing the previous sample—You now know that the maximum time you can watch the rays on this second dive is 67 minutes. However after watching them for 35 minutes at 50 feet, your SPG indicates you should ascend soon, so you decide to return to the surface. What is your new pressure group? [pressure group = P] E. What are the special rules for three or more repetitive dives in one day (when using the RDP)? [Highlight specific examples of when these rules might apply to actual dive situations: boat dives, dive vacations, etc.] 1. If you are planning three or more dives in a day: Beginning with the first dive, if your ending pressure group after any dive is W or X, the minimum surface interval between all subsequent dives is one hour. 2. If your ending pressure group after any dive is Y or Z, the minimum surface interval between all subsequent dives is three hours. Emphasis Note: Since little is presently known about the physiological effects of multiple dives over multiple days, divers are wise to make fewer dives and limit their exposure toward the end of a multiday dive series. [If teaching the eRDPML, skip the next segment to the summary.] 3-34 Three: Knowledge Development IV-B. Using the Recreational Dive Planner Table Version A. How do you find the NDL, for any depth between 0 metres/0 feet and 40 metres/130 feet? How do you find the pressure group for a certain dive depth and time? 1. Begin with table 1 to plan first dive of the day or whenever you plan a dive after six hours following a previous no decompression dive. 2. Table 1 features: a. Starting point b. Depths c. Bottom times d. No decompression limits e. Pressure groups 3-M. Metric sample problem: a. Finding the no decompression limit (NDL.) after a dive. Your first dive is to 17 metres, the depth of a famous reef known for its abundant fish life, seals and manta rays. What’s the maximum allowable bottom time (no decompression limit NDL) for this dive? [NDL = 56 minutes] b. Finding the pressure group after a dive. Continuing the previous sample — After watching fish for 33 minutes at a maximum depth of 17 metres, you notice that your SPG says you should ascend soon, so you end the dive. What’s your pressure group at the end of this dive? [pressure group = M] 3-I. Imperial sample problem: a. Finding the no decompression limit (NDL.) after a dive. Your first dive is to 57 feet, the depth of a famous reef known for its abundant fish life, seals and manta rays. What’s the maximum allowable bottom time (no decompression limit NDL) for this dive? [NDL = 55 minutes] b. Finding the pressure group after a dive. Continuing the previous sample — After watching fish for 33 minutes at a maxiOpen Water Diver Course Instructor Guide 3-35 mum depth of 57 feet, you notice that your SPG says you should ascend soon, so you end the dive. What’s your pressure group at the end of this dive? [pressure group =M] B. From Table 2, how do you find the pressure group after a surface interval? 1. Used to determine how much residual nitrogen a diver eliminates during a surface interval. 2. Enter Table 2 using the pressure group found in Table 1. 3. Find surface interval. Numbers in the boxes are times expressed in hours and minutes. Example: 1:30 = 1 hour and 30 minutes. 4. Move vertically to the bottom of Table 2 to find new pressure group. 5. Note: more time on the surface—less residual nitrogen; less time on the surface—more residual nitrogen. Remember, residual nitrogen is low in pressure group A and becomes greater as one moves to pressure group Z. 6. Continuing from the previous sample—The weather is exceptional. After lunch, you and your buddy decide to make another dive on the same reef. Just before you suit up you notice that it’s been 1 hour, 30 minutes since you got out of the water. Using Table 2, what ‘s your new pressure group? [pressure group = B] C. How do you find residual nitrogen times on Table 3 and how do you find adjusted no decompression limits on Table 3? 1. Table 3 is used to find out how much residual nitrogen, expressed in minutes, a diver has remaining in the body prior to entering the water for a repetitive dive. 2. This amount is referred to as residual nitrogen time (RNT). 3. Enter Table 3 at the top, with the new pressure group found after the surface interval. 4. Find the depth of the repetitive dive in the column on the left side. 5. Intersect the depth row with the pressure 3-36 Three: Knowledge Development group column. You will locate a box with two numbers. 6. The RNT is the number in the white box. 7. The adjusted no decompression limit (ANDL) is located in blue box. The Adjusted no decompression limit is the maximum time you can spend at that depth on the repetitive dive. 8. The ANDL is the result of subtracting the RNT from the NDL for the depth of the repetitive dive. 9-M. Metric sample problems: a. Finding the RNT before a repetitive dive. Continuing the previous sample — On the first dive, you noticed a shallower portion of the reef that you can visit, about 15 metres deep, where you saw manta rays. As a group B diver after your surface interval, what’s your RNT? [RNT= 13 minutes] b. Finding the ANDL before a repetitive dive. Continuing the previous sample — What’s your ANDL for this repetitive dive? [ANDL = 59 minutes] 9-I. Imperial sample problems: a. Finding the RNT before a repetitive dive. Continuing the previous sample — On the first dive, you noticed a shallower portion of the reef that you can visit, about 45 feet deep, where you saw manta rays. As a group B diver after your surface interval, what’s your RNT? [RNT= 13 minutes] b. Finding the ANDL before a repetitive dive. Continuing the previous sample— What’s your ANDL for this repetitive dive? [ANDL = 67 minutes] Open Water Diver Course Instructor Guide 3-37 D. How do you plan repetitive dives? 1. When planning more than two dives a day, a diver needs to know how to get a new pressure group at the end of a repetitive dive. 2. Find the RNT after a repetitive dive on Table 3. 3. Add the RNT to the actual bottom time (ABT). a. Actual bottom time: The time actually spent underwater on the repetitive dive. 4. The sum of the RNT and ABT equals the total bottom time or TBT. a. Total bottom time: A time representing the amount of nitrogen a diver has in the body after a repetitive dive. b. RNT + ABT = TBT c. Forgetting to add RNT to ABT to get TBT is the single most common error made by divers learning to use the tables. Use this Residual Nitrogen Time (RNT) mnemonic to help + Actual Bottom Time (ABT)____ you remember: Total Bottom Time (TBT) Always find the RAT: 5. Find the new pressure group on Table 1 by using depth of the repetitive dive and total bottom time (TBT). 6-M. Metric sample problem Continuing from the previous sample — Your second dive to 15 metres for 30 minutes couldn’t have been better — you see a manta ray up close. Now that the dive is complete and you’re back on the surface, what’s your TBT and new pressure group? [TBT= 43; new pressure group = O] 6-I. Imperial sample problem Continuing from the previous sample—Your second dive to 45 feet for 30 minutes couldn’t have been better—you see a manta ray up close. Now that the dive is complete and you’re back on the surface, what’s your TBT and new pressure group? [TBT= 43; new pressure group = N] 3-38 Three: Knowledge Development E. What are the special rules for three or more repetitive dives in one day (when using the RDP)? [Highlight specific examples of when these rules might apply to actual dive situations: boat dives, dive vacations, etc.] 1. If you are planning three or more dives in a day: Beginning with the first dive, if your ending pressure group after any dive is W or X, the minimum surface interval between all subsequent dives is one hour. 2. If your ending pressure group after any dive is Y or Z, the minimum surface interval between all subsequent dives is three hours. Emphasis Note: Since little is presently known about the physiological effects of multiple dives over multiple days, divers are wise to make fewer dives and limit their exposure toward the end of a multiday dive series. Summary [Review key points. Also, restate objectives as answers to questions and restate values.] Reminder for Knowledge Development Section Five Finish the Instructions for Use for with the RDP Table or eRDPML. This material is also in the Open Water Diver Multimedia. Open Water Diver Course Instructor Guide 3-39 Knowledge Development Five Training Aid Recommendations 1. Complete System Lesson Guides. 2. PADI Open Water Diver Video. 3. Giant RDPs. Presentation [Reminder: This is a review and elaboration. Move quickly over areas students know well based on their Knowledge Reviews and quiz scores. Spend more time where they had problems, where you need to add detail specific to your students and the local dive environment and where student divers express interest.] Contact Suggestions 1. Ask students if they think they will ever be diving in cold water or flying to a dive destination. Most will probably answer “yes” to one or the other. Segue to the notion that to dive safely under these special circumstances, there are some steps to follow when planning dives with the Recreational Dive Planner. 2. Drawing from past experience, explain how making a safety stop prevented a possible problem (adjust ill fitting equipment, double checked table limits and dive time, looking for boats overhead, etc.) Emphasize safety stop benefits. 3. Tell students about the last time you traveled by air from a dive destination and applied the guidelines for flying and driving to altitude after diving. Overview, Learning Objectives and Example Value Statements I. Be a S.A.F.E. Diver - Making Safety Stops • When must you make a safely stop? Understanding when safety stops are recommended and required helps you reduce the risk of decompression sickness. II. Emergency Decompression • 3-40 What should you do if you accidentally exceed a no decompression limit? Three: Knowledge Development Accidents happens. If you exceed the RDP or your computer’s no stop limits, you need to know what to do to reduce your risk of decompression sickness. III. Altitude Considerations for Divers • • Above what altitude should you use special procedures with the Recreational Dive Planner? What are the guidelines for flying after diving? Altitude makes it easier for bubbles to form in your body after a dive, so you need to follow procedures to keep your decompression sickness risk tolerable. IV-A. Using The eRDPML — Finding a Minimum Surface Interval and Calculating a Multilevel Dive [Use IV-A when teaching the eRDPML. When working sample problems.] • How do you find the minimum surface interval between two no decompression dives using the eRDPML? • How do you plan a multilevel dive with the eRDPML? Knowing how to use the eRDPML to find a minimum surface interval will help you make the most effective use of your time when planning two or more dives. IV-B. Using the RDP Table—Finding a Minimum Surface Interval • [Use IV-B when teaching the Table.] How do you find a minimum surface interval between two no decompression dives using the RDP Table version? Knowing how to use the Table to find a minimum surface interval will help you make the most effective use of your time when planning two or more dives. V. Computer Dive Planning • • Open Water Diver Course Instructor Guide What is a dive computer? How do you use a dive computer? Dive computers have become very popular, and it’s more unusual to see a diver without one than with one. Since diving with a computer has many benefits, you’ll want to know how to use one. 3-41 Conduct [Ask divers to listen, to ask questions as necessary. Keep it light and fun.] Outline I. Be a S.A.F.E. Diver—Making Safety Stops A. When must you make a safety stop? 1. After a dive to 30 metres/100 feet or deeper. 2. Your pressure group at the end of a dive is within three pressure groups of the no decompression limit (using the RDP). 3. When you dive up to any limit on the RDP or your dive computer. Emphasis Note: Make a safety stop after every dive. [Explain PADI’s S.A.F.E. Diver campaign—be a S.A.F.E. Diver— Slowly Ascend From Every dive, and make a safety stop after every dive.] II. Emergency Decompression A. What should you do if you accidentally exceed a no decompression limit? 1. Using the RDP, if you exceed a no decompression limit or an adjusted no decompression limit by no more than five minutes, slowly ascend at a rate not faster than 18 metres/60 feet per minute to 5 metres/15 feet and remain there for eight minutes prior to surfacing. After reaching the surface, do not dive for at least six hours. 2. Using the RDP, if you exceed a no decompression limit or an adjusted no decompression limit by more than five minutes, slowly ascend at a rate not faster than 18 metres/60 feet per minute to 5 metres/15 feet and remain there for no less than 15 minutes prior to surfacing, air supply permitting. After reaching the surface, do not dive for at least 24 hours. 3. Using a dive computer, your computer will give you your emergency decompression requirements. After surfacing, remain out of the water as recommended by the manufacturer’s literature. Making a repetitive dive after a dive requiring decompression is not generally recommended. 3-42 Three: Knowledge Development III. Altitude Considerations for Divers A. Above what altitude should you use special procedures with the Recreational Dive Planner? 1. Diving at altitudes higher than 300 metres/1000 feet requires the use of special tables and procedures to account for decreased atmospheric pressure. To use a dive computer, see the manufacturer’s literature—you may need to put the computer in a special altitude mode. 2. You need special training for altitude diving. [Outline specific course procedures for diving at altitude if open water dives will take place above 300 metres/1000 feet and promote upcoming Altitude Diver specialty courses.] B. What are the guidelines for flying after diving? 1. For a single dive within the no decompression limit, a minimum preflight surface interval of 12 hours is suggested 2. For repetitive dives and/or multiday dives, a minimum preflight surface interval of 18 hours is suggested. 3. For dives requiring decompression stops, a minimum preflight surface interval greater than 18 hours is suggested. [Show how you used these guidelines on a past dive trip.] Emphasis Note: There is currently no recommendation for driving to altitude after diving. Conservatism is prudent. Also, there can never be a flying after diving rule that is guaranteed to prevent decompression sickness completely. These guidelines represent the best estimate for a conservative, safe surface interval for the vast majority of divers. The responsibility for diving safely and proper behavior falls on you. Stay up on procedure changes over time as new research develops. [If you are teaching the table version of the RDP, skip the next segment and go to IV-B.] Open Water Diver Course Instructor Guide 3-43 IV-A. Using The eRDPML – Finding a Minimum Surface Interval and Calculating a Multilevel Dive A. How do you find minimum surface interval between two no decompression dives using the eRDPML? [Explain that you find minimum surface intervals when planning repetitive dives with known depths (from previous dives, boat depth finders, charts, etc.). This allows one to calculate the least amount of time (the minimum surface interval) that you must wait after the first dive to be able to make a second dive for a desired time.] 3-44 M. Metric sample problem: Your tropical dive vacation includes a popular wreck dive. From the depth finder, the boat captain gives you the depth, 17 metres, and informs you that you’ll make two dives on this site. Your first dive is for 41 minutes. Since you’re anxious to get back in and see the rest of wreck, you want to know the minimum time you need on the surface to make another dive to 17 metres for 41 minutes. [pressure group after 1st dive = Q; pressure group at the beginning of 2nd dive = C; minimum surface interval =1:22] I. Imperial sample problem: Your tropical dive vacation includes a popular wreck dive. From the depth finder, the boat captain gives you the depth, 52 feet, and informs you that you’ll make two dives on this site. Your first dive is for 41 minutes. Since you’re anxious to get back in and see the rest of the wreck, you want to know the minimum time you need on the surface to make another dive to 52 feet for 41 minutes. [pressure group after 1st dive = P; pressure group at the beginning of 2nd dive = G; minimum surface interval =:46] Three: Knowledge Development Emphasis Note: Determining minimum surface intervals means diving to the limits of the RDP. You can add some conservatism by using a lower pressure group (more toward pressure group “A”) at the beginning of the 2nd dive. You can also determine a minimum surface interval, but then stay a bit longer than that interval when diving. Another way to be conservative is to limit the actual bottom time of your second dive to well within the time you plan. Remember to make a safety stop before surfacing. B. How do you plan a multilevel dive using the eRDPML? [Review with students, the eRDPML Instructions for Use booklet.] Open Water Diver Course Instructor Guide M. Metric sample problem: The dive boat you’re on anchors over a beautiful reef with a variety of depth levels. As a PADI Advanced Open Water Diver, you’re training qualifies you to dive to the depths at the site. You immediately plan the deepest depth of your dive for 32 metres. What’s the NDL for this depth? [NDL = 17 minutes] You decide to stay at 32 metres for 12 minutes. What pressure group does this yield? [pressure group = H] You plan to ascend next to 18 metres where you’ve been told you can find some corals. After the first level, what’s the maximum time you can spend at 18 metres? [ML = 23 minutes] After 10 minutes at 18 metres, you plan to ascend to a third level. What pressure group would you have now? [pressure group = M] You decide to ascend to 12 metres. What’s the maximum time you can spend at 12 metres? [ML = 76 minutes] I. Imperial sample problem: The dive boat you’re on anchors over a beautiful reef with a variety of depth levels. As a PADI Advanced Open Water Diver, you’re training qualifies you to dive to the depths at the site. You immediately plan the deepest depth of your dive 3-45 for 95 feet. What’s the NDL for this depth? [NDL = 22 minutes] You decide to stay at 95 feet for 15 minutes. What pressure group does this yield? [pressure group = J] You plan to ascend next to 65 feet where you’ve been told you can find some corals. After the first level, what’s the maximum time you can spend at 65 feet? [ML = 15 minutes] After 10 minutes at 65 feet, you plan to ascend to a third level. What pressure group would you have now? [pressure group = P] You decide to ascend to 50 feet. What’s the maximum time you can spend at 50 feet? [ML = 20 minutes] [If you are teaching the eRDPML, skip the next segment and continue this presentation with the topic: Computer Dive Planning.] IV-B. Using the RDP Table — Finding a Minimum Surface Interval A. How do you find a minimum surface interval between two no decompression dives with the RDP Table? [Explain that you find minimum surface intervals when planning repetitive dives with known depths (from previous dives, boat depth finders, charts, etc.) – 3-46 Three: Knowledge Development Allows one to calculate the least amount of time (the minimum surface interval) that you must wait after the first dive to be able to make a second dive for a desired time.] 1. On table one, first find the pressure group at the end of the first dive. 2. On table three, locate the depth of the second dive on the left-hand side. Move horizontally from that depth across the table until you find the exact time, or next greater time, of the second dive in a blue box (this time will be an ANDL). Locate the pressure group above this time. 3. On table 2, intersect the pressure group found after the first dive with the pressure group found from table three. At that intersection on table two, you will find two numbers. The top number is the minimum surface interval. 4-M. Metric sample problem: Your tropical dive vacation includes a popular wreck dive. From the depth finder, the boat captain tells you the depth is 17 metres, and informs you that you’ll make two dives on this site. Your first dive is for 41 minutes. Since you’re anxious see the rest of wreck, you want to know the minimum amount of time you need on the surface to make another dive to 17 metres for 41 minutes. [pressure group after 1st dive = P; pressure group at the beginning of 2nd dive = C; minimum surface interval = 1:17] 4-I. Imperial sample problem: Your tropical dive vacation includes a popular wreck dive. From the depth finder, the boat captain tells you the depth is 52 feet, and informs you that you’ll make two dives on this site. Your first dive is for 41 minutes. Since you’re anxious to see the rest of wreck, you want to know the minimum amount of time you need on the surface to make another dive to 52 feet for 41 minutes. [pressure group after 1st dive = Q; pressure group at the beginning of 2nd dive = C; minimum surface interval = 1:21] Open Water Diver Course Instructor Guide 3-47 Emphasis Note: Determining minimum surface intervals means diving to the limits of the RDP. You can add some conservatism by using a lower pressure group (more toward pressure group “A”) at the beginning of the 2nd dive. You can also determine a minimum surface interval, but then stay a bit longer than that interval when diving. Another way to be conservative is to limit the actual bottom time of your second dive to well within the time you plan. Remember to make a safety stop before surfacing. V. Computer Dive Planning A. What is a dive computer? 1. A dive computer is a specialized calculator that reads your depth and time and applies them to a decompression model to provide you with your no decompression time remaining. [Show students a few dive computers, discussing features/benefits.] 2. They also calculate multilevel dives (like the eRDPML), which extends your no stop time beyond the no decompression limit of your deepest depth. Multilevel diving offers more time because it credits you for slower nitrogen absorption when you ascend to a shallower depth. [Give examples of multilevel dives student divers might make.] 3. A dive computer’s primary purpose is to tell you your remaining no decompression time. All display depth, no decompression time remaining and elapsed time. Some include your SPG and calculate the amount of time remaining based on your air consumption. B. How do you use a dive computer? 1. Follow the guidelines you learned with the Recreational Dive Planner (deep dives first, limit repetitive dives to 30 metres/100 feet or shallower, etc.) 2. You and your buddy need your own computers. Don’t attempt to share. A computer 3-48 Three: Knowledge Development 3. 4. 5. 6. tracks your nitrogen throughout the dive day, so you can’t swap or share computers between dives, either. Don’t turn your computer off between dives or remove the battery. Doing so will make it lose its memory of your residual nitrogen. Your computer will shut itself off. Different computers have slightly different decompression models and different time limits. Buddy teams should follow the computer with the more conservative times. If your computer malfunctions while diving, ascend immediately according to the manufacturer’s instructions. a. If there is no recommendation, then ascend at a rate not exceeding 18 metres/60 feet per minute or the computer’s ascent rate, whichever is slower, to a depth of 5 metres/15 feet and make a long safety stop, perhaps lasting as long as your air supply permits. Do not dive again for 24 hours, or as recommended by the manufacturer’s instructions. Back up your computer with the Recreational Dive Planner. Since no dive computer is infallible, it is still important for you to have and use your RDP. If your computer fails you may have to quit diving until the next day to clear residual nitrogen, but then you can resume using your RDP. You may be able to rent a dive computer in many places, but don’t count on it—take your RDP so you don’t miss out on the diving. [Suggest the PADI Multilevel Specialty Diver course as a good way to learn more about computers, multilevel diving and decompression theory.] VI. Your Next Adventure [Show students slides/videos of people having fun diving with your dive operation. Take time to get student divers to plan now for what they’ll do after they become divers. Encourage them strongly to do one or more of the following: A. Join your dive operation’s club and the PADI Diving Society Open Water Diver Course Instructor Guide 3-49 B. C. D. E. F. Sign up for an Adventure Dive. Sign up for a course (Advanced or Specialty). Sign up for a dive trip. Sign up for a local dive with your dive operation. Invest in a regulator and BCD setup, or an exposure suit. Emphasize that divers who do one of these right after completing their certification tend to stay in diving, and get from diving what they want. Those who don’t are more likely to go a long time without diving, or never dive again, wasting the time and money they’ve invested. Encourage student divers to share names and contact information; this gives them some immediate contacts with others who dive.] Summary [Review key points. Also, restate objectives as answers to questions and restate values.] 3-50 Three: Knowledge Development Rescue Diver Course Lesson Guide Presentation Notes Rexcue Diver Course Lesson Guide Presentation Notes © PADI 2009 Published by PROFESSIONAL ASSOCIATION OF DIVING INSTRUCTORS 30151 Tomas Rancho Santa Margarita, CA 92688 USA Printed in U.S.A. I. Knowledge Development Presentation One The first session sets the tone for the course and allows you to establish rapport with the student divers. It is important to be well-organized and explain the course requirements clearly. Build enthusiasm during this session by explaining that the rescue diver program differs from previous training levels because it expands their awareness beyond themselves to assisting others. Emphasize that the course is challenging and deals with a serious subject, but is at the same time rewarding and fun. Explain that each Knowledge Development Section develops information to correspond synergistically to the rescue skills and scenarios they will learn and practice during the rescue training sessions. The first section of the PADI Rescue Diver Manual supports this Knowledge Development Section of the course. If possible, have student divers read Section One, complete the Knowledge Review, and watch the corresponding video sequence of the PADI Rescue Diver Video before attending. Overview and Learning Objectives By the end of this section, the student should be able to answer the questions in italics: A. Welcome and Introductions Course Structure Performance Requirements Equipment and Materials Requirements Schedule, Logistics and Paperwork Certification B. The Psychology of Rescue • What is the most common cause of diver emergencies? • Do Not Risk Your Life • What three things should you consider before attempting an inwater rescue of someone in the water? • What is diver stress? • What are seven causes and examples of physical stress? • What are three examples of psychological (emotional) stress caused by physical stress? • What are four causes of psychological stress other than physical stress? • What is perceptual narrowing? • What effects can stress produce in a diver? C. Being Prepared for a Diver Emergency First Aid Kit • What supplies belong in a well-stocked first aid kit and how are they used? • What is a pocket mask? • What are four advantages of a pocket mask? 1 Emergency Oxygen Delivery Systems • Why is it important to have emergency oxygen available? • What are the three primary types of emergency oxygen systems? • How do the three primary types of emergency oxygen systems differ? • Which two types of emergency oxygen systems are recommended for use by rescue divers? • How much oxygen should be available? Automated External Defibrillator (AED) • What is an AED? • What is the benefit of having an AED on hand? D. Accident Management Managing an Emergency • What is the difference between a “victim” and a “patient”? • What are the two possible roles a rescue diver may have at a dive accident scene? • What two forms of readiness prepare you to manage an emergency? What are the elements of each? • What are the six basic steps for emergency management? • What considerations and procedures are involved with forming a local emergency assistance plan? E. Responding to Diver Emergencies Self-rescue – Looking After Yourself First • What three areas of preparation increase your self-rescue abilities? • What three dive procedures help you anticipate and prevent problems while diving? • What should you do when you encounter a problem while diving? • What are five skills that increase your self-rescue abilities? Recognizing Rescue Situations • What signs and behaviors indicate a diver may have a problem at the surface? • What are the characteristics that indicate a tired diver? • What are the characteristics that indicate a panicked diver? Nonswimming Assists and Rescues • Why does the rescuer’s safety take priority over the distressed diver’s safety in an emergency situation? • What are the four types of nonswimming rescues you can use to help a diver at the surface? Assisting the Responsive Diver at the Surface • What are the two types of responsive diver at the surface rescues? • Why is rescuing a panicked diver the most hazardous situation for the rescuer? 2 A. Presentation One – Speaker Notes: Welcome and Introductions [Introduce yourself and your staff. Have student divers introduce themselves. Keep it light and relaxed.] 1. Course Structure – Similar to other PADI courses, the structure of the Rescue Diver program allows for maximum flexibility. a. Independent Study - This is the most flexible way to develop knowledge. The PADI Rescue Diver Manual and PADI Rescue Diver Video provide the foundation you need to progress and succeed in the course. The text includes study question exercises that confirm your understanding and knowledge reviews at the end of each section to verify your mastery of the material. [Assign independent study topics. If these materials are not available in a language the divers understand, give them the knowledge development presentation schedule you plan to follow.] b. Knowledge Development Sessions [Explain how you will organize review sessions, and provide schedule.] 1. Final Exam – Prior to certification, you will take the Rescue Diver Exam. This test provides proof that you have grasped the concepts necessary to become a PADI Rescue Diver. The exam covers topics you have either studied independently or discussed in class, so you will be well prepared for it. c. Rescue Training Sessions [Explain how you will organize Rescue Training Sessions, whether they will occur in confined water and/or under open water conditions, and provide a schedule for the five Rescue Training Sessions.] 1. Skill development and practical application occur during five Rescue Training Sessions. [It is recommended you begin initial rescue skill development and mastery in confined water. Explain how skill practice in confined water leads to application in open water.] 2. There are ten rescue exercises that will be completed during five Rescue Training Sessions. The rescue exercises introduce skills in a logical sequence and subsequent exercises build on previous ones. Your open water experience will consist of four Rescue Scenarios that require you to draw from earlier sessions and apply skills to realistic situations. 2. Performance Requirements a. The PADI Rescue Diver course philosophy is framed around the concept that there is no single “right” way to perform a rescue. Because people differ in their physical abilities and attributes, and dive environments can present unique challenges, rescue divers must adapt techniques to suit the situation. 3 1. Each course phase has specific performance requirements you must meet, but how you meet those goals may differ from the methods your classmates use. The goal is the same – that everyone is able to perform an effective rescue. 2. The study objectives and skills overview throughout the PADI Rescue Diver Manual define what you will accomplish during the rescue training sessions. The PADI Rescue Diver Video shows various techniques used to meet the skill performance requirements for the course. By reviewing these before your Rescue Training Sessions, you will be better prepared to practice the skills. b. Prior to Knowledge Development Two and Rescue Training Session Two of the PADI Rescue Diver course you must have completed a sanctioned course in Cardiopulmonary Resuscitation (CPR)/primary care and a secondary care/basic first aid course within the past two years (24 months). The Emergency First Response Primary Care (CPR) and Secondary Care (First Aid) courses meet these prerequisites. [If a student needs to meet these requirements and you are conducting an Emergency First Response course, explain how the course schedule could accommodate the student. If not, explain the options student divers have for meeting this requirement.] 3. Equipment and Materials Requirements [Discuss diver equipment requirements and other logistical information. Answer student diver questions regarding the course.] 4. Schedule, Logistics and Paperwork [Complete required paperwork (Liability Release, Statement of Understanding, and Medical Form, etc.), ensure that students understand the times, locations and requirements for all course sessions, etc.] 5. Certification Upon successful completion of all Knowledge Reviews, Final Exam, Rescue Training Sessions and the open water rescue training scenarios, you will qualify for the PADI Rescue Diver certification. B. The Psychology of Rescue What is the most common cause of diver emergencies? 1. An emergency can happen to anyone in or around the water, regardless of how good a diver the person is. Trouble can arise without warning due to medical conditions, sudden changes in the environment or an unexpected variable that no one can reasonably foresee. 2. The most common cause of diver emergencies, however, is poor judgment. Remember that planning a dive is, in part, a risk assessment. Failing to use good judgment when assessing risk can lead to diver emergencies. 4 a. Divers may choose to participate in diving activities beyond their experience or education. b. Divers may make poor decisions during a dive, such as disregarding worsening dive conditions or a seemingly trivial equipment malfunction. c. Divers may skip equipment safety checks or basic dive planning. d. Noting poor judgment may give you the opportunity to intervene before an accident occurs. 3. It’s important to recognize the cause of an accident so you don’t make the same mistakes as those who need your help. 4. Do not risk your life. What three things should you consider before attempting an inwater rescue of someone in the water? a. Knowing how to help others in the water is important. Always act safely to reduce the risk of becoming a victim yourself. 1. If a diver or person needs rescue, first consider whether you need to enter the water at all. If you can extend a line or pole to the person or aid via a boat, that’s always better. b. If inwater rescue is required, consider whether you have the equipment and training necessary. c. If inwater rescue is required, consider whether you can reasonably expect to accomplish the rescue without getting into trouble yourself. What is diver stress? 1. Stress is defined as physical or mental tension that results in physical, chemical or emotional changes in the body. Stress can induce both positive or negative reactions. For example, it energizes you to a higher level in a race or causes you to freeze when confronted with something frightening. 2. The primary ingredients and sequence of a stress situation are: a. Initial cause – an incident, thought, image, fear, perception, etc. b. Diver’s disposition – whether the cause is viewed as positive, negative or insignificant c. How the diver deals with stress. Healthy responses include canceling the dive, getting more information, taking steps to eliminate the cause, etc. Problematic responses include denial or rationalization, magnifying a fear through preoccupation (worry) and blind, instinctive response (panic). What are seven causes and examples of physical stress? 3. Divers sometimes fail to recognize the effects of physical discomfort. Even 5 minor annoyances can cause stress and if left uncorrected, can lead to more serious problems. 4. Causes and examples of physical stress include: a. Cold and heat b. Seasickness c. Nitrogen narcosis d. Fatigue e. Illness or injury f. Alcohol or drugs g. Discomfort or impaired function caused by ill-fitted or malfunctioning equipment What are three examples of psychological (emotional) stress caused by physical stress? 5. Psychological stress often results from physical stress. Physical stress can also result from psychological stress. 6. Possible examples of emotional (psychological) stress caused by physical stress include: a. Fatigue – may cause the diver to fear whether he’ll make it back to the boat. b. Overexertion – may cause the diver to breathe air faster and to fear that he might run out of air. c. Task loading – the diver becomes faced with more tasks to manage than the diver is physically capable of handling, such as being unable to inflate the BCD at the surface while overweighted by a heavy object and unable to breathe due to surface chop while swimming against a current. What are four causes of psychological stress other than physical stress? 7. Psychological stress results when divers perceive a threat to their safety or well being. 8. Possible causes of psychological stress include: a. Individual beliefs and attitudes, including expense of dive – expense and travel time may cause pressure to dive even though the diver would rather not. b. Task loading (mental) c. Peer pressure (threat to self image) – the diver may make the dive to avoid looking like a coward or to avoid peer pressure. d. Perception that risk is greater than normal 9. Psychological stress stimuli can be either real or imagined. However, the stress that results is very real to the diver experiencing it. What is perceptual narrowing? 10. When the body prepares for emergency action, it releases epinephrine (a.k.a. adrenaline). This increases the breath- 6 ing rate, which when using dive gear can cause decreased breathing efficiency. This may feel like suffocation or air starvation to the diver, which can lead to panic. 11. A diver under high stress (especially one who panics) may experience perceptual narrowing – a decrease in broad awareness through close focus on a perceived problem or a single (ineffective) response. Perceptual narrowing reduces the diver’s ability to see other solutions or to perceive other potential problems arising. What effects can stress produce in a diver? [Have student divers reference the Stress Management Chart in their PADI Rescue Diver Manual.] 12. When a problem arises, the diver feels stress. 13. Stress evokes a physical and psychological response. 14. Depending on the diver’s disposition, the stress can either cause anxiety or help the diver to recognize the problem and begin formulating a plan to correct it. 15. If the diver fails to react or the reaction doesn’t solve the problem, the diver’s anxiety may increase and stress may continue to increase. The next step in the cycle depends upon the diver’s state of mind and training. 16. If the diver’s reaction does not solve the problem and the diver feels unable to correct the problem, the result may be sudden, unreasoned, instinctive panic, and the need for rescue. Panic takes two forms: a. Active behavior – mask off, regulator/snorkel out, grabbing, struggling or bolting. b. Passive behavior – frozen, trancelike, unaware or unresponsive. 17. If the diver’s reaction does not solve the problem but the diver remains confident that the problem can be solved, panic may be avoided. If the diver stops, breathes, thinks, and then takes alternative corrective action, panic is not immediately likely. 18. Whether an individual will panic depends upon individual factors, such as how much threat the person perceives from the situation, and how much control the person feels to remedy the situation. The more threat and helplessness perceived, the more likely the diver will panic. The less threat and the more control the diver perceives, the less likely the diver will panic and the more likely the diver will apply solution thinking. Training, staying within experience limits and personal disposition are the major factors for avoiding panic. C. Being Prepared for a Diver Emergency 1. First Aid Kit What supplies belong in a well-stocked first aid kit and how are they used? 7 [If possible, have a complete first aid kit available for student divers to examine.] a. Make a well-stocked first aid kit a regular part of your dive gear. A first aid kit useful for the most commonly encountered diving injuries and conditions is useful for emergencies beyond diving. 1. Most basic items in a typical first aid kit are meant to manage minor problems or to stabilize a major problem until definitive care is available. 2. There are many organizations that have first aid kits available that are fairly well equipped for most emergencies. b. Consider your own safety first. Follow procedures to reduce risk of hepatitis, HIV, meningitis and other infections as you learned in Emergency First Response (or other first aid course). Avoid direct contact with blood or other bodily fluids, mucus membranes, wounds, or burns. c. The following equipment is essential for protection and should be included in your first aid kit: 1. Good-quality disposable latex or vinyl gloves. 2. A pocket mask with a one-way valve for rescue breathing an unresponsive nonbreathing diver. 3. Eyeglasses or other eye protection wide enough to protect from splashing fluids. 4. A face mask to avoid inhaling infectious organisms in airborne moisture. d. Include a manual and/or slate in your kit that describes the treatments for the common injuries or conditions. The Emergency First Response Participant Manual and the PADI Accident Management Workslate are good examples. Keep a pad of paper or blank slate for recording the steps you take. Include reference materials with first aid specific to aquatic life injuries. 1. Use an emergency manual and/or slate to follow recommended protocols and document the event. This helps ensure that the diver experiencing difficulty receives optimum care. 2. A detailed and complete record of what was done and when it was administered will help medical personnel. It may also help accident investigators. e. Build a well-stocked first aid kit using these items: 1. Durable noncorrosive case – to protect first aid equipment 2. Emergency phone numbers/coins/phone card – to have emergency contact information immediately available and the means to use a pay phone; power adapter or spare cell phone battery may be useful 3. Gloves – to protect you against blood borne pathogens 8 4. Ventilation barriers – to protect you against disease transmission 5. Large absorbent dressings (various sizes) – used to help stop bleeding 6. Sterile gauze pads (various sizes) – to help stop bleeding and dress wounds 7. Clinging rolled bandages (various sizes) – to dress wounds 8. Adhesive bandages (various sizes) – to dress wounds 9. Adhesive tape – to dress wounds 10. Nonadherent, dry pads – to dress burn wounds 11. Triangular bandages – to immobilize dislocations and fractures l2. Sterile cotton – to dress wounds 13. Cotton tipped swabs – to clean wounds 14. Bandage scissors – to cut bandages and dive apparel 15. Tongue depressors – to check vital signs during illness assessment and can be used as splinting material for finger dislocations and fractures 16. Tweezers – to assist in removing material 17. Needle – to assist in removing foreign material 18. Safety pins – to attach and secure bandages 19. Penlight – for light and to use as an examination tool 20. Oral thermometer – to measure temperature as a vital sign 21. Squeeze bottle of water – for hydration and for divers with heat stroke, for burns, eye or wound wash 22. Splints – to immobilize dislocations and fractures 23. Emergency blanket – for warmth and to cover divers with shock 24. Cold packs – for bruises, strains, eye injuries, stings and dislocations and fractures 25. Hot packs – for venomous bites and stings 26. Vinegar – to neutralize stinging cells of jellyfish 27. Plastic bags – to dispose of gloves and medical waste and may also be used in lieu of actual gloves as a barrier 28. Small paper cups – for drinking and to cover eye injuries 29. Denatured alcohol – for disinfectant (not to be used on wounds) 30. Antibacterial soap – to clean wounds 31. Antiseptic solution or wipes – for wounds 32. Antibiotic ointment – for wounds 33. Hydrocortisone ointment – for stings and irritations 34. Aspirin and non-aspirin pain relievers – to reduce swelling and diver discomfort 35. Antihistamine tablets – for allergic reactions 36. Sugar packs, candy or fruit juice – for low blood sugar 9 37. Activated charcoal – for poisoning 38. Anti-nausea drugs – to reduce seasickness 39. Nasal decongestant spray – useful for divers with difficulty clearing ears or sinuses 40. Sunscreens – to prevent sunburn What is a pocket mask? What are four advantages of a pocket mask? f. A pocket mask (a.k.a. resuscitator mask or CPR mask) used for rescue breathing: 1. Simplifies getting an effective seal and head positioning 2. Reduces worries about disease transmission between you and the injured party 3. Improves inwater rescue breathing effectiveness for rescuing a nonbreathing diver (you’ll practice using the pocket mask during your rescue training sessions). 4. May be connected to continuous flow oxygen to provide nonbreathing diver with oxygenated rescue breaths [Explain that they’ll use a pocket mask during their rescue training sessions and during their open water rescue scenarios. Encourage divers to obtain a pocket mask for their personal dive kits.] 2. Emergency Oxygen Delivery Systems Why is it important to have emergency oxygen available? a. Research and case studies show that administering oxygen is one of the single most important first aid steps for a diver suspected of suffering from decompression sickness, lung overexpansion injuries or near drowning. Oxygen is the community standard first aid for these types of emergencies. What are the three primary types of emergency oxygen systems? b. The three main types of oxygen delivery units available include positive pressure (a.k.a. power resuscitation), continuous flow and nonresuscitator demand valve. 1. The PADI Rescue Diver course teaches you the basics of supplying oxygen to breathing and nonbreathing divers. 2. You can learn more about oxygen system use in more advanced diver emergency courses and specialized courses with extra detail on providing oxygen. 3. The focus at this level is effective, community standard, emergency oxygen first aid until emergency medical services personnel arrive. How do the three primary types of emergency oxygen systems differ? Which two types of emergency oxygen systems are recommended for use by rescue divers? 10 c. Positive pressure units require professional training and certification. Used improperly, these units can cause injury. They’re not considered appropriate for lay rescuers. d. Continuous flow units consist of a supply cylinder and a regulator that delivers oxygen continuously in a steady flow. This is one of the types of oxygen systems recommended for use by rescue divers. They have drawbacks and benefits. 1. One primary drawback is that they don’t deliver 100 percent oxygen to the injured diver because the oxygen mixes with air before the diver breathes it. This results in a lower percentage of delivered oxygen and is somewhat wasteful. 2. Another drawback is that these units are wasteful because they flow oxygen at all times, even when the diver is not inhaling. 3. Continuous flow is important, however, for use with a pocket mask to provide a nonbreathing diver with a higher oxygen concentration during rescue breathing. 4. Continuous flow is also important for a very weak breathing diver who cannot tolerate a nonresuscitator demand valve system. e. The nonresuscitator demand valve unit consists of a cylinder and regulator that supplies 100 percent oxygen on inhalation, similar to a scuba regulator. This is the primary oxygen system recommended for use by rescue divers. 1. Provides the highest concentration of oxygen to the injured diver. 2. Does not waste oxygen and therefore maximizes the supply duration. 3. Suitable for accidents in which the diver is breathing. 4. Most nonresuscitator demand valve units also have a continuous flow setting, and can be used in that setting for nonbreathing or very weak divers. How much oxygen should be available? f. You should have enough oxygen available to keep the diver on pure oxygen until emergency medical personnel arrive. 1. When diving in remote locations, this may not always be possible, however, you should carry as much oxygen as you can. [Discuss options, if applicable to situations student divers are likely to encounter.] 2. If traveling, be sure to check the local regulations regarding carrying oxygen and administering it. 11 3. If you’ll be diving frequently in remote areas, seek more advanced training. 3. Automated External Defibrillator (AED) What is an AED? a. The automated external defibrillator (AED) analyzes a nonresponsive diver’s cardiac rhythm and guides you through the steps to deliver a potential life saving shock. b. Some AEDs deliver the shock without any further action by you if it determines a shock is necessary. (Sometimes called an automatic AED.) c. Other AEDs determine whether a shock is necessary, but you must deliver the shock. (Sometimes called a semiautomatic AED.) d. In some regions, AED use by laypersons may be restricted. What is the benefit of having an AED on hand? e. AEDs can increase the chance of survival in the event of sudden cardiac arrest by reducing the interval between cardiac arrest and defibrillation. 1. The shorter the interval, the more likely the heart will restore a normal heartbeat. 2. However, as with CPR, the AED does not guarantee a diver with cardiac arrest will survive. f. Due to training requirements, cost and the relative newness of the technology, the AED is not currently considered standard first aid equipment for diving. D. Accident Management 1. Managing an Emergency What is the difference between a “victim” and a “patient”? a. In managing an emergency, you will use the terms victim and patient. 1. A victim is a diver in an accident situation who either has yet to receive help, or who is receiving help, but is not yet in a stable, safe environment. 2. A patient is a diver in an accident situation who is receiving emergency medical care (such as your first aid) in a stable, relatively safe environment. 3. For example, an unresponsive diver floating face down is a victim. The diver remains a victim during your rescue, and becomes a patient once aboard a boat receiving rescue breaths and oxygen. What are the two possible roles a rescue diver may have at a dive accident scene? b. Your role as a rescue diver may vary depending on who is at the scene and what resources are available. 12 1. When a more qualified person is present, such as an instructor or divemaster, your role will most likely be that of a skilled rescue assistant. 2. If you are the most qualified diver present, then you may coordinate the rescue as an emergency manager. What two forms of readiness prepare you to manage an emergency? What are the elements of each? c. Personal Readiness - As a rescue diver, you need to consider how prepared you are to face a variety of challenges. Elements of personal readiness include: 1. Maintaining your overall physical fitness. Staying in shape ensures that you’ll have the stamina and strength to assist others, if necessary. 2. Participating in regular training and practice. Keeping your skills sharp allows you to perform them quickly and confidently when needed. 3. Having the proper attitude. When you commit yourself to following safe diving practices and being aware of other divers, you are better prepared for emergencies as they arise. Mental rehearsal and visualization help ready you to act quickly and confidently. d. Equipment Readiness – In addition to first aid equipment and oxygen, other equipment helps you manage an emergency. 1. Keeping some of these items on hand and/or noting where to find them can make managing an emergency easier: • Binoculars – for spotting divers at the surface and for coordinating a missing diver search • Pen and paper – for recording what happened to whom, where and when • Surf/rescue board/torpedo, rescue float, etc. – for swimming assists • Rope – to throw to divers at the surface, to lift divers from the water, to assist an underwater search and other uses • Circular sweep anchor – to easily mark the center of a circular search pattern • Diver compass – for navigating an expanding square or U-search pattern • Marker buoys – to mark location for missing diver search • Flares – to signal help from boat to boat • Whistle – to alert others at a distance • Bullhorn – to coordinate a rescue effort over a large area • Radio (CB/VHF) – for contacting emergency medical care, especially from a boat 13 • Cellular telephone/public phone – for contacting emergency medical care • UW recall system – if a boat is so equipped, to recall divers or end a missing diver search 2. Depending on the location, number of divers and access to Emergency Medical Services (EMS), having some or all of these items available can help make you more efficient when faced with a rescue situation. 3. You may find that you can improvise or substitute items if necessary. For example, you can use a surfboard as a backboard. Be resourceful. 4. Knowing how to use available equipment is just as important as having it there. If unsure, get training before you actually need it. What are the six basic steps for emergency management? e. Before all else, be ready to act: 1. Anticipate what, where and when problems are most likely to occur. 2. Devise plans to handle those situations. 3. Identify hazards likely to lead to an emergency or complicate a rescue. f. Step One – If an emergency arises, assess the situation. 1. Stop, breathe, and think. Stop and look at the situation – who is involved, where is it happening, what do you have available to assist you? Then, think about the best solution and get ready to act on your plan. 2. Because every emergency is unique – you must be flexible and adapt to changing factors. g. Step Two – act on your plan. 1. If you assume the role of emergency manager, take charge and quickly implement a plan of action by directing others. 2. If you are assisting a more qualified diver, carry out tasks as appropriate. h. Step Three – delegate. There are many tasks that others can do. If possible, assign tasks or delegate responsibilities to other divers or bystanders as appropriate. Assignments may include: 1. Calling for help 2. Assisting other rescuers 3. Observing the victim or directing inwater rescuers 4. Taking notes 5. Accounting for all those not involved in the rescue 6. Controlling bystanders 14 i. Step Four – attend to injuries after the victim is out of the water. 1. Follow the protocols you learned in your Emergency First Response training, beginning with a primary assessment and continuing with a secondary assessment (injury/illness) if no life threatening conditions are discovered. 2. In more serious accidents, you may need to provide Basic Life Support (BLS) and other primary care until relieved by medical personnel. 3. Contact the Divers Alert Network (DAN) or other local diver emergency medical service for information about first aid and to begin preparation for recompression (if needed). 4. You may delegate first aid to qualified people present. j. Step Five – if sufficient help is available, your best role may be to coordinate activities or administrate. This may include: 1. Providing evacuation personnel with appropriate information regarding the injured diver and accident. The PADI Accident Management Workslate was designed for this purpose. 2. Obtaining contact information from all those involved in the rescue or who witnessed the accident. 3. Making arrangements to contact the diver’s family. 4. Submitting an incident report to local authorities, if appropriate. k. Step Six – arrange for evacuation of the injured diver in more serious dive accidents. 1. Get the patient into the care of the local Emergency Medical Services (EMS). Dive accident patients require medical stabilization and support prior to and during chamber treatment. 2. If asked for, provide information about dive accident care so that medical personnel understand the nature of the injury/illness and requirements for care. 3. Provide DAN or other local diver emergency service the location and contact information for where the patient is taken. l. There are special procedures that must be followed when a helicopter evacuation is involved. [Have student divers follow along in their PADI Rescue Diver Manuals as you review these procedures.] 1. Direct communication between ground and helicopter is necessary (usually radio). 2. The helicopter pilot will direct boat/ground personnel regarding direction, speed, clearing, etc. 15 3. Remove, stow and secure objects that may interfere with the helicopter. This includes all dive bags, clothing or other objects that may be blown around. 4. Prepare the injured diver as directed – with personal flotation device, oxygen unit, etc. 5. Do not touch or grab a line/basket from helicopter until it touches the ground first (avoid electrical shock). 6. Load the diver quickly. 7. Never approach a helicopter from the rear. Always wait for directions from the helicopter pilot and/or crew. 8. Never secure a line from a helicopter to anything immobile – for flying safety, the helicopter must be able to pull away suddenly and without notice. What considerations and procedures are involved with forming a local emergency assistance plan? m. A local emergency assistance plan provides you with information readiness if an emergency arises. This saves valuable time in a diver emergency. 1. For areas where Emergency Medical Services (EMS) are available, most people are familiar with emergency contact numbers – for example, 911. However, it’s a good idea to have local emergency numbers written down and easily accessible at the dive site. Your PADI Accident Management Workslate may be used as a ready reference; write the contact information on it with a permanent marker. [Discuss local contact information.] 2. If the Divers Alert Network (DAN) provides consultation for your area, you should also have those numbers handy. 3. Having an Emergency Assistance Plan is especially important when visiting a new dive site or diving in a remote location. [Explain to student divers that participants in the PADI Divemaster course are required to produce Emergency Assistance Plans for local dive sites. In preparation for moving on to this level of training, they can gain experience in producing plans now.] E. Responding to Diver Emergencies 1. Self-rescue – Look After Yourself First To be able to help others, you have to stay out of trouble, or if a problem arises, effectively rescue yourself. What three areas of preparation increase your self-rescue abilities? a. Physical preparation involves proper health, fitness and diet. Being in good shape prepares you to deal with increased physical demands should the need arise. 16 DAN America DAN Latin America Hotline TravelAssist (US) (Outside US) DAN Latin America Hotline Backup Dr. Cuauhtemoc Sanchez (Skytel Pager System) +1-919-684-4326 (may be called collect) +1-919-684-8111 +1-267-520-1507 (accepts collect calls) +1-215-245-2461 (may be called collect) +1-800-326-3822 52-5-227-7979 or 52-5-727-7979 1st Call Paging Code: 5660035 (if no answer try…) 2nd Call Paging Code: 5569893 (if no answer try…) 3rd Call Paging Code: 5560036 (if no answer call DAN USA Emergency Hotline) DES/DAN SEAP (Australia) (outside Australia) DES/ DAN SEAP (New Zealand) DAN SEAP (Philippines) DAN SEAP (Malaysia) Singapore Naval and Medicine Hyperbaric Center DAN Japan DAN Southern Africa (outside S. Africa) DAN Europe (Hotline) (TravelAssist) +1-800-088-200 +61-8-8212-9242 +64-9-445-8454 (local) 0800-4DES 111 +02-815-9911 (local) 05-930 4114 S +65-750-5546 (local) 6758 1733 +81-3-3812-4999 +27-11-254-1112 0800-020111 +39-039-605-7858* *DAN personnel: use this for DAN Europe Accident Referrals b. Mental preparation involves confidence and a feeling of well-being about the dive. This includes diving within the limits of your training and experience. c. Equipment preparation involves familiarity with the use, inspection and general recommended service for dive equipment and emergency equipment. 1. Knowing what equipment you have available and how it works prepares you to help yourself should a problem arise. 2. A few emergency accessories that may help you get noticed in a rescue situation include whistles, small emergency strobes, flares, dye markers and inflatable signal tubes. Inflatable tubes are especially helpful if you find yourself drifting away from a boat. The height of the inflated tube above the water surface makes you much more visible. These items can fit into a BCD pocket for easy access. What three dive procedures help you anticipate and prevent problems while diving? d. The best way to self-rescue is to stay out of trouble. Three procedures will head off the vast majority of problems. 1. Maintain your equipment regularly as recommended by the manufacturer. This lessens the chance of malfunctions. A predive 17 inspection allows you to catch potential equipment problems before you get in the water. 2. Think about potential problems as part of your dive plan. Remember, diving planning involves risk assessment. Anticipate what problems may arise and devise your dive plan to avoid them. 3. Don’t ignore small problems. Most major accidents start as small problems. If you can recognize that a problem is occurring or is about to occur, you’ll be able to take early action and keep a small problem from becoming a big one. Recognition of problems is essential to self-rescue ability. What should you do when you encounter a problem while diving? e. If you find yourself with a problem, you need to initiate a self-rescue through the proper action. 1. The procedure is always: • Stop. • Breathe. Maintain and/or reestablish and maintain normal breathing patterns. • Think. Analyze the problem and plan possible appropriate actions. • Act. Take logical action rather than react thoughtlessly. Be prepared to take a different action if the first doesn’t solve the problem. 2. Visualize problems and proper responses to help you make the right choices quickly. 3. Practice emergency procedures often to keep your skills sharp. What are five skills that increase your self-rescue abilities? f. There are at least five skills that will increase your ability to rescue yourself if a problem arises. 1. Good buoyancy control helps you avoid struggling to maintain your position either at the surface or underwater. It also helps you stay off the bottom, reducing risk of aquatic life injuries, while protecting aquatic life from damage. 2. Proper airway control allows you to breathe past small amounts of water in your regulator or snorkel, thus avoiding choking. 3. Proficiency at cramp removal may stop the pain of a cramp from escalating into a bigger problem. 4. Handling air-depletion is something you practiced in your entrylevel course. To handle an out-of-air emergency without buddy assistance, consider having an independent alternate air source such as a pony bottle or self-contained ascent bottle. 18 5. Responding correctly to vertigo prevents an unpleasant experience from becoming a serious problem. • Vertigo is losing your sense of balance and orientation, and can cause nausea as well as stress. • Reestablish your sense of orientation by making contact with a fixed object. • If that’s not possible, watch your bubbles and consult your depth gauge for up-and-down orientation and whether you’re rising or descending. Hugging yourself may also help. 2. Recognizing Rescue Situations What signs and behaviors indicate a diver may have a problem at the surface? a. The signs exhibited by a diver needing assistance are often subtle. An exhausted diver at the surface may suddenly and quietly slip under for no apparent reason. A diver with a problem will often fail to ask for help. b. It is possible that ego threat may keep a diver from expressing anxiety, illness, or other distress to dive buddies or to others. c. Scuba diving equipment often conceals facial expressions and other gestures that indicate stress or anxiety, and it reduces the possibility of verbal communication. d. Signs of distress often are not always easy to recognize, but consider the following behaviors as trouble indicators: 1. Giving distress signals – raising one arm, whistling, yelling for help, and so on. 2. Struggling on or just below the surface, especially with vigorous arm swimming. 3. High treading or finning with sufficient vigor to lift a portion of the body and equipment out of the water. 4. Rejecting equipment by pushing off the mask and/or the regulator mouth piece, or both. 5. Clinging and clambering (pulling the body toward the high point of any object on the surface). 6. Not moving – apparent unresponsiveness. What are the characteristics that indicate a tired diver? What are the characteristics that indicate a panicked diver? e. Responsive divers who need help at the surface may be either tired divers or panicked divers. Watch for these characteristics because they affect your safety and how you assist them. 1. Tired divers – These are divers with a problem, but who are adequately managing stress. Generally, tired divers: 19 • Ask for help. • Respond to directions or questions. • Do not reject their equipment. • Can assist with efforts to help them. • Are called “tired” but may actually have a cramp, some injury or other problem, but are still in control. 2. Panicked divers – These are divers with a problem who have become overwhelmed by stress and unreasoned fear. They’ve abandoned rational responses and react entirely through instinct and fear. Generally, panicked divers: • Reject their equipment (mask on forehead, regulator and snorkel out of mouth). • Fail to establish buoyancy and swim vigorously with arms until exhausted. • Do not respond to commands or questions. • Fixate on a single, ineffective response to the problem. • Will climb on anything or anyone to get above or out of the water. • Will do little to help themselves. • A tired diver when you start your rescue can become a panicked diver before you finish. You must constantly assess the victim so you can alter your rescue technique accordingly. 3. Nonswimming Assists and Rescues Why does the rescuer’s safety take priority over the distressed diver’s safety in an emergency situation? a. Once you recognize that there is an emergency, you need to determine how to act and do so. This is not as simple as it sounds. 1. Your first goal is to stay safe yourself. Rushing into the water to help another diver may lead you to becoming a victim, too. 2. This is for the victim’s well being as well as your own: • You cannot help the victim if you’re in trouble, too. • If you get in trouble, then the rescue resources at hand immediately must divide to help two instead of concentrating to help one. • Although you may take on some more risk than you otherwise might to assist someone, if you’re not reasonably confident you can stay safe, it is usually a better strategy to not attempt a rescue and instead summon additional help. 3. Only after you reasonably ensure your safety do you help the victim. 20 What are the four types of nonswimming rescues you can use to help a diver at the surface? b. Getting in the water to perform a rescue should be your last response. It is generally faster and safer to assist from a stable position on a boat or shore. These include reaching, extension, and throwing assists from the pool deck, pier, boat deck, or from shore, wading assists in water no higher than chest deep or watercraft assists if you have a boat available. 1. Reaching and extension assists – Reaching assists, although limited to rescues only a metre/few feet from the pool deck or dock, play an important role. • Lie on the pool deck or dock to establish a stable position. Spread your legs apart to increase stability, keeping your center of mass centered over a wide base. • Extend only one arm over the water. Grasp the diver’s arm or a piece of equipment. • Reaching assists can also be made in the water. Maintain eye contact and distance from the diver experiencing difficulty and slip into the water. Establish a firm grasp on a ladder, the side of the pool, or a dock support. Then extend your other arm or a leg to the diver. • If the diver is too far away to use a reaching assist, consider an extension assist. Use a piece of clothing or equipment for a quick extension. Remember to establish a firm base of support with your legs spread and your weight low and away from the victim. 2. Throwing assists – If the distance to a victim is beyond the range of an extension assist, and if the necessary equipment is available, the next best option is the throwing assist. • The key to success is throwing accuracy, and the key to accuracy is preparation and practice. • A rescue bag, a ring buoy with a line, a heaving line (a line with a weighted knot on the end), or a heaving jug (a line tied to a plastic gallon jug with a small amount of water in it for weight) are all acceptable throwing devices. [Have students design and make their own throwing assists to try out during rescue training sessions.] 3. Wading assists – A wading assist is more dangerous than other nonswimming assists because you must enter the water. Use a wading assist when the victim is too far away for a reach or extension assist, or you have nothing for a throwing assist, but the victim is reachable from water that allows you to go in no further than chest-deep. 21 • Move into the water no more than chest deep. • Assume a stable position with one foot forward and one foot back and your weight shifted away from the diver. • Extend a rescue aid to the diver and after he has grabbed it, slowly walk to safety. Talk to the diver as you walk. • Do not attempt in very cold water unless wearing appropriate exposure protection. 4. Watercraft assists – If you can’t reach, throw or wade to the victim and you have a small boat or other watercraft available, use that to assist the victim. • Do not use an unstable craft that’s easily capsized. • Approach from downwind so the boat doesn’t blow over the victim. • Reach the victim from the boat as previously described. 5. You’ll practice nonswimming assists in Rescue Training Session Two. 4. Assisting the Responsive Diver at the Surface What are the two types of responsive diver at the surface rescues? a. As you learned previously, a responsive diver at the surface can be a tired diver or a panicked diver. b. A tired diver generally needs an assist more than a rescue. The victim is usually rational and able to help remedy the situation. Why is rescuing a panicked diver the most hazardous situation for the rescuer? c. A panicked diver generally needs a rescue because the victim will likely lose consciousness and drown after exhaustion if not helped. 1. A panicked diver is not rational, and may hang on to or climb on a rescuer in an attempt to stay afloat. 2. Driven by fear, a panicked diver can be incredibly strong and overpower smaller rescuers. 3. For these reasons, rescuing a panicked diver is the most hazardous situation for the rescuer. Reaches, extensions, throws, wading and watercraft assists are always preferred, if possible. d. A tired diver can lapse into panic during a rescue (most typically during approach before reaching the victim). A panicked diver may come out of panic and may be able to assist problem solving (most typically after a rescuer has made contact and established buoyancy). For these reasons, you must continually assess the victim’s state of mind when assisting a responsive diver at the surface. e. More rarely, a panicked diver will panic passively, not splashing, climbing or otherwise showing overt signs of panic. However, the passive panicked diver will also not respond to the emergency correctly, 22 and may quietly slip below the surface and drown. Therefore, if a diver does not respond to you, assume the person needs help until you establish otherwise. f. You’ll learn the procedures for assisting responsive divers at the surface during Rescue Training Session One. 23 III. Knowledge Development Presentation Two By now student divers have a firm understanding regarding the basics of diver stress. This section furthers their ability to recognize stress and the procedures that mitigate stress in other divers. Being prepared for a diver emergency requires specific knowledge of first aid rescue equipment covered in Knowledge Development Presentation One. In addition, this section covers an understanding of the operation of and the common problems associated with typical dive equipment. Accident management ranges from managing several people available at a dive accident scene to tending to common marine first aid injuries. Although primary care first aid and CPR are prerequisites to this presentation, first aid and CPR courses don’t typically cover common marine injuries. This section builds upon those skills and introduces students to different aquatic life injuries, the associated signs and symptoms of distress, as well as the basic treatment for such injuries. Refer students interested in further training to advanced diver emergency courses. Students are now competent with the basics of rescuing a responsive diver at the surface. This section builds upon this knowledge with the foundation concepts that apply to responding to a diver who may be some distance from shore. Overview and Learning Objectives By the end of this section, the student should be able to answer the questions in italics: A. The Psychology of Rescue Recognizing Stress in Divers • What two steps do you apply to recognize stress in a diver? • What should you do when you recognize diver stress? B. Being Prepared for a Diver Emergency Equipment Function and Function Related Problems • How does a regulator function? • What are the two basic types of alternate air sources? • What three points does the dive community generally agree upon regarding alternate air sources? • What functional problems can occur with cylinders, valves, regulators, SPGs and BCDs? Common Equipment Problems • What are six general causes of equipment-related problems? • What are the causes, effects and prevention of problems with masks, snorkels, fins, exposure suits, BCDs, weight systems and scuba units? 24 Release Function and Problems • What are six types of releases commonly found in scuba systems and what problems may they have? C. Accident Management First Aid for Common Aquatic Life Injuries • What are the three forms of aquatic life injuries? • What five signs and symptoms indicate venomous aquatic life injuries? • What is the common treatment for aquatic life injuries? • What is the basic first aid for jellyfish stings? D. Responding to Diver Emergencies More on Responding to Responsive Divers at the Surface • What are the techniques and considerations for responding to a responsive diver at the surface from a distance? • What is a quick reverse, and how do you do it? • What is the advantage of using emergency flotation when assisting a responsive diver at the surface? • What are the procedures for approaching, evaluating and helping more than one responsive diver in the water? Exits with a Responsive Diver • What factors should you consider when removing equipment from a distressed diver? • What are the general criteria for tows used to transport a distressed diver in the water? • What should you consider when helping a distressed diver exit the water? Postattendance • What three concerns do you need to handle with a responsive diver once you get on the boat or shore? A. Presentation Two – Speaker Notes: The Psychology of Rescue 1. Recognizing Stress in Divers What two steps do you apply to recognize stress in a diver? a. As a PADI Rescue Diver, you should learn to recognize stress in other divers and yourself. b. The first way to recognize stress is direct observation. Signs of stress may be subtle or they may be overt. Be alert for behavioral changes, especially when a diver’s actions appear inappropriate or abnormal, such as uncharacteristic talkativeness, silence, irritability or hesitation. c. Because you may not always know the other divers (for example on a dive boat) or because changes in behavior may not be due to diving-related stress, you want to verify the meaning of behaviors you observe. The second way to recognize stress is to ask the diver about what you’ve observed. 25 1. Be careful not to pressure the diver or make the individual feel uncomfortable. This may cause or add stress, and the diver may not feel able to answer honestly. 2. The best approach is to ask about your concerns privately in an open, caring and nonjudgmental manner. A genuine, “Are you up for this dive?” may be all you need to ask. What should you do when you recognize diver stress? d. When stress causes anxiety in a diver, it’s important to break the stress response cycle before it leads to more severe problems. e. Do this by encouraging the diver to apply solution thinking. This includes four steps: 1. Problem recognized – through observation and questions you can help the diver recognize the cause of stress. 2. Plan of action formulated – by discussing the problem, encourage the diver to think analytically and form a plan. 3. Plan successfully implemented – allow the diver to act on the plan and offer assistance if necessary. 4. Problem minimized or eliminated – effective action leads to a solution and prevention of a more serious problem. f. It’s critical that you, the Rescue Diver, avoid sounding judgmental or applying peer pressure. 1. Empathy goes a long way – statements like, “I feel (or, have felt) the same way,” help others recognize that there’s nothing wrong with their concerns. 2. If it appears other divers aren’t forthcoming about their concerns, the best course may be to take it on yourself by saying, “You know, I’ve got some concerns about this dive. Maybe we should . . . “ B. Being Prepared for a Diver Emergency 1. Equipment Function and Function Related Problems How does a regulator function? a. Being familiar with how various pieces of dive equipment work helps you to more easily recognize a malfunction or decline in function. This may allow you to act quickly should a minor equipment problem occur and to prevent a more serious problem altogether. We’ll look specifically at basic equipment function and potential operational problems. b. For more information about dive equipment, consider enrolling in a PADI Equipment Specialist course, reviewing the dive equipment section of the PADI Encyclopedia of Recreational Diving Multimedia or book, looking at dive 26 equipment manufacturer catalogs, and seeking advice from dive professionals at PADI Dive Centers and Resorts. c. As you know, a scuba unit consists of a cylinder with valve, regulator and BCD. Let’s concentrate on the regulator first stage and second stage to start. 1. A regulator first stage attaches to the tank valve and reduces tank pressure to a “low” (intermediate) pressure. This low pressure air flows through the hoses to the second stage, low pressure inflator and alternate air source. The first stage also allows high pressure air (direct from the cylinder) to flow to the submersible pressure gauge (SPG). 2. As you inhale from the second stage mouthpiece, a diaphragm moves inward, pushing open a downstream valve that allows air to flow from the hose. When you exhale, the diaphragm moves outward, the valve closes and your breath exits via the one-way exhaust valve into the water. [Use a diagram to explain second stage function.] d. The following terms apply to regulator design and function: 1. Balanced refers to a regulator design in which breathing resistance is unaffected by tank pressure. 2. Fail-safe means that a malfunctioning regulator has the tendency to free flow, rather than terminating air delivery. 3. Downstream refers to a valve design in which the valve opens in the direction of the air flow. This goes along with the fail-safe feature because a failed downstream valve will usually open. What are the two basic types of alternate air sources? e. Alternate air sources are standard equipment, but there’s a variety available, so the features and configurations are not standardized. The two basic types include: 1. Alternate air sources connected to a redundant air tank that allow a diver to self-rescue. • A small, compact tank with regulator (pony bottle). These secure to the main cylinder. • Self-contained ascent bottles are miniature cylinders with built-in regulators. They have just enough air to reach the surface within the limits of recreational no stop diving. 2. Alternate air sources that connect to the primary air tank are the most common type used by divers. • Extra second stages (a.k.a. octopus regulators) for use by the out-of-air diver. These have extra long hoses to make ascents easier by providing the divers with maneuvering room. 27 • Second stages built into low-pressure BCD inflators (alternate inflator regulators), which require the donor to switch to the alternate and provide a buddy with the primary second stage. What three points does the dive community generally agree upon regarding alternate air sources? f. Although alternate air source types and techniques used for sharing air differ, there is general agreement on these three points: 1. The second stage intended for use by the out-of-air diver should be clearly identified. 2. The additional second stage should not be allowed to dangle when not in use. 3. The alternate air source should be secured with a quick release in plain view in the triangular area between the mouth and the lower corners of the rib cage. [Ask divers what types of alternate air sources they use. Discuss placement variations and techniques for use.] What functional problems can occur with cylinders, valves, regulators, SPGs and BCDs? g. You already know that scuba cylinders are either made of aluminum or steel, and they hold compressed gas. You also probably remember that there are two basic types of valves – K and J – and that regulators attach to the tank with a yoke screw or DIN fitting. The most common problems with tanks include: 1. Corrosion due to water or moisture entering the tank. Corrosion may cause structural weakness. Corrosion can flake off the interior walls and clog valves and regulators. Corrosion is avoided by regular visual inspections and proper maintenance. 2. Contamination occurs when poorly filtered or unfiltered gas is pumped into a scuba tank. Although rare, contaminated air can be hazardous. As you’ve learned, be alert for air with taste or odor. Avoid contaminated air by obtaining air only from reputable dive operations. 3. Improper tank positioning may cause problems both in and out of the water. Cylinders that are not firmly secured to a BCD may slip and those that are positioned too high may hit the diver in the head. Avoid this problem by securing the cylinder properly and checking its height during predive check. h. Problems specific to cylinder valves: 1. Not opening the valve – Diver opens the valve to check air supply, then closes the valve or leaves it just barely open. Diver begins the dive and immediately “runs out of air” after breathing the one or two breaths remaining in the regulator. 28 2. Reserve valves – A J-valve must be positioned “up” to work as a reserve valve and the diver must be able to pull it down to access the reserve. • If the valve is not positioned correctly or is accidentally moved to the down position during a dive, the diver will not have the expected reserve. • If the valve is in the up position, but there’s no way to trip the lever, the diver may not be able to access the reserve (turn the lever) without assistance. • Proper use, as well as monitoring a submersible pressure gauge, helps avoid J-valve problems. • Reserve valves appear to be fading away from the dive community in most areas. 3. O-ring leaks – Worn, dirty, or dislodged o-rings may cause air to escape from the tank valve. A minor leak is an inconvenience, but a major leak can reduce air flow to the regulator or cause rapid loss of tank air. Careful predive inspection and regular valve maintenance helps avoid O-ring problems. [Ask divers what other tank or tank valve problems they’ve seen. Discuss these as appropriate.] i. Problems with regulators. 1. Although uncommon, hoses can rupture if damaged or allowed to wear thin. All regulator hoses need to be inspected often for wear, particularly at the point of attachment. It’s best to replace hoses at the first sign of aging. • A low-pressure hose rupture at the surface will usually flail about wildly. This is unlikely underwater, but extreme bubbling indicates a potential rupture. • Because of the restricted orifice at the regulator first stage, a ruptured high-pressure hose does not flail. However, it may be quite loud. 2. When observing other divers, watch for hose configurations that may cause difficulties. Dangling hoses have entanglement potential; dragging alternate air sources fill with mud/sand and become unusable. Regulator configurations that twist or sharply bend hoses may cause diver discomfort and contribute to premature hose failure. 3. Problems associated with scuba regulators are most often the result of poor maintenance and care. Salt and mineral deposits will reduce regulator efficiency or even prevent it from working properly. Always rinse your regulator thoroughly in fresh water and have it professionally serviced as recommended by the manufacturer. Problems with regulator second stages may include: 29 • Free flowing caused by sand or debris preventing valves from sealing properly. • The exhaust valve sticking due to deposits or clogging with debris. • Water leaking in through a torn mouthpiece or diaphragm. • Free flowing due to improper valve seal caused by poor maintenance. • Malfunctions due to freezing in cold water caused by lack of, or inadequate, environmental seals. [Ask divers what other regulator problems they’ve seen. Discuss these as appropriate.] j. Problems with SPGs 1. Divers have several types of submersible pressure gauges to choose from, including: • Mechanical gauges measure pressure by routing air through a flexible, coiled metal tube connected to the gauge needle. The tube flexes (tends to straighten) under pressure and the needle registers the pressure. • Electronic gauges are usually integrated into a dive computer. They use a transducer that measures electronic resistance as the air pressure changes. • Hoseless pressure gauges use a pressure transducer on the first stage to transmit air pressure to a dive computer on the diver’s wrist, eliminating the need for a hose. 2. Wear at the first stage connection or other spots along the hose. 3. Leaking o-rings at either the first stage connection or where the hose connects to the gauge. 4. With integrated electronic and hoseless gauges, computer or battery failure will cause you to lose all your dive data, including your air supply information. 5. Failure of the metal tube in mechanical gauges can flood the gauge with high pressure air. A blow-out plug on gauge back releases the air so the gauge doesn’t burst. 6. The most common problem is simply failure to monitor the gauge. 7. To avoid problems, have your SPG serviced regularly and inspect it carefully before a dive. However, it takes a proper attitude and following safe diving practices to avoid the common problem of not watching the SPG. [Ask divers what other SPG problems they’ve seen. Discuss these as appropriate.] k. Problems with BCDs 1. Because they are less mechanically complex than other scuba equipment, BCDs present relatively few problems. 2. Over inflation may be caused by the low pressure inflator sticking in the open position. At the surface, a rapidly filling BCD is an 30 inconvenience, but underwater it could cause an uncontrolled ascent. • May be caused by poor maintenance, or freezing in cold water. • It’s a good idea to practice disconnecting a low pressure inflator hose while in the water to quickly handle this problem should it occur. 3. Inability to inflate the BCD may be caused by difficulty locating the inflator mechanism, or it may be caused by failing to secure the inflator. 4. BCD’s quick dumping mechanism and/or overpressure valve may leak and release air that the diver needs to stay positively buoyant. This is caused by poor maintenance, tension loss in valve spring or wear on valve seat. Such a leak is generally slow, but the valve can fail fully open. If this happens the diver may need to drop weights. 5. Deflation problems may be caused by the inability to locate the deflation mechanism or by an improper body position that traps air. The internal cable on hose-activated quick dump valves can fail, so that the diver then has to use the regular deflator. 6. It’s also important that a BCD fit the diver properly and provide enough lift. Improper fit can make it difficult for the diver to maintain a comfortable position on the surface. [Ask divers what other BCD problems they’ve seen. Discuss these as appropriate.] 2. Common Equipment Problems What are six general causes of equipment-related problems? a. Many equipment problems do not result from the equipment’s mechanical function. Diver-caused problems usually result from one of the following: [Provide local examples as appropriate.] 1. The diver uses unfamiliar equipment or specialized equipment without proper instruction and controlled practice. 2. The diver uses equipment that doesn’t fit properly, without adjusting it to fit, or that is the wrong equipment for the environment or type of dive. 3. The diver substitutes standard items with makeshift or homemade equipment. 4. The diver dives without one or more essential pieces of equipment. 5. The diver modifies equipment to the point that it no longer functions as designed. 6. The diver fails to properly inspect, adjust and maintain the equipment. 31 What are the causes, effects and prevention of problems with masks, snorkels, fins, exposure suits, BCDs, weight systems and scuba units? b. There are many small issues with equipment that can cause or contribute to incidents, ranging from annoyances to major accidents. [Refer student divers to the Common Problems List in the PADI Rescue Diver Manual. Supplement list with local examples and show equipment, as appropriate. Encourage divers to provide additional examples from their own experience or observations as you discuss each of the following.] 1. Mask 4. Exposure suits 7. Scuba unit 2. Snorkel 5. BCD 3. Fins 6. Weight system 3. Release Function and Problems What are six types of releases commonly found in scuba systems and what problems may they have? a. Quick release buckles are common weight belt fasteners. Improper webbing alignment or not fully locking the buckle may cause a sudden release and uncontrolled ascent. Putting a crotch strap over a weight belt can prevent it from being discarded easily in an emergency. b. Quick disconnect fasteners are common on BCDs. Putting too much strain on one could cause it to release. c. Touch fasteners join fabrics together – (Velcro™). Sand, lint and debris may cause these fasteners to be less reliable. d. Tank band releases snug the webbing holding the tank in place. Improper threading can cause the cylinder to slip. Nylon stretches when wet, so that a snug, dry strap becomes loose when wet. e. Low pressure inflator hoses connect via a quick disconnect mechanism. These connections are also used for dry suit hoses and air powered accessories. f. Integrated weight releases allow a diver to quickly dump weights that are contained within BCD pouches or weight harnesses. [Ask divers if they have observed any problems with various releases and discuss these as appropriate. Discuss prevention and solutions for each of the above problems and those student divers cite.] Note to student divers: Do not use unprotected hands to remove tentacle pieces or other stingers – they can still sting even detached from the animal. Use forceps or other tools to gently lift the pieces off or irrigate the wound with salt water. 32 C. Accident Management 1. Common Aquatic Life Injury First Aid What are the three forms of aquatic life injuries? a. Aquatic injuries 1. Bites 2. Abrasions, cuts or punctures 3. Stings or venomous wounds What five signs and symptoms indicate venomous aquatic life injuries? b. Venomous aquatic injuries 1. Venomous aquatic animals can cause a variety of problems for divers, although serious cases are rare. Injury signs and symptoms are specific to the type of creature encountered, however, in general they include: • Excruciating pain • Local swelling, inflammation or welts • Weakness, nausea, mental confusion and shock • Spreading numbness, paralysis and convulsions • Unconsciousness, respiratory or cardiac arrest • What is the common treatment for aquatic life injuries? c. Common local treatments for aquatic life injuries. [Review treatments specific to the local area.] 1. Always begin with primary assessment. 2. Remove any foreign objects – spines, tentacles, stingers, etc. 3. Soak afflicted area in hot water (43-49°C/110-120°F) for at least 30 to 90 minutes; use hot compresses if soaking isn’t possible. 4. If afflicted area is a limb, keep the limb below heart level. 5. Treat for shock. 6. Continue to monitor the injured diver’s lifeline and transport to emergency medical assistance as soon as possible. What is the basic first aid for jellyfish stings? d. Divers who have encountered jellyfish usually complain of a stinging or burning sensation. Do not let the affected diver rub or scratch the sting (this worsens and spreads it). The stung diver may develop hives and have an allergic reaction with laryngeal swelling that may lead to airway blockage, respiratory distress, cardiac irregularities, and loss of consciousness. Basic treatments include: 1. Rinsing the affected area with generous amounts of sterile saline solution or seawater (not fresh). 33 2. To deactivate any remaining nematocysts, the injured area is soaked with 5 percent acetic acid until the pain is relieved. 3. If acetic acid is not available, household ammonia diluted three parts water to one part ammonia can be used. 4. If possible apply shaving cream to the affected area and shave it clean. Resoak the affected area with the acetic or ammonia solution. 5. Hot packs (if available) are applied to the injured area because the heat will break down the injected toxin. D. Responding to Diver Emergencies 1. More on Responding to Responsive Divers at the Surface What are the techniques and considerations for responding to a responsive diver at the surface from a distance? What is a quick reverse and how do you do it? What is the advantage of using emergency flotation when assisting a responsive diver at the surface? a. In Rescue Training Session One, you learned the basic procedures for rescuing responsive divers at the surface. Let’s review and look at some aspects of the procedures in more detail. b. Entry Considerations 1. Always respond with at least mask, fins, snorkel and some form of floatation. 2. When and where to don equipment depends on the circumstance. • You want to be close to the water, but also not lose sight of the victim. • It may be best to don mask and snorkel, enter the water and then don fins. • If wearing a buoyant exposure suit, you may need weights to go down if the victim sinks. You would drop weights to assure buoyancy after making contact with the victim. [Review considerations appropriate to training location.] 3. To reduce swimming distance, try to enter the water at a point nearest to the distressed diver. 4. Always enter the water in a manner that keeps the victim in view. • If possible have someone keep an eye on and point to the victim. Instruct the spotter not to look away for any reason. • If you lose sight of the victim in waves, look back to see where the spotter directs you. • Easing or wading into the water without a splash is usually best. If you must step into deep water, wear your fins and bring your legs together as you enter so your face doesn’t submerge. 34 c. You learned that you want to reach the victim as quickly as possible, but with an adequate reserve of energy to enable you to perform a safe rescue and tow. 1. You set this pace based on: • the distance to the tired diver, and then to safety. • the environmental conditions. • the condition of the tired diver. • your strength and condition. 2. The crawl stroke allows a quick approach and leaves your legs more rested. However, use your legs as well, and don’t tire your arms so much that you don’t have enough strength for the assist. 3. When you stop and evaluate, be prepared with a quick reverse, which backs you into a position of safety if a potentially panicked diver reaches for you. • Lean backward and angle your legs towards the victim. • This positions you to kick away quickly to stay out of reach. 4. As you evaluate the diver, check for ample buoyancy – tell the victim to put air into the BCD and/or release weights. Assure the victim that you’re there to help. 5. You’ve learned the basics for assisting a responsive diver at the surface without emergency flotation. However, having emergency flotation is preferred: • Greatly simplifies the rescue by providing immediate buoyancy • Allows you to avoid contact with a potentially panicked diver • May be easier to tow the diver holding the device than the diver directly • Anything with adequate buoyancy and portability will work: PFD, a spare BCD, gear bag stuffed with wet suits, boat fender, etc. 6. If you have emergency flotation with you, place it between you and the victim and extend it from a safe distance. Tell the diver to hold onto it for support. (A panicked diver may grab and climb on it before you can say anything, or totally fail to recognize it.) 7. If you don’t have emergency flotation or the victim doesn’t take it, you’ll have to make contact and assist as you’ve already learned, based on whether the diver is a tired diver or a panicked diver. What are the procedures for approaching, evaluating and helping more than one responsive diver in the water? d. It’s possible you will encounter situations in which more than one diver needs help at the surface. To rescue multiple divers follow these principles: 35 1. Remember it is better to reach, throw, wade or take a watercraft before attempting an inwater rescue. 2. Multiple rescuers for multiple victims is the best response. 3. If you have to aid multiple divers by yourself, emergency flotation may be almost essential. 4. Enter the water and determine which diver needs the most help (usually the person who initiated the situation). Ideally, give flotation to the first diver, confirm that solves the immediate problem, then go to assist the next. Approach and evaluate each diver like you’ve already learned. 5. It may be necessary to separate two panicked divers. This is usually most effective from underwater or behind; inflate the divers’ BCDs and/or drop their weights. 6. If handling more than one panicked diver presents unacceptable risk, stay clear until one/they exhaust themselves. This may require an underwater unresponsive diver rescue, but that’s better than getting into trouble yourself. Remember, you cannot rescue others if you become a victim, too. 2. Exits with a Responsive Diver What factors should you consider when removing equipment from a distressed diver? a. In Rescue Training Session One, you practiced rescuing the responsive diver at the surface. Let’s look more at this situation, with attention to exiting the water. b. To make transporting and exiting easier, you may need to remove equipment from the distressed diver (which you’ve practiced already). You should consider whether to do this or not, or which pieces you can or can’t remove, based on several factors. 1. How far do you have to go? If you have a short swim to safety or help, the additional weight and drag from equipment probably won’t make much difference. If you have a long swim, eliminating the drag may help you both save strength and energy. 2. What is the environment like? You can eliminate equipment if you are in flat, warm water with an exit on a calm shore or aboard a boat. On the other hand, you’ll probably need your mask and snorkel in choppy seas. If you have to exit through heavy surf, both you and the distressed diver may need to keep all your equipment, but through mild surf an exhausted diver might be best off with mask and snorkel, but no heavy scuba unit or weights. 3. What’s the victim’s condition? If the diver recovers completely, there may be no need to remove any equipment. With tired, injured or distressed divers who have trouble recovering and appear weak, it may be best to eliminate equipment to reduce drag and make it easier for them to exit the water. 36 What are the general criteria for tows used to transport a distressed diver in the water? c. You practiced tows in Rescue Training Session One. The ideal tow meets the following criteria; you’ll practice different tows because each has advantages and disadvantages with respect to these: 1. The tow keeps the diver’s face out of the water. 2. The tow reduces drag by letting you and the tired diver move through the water horizontally. 3. The tow gives you control. 4. The tow doesn’t restrict your swimming. 5. The tow allows you to communicate with the tired diver, preferably with eye-to-eye contact, so you can continue to reassure the diver as you swim. d. Effective tows include: 1. Underarm tow – grasp the tired diver under the arm and continue to swim to shore while your face remains close to his. 2. Modified tired swimmers carry – use your shoulders to push the tired diver’s feet. 3. Tank value tow – grasp the tired diver’s tank value and swim to shore or boat. [Ask students if they have tried other types of tows in swim courses.] What should you consider when helping a distressed diver exit the water? e. Conditions such as terrain, proximity to medical assistance, your own size and strength, the assistance available and the distressed diver’s size and condition influence the type of exit you use. 1. For a shore exit, you may need to assist a weak distressed diver to safety. Stand at the diver’s side with the near arm across your shoulder, secured by grabbing the wrist with your far hand. Support with your free arm around the waist or tank. You should be able to walk the tired diver to safety. 2. You may decide the diver is too weak to walk ashore or climb aboard a boat with equipment on. In this case, and if environmental conditions allow, remove the victim’s equipment before exiting. 3. With a difficult shore exit, or one where it’s best to wear gear due to conditions, you may opt to have the diver crawl out. 4. In many instances, a seemingly difficult exit with a weak, tired diver may be simplified by allowing adequate time for the victim to rest and recover enough to manage the exit with relatively little assistance from you (though you should stay at hand in case needed). 37 3. Postattendance What three concerns do you need to handle with a responsive diver once you get on the boat or shore? a. Once out of the water, you have three concerns to handle with a responsive diver. 1. Assess for injury/illness as you learned in your EFR courses. 2. Contact emergency medical care if necessary. 3. Be sensitive – don’t play hero. Some divers may experience self-esteem loss and residual fear. Don’t minimize the situation, but do reassure by citing the diver’s correct actions. 38 V. Knowledge Development Presentation Three Emergencies and potential emergencies happen at all dive sites. Being prepared for common emergencies reduces the guesswork and stress when a rescuer must respond to one. The most successful emergency responses result from effective emergency action plans. This section discusses the essentials to include in an emergency action plan. Handling an emergency requires implementing emergency action plans and providing basic life support to sustain the patient until emergency medical care arrives. Students will review Basic Life Support (BLS), which they learned in the EFR course (or other CPR and basic first aid course), with the concept applied to the specifics of dive accidents. Although most emergencies manifest themselves on the surface, problems do occur underwater. In this section, students learn to identify divers having problems underwater, and effective ways of handling the problems. It’s possible that a diver may become separated from a buddy underwater and then have a problem, or separate because of a problem. Although it doesn’t happen often, when it does the PADI Rescue Diver will need to implement missing diver procedures. This section discusses those procedures. Overview and Learning Objectives By the end of this section, the student should be able to answer the questions in italics: A. The Psychology of Rescue Emergency Action Plans • What is an emergency action plan? • What five areas of information may an emergency action plan include? • What are the benefits of practicing emergency procedures regularly based on your emergency action plan? B. Being Prepared for an Emergency Basic Life Support for Dive Emergencies • What is meant by “Basic Life Support”? • What types of dive accidents can require BLS? • How does time affect BLS? C. Accident Management Emergency Care • What are the recommended steps, in order of priority, for conducting a primary assessment? • How do diving circumstances affect primary assessment? • What is shock? • What are the nine signs and symptoms for shock? • How may shock occur in a dive accident? • What is the procedure for treating shock, and how may dive accident circumstances affect it? 39 • What are the procedures for conducting a secondary assessment of a responsive ill or injured diver? • What are the differences between heat exhaustion and heat stroke, and how do you treat each? • What are seven signs and symptoms of hypothermia? • What is the proper procedure for rewarming a patient with hypothermia? D. Responding to Diver Emergencies Managing an Emergency Underwater • What signs indicate a diver may have a problem underwater? • What do you do to help a diver with these underwater problems: overexertion, uncontrolled descent, excessive buoyancy, cramps, entanglement, entrapment, passive panic and active panic? Missing Diver Procedures • What steps should you take if you discover that a diver is missing? • Why is time critical in a missing diver situation? • What four search patterns may be useful for finding a missing diver? • What considerations should you take into account when implementing a search for a missing diver? A. Presentation Three – Speaker Notes: The Psychology of Rescue 1. Emergency Action Plans What is an emergency action plan? a. The most effective emergency responses result from effective teamwork, which reduces the risks for both rescuers and victims. Preparation increases the speed and efficiency with which you handle an emergency situation. 1. An emergency action plan is simply the information, for where you’re diving, that you will need in the event of a dive accident . 2. Have an emergency action plan for the sites you visit, and practice using these plans for handling a variety of emergencies with other Rescue Divers and higher level divers. Practice with an emergency action plan helps identify hazardous areas where problems are most likely, refine your responses to them, and confirm the completeness of your plan. b. Your emergency action plan should consider your team: yourself, other divers, the local emergency response team (EMS or local fire department), and appropriate local medical services. To the degree feasible, involving these in forming emergency action plans makes them more efficient and more effective. [You might consider arranging for your group to have an in-service training session with outside emergency personnel to practice procedures.] 40 What five areas of information may an emergency action plan include? c. A thorough emergency action plan considers likely required measures before you need them, and may include some or all of the following: 1. The sequence of steps to follow as required by the local environment. 2. A list of emergency phone numbers. [Remind students that these include the numbers discussed in Knowledge Development Session Two.] 3. A script for what to say when calling in emergencies – especially helpful when delegating untrained bystanders to make a call for you. 4. The procedures for responding to, moving and transporting an injured diver out of the area to within reach of emergency medical care. 5. Procedures for completing accident and incident reports. What are the benefits of practicing emergency procedures regularly based on your emergency action plan? d. It’s beneficial to practice emergency procedures regularly and systematically based on your plan(s). 1. Regular practice refines your emergency response skills. 2. Practice makes emergency situations less stressful because divers become familiar with their roles. Familiarity makes divers more confident and more effective if the need arises. 3. Following practice based on emergency action plans, evaluate the performance to identify areas to improve, which may mean plan revisions or additional training/practice. e. Emergency action plans are not necessarily complex or difficult to complete. 1. In many areas, such as urban areas with emergency medical services, the contact information may be as simple as the local EMS number and diver emergency service number. A transport plan may be as simple as “up the stairs to the street.” In this case, a formal written plan may not be necessary. 2. Most resort operations maintain an emergency action plan for their area; when diving with such an operation, as a PADI Rescue Diver, if requested your most likely role would be as part of the team carrying out their plan. Or, you may be asked to stay clear and be ready to assist if asked. 3. The more remote your dive site, and away from a dive operation, the more thought and information your plan requires. Seek further training in courses that teach you to form emergency action plans for areas outside of immediate access to emergency medical services. 41 B. Being Prepared for an Emergency 1. Basic Life Support for Dive Emergencies What is meant by “Basic Life Support”? What types of dive accidents can require BLS? a. As you know, Basic Life Support (BLS) includes monitoring and enacting emergency procedures for patient respiratory and/or cardiovascular system failure, which cuts off oxygen to the body, making death imminent. 1. Dive accidents involving drowning, decompression sickness and lung overexpansion injuries can cause respiratory and/or cardiac arrest. Heavy exposure suits in hot weather can cause heat stroke and heat exhaustion. Prolonged exposure to cold water can cause hypothermia. 2. Diving is a physical activity with physical stress. For predisposed individuals exerting beyond their physical limits, this can lead to heart attack or stroke. These are not dive accidents per se, but the activity of diving can be the trigger just like any other sport. 3. BLS in dive accidents requires rescue breaths for a nonbreathing diver using mouth-to-pocket mask, mouth-to-mouth or other ventilation methods. As you’ll practice, rescue breathing may be started in the water. 4. For a diver with no heartbeat, BLS requires CPR chest compressions. Compressions cannot begin until you remove the victim from the water. How does time affect Basic Life Support? b. As you recall, you want to begin BLS as soon as the need is recognized. Time is critical because without oxygen, brain damage can occur in four to six minutes. After six minutes, brain damage is likely and after 10 minutes it is almost certain. c. In diving circumstances, one challenge is that the need for BLS may not be recognized as quickly, and you may not be able to begin it immediately due to the need to exit the water, and due to possible difficulties when exiting the water. d. Because time is critical, as a Rescue Diver keep time in mind when you formulate plans for helping a diver who needs or may need BLS. 1. Focus action on beginning rescue breaths/CPR as soon as possible, without compromising your own safety. 2. Part of BLS procedures includes contacting the local Emergency Medical Service (EMS) system as soon as possible. In a diving context, you may have a delay before you can begin CPR, but not in contacting EMS. For example, you may be a ten minute swim from shore with a victim, but able to yell for someone to contact EMS. This brings emergency medical care to the site ten minutes faster. 42 C. Accident Management 1. Emergency Care What are the recommended steps, in order of priority, for conducting a primary assessment? How do diving circumstances affect primary assessment? a. As you know, primary assessment is the process of assessing a victim/patient’s situation and condition. In dive accidents, you follow the same steps you’ve learned, but the environment may affect your assessment. b. Primary assessment steps include: 1. Assess the situation – look for hazards that may cause further harm to you or the injured diver. • Was the victim stung by an organism that could sting you? • Be aware of boat traffic, waves, current or other diving hazards. • If entering the water, beware of submerged objects or other hazards. 2. Establish responsiveness. • Shake the diver. Turn a face down diver who does not respond face up. 3. Call for help as soon as possible if the diver does not respond, or if it’s clear help’s needed. 4. Establish an airway if the diver is unresponsive. In the water this calls for special techniques that you’ll learn and practice later. 5. Check for breathing. If the diver is not breathing, start rescue breaths. In the water this calls for special techniques that you’ll learn and practice later. 6. Check for circulation (heartbeat). If the diver has no heartbeat, begin CPR. However, it’s difficult to determine heartbeat in the water, so this step differs from primary care when you’re out of the water. • You must get the diver out of the water onto a hard surface to perform CPR. • Because it’s difficult to determine heartbeat in the water, the protocol is that you don’t try until out of the water. If the victim isn’t breathing, you will begin rescue breaths and tow the victim to boat or shore as quickly as possible to further the assessment, including checking for circulation, and begin CPR if necessary. (More about these procedures later in the course.) 7. Check for bleeding – if the diver is breathing and has a heartbeat, determine if there is any serious bleeding that must be controlled. 43 • In dive contexts, a responsive victim will usually know if and where there’s a substantial injury (bite, cut, etc.); check these for serious bleeding. • Direct pressure will work in the water. It may be difficult or impossible to use pressure points through an exposure suit. Elevation of an arm may be effective for short periods. • For bleeding from the leg, it may be most effective for the victim (if responsive) to apply pressure (if possible) while you tow. • The body’s clotting mechanism may be slowed by water, so getting the victim out of the water is a priority. 8. Manage shock – the previous steps are part of shock management. Out of the water, shock management continues as you learned in the EFR course. c. Out of the water, continue rescue breathing, CPR and/or first aid and monitor the patient’s ABCD’S until a medical professional takes over. What is shock? d. As you recall, shock is a state in which profound depression of vital body processes occurs. Severe, sustained shock is a critical condition that can have permanent effects, even death. What are the nine signs and symptoms for shock? How may shock occur in a dive accident? e. There are nine signs (something you observe about the injured diver) and symptoms (something the injured diver describes to you) for shock. 1. To review, signs and symptoms of shock may include: • Rapid, weak pulse • Pale or bluish tissue color • Moist, clammy skin – possibly with shivering • Mental confusion, anxiety, restlessness or irritability • Altered consciousness • Nausea and perhaps vomiting • Thirst • Lackluster eyes, dazed look • Shallow, but rapid, labored breathing 2. Shock may occur in a dive accident as a response to decompression sickness, lung overexpansion injuries, marine life injuries, heat stroke or exhaustion, hypothermia or near drowning. 44 What is the procedure for treating shock, and how may dive accident circumstances affect it? f. Procedure for treating for shock includes: 1. Primary assessment 2. Maintain body temperature. • This may require removing a wet exposure suit. With a very weak patient, you may have to cut it off. • In hot climates, you may need to provide shade to protect a patient from sun exposure and overheating. 3. Keep the diver lying down. • This not only treats for shock, but is a first aid step specific to treating decompression sickness and lung overexpansion injuries. (More about this later in the course.) 4. Elevate the diver’s legs, except when head or chest injury, heart problem, stroke or fractures are present. 5. Give nothing by mouth. • Responsive patients with suspected decompression sickness or lung overexpansion injury may drink water to maintain hydration. • Do not allow the patient to sit or stand. Have the patient drink small sips lying down. 6. Contact emergency medical care (if not done already). 7. Continue to monitor the ABCD’S. What are the procedures for conducting a secondary assessment of a responsive ill or injured patient? g. Just as you learned for general first aid, in dive accidents you perform a secondary assessment on a responsive diver only after a primary assessment determines that no life-threatening conditions exist. [Review how to conduct secondary assessments, as covered in the Emergency First Response Secondary Care (First Aid) course.] h. Follow these guidelines for an injury assessment on a diver: 1. If necessary, have someone contact local emergency medical care. 2. If applicable, keep the injured diver in the position found. Tell the patient not to move unless it is absolutely necessary. In diving, this situation is most often in circumstances such as a hard fall wearing dive gear. It can also occur when a diver gets injured by waves while entering/exiting the water, but is not at immediate risk from the waves. 3. Examine the diver from head to toe as you’ve learned. Ask the diver to tell you if an area hurts when you touch it. Look for deformity, fluid, swelling or a reaction to pain. 45 • An exposure suit may interfere with an injury assessment. However, if you suspect spinal injury the patient should not try to remove the suit. If you suspect spinal injury and the suit must come off to prevent overheating while waiting for EMS, carefully cut the suit away without moving the patient. 4. Begin first aid treatment of any injuries discovered during this assessment. i. Monitor the ABCD’S of the diver’s lifeline until medical personnel arrive. 2. Thermal Problems What are the differences between heat exhaustion and heat stroke, and how do you treat each? a. The body maintains its core (internal) temperature at approximately 37°C/98°F. 1. The body uses mechanisms to promote cooling or generate heat as necessary to main this temperature. 2. If conditions exceed the body’s ability to maintain temperature, the diver may suffer from hyperthermia (too much heat) or hypothermia (too little heat). b. Hyperthermia generally occurs before a dive when a diver wears a heavy exposure suit in a hot climate. Exercise can compound the problem. c. Heat exhaustion occurs when the body’s ability to cool becomes taxed. 1. Symptoms include profuse sweating, nausea, dizziness, weakness and faintness. The body temperature will be near normal with cool, clammy skin. 2. For suspected heat exhaustion, begin with primary assessment. Move the patient into a cool, shaded area. Have the patient remove the exposure suit, drink water (up to a litre/quart). If symptoms don’t subside within 30 minutes, contact emergency medical care. d. Heat stroke occurs when rising temperatures exceed the body’s ability to cool. 1. Symptoms include hot, dry, flushed skin. The patient is hot to the touch and does not perspire. 2. Heat stroke is like a high fever that can destroy tissue and cause permanent disability. Consider it immediately life threatening. 3. Begin with primary assessment. Get the patient into a cool area, remove the exposure suit and immerse the patient in cool water or apply cool wet towels. Contact emergency medical care while monitoring the patient’s lifeline. 46 What are seven signs and symptoms of hypothermia? What is the proper procedure for rewarming a patient with hypothermia? e. Hypothermia occurs when the body cannot maintain its internal temperature and begins to cool. 1. Hypothermia usually results from diving in cool water with insufficient exposure protection, but can occur from failing to wear adequate protection before or after a dive in cold climates. • Heat loss is inevitable in all but the warmest water. • Exposure suits slow, but do not entirely stop heat loss. • Heat is lost through breathing as well as into water. 2. Signs and symptoms begin with shivering, numbness and blueness in fingers, lips and toes (may be difficult to see underwater). As hypothermia worsens, the diver loses coordination, becomes weak and confused. In severe cases, body systems fail, shivering stops and the patient loses consciousness. 3. Short of immediately life threatening symptoms, hypothermia has three effects that concern diving. • Cold distracts the diver from safety related tasks. • Extremity numbness impairs manual dexterity. • More advanced hypothermia impairs mental processes. 4. In some instances, hypothermia can occur or become more severe after a diver leaves the cold environment. • This is believed to be caused by flow of cooled blood to core as circulation restores. • Can be just as severe as hypothermia that occurs on the dive. • First aid is the same. 5. First aid begins with primary assessment. Keep the patient lying down and don’t let the patient walk or exercise. • Take an alert patient with mild hypothermia to warmth, remove the exposure suit and dry the person, rewarming by covering the head and applying heat to the neck, armpits and groin. • For severe hypothermia, contact emergency medical care and protect the patient from further cooling, but leave rewarming to EMS because doing so is medically complicated and can cause further injury to the patient if handled incorrectly. D. Responding to Diver Emergencies 1. Managing an Emergency Underwater What signs indicate a diver may have a problem underwater? a. Underwater, trouble signs tend to be more subtle than on the surface. Watch for rapid breathing, awkward 47 kicking, dog paddling (swimming frantically with hands) or other signs indicating exhaustion and tiring. b. A panicked diver or near-panicked diver underwater may have wide eyes, breathe rapidly and tend to maintain a vertical posture. Such a diver is usually about to attempt to bolt for the surface. Jerky movements, using arms to swim, and sinking while swimming upward all indicate that a diver is having a problem underwater. c. Although rare, some divers experiencing a problem underwater will freeze into a trance-like state (passive panic), just as you learned can happen at the surface. This diver may be totally unaware of the surroundings and will require help to make it to the surface safely. What do you do to help a diver with these underwater problems: overexertion, uncontrolled descent, excessive buoyancy, cramps, entanglement, entrapment, passive panic and active panic? d. How you help a diver with an underwater problem varies with the circumstances. 1. Overexertion – Have an overexerted diver stop all exertion and rest. Preferably, make contact and have the diver hold onto something stationary. Encourage the diver to relax and resume breathing normally by signaling or writing on your slate. 2. Uncontrolled descent – You can often stop an uncontrolled descent by signaling the diver to add air to the BCD and level off. If this doesn’t work make contact with the diver and arrest the descent by grasping the BCD or tank valve, then adding air to the BCD. • If a diver has extreme negative buoyancy, such as with a flooded dry suit, you may need to drop the diver’s weights. • A properly weighted recreational diver in a wet suit or skin suit should not have an uncontrolled descent, even with a failed BCD. However, it can occur with an overweighted diver. • Tec divers generally tend to start a dive with significant negative buoyancy due to the extensive equipment and gas required. For this reason, a properly equipped tec diver has at least two means of buoyancy control. 3. Excessive buoyancy • Escort an underweighted diver to the surface and get the right amount of weight. • If you are close to a diver when a runaway ascent begins, make contact and correct the problem quickly. Use the quick dump on the diver’s BCD if possible, and reduce your own buoyancy by dumping air from your own BCD. 48 • If the diver’s inflator is stuck, disconnect the low pressure hose. • If you can’t stop or reasonably control the ascent, let the diver go. Try to signal to the diver to flare out the arms and legs and remain horizontal to create drag to slow the ascent. 4. Cramps – For a cramp, stop and have the diver rest the cramped muscle. Help the diver stretch and gently massage it to increase circulation and pull out the cramp. • You learned how to assist another diver relieve cramps during your PADI Open Water Diver course. You apply the techniques you learned at the surface or underwater. • Cramps occur most commonly in the calf; you can stretch a calf cramp yourself by grasping the fin tip and pulling it toward you while you push with your leg. You can assist a cramped diver by holding the fin tip for the diver to push against. • After releasing a cramp, have the diver rest for a few moments, then continue at a slower, less forceful pace. Abort the dive if necessary. 5. Entanglement – Signal the diver to hold still while you disentangle. Cut the diver free only if necessary, and be cautious. 6. Entrapment – Entrapment is rare, but possible. • Your first concern will be ensuring adequate air supply for the diver while working to free the diver. • If you believe you won’t be able to free the diver before you run out of air, it may be best to ascend and get more air, if possible, while the victim still has the most air remaining. If you decide to do this, mark the site so you can return easily with additional tanks. • You may also consider leaving your scuba unit with the trapped diver and make an assisted or emergency ascent. • An improperly trained and improperly equipped diver(s) may also enter an overhead environment (cave or wreck) and lose his way out. Unless you’re both properly trained and properly equipped for the particular overhead environment, do not, under any circumstances, attempt to rescue a diver believed lost in an overhead environment. Doing so is more likely to result in a double fatality than a rescue. 7. Passive panic – If you suspect passive panic, approach from the front and signal, “Okay?” If you get no response, go behind the diver and, holding the regulator in place, take the diver to the surface. Help the diver from behind because passive panic may change to active panic without warning. Once you reach the surface, establish buoyancy for yourself and the victim. Tow the diver to safety. 49 8. Active panic – A diver with active panic underwater will likely bolt for the surface. • You want to prevent a rapid, breath-hold ascent. • For a breathing diver (regulator in place) simply hanging on and flaring out will usually suffice to control the ascent rate. • If the diver is breath-holding, a delay is your best bet at getting him to resume breathing before ascending too far. • If the victim is out of air, delaying the ascent may get the diver to signal you for an alternate regulator, or the diver may simply go for the one in your mouth. • A panicked diver who has dropped the regulator is probably breath-holding. Slow the ascent as much as possible while giving your alternate air source. A panicked diver doesn’t usually respond rationally, so you may have to push the mouthpiece into the victim’s mouth while lightly depressing the purge button so the second stage remains clear. • Once you reach the surface with a panicked diver, establish positive buoyancy for the diver. Monitor the diver because lung overexpansion injuries are possible and may require further rescue and care. If the diver doesn’t calm down, use the procedures you’ve learned for rescuing a panicked diver at the surface. 2. Missing Diver Procedures What steps should you take if you discover that a diver is missing? a. How you respond to a missing diver depends on the resources you have, but upon realizing that a diver is missing, put the following steps in motion as practical: 1. Have someone call for emergency help (EMS, coast guard, etc. as appropriate for the area) while you find out where anyone last saw the missing diver. 2. Assign spotters to look in that area for bubbles and to direct rescuers to the area if they spot bubbles. Have them use binoculars if available. 3. Try to determine if the missing diver may have left without telling anyone. Have someone check for the diver’s clothes, gear bag, automobile, etc.; call the diver’s cell phone. 4. Immediately assign qualified divers to don scuba equipment and head to the area where the diver was seen last to begin an underwater search. 5. If available and appropriate to the conditions, send out snorkeling teams to search from the surface (fast- 50 er than scuba divers). They can search while others prepare scuba, and can mark the search area with buoys if appropriate. Why is time critical in a missing diver situation? b. As you recall, if an injured diver isn’t breathing, permanent brain damage is likely after six minutes, and death is imminent. You must assume a missing diver is unresponsive and respond quickly so rescue breathing and CPR can begin. What four search patterns may be useful for finding a missing diver? c. If you completed the Search and Recovery Adventure Dive, you know that random searches are slower and less effective. A search pattern allows a systematic search. The most effective pattern depends on environmental conditions, but you’ll usually find one of the following four patterns appropriate. 1. U-Pattern – The U-pattern works well for covering a large area using minimal equipment. It’s a good choice when you have several search teams, each conducting a U-pattern in a different direction away from where the missing diver was last seen. 2. Expanding Square – The expanding square works well when you have only moderate visibility and you believe the missing diver hasn’t gone far. It’s a good choice when you have only a single search team. The pattern begins where the diver was seen last and expands outward. 3. Circular Search – The circular search allows you to search effectively in poor visibility. However, because it requires a line, it takes longer to set up than the U-pattern or the expanding square. Also, you can only make a search over a relatively unobstructed bottom. From a fixed center point, search a progressively widening circle. The distance from the center point of each circular sweep depends on the water clarity. Expand the circle with each revolution, and make certain that a marker is placed at the starting point to assure complete coverage of the circle. 4. Surface Led Search – If you need to cover a large complex area, a surface led search allows the rescue team to look for the missing diver while a skin diver or small boat controls the pattern from the surface. You can search a large area relatively quickly with this method, so it’s a good choice for many situations and relatively shallow water. d. You’ll practice these search patterns during Rescue Training Session Three, and later during the Rescue Scenarios. 51 What considerations should you take into account when implementing a search for a missing diver? e. When searching for a missing diver, keep in mind the following considerations: 1. Have a way to recall searchers to save time when someone finds the missing diver – this is especially important aboard a boat that must leave to get a diver to emergency medical care. 2. Permit searches by buddy teams only. Also make sure searchers have ample air and no decompression time to perform the search. Rescuer safety takes priority; don’t permit search divers to jeopardize themselves. Have someone keep track of searchers to account if they’re all back when the victim comes out of the water. 3. Begin the search based on the best guess of where anyone last saw the missing diver. Currents don’t usually move an unresponsive diver very much on the bottom. 4. If you don’t have qualified divers present for the search, you may need to choose a buddy and begin the search yourself. 5. Search for 30 minutes, until you reach the safe limit of air supply, no decompression time or exposure for the searchers, or until relieved by professional assistance. 6. If the missing diver has not been found, turn the search over to professionals. 52 VII. Knowledge Development Presentation Four Divers involved with a rescue are subject to great stress as a result of their need to react to the emergency and the risks faced in doing so. Well-trained professionals generally can respond to emergencies without stress interfering with rescue efforts. Similarly, it is vital for PADI Rescue Divers to remain calm while carrying out emergency procedures. After the emergency is over, how-ever – especially one in which a severe injury or death occurred – emotional stress may overwhelm the rescuer. This section discusses actions divers can take to relieve the psychological effects following a rescue. Many dive incidents involve pressure-related injuries. Students learn that being prepared for a diver emergency requires understanding pressure-related injuries and the associated first aid. For a more detailed understanding about the identification of and care for pressure-related injuries, students may want to continue their education by taking specialized training in the subject. Accident management for pressure-related injuries can involve rescue breathing. Students will learn different techniques and the proper steps for administering rescue breaths in dive accidents. A diver may become unresponsive underwater or at the surface. Students learn the techniques and the procedures for handling the unresponsive diver underwater and at the surface. Overview and Learning Objectives By the end of this section, the student should be able to answer the questions in italics: A. The Psychology of Rescue Critical Incident Stress • What is critical incident stress? • What are 12 signs of critical incident stress? • What actions should be taken to reduce critical incident stress? B. Being Prepared for a Diver Emergency Pressure-related Injuries • What is meant by “decompression illness”? • What are the signs and symptoms of decompression illness? • What are the differences between air embolism and decompression sickness? • What is the most common cause of lung overexpansion injuries? • What are the causes of and signs/symptoms of air embolism, pneumothorax, subcutaneous emphysema and mediastinal emphysema? C. Accident Management First Aid for Decompression Illness • What first aid steps should you take for a patient with suspected decompression illness? • Why should a diver with suspected decompression illness remain lying down? 54 Near Drowning • What is the difference between “drowning” and “near drowning”? • What is the primary first aid for a serious near drowning accident? D. Responding to Diver Emergencies Managing Unresponsive Diver Accidents at the Surface • What are the procedures to follow when rescuing an unresponsive diver at the surface? • Why do you give rescue breaths to an unresponsive diver with no apparent heartbeat? Rescue Breathing Techniques • What are the techniques for mouth-to-pocket mask, mouth-tomouth and mouth-to-snorkel inwater rescue breathing? • What should you do if you think a diver has no pulse while in the water? Unresponsive Diver Underwater • What are the procedures for bringing an unresponsive diver to the surface? Equipment Removal • Where does equipment removal fit as a priority in a rescue? • What are the suggested procedures and techniques for removing equipment from an unresponsive diver? • What should you consider when removing equipment from yourself while dealing with an unresponsive diver at the surface? • What circumstances would limit the removal of equipment from an unresponsive diver or yourself at the surface? A. Presentation Four – Speaker Notes: The Psychology of Rescue 1. Critical Incident Stress What is critical incident stress? a. A critical incident is an emergency involving a serious injury or death. The acute stress it causes an individual may overcome or impair a person’s ability to cope emotionally. This acute stress is called critical incident stress. 1. Some effects of critical incident stress may appear right away and others after days, weeks, or even months have passed. 2. After being involved with a dive emergency, you may experience critical incident stress. It is most likely if the victim/patient dies or remains disabled as a result. What are 12 signs of critical incident stress? b. Signs of critical incident stress include: 1. confusion 2. lowered attention span, restlessness 55 3. denial 4. guilt or depression 5. anger 6. anxiety 7. changes in interactions with others 8. increased or decreased eating (weight gain or weight loss) 9. uncharacteristic, excessive humor or silence 10. unusual behavior 11. sleeplessness l2. nightmares What actions should be taken to reduce critical incident stress? c. Do not leave critical incident stress untreated. 1. Critical incident stress requires professional help to prevent post-traumatic stress disorder. 2. A process called critical incident stress debriefing brings together a group of people experiencing critical incident stress with some of their peers and a trained mental health professional. This process helps those with critical incident stress share and understand their feelings while learning to cope. B. Being Prepared for a Diver Emergency 1. Pressure-related Injuries What is meant by “decompression illness”? What are the signs and symptoms of decompression illness? What are the differences between air embolism and decompression sickness? a. There are differences between decompression sickness and lung overexpansion injuries. 1. Decompression sickness (DCS) results when nitrogen dissolved into the tissues comes out of solution and forms bubbles. The bubbles block blood flow and have other damaging effects to the body. DCS usually results from pushing or exceeding dive table or dive computer limits. 2. Lung overexpansion injuries result when a diver ascends while holding the breath. The lung ruptures, forcing air into the bloodstream and/or other areas. b. It is often difficult to distinguish between the two conditions at an accident scene because the signs and symptoms are very similar. The first aid for both is the same as well. 56 c. The term decompression illness encompasses both decompression sickness and lung overexpansion injuries. Since emergency procedures for handling both are the same, there is no need to determine specifically which of the two caused the accident. Signs/symptoms of decompression illness include: 1. pain in the joints, fatigue 5. unconsciousness 2. dizziness 6. cardiac arrest 3. extreme fatigue 7. nausea 4. paralysis What is the most common cause of lung overexpansion injuries? What are the causes of and signs/symptoms of air embolism, pneumothorax, subcutaneous emphysema and mediastinal emphysema? d. Lung overexpansion injuries result from breath-holding during ascent while on scuba or when air is trapped in part of the lung during ascent. The most common cause is a panicked ascent caused by running out of air. Checking your SPG frequently and getting to the surface with a reserve is the easiest way to reduce this risk. e. Lung overexpansion can result in four distinct injuries either independently or together. 1. Air embolism – results when expanding air forces through alveoli into pulmonary capillaries. Bubbles go to the heart and then on to the body, with the most serious injury blocking blood flow to the brain. Symptoms are usually sudden and rapid. It causes stroke-like symptoms including sudden unconsciousness, paralysis (usually one side of the body), blurred vision, dizziness, bloody froth from the mouth, coughing, personality changes, cardiac arrest. 2. Pneumothorax – expanding air forces its way between the lung and the chest wall (pleural cavity), partially or completely collapsing the lung. It causes severe chest pain and extreme difficulty breathing. 3. Mediastinal emphysema – expanding air finds its way into the chest cavity between the lungs, constricting the heart and lungs. It causes difficulty breathing, fainting, shock and cyanosis. 4. Subcutaneous emphysema – expanding air accumulates under the skin around the neck and collar bone, causing neck swelling, voice changes and difficulty swallowing. 57 C. Accident Management 1. First Aid for Decompression Illness What first aid steps should you take for a diver with suspected decompression illness? a. The initial care of an injured diver is a combination of care and assessment. 1. Begin with a primary assessment. Contact emergency care. While providing and giving priority to BLS, assume an unresponsive diver has DCI. 2. Encourage a responsive diver to lie down and relax. 3. If possible, ask the diver questions to complete the PADI Accident Management Workslate. [Review slate with student divers.] 4. Have a breathing diver breathe oxygen. Breathing Diver – If using a nonresuscitator demand valve unit, place the mask on the diver’s face and instruct the diver to breathe normally. Nonbreathing Diver – If giving rescue breaths/CPR to a nonbreathing diver with a pocket mask, hook the mask oxygen inlet to the system’s continuous flow outlet. 5. Protect the diver from excess heat or cold – manage shock. 6. Arrange for emergency evacuation and medical care. Note to student divers: Do not attempt to recompress a diver in the water. This procedure is only used rarely, where recompression is many hours away, and requires special equipment, training and supervision. Attemptimg this without meeting these requirements may worsen the situation, delay medical care and jeopardize the safety of the patient and other divers. Even with the equipment, training and supervision, inwater recompression isn’t used when there’s access to a hyperbaric chamber within a reasonable interval. Why should a diver with suspected decompression illness remain lying down? b. Field experience has shown that some divers’ symptoms worsen significantly after sitting up or standing. Remaining lying down is believed to assist blood flow to the brain and to minimize bubbles migrating to the brain. 2. Near Drowning What is the difference between drowning and near drowning? a. A drowning victim is someone who suffocates (or is asphyxiated) underwater and cannot be revived. Near drowning occurs when a diver suffers asphyxiation underwater, but is revived. 1. A near drowning victim may display coughing, shortness of breath, rapid breathing, cyanosis (blueness) of lips, convulsions, unconsciousness, vomiting, 58 cessation of breathing or cardiac arrest. 2. Regardless of the length of submersion, begin emergency care immediately. What is the primary first aid for a serious near drowning accident? Note to student divers: Medical treatment after near drowning is important because water may have entered the diver’s lungs. The water can cause slow damage that, if left untreated, will eventually cause the lungs to fill with fluid and lose their ability to obtain oxygen. This is called secondary drowning and can be fatal. For this reason, a near drowning patient should always be professionally examined, even if the patient appears completely recovered. b. The steps for near drowning first aid are: 1. Primary assessment 2. If nonbreathing, begin rescue breaths 3. If breathing, administer oxygen; keep the patient lying down. 4. Treat for shock and continue to monitor the diver’s lifeline. 5. Transport as soon as possible to nearest medical facility – even if the diver appears fully recovered. D. Responding to Diver Emergencies 1. Managing an Unresponsive Diver at the Surface What are the procedures to follow when rescuing an unresponsive diver at the surface? a. Approach an apparently unresponsive diver by calling out, splashing, etc. to get attention. Make contact and confirm that the diver is unresponsive. b. Turn a face down diver face up. One way to do this is from above the unresponsive diver’s head. Cross your arms with your stronger arm on top, grasp his wrists and then uncross your arms. This will spin the diver over. c. Establish buoyancy for you and the victim, and call for help. d. Remove the victim’s mask and regulator, open the airway and check for breathing. 1. You may need to remove your mask, too, depending on the mask and the method you use for rescue breathing. 2. Look, listen and feel for breathing for 10 seconds. 3. In case of a suspected back or neck injury, check breathing before extending the unresponsive diver’s neck. This would be relatively rare in diving, but could be possible if the diver fell, struck something 59 during an entry or were thrown by a wave. If suspecting back injury and there is no breathing, open the diver’s airway with the chin lift only (sometimes called “jaw thrust”) technique. Tip the head to extend the neck only if nothing else works to restore the airway. e. If the victim is breathing, hold the airway open and protect it from splashes/water while towing to safety. 1. Be cautious to avoid turning the diver or pushing the diver’s face underwater. 2. Continue to monitor for breathing. f. If you establish that the diver isn’t breathing, give two rescue breaths. 1. In the water it can be difficult to determine if a diver with very weak breathing is actually breathing. 2. Giving rescue breaths to a diver breathing that weakly is unlikely to cause further harm. 3. Giving rescue breaths to a diver in respiratory arrest, on the other hand, may revive the victim shortly, such as in near drowning cases. g. Give rescue breaths and evaluate how long it will take to get to safety (boat or shore) . 1. If it appears you are less than five minutes from safety, tow the diver to safety while continuing to provide rescue breaths. Get the diver out of the water, continue rescue breaths and perform a heart check. Begin CPR if necessary according to your CPR/first aid training. 2. If it appears you are more than five minutes from safety, ventilate for one more minute while checking for movement or other reaction to the ventilations. If present, continue providing rescue breaths while towing to safety. 3. If there is no movement or reaction to the rescue breaths, the diver is probably in cardiac arrest. Discontinue rescue breaths and tow the victim to safety as quickly as possible, exit the water, perform a heart check and begin CPR/resume rescue breathing as you learned in your CPR/first aid training. h. You need to evaluate the environmental conditions, the victim’s condition, your condition and other factors. If attempting to give rescue breaths in the water would present additional hazard to you or the victim, you may need to rapidly tow the diver to a safe area (in the water, or on a boat or shore) to begin. 60 Why do you give rescue breaths to an unresponsive diver with no apparent heartbeat? i. Earlier you learned that in the water, it’s difficult to determine whether a diver has a heartbeat. If there’s no heartbeat, rescue breaths don’t do any good. However, the protocol is to give breaths (if not yet out of the water) for several reasons: 1. A heartbeat may be present. 2. Respiratory arrest often precedes cardiac arrest. If you correct respiratory arrest, cardiac arrest may not occur. The survival rate for respiratory arrest is much higher than the survival rate for full cardiac arrest. 3. In dive scenarios where the victim has only respiratory arrest, without rescue breaths the time before exiting the water would likely be long enough to trigger cardiac arrest. 4. If the diver is in cardiac arrest, there will be a delay in giving CPR, early defibrillation, and other critical interventions. However, the brief time involved in trying to immediately restart breathing, it is still the best approach. Research indicates that in a majority of cases breathing is restored in the first minute by mouth-to-mouth ventilation, hence the justification of attempting inwater resuscitation immediately. 2. Rescue Breathing Techniques What are the techniques for mouth-to-pocket mask and mouthto-mouth inwater rescue breathing? a. You will learn and practice two methods of performing inwater rescue breathing: mouth-to-pocket mask and mouth-to-mouth. 1. Mouth-to-pocket mask rescue breathing is the preferred method because it’s the easiest and has the added benefit of lowering communicable disease risk. 2. However, the risk of communicable disease via mouth-to-mouth rescue breathing is extremely small, while the chances of helping the victim may be high (depending upon what caused the diver’s condition). 3. Regardless of the rescue breathing technique used, if rescue breaths need to be interrupted (such as for exiting on to a boat), precede the interruption with two breaths, interrupt no longer than 30 seconds, and resume regular ventilations with two breaths. b. Mouth-to-pocket mask rescue breathing 1. As you approach the unresponsive diver retrieve your pocket mask from your BCD pocket (or wherever you store it) and prepare it for use. 61 2. Turn the victim face up (if necessary), open the airway and check for breathing as you’ve learned. If the victim’s not breathing, from above the diver’s head, place the mask on the diver’s face, thumbs on the mask and fingers on the bony part of the jaw. Tip the head back to open the airway. 3. Administer two rescue breaths. If the diver does not resume breathing, give rescue breaths every five seconds as you tow the diver to safety. c. Mouth-to-mouth rescue breathing 1. After finding the victim is not breathing, from the victim’s side, open the airway by taking your arm closest to the diver’s feet and sliding it up under the diver’s arm and reach up and grab the diver’s BCD, hood or hair. 2. Place your other hand on the diver’s forehead to tilt the head and open the airway, while pinching the nose. Using a rolling action, bring the diver toward you to provide rescue breaths. This is called the do-si-do method. 3. There are varying methods of opening the airway for mouth-tomouth rescue breathing. If you are a lot smaller than the victim or if the victim is wearing a bulky exposure suit, it may be easier to place the hand closest to the diver’s feet under the neck and put the other hand on the diver’s forehead to tilt the head and open the airway, while pinching his nose. This is called the head cradle method. 4. Mouth-to-nose is a variation of mouth-to-mouth rescue breathing and used when choppy water conditions or equipment configurations make mouth-tomouth ineffective. The victim’s mouth is held closed and ventilations are made by sealing your mouth around the victim’s nose. d. Mouth-to-snorkel rescue breathing (optional) 1. Begin mouth-to-snorkel rescue breathing with two full mouth-to-mouth rescue breaths. If you decide to remove any of your or the victim’s equipment, do so while using mouth-tomouth rescue breathing. 2. When you are ready to begin the tow, move above the diver’s head and make sure the snorkel is drained of water. Note that it must be a snorkel without a self drain valve. 3. Place the snorkel mouthpiece into the diver’s mouth and hold it firmly in place between your middle and ring finger. Use your index finger and thumb to block the nostrils, while your hand seals around the mouthpiece. 62 4. Make sure the tip of the snorkel remains out of the water at all times by holding it up with your other hand. Give rescue breaths through the snorkel. What should you do if you think a victim has no pulse while in the water? e. Remember that you do not check for pulse or attempt CPR compressions while in water. These are difficult and ineffective, and will slow the rescue process. 3. Unresponsive Diver Underwater What are the procedures for bringing an unresponsive diver to the surface? a. When you find an unresponsive diver underwater, getting the diver to the surface takes priority over everything except your personal safety. b. Circumstances will dictate the most effective steps in bringing up the diver. The following procedures work in most situations: 1. Note the condition in which you find the diver: Is equipment in place? Is the regulator out of the mouth? Is the mask off ? Are there any clues of how the accident occurred? Don’t take too much time in gathering this information, but make an effort to remember details of what you find. 2. If you find the regulator in the diver’s mouth, place your hand over it and hold it in place, even if the diver isn’t breathing. If the regulator is out, don’t waste time trying to put it back in. Expanding air may prevent water from entering his lungs upon ascent. 3. Position yourself behind the diver so that you can keep the regulator in the mouth (if in). Hold the victim’s head in a normal position so expanding air in the lungs will escape naturally. Hold the BCD inflator hose up so you can vent it. 4. Ascending with control is of utmost importance. Protect yourself so you can continue to be a rescuer. Start the ascent by adding just enough air to your BCD to become slightly positively buoyant. You’ll probably have to vent your own and the diver’s BCDs to control the ascent. If the diver is too heavy, you may need to release the diver’s weights. 5. If you can’t control the ascent, let the diver ascend and regain contact at the surface. You may have to flare out to control your ascent. 6. As you ascend think about the steps to take once you reach the surface. Mental rehearsal can save time and make your rescue efforts more effective. 7. At the surface, drop the diver’s weights if you haven’t already done so. This will make your surface rescue efforts easier. 63 4. Equipment Removal Where does equipment removal fit as a priority in a rescue? a. During the rescue of an unresponsive diver, equipment removal from you or the victim has a low priority. 1. Exceptions are dropping weights, yours and/or the victim’s as necessary, to establish buoyancy. Discarding anything that hinders effective rescue efforts is also a priority. 2. Priority goes to maintaining an open airway, providing rescue breaths and getting the victim to safety as quickly as possible. b. Remove equipment from the victim and/or yourself only as a means to an end. 1. Equipment removal slows down towing, so it only makes sense to do so if the reduced drag and tow speed would more than offset the delay. This typically involves a long tow distance. 2. You may need to remove your and the victim’s equipment to get the diver ashore or on a boat. However, it may be faster to wait until you can do so standing in shallow water (for shore diving) or where you have help on the swim step (for boat diving), both of which make gear removal faster and easier. What are the suggested procedures and techniques for removing equipment from an unresponsive diver? c. What to remove and when depends on the circumstances; just as it does when rescuing a responsive diver. 1. Think buoyancy – Don’t ditch anything you need to maintain adequate buoyancy for either you or the victim. • In warm water the diver may not be wearing an exposure suit, so you may need to keep the diver’s BCD for support, but you might discard the tank to reduce drag. • If the diver is wearing a buoyant exposure suit you might discard both the BCD and the victim’s tank to streamline the swim. 2. Logical order – You’ll use one hand to remove equipment with the other hand always keeping the airway open. A hand should always be on the airway. • The order isn’t important, providing you progress logically. If necessary for adequate buoyancy, remove weight systems before deflating and removing the BCDs. Remember to disconnect dry suit low pressure hoses before removing the scuba units. 3. Keep a rhythm – If you must give rescue breaths, remove equipment in between breaths. • Remove your and the victim’s equipment in small steps; don’t try to do too much at each step. 64 • Keep your rescue breaths rhythmic – removing a BCD, for example, may take several steps with rescue breaths interspersed. 4. Keep moving – Continue to tow as well as provide rescue breaths while you remove your and the victim’s equipment. What should you consider when removing equipment from yourself while dealing with an unresponsive diver at the surface? d. The equipment you decide to remove or retain for yourself may differ from the equipment you remove from the victim. Once again you’ll consider the distance of the tow, securing adequate buoyancy, a logical order for equipment removal, maintaining an open airway and giving rescue breaths. 1. You will most likely drop the diver’s weights, but if you’re wearing a buoyant exposure suit, you may want to keep your weights if they make it easier to orient your body for rescue breaths. 2. If wearing little or no exposure protection, dropping your weight assures buoyancy and has little effect on your inwater positioning. What circumstances would limit the removal of equipment from an unresponsive diver or yourself at the surface? e. Apply judgment based on the circumstances to determine which equipment to remove. Remember your first priority is to maintain an open airway and to provide rescue breaths. Conditions may make it wiser to retain your and/or the victim’s gear. 1. As already mentioned, a short swim to safety is usually faster without removing equipment. 2. Surface conditions like choppy seas may make it better to retain your mask and snorkel. You may also need these for an exit through surf. 3. You obviously need fins to swim while aiding the victim with your hands, but you may have to abandon them at your exit point. [Explain to student divers that they will practice surfacing the unresponsive diver, inwater rescue breathing and equipment removal techniques in Rescue Training Session Four.] 65 IX. Knowledge Development Presentation Five At this point, from previous knowledge development sessions, student divers should have a rudimentary understanding of the first aid equipment and procedures for diver emergencies. This section builds upon this with the details related to the administration of emergency oxygen. A rescuer’s role may not end when the injured person reaches medical care. This section outlines procedures for recording and reporting what happened, and how to responsibly answer questions that may arise. This includes documenting what was done for the injured diver, and what information to send along with the injured diver upon the arrival of Emergency Medical Services (EMS). When rescuers reach the boat or shore with an unresponsive diver, they have to get themselves and the diver out of the water as quickly as possible and begin first aid without interrupting rescue breathing if in progress. Environmental conditions, the strength of the rescuer and the condition of the injured diver may all affect how to accomplish this. This section discusses several techniques and the circumstances in which to apply them. Overview and Learning Objectives A. The Psychology of Rescue Postaccident Reports • When should you write up a report? • What are eleven questions to answer, if you can, when making a report? • What statement can you make regarding the incident that will allow you to avoid questions from the media? • What should you avoid doing on a report or when answering questions? B. Being Prepared for a Diver Emergency Use of Emergency Oxygen • Why is administering emergency oxygen to a diver with suspected decompression illness crucial? • What are six procedures to follow when handling oxygen? • How do you administer oxygen to a breathing injured diver and to a nonbreathing injured diver? C. Accident Management Managing the Scene Until Help Arrives • After beginning primary care, secondary care, oxygen and other first aid as needed for a patient, what do you do for the diver while waiting for emergency care to arrive? • What information should you collect to send with the injured diver upon the arrival of Emergency Medical Services? D. Responding to Diver Emergencies Exiting with the Unresponsive Diver • What are six techniques for exiting the water with an unresponsive diver? • How can circumstances affect your exit with an unresponsive diver? 66 PADI Rescue Diver Instructor Guide Three: Course Outline A. Presentation Five – Speaker Notes: The Psychology of Rescue 1. Postaccident Reports When should you write up a report? a. Following an accident that requires first aid and summoning emergency medical care or other emergency personnel, you may be asked by authorities to file an accident report. b. By providing as much factual information as possible, an accident report can help investigators determine how to prevent or better respond to similar accidents in the future. c. Be aware that accident reports are legal documents that could be used in litigation as well as an investigation. What are eleven questions to answer, if you can, when completing a report? d. Answer the following questions when completing a report, if you have the information. However, do not guess or speculate. Only information that you personally witnessed and can attest to belongs in a report. 1. How did you become aware of the problem? 2. Where was the victim (depth, location, etc.)? 3. Was any of the victim’s equipment out of place or unusual (regulator out of mouth, etc.)? 4. How soon were you able to respond to the emergency? 5. What did you do when you responded to the emergency situation? 6. Were you able to identify the person you helped? 7. What did you personally see happen? 8. What first aid was administered? 9. Was emergency oxygen necessary? Was the individual responsive or unresponsive? Was the person breathing or not breathing? 10. Was EMS called? At what time? When did they respond? What action did you see EMS take? 11. Was the victim’s gear recovered? If so, and you personally checked it, how much air was in the cylinder and was the air delivery system functioning properly? What statement can you make regarding the incident that will allow you to avoid questions from the media? e. Be prepared for media in any emergency involving divers or when an accident or incident has been reported to EMS personnel or the police. 1. Though reporters probably wish no ill will, they may have a tendency to sensationalize. 67 2. Do not speculate or give opinions to the media. These are often taken out of context and may also be used in legal circumstances. Well meant thoughts may seem insensitive and cause further hurt to the patient and the patient’s loved ones. 3. You seldom have all the facts and are generally in an emotionally stressed state following an accident, so the best response is to politely decline to answer questions to anyone other than police or other government authorities. 4. Refer media questions to the proper authorities. Say something like: “Accident investigation is underway and I’m not in a position to answer questions. Please get a statement from the authorities when they have completed their investigation.” What should you avoid doing on a report or when answering questions? f. When answering questions or making statements on a report, avoid speculation and guesses. Stick with facts – what you personally witnessed. If you didn’t witness what caused an accident, for example, don’t give your opinion about what caused it. B. Being Prepared for a Diver Emergency 1. Use of Emergency Oxygen Why is administering emergency oxygen to a diver with suspected decompression illness crucial? a. Administering oxygen for suspected decompression illness is the dive community standard of care. 1. Experience with administering emergency oxygen shows that it provides significant benefit in many (but not all) cases of decompression illness. 2. Medical case histories show that prompt oxygen first aid can improve the effectiveness of recompression treatment and improves the overall probability of complete recovery. 3. However, not all types of decompression illness respond well to oxygen, and there are no guarantees. It’s important to provide oxygen in an emergency, but it’s not a magic potion that instantly cures divers. 4. Recall that you also give emergency oxygen to a near drowning patient. What are six procedures to follow when handling oxygen? b. Although nonresuscitator demand valve oxygen equipment shares characteristics with scuba equipment, it has handling considerations that differ from your dive gear. c. This is because pure oxygen can make normally nonflammable materials combustible or even explosive. 68 d. With proper handling, oxygen systems are safe to have around, provided you keep these points in mind: 1. Keep your unit clean and protected in its box until needed. Particularly avoid putting the system in contact with greases, oils or even silicone grease. 2. Never attempt to lubricate oxygen equipment or use standard scuba parts in it. Pure oxygen requires that only special lubricants and materials come in contact with the system. 3. Always open valves on oxygen equipment slowly, so as to pressurize the unit slowly. Rapid pressurization creates heat, which can spark a fire if any flammable materials have contaminated the equipment. 4. Keep your unit assembled to minimize the possibility of contaminants getting into it, as well as to save time in an emergency. Wash your hands if possible before handling your equipment; in an emergency, at least try to wipe off any oils or grease (including suntan lotions and oils). 5. Never attempt to clean or service the equipment yourself. Oxygen servicing requires special cleaners and procedures. If your equipment gets wet or contaminated in any way, it needs professional servicing by someone specifically trained to work on medical oxygen systems. Have it serviced regularly as required by the manufacturer, just as you would scuba equipment. 6. Always extinguish any source of flame (such as cigarettes) before deploying oxygen. Use the equipment as far away as possible from engines, gasoline or anything combustible, preferably in a ventilated area. How do you administer oxygen to a breathing injured diver and to a nonbreathing injured diver? e. Give a breathing injured diver 100 percent oxygen supplied by a nonresuscitator demand valve unit. Follow these steps: 1. Open the oxygen kit. The kit should be set up in advance according to manufacturer’s instructions. 2. Slowly turn open the valve and then test the unit by inhaling from the mask. Do not exhale into the mask. 3. Secure the tank and protect it from being knocked over or rolling loose. The best place for it is cradled in its box. 4. Say to the injured diver, “This is oxygen. It will help you. May I give it to you?” 5. Assuming agreement, place the mask on the diver’s face and instruct the person to breath normally. A responsive diver can hold the mask in place. This makes the patient feel more in control and frees you to do other things. 69 6. If the diver is unresponsive and breathing, assume that the diver would want oxygen, and supply it (called implied consent) with the nonresusitator demand valve unit. 7. Monitor the oxygen pressure gauge. Don’t let the unit run empty with the mask still on the diver. f. If the injured diver is breathing very weakly, use the continuous flow outlet and setting with a nonrebreather mask. Follow these steps: 1. Open the kit and attach the tube from the nonrebreather mask to the continuous flow outlet on the regulator (if this is not done in advance). 2. Slowly turn open the valve and set the continuous flow rate to 15 litres per minute. 3. Using a nonrebreather mask, hold your thumb over the inlet inside the mask and allow the reservoir bag to inflate. 4. Say to the injured diver, “This is oxygen. It will help you. May I give it to you?” 5. Assuming agreement, place the mask on the diver’s face and instruct the person to breath normally. Use the head strap and be sure the mask fits snugly. You may assume implied consent with an unresponsive diver. 6. If the reservoir bag collapses completely when the diver inhales, increase the flow rate to 25 litres per minute. 7. Monitor the oxygen pressure gauge. Don’t let the unit run empty with the mask still on the diver. g. If you have an unresponsive nonbreathing diver, you’ll use a pocket mask with oxygen inlet valve and continuous flow oxygen. 1. Have someone open the kit while you continue rescue breaths and attach the oxygen tube from the continuous flow outlet to the pocket mask (if not already done). Don’t let this interfere with rescue breathing or CPR procedures. 2. Slowly turn open the valve and set the flow rate at 15 litres per minute. 3. Give rescue breaths through the pocket mask as usual. Each rescue breath will carry in extra oxygen from the continuous flow. 4. If the diver begins to breathe, switch to the demand or nonrebreather masks as above. 70 C. Accident Management 1. Managing the Scene Until Help Arrives After beginning primary care, secondary care, oxygen and other first aid as needed for a patient, what do you do for the diver while waiting for emergency care to arrive? a. In any diver emergency requiring first aid and summoning emergency medical care, maintain a vigilant watch over the primary ABCD’S. 1. An injured diver’s conditions can easily change from breathing to nonbreathing and from responsive to unresponsive. 2. Protect the diver from excess heat or cold. 3. Control bystanders to keep the area open and unconfused for emergency medical personnel. 4. Pressure-related injuries usually require recompression in a hyperbaric chamber. Maintain contact with your local diver emergency service. 5. Keep the diver as comfortable as possible, but lying down. 6. Provide oxygen until you get the diver to emergency care. • If you find yourself in a situation where you won’t have enough oxygen, give the highest concentration possible for as long as it lasts. This benefits the diver with a pressure-related injury more than trying to extend the oxygen by reducing the flow rate or switching it on and off. • If the oxygen runs out, but there’s enriched air nitrox available at the site, a responsive diver can breathe it from a scuba regulator. This isn’t as beneficial as pure oxygen, but may offer more benefit than breathing air. 7. Remember, do not attempt to recompress someone in the water. What information should you collect to send with the injured diver upon the arrival of emergency medical services? b. Information that should be collected and written down to be sent with the injured diver (use the PADI Accident Management Slate) includes: 1. Diver’s name and contact information 2. Significant medical history 3. First aid procedures initiated 4. Dive profile information 5. Comments relative to emergency care received 6. Contact information for local diver emergency system and name of doctor or personnel you’ve spoken with. 71 D. Responding to Diver Emergencies 1. Exiting with the Unresponsive Diver What are six techniques for exiting the water with an unresponsive diver? a. The method you use to get an unresponsive diver out of the water will depend on where you’re diving, your strength, and whether you have help. Use the following techniques as appropriate: 1. Saddleback carry – the injured diver is stretched across the rescuer’s back. Normally used as a shore exit. 2. Fireman’s carry – the injured diver is swung across the rescuer’s shoulders. Normally used as a shore exit. 3. Packstrap carry – the injured diver is draped over the rescuer’s back and arms are pulled over the rescuer’s shoulders. This is the most preferred method of exiting with an injured diver. Usually a shore exit. 4. Roll up technique – blanket, net or tarp can be lowered from a pier or boat deck to roll up an injured diver. One end is secured to pier/boat deck and the other lower end is placed under victim, who lies in the tarp parallel to the deck. Rescuers roll victim up by pulling up far end of tarp (ropes may be secured to the lower end if necessary for length). 5. Lifeguard exit – place the injured diver’s hands on the deck. Lift yourself from the water with one hand on the victim’s hands so the victim doesn’t slide back in. Hold the diver by the wrists and stand, bring victim’s waist to dock level. Lower the diver face down on the deck, then roll the victim over. Drag the rest of the way from the water if necessary. 6. Ladder exit – the injured diver is straddled over the rescuer’s high thigh and shoulder cradled between the rescuer’s arms as the rescuer climbs the ladder. Rescuer steps up one rung with high thigh (with victim), then brings other foot to same rung and continues up ladder. 72 How can circumstances affect your exit with an unresponsive diver? b. Environmental conditions and other circumstances will affect which technique to use when exiting the water. Here are a few suggestions: 1. For shore exits without help, give two breaths and then carry the diver ashore using the saddleback carry, fireman’s carry or the packstrap carry. If the diver is too heavy to carry, simply drag the victim ashore by the two wrists. Resume rescue breathing with two breaths within 30 seconds. 2. When you exit through surf, do your best to protect the victim’s airway from crashing waves (a pocket mask is the easiest way). If you have trouble standing, crawl out with the diver rather than walk. 3. Exits over rock can be difficult. Proceed cautiously and allow the water to carry you and the injured diver up the rocks in stages. Brace yourself for the next wave. Avoid exits with rock if at all possible; a longer swim to an easier exit may prove the fastest way to get the victim out of the water. 4. If you expect help shortly, consider staying in the water, maintaining the airway and/or giving rescue breaths until help arrives. This may be more effective than attempting a difficult exit alone. 5. Exits onto swim steps, low docks and small, stable boats may be easiest using the lifeguard exit. For a tall dock, boat or pier, you might be able to use the roll up technique with a tarp, net, rope or even several lengths of fire hose. 6. A second rescuer can help with any portion of the rescue, but especially the exit. One rescuer can continue rescue breathing while another goes ahead and prepares exit equipment, or the strength of two people may be applied to lift a victim ashore. Always ask for help if it’s available. 7. The priorities are maintaining rescue breathing and contacting emergency medical care (if you’ve not been able to do so already). In some situations, it may be impossible to exit the water without interrupting rescue breaths more than 30 seconds (for example, you’re alone and have to carry the victim up a tall ladder). In this case, do the best you can and resume rescue breathing/start CPR as soon as possible. The victim has a better chance out of the water than in it. 73 E. Final Exam. 74 [See Knowledge Assessment guidelines in Section One of this guide. Explain to student divers how you’ll implement the exam and how the exam will be marked and corrected.] Divemaster Course Lesson Guide Presentation Notes Divemater Course Lesson Guide Presentation Notes © PADI 2009 Published by PROFESSIONAL ASSOCIATION OF DIVING INSTRUCTORS 30151 Tomas Rancho Santa Margarita, CA 92688 USA Printed in U.S.A. Topic 1 – Course Introduction The Role and Characteristics of a PADI Divemaster Recommended Materials and Methods for Covering This Topic This is the first presentation for the PADI Divemaster course and must be conducted before any other course components. It’s most effective for you to use the following outline to present the information in a classroom-like setting. Much of this presentation sets the tone for the course and lays the groundwork for developing professionalism and desired attitudes in candidates. Encourage discussion and interaction in your group, which not only assists in attitude development, but will help develop familiarity between your candidates, you and your staff. The first chapter of the PADI Divemaster Manual supports this topic. If possible, have candidates read the chapter and complete the Knowledge Review before attending. However this presentation covers additional material specific to the logistics that apply to your divemaster candidates and the local area, and therefore aren’t covered by the manual. The PADI Divemaster Video also strongly supports this presentation. It’s recommended that you have candidates watch the video prior to this presentation, or immediately after it. Presentation Overview and Learning Objectives I. Introductions Overview II. The Role and Characteristics of a PADI Divemaster 1. What three broad characteristics may divers expect in a PADI Divemaster? 2. What five criteria define “professionalism” as it applies to the PADI Divemaster? 3. What is a “role model”? ■ ■ The The Role Role and and Characteristics Characteristics � of of aa PADI PADI Divemaster� Divemaster� ■ ■ Benefits Benefits and and Responsibilities Responsibilities of of PADI PADI Divemaster Divemaster Membership� Membership� ■ ■ How How to to Succeed Succeed in in This This Program� Program� ■ ■ Course Course Logistics Logistics –– Assignments, Assignments, Responsibilities, Responsibilities, Schedule Schedule and and Administration Administration DM DM 11 -- 22 4. What are the characteristics and attributes of a good role model PADI Divemaster? 5. What are the characteristics and attributes of a poor role model divemaster? 6. How may role model behavior affect other divers? 7. How may role model behavior affect your ability to function as a divemaster? 8. How may good role model behavior benefit student divers when you assist with training? 3- Three: Knowledge Development III. Benefits and Responsibilities of PADI Divemaster Membership 9. What are the benefits and responsibilities of a PADI Divemaster? IV. How to Succeed in This Program V. Assignments, Responsibilities, Course Schedule and Administration Outline I. Introduction A. Introductions [Introduce yourself and have your staff and candidates introduce themselves. Encourage a relaxed, light atmosphere and try to get everyone interacting. This gets the course off to a good start.] B. [Paperwork] II. The Role and Characteristics of a PADI Divemaster What is a PADI Divemaster? The Role and Charact eristics of a PADI Divemast er What is a PADI Divemaster? DM DM 11 -- 33 What criteria define professionalism? ■ ■ Exper tise� tise� ■ ■ Judgment � ■ ■ Appearance and manner � ■ ■ Interpersonal skills � ■ ■ Exemplar y rescue skills DM DM 11 -- 44 Divemaster Course Instructor Guide A. The goal of this course is to qualify you as a PADI Divemaster. This raises the question, “What is a PADI Divemaster?” [Use the question to launch a five minute class discussion about what a PADI Divemaster is. Write the answers down as you go, and treat answers as a basis for further discussion.] B. What three broad characteristics may divers expect in a PADI Divemaster? [Use the candidates’ answers to note the characteristics that divers expect in a PADI Divemaster.] 1. professionalism 2. role model behavior 3. ability to assist with supervising dive activities and dive training C. What five criteria define “professionalism” as it applies to the PADI Divemaster? 1. “Professionalism” means different things depending upon the activity. Specific to a PADI Divemaster, a professional is someone who: a. has expertise in diving: dive theory, dive skills and dive management. 3- b. has good judgment. The PADI Divemaster follows responsible diving practices when conducting/assisting with PADI-sanctioned programs, follows PADI Standards, and errs to the conservative when making decisions that could affect diver safety. c. maintains a professional appearance and manner. d. has good interpersonal skills. e. has exemplary rescue skills. [Ask the candidates why people expect these qualities. Encourage a five minute discussion about this topic, with you confirming and elaborating on appropriate candidate responses.] D. What is a “role model”? 1. A “role model” is someone who other people base their behavior on because they respect and identify with the role model. 2. What are the characteristics and attributes of a good role model PADI Divemaster? a. good dive skills b. commitment to beliefs – there’s no question that the divemaster believes in responsible dive practices and PADI Standards because the individual follows them consistently. c. uses up-to-date, well maintained dive equipment. d. maintains self – stays physically fit for diving and stays up-to-date on dive trends, theory, equipment, etc. e. agrees with the PADI training philosophy and supports the instructor with that philosophy when assisting with student divers in training. f. accepts and empathizes with divers and students in supervisory situations. g. inspires other divers to pattern their dive habits after the divemaster. h. supports the business needs of the dive operation. i. easily establishes rapport with divers and customers. j. earns and maintains respect, trust and confidence of divers and customers. 3- Three: Knowledge Development What is a role model? ■ ■ Negative behavior� behavior� ◆ ◆ Lacks Lacks conviction conviction and and commitment commitment � ◆ ◆ Disregar Disregards ds personal personal fitness fitness � ◆ ◆ Uncaring, Uncaring, contradictor contradictor y, y, � and and unsuppor unsuppor tive tive DM DM 11 -- 6 6 How does role model behavior affect other divers? DM DM 11 -- 77 Divemaster Course Instructor Guide 3. What are the characteristics and attributes of a poor role model divemaster? a. hypocrisy and lack of conviction – pays lip service to responsible dive practices and standards by saying one thing and doing another, or only following those practices and standards when compelled to do so by standards or an employer. Doesn’t appear to stand for anything that’s not convenient at the moment – may take a “do as I say, not as I do” approach. b. disregards personal fitness and does not keep current on dive information and practices. c. uncaring and unempathetic of other divers and their skill levels. Behaves in ways that causes other divers to not respect the individual. d. contradicts or disagrees with an instructor in front of student divers or other assistants. e. not a “team player” and fails to support the customer service and equipment counseling aspects of the dive operation’s business needs. 4. How may role model behavior affect other divers? [Ask the class, based on the above attributes, “How might good and poor role modeling make you more and less effective as divemasters?” Encourage a five minute discussion, elaborating on appropriate candidate comments. The following summarizes the conclusions the class should reach – fill in any missing concepts.] a. How may role model behavior affect your ability to function as a divemaster? 1. Good role model behavior can aid other divers by giving them a behavior pattern to follow with respect to responsible dive practices and habits. Poor role model behavior can cause them to question these practices and habits. People follow your example as much as (sometimes more than) what you say. 2. Alternatively, poor role modeling can cause divers to question you and your suggestions. Divers may be less likely to act on your advice. Good role modeling is more likely to give you credibility and encourages divers to follow accepted dive practices and consider your suggestions. 3- b. How may good role model behavior benefit student divers when you assist with training? 1. Good role model behavior helps student divers, who learn much by watching the instructor and assistants. Consistency between you and the instructor reinforces what student divers learn. Good role model behavior earns student respect, which means they listen and learn from you better when you’re assisting in training. III. Benefits and Responsibilities of the PADI Divemaster Membership What are the benefits of becoming a Divemast er? [If possible, show the This is PADI video to start this subject.] A. Benefits 1. As a PADI Divemaster you’ll be a member of PADI, the world’s largest and most respected diver training organization. 2. As a PADI Member, you: a. receive regular mailings of information, standards changes and industry alerts. [Identify the publications they get from the applicable PADI Office instead of or in addition to The Undersea Journal, etc. If PADI Divemasters for your area receive Assisting and Divemastering, either as part of the Journal or separately, call attention to this publication dedicated specifically to their duties.] b. have access to certain PADI materials at the PADI Divemaster rate as well as access to educational consulting at your PADI Office. c. have access to Professional Liability Insurance and to the dive industry’s most experienced legal defense team. You’ll learn more about this later in the course. d. may earn income or benefits by assisting with PADI Diver courses, and by conducting some PADI programs independently (more about these later). Divemaster also have access to PADI’s job placement information service. B. Being a PADI Divemaster has responsibilities: 1. Adhering to PADI Standards when assisting with and/or conducting PADI programs as identified in the PADI Instructor Manual or other PADI materials. Much of what you learn in this course applies to this. 3- ■ ■ PADI PADI Membership� Membership� ◆ ◆ Receive Receive pub pub lications lications and and updates updates � –– The The Under Under sea sea Journal Journal ◆ ◆ Access Access to to P PADI ADI materials materials and and educational educational consultation consultation � ◆ ◆ Access Access to to pr pr ofessional ofessional � liability liability insurance insurance � ■ ■ Earn Earn income income by by conducting conducting PADI PADI programs programs Three: Knowledge Development DM DM 11 -- 8 8 2. Staying current with PADI Standards by reading the quarterly Training Bulletin. 3. Representing the PADI organization favorably as you conduct yourself professionally. 4. Maintaining your PADI Membership. [Review renewal requirements as listed in the Introduction of this instructor guide, page 1-4.] 5. Keeping PADI informed of your current address so that you will receive important mailings, and so you can connect with the appropriate PADI Office for service. V. How to Succeed in This Program How to Succeed ■ ■ Start Start independent independent study study EARLY� EARLY� ◆ ◆ Read Read man man ual, ual, watch watch video video and and complete complete Kno Kno wledg wledgee Reviews� Reviews� ■ ■ Seek Seek more more information information � –– don’t don’t limit limit yy our our self self ■ ■ Practice, Practice, practice, practice, practice� practice� ■ ■ Ask Ask for for help help –– help help other other ss DM DM 11 --10 10 A. Success in this program comes through applying yourself to the assignments and exercises consistently and as directed by your instructor. Like any learning process, you get out of this course what you put into it. B. Candidates usually find that the following suggestions benefit their learning at this level: 1. Read each appropriate PADI Divemaster Manual chapter, watch the PADI Divemaster Video and complete the Knowledge Reviews enough ahead of schedule to do so without rushing. Write in your books as you study – make notes, highlight important concepts to review, etc. 2. Start independent study and projects as soon as they’re assigned. Take advantage of all study media available – video, multimedia products, manuals, etc. Each type has different advantages in learning; the more you use, the more effective your learning. 3. Don’t limit yourself. If you’re interested in something, find out all you can about it, even if it’s beyond the course requirements. 4. Practice outside scheduled sessions with classmates. This is useful with physics problems, demonstration skill practice, rescue and other skills. 5. If you’re having trouble mastering or understanding something, let the instructor know as soon as possible. 6. Help your fellow candidates and let them help you. You learn by helping and being helped. [Note to instructor: The professional edition of the PADI Divemaster Video provides you with suggestions and techniques for conducting the program.] Divemaster Course Instructor Guide 3- VI. Assignments, Responsibilities, Course Schedule and Administration A. Assignments 1. [Tell candidates about assignments and due dates, including independent study assignments. It’s recommended that you give independent study assignments for Topics 5, 6, 7 and 8 as early in the course as possible. You may assign the Emergency Assistance Plan, tell candidates the locations they should prepare their plans for, the date due and the criteria for a complete plan. You may also discuss the Mapping Project] 2. [Advise candidates to watch the PADI Divemaster Video, read the PADI Divemaster Manual and complete the Knowledge Review at the end of each chapter to hand in.] B. In this course, you’re responsible for: 1. Completing assignments on time. 2. Conducting yourself in a professional manner. 3. Following instructions from the instructor and staff. 4. Providing equipment and materials [list all equipment and materials candidates must provide]. C. Schedule [Give candidates the course schedule, including session times and locations, integrating assignment and Knowledge Review due dates.] D. Monitoring progress [Give candidates a copy of the Skill Development Score Sheet and Practical Application Record Sheet. Explain that you’ll be tracking their progress and critiquing their performances regularly using these.] E. Administration [Finish any paperwork, collect remaining course fees, additional fees not covered by the course fee (such as boat fees) etc.] F. [It’s recommended that you finish this session with a break that allows social interaction and a chance for candidates and staff to get to know each other.] 3-10 Course Log istics ■ ■ Assignments � ■ ■ Materials and Equipment � ■ ■ Schedule� Schedule� ■ ■ Administrative Requirements Three: Knowledge Development DM DM 11 -- 11 11 Topic 2 – Supervising General Diving Activities for Certified Divers Recommended Materials and Methods for Covering This Topic The PADI Divemaster Video and the Divemaster Manual cover much of the material in this topic. Preferably, have candidates see the video, read Chapter 2 and complete the Knowledge Review prior to this presentation. Your presentation is important in this topic because it includes discussions to begin establishing problem solving skills, judgment and attitudes. This is a long topic, so you may want to plan breaks in the presentation, or deliver the presentation in two or more sessions. Use of independent study materials will allow you to go more quickly through much of the material, since candidates will already be familiar with it. The following PADI materials support this topic: Adventures in Diving, (manual and video) Underwater Navigator Manual, Deep Diver Manual, Deep Diving video, Night Diver Manual, Night Diving video, Enriched Air Diver Manual, Enriched Air Diving video. Presentation - Part 1 Overview and Learning Objectives I. The Divers You Supervise 1. Why do certified divers want the assistance of a PADI Divemaster? 2. What individual differences in divers does a divemaster have to be prepared to accommodate? 3. What are six characteristics of responsible diver behavior? Overview — P art 1 ■ ■ The The Divers Divers You You Supervise� Supervise� ■ ■ Dive Dive Planning� Planning� 4. What are four ways to encourage responsible diving? ■ ■ Dive Dive Management� Management� ■ ■ Helping Helping Divers Divers Manage Manage � Predive Predive Stress� Stress� II. Dive Planning ■ ■ Mapping Mapping Dive Dive Sites Sites DM DM 22 -- 22 5. What is the role of the divemaster in dive planning for a group of certified divers? 6. How do you plan a dive by “thinking through the dive”? 7. What aspects of dive planning are and are not the divemaster’s responsibility? 8. What aspects of dive planning and diving must each diver retain responsibility for? 9. How do you assess divers before a dive for experience level, possible stress and possible equipment problems? Divemaster Course Instructor Guide 3-11 10. What is Discover Local Diving, and for who is it intended? 11. How do you evaluate general dive conditions, and how do conditions affect diving? 12. What are three aspects of planning dives for remote areas? III Dive Management 13. What are four aspects of supervision in managing dives? 14. What are the advantages and disadvantages of inwater versus out of water supervision, and the advantages and disadvantages of supervision vantage points inwater versus out of water? 15. What eight types of equipment can assist in supervising certified divers? 16. What is the primary purpose of diver accounting procedures? IV. Helping Divers Manage Predive Stress 17. What are the characteristics of predive stress, and how do you help divers deal with it? V. Mapping Dive Sites 18. What are the general steps for mapping a dive site, and what elements do you include in a dive site map? Why do cer tified divers want the assistance of a PADI Divemast er? Outline ■ ■ Guidance� Guidance� ■ ■ Safety� Safety� I.The Divers You Supervise ■ ■ Handling Handling logistics� logistics� A. Why do certified divers want the assistance of a PADI Divemaster? 1. Although there may be some situations in which divers need supervision, the primary reason they dive under divemaster supervision is they want the services, education and benefits a divemaster provides. Practices vary greatly from one area to another and the successful divemaster recognizes that neither supervisory recommendations nor procedures apply to all locales and circumstances. a. The divemaster makes the dive more fun by guiding divers to the best diving. b. The divemaster can help divers improve their safety by providing information such as local dive conditions and protocols/techniques, and by being available to manage and assist with a dive accident. 3-12 ■ FUN Three: Knowledge Development DM DM 22 -- 33 Demand for you as a divemaster = Success DM DM 22 -- 44 What individual differences might you encount er? ■ ■ Skill Skill level� level� ■ ■ Physical Physical and and intellectual intellectual � challenges� challenges� ■ ■ Cultural Cultural differences� differences� ■ ■ Responsible Responsible behavior behavior DM DM 22 -- 6 6 Divemaster Course Instructor Guide c. The divemaster often assists with boat handling and logistics, freeing the divers to simply relax and enjoy the trip. d. The divemaster can help divers assess whether their skills and experience level match the planned dive, by being available to answer questions, and by helping them brush up on skills when they feel it necessary. e. The divemaster adds to the enjoyment by being a fun person – friendly, approachable, warm, and someone others like to be around. The divemaster adds to the fun by giving local area information or history of a dive site. B. Being a person other divers want as a divemaster is important to your success and the success of the dive operation you represent. C. What individual differences in divers does a divemaster have to be prepared to accommodate? 1. As a professional divemaster, you need to accept divers you supervise as they are. [Ask candidates: Why? Encourage a brief discussion about this before continuing. How candidates answer is less important than that they think about this and come up with their own reasons.] 2. Divers will vary in several ways: a. Skill level — adapt your interaction based on general skill levels. (e.g., known skill levels may influence where you take the boat, or suggested techniques or courses to follow.) [Ask candidates: If everyone had leadership-level dive skills, would there be any need for divemasters?] b. Physical/intellectual challenges — individuals with special challenges may need your assistance with unusual, but acceptable, dive techniques. c. Different cultures — culture affects how people approach the social interaction side of diving. Be sensitive to cultural needs of those you supervise, and the local culture where you work. d. Responsible behavior — a divemaster can encourage responsible behavior in divers. The divemaster is alert for the appropriate behavior or lack of, and tries to encourage it, but this doesn’t imply that the divemaster is responsible for the behav3-13 ior of trained and certified divers. This would be neither realistic nor appropriate. D. What are six characteristics of responsible diver behavior? 1. Stays within personal limits – plans dives within limits of training and experience for diver and buddy. 2. Properly equipped – uses the equipment generally accepted as required for a dive. 3. Equipment care – maintains equipment properly and checks it before diving. 4. Conservative air supply management – checks air supply frequently and ends dive with an appropriate reserve. 5. Conservative computer/table use – stays well within no stop limits, avoids “sawtooth” profiles and makes safety stops. 6. Environmental awareness – avoids contact with sensitive aquatic life, dives in an environmentally sensitive manner. E. What are four ways to encourage responsible diving? 1. Role modeling – ensure that your dive habits reflect the characteristics of a responsible diver. 2. Dive planning and briefings – it may be appropriate at times to suggest or remind of responsible diving behaviors during dive planning and briefings (You’ll learn more about dive planning next and briefings shortly). 3. When practical make responsible behaviors easier logistically (e.g., in some situations, a bar at 5 metres/15 feet assists safety stops, etc.) 4. Reward responsible behaviors (e.g., after a guided dive, acknowledge appropriate behavior and skills, etc.) What is responsible diver behavior? ■ ■ Knows Knows and and abides abides b b yy personal personal limits limits � ■ ■ Uses Uses pr proper oper equipment equipment � ■ ■ Maintains Maintains equipment equipment � ■ ■ Manages Manages air air suppl suppl yy conser conser vatively vatively � ■ ■ Uses Uses dive dive computer computer or or tab tab le le conser conservatively� vatively� ■ ■ Remains Remains en en vironmentall vironmentall yy aware aware DM DM 22 -- 77 How can you encourage responsible behavior? ■ ■ Role modeling � ■ ■ Dive planning and briefings � ■ ■ Logistical arrang ements � ■ ■ Reward and ac knowledgment DM DM 22 -- 8 8 II. Dive Planning A. What is the role of the divemaster in dive planning for a group of certified divers? 1. Your role as a divemaster is to provide broad planning for the group – basic logistics and emergency preparation, and helping divers plan their own dives. B. How do you plan a dive by “thinking through the dive”? 1. Thinking through the dive is an effective way to 3-14 Dive Planning What is the divemaster’s role and responsibility? Three: Knowledge Development DM DM 22 -- 99 plan a dive. Imagine everything on a dive – predive preparation, loading, diver check in, on the boat/at the beach, postdive, etc. – make a list of what needs to be done, in order. Think through possible incidents or emergencies that you should prepare for and add them to the list. 2. Think through the information that individual divers need to plan their own dives (conditions, depth, training requirements, etc.) so you can provide as much as reasonably possible to the divers. 3. Thinking through a dive gives you a list of what to do, in order, preparations for possible emergencies, and information to gather for divers. Much of what you learn in this course teaches you how to find, gather and use information for dive planning. Divemaster’s Role ■ ■ Basic Basic logistics logistics and and site site orientation� orientation� ■ ■ Emergency Emergency preparation� preparation� ■ ■ Help Help diver’s� diver’s� plan plan their their individual individual dives dives Dive Planning DM DM 22 --10 10 Diver’s Responsibility ■ ■ Planning Planning and and implementation implementation of of � own own dive dive plan plan Dive Planning DM DM 22 -- 11 11 Divemaster Course Instructor Guide C. What aspects of dive planning are and are not the divemaster’s responsibility? 1. Your responsibility – plan a dive envelope the group stays within and that prepares for reasonably foreseeable diving emergencies. Advise divers of known unusual hazards. Orient divers to site. 2. You are not normally responsible for planning the individual dives of certified divers. D. What aspects of dive planning and diving must each diver retain responsibility for? 1. Divers’ responsibility – Each diver must retain responsibility for planning the individual characteristics of the dive within the limits you set and implementing the plan. a. Divers will bear the consequences of the dive plan, so they must accept responsibility for it. b. Conditions change, – divers may have to revise dive plan accordingly within their personal limitations. c. You cannot control a diver; divers are responsible for their own actions. d. You cannot know divers’ comfort/training/experience levels as well as they do – they have to set their own limits. E. Although divers are responsible for their plans, you can assist them with their individual plans. If asked, you can help them choose responsible courses of action. The information you provide assists them to plan their individual dives. 3-15 F. How do you assess divers before a dive for experience level, possible stress and possible equipment problems? 1. Diver assessment – while it’s often impossible for a divemaster to assess the skill and review the equipment of all divers, the following techniques may be used to estimate skill level, stress and equipment concerns during normal interaction with divers. If you observe possible problems, you should alert the diver and provide opportunities to rectify the problems. General observations may assist with recommendations for group planning and individual plans. 2. Indirect assessment – observations include: a. Equipment condition, configuration and age. For example, all rental gear may indicate a novice or infrequent diver. Inappropriate or missing gear for the dive may require your counsel. Old gear may indicate a rusty diver returning to diving. Dangling equipment may indicate inexperience or lack of familiarity with environmentally sensitive dive techniques. b. Behavior. For example, withdrawal, excessive talking, excessive time preparing may indicate stress or concerns about the dive. Overdependence on a dive buddy for planning, gear setup, etc. may indicate inexperience. c. Signs or symptoms of illness or injury. 3. Direct assessment – depending on circumstances, the following may be useful techniques: a. Check log books and certifications. b. Have divers fill out contact, certification, experience and other emergency contact information when they register for the dive. c. Interview – if practical, ask the diver about concerns, experience, etc., particularly if indirect assessment raises a question. G. What is Discover Local Diving, and for who is it intended? 1. Discover Local Diving, an environmental orientation, is a briefing that covers the unique aspects of a particular dive environment so divers can include these in their dive plans. 2. It is intended for certified divers who have little or no experience in the local environment. 3-16 Diver Assessment ■ ■ How How do do you you assess assess divers divers � before before aa dive? dive? Indirect Direct equipment equipment � behavior� behavior� log log book book � registration registration � signs signs of of illness illness � or or injur injuryy interview interview Dive Planning Three: Knowledge Development DM DM 22 --12 12 3. You can include an environmental orientation in your supervision when your assessment suggests divers may benefit from it, or when asked. 4. Discover Local Diving is PADI’s environmental orientation program. You’ll learn more about this in a later presentation. Dive Conditions ■ ■ How How do do you you evaluate evaluate general general dive dive conditions conditions and and how how do do conditions conditions affect affect diving?� diving?� ◆ ◆ What’s What’s acceptab acceptab le le?� ?� ◆ ◆ Weather Weather� ◆ ◆ Tides Tides and and current current � ◆ ◆ Visibility Visibility Dive Planning DM DM 22 --14 14 Divemaster Course Instructor Guide H. How do you evaluate general dive conditions, and how do conditions affect diving? 1. Dive conditions affect diving, and therefore are an important part of dive planning. a. Determining “acceptable” conditions may depend partly on the skill and experience of the divers. Your briefings and recommendations help divers determine whether the conditions are acceptable for them. b. It helps divers plan their own dives when you tell them your observations and conclusions regarding the conditions. It also teaches them about evaluating conditions. c. There is a broad range of acceptable conditions. You advise divers of the conditions, but divers must accept the responsibility of assessing their own skills and deciding whether or not to dive. 2. Weather a. Information sources include: 1. TV, radio and newspaper 2. Government radio broadcasts, such as National Oceanic and Atmospheric Administration (NOAA) National Weather Service broadcasts on VHF-FM (marine) radio in North America 3. Telephone services 4. Your experience with local weather behavior b. Effect of weather on dive conditions: 1. Wind – can cause waves, surf and surge, plus poor visibility. Offshore wind can calm surf and cause an upwelling and good visibility. 2. Rain – runoff can cause poor visibility or poor water quality. Prolonged rain can cause rivers to back up into lakes and springs. 3. Temperature – can cause discomfort before or after dive. Air temperature can sometimes change water temperature in a couple of days. 3-17 3. Tide and currents a. Information sources include: 1. Tide charts 2. Local weather reports may provide tide and current information. 3. Local dive reports may provide tide and current information. 4. Your experience with local conditions – you can often observe tides and currents from an elevated vantage point – watch boats at anchor and drifting flotsam (note that wind and current may be from different directions, affecting where a boat sits at anchor). b. Effect of tides and currents on dive conditions: 1. Major currents may have eddies that run counter to the main current direction. 2. Long shore currents – caused by eddies or waves striking shore at an angle – creates water flow down the coast. 3. Tidal currents flow in and out of restricted areas (bays, etc.) – strength depends on time during tidal cycle, how restricted the flow, and the amount of water entering or exiting the area. 4. Ideal dive time is usually slack tide when high tide peaks. 4. Visibility a. weather – as mentioned, rain runoff and surge due to wind or waves can stir up sediment. b. season – warm temperature can cause plankton blooms. Some seasons associated with more wind and rain c. bottom composition – the finer the bottom, such as mud or silt, the easier it is disturbed. d. waves – can reduce light that penetrates the surface, and stir up sediment. e. time of day – affects the amount of light. Proportionately more reflects off surface when sun is low in sky. f. oceanic currents – can affect the amount of nutrients in water and therefore, plankton blooms. g. tides – incoming (rising) tides usually bring in clear water; outgoing tides (falling) tides usually pick up sediment and have poorer visibility. 3-18 Three: Knowledge Development h. location – determines the prevailing nature of the aquatic environment (e.g., warm clear current, silty lake, clear spring water, etc.) I. What are three aspects of planning dives for remote areas? (e.g., those that are hours away from dive services, emergency medical personnel, etc.) 1. Plans need to cover more logistics – food, sleeping arrangements, compressors for filling tanks, etc. 2. Emergency procedures – may need to plan for complex evacuations, having appropriate medical supplies available and people who can use them (e.g., several hours worth of emergency oxygen). 3. Think in terms of self-sufficiency. (e.g., What would you do if the boat engine broke down?) What are three aspects of dive planning for remote areas? ■ ■ More More involved involved logistics� logistics� ■ ■ More More complex complex � emergency emergency procedures� procedures� ■ ■ Increased Increased self-sufficiency self-sufficiency Dive Planning DM DM 22 --15 15 III. Dive Management Dive Management Supervision of certified divers DM DM 22 --16 16 What are four aspects of supervision in manag ing dives? ■ ■ Preparation Preparation � ■ ■ Communication� Communication� ■ ■ Vantage Vantage Point� Point� ■ ■ Recognition Recognition Dive Management DM DM 22 -- 17 17 Choosing a V antage Point ■ ■ Inwater Inwater supervision� supervision� ◆ ◆ Advantages?� Advantages?� ◆ ◆ Disadvantages?� Disadvantages?� ■ ■ Out Out of of water water supervision� supervision� ◆ ◆ Advantages?� Advantages?� ◆ ◆ Disadvantages? Disadvantages? Dive Management DM DM 22 --18 18 Divemaster Course Instructor Guide A. Dive management involves supervision of certified divers. 1. It is difficult or impossible to exercise direct, physical control of certified divers (though it may be appropriate when supervising student divers). 2. Therefore, supervision means nonphysical influence, by providing adequate and appropriate information and advice. B. What are four aspects of supervision in managing dives? 1. Preparation – adequate dive planning as just discussed, having appropriate equipment, and being ready to respond to problems. 2. Communication – informing the divers about procedures, the dive plan, and other information, usually in a dive briefing (discussed shortly). 3. Vantage Point – putting yourself in the most effective position to see and assist divers. 4. Recognition – anticipating and identifying possible problems so you can prevent, correct or respond to them. C. What are the advantages and disadvantages of inwater versus out of water supervision, and the advantages and disadvantages of supervision vantage points inwater versus out of water? 1. Choose your vantage point for supervising certified divers by considering: a. Your ability to spot and respond to a problem. 3-19 1. You want to be in the most advantageous spot to see or be aware of divers’ locations. 2. You want to be at the most advantageous spot to lend assistance – anticipate likely problem areas based on diver skill level, environment, etc. 3. These may conflict (e.g., the best place to watch isn’t always the best place to respond from) – you may need to compromise. b. The skill and experience level of divers c. Number of divers and diver groups or buddy teams d. Environmental conditions 2. Inwater supervision – you dive with the group, or escort on surface by snorkel, etc. a. Advantages: 1. Puts you close to divers to respond to or prevent problems. 2. Minimizes problems such as divers accidentally exceeding their maximum depth, making navigation errors or running low on air because you’re there to guide and remind them to check air, etc. 3. Diving with group adds to interest because you can guide divers to best spots, etc. b. Disadvantages: 1. You can only watch one group, so may not be appropriate with multiple groups or buddy teams diving independently (depends on diver experience, environment, etc.) unless there are other supervisors at the surface. 2. Some divers don’t like diving in a group. It may reduce their enjoyment if they prefer to explore independently. c. Procedures: 1. Identify most likely problem sources – diver, environmental effects, etc. and accompany group where you can best prevent or respond to these problems. 2. Brief divers so they know where you will be in relation to the group, and your role (guide, escort following their lead, etc.) 3. Out of water supervision – you supervise from boat or shore. 3-20 Three: Knowledge Development What types of equipment can assist in supervising certified divers? ■ ■ Management Management equipment equipment –– rr oster oster ,, binocular binocular s, s, site site maps maps ■ ■ Emergency Emergency equipment equipment –– oo xyg xyg en, en, fir fir st st aid aid kit, kit, float, float, radio/phone radio/phone ■ ■ Other Other dive dive equipment equipment –– tool tool kit, kit, fla fla gg and and float, float, scuba scuba equipment equipment DM DM 22 --19 19 Dive Management Divemaster Course Instructor Guide a. Advantages: 1. Usually most effective way to supervise multiple buddy teams and groups at once. 2. Usually puts you close to emergency related equipment (oxygen, first aid, radio, etc.) for rapid deployment. 3. Often gives diver teams more individual options in where they go during the dive. b. Disadvantages: 1. You’re not on hand to remind divers of their responsibilities to follow appropriate dive procedures. 2. You can’t show divers around the points of interest on the site. c. Procedures: 1. Choose the best vantage point for visibility and ability to respond as previously discussed. 2. Have appropriate emergency and response equipment at hand. 3. During the briefing, tell divers where you’ll be and establish surface signals, recall procedures, etc. (more detail about briefings shortly) D. What eight types of equipment can assist in supervising certified divers? 1. Management equipment – may be useful depending upon the environment. a. clipboard/dive roster b. binoculars c. dive site maps 2. Emergency response equipment (see also Chapter 3 of the PADI Rescue Diver Manual) a. emergency oxygen b. first aid w/pocket mask and barriers c. rescue float or life ring with line d. marine radio/cellular telephone 3. Other useful equipment a. tool kit with spare o-rings/fin straps, weight belt buckles, etc. b. dive flag/float c. spare regulator, BCD and other equipment (in case of malfunction or loss) 3-21 d. spare equipment specific to conditions (e.g., dive lights for night diving, inflatable signal tube for diving in currents, etc.) E. What is the primary purpose of diver accounting procedures? 1. When supervising more than a handful of divers, the primary concern is making sure each diver is back aboard/ashore after a dive. 2. Procedure – Names usually recorded on dive roster as divers arrive on board/at dive site, and as they enter and exit water. Typically, you call roll after each dive with all divers visually present to confirm everyone is out of the water. 3. When practical in some situations, it may be useful to record additional information, which may assist in selecting subsequent dive sites. a. time entered water b. time exited water What is the primary purpose of diver accounting procedures? Dive Management DM DM 22 --20 20 Note that certified divers are responsible for tracking their own dive profiles. F. Integrating customer service and management. 1. Divers come to you for convenience and to enhance their fun as well as the safety benefits. They’re customers. 2. Dive management requires influencing and advising divers to dive safely without ignoring the enjoyment of the dive. 3. Customer service dive management tips: a. Explain the basis for guidelines and procedures so they don’t seem arbitrary. b. Be open to alternative ways to accomplish something, such as an entry, to accommodate individual preferences. c. Be flexible within the limits of responsible diving – the supervision procedures you apply with novices may not be appropriate or necessary with a very experienced Rescue Diver, for example. d. Give as much attention to assuring convenience, fun and adventure as you do to assuring safety. 3-22 Customer Service T ips ■ ■ Explain Explain the the basis basis for for � guidelines guidelines — — wh wh y? y? ■ ■ Be Be open open to to � alternative alternative � methods� methods� ■ ■ Be Be flexible flexible � ■ ■ Consider Consider convenience, convenience, fun fun and and adventure adventure along along with with safety safety Dive Management Three: Knowledge Development DM DM 22 --21 21 IV. Helping Divers Manage Predive Stress Helping Divers Manage Stress Stress Management Chart Problem Stress Recognition Stop Think Brea the Action = Solution Response Panic Anxiety Reaction Rescue Requir ed DM DM 22 --22 22 [Refer candidates to the PADI Rescue Diver Manual – Chapter 1] A. What are the characteristics of predive stress, and how do you help divers deal with it? 1. You may notice physical and/or psychological stress in a diver. Signs and symptoms include: a. Behavior change – diver becomes withdrawn, irritable, talkative, distracted, etc. b. Perceptual narrowing – diver focuses on an action or task to the exclusion of alternative actions or considerations; often associated with distracted or irritable behavior c. Physical signs or symptoms – sweating profusely, exhaustion, vomiting or nausea d. Diver expresses concerns about the dive to a buddy or to you. e. A diver may report stress observed in another diver. B. Consequences of stress [Refer to Stress Management Chart] 1. Stress response cycle a. Stress causes psychological and physical stress responses. b. If the diver recognizes stress, the diver will reduce activity, think and begin problem solving. This usually solves problem and ends stress. c. If the diver doesn’t recognize stress, anxiety results. Anxiety produces psychological and physical stress and adds to original stress. d. Raised stress increases stress responses. This begins an uncontrolled cycle of rising stress until stress is excessive. e. Eventually, stress exceeds the diver’s ability to selfcontrol emotions. The diver reverts to instinctive reactions and uncontrolled behavior (panic). f. In the water, this can cause an accident requiring a rescue. 2. Therefore, it is best to handle stress as much as possible prior to a dive. C. Some stress is normal; it is how the mind and body activate mechanisms for handling perceived threats. It benefits divers by helping them focus on equipment Divemaster Course Instructor Guide 3-23 preparation, dive planning, etc. Certified divers are responsible for expressing concerns and monitoring their own psychological/physical state, but if you observe possible excessive stress, you may be able to assist the diver cope with it. 1. Try to confirm that the diver is stressed – usually it’s simplest to ask the diver about the signs observed. 2. Try to determine cause of stress. a. May be obvious, such as physical stress caused by overheating. b. If willing, the diver may tell you what the stressor is. c. In some instances, you may not be able to determine the stressor and the diver may not tell you – use your best judgment as to what the stressor may be. D. Relieving stress. Stress is relieved by either removing the stressor, or by changing the diver’s perception of the stressor so that it’s no longer threatening, or changing the perception of the diver’s ability to cope with the stressor. The dive briefing often helps, but sometimes you may be able to individually assist divers manage their stress. 1. Physical stressors – simple actions may relieve these. (e.g., diver overheated in exposure suit, offer to spray with water, suggest slowing activity, or opening suit to cool a bit.) 2. Explain procedures – stress about dive often comes from lack of information about how to handle a perceived threat or concern; providing information may reduce or relieve stress. (e.g., divers concerned about strong currents may feel better if you review current diving procedures and explain what to do if the current carries them past the boat.) 3. Offer choices – you may be able to offer alternatives that relieve stress. (e.g., diver who is concerned about successful navigation during a dive may appreciate the option to make a guided dive. Diver concerned about making a deep dive may appreciate option to swim in shallows along top of wall.) 4. Provide information – new or accurate information may reduce stress by removing perception of threat. (e.g., diver hears that nurse sharks are common at dive site and may experience stress through fear of shark attack. Telling the diver that nurse sharks are 3-24 Three: Knowledge Development docile and not associate with attacks (except when molested) may greatly reduce stress.) 5. Let them off the hook – make it clear to all divers that if someone doesn’t feel up to a dive for any reason, it’s okay not to dive. V. Mapping Dive Sites Mapping Dive Sit es ■ ■ Why?� Why?� ◆ ◆ Use Use during during briefings briefings � ◆ ◆ Provide Provide na navigation vigation ref ref erence erence� 18 ◆ ◆ Orient Orient diver diver ss � 12 8 to to site site� ◆ ◆ Note Note cchanges hanges to to � site site over over time time DM DM 22 --23 23 Mapping Tools ■ ■ How?� How?� ◆ ◆ Tools� Tools� ✚ ✚ Compass, Compass, slate slate,, marker markerss and and line line ,, graph graph paper paper,, protractor protractor and and ruler ruler � ◆ ◆ Steps� Steps� ✚ ✚ Define Define area area � ✚ ✚ Use Use appr appropriate opriate sear sear ch ch pattern pattern � ✚ ✚ Record Record depth depth and and ff eatures eatures� ✚ ✚ Plot Plot data data on on graph graph paper paper DM DM 22 --24 24 A. There are several reasons to map a dive site. 1. as a briefing tool 2. to provide you a navigation reference when leading dive tours 3. to provide divers you supervise with a navigation reference when diving independently 4. to show divers local facilities, entry and exit points, and points of interest 5. to have a reference against which to observe changes in the dive site over time B. Mapping tools – the following will be necessary or helpful in mapping. 1. dive compass 2. large slate 3. buoys/markers with lines and weights 4. graph paper 5. protractor and ruler C. What are the general steps for mapping a dive site, and what elements do you include in a dive site map? [see also the PADI Underwater Navigator Manual] Note to instructor: This is one technique. There are others you may wish to recommend. Consider drawing a sample map to illustrate these steps for candidates. 1. Identify a central point, or place a buoy from which to gather data, and determine the map boundaries. 2. Swim a large search pattern, such as a U-pattern, that covers the map area, away from the point. You may need to use several sets of patterns to cover the whole area. 3. Count kick cycles and record depth and features as you go, noting the pattern leg and distance when you find features. Divemaster Course Instructor Guide 3-25 4. On each leg, record the kick cycle where you hit specified depths to show contour (e.g., 3 metre/10 foot increments). 5. Draw the pattern on graph paper in pencil. Use protractor to keep heading angles accurate, ruler and graph lines to maintain scale. Include depths and features noted on the pattern. 6. Connect same depths with lines to show contour, and fill in headings and distance from shore reference to points of interest. 7. Fill in shore line, facilities and topside features. 8. To finish map, use ink on parts of map you wish to keep and erase the pencil portions. Or, use blue pencil and blue graph paper to draw map, then black ink for final version and photocopy through blue gelatin. D. [Mapping Project – If you have not given mapping project assignments, you may want to do so now. If necessary, review search pattern procedures and have candidates practice a U-pattern in open water prior to beginning the Mapping Project.] Part 1 Questions? Supervising Diving A ctivities for Certified Divers DM DM 22 --25 25 3-26 Three: Knowledge Development Topic 2 Presentation - Part 2 Overview and Learning Objectives Overview — P art 2 VI. Dive Briefings ■ ■ Dive Dive Briefings� Briefings� 19. What 10 points does a dive briefing usually include? ■ ■ Problem Problem Management Management and and Judgment� Judgment� ■ ■ Divemaster’s Divemaster’s Role Role in in 20. What predive suggestions can you give to help divers interact responsibly with the environment and aquatic life? Accident Accident Management� Management� ■ ■ Supervising Supervising Specialized Specialized Dive Dive Activities Activities DM DM 22 --26 26 VII. Problem Management and Judgment 21. How do you prepare to handle problems that may occur at a dive site? 22. What are the general steps for handling a novel dive problem? 23. When does dive supervision and problem management call for your judgment, and how do you develop good judgment? VIII. Divemaster’s Role in Accident Management 24. What are the two likely roles of the divemaster in the event of a dive accident? IX. Supervising Specialized Dive Activities 25. What general equipment, concerns and procedures apply when supervising each of the following activities: • deep diving? • boat diving? • altitude diving? • drift diving? • shore/surf diving? • night diving? • cold water diving? • enriched air and technical diving? Outline Dive Briefings Enhance diver safety and increase fun VI. Dive Briefings DM DM 22 --27 27 Divemaster Course Instructor Guide [Begin this section by giving a typical dive briefing for your local area. As you cover the following topics, refer to the relevant components in your example.] 3-27 A. A dive briefing has two main goals: to enhance diver safety, and to make the dive fun. B. Treat the briefing as an overview of your thinking when you planned the dive. 1. This gives credibility to your recommendations. 2. It cues divers to adapt if conditions change. 3. It provides a basis for alternative recommendations when necessary. C. On a dive boat, boat-specific information (rules, offlimit areas, personal flotation devices, etc.) isn’t technically part of the dive briefing, but may be combined with the briefing. D. What 10 points does a dive briefing usually include? (Order may vary and you may need to include additional information depending upon the circumstances) 1. Dive site name 2. Site description: topography, points of interest, hazards to avoid, water conditions, depth range, facilities (a map helps, when available), where to locate emergency equipment, etc. 3. Your role (topside supervisor, guide, etc.) May want to tell divers how to recognize you (e.g., you always wear a ball cap or bright colored fins.) 4. Entry and exit techniques 5. Dive procedures – suggested course to follow, problem avoidance in local conditions, safety stops, air reserves, group control, etc. 6. Emergency procedures a. Discuss protocols, and review problems unique to dive site and those most likely to occur in the conditions. b. Buddy separation c. Low-on-air/out-of-air procedures d. If appropriate for local practices, diver recall procedures. 7. Signal review – review signals that you’ll use with the group (surface or underwater). It may be appropriate to remind buddy teams to review their own signals. 8. Roster/buddy check – you can do this apart from the briefing, but you may find it convenient to do this while everyone’s together. Check that you have 3-28 What ten points does a briefing usually include? 1 – Site Site name� name� 2 – Site Site description� description� 3 – Divemaster’s Divemaster’s role� role� 4 – Entry Entry and and exit exit techniques� techniques� 5 – Dive Dive procedures/group procedures/group control control Dive Briefings DM DM 22 --28 28 Ten briefing points... 6 – Emergency Emergency procedures� procedures� 7 – Signal Signal review� review� 8 – Roster/Buddy Roster/Buddy check� check� 9 – Environmental Environmental awareness� awareness� 10 – Predive Predive safety safety check check Dive Briefings Three: Knowledge Development DM DM 22 --29 29 Make briefings positive, interesting and short! Remind divers to plan their own dives Dive Briefings DM DM 22 --30 30 everyone on the dive roster and everyone has a buddy. Identify those without buddies so they can choose buddy teams among themselves. 9. What predive suggestions can you give to help divers interact responsibly with the environment and aquatic life? Environmental interaction suggestions: a. Identify organisms divers need to respect and be cautious about. b. Tell divers how to avoid damage to sensitive organisms (e.g., maintain buoyancy control, stay well off reef, avoid touching, etc.); suggest techniques in a positive context and remind divers to be AWARE divers. c. If divers will be hunting, require any necessary licenses and ask divers to take only what they will eat. d. Discourage feeding by destroying organisms to do so (e.g., cutting up urchins to feed fish) e. Leave the environment as you find it (e.g., don’t turn over rocks, don’t leave anything behind, etc.) 10. Predive safety check – remind divers of their responsibility to perform a predive safety check (BWRAF). a. As divers suit up to enter water, it’s customary to confirm that they have ample air for the dive. b. Although it is neither practical nor necessary to individually assess certified divers, who are responsible for their own safely, being alert for the following may help the diver who makes an error with equipment setup: 1. Low pressure inflator that isn’t connected or diver has insufficient air to float in BCD (if floating is appropriate to entry technique). 2. Weight that looks excessive or insufficient. 3. Disconnected releases or the weight system not clear for release. 4. Equipment not in correct place. E. Make the briefing fun, interesting and relate each topic to their needs, experience level and interests (not to yours). 1. Divers pay attention, respond and remember better when its fun. 2. Divers are there to have fun – this is an important part of customer service. F. It’s a good idea to remind divers that your briefing doesn’t replace their own dive planning – they should plan their Divemaster Course Instructor Guide 3-29 individual dives with the information and within the limits you provide, and following responsible diving practices. G. Things to avoid in briefings include: 1. Being negative in a way that takes the fun out of the dive. 2. Overstressing hazards – give realistic appraisals of possible hazards. 3. Being long, redundant and boring. They’re called “briefings” because they’re supposed to be brief. 4. Ignoring people’s comfort. Be sensitive to those who may not feel well on a rocking boat Give briefing before divers climb into hot exposure suits. Note to instructor: Remind candidates that they will apply what they’re learning here by giving briefings during the Practical Training Exercises. Suggest that they review their notes and the PADI Divemaster Manual prior to sessions in which they will practice giving briefings. VII. Problem Management and Judgment A. As a divemaster, you’ll be looked upon as a problem solver. Problems at a dive site can range from inconveniences to emergencies, but you can group them into two categories – “routine” and those you’ve never encountered. 2. Routine problems are those for which you already have a solution, (e.g., a diver breaks a mask strap and you have spares.) a. Through experience, you already know how to handle many routine problems. b. Assuming you have the resources, you usually handle routine problems easily. 3. Those you’ve never encountered are called “novel” problems, (e.g., the boat arrives at the dive site and for the first time ever, the mooring buoy is missing). a. You’ll need to determine how to handle these on the spot. b. Proper preparation, specific dive skills and following the steps for problem solving increase your ability to successfully manage novel problems. c. After handling a novel problem, it becomes part 3-30 Problem Management and Judgment Routine vs. Novel Three: Knowledge Development DM DM 22 --31 31 of your experience; the next time it arises, you already know the solution – this is why experience as a diver is important to being a professional. How do you prepare to handle problems at a dive site? ■ ■ Develop Develop strong strong � knowledge knowledge base� base� ■ ■ Have Have equipment equipment � and and tools� tools� ■ ■ Continue Continue your� your� education education Problem Management DM DM 22 --32 32 B. How do you prepare to handle problems that may occur at a dive site? 1. Have a strong knowledge base of dive theory – good problem solvers have a lot of knowledge resources to draw upon. (More about this in Topic 4 – Dive Theory Introduction) 2. Have the physical resources to handle problems, such as spare equipment, tools, first aid kit, oxygen, etc., that you’ve learned about in this and previous PADI courses, and through experience 3. Continue your education regularly (PADI Specialty courses, Assistant Instructor course, equipment repair, seamanship, etc.) a. Continuing education provides exercise for the brain – improves your thinking skills and problem solving ability. It gives you more knowledge and skills that you can apply to solve a problem. It also provides experience opportunities so you encounter fewer novel problems. C. Problem solving is a skill. You normally solve problems without thinking consciously about the process, much of which is intuitive. But, to improve, pay attention to the steps. Improving each step increases problem solving skill. With experience, you go through these steps quickly and automatically. What are the st eps for handling a novel problem? ■ ■ Identify Identify the the problem problem precisely� precisely� ■ ■ Inventory Inventory resources� resources� ■ ■ Create Create several several possible possible solutions� solutions� ■ ■ Choose Choose aa solution� solution� ■ ■ Assess Assess and and revise revise as as necessary necessary Problem Management DM DM 22 --33 33 Divemaster Course Instructor Guide D. What are the general steps for handling a novel dive problem?: 1. Identify the problem precisely. The more specific the problem, the more specifically you can apply a solution. 2. Inventory your resources. Think about what resources you can apply to the problem, including tools, hardware, your skills and knowledge and those of other people who may help. 3. Create several possible solutions. Try to make these as different as possible. 4. Choose the best. Pick the most feasible and likely to succeed and devote your energy to that solution. 5. Assess and revise. As you handle the problem, assess your progress and adjust the solution as you go, 3-31 building on the ideas and experience you gain by applying the solution. E. When does dive supervision and problem management call for your judgment, and how do you develop good judgment? 1. Dive supervision and problem management call for your judgment when you have incomplete information, or when the information doesn’t direct a clear decision. 2. You apply your judgment to many elements of diver supervision, such as: a. Evaluating whether dive conditions are acceptable. b. Choosing which dive techniques to recommend. c. Picking a vantage point for supervising dive activities. d. Choosing the best of several possible solutions to problems. 3. To develop good judgment: a. Gain experience with more experienced professionals who can explain their judgments to you (in this course, instructors and staff members). b. When in doubt or making decisions that you have less experience with, decide to the conservative. Being unnecessarily cautious is generally better than being insufficiently cautious. c. Be cautious to avoid letting emotions or desires inappropriately influence your judgment. For example, you wouldn’t want to continue a dive in poor conditions just because you don’t want the divers to be disappointed. d. As with problem solving, dive experience and continuing your education provide you with knowledge that help you make good judgments. Judgment ■ ■ When When do do you you apply apply judgment?� judgment?� ■ ■ How How do do you you develop develop � good good judgment?� judgment?� ◆ ◆ Gain Gain experience experience � ◆ ◆ Be Be conser conser vative� vative� ◆ ◆ Avoid Avoid emotional emotional influences influences Note to instructor: Tell candidates that they’ll work on developing good judgment as part of the Practical Application sessions. VIII. Divemaster’s Role in Accident Management [Refer candidates to the PADI Rescue Diver Manual and the dive management section of the Rescue Diver Video as a review for this subject.] 3-32 � ◆ ◆ Contin Continually ually learn learn Three: Knowledge Development DM DM 22 --34 34 Accident Management Divemaster Roles: Manage or Assist DM DM 22 --35 35 Emergency Management ■ ■ Assess Assess the the situation� situation� ■ ■ Act Act on on your your plan� plan� ■ ■ Delegate� Delegate� ■ ■ Provide Provide basic basic life life support/first support/first aid� aid� ■ ■ Control Control the the scene� scene� ■ ■ Evacuate Evacuate the the patient patient Be Be familiar familiar with with emergency emergency oo xygen xygen protocols protocols Accident Management DM DM 22 --36 36 A. What are the two likely roles of the divemaster in the event of a dive accident? 1. If you’re the most qualified person present, you will probably manage the accident. As a PADI Divemaster, this would be the expected situation when supervising certified divers. In these situations, you’ll want to have a plan ready (Emergency Assistance Plan) to deal with emergencies. 2. If a more qualified person is present, you will probably assist under that person’s management. This would be the expected situation when assisting an instructor with student divers. B. Emergency Management Steps 1. Assess the situation — as with any problem, the strategy is to first consider resources and possible plans of action, then choose the plan most likely to be successful. 2. Act on your plan — take control of the situation and start the action. 3. Delegate — assign tasks to suitably qualified individuals. Handle tasks yourself if no one qualified is available. Even untrained people can help under your direction, such as contacting emergency medical care– but don’t ask people to do things for which they’re not trained or qualified if doing so might put them in a hazardous situation. 4. Provide basic life support (BLS) and first aid as necessary for the patient. Use barriers to protect yourself and the patient. 5. Control the scene — keep bystanders under control and make sure that first aid and BLS continue until emergency care arrives. Do not speculate or draw conclusions about what caused the accident or assign blame. 6. Evacuate the patient — in a serious emergency, you need to get the patient to the closest appropriate medical facility. If not done already, contact the local EMS, and DAN or DES if the area is served by either. Ideally, refer to your Emergency Assistance Plan for the area for the local emergency contact information. C. Emergency Oxygen 1. Emergency oxygen is the primary first aid for decompression illness (DCI) and near drowning. 2. When supervising divers, if permitted by local law, be sure that emergency oxygen is available. Be familiar Divemaster Course Instructor Guide 3-33 with emergency oxygen protocols and stay current in emergency oxygen recommendations. Note to instructor: This section is primarily a review of principles candidates will already know from prerequisite training and experience. Emphasize that now candidates need to think about specialized dive activities in a supervisory context. Refer candidates to the PADI Adventures in Diving, Rescue Diver, Deep Diver, Night Diver, Altitude Diver, Boat Diver, Drift Diver, Ice Diver and Enriched Air Diver specialty instructor guides, manuals and videos. IX. Supervising Specialized Dive Activities A. What general equipment, concerns and procedures apply when supervising specialized dive activities? 1. The following discussion covers the equipment, concerns and procedures distinct to various specialized activities that you should consider along with general supervisory considerations. 2. You can learn more and gain experience by completing the appropriate specialty course. B. Deep diving activities – generally defined in recreational diving as dives between 18 metres/60 feet and 40 metres/130 feet. 1. Equipment – for deep diving you and the divers you supervise need to consider: a. Regulator – in good condition, properly maintained according to manufacturer recommendations. b. Cylinder – adequate for the planned dive and safety stop with an adequate reserve. c. Exposure suit – adequate for the cooler water at depth; wet suits compress with depth and insulate less. d. Emergency air source – it’s common to have a spare tank and regulator or regulator on a hose from the surface to assure ample air for safety stops or emergency decompression stops. e. Dive computers and tables – divers usually want to carry dive tables so they can recalculate times if they accidentally exceed planned time or depth, or if using a computer, in case the computer fails. 3-34 Three: Knowledge Development f. Ascent/descent line – if there’s no contour to follow, it’s usually easier and more reassuring to follow a line down and back up; this may be a weighted line from the stern, or the anchor/mooring line may suffice. g. Gauges – if not using a computer, it’s best for each diver to have a timer and depth gauge. h. Divers using enriched air – this may help them stay well within no stop limits for dives between 18 metres/60 feet and 30 metres/100 feet (more about this consideration later). 2. Concerns a. Diver training and experience – remind divers to make deep dives within the limits of their training or experience, and to increase their experience under appropriate supervision. b. Dive site selection 1. Currents can be a problem in deep water sites and need to be planned for. 2. Dives along walls/slopes have the concern of accidentally descending below the planned depth or recreational depth limits. 3. Temperature at depth may be cooler than at the surface. c. Decompression sickness 1. Deep diving frequently takes divers closer to the no decompression limits. 2. Post dive activities – exercise, alcohol consumption may predispose divers to DCS. d. Nitrogen narcosis – may affect diver judgment. 3. Procedures a. Choosing a vantage point – inwater supervision may be a good choice (dive site and diver experience determining factors). 1. Easier to help divers stay above maximum depth, especially along walls. 2. You’re present if narcosis becomes a factor. 3. You can remind divers to check their air more frequently. b. Contingency planning – during briefing, it’s a good idea to present contingency plans if divers accidentally exceed planned depth and time to assist them with their personal plans. Divemaster Course Instructor Guide 3-35 c. Encourage divers who have questions about dive planning or who are rusty with table use to ask for your assistance and recommendations. d. Remind and encourage divers to practice behaviors that reduce DCI risk: 1. Safety stops 2. Remain hydrated, avoid alcohol and caffeine. 3. Avoid strenuous exercise before and immediately after a dive. 4. Avoid sawtooth profiles. Make each dive progressively shallower and start at the deepest point and work shallower. 5. Avoid rapid ascents. 6. Watch air supply closely to avoid emergency ascent situations. e. Provide ascent/descent line and emergency breathing equipment at 5 metres/15 feet if practical and appropriate. C. Boat diving activities 1. Equipment a. The boat itself – style affects diving techniques and conditions in which it may operate and the number of divers it may carry. b. Lines – those used by divers (swim lines, trail lines, gear lines, safety stop/descent line etc.) and those used by the boat (mooring line, dock lines, etc.). c. Boat safety equipment – personal flotation devices, fire extinguishers, signal devices (horns, lights, flares) and radio d. dive safety equipment – dive flags, emergency oxygen, first aid, life ring, etc., as appropriate for local diving practices and procedures. 2. Concerns a. diver familiarity – some divers may have no boat experience, or may not be familiar with local boat diving procedures. b. space – usually at a premium on a dive boat and dictates equipment setup and stowage procedures. c. entries and exits – boat configuration (deck height, presence or absence of ladder/swim step, etc.) will affect preferred entry and exit methods and locations. 3-36 Three: Knowledge Development d. seasickness – advise divers prone to seasickness to stay on deck in the center of the boat and out of boat’s exhaust, to avoid greasy food, and to take seasickness medication prior to departure according to instructions/doctor recommendations. If seasick, vomit over leeward rail (wind headed away from boat) Note to candidates: If your function involves the diving activities and you’re not part of the boat’s staff, you’re not usually considered part of the boat crew. If you’re employed by the dive boat and are expected to assist with boat operation, you’re usually considered crew as well as a divemaster. Since this is a common divemaster employment opportunity, training in boat handling and seamanship is an excellent additional skill for a divemaster. 3. Procedures a. Welcome divers aboard. Have them sign in on roster and list certification information, sign liability release, and stow/secure equipment before the boat departs. Reconfirm all aboard by calling roll from roster before departure. b. Orient divers to boat facilities and rules (e.g., offlimits areas, where to put cameras, time to dive destination, where to locate safety equipment.) Crew may do this if you’re not part of the boat staff. c. Equipment setup – may be before boat departs or underway, depending on boat size and time to dive site. Remind divers to work in and out of gear bags to reduce deck clutter. d. Anchoring/mooring – captain determines when boat is secure. You may determine whether conditions are suitable for diving. e. Briefing – include boat specific techniques for entries, exits, use of swim lines/current lines, surface signals to boat, emergency/recall procedures, what to do if seasick, etc. f. Entry – suggest that divers avoid walking around with fins on g. Post dive – may need to remind divers exit procedures (e.g., don’t wait under someone climbing ladder, etc.), keep deck clear of equipment, call roll and make sure that you actually see each diver. Divemaster Course Instructor Guide 3-37 h. Before boat leaves the site – assure equipment stowed properly, conduct final visual roll call. D. Altitude diving activities – dives above 300 metres/1000 feet to maximum 3000 metres/10,000 feet of altitude. 1. Equipment a. Exposure suit – altitude diving is usually cooler water diving. b. Depth gauge/computer – older depth gauges/ computers designed for sea level may not read/ compute properly at altitude. c. Theoretical Depth at Altitude tables – used to convert depths at altitude to a depth that may be used on the RDP. You find these tables in Adventures in Diving. (Capillary depth gauges read theoretical depth at altitude and do not need further conversion.) 2. Concerns a. Diver training and experience – divers may not be familiar with altitude diving procedures, or may not be aware a site is at altitude. b. Arrival at altitude – diver must wait six hours or determine a pressure group before diving if using RDP. Many computers account for arrival at altitude – check manufacturer instructions. c. Thin air – divers may tire more easily during entries, exits and surface swims. 3. Procedures a. Confirm diver familiarity with altitude procedures. For those not familiar, assist in dive table planning/computer use to accommodate altitude considerations – advise divers that your supervision isn’t a training course. b. Confirm use of suitable tables, computers, exposure suits, etc. c. To reduce likelihood of exhaustion at altitude, recommend a dive plan that minimizes strenuous activity at the surface. E. Drift diving activities – diving in which divers drift with the current and exit downstream 1. Equipment a. Surface float, descent line, reel or caddie (if used – depends on technique) 3-38 Specialized Activities... ■ ■ Altitude diving� diving� ◆ ◆ Equipment� Equipment� ◆ ◆ Concerns� Concerns� ◆ ◆ Procedures Procedures ■ ■ Drift diving� diving� ◆ ◆ Equipment Equipment � ◆ ◆ Concerns Concerns � ◆ ◆ Procedures Procedures Three: Knowledge Development DM DM 22 --38 38 Specialized Activities... ■ ■ Shore/surf Shore/surf diving� diving� ◆ ◆ Equipment Equipment � ◆ ◆ Concerns Concerns � ◆ ◆ Procedures Procedures ■ ■ Night Night diving� diving� ◆ ◆ Equipment Equipment � ◆ ◆ Concerns Concerns � ◆ ◆ Procedures Procedures DM DM 22 --39 39 Divemaster Course Instructor Guide b. Surface signal devices (inflatable signal tubes, mirrors, etc.) recommended for each diver. 2. Concerns a. Diver training and experience – divers may not be familiar with drift diving procedures, or the specific procedures used at the dive site. b. Depth – drift dives are often deep dives. c. Group contact – drift diving is often a single group dive. It’s important for the group to stay together and know what to do if separated. d. Change of current direction – can disrupt coordination with boat. 3. Procedures a. Briefings – brief group on procedures that will be used on the dive and include what to do if separated from group, unable to descend, etc. b. Vantage point – consider inwater supervision and supervision on the boat. Divemaster handles float/line in the water (if used). c. Entries and descents – usually made as a group, quickly with divemaster paying out line that other divers keep contact with and follow to divemaster’s depth. Group then drifts along together. d. Ascents and exits – techniques vary; everyone surfaces and makes safety stop along line when first diver reaches low air or teams may surface individually along line and get picked up by boat. In both cases, advise divers not to swim toward boat – let boat come to them. F. Surf diving activities – diving from shore through waves large enough to cause divers to lose their balance. 1. Equipment a. Equipment loss – the stronger the surf, the more potential for equipment loss or damage – a consideration for underwater photographers/videographers. b. Regulator freeflowing – most models of regulators are prone to freeflowing if they get sand in them. c. Equipment caused delays – entries and exits through surf are made by moving quickly through surf zone – equipment that causes delays can cause problems. 3-39 2. Concerns a. Diver training and experience – Divers may not be familiar with surf diving procedures. b. Air reserve for exits – divers may accidentally run low on air before exiting, leaving little to use during exit through surf zone c. Assessing conditions – need to watch wave pattern long enough to determine how high the largest surf is and when it hits. d. Large surf – experienced divers may be able to enter and exit effectively, but diving conditions usually aren’t worth the effort. 3. Procedures a. Briefing usually includes entry technique reminders — don all equipment before entering surf (except fins, depending on entry technique), deflate BCD, breathe from regulator and move rapidly through surf zone, walk backwards with fins on, turn sideways, hold mask and lean against waves or duck through base of tall waves, tow float behind, as soon as possible either submerge and swim out on bottom, or inflate BCD and swim quickly past surf zone. b. Briefing usually includes exit technique reminder —save enough air to breathe from regulator during exit, pause outside surf zone and observe waves to time exit, swim under waves as close as possible to shore then exit quickly watching waves, and if you fall, it’s usually easier to stay down and crawl out. c. Vantage point – elevated positioning makes it easier to see over waves. d. Supervisory personnel should have equipment standing by to enter water and assist if necessary. G. Night diving activities 1. Equipment a. Dive lights – one dive light per diver, with two each recommended. Have spares at hand in case a diver forgets a light, or one doesn’t work. b. Chemical light/personal marker light – one for each diver recommended. c. Surface lights – area lights for gearing up, marker lights to identify exit point. Avoid anything that might be confused with navigational markers. 3-40 Three: Knowledge Development Specialized Activities... ■ ■ Cold Cold water water diving� diving� ◆ ◆ Equipment Equipment � ◆ ◆ Concerns Concerns � ◆ ◆ Procedures Procedures ■ ■ Enriched Enriched air air and and � technical technical diving� diving� ◆ ◆ Equipment Equipment � ◆ ◆ Concerns Concerns � ◆ ◆ Procedures Procedures DM DM 22 --40 40 d. Underwater markers – strobes or a suspended light can aid navigation in reasonably clear water. e. Exposure protection – because it’s easier to bump into things in the dark, full exposure protection is recommended even in warm water. f. Descent/ascent line – may make controlled ascent/descents easier, especially if bottom isn’t visible from the surface. 2. Concerns a. Light failure – encourage divers to carry backup lights. b. Disorientation – easier to lose your way in the dark. c. Diver familiarity – night diving isn’t difficult, but it can be stressful to a diver who has never done it. d. Timing – some divers prefer to enter water with some daylight so it gets dark during the dive while others prefer a later dive to see nocturnal organisms. It sometimes helps to plan the dive so everyone sets up gear during daylight. 3. Procedures a. Supervision is generally effective from boat or shore because you can see glow of dive lights a long way. b. Briefing usually includes these reminders – watch depth, time, direction and air more frequently than usual, maintain good buoyancy control to reduce silt, to avoid damage to the environment and avoid contact with potentially harmful organisms, plan to stay closer to exit to simplify navigation, be careful not to shine lights in eyes of supervisors/other divers during entries and exits. c. Emergency plans generally need to include assuring that rescuers have lights/personal markers so they can be tracked in the water. H. Cold water diving activities 1. Equipment a. Exposure protection – full wet suit that double layers torso area (6 or 7 mm/1/4 in) with hood and boots, or dry suits with undergarment rated for water temperature and recommended hood. Gloves usually required in all cases. b. Weight systems – cold water exposure suits require lots of weight. Weight system needs to accommodate weight in a manner that allows dumping enough quickly to attain positive buoyancy. Divemaster Course Instructor Guide 3-41 c. Pre/post dive wear – maintaining body heat before and after dive requires proper exposure protection for air temperature. 2. Concerns a. Diver comfort – cold divers aren’t having fun. b. Hypothermia – divers who over-cool may suffer hypothermia. c. Dry suit use – divers who have never used a dry suit should seek an orientation or training when using one for the first time. 3. Procedures a. Briefings usually remind divers to stay warm before and after dives, and to end the dive if they begin shivering uncontrollably. b. If divers seem insufficiently protected, advise them accordingly. c. Divers need to be sure that weight systems are clear for release, and that they won’t release accidentally and cause a runaway ascent. d. Supervisory personnel who may have to enter water in an emergency need to account for water temperature and exposure protection in emergency planning. e. Emergency planning will generally include how to handle a diver with hypothermia. f. Plan dives and surface intervals to allow sufficient rewarming between dives. g. It’s a good idea to remind divers to plan cold water dives with a depth 4 metres/10 feet deeper than actual on the RDP, or as instructed by their computer manufacturer. I. Enriched air and technical diving [Refer candidates to the PADI Enriched Air Diver course materials, and the Encyclopedia of Recreational Diving ] 1. For the purposes of this discussion, “enriched air diving” is the use of enriched air for no stop recreational diving to depths of 40 metres/130 feet or less. “Technical diving” is noncommercial diving using extensive equipment and procedures to make dives beyond the no stop limits or deeper than 40 metres/130 feet. 2. Enriched Air Equipment a. Dedicated cylinders – Enriched air cylinders are usually assigned to a specific diver. 3-42 Three: Knowledge Development b. Manufacturers recommendation – many manufacturers have specific recommendations for using their equipment with enriched air with respect to the need for oxygen cleaning. c. Special tables/computers – tables designed for enriched air use and special enriched air computers may be used. 3. Technical Diving Equipment – equipment is extensive and varies with the specific technical diving activity. Commonly includes, but isn’t limited to: a. Double cylinders (may have helium blends or enriched air) b. Stage bottles – single tanks worn on the side, often for decompression purposes c. Specialized high capacity BCDs d. Three or more regulators per diver e. Lift bags, lines, and reels 4. Concerns a. Separating equipment – keeping divers from inadvertently using enriched air or other cylinders dedicated to technical divers. Enriched air divers always personally verify the oxygen content of the cylinder they will use, so divers can’t grab just any tank available. b. Separating activities – recreational divers need to understand that technical divers follow different and more complex procedures and, therefore, have differing rules and limits. They should not attempt to follow technical divers on the dive. c. Qualifications – enriched air divers are expected to be certified before using enriched air. Technical divers may be certified in their particular activity or have other experience/qualification. d. Beyond help – technical divers frequently take themselves into situations in which there is no practical way to respond (overhead environment, extreme depth) This is part of the risk they accept as individuals. 5. Enriched Air Diving Procedures a. Enriched air divers usually try to buddy together to take advantage of longer no stop time. b. Enriched air divers may have shallower depth limit depending on the blend they use. Divemaster Course Instructor Guide 3-43 c. May be useful to ask divers to be back by a specific time that balances enriched air diver’s longer no stop time with consideration for other divers waiting. d. When diving in multiple groups, it’s common to get enriched air divers into water first so there’s less gap between when they return and when other return. e. Aside from depth and time limits, and equipment considerations, other enriched air dive procedures are the same as those for air recreational diving. Note to candidates: No dive operation is under any obligation to accept and supervise technical diving if it doesn’t wish to. This policy should be clear to potential technical divers well in advance of the dive. In addition, exceeding recreational diving limits without using specific equipment and procedures to manage the added risk is not considered technical diving; If your operation caters to technical divers, the operation is not obligated to accept individuals who want to disregard both accepted safe diving practices and accepted technical diving practices. 5. Technical Diving Procedures a. Technical divers may have depth and time limits very different from recreational divers. It’s common to ask technical divers when to expect to find them at a certain point, such as decompressing. b. While its not unusual to confirm a recreational diver’s tank valve is open, the general practice in technical diving to not touch any equipment unless asked by the diver. c. Technical divers may have special support requests, such as having someone check on them during decompression (within recreational depths) Both you and the divers need to agree on what will and won’t be possible in this regard. d. If technical divers tell you they will be leaving stage bottles unattended within recreational limits (common for wreck penetration), it’s a good precaution to remind recreational divers that such equipment isn’t abandoned and should be left alone. 3-44 Three: Knowledge Development Topic 3 – Assisting with Student Divers in Training Recommended Materials and Methods for Covering This Topic The PADI Divemaster Video and the Divemaster Manual cover much of the material in this topic. Preferably, have candidates watch the video, read Chapter 3 and complete the Knowledge Review prior to this presentation. Your presentation is important in this topic because it includes discussions that will be the basis for assisting with student divers in training. This is a long topic, so you may want to plan breaks in the presentation, or deliver the presentation in two or more sessions. You’ll introduce and refer to the PADI Instructor Manual in this presentation. Encourage candidates to have personal copies of the manual. Presentation Overview and Learning Objectives I. The Instructor/Assistant Relationship 1. What is the primary role of a PADI Divemaster compared to that of a PADI Instructor in an instructional setting? Overview ■ ■ The The Instructor/Assistant Instructor/Assistant Relationship Relationship � ■ ■ The The Student Student Diver/Assistant Diver/Assistant Relationship Relationship � 2. What seven functions may a divemaster fulfill as an instructional assistant in confined and open water? ■ ■ PADI PADI Cer Cer tified tified Assistant Assistant Responsibilities Responsibilities � ■ ■ Control, Control, Super Supervision vision and and Logistics Logistics � ■ ■ Demonstrating Demonstrating Skills Skills � ■ ■ Assisting Assisting Student Student Diver Diver ss with with Pr Problems oblems 3. What is the primary characteristic that makes a PADI Divemaster an ideal instructional assistant? DM DM 33 -- 22 4. What is a “mentor relationship” between the instructor and you? 5. What are four reasons why a PADI Divemaster benefits by having a personal copy of the PADI Instructor Manual? II. The Student Diver/Assistant Relationship 6. What is your primary role in the relationship between you and student divers in training? III. PADI Certified Assistant Responsibilities 7. With respect to PADI programs, what is meant by a “certified assistant”? 8. Under PADI Standards, what can a certified assistant do? Divemaster Course Instructor Guide 3-45 IV. Control, Supervision and Logistics 9. How does positioning affect your ability to assist with student diver control? 10. What are two common examples of Open Water Diver course student arrangement for skill practice and assistant positionings, and what are their advantages and disadvantages with respect to your role? 11. What are five examples of logistical functions you can perform to assist with diver training at the surface, and what are five examples of logistical functions you can perform to assist with diver training underwater? V. Demonstrating Skills 12. When would a PADI Divemaster demonstrate a skill, and for what reasons? 13. What are the characteristics of a demonstration quality skill? 14. What are the 20 basic skills of the PADI Skill Evaluation? 15. How do you develop demonstration quality skills? VI. Assisting Student Divers with Problems 16. What common problems may you encounter as student divers develop skills in confined and open water? 17. What four steps can you take to help a student diver master a dive skill? 18. Where do you find skill performance requirements student divers must master for PADI courses? Outline I. The Instructor/Assistant Relationship A. What is the primary role of a PADI Divemaster compared to that of a PADI Instructor in an instructional setting? 1. PADI Divemasters are not authorized to teach scuba courses. (You’ll learn about programs you can conduct in Topic 9 – Divemaster Conducted Programs.) 2. As a PADI Divemaster, you can enhance the efficiency of PADI Diver courses by assisting a PADI Instructor. 3-46 What is the primary role of a PADI Divemast er in an instructional setting? Handling Logistics Assisting With Students Three: Knowledge Development DM DM 33 -- 33 What functions may a divemaster fulfill? ■ ■ Supervise Supervise predive predive and and � postdive postdive activities� activities� ■ ■ Watch Watch students students � not not under under the the � instructor’s instructor’s control� control� ■ ■ Handle Handle logistics� logistics� ■ ■ Conduct Conduct tours tours continued... continued... DM DM 33 -- 44 Divemaster functions... ■ ■ Advise Advise instructor instructor about about student student performance� performance� ■ ■ Check Check students students in in and and out out of of the the water� water� ■ ■ Assist Assist students students � who who are are having having � difficulty difficulty DM DM 33 -- 55 What charact eristic makes a divemast er an ideal instructional assistant? Anticipate and Provide DM DM 33 -- 6 6 What is a mentor relationship? DM DM 33 -- 77 Divemaster Course Instructor Guide 3. In assisting with a course, you’re part of a team led by the PADI Instructor. It’s your job to support the instructor’s decisions and efforts. 4. In an instructional setting, your primary role, under the instructor’s direction, is handling logistics and assisting with student diver supervision. The instructor’s primary role is to focus on teaching and individual student diver learning. B. What seven functions may a divemaster fulfill as an instructional assistant in confined and open water? 1. Supervise the predive equipment distribution to student divers, postdive equipment collection, and handling equipment difficulties. 2. Supervise student divers not being immediately watched by the instructor. 3. Handle logistics and coordinate student diver flow to keep things moving during training. 4. Conduct the tour for experience portion of dives. 5. Provide the instructor with additional information about student diver performance. 6. Check divers in and out of the water at a training site. 7. Help student divers with learning difficulties on an individual basis. C. [Ask candidates, based on the previous list, “What is the primary characteristic that makes a PADI Divemaster an ideal instructional assistant?” Start a discussion that identifies characteristics and leads to the following conclusion:] The primary characteristic that makes a PADI Divemaster an ideal instructional assistant is anticipating and providing what is needed by the instructor to meet the needs of student divers. D. What is a “mentor relationship” between the instructor and you? 1. Your relationship with me [the instructor] will be more of a mentor relationship than simply a teacher-student diver relationship. This means I’m trying to guide or coach you toward the ranks of PADI Assistant Instructor and Instructor. This relationship extends beyond this course and applies to any instructor you may assist. 2. A mentor relationship benefits you by: 3-47 a. Giving you hands-on experience with student divers in training. b. Helping you learn about decision making and judgment by giving you access to the instructor’s experience and thinking. c. Letting you learn to handle the logistics and other duties under an instructor’s ultimate responsibility – the same responsibilities you will have later as an instructor. E. What are four reasons why a PADI Divemaster benefits by having a personal copy of the PADI Instructor Manual? 1. The manual gives you access to the standards the instructors you assist follow. This makes you more effective as an assistant. 2. The manual gives you access to standards for programs you can conduct independently as a PADI Divemaster (more about these in Topic 9). This gives you additional opportunities beyond supervising certified divers and assisting with classes. 3. Becoming familiar with using the manual is a required skill of a PADI Instructor. Starting now gives you a head start on the process. 4. As a PADI Divemaster, you will receive the Training Bulletin and other updates to the manual. This permits you to stay current and informed on training standards. Why should you have a PADI Instructor Manual ? ■ ■ Access Access to to PADI PADI Standards� Standards� ■ ■ Access Access to to guidelines guidelines for for programs programs you you can can conduct conduct independently� independently� ■ ■ Preparation Preparation for for becoming becoming aa � PADI PADI Instructor� Instructor� ■ ■ Staying Staying current current –– incorporate incorporate changes changes and and announcements announcements DM DM 33 -- 8 8 II. The Student Diver/Assistant Relationship A. What is your primary role in the relationship between you and student divers in training? 1. The relationship between you and student divers is similar to, but not identical to, the relationship between student divers and the instructor. 2. Your primary role in this relationship is as a role model and as an intermediary between the student divers and the instructor. Fulfilling this role includes: a. Behaving as a role model consistent with PADI Standards and the instructor. Student divers learn as much (or more) by what they see you do as from what they’re told to do. Make good dive habits conspicuous so they’re imitated and ideally, don’t have any bad ones. b. Listening to concerns and problems. As a dive3-48 What is your relationship with students? ■ ■ Act as a r ole model � ■ ■ Listen to concerns and pr oblems� oblems� ■ ■ Keep training enjo yable� yable� ■ ■ Help new divers dive as � soon as possib le Three: Knowledge Development DM DM 33 -- 99 master, you’re closer to the student’s level and may appear less threatening to talk to than the instructor. You take these concerns to the instructor, as appropriate. c. Keeping training enjoyable. People learn to dive to have fun, so you need to help make the training process fun. [Ask candidates to suggest ways to keep training fun while adhering to the needs of safety and training requirements.] d. Doing all you can to get new divers diving as soon as possible. Diver education is increasingly emphasizing diving as soon as possible. Independent study helps minimize formal class sessions and increases interaction with instructional and dive operation staff to fulfill personal needs. B. Part of the performance criteria for the Practical Application Internship or Practical Training Exercises 2 and 3 include fulfilling your relationship with the instructor, and with the student divers. III. PADI Certified Assistant Responsibilities What is a cer tified assistant? A renewed PADI Instructor, PADI Assistant Instructor or PADI Divemaster DM DM 3 3 --10 10 Divemaster Course Instructor Guide A. With respect to PADI programs, what is meant by a “certified assistant”? 1. Under PADI Standards, a certified assistant is a renewed PADI Instructor, PADI Assistant Instructor or PADI Divemaster. Individuals in nonrenewed status, who are inactive, or who are suspended, expelled or on administrative hold cannot function as PADI certified assistants. 2. Instructors, assistants or divemasters from other training organizations do not qualify as certified assistants. 3. PADI Divemaster candidates do not qualify as certified assistants. [Explain to candidates who will participate in the Practical Application Internship that they will work with actual student divers. However, apart from the candidates, there will be fully qualified instructors or certified assistants present as required by standards to supervise the student divers.] B. Under PADI Standards, what can a certified assistant do? 1. As a renewed PADI Divemaster, you will be qualified to act as a certified assistant. Under PADI Standards, certified assistants may be used to increase 3-49 the number of student divers and perform specific functions, as noted by each course’s standards. 2. [Review the duties of a certified, renewed PADI Divemaster in Section 1 of this guide.] IV. Control and Supervision, and Logistics A. Compared with supervising certified divers in general diving activities, you can usually apply more direct control when supervising student divers in training. 1. Usually, the instructor is responsible for maintaining control. You are one of the resources the instructor uses to do so. 2. In many training situations, your role is to maintain control and respond to problems for the bulk of student divers while the instructor works with a single student. 3. Through practice and experience, you learn techniques that let you supervise the group, while permitting the instructor to direct the overall activities. B. How does positioning affect your ability to assist with student diver control? 1. Positioning affects how close you are to student divers and your ability to see them. 2. Good positioning: a. Where you can see the entire group, and the instructor. b. Where you can quickly respond to a student diver who has problems. c. Where you can direct student diver movement to and from the instructor (if required). d. Where student divers can alert you easily if they need your assistance. C. What are two common examples of Open Water Diver course student arrangement for skill practice and assistant positionings, and what are their advantages and disadvantages with respect to your role? 1. Example 1 — student divers form semicircle or line with instructor centered in front; you supervise from behind – directly opposite instructor. Typically, instructor moves from student to student to conduct exercises. a. Advantage – you can see entire group and instructor, and you’re close to all student divers. 3-50 Control and Supervision — Good Positioning CA CA == Cer Certified tified Assistant Assistant SS == Student Student Div Div er er II == Instructor Instructor CA S SS S S CA SSSSS S I Example #1 I Example #2 Three: Knowledge Development DM DM 33 -- 11 11 Logistical Functions ■ ■ What What logistical logistical functions functions can can you you perform perform at at the the surface?� surface?� ◆ ◆ Coordinate Coordinate students students � ◆ ◆ Enforce Enforce safety safety rules rules � ◆ ◆ Assist Assist with with equipment equipment � ◆ ◆ Help Help students students prepare prepare � ◆ ◆ Escor Escortt students students in/out in/out of of the the water water ◆ ◆ Handle Handle paperw paperw ork ork � DM DM 33 --12 12 What log istical functions can you perform underwat er? ■ ■ Lead Lead or or follow follow the the class� class� ■ ■ Escort Escort students� students� ■ ■ Check Check air air supplies� supplies� ■ ■ Supervise Supervise students students while while the the instructor instructor works works with with one one student� student� ■ ■ Assist Assist with with navigation navigation b. Disadvantage – student divers can’t see you and will need to turn around to get your attention. 2. Example 2 — student divers in a line with instructor at one end, you at the other. Each student completes exercise and swims to you. You put student at end of line and line moves down until all student divers complete exercise. a. Advantage – you can see entire group and instructor, and they can see you. b. Disadvantages – you are at one end, putting you far from student divers at other end (though instructor is there). Student divers more likely to kick up silt, affecting visibility. 3. There are variations on these arrangements. The instructor will tell you which system to use. 4. Whatever your position, maintain communication with the instructor to reduce any delays the instructor may have in giving you directions. D. What are five examples of logistical functions you can perform to assist with diver training at the surface, and what are five examples of logistical functions you can perform to assist with diver training underwater? 1. Surface logistical functions: a. Coordinate student divers – at training site, show students where to go and what to do (set up equipment, change into swimsuit, etc.). Direct student flow during multiple level training. b. Enforce safety or facility rules – remind students not to run in pool area, not to practice scuba skills before the instructor covers them, etc. c. Equipment – assist with loading and unloading of vehicles, picking equipment up from a remote site, handling air fills between dives, etc. d. Student diver preparation – assist with students gearing up and performing initial equipment checks. e. Escort student divers in and out of the water or to and from the boat or shore to the float. f. Handle paperwork – assist by separating groups, recording scores, etc. under instructor’s direction. 3. Underwater logistical functions a. Lead or follow – either lead the group with the DM DM 33 --13 13 Divemaster Course Instructor Guide 3-51 b. c. d. e. instructor taking up the rear, or take up the rear when the instructor leads. Escort – for training of certified divers in many activities (specialties), the instructor doesn’t need to be with student divers. You can escort student divers. Air checks – reminding students at regular intervals to check air. Tell instructor how much they have. Standby supervisor – staying with student divers if one separates, such as when the instructor has to assist someone with unequalized ears and rest of class continues descending. Navigation – helping keep track of course to follow back to exit. V. Demonstrating Skills A. When would a PADI Divemaster demonstrate a skill, and for what reasons? 1. Particularly in the PADI Open Water Diver course, the instructor demonstrates skills for student divers. However, there are times and reasons when you will demonstrate. a. To assist with a two-person demonstration – skills such as alternate air source use require a two people. b. When helping a student diver with a problem learning a skill – the student diver would have already seen the instructor’s demonstration, but you may demonstrate additional times to help the student (more about helping student divers shortly). c. To maintain instructor control – instructor may prefer at times to keep an eye on student divers while you demonstrate. The instructor must be confident that you have demonstration quality skills to accomplish this. B. What are the characteristics of a demonstration quality skill? 1. To someone unfamiliar with a skill, a skill is actually a series of key subskills or steps performed in sequence. The steps are called critical attributes because without them, the student diver will not be able to perform the skill correctly. 3-52 Demonstrating Skills ■ ■ When When would would aa divemaster divemaster demonstrate demonstrate skills?� skills?� ■ ■ What What are are the the characteristics characteristics of of aa demonstration demonstration quality quality skill?� skill?� ◆ ◆ Slow� Slow� ◆ ◆ Emphasiz Emphasiz es es critical critical attrib attrib utes utes ◆ ◆ Shows Shows sequence sequence � ◆ ◆ Easily Easily seen seen� ◆ ◆ Fluid, Fluid, mastered mastered and and automatic automatic Three: Knowledge Development DM DM 33 --14 14 What 18 skills are part of the PADI Skill Evaluation? Equipment Equipment Preparation Preparation Predive Predive Saf Saf ety ety Chec Chec kk Remo Remove/Replace ve/Replace Scuba Scuba Hover Hover Buddy Buddy Breathing Breathing (stationar (stationar y) y) Deep Deep Water Water Entr Entr yy Buoyancy Buoyancy Chec Checkk Buddy Buddy Breathing Breathing (s (s wimming) wimming) � donor donor and and receiver receiver Five Five PPoint oint Descent Descent Mask Mask Remo Remo val/Replacement val/Replacement Remo Remove/Replace ve/Replace Weights Weights Alternate Alternate Air Air Sour Sour ce ce Use Use Contr Controlled olled Emer Emer gency gency � Swimming Swimming Ascent Ascent Fin Fin Piv Pivot ot Five Five PPoint oint Ascent Ascent Snorkel-Regulator Snorkel-Regulator Exc Exc hang hangee Free Free Flo Flow w� Regulator Regulator Breathing Breathing DM DM 33 --15 15 Divemaster Course Instructor Guide 2. A demonstration quality skill performance is conducting a skill in a manner that allows student divers to learn how to perform the skill themselves. It has these characteristics: a. Slow – You perform it slowly so that student divers can see the details of the skill. b. Critical attribute emphasis – You emphasize critical attributes, especially those that may be easy to miss by someone who has never performed the skill. c. Sequence emphasis – You emphasize critical attribute sequence when it is important to the skill. d. Adequately seen – You perform it so all student divers can see it adequately, repeating if necessary to show more than one angle, or so all student divers in a group can see it. e. Mastered and automatic – You not only perform the skill correctly, but fluidly with little or no conscious attention to the steps. The skill is automatic. D. What are the 20 basic skills of the PADI Skill Evaluation? 1.Equipment assembly, adjustment, preparation, donning and disassembly 2. Predive safety check (BWRAF) 3. Deep water entry 4. Buoyancy check at surface 5. Snorkel-regulator/regulator snorkel exchange 6. Five point descent 7. Regulator recovery and clearing 8. Mask removal, replacement and clearing 9. Air depletion exercise and alternate air source use stationary 10. Freeflow regulator breathing 11. Fin pivot (neutral buoyancy) 12. Five point ascent 13. Remove and replace weight system on the surface 14. Controlled Emergency Swimming Ascent (CESA) 15. Hovering motionless 16. Underwater swim without a mask 17. Remove and replace weight system underwater 18. Remove and replace scuba unit underwater 19. Remove and replace scuba unit on the surface 20. Buddy breathing stationary and swimming (donor and receiver) 3-53 How do you develop demonstration quality skills? 1. Watch demonstrations of the skills (instructor, PADI Open Water Diver Video or Multimedia, etc.) and note the critical attributes. The Skill Evaluation Slate and Divemaster slate lists all 20 of the skills for reference in confined water. 2. Consult the PADI Instructor Manual for the performance requirements of each skill. [Explain to candidates that demonstrations don’t always have to meet all performance requirements. For example, student divers perform freeflow regulator breathing for 30 seconds, but you can demonstrate the skill for a shorter period.] 3. Practice a. Only way to master a motor skills is through repeated practice with knowledge of results (how well you perform the skill). b. If you can’t assess your performance (was it slow enough, etc.), practice with someone who can tell you how you’re doing. c. Practice until each skill is fluid and automatic. E. How do you develop demonstration quality skills? ■ ■ Observe� Observe� ■ ■ Consult� Consult� ■ ■ Practice DM DM 33 --16 16 VI. Assisting Student Divers with Problems A. Helping student divers with problems is an important role of a training assistant. 1. You may need to assist student divers with problems when they occur, especially if the instructor is working with another student diver. 2. You may work with student divers who need additional time to master a skill while instructor continues with the rest of the class. B. What common problems may you encounter as student divers develop skills in confined and open water? 1. Most student diver problems are predictable, so with training and experience you’ll know appropriate responses in advance. 2. [Discuss potential student problems with the following skills. Encourage candidates to mention problems they’ve seen during their diving experiences and refer them to the list in the PADI Divemaster Manual.] • Equipment assembly/suiting up 3-54 Assisting Students with Problems ■ ■ What What common common problems problems do do � students students encounter?� encounter?� ■ ■ How How can can you you help help students students � master master skills?� skills?� ◆ ◆ Evaluate Evaluate critical critical attrib attrib utes� utes� ◆ ◆ Redemonstrate Redemonstrate skill skill � ◆ ◆ Take Take it it slo slow w to to assure assure earl earl yy success success Three: Knowledge Development DM DM 33 --17 17 • • • • • • • • • • • • • • • • • • • • • • • • • • Donning scuba/weights BCD inflation/deflation Regulator recover and clear Mask clearing Fin use Equalization Ascents/descents Controlled seat entry Snorkel clearing blast method Snorkel/regulator exchange No mask breathing Deep water exit Giant stride entry No mask swim Fin pivot Alternate air source use Freeflow regulator breathing Controlled emergency swimming ascent Head first skin dive Snorkel clear – displacement method Hovering Buddy breathing Weight system remove/replace Scuba unit removal and replacement Underwater tour Compass use C. What three steps can you take to help a student diver master a dive skill? 1. Helping student divers who have difficulty with a skill requires patience, but it also gives you experience for when you become an instructor. 2. At the Open Water Diver level, student divers always begin by seeing the instructor’s demonstration and practicing with the instructor. 3. To assist the student diver with difficulty, follow these three steps: a. Look for missing or improperly performed critical attributes while having the student attempt the skill. 1. If the student’s actions create a safety concern (such as a rapid ascent), tell the student diver Divemaster Course Instructor Guide 3-55 to stop, or stop the student’s action yourself immediately. b. Redemonstrate the skill, pointing out the missed attribute(s). Repeated demonstrations help because student divers see more detail as they become familiar with a skill. c. Assure early success 1. Failure is discouraging – success is needed for motivation. 2. Have student diver practice successful attributes and give positive reinforcement first if necessary to maintain encouragement. 3. Keep the student challenged, but add attributes slowly enough so the student enjoys success as the skill develops 4. Continue until the student diver can perform the entire skill successfully without undue difficulty or stress 4. Remember that after you feel the student diver is performing the skill adequately, the instructor assesses student skill mastery personally before the student rejoins the class and begins learning new skills under the instructor’s direction. D. Where do you find skill performance requirements student divers must master for PADI courses? 1. The PADI Instructor Manual lists the skill performance requirements student divers must meet in each course. Keep in mind that there are different techniques for meeting the same performance requirements. Individuals with physical challenges may use unusual techniques and still meet the requirements. 3-56 Check your PADI Instructor Manual for skill performance requirements Three: Knowledge Development Professional Professional Association Association of of Diving Diving Instructors Instructors Instructor Instructor Manual Manual DM DM 33 --18 18 Topic 4 – Dive Theory Introduction Recommended Materials and Methods for Covering This Topic This section acquaints candidates with why they need to be familiar with dive theory, and their expected performance requirements. This is important because divemaster candidates don’t always recognize the usefulness of being familiar with dive theory. Although this is a brief presentation, it shapes candidate attitudes so that they put serious effort into learning dive theory. Presentation Overview and Learning Objectives I. The Need for Broad Theoretical Knowledge 1. In a given field, what characteristic allows experts to more easily solve problems than nonexperts? 2. What are three reasons why the PADI Divemaster course emphasizes learning dive theory? Overview ■ ■ The The Need Need for for Broad Broad Theoretical Theoretical Knowledge� Knowledge� 3. Why does it benefit you to have a dive reference library, and what might you include in such a library? ■ ■ Dive Dive Theory Theory Performance Performance in in This This Course Course 4. How does completing specialty training help you learn dive theory? DM DM 44 -- 22 II. Dive Theory Performance in This Course 5. How will you demonstrate mastery of dive theory for this course? 6. Where will you get the dive theory information you must learn for this course? 7. How do you continually improve and update your dive theory knowledge as a dive professional? Outline Broad Theoretical Knowledge I. The Need for Broad Theoretical Knowledge ■ ■ Why?� Why?� ◆ ◆ Exper Experts ts identify, identify, avoid avoid and and solve solve problems problems better better than than none none xperts� xperts� experts, experts, professionals professionals and and leader leader s� s� ◆ ◆ Divemaster Divemaster ss are are ◆ ◆ You’ll You’ll apply apply knowledg knowledgee during during the the Practical Practical Application Application Module Module DM DM 44 -- 33 Divemaster Course Instructor Guide A. In a given field, what characteristic allows experts to more easily solve problems than nonexperts? 1. Research in cognitive psychology shows that experts in a given field solve problems better than nonex3-57 perts because they have a large knowledge base to draw upon. a. This base helps identify cause/effect relationships or allows you to make reasonable speculations of them. b. You learn to handle some “problems” before you ever encounter them. c. Familiarity enables you to more quickly identify a problem’s cause so you can apply the right solution. B. What are three reasons why the PADI Divemaster course emphasizes learning dive theory? [Have candidates briefly discuss why they’re learning dive theory at this point in their training. Identify the following three reasons.] 1. A large knowledge base is the mark of an expert, and expertise is one characteristic of a professional – the PADI Divemaster level is the first leadership level in the PADI System. 2. You will need to apply theoretical knowledge within the Practical Application Module of this course. 3 You will need this knowledge as an instructional assistant, and later as an instructor. [Explain that theory isn’t covered in the IDC because you learn it as a divemaster, but you are tested on it in the IE.] C. Why does it benefit you to have a dive reference library, and what might you include in such a library? 1. You benefit because it: a. Provides a ready place to look up information. b. Keeps you up-to-date with changing theory. c. Increases your expertise by broadening your knowledge beyond what you learn in this course. 2. A dive reference library may include: a. PADI manuals, books, videos and multimedia products b. Technical and scientific dive texts c. Dive magazine subscriptions d. Underwater wildlife guides and magazines e. Dive travel guides and maps f. Historical nautical references to dive sites and wrecks 3-58 What should you include in your diving reference library? ■ ■ PADI PADI Manuals� Manuals� ■ ■ Technical Technical and and scientific scientific texts� texts� ■ ■ Dive Dive magazines� magazines� ■ ■ Underwater Underwater wildlife wildlife guides� guides� ■ ■ Dive Dive travel travel guides� guides� ■ ■ Historical Historical nautical nautical references references Three: Knowledge Development DM DM 44 -- 44 D. How does completing specialty training help you learn dive theory? 1. Specialties often go into more theoretical detail of a specific area. (e.g., underwater photography and the behavior of light.) 2. Specialties often give you a chance to apply theoretical knowledge. (e.g., search and recovery and Boyle’s Law/gas expansion in the lift bag.) How does completing specialty training help you learn dive theory? ■ ■ Specialties Specialties often often go go into into specific specific theoretical theoretical detail� detail� ■ ■ Specialties Specialties allow allow you you to to apply apply theoretical theoretical knowledge knowledge DM DM 44 -- 55 Note to instructor: As part of this discussion, review the specific meetings and methods you’ll have candidates use to master dive theory in the course. II. Dive Theory Performance in This Course Dive Theory and You ■ ■ How How will will you you learn learn dive dive theory theory during during this this course?� course?� ■ ■ Exam Exam passing passing � score 75%� score = 75%� (100% (100% master master y) y) DM DM 44 -- 6 6 Divemaster Course Instructor Guide A. How will you demonstrate mastery of dive theory for this course and where will you get the dive theory information you must learn for this course? 1. You will study dive physics, physiology, equipment and decompression theory by: a. attending class presentations [if applicable]. b. by reading the appropriate sections of the Encyclopedia of Recreational Diving and completing the Diving Knowledge Workbook. c. You will complete an examination in each of these areas with a score of 75 percent or better in each – if lower, you must restudy and take a makeup exam. d. You will be expected to successfully and appropriately apply dive theory principles during the Practical Application Module. 2. You will also take an exam on dive skills and the environment. a. There are no particular books or presentations directed specifically to this exam. b. You learn these aspects of dive theory through your previous training and experience, and through the various training and experience categories of this course. c. You must earn 75 percent or better. d. You will be expected to successfully and appropriately apply dive skills and the environment 3-59 theory principles during the Practical Application Module. B. You will also complete exams on supervising certified divers, supervising student divers, and on PADI programs you can conduct, based on what you learn in this course. C. How do you continually improve and update your dive theory knowledge as a dive professional? 1. After this course, it’s important to maintain your dive theory knowledge as a professional – failure to do so reduces your expertise and skill as a leader: a. Subscribe to and read dive magazines. b. Reread and review the Encyclopedia and other materials periodically. c. Help others who are learning dive theory – teaching helps you learn. d. Take specialty courses that apply your knowledge. e. Attend seminars and meetings about diving science, the environment, etc. 3-60 How do you improve and update your knowledge as a dive professional? ■ ■ Read� Read� ■ ■ Review� Review� ■ ■ Teach� Teach� ■ ■ Continue Continue your your education education � ■ ■ Attend Attend seminar seminar ss Three: Knowledge Development DM DM 44 -- 77 Topic 5 – The Physics of Diving Recommended Materials and Methods for Covering This Topic The recommended method for developing knowledge about dive physics is to have candidates read the Physics of Diving section of The Encyclopedia of Recreational Diving and complete the physics section in the Diving Knowledge Workbook. Have them consult the related objectives in the Appendix of the PADI Divemaster Manual to be sure they can meet all the performance requirements. After independent study, meet with candidates individually or in a group. Begin by reviewing their work in the Diving Knowledge Workbook, then answer candidate questions. Ask questions to assess mastery and review the material, based on how they completed their workbooks. Use the presentation outline as a guide for a complete review. If The Encyclopedia of Recreational Diving and the Diving Knowledge Workbook don’t exist in a language candidates understand, you can develop knowledge by giving the following presentation in detail. To aid learning, use lots of problem examples and have candidates work through them for you. Presentation Overview and Learning Objectives I. Light, Heat and Sound in Water Overview 1. Why does water dissipate body heat faster than air does, and at what rate does it do so? 2. What effect does water’s ability to dissipate heat have on a diver? 3. What does light do when it passes from air into water, or vice-versa, and how does this affect a diver? 4. What is refraction? 5. What is visual reversal, and how does it affect a diver? 6. Why does sound travel faster in water than in air, and how much faster is it in water? 7. How does the speed of sound in water affect hearing? ■ ■ Light, Light, Heat Heat and and Sound Sound in in Water� Water� ■ ■ Buoyancy Buoyancy and and the the Weight Weight of of Water� Water� ■ ■ Pressure Pressure and and Water� Water� ■ ■ The The Relationship Relationship of of Pressure Pressure and and Gas Gas Volume Volume,, Density Density and and Temperature Temperature � ■ ■ The The Beha Behavior vior of of Gases Gases Underwater: Underwater: Partial Partial Pressure Pressure � ■ ■ The The Beha Behavior vior of of Gases Gases Underwater: Underwater: � Gas Gas Absorption Absorption and and Elimination Elimination DM DM 55 -- 22 II. Buoyancy and the Weight of Water 8. Given the weight and displacement of an object, calculate the buoyancy change by adding air or Divemaster Course Instructor Guide 3-61 adding weight required to either float, sink or make neutral the object in both fresh and sea water. III. Pressure and Water 9. What is meant by gauge, absolute, and ambient pressure? 10. Calculate the absolute and gauge pressure at any depth in fresh or sea water in atmospheres/bar, and convert it to another pressure measurement. IV. The Relationship of Pressure and Gas Volume, Density and Temperature 11. What is the relationship between changes in absolute pressure and the volume of a gas? 12. Calculate the volume changes that occur to a gas when raised or lowered in the water in a flexible container. 13. What is the relationship between depth and the density of the air a diver breathes? 14. Given a diver’s air consumption rate at one depth, calculate how that consumption rate changes with depth. 15. What is the relationship of pressure, volume and temperature with a gas in a flexible container and with a gas in an inflexible container? V. The Behavior of Gases Underwater: Partial Pressures 16. What is partial pressure? 17. Given their percentages, calculate the partial pressures of gases in a mixture at any depth. 18. How does the physiological effect of breathing a given percentage of gas at depth compare to breathing the same percentage of the gas at the surface? 19. For a given percentage of a gas in mixture, and the depth at which a diver breathes that gas, calculate the percentage of the gas that would produce the same physiological effects on a diver at the surface. VI. The Behavior of Gases Underwater: Gas Absorption and Elimination 20. What happens when you raise the pressure of a gas in contact with a liquid? 21. What is supersaturation? 22. What happens when you quickly reduce the pressure on a liquid that is saturated with dissolved gas at a higher pressure? 3-62 Three: Knowledge Development Outline I. Light, Heat and Sound in Water What does light do when it passes from one medium to another? ■ ■ Speed Speed of of light light depends depends on on density density of of medium medium — — denser denser == slo slo wer wer ■ ■ Changing Changing speeds speeds cause cause light light to to bend bend — — refraction refraction ■ ■ To To aa diver, diver, refraction refraction ma ma gnifies gnifies objects objects at at aa ratio ratio of of about about 4:3 4:3 Light, Heat and Sound DM DM 55 -- 44 Divemaster Course Instructor Guide A. Why does water dissipate body heat faster than air does, and at what rate does it do so? 1. Water absorbs tremendous amounts of heat (high heat capacity). Water conducts heat more efficiently than air because water molecules are closer together. Air is, however, a good insulator because it does not conduct heat efficiently. B. What effect does water’s ability to dissipate heat have on a diver? 1. Because of water’s high heat capacity, the human body when submerged in water loses heat more than 20 times faster than in still air. 2. This means a diver will become chilled in water at temperatures that would be considered comfortable in air. C. What does light do when it passes from air into water, or vice-versa, and how does this affect a diver? 1. The speed of light depends on the density of the medium it is traveling through – the denser the medium, the slower the speed. 2. When light goes from one medium to another, it changes speed. This causes the light ray to change direction, or “bend.” 3. What is refraction? This bending of light is referred to as refraction. 4. Light coming to a diver’s eyes underwater moves through three different media – water, glass and air – refracting each time. 5. To the diver, refraction magnifies objects, making them appear larger/closer. This magnification occurs a ratio of about 4:3 according to their actual and apparent distance. When viewed underwater, objects tend to be magnified by a factor of about 33 percent. D. What is visual reversal, and how does it affect a diver? 1. Turbidity can partially obscure an object so that it appears hazy, which in air the eye associates with 3-63 being distant. So, the diver may perceive objects as farther away than they actually are. This phenomenon is referred to as visual reversal. E. Why does sound travel faster in water than in air, and how much faster is it in water? 1. Because sound travels in pressure waves, it travels faster in more dense mediums such as water than in less dense mediums like air. 2. Sound travels slightly more than four times faster in water than in air. Why does sound travel faster in water and how does it affect hearing? ■ ■ Sound Sound (pressure (pressure waves) waves) travel travel faster faster in in denser, denser, more more elastic elastic mediums� mediums� ◆ ◆ Four Four time time faster faster in in water water than than in in air air � ■ ■ Brain Brain determines determines sound sound direction direction by by delay delay between between waves waves reaching reaching the the ears ears � ◆ ◆ Speed Speed of of sound sound underwater underwater makes makes direction direction difficult difficult to to determine determine Light, Heat and Sound DM DM 55 -- 6 6 Note to instructor: Some candidates may observe that faster sound speed in a medium is a function of superior elasticity, not density. This is correct, but most (but not all) mediums that are denser also have greater elasticity, so it is “loosely” correct to say sound travels faster in denser materials. F. How does the speed of sound in water affect hearing? 1. Your brain determines sound direction by the slight delay between when a sound reaches one ear or the other. In water, the faster speed of sound reduces the delay so much that the brain interprets the sound as reaching both ears at the same time. This makes most sounds seem to come from directly overhead, despite their actual source. II. Buoyancy and the Weight of Water A. The Greek mathematician Archimedes determined that “An object wholly or partially immersed in a fluid is buoyed up by a force equal to the weight of the fluid displaced by the object.” 1. An object that weighs less than the water it displaces floats and is positively buoyant. The buoyancy is expressed as a positive number, such as being “two kilograms positive.” 2. An object that weighs exactly the same as the water it displaces neither floats nor sinks. It is called neutrally buoyant, and adding or removing weight will make it sink or float. 3. An object that weighs more than the water it displaces will sink and is called negatively buoyant. Its buoyancy is expressed as a negative number, such as “two pounds negative.” 3-64 Buoyancy Archimedes determined that: “An object wholly or par tially immersed in a fluid is buoyed up by a force equal to the weight of the fluid displaced by the object. ” Neutral Positive Negative WATER OBJECT OBJECT WATER WATER OBJECT Three: Knowledge Development DM DM 55 -- 77 Det ermining Buoyancy ■ ■ You You must must know: know: ◆ ◆ Weight Weight of of the the object object ◆ ◆ Volume Volume of of the the object object ◆ ◆ Weight Weight of of the the displaced displaced fluid fluid ■ ■ Constants Constants –– weight weight of of water: water: ◆ ◆ Litre Litre of of sea sea water water –– 1.03 1.03 kg kg (1.03 (1.03 kg/l) kg/l) ◆ ◆ Litre Litre of of fresh fresh water water –– 1.0 1.0 kg kg (1.0 (1.0 kg/l) kg/l) ◆ ◆ Cubic Cubic foot foot sea sea water water –– 64 64 lbs lbs (64 (64 lb/ft lb/ft33)) ◆ ◆ Cubic Cubic foot foot fresh fresh water water –– 62.4 62.4 lbs lbs (62.4 (62.4 lb/ft lb/ft33)) Buoyancy DM DM 55 -- 8 8 Calculating Changes in Buoyancy ■ ■ Object’s Object’s volume volume xx constant constant == weight weight of of water water displaced displaced ■ ■ Object’s Object’s weight weight –– water water weight weight = up/down up/down buoyancy buoyancy ◆ ◆ Positive Positive nnumber umber == sinks sinks (downward (downward force) force) ◆ ◆ Negative Negative nn umber umber == floats floats (buoyant (buoyant force) force) ◆ ◆ Zero Zero == neutral neutral Buoyancy DM DM 55 -- 99 Example #1 You plan to reco ver a 150 kilogram/300 pound outboard motor in sea water that displaces 60 litres/2 cubic feet. How much air must you put in a lifting de vice to make the motor neutrall y buoyant? Buoyancy DM DM 55 --10 10 Divemaster Course Instructor Guide B. To determine the buoyancy of an object in water, you need to know: 1. The object’s weight out of water. 2. How much water the object displaces (the object’s volume). 3. The weight of the displaced water. C. The weight of water: 1. 1 litre of sea water weighs 1.03 kg. 2. 1 litre of fresh water weighs 1 kg. 3. A cubic foot of sea water weighs 64 lbs. 4. A cubic foot of fresh water weighs 62.4 lbs. D. To determine an object’s buoyancy, subtract the weight of the water the object displaces from its weight. 1. A positive number means the object is negatively buoyant, a negative number means it’s positively buoyant, and zero means it is neutrally buoyant. 2. To make a negatively buoyant object neutral, the buoyancy must increase by the amount it is negative (usually by adding air to a lifting device to increase the volume displaced). To make it positive, it must increase by more than that. 3. To make a positively buoyant object neutral, the buoyancy must decrease by the amount it is positive (usually by adding weight to the object). To make it negative, it must increase by more than that. 4. Sample problems: Given the weight and displacement of an object, calculate the buoyancy change by adding air or adding weight required to either float, sink or make neutral the object in both fresh and sea water. METRIC — Example #1 You plan to recover a 150 kg outboard motor in sea water that displaces 60 litres. How much air must you put in a lifting device to make the motor neutrally buoyant? 3-65 METRIC — Answer: 85.6 litres of air. A 150 kg motor that displaces 60 litres of sea water has a buoyancy the weight of the sea water it displaces less 150 kg. 60 litres of sea water weighs 61.8 kg (60 l x 1.03 kg/l = 61.8 kg) Answer #1 Metric Metric == 85.6 litres � 60 60 ll xx 1.03 1.03 kg/l kg/l == 61.8 61.8 kg kg � 150 150 kg kg -- 61.8 61.8 kg kg == 88.2 88.2 kg kg � 88.2 88.2 kg kg ÷÷ 1.03 1.03 kg/l kg/l == 85.6 85.6 ll � Imperial Imperial == 2.68 cubic f eet� eet� The motor is 88.2 kg negatively buoyant in sea water (61.8 kg - 150 kg = -88.2 kg). 22 ft 64 lb/ft lb/ft 33 == 128 128 lb lb� ft33 xx 64 300 300 lb lb -- 128 128 lb lb == 172 172 lb lb � 33 172 2.68 ft ft33 172 lb lb ÷÷ 64 64 lb/ft lb/ft == 2.68 The lift bag must displace an amount of water that weighs 88.2 kg to make the object neutral (disregard the weight of the air and the lift bag). Divide the water weight desired by the weight of water per litre to get the required litres of air to add. Buoyancy DM DM 55 -- 11 11 You must add 85.6 litres of air to the lift bag. (88.2 kg ÷ 1.03 kg/l = 85.6 l). IMPERIAL — Example #1 You plan to recover a 300pound outboard motor that displaces two cubic feet from the bottom in sea water. How much water must you displace by adding air to a lift bag to make it neutrally buoyant? IMPERIAL — Answer: 2.68 ft3 A 300 lb motor that displaces 2 ft3 of sea water has a buoyancy that’s the weight of the sea water it displaces less 300 lbs. 2 ft3 of sea water weighs 128 lbs (64 lb/ft3 x 2 ft3 = 128 lb) The motor is 172 lbs negatively buoyant in sea water (128 lb - 300 lb = -172 lb). The lift bag must displace an amount of water that weighs 172 lbs to make the object neutral (disregard the weight of the air and the lift bag). Divide the water weight desired by the weight of water per cubic foot to get the required cubic feet of air to add. You must add 2.68 cubic feet of air to the lift bag. (172 lbs ÷ 64 lb/ft3 = 2.68 ft3). METRIC — Example #2 You’re assisting a research study and must sink into fresh water an object that weighs 50 kg. and displaces 300 litres. Disregarding the minimal displacement of the lead, how much lead weight do you need to affix to the object to make it 10 kg negative on the bottom? 3-66 Example #2 You’re You’re assisting assisting aa resear resear ch ch study study and and must must sink sink into into fresh fresh water water an an object object that that weighs weighs 50 kilograms //100 pounds and and displaces displaces 300 litres //5 cubic f eet .. Disregar Disregarding ding the the minimal minimal displacement displacement of of the the lead, lead, how how much much lead lead weight weight do do you you need need to to affix affix to to the the object object to to make make it it 10 kilograms //20 pounds negative negative on on the the bottom? bottom? Buoyancy Three: Knowledge Development DM DM 55 -- 12 12 METRIC — Answer: 260 kg Answer #2 The weight of water displaced is 300 kg (300 l x 1 kg/l = 300 kg) Metric = 260 kilograms � 300 300 ll xx 1.0 1.0 kg/l kg/l == 300 300 kg kg � (positively 50 � 50 kg kg -- 300 300 kg kg == ––250 250 kg kg (positively buoyant) buoyant) 250 250 kg kg ++ 10 10 kg kg == 260 260 kg kg � Imperial = 232 pounds � 55 ft 62.4 lb/ft lb/ft 33 == 312 312 lb lb� ft33 xx 62.4 (positively � 100 212 lb lb (positively 100 lb lb -- 312 312 lb lb == ––212 buoyant) buoyant) 212 212 lb lb ++ 20 20 lb lb == 232 232 lb lb Buoyancy DM DM 55 -- 13 13 The object weighs 50 kg, so it is 250 kg positively buoyant (300 kg - 50 kg = 250 kg) Add 250 kg to make it neutral, plus 10 kg to make it 10 kg negative for 260 kg total lead to add (250 kg + 10 kg = 260 kg) IMPERIAL — Example #2 You’re assisting a research study and must sink into fresh water an object that weighs 100 lbs. and displaces 5 cubic feet. Disregarding the minimal displacement of the lead, how much lead weight do you need to affix to the object to make it 20 lbs negative on the bottom? IMPERIAL — Answer: 232 lbs The weight of water displaced is 312 lbs (5 ft3 x 62.4 lbs/ft3 = 312 lbs) The object weighs 100 lbs, so it is 212 lbs positively buoyant (312 lbs - 100 lbs = 212 lbs) Add 212 lbs to make it neutral, plus 20 lbs to make it 20 lbs negative for 232 lbs total lead to add (212 lbs + 20 lbs = 232 lbs) Note to instructor: Work through additional problems as necessary until candidates can easily determine the amount of water to displace, or weight to add, to make an object negative, positive or neutral in fresh water or sea water. III. Pressure and Water Pressure and W ater ■ ■ Pressure Pressure is is equal equal � to to force force per per unit unit area area kg/cm kg/cm 22 or or lb/in lb/in 22 � P RESSURE = F ORCE A REA ■ ■ Atmospheric Atmospheric pressure pressure � is is the the air air pressure pressure at at sea sea level level � 11 atm/bar atm/bar ,, 760 760 mmHG, mmHG, 1.03 1.03 kg/cm kg/cm 22 or or 14.7 14.7 psi psi DM DM 55 -- 1414 Divemaster Course Instructor Guide A. Pressure is equal to the force over a unit of area, and may be expressed as kilograms per square centimeter or pounds per square inch. 1. In diving, the easiest pressure unit to use is the atmosphere or bar. One atmosphere or bar is the pressure equal to the air pressure at sea level. There’s a slight difference between bar and atmospheres, but in diving they’re treated as equal. 2. 10 metres/33 feet of sea water exerts 1 atmosphere/ bar of pressure. 3. 10.3 metres/34 feet of fresh water exerts 1 atmosphere/bar of pressure. 3-67 B. What is meant by gauge, absolute, and ambient pressure? 1. Gauge pressure is a measurement that ignores the atmospheric pressure. At sea level with no added pressure, gauge pressure is zero. Your submersible pressure gauge is an example. 2. Absolute pressure uses a vacuum as its zero point, so that it is gauge pressure plus atmospheric pressure. You generally add an “a” or the word “absolute” to pressure units: “psia” for pounds per square inch absolute, “ata” for atmospheres absolute, and “bar absolute.” 3. Ambient pressure means “surrounding pressure,” and may be expressed as absolute or gauge pressure. C. Calculating pressures underwater 1. To determine the pressure in ata/bar at any depth: a. Divide the depth by 10 metres/33 feet for salt water, or 10.3 metres/34 feet for fresh water. This gives you atmospheres gauge at that depth. b. Add 1 to account for the atmosphere of air and convert to absolute pressure. Pressure Terminolog y ■ ■ Gauge – measured pressure minus atmospheric pressure � (atm (atm gaug gaug ee or or psig) psig) ■ ■ Absolute – total pressure exerted, gauge plus atmospheric� atmospheric� (ata) (ata) ■ ■ Ambient – surrounding pressure, same as absolute pressure Pressure and Water DM DM 55 -- 15 15 Calculating Pressure Underwater SEA WATER =� 1 atm every 10 m/33 ft� OR .100 ATM per metre � OR .445 psi per f oot FRESH WATER =� 1 atm every 10.3 m/34 ft� OR .097 ATM per metre � OR .432 psi per f oot Gauge Pressure 0 1 ft sea le vel 0 .445 psi .100 ATM 1m 10 ft 4.45 psi .500 ATM 5m 20 ft 8.9 psi 33 ft 14.7 psi Pressure and Water 1 ATM 10 m Calculate the absolute and gauge pressure at any depth in fresh or sea water in atmospheres/bar, and convert it to another pressure measurement. Example: How many ata of pressure are there at 18 metres/60 feet of seawater? Answer: 2.8 ata METRIC – 18m ÷ 10m/atm = 1.8 atm; 1.8 atm + 1 atm = 2.8 ata IMPERIAL – 60ft ÷ 33ft/atm = 1.8 atm; 1.8 atm + 1 atm = 2.8 ata 2. To convert to another pressure measure, multiply ata by: a. 10 for msw (metres of sea water) b. 10.3 for mfw (metres of fresh water) c. 1.03 for kg/cm2 (kilograms per centimetre squared) d. 14.7 for psi (pounds per square inch) e. 33 for fsw (feet of sea water) f. 34 for ffw (feet of fresh water) 3-68 Three: Knowledge Development DM DM 55 --16 16 Example #1 What are the gauge and absolute pressures in at a depth of 22.5 metres/74 feet in fresh water? What is the pressure in kg/cm2 / psi? Example #1 What What are are the the gaug gaug ee and and absolute absolute pressures pressures (in (in atmospheres) atmospheres) at at aa depth depth � of in fresh fresh water water ?� ?� of 22.5 metres//74 feet in Metric Metric and and Imperial � == 2.18 2.18 atm atm gaug gaug ee and and 3.18 3.18 ata ata � 22.5 22.5 m m ÷÷ 10.3 10.3 m/atm m/atm == 2.18 2.18 atm atm gauge gauge � 74 74 ft ft ÷÷ 34 34 ft/atm ft/atm == 2.18 2.18 atm atm gauge gauge � ad addd 11 atm atm == 3.18 3.18 ata� ata� Can you find the pressures � in kg/cm22 or psi? Pressure and Water DM DM 55 -- 17 17 Answer: 2.18 atm gauge/3.18 ata METRIC — 22.5 m ÷ 10.3 m/atm = 2.18 atmospheres gauge 2.18 atm + 1 atmosphere = 3.18 ata IMPERIAL — 74 ft ÷ 34 ft/atm = 2.18 atmospheres gauge 2.18 atm + 1 atmosphere = 3.18 ata METRIC — Answer: 2.24 kg/cm2 gauge/3.28 kg/cm2 absolute 2.18 atm x 1.03 kg/cm2 = 2.24 kg/cm2 gauge 3.18 ata x 1.03 kg/cm2 = 3.28 kg/cm2 absolute IMPERIAL — Answer: 32 psi gauge/46.7 psia 2.18 atm x 14.7 psi/atm = 32 psi gauge 3.18 ata x 14.7 psi/atm = 46.7 psia Example #2 Example #2 The pressure at 18 metres/60 feet in sea water equals the same pressure at what depth in fresh water? (Depth = 0 at the surface, so this is a gauge pressure problem.) The The pressure pressure at at 18 metres //60 feet in in sea sea water water equals equals the the same same pressure pressure at at what what depth depth in in fresh fresh water?� water?� Metric Metric == 18.5 18.5 metres� metres� 18 18 m m ÷÷ 10 10 m/atm m/atm == 1.8 1.8 atm atm gaug gaug e� e� 1.8 1.8 atm atm gaug gaug ee xx 10.3 10.3 m/atm m/atm == 18.5 18.5 m m� Imperial Imperial == 61.2 61.2 feet� feet� 60 60 ft ft ÷÷ 33 33 ft/atm ft/atm == 1.8 1.8 atm atm gaug gaug e� e� 1.8 1.8 atm atm xx 34 34 ft/atm ft/atm == 61.2 61.2 ft ft Pressure and Water DM DM 55 --18 18 METRIC — Answer: 18.5 m 18 m ÷ 10 m/atm = 1.8 atm gauge 1.8 atm x 10.3 m/atm = 18.5 m IMPERIAL — Answer: 61.2 ft 60 ft ÷ 33 ft/atm = 1.8 atm gauge 1.8 atm x 34 ft/atm = 61.2 ft Note to instructor: Work through additional problems as necessary until candidates can easily determine the atmospheres absolute and gauge pressures at various fresh and saltwater depths, and convert them into other pressure measures. Pressure, Volume and Density Relationship DEPTH ABSOLUTE DEPTH ABSOLUTE � PRESSURE PRESSURE metres f eet � 0� 1 ATM� GA GA UGE UGE PRESSURE PRESSURE 0� AIR SURF AIR SURF ACE ACE VOLUME VOLUME EXAMPLE EXAMPLE VOLUME EQ VOLUME EQ UIVALENT UIVALENT�� 1 1� 60 litres � � 10 33� 2 ATM� 1 ATM� 1/2 2� 30 66� 3 ATM� 2 ATM� 1/3 3� 20 3 ATM� 1/4 4� 4 ATM� 1/5 5 � � 20 � � 30 99 4 ATM� � � 40 132� 5 ATM� IV. The Relationship of Pressure and Gas Volume, Density and Temperature 15 12 DM 19 DM 55 --19 Divemaster Course Instructor Guide A. What is the relationship between changes in absolute pressure and the volume of a gas? 1. As absolute pressure increases on a gas, the volume of the gas will decrease proportionately. 3-69 For example, at 2 ata (10 m/33 ft in sea water) the volume is 1/2 the surface volume; at 3 ata (20 m/66 ft in sea water), 1/3 the surface volume, etc. Formula: pressure (atm) x volume = new pressure x new volume P1 x V1 = P2 x V2 2. As absolute pressure decreases on a gas, the volume will increase proportionately. For example, bring a gas volume to the surface from 2 ata the volume will be twice volume it was at depth; from 3 ata, three times the volume at depth, etc. 3. By determining ata/ bar at depths, you can Calculate the voluse this relationship to ume changes that determine how much a occur to a gas when gas volume changes in raised or lowered in a flexible container (lift the water in a flexbag, BCD, balloon, etc.) ible container. when taken from one depth to another. Formula: new volume = original ata ÷ new ata x original volume V2 = P1 ÷ P2 x V1 Example #1: You take a gas volume of 14 litres/3 cubic feet at the surface to 30 metres/99 feet in sea water. What will the new volume be? Example #1 If If you you take take aa gas gas vv olume olume of of � 14 litres//3 cubic feet at at the the surface surface to to 30 metres//99 feet sea sea water, water, what what will will the the ne ne w w volume volume be? be? � Metric Metric == 14 14 ll ÷÷ 44 = 3.5 litres� litres� METRIC — Answer: 3.5 litres Original pressure = 1 ata (normal surface pressure) New pressure = 4 ata (30 m ÷ 10 m/atm = 3 atm; 3 atm + 1 atm = 4 (30 (30 metres metres is is 44 ata) ata) � Imperial Imperial == 33 ft ft 33 ÷÷ 44 == .75 ft33� (99 (99 feet feet is is 44 ata) ata) Pressure and Volume ata) DM DM 55 --20 20 New volume = (1 ata ÷ 4 ata) x 14 l New volume = 3.5 l IMPERIAL — Answer: .75 cubic feet Original pressure = 1 ata (normal surface pressure) New pressure = 4 ata (99 ft ÷ 33 ft/atm = 3 atm; 3 atm + 1 atm = 4 ata) New volume = (1 ata ÷ 4 ata) x 3 ft3 New volume = .75 cubic feet 3-70 Example #2 If you take a gas v olume of � METRIC — Example #2 : You take a gas volume of 27 litres from 32 metres to 17 metres in fresh water. What will the new volume be? 27 litres fr om 32 metres to 17 metres in fresh water, what will the METRIC — Answer: 41.8 litres new volume be? Pressure and Volume new volume be? � If you take a gas v olume of � 17 cubic f eet from 122 f eet to 58 feet in fresh water, what will the Three: Knowledge Development DM DM 55 -- 21 21 Original pressure = 4.1 ata Answer #2 Metric Metric == 41.8 41.8 litres litres � Initial Initial pressure pressure –– 32 32 m m ÷÷ 10.3 10.3 m/atm m/atm � == 3.1 3.1 atm atm gaug gaug e; e; ad addd 11 atm atm == 4.1 4.1 ata ata � New New pressure pressure –– 17 17 m m ÷÷ 10.3 10.3 m/atm m/atm � == 1.65 1.65 atm atm gaug gaug e; e; ad addd 11 atm atm == 2.65 2.65 ata ata � (4.1 (4.1 ata ata ÷÷ 2.65 2.65 ata) ata) xx 27 27 ll == 41.8 41.8 ll � Imperial Imperial == 29 29 ft ft 33� Initial Initial pressure pressure –– 122 122 ft ft ÷÷ 34 34 ft/atm ft/atm � == 3.6 3.6 atm atm gaug gaug e; e; ad addd 11 atm atm == 4.6 4.6 ata ata � New New pressure pressure –– 58 58 ft ft ÷÷ 34 34 ft/atm ft/atm � == 1.7 1.7 atm atm gaug gaug e; e; ad addd 11 atm atm == 2.7 2.7 ata ata � (4.6 29 ft ft33 (4.6 ata ata ÷÷ 2.7 2.7 ata) ata) xx 17 17 ft ft 33 == 29 Pressure and Volume (32 m ÷ 10.3 m/atm = 3.1 atm; 3.1 atm + 1 atm = 4.1 ata) New pressure= 2.65 ata (17 m ÷ 10.3 m/atm = 1.65 atm; 1.65 atm + 1 atm = 2.65 ata) New volume = (4.1 ata ÷ 2.65 ata) x 27 l New volume = 41.8 litres DM DM 55 --22 22 IMPERIAL — Example #2: You take a gas volume of 17 cubic feet from 122 feet to 58 feet in fresh water. What will the new volume be? IMPERIAL — Answer: 29 cubic feet Original pressure = 4.6 ata (122 ft ÷ 34 ft/atm = 3.6 atm; 3.6 atm + 1 atm = 4.6 ata) New pressure = 2.7 ata (58 ft ÷ 34 ft/atm = 1.7 atm; 1.7 atm + 1 atm = 2.7 ata) New volume = (4.6 ata ÷ 2.7 ata) x 17 ft3 New volume = 29 cubic feet Note to instructor: Work through additional problems as necessary until candidates can easily determine new volumes. B. What is the relationship between depth and the density of the air a diver breathes? 1. As volume decreases with pressure increase, air molecules squeeze closer together taking up less space, increasing the density of air within the space. For example, at 2 ata, air is 2 times denser than at the surface; at 3 ata it is 3 times denser, etc. 2. This increase in density affects the diver’s rate of air Given a diver’s air consumption because as depth consumption rate at and pressure increase, within one depth, calculate each breath the diver inhales how that consumpmore molecules of air to fill tion rate changes the same lung volume. This is with depth. why the deeper the dive, the faster the diver uses air. 3. You can calculate density changes based on changes in absolute pressure (ata), and use the changes to determine changes in a diver’s air consumption. 4. Simplify depth-to-depth density/air consumption problems by converting to surface density first: Divemaster Course Instructor Guide 3-71 Example #1: A diver’s air consumption rate is 2 bar per minute (200 kPa/min)/25 psi per minute at the surface. What will the air density be at 30 metres/99 feet compared to the surface, and what will the diver’s air consumption be? Example #1 A A diver’s diver’s air air consumption consumption rate rate is is � 22 bar bar//25 25 psi psi per per min minute ute at at the the surface surface .. What What is is the the diver’ diver’ ss air air consumption consumption rate rate likely 30 metres metres//99 99 feet feet?� ?� likely to to be be at at 30 Metric Metric == 22 bar/min bar/min xx 44 == 8 8 bar/min� bar/min� (30 (30 metres metres is is 44 ata)� ata)� METRIC — Answer: 4 times as dense; 8 bar/min (800 kPa/min) 30 m ÷ 10 m/atm = 3 atm 3 atm + 1 atm = 4 ata (therefore 4 times as dense). 4 x 2 bar per min (200 kPa per min) = 8 bar per min (800 kPa per min) Imperial Imperial == 25 25 psi/min psi/min xx 44 == 100 100 psi/min� psi/min� (99 (99 feet feet is is 44 ata) ata) Pressure and Density DM DM 55 --24 24 IMPERIAL — Answer: 4 times as dense; 100 psi/min 99 feet ÷ 33 ft/atm = 3 atm 3 atm + 1 atm = 4 ata (therefore 4 times as dense) 4 x 25 psi/min = 100 psi/min. Example #2: If a diver’s air consumption rate is 8 bar per minute (800 kPa/min)/100 psi per minute at 10 metres/33 feet, what will it be at 40 metres/132 feet? METRIC — Answer: 20 bar/min (2000 kPa/min) Find surface consumption rate: 10 m ÷ 10 m/atm = 1 atm 1 atm +1 atm = 2 ata 8 bar/min (800 kPa/min) ÷ 2 ata = 4 bar/min surface rate (400 kPa/min) Determine rate at new depth: 40 m ÷ 10 m/atm = 4 atm 4 atm + 1 atm = 5 ata 5 x 4 bar/min (400 kPa/min) = 20 bar/min (2000 kPa/min) Answer #2 Metric = 20 bar/min � Find Find surface surface rate rate –– 88 bar/min bar/min at at 22 ata ata � == 44 bar/min bar/min at at 11 ata� ata� 44 bar/min x 5 (40 m is 5 ata) = 20 bar/min� bar/min x 5 (40 m is 5 ata) = 20 bar/min� Imperial = 250 psi/min � Find Find surface surface rate rate –– 100 100 psi/min psi/min at at 22 ata ata � == 50 50 psi/min psi/min at at 11 ata� ata� 50 50 psi/min psi/min xx 55 (132 (132 ft ft is is 55 ata) ata) == 250 250 psi/min psi/min Pressure and Density IMPERIAL — Answer: 250 psi/min Find surface consumption rate: 33 feet ÷ 33 ft/atm = 1 atm 1 atm + 1 atm = 2 ata 100 psi/min ÷ 2 ata = 50 psi/min surface rate Determine rate at new depth: 132 feet ÷ 33 ft/atm = 4 atm 4 atm+ 1 atm = 5 ata 5 x 50 psi/min = 250 psi/min Note to instructor: Work through additional problems as necessary until candidates can easily determine gas consumption rates. 3-72 Three: Knowledge Development DM DM 55 --26 26 C. What is the relationship of pressure, volume and temperature with a gas in a flexible container and with a gas in an inflexible container? 1. Heat is the energy of molecular motion, therefore, if you heat gases in a nonflexible container and the volume remains unchanged (as in a scuba tank), the molecules move more rapidly. 2. This causes molecules to impact the interior of the container with more force – thereby increasing the pressure. 3. Cooling means the molecules lose heat and slow down, reducing their impact and decreasing the pressure. 4. Pressure changes are calculated using absolute temperature, but for diving purposes, as a rule of thumb with scuba cylinders, the pressure change is 0.6 bar per 1° C/5 psi per 1° F. What is the relationship of pressure, volume and temperature with gas in both flexible and inflexible containers? BEFORE Heat is the energy of molecule motion AFTER HEAT ADDED DM DM 55 --27 27 Pressure and Temperature ■ ■ As As general general rule rule of of thumb, thumb, the the pressure pressure change change is is 0.6 0.6 bar bar per per 1°C/5 1°C/5 psi psi per per 1°F� 1°F� ■ ■ Example: Example: If If aa scuba scuba tank tank is is filled filled to to 200 bar //3000 psi at at 20°C //70°F then then placed placed in in aa freezer freezer at at 0°C //32°F,, what what is is the the likely likely new new pressure? pressure? Example: A scuba tank is filled to 200 bar/3000 psi at 20° C/70° F. What would happen to the pressure in that tank if it were put into a freezer at 0° C/32° F? DM DM 55 --28 28 METRIC — Answer: The pressure would drop to 188 bar. 20° C - 0° C = 20° C change 20° C x .6 bar = 12 bar 200 bar - 12 bar = 188 bar Answer Metric = 188 bar � 20°C 20°C -- 0°C 0°C == 20° 20° cc hange� hange� 20 20 xx 0.6 0.6 bar bar == 12 12 bar bar � 200 200 bar bar -- 12 12 bar bar == 188 188 bar bar � Imperial = 2810 psi � 70°F 70°F -- 32°F 32°F == 38° 38° cc hange� hange� 38 38 xx 55 psi psi == 190 190 psi psi � 3000 3000 psi psi -- 190 190 psi psi == 2810 2810 psi psi Pressure and Temperature DM DM 55 --29 29 IMPERIAL — Answer: 2810 psi 70° F - 32° F = 38° F change 38° F x 5 psi = 190 psi 3000 psi - 190 psi = 2810 psi D. Gas pressure, volume and temperature are interrelated. For a given quantity of gas, if you change one, either or both of the others must change proportionately. 1. You can predict diving-related changes to gas pressure, volume and temperature. 2. If you increase pressure by adding gas to a fixed volume, the temperature will rise (such as a scuba tank being filled). 3. If you decrease pressure by releasing gas from a fixed volume, the temperature will fall. This explains why a tank cools when you let the air out Divemaster Course Instructor Guide 3-73 rapidly, and why manufacturers recommend special modifications so that regulators won’t freeze when ice diving. V. The Behavior of Gases Underwater: Partial Pressures A. What is partial pressure? 1. In a mixture of gases, such as air, each gas exerts its individual pressure independent of other gases in the mixture (Dalton’s Law). The independent pressure of a gas is its partial pressure – that is, the part of the pressure exerted by the gas. B. If you take a gas mixture underwater (the air you breathe, for example), the pressure increases with depth. The partial pressure of each gas in the mix also increases proportionately to its fraction in the mix. 1. You can easily determine partial pressure Given their percentby multiplying the gas ages, calculate the percentage in the mixpartial pressures of ture by the total absogases in a mixture at lute pressure. any depth. Example: What is the partial pressure of oxygen in air at a depth of 40 m/132 ft? Behavior of Gases Underwater ■ ■ What What is is par par tial tial pressure pressure ?� ?� ◆ ◆ In In aa gas gas mixture mixture ,, each each gas gas eexerts xerts its its individual individual pressure pressure independent independent � of of other other gases gases in in the the mixture mixture NNN N NON N O O N N N NNNN NN N NN N O N N NONO PARTIAL PARTIAL PRESSURE PRESSURE � OF OF O OXYGEN XYGEN (21%) (21%) + PARTIAL PARTIAL PRESSURE PRESSURE � OF OF NITR NITR OGEN OGEN�� = TOTAL TOTAL PRESSURE PRESSURE OF OF AIR AIR�� (79%) (100%) (100%) DM DM 55 --30 30 Partial Pressure ■ ■ What What is is the the partial partial pressure pressure of of oxygen oxygen (in (in atmospheres) atmospheres) at at 40 40 metres/132 metres/132 feet?� feet?� Answer: Oxygen partial pressure (abbreviated “PO2”) = 1.05 ata The absolute pressure is 5 ata 40 m ÷ 10 atm/m = 4 atm / 132 ft ÷ 33 ft/atm = 4 atm 4 atm + 1 atm = 5 ata Air consists of 21% oxygen. 5 ata x .21 = 1.05 ata. ◆ ◆ PO PO2 2 == 55 ata ata xx .21 .21 == 1.05 1.05 ata ata � ■ ■ The The bod bodyy responds responds to to aa gas gas � based based on on its its par par tial tial pressure pressure — — � the the higher higher the the par par tial tial pressure pressure ,, the the greater greater the the potential potential ph physiological ysiological eff eff ect ect DM DM 55 -- 31 31 Example: What is the partial pressure of oxygen when breathing 100% oxygen at the surface? Answer: PO2 = 1.0 ata. The absolute pressure is 1 ata. The gas is 100% oxygen. 1 ata x 1.00 = 1 ata. (This illustrates that with a pure gas, the absolute pressure and the partial pressure are the same.) 3-74 Three: Knowledge Development C. How does the physiological effect of breathing a given percentage of gas at depth compare to breathing the same percentage of the gas at the surface? 1. The body responds to a gas you breathe based on its partial pressure – not on the percentage of the gas in the mix. This means that as pressure increases, the physiological effect increases. 2. The increased partial pressure of nitrogen (also called “PN2”) causes nitrogen narcosis. 3. The increased partial pressure of oxygen can cause oxygen toxicity (more of a concern when diving with enriched air nitrox than with air within recreational limits). 4. The body’s response to partial pressure is important regarding contaminated air because contamination levels that are harmless at the surface may become toxic under elevated partial pressures at depth. 5. In the previous examples, the physiological effect of oxygen from breathing air (21% oxygen) at 40 m/132 feet (PO2 = 1.05 ata) is approximately the same as breathing 100% oxygen at the surface (PO2 = 1.0 ata) D. Surface equivalency is the fraction of a gas you would have to breathe at the surface to produce the same effect at a particular depth. To find surface equivalency, use the gas partial For a given percentage of pressure at depth as a gas in mixture, and the the fraction of the gas depth at which a diver at the surface. breathes that gas, calcu1. Note that if the late the percentage of the partial pressure at gas that would produce the depth exceeds 1.0 same physiological effects ata, there can be no on a diver at the surface. surface equivalency because the partial pressure would exceed the total pressure available at the surface (1.0 ata). Example An An air air mixture mixture has has 0.5% 0.5% carbon carbon monoxide. monoxide. Breathing Breathing this this air air at at 40 40 metres/132 metres/132 feet feet would would be be the the equivalent equivalent of of breathing breathing what what percent percent at at the the surface?� surface?� Answer Answer == 2.5%� 2.5%� 55 ata ata xx .005 .005 == .025; .025; 2.5% 2.5% surface surface equivalency� equivalency� NO xic NOTE: TE: This This le le vel vel of of CO CO is is considered considered to to xic Partial Pressure Example: An air mixture has .5% carbon monoxide (CO). Breathing it at 40 metres/132 feet would be the equivalent of breathing what percent at the surface? DM DM 55 --32 32 Divemaster Course Instructor Guide 3-75 Answer: 2.5%. (this level of CO would be considered toxic). Absolute pressure = 5 ata 40m ÷ 10 m/atm = 4 atm / 132 ft ÷ 33 ft/atm = 4 atm 4 atm + 1 atm = 5 ata 5 ata x .005 = .025 partial pressure .025 = 2.5% surface equivalency Example: Central nervous system (CNS) oxygen toxicity is only expected with oxygen partial pressures above 1.4 ata. Would CNS toxicity ever be likely breathing any gas mixture with oxygen at the surface? Answer: No. The highest fraction of oxygen you can have is 100%. Breathing 100% oxygen at the surface is a PO2 of 1.0 ata. – the highest partial pressure you can have at the surface. Therefore, you cannot reach the 1.4 ata required for CNS toxicity. VI. The Behavior of Gases Underwater: Gas Absorption and Elimination A. What happens when you raise the pressure of a gas in contact with a liquid? 1. Gases in contact with a liquid dissolve into the liquid proportionately to the pressure. 2. If the pressure increases, more gas dissolves into the liquid. 3. If the pressure decreases, the gas dissolves out of the liquid (Henry’s Law). Carbonated beverages are a good example of this. 4. Because the human body is comprised mainly of water, this is the principle underlying decompression sickness and the basis for dive tables/computers. B. Gases dissolved in a liquid still exert pressure, which is referred to as gas tension. C. Gas does not dissolve instantly into or out of a liquid when the pressure changes. 1. It does so gradually over a period that depends on the liquid, the gas, and the contact area between the gas and the liquid. 2. Eventually, however, the pressure of the gas dissolved within the liquid will become equal to the pressure of the gas in contact with it and no more 3-76 Absorption and Elimination ■ ■ What What happens happens when when yy ou ou raise raise � the the pressure pressure of of gas gas in in contact contact � with with aa liquid? liquid? � ◆ ◆ More More gas gas dissolves dissolves into into the the liquid liquid � ◆ ◆ Equilibrium Equilibrium or or saturation saturation is is � reached reached eventuall eventually� y� ■ ■ What What is is super super saturation saturation ?� ?� ◆ ◆ Gas Gas pressure pressure within within aa liquid liquid is is greater greater than than the the pressure pressure of of gas gas in in contact contact with with the the liquid liquid Three: Knowledge Development DM DM 55 --33 33 What happens when you quickly reduce the pressure on a liquid that is saturated? Absorption and Elimina tion DM DM 55 --34 34 Divemaster Course Instructor Guide gas will dissolve in or out. This equilibrium is referred to as saturation. 3. If the gas pressure in contact increases (such as when a diver descends), then the liquid will now be capable of holding even more gas than before. Gas exchange will continue as before until the new level of equilibrium is achieved. D. What is supersaturation? 1. If the pressure in contact with the liquid is reduced (as when a diver ascends), gas tension within the liquid will be greater than the pressure in contact with the liquid. 2. The liquid is then referred to as supersaturated. It will gradually be less supersaturated as the gas dissolves out of the liquid and equilibrium returns. E. What happens when you quickly reduce the pressure on a liquid that is saturated with dissolved gas at a higher pressure? 1. A liquid can have a moderate degree of supersaturation and still hold gas in solution. If a pressure reduction takes place gradually, then the gas will dissolve out of the liquid without forming bubbles. 2. If the pressure reduction is too great causing an excessive supersaturation, the gas within the liquid cannot remain in solution and bubbles form. 3. This phenomenon explains the basic mechanism of decompression sickness and why the condition cannot occur until the diver leaves depth, or reduces the pressure in contact with the blood. 4. Dive tables/computers help the diver control the supersaturation to avoid bubble formation. [Explain that candidates will learn more about this in Topic 6, the Physiology of Diving.] 3-77 Topic 6 The Physiology of Diving Recommended Materials and Methods for Covering this Topic The recommended method for developing knowledge about diving physiology is to have candidates read the Physiology of Diving section of The Encyclopedia of Recreational Diving and complete the physiology section in the Diving Knowledge Workbook. Have them consult the related objectives in the Appendix of the PADI Divemaster Manual to be sure they can meet all the performance requirements. After independent study, meet with candidates individually or in a group. Begin by reviewing their work in the Diving Knowledge Workbook, then answer candidate questions. Ask questions to assess mastery and review the material, based on how they complete their workbooks. Use the presentation outline as a guide for a complete review. If The Encyclopedia of Recreational Diving and the Diving Knowledge Workbook don’t exist in a language candidates understand, you can develop knowledge by giving the following presentation in detail. Presentation Overview and Learning Objectives I. Circulatory and Respiratory Systems 1. What are the primary purposes of the respiratory and circulatory systems? 2. What are the organs, structure and functions of the circulatory and respiratory systems? 3. What is dead air space, and how do you avoid problems caused by it? Overview ■ ■ Circulatory Circulatory and and Respiratory Respiratory Systems� Systems� ◆ ◆ Diving Diving Problems Problems with with These These Systems� Systems� 4. How does the body respond when breath-hold diving, and how can you extend breath-hold time? ■ ■ Physiological Physiological Responses� Responses� ◆ ◆ Nitrogen� Nitrogen� II. Diving Problems with Circulatory and Respiratory Systems 5. What is carotid-sinus reflex, and how do you avoid it? ◆ ◆ Thermal Thermal Changes� Changes� ◆ ◆ Pressure Pressure Changes Changes on on Body Body Air Air Spaces� Spaces� ■ ■ Problems Problems in in Body Body Air Air Spaces Spaces 6. What is hypercapnia, and how do you avoid it? 7. What are hypocapnia and shallow water blackout, and how do you avoid them? 8. What are the physiological effects of carbon monoxide while diving, and how do you avoid them? 9. What are the two types of oxygen toxicity, and how do you avoid them? 3-78 Three: Knowledge Development DM DM 6 6 -- 22 III. Physiological Responses to Nitrogen 10. What are the physiological mechanisms by which the body absorbs and releases nitrogen (or other inert gases) while diving? 11. What are silent bubbles, and how do they relate to decompression? 12. What causes decompression sickness (DCS), and what are the two types? 13. What is meant by decompression illness (DCI) versus decompression sickness? 14. What factors may predispose a diver to DCS? 15. What are the recommendations and physiological rationales for DCS first aid and treatment? 16. What causes nitrogen narcosis, at approximately what depth is it likely, and what are common signs and symptoms of it? IV. Physiological Responses to Thermal Changes 17. How does the body respond to excess heat? 18. What causes heat exhaustion and heat stroke, and how do they differ physiologically? 19. How does the body respond to insufficient heat? 20. What causes hypothermia, and what happens physiologically when it occurs? V. Physiological Responses to Pressure Changes on Body Air Spaces 21. What are the basic functions, organs and structure of the ears and sinuses? 22. How do the ears and sinuses respond to changing pressure? 23. How do the lungs respond to changing pressure? VI. Problems in Body Air Spaces 24. What are barotrauma and squeeze? 25. What are the causes and physiologies of eardrum rupture, middle ear squeeze, reverse squeeze, ear plug problems, round window rupture and sinus squeeze? 26. What is vertigo, and what may cause it while diving? 27. What is the cause and physiology of lung squeeze? 28. What are the causes and physiologies of the lung overexpansion injuries: air embolism, pneumothorax, mediastinal emphysema and subcutaneous emphysema? Divemaster Course Instructor Guide 3-79 29. What are the recommendations and physiological rationales for lung overexpansion injury first aid and treatment? 30. What are the cause and physiology of mask and dry suit squeezes? Circulation and Respiration � � Outline I. Circulatory and Respiratory Systems A. What are the primary purposes of the respiratory and circulatory systems? 1. The primary, most urgent purpose of these systems is to supply body tissues oxygen and to remove and eliminate waste carbon dioxide. 2. The process of using oxygen is oxidative metabolism. 3. Oxidative metabolism turns chemical energy into usable energy to support life. B. What are the organs, structure and functions of the circulatory and respiratory systems? 1. Circulatory System a. Blood: red blood cells (erythrocytes) in the plasma (liquid portion of blood) carry oxygen to the tissues via hemoglobin, a protein that easily bonds and unbonds with oxygen. Plasma carries carbon dioxide away from tissues. b. Cardiovascular system - heart, arteries, capillaries and veins 1. The heart is a four chamber organic pump that circulates blood. 2. Arteries carry blood away from heart. 3. Veins carry blood toward heart. 4. Capillaries are microscopic vessels between arteries and veins; gas exchange occurs in the capillaries. 2. Respiratory system structure and functions a. What triggers the breathing cycle? 1. Reflex respiratory centers in the brain monitor carbon dioxide levels in body. 2. When carbon dioxide rises, they signal the diaphragm, a large muscle below the lungs, to flex downward, causing lower internal pressure. 3-80 What are the purposes, structure and functions of the respiratory and circulatory syst ems? DM DM 6 6 -- 33 Purposes ■ ■ Supply Supply tissues tissues with with oxygen oxygen � and and remove remove and and eliminate eliminate � carbon carbon dioxide� dioxide� ■ ■ What What is is oxidative oxidative metabolism? metabolism? � — — the the process process of of turning turning chemical chemical energy energy into into usable usable energy energy Circulation and Respir ation DM DM 6 6 -- 44 Structure and F unction� unction� — Circulatory Oxygen carried to tissues Carbon dioxide Red Bloo d Cells Cells��carried Hemoglo bin away from tissues DM DM 6 6 -- 55 Circulation and Respir ation Plasma� Cardiovascular Syst em – a four chamber pump � that circulates blood� blood� ■ ■ Arteries carry blood away � from the heart� heart� ■ ■ Heart carry blood toward heart� heart� – microscopic vessels between arteries and veins where gas exchange occurs DM 6 DM 6 6 -- 6 Circulation and Respir ation ■ ■ Veins ■ ■ Capillaries Respiratory Syst em ■ ■ What What triggers triggers the the breathing breathing cycle?� cycle?� in in the the brain brain monitor monitor the the body body ’s ’s carbon carbon dioxide dioxide level� level� ◆ ◆ Reflex Reflex respiratory respiratory centers centers ◆ ◆ When When CO CO 2 rises, rises, diaphragm diaphragm is is 2 signalled signalled to to ff lex lex downw downward ard Circulation and Respir ation Three: Knowledge Development DM DM 6 6 -- 77 What is dead air space, and how do you avoid problems caused by it? –– does does not not pla pla yy � aa part part in in gas gas exchange� exchange� ■ ■ Tidal Tidal volume volume ■ ■ Shallow Shallow br br eathing eathing –– CO CO level 22 level increases, increases, breathing breathing rate rate increases� increases� ■ ■ Avoid Avoid problem problem by by deep, deep, � normal normal br breathing eathing Circulation and Respir ation DM DM 6 6 -- 10 10 Divemaster Course Instructor Guide 3. Air enters through sinuses and mouth past the epiglottis into the trachea (windpipe), which branches into the bronchi leading into lungs. 4. Bronchi divide into smaller and smaller bronchi until reaching tiny alveoli, which are air sacs surrounded by the pulmonary capillaries. It is here that the blood releases carbon dioxide and picks up oxygen. B. Path of blood flow through circulatory and respiratory systems. 1. Oxygen-rich blood from lungs enters left heart; heart pumps the blood into the aorta, the body’s largest artery. 2. The aorta branches into smaller arteries, including the carotid arteries that supply the brain. Arteries branch to smaller arteries throughout the body until reaching the capillaries. 3. Blood gives up oxygen and picks up carbon dioxide in capillaries and flows into the venous system (veins). 4. Veins branch into larger and larger veins until a single vein returns oxygen-poor blood to the right heart. 5. The heart pumps oxygen poor blood to lungs via the pulmonary arteries. 6. Pulmonary arteries branch into pulmonary capillaries that surround lung alveoli. The blood releases carbon dioxide into alveoli to be exhaled and picks up oxygen. 7. Oxygen-rich blood returns to the left heart via pulmonary veins to begin another cycle. C. What is dead air space, and how do you avoid problems caused by it? 1. The portion of tidal volume (volume breathed in and out on each breath) that plays no part in gas exchange - volume in bronchi, trachea, mouth/sinuses. 2. Dead air space is rebreathed - increases carbon dioxide. 3. Equipment increases dead air space (snorkel/regulator) and therefore further increases carbon dioxide rebreathed. 4. In shallow breathing, dead air space is proportionately high in tidal volume and carbon dioxide levels rise, stimulating a higher breathing rate. 3-81 a. If breathing remains shallow, breathing rate will continue to increase. b. Rapid breathing requires more effort to overcome air resistance and this raises carbon dioxide levels further. c. May lead to hypercapnia (discussed shortly). 5. In deep, normal breathing, dead air space is proportionately lower in tidal volume and carbon dioxide levels fall. a. Breathing rate remains normal. b. Avoid dead air space problems by breathing slowly with deep, normal breaths. D. How does the body respond when breath-hold diving, and how can you extend breath-hold time? 1. During apnea (breath holding) the circulatory system uses oxygen stored in the lungs, muscles and blood to supply tissues. a. In cool water, bradycardia (slowing of the heart) reduces circulation speed, though doesn’t appear to reduce oxygen consumption in humans (it does in marine mammals). 2. Accumulating carbon dioxide creates urges to breathe and eventually it is too great to ignore, forcing the diver to surface and breathe. 3. You can increase breath hold time by first hyperventilating (breathing deeply and rapidly) three or four times. Doing so reduces circulatory carbon dioxide so it takes longer to accumulate enough to stimulate breathing. Excessive hyperventilation may lead to shallow water blackout, as discussed shortly. II. Diving Problems with Circulatory and Respiratory Systems A. What is carotid-sinus reflex, and how do you avoid it? 1. Carotid sinus receptors monitor pressure of arterial blood reaching brain through carotid arteries. 2. Low blood pressure triggers a higher heart rate, and high blood pressure triggers a lower heart rate. 3. Receptors interpret pressure from an excessively tight hood or wet suit constricting neck as high blood pressure. 4. The heart rate slows, reducing blood flow to the brain, but pressure remains, causing yet slower heart rate. 3-82 What happens during a breath hold dive? ■ ■ During During apnea apnea ,, the the body body uses uses oxygen oxygen stored stored in in the the lungs, lungs, muscles and blood� � muscles and blood ■ ■ Accumulating Accumulating CO CO22 creates creates the the urge urge to to breathe� breathe� ■ ■ Hyperventilation Hyperventilation can can increase increase breath breath hold hold time time Circulation and Respir ation DM 11 DM 6 6 -- 11 Diving Problems � � What is carotid � sinus reflex?� reflex?� � Do not wear an excessively tight hood, wet suit or � dry suit neck seal Circulation and Respir ation Three: Knowledge Development DM 12 DM 6 6 -- 12 Carbon Dio xide ■ ■ What What is is hypercapnia hypercapnia ?�?� ◆ ◆ Excessive Excessive CO CO22� ◆ ◆ Caused Caused by by skip skip breathing, breathing, rapid rapid � shallow shallow breathing, breathing, overexertion, overexertion, etc.� etc.� ◆ ◆ May May cause cause to to headache, headache, confusion, confusion, � loss loss of of consciousness� consciousness� ■ ■ What What is is hypocapnia hypocapnia ?�?� ◆ ◆ Insufficient Insufficient CO CO22� ◆ Caused ◆ Caused by by hyperventilation� hyperventilation� ◆ ◆ May May cause cause shallow shallow water water blackout blackout Circulation and Respir ation DM 13 DM 6 6 -- 13 Divemaster Course Instructor Guide 5. The diver feels uncomfortable and light-headed, but may lose consciousness if constriction continues unrelieved. 6. Avoid by not wearing excessively tight hoods, wet suits or dry suit neck seals. B. What is hypercapnia, and how do you avoid it? 1. Hypercapnia is excessive carbon dioxide. 2. It’s caused by dead air space, skip breathing (holding the breath periodically), shallow rapid breathing, overexertion or a combination of these. In very rare cases, air supply may be high in carbon dioxide. 3. Causes headache and increased breathing. In severe cases, confusion and loss of consciousness. 4. If involving overexertion, increased work of breathing can increase carbon dioxide, leading to even greater breathing demand - cycle stops when diver stops all activity and rests. 5. Avoid by breathing deeply and normally, not skip breathing, and by avoiding overexertion. C. What are hypocapnia and shallow water blackout, and how do you avoid them? 1. Hypocapnia is insufficient carbon dioxide. 2. Too little carbon dioxide may interrupt normal breathing cycle because carbon dioxide stimulates breathing. 3. May be caused by hyperventilation due to stress or fright while scuba diving - causes light-headedness. 4. Primarily a concern with breath-hold diving and excessive hyperventilation (more than three or four breaths)- causes shallow water blackout. a. Diver excessively depletes carbon dioxide by hyperventilating excessively. b. At depth, diver’s body consumes oxygen faster than carbon dioxide accumulates to stimulate breathing. c. Depleted oxygen causes no problem at depth because high partial pressure allows hemoglobin to bond with remaining supply. d. Diver ascends, the partial pressure drops and hemoglobin can no longer bond with oxygen; diver blacks out without warning due to hypoxia - insufficient oxygen. 3-83 D. What are the physiological effects of carbon monoxide while diving, and how do you avoid them? 1. It’s caused by contaminated air from using wrong lubricants or improper compressor system maintenance (fortunately now very rare) Smoking is another source of carbon monoxide. a. Carbon monoxide bonds with hemoglobin more readily than oxygen, but doesn’t release as easily. b. Breathing air contaminated with carbon monoxide at depth, hemoglobin carries less and less oxygen as carbon monoxide bonds with it. c. However, at depth blood still carries sufficient oxygen dissolved in plasma by high partial pressures to meet tissue demands. d. When diver surfaces, plasma no longer can carry enough dissolved oxygen - diver blacks out from hypoxia. 2. Symptoms and signs (when they do occur) include headache, confusion, narrow vision, bright red lips/ nails (not easily observed underwater). a. Symptoms of mild cases subside after several hours of fresh air. b. Severe cases - give the diver pure oxygen and contact emergency medical care. 3. Avoid by getting air only from reputable air fill stations. E. What are the two types of oxygen toxicity, and how do you avoid them? 1. It’s nearly impossible to suffer oxygen toxicity using air within recreational diving limits (40 m/130 ft or less, no stop diving). 2. Using enriched air nitrox (EANx), you can have oxygen toxicity. 3. Two types of oxygen toxicity a. Central nervous system (CNS) toxicity 1. Caused by exposure to oxygen partial pressures greater than approximately 1.4 ata (using EANx32 below 33 metres/110 feet, or EANx36 below 29 metres/95 feet, or pure oxygen below 4 metres/13 feet) to 1.6 ata. 2. Symptoms and signs include visual disturbances, ear ringing, nausea, twitching muscles, irritability and dizziness. 3-84 What are the physiolog ical effects of carbon mono xide while diving? ■ ■ CO bonds with hemoglobin more readily than oxygen� oxygen� ■ ■ May cause hypoxia = black out� out� ■ ■ Use only air from reputable � fill stations Circulation and Respir ation DM 14 DM 6 6 -- 14 What are the two types of oxygen toxicity? ■ ■ Central Central nervous nervous system system (CNS) (CNS) � ◆ ◆ Exposur Exposuree to to PPO PPO g g reater reater � than than 1.4 1.4 aa ta� ta� ■ ■ Pulmonary Pulmonary toxicity toxicity � ◆ ◆ Continuous Continuous eexposure xposure to to elevated elevated PPO PPO Circulation and Respir ation Three: Knowledge Development DM 15 DM 6 6 -- 15 3. Most serious symptom/sign is a convulsion - usually without warning. Convulsions are not harmful themselves, but may cause diver to lose mouthpiece and drown. 4. Avoid by not exceeding a partial pressure of 1.4 ata. [Remind candidates that enriched air diving requires special training, much of which covers CNS concerns in more detail.] b. Pulmonary toxicity 1. Caused by continuous exposure to elevated oxygen partial pressure. 2. Most likely in recreational diving only following multiple dives using enriched air. 3. Symptoms and signs include burning in the chest and irritated cough. 4. Usually resolves itself by ceasing diving for several days. 5. Not considered immediately life threatening or hazardous. 6. Avoid by following oxygen exposure limits of NOAA and DSAT Oxygen Exposure Table. [Tell candidates that enriched air training covers pulmonary toxicity and using tables to avoid it in more detail.] III. Physiological Responses to Nitrogen Nitrogen Absorption and Elimination � � What are the physiolog ical mechanisms by which � the body absorbs and releases nitrogen? DM 16 DM 6 6 -- 16 Physiolog ical Responses ■ ■ Gases Gases dissolve dissolve into into liquids liquids proportionately proportionately to to the the pressure� pressure� ■ ■ While While diving, diving, nitrogen nitrogen goes goes into into solution solution in in body body tissues� tissues� ■ ■ Different Different tissues tissues absorb absorb and and release release nitrogen nitrogen at at different different rates rates Nitrogen continued... continued... DM DM 6 6 -- 17 17 Divemaster Course Instructor Guide A. What are the physiological mechanisms by which the body absorbs and releases nitrogen (or other inert gases) while diving? 1. Gases dissolve into liquids proportionately to the pressure. This is the basis for decompression. 2. The human body is primarily water, so when exposed to pressure (as in diving), more nitrogen from the air we breathe goes into solution in body tissues. a. Oxygen is consumed metabolically, but nitrogen gas is physiologically inert and is therefore a concern. b. Other inert gases, such as helium, will dissolve into body tissues when breathing special mixes in nonrecreational diving. c. Nitrogen pressure is higher in alveolar air than in the blood, so nitrogen dissolves into blood, then from the blood to the tissues. 3-85 3. 4. 5. 6. 7. d. Dissolved gas still exerts pressure. The pressure of gas dissolved in the body is called tissue pressure. Different tissues absorb (and release) nitrogen at different rates. Given enough time at depth, the body saturates by reaching equilibrium, meaning it has absorbed all the nitrogen possible at that pressure. a. Calculating different tissue absorption and release is the foundation of decompression models. Most dives are too short to reach saturation. The amount of nitrogen absorbed relates directly to the depth (pressure) and time of the dive. Upon ascent after a dive, nitrogen pressure in tissues is higher than surrounding pressure. This is called supersaturation. With higher tissue pressures, nitrogen pressure in blood exceeds pressure in alveolar air; nitrogen dissolves from blood and is exhaled. This lowers blood tissue pressure, so nitrogen dissolves from body tissues into blood. If difference between surrounding pressure and tissue pressure (the pressure gradient) is within limits, the nitrogen dissolves harmlessly out of the body. a. Most nitrogen remains within solution and dissolves out slowly. 8. What are silent bubbles, and how do they relate to decompression? a. According to theory, some nitrogen dissolves into microscopic gas pockets in the body and form tiny bubbles that are trapped by the pulmonary capillaries in the lungs; these then diffuse harmlessly into alveolar air. b. Doppler ultrasound flow meters detect silent bubbles after some dives, especially those close to table/computer limits - these are larger bubbles than the tiny bubbles theorized to form after most dives, but are still harmless. B. What causes decompression sickness (DCS)? 1. If tissue pressure exceeds surrounding pressure excessively, nitrogen comes out of solution faster than the body can eliminate it harmlessly - bubbles form in the tissues. a. Small bubbles accumulate to form larger bubbles. 3-86 Physiological Responses... ■ ■ Most dives are too short � to reach saturation� saturation� ■ ■ Upon ascent, higher nitrogen pressure in tissues results in nitrogen dissolving out of the body� body� ■ ■ If pressure gradient is within limits, elimination is harmless Nitrogen DM DM 6 6 -- 18 18 What are silent bubbles ? ■ ■ Some Some excess excess nitrogen nitrogen dissolves dissolves into into microscopic microscopic gas gas pockets pockets forming forming tiny tiny bubbles� bubbles� ■ ■ Tiny Tiny bubbles bubbles may may � lead lead to to larger, larger, but but � still still harmless harmless silent silent bubbles bubbles � ■ ■ Silent Silent bubbles bubbles are are detectable detectable by by Doppler Doppler ultrasound ultrasound flow flow meters meters DM 19 DM 6 6 -- 19 Nitrogen What causes � decompression sickness? � � � Symptoms de pend on amount and loca tion of bubble formation Nitrogen Three: Knowledge Development DM 20 DM 6 6 --20 b. Larger bubbles cause decompression sickness (DCS), a.k.a. “the bends.” c. DCS types and symptoms depend on amount of bubble formation and where the bubbles end up in the body. Decompression Illness (DCI) vs. � Decompression Sickness (DC S) ■ ■ DCI DCI — — rrefers efers to to both both decompr decompr ession ession sickness sickness and and lung lung o o verexpansion verexpansion injuries injuries (emergency (emergency first first aid aid is is the the same same for for both) both) � ■ ■ DCS DCS — — rrefers efers specif specif ically ically to to conditions conditions caused caused b b yy nitrogen nitrogen coming coming out out of of solution solution in in the the body body Nitrogen DM 21 DM 6 6 -- 21 What factors predispose a diver to DC S? ■ ■ Body fat� fat� ■ ■ Excess CO � 22 ■ ■ Age� Age� ■ ■ Dehydration� Dehydration� ■ ■ Injuries/Illness� Injuries/Illness� ■ ■ Alcohol Nitrogen ■ ■ Cold water� water� ■ ■ Heavy exercise� exercise� ■ ■ Altitude/Flying DM 22 DM 6 6 --22 Divemaster Course Instructor Guide What is meant by decompression illness (DCI) versus decompression sickness? Decompression illness (DCI) is a blanket term for DCS and lung overexpansion injuries used in describing first aid and treatment, which is identical for both conditions. However, it’s improper to interchange “DCI” with “DCS” when talking about the specific condition caused by dissolved nitrogen coming out of solution. C. What factors may predispose a diver to DCS? 1. Fat tissue: fat releases nitrogen slowly. A diver with a disproportionate amount of body fat may have more nitrogen in solution after a dive. 2. Age: as we age, our circulatory systems become less efficient, reducing speed of gas exchange. 3. Dehydration: reduces blood in circulation, slowing nitrogen elimination. 4. Injuries/illness: may alter or restrict circulation leading to localized areas where nitrogen isn’t eliminated quickly. 5. Alcohol before or after diving: alters circulation patterns, dilates capillaries and promotes dehydration, all of which can alter nitrogen elimination and bubble formation. 6. Carbon dioxide excess: skip breathing may raise carbon dioxide levels altering circulation and gas exchange. 7. Cold water: diver starts warm with normal circulation, but circulation to extremities reduces as diver cools, slowing nitrogen elimination from those areas. 8. Heavy exercise: during dive accelerates circulation so more nitrogen than normal dissolves into body. After a dive, exercise accelerates circulation altering nitrogen elimination. 9. Altitude/flying: dive tables/computers are based on surfacing at sea level, thus exposure to lower pressure increases the tissue pressure gradient and may 3-87 cause large bubbles to form - returning to sea level doesn’t usually alleviate the bubbles once formed. D. What are the two types of decompression sickness? 1. Type I - identified as “pain only” DCS. a. Limb pain most common - may be midlimb or joints; first or second symptom noted in 60 percent of cases. b. Cutaneous DCS (“skin bends”) - red rashes/patches usually on shoulders/upper chest. 2. Type II - identified as having life threatening or immediately injurious symptoms; involves brain, nervous system, lungs. a. numbness and/or tingling b. paralysis c. weakness/fatigue d. unconsciousness and death E. What are the recommendations and physiological rationales for DCS first aid and treatment? 1. Treat all DCS as serious, even pain only. 2. Give patient oxygen (preferably 100 percent). a. Lowers alveolar nitrogen to accelerate elimination from tissues. b. Raises blood oxygen levels to assist tissues with blood flow reduced by bubble blockage. 3. Keep a breathing patient lying level on left side, head supported (recovery position). a. Helps keep airway clear if patient vomits. b. Lying level helps ensure blood flow to brain. c. Advise patient not to sit up, even during transport or if feeling better. 4. Lay nonbreathing patient on back for rescue breathing/CPR. 5. Monitor airway, breathing, circulation, and contact emergency medical care. 6. Elevating the patient’s feet (modified Trendelenburg position) is no longer recommended. F. DCS treatment 1. Except isolated cutaneous DCS, treatment usually requires putting patient under pressure in a recompression chamber. 2. Recompression reduces bubbles in body to small size 3-88 What are the two types of DC S? ■ ■ Type Type 1 1 –– “Pain “Pain Only”� Only”� ◆ ◆ Limb Limb and and joint joint pain pain � ◆ ◆ Cutaneous Cutaneous -- sk sk in in rash� rash� ■ ■ Type Type 2 2 –– Neurological� Neurological� ◆ ◆ Numbness Numbness and/or and/or ting ting ling� ling� ◆ ◆ Paralysis� Paralysis� ◆ ◆ Weakness/f Weakness/f atigue� atigue� ◆ ◆ Unconsciousness Unconsciousness Nitrogen DM 23 DM 6 6 --23 What is the treatment for DCS? ■ ■ Recompression in a chamber� chamber� ◆ ◆ Long Long slow slow decompr decompr ession ession with with oxygen oxygen and and dr drug ug therapy� therapy� ■ ■ The sooner recompression begins, the more likely patient will recover without permanent injury Nitrogen Three: Knowledge Development DM DM 6 6 --25 25 and forces them back into solution - often alleviates symptoms immediately. 3. Treatment involves a long slow decompression with oxygen and drug therapy. a. Duration and need for drugs/oxygen makes attempting recompression in water inadvisable in vast majority of circumstances. 4. The sooner recompression begins, the more likely the patient will recover without permanent injury - don’t delay obtaining medical care. Patients sometimes don’t want to believe they’re suffering from DCI and object to seeing a doctor - as appropriate, strongly urge patients to allow medical examination by emergency medical care. G. What causes nitrogen narcosis, at approximately what depth is it likely, and what are common signs and symptoms of it? 1. Almost any gas can cause an anesthetic (narcotic) effect under pressure. Exact mechanism unknown, but appears related to nerve impulse blockage due to gas dissolved in nerve cells. a. Effect of a gas depends upon gas solubility in nerve cells. b. Narcosis varies with individual physiology and is not entirely predictable. c. Nitrogen/oxygen have about same solubility - are somewhat narcotic at the deeper range of recreational diving. Using air or enriched air, narcosis is expected to be noticeable at about 30 metres/100 feet. d. Helium is not narcotic under even very high pressures - this is why it is used by technical and commercial divers making very deep dives. 2. Ascent relieves narcotic symptoms - usually no after effects. 3. Not directly hazardous - hazard comes from impaired judgment that may delay reactions or lead to poor decisions. Physiological Responses to Thermal and Pressure Changes IV. Physiological Responses to Thermal Changes DM 27 DM 6 6 -- 27 Divemaster Course Instructor Guide A. How does the body respond to excess heat? 1. Heat is mainly a problem before or after dive wearing full wet suits or dry suits in hot weather. 2. Body responds to excess heat, progressively by: 3-89 a. Dilating skin capillaries to promote cooling. b. Perspiring to cool skin through evaporation. c. Accelerating pulse to circulate blood faster for cooling. d. Continuing until diver cools (seeks shade, stops exercising, etc.) or exhausts physiological ability to cool B. What causes heat exhaustion and heat stroke, and how do they differ physiologically? 1. Exposure suits interfere with body’s ability to cool self - perspiration is ineffective in a wet or dry suit. This is compounded if diver exercises in hot climate, such as long walk across a hot beach. 2. Heat exhaustion - condition in which body works at full capacity to cool. a. weak, rapid breathing b. weak rapid pulse c. cool clammy skin d. profuse sweating e. dehydration f. nausea 3. Diver with heat exhaustion should remove exposure suit, seek shade, drink nonalcoholic fluid and rest until cool. 4. Heatstroke - condition in which cooling has failed - an emergency medical condition. a. pulse strong and rapid b. no perspiration c. skin flushed, hot to the touch d. brain damage, system damage or death possible 5. Diver with heat stroke - remove exposure suit and put diver in cool environment; contact emergency medical aid. C. How does the body respond to insufficient heat? 1. Water conducts heat 20 times faster than air - diver in 4oC/40oF water will be dangerously cold in half an hour. 2. Temperatures that are warm in air can lead to excessive heat loss in water. 3. Under many circumstances, an exposure suit greatly slows heat loss, but does not stop it. 4. Body responds to heat loss progressively by: a. Vasoconstriction - reduced blood flow to extremities 3-90 How does the body respond to excess heat? ■ ■ Skin Skin capillaries capillaries dilate� dilate� ■ ■ Perspiration� Perspiration� ■ ■ Accelerated Accelerated pulse pulse No Relief = Heat Exhaustion � Heat Stroke DM DM 6 6 --28 28 Heat Exhaustion Heat Stroke weak weak rapid rapid breathing� breathing� strong strong rapid rapid pulse pulse � weak weak rapid rapid pulse pulse � no no perspiration� perspiration� cool cool clammy clammy sk skin� in� hot hot flushed flushed sk skin� in� profuse profuse per perspiration� spiration� convulsions convulsions nausea nausea Three: Knowledge Development DM 29 DM 6 6 --29 (except head) to reduce heat loss - causes finger/ toe numbness. b. Shivering to generate heat through muscle activity - signals a losing battle against the cold. D. What causes hypothermia, and what happens physiologically when it occurs? 1. Occurs when diver ignores uncontrollable shivering, numbness and continues to cool. 2. Body temperature regulation mechanisms fail, body core temperature drops. a. Shivering stops b. Vasoconstriction stops - diver may feel warm as blood rushes to skin - a dangerous condition because diver doesn’t feel cold, but heat loss in now unchecked. c. As core temperature drops, mental processes slow - diver becomes drowsy, uncoordinated, forgetful. d. Unchecked, hypothermia leads to unconsciousness, coma and death. e. Advanced hypothermia is a medical emergency requiring emergency care. Hypothermia numbness� numbness� 37°C 98.6°F blueness� blueness� loss of coordination� coordination� confusion� confusion� unconsciousness DM DM 6 6 -- 31 31 V. Physiological Responses to Pressure Changes on Body Air Spaces A. What are the basic functions, organs and structure of the ears and sinuses? 1. Ears — divided into outer, middle, and inner ear a. Outer ear consists of external ear, ear canal - open to air/water pressure - channels sound to ear drum. b. Middle ear separated from outer ear by ear drum - sealed against air/water; - ear drum vibrates and passes sound to ossicles, small bones that conduct sound to inner ear. c. Inner ear consists of vestibular canals (control balance) and cochlea - turns vibrations from ossicles into nerve impulses sent by auditory nerve to brain. 1. Ossicles connect to cochlea at oval window, which flexes in and out with vibrations. 2. Round window on cochlea flexes out when oval window flexes in to compensate. Divemaster Course Instructor Guide 3-91 B. How do the ears and sinuses respond to changing pressure? 1. Middle ear connected by eustachian tube to throat to maintain equilibrium with outside pressure. a. Descending, increasing pressure pushes in on ear drum - diver feels as discomfort. b. By equalizing, diver forces air up eustachian tube to equalize pressure in middle ear, alleviating the discomfort. c. Expanding air normally exits eustachian tube easily - seldom need to do anything during ascent. 2. Sinuses a. Sinuses are spaces in head connected to the nose that filter and moisturize air before it reaches lungs. b. Healthy sinuses have free air flow and normally equalize naturally during middle ear equalization. C. How do the lungs respond to changing pressure? 1. When scuba diving, normal breathing keeps lungs equalized to surrounding pressure. 2. When breath-hold diving, increasing pressure compresses lungs and reduces their volume - not normally a problem because they’re intended to change volume. D. Mask 1. Not a natural air space, but affects the body. 2. Exhale into mask through nose to keep mask equalized. 3. This is why divers cannot use goggles for diving - no way to equalize the air space. VI. Problems in Body Air Spaces A. What are barotrauma and squeeze? 1. Barotrauma means “pressure injury,” and results when a body air space isn’t equalized and pressure continues or increases. 2. An unequalized air space is also called a squeeze . B. What are the causes and physiologies of eardrum rupture, middle ear squeeze, reverse squeeze, ear plug problems, round window rupture and sinus squeeze? 3-92 How do the sinuses and lungs respond to changing pressure? DM DM 6 6 --33 33 Body Air Space Problems� Problems� � What are barotrauma � and squeeze? Three: Knowledge Development DM DM 6 6 --34 34 1. Middle ear squeeze - caused by failure to equalize or inability to equalize due to congestion (diving with a cold). a. Eardrum flexes inward from pressure. b. Hydrostatic pressure forces blood and fluid into middle ear until equilibrium is restored. c. Ears feel “full” and hearing is reduced (fluid dampens vibrations). d. Should be checked by an otolaryngologist (ears, nose and throat doctor). e. Prevented by equalizing, and stopping descent if unable to equalize. 2. Eardrum rupture - also caused by failure to equalize, but pressure increases faster than fluids can fill middle ear. Eardrum tears due to pressure. a. Diver feels momentary sharp pain, then relief. b. Usually heals without complication, but requires medical attention to prevent infection and permanent damage because water contaminates ear with organic matter and dirt. c. Prevented by equalizing, and stopping descent if unable to equalize. 3. What is vertigo, and what may cause it while diving? a. When the ear drum ruptures, cold water on vestibular canals may cause momentary vertigo - loss of sense of direction and dizziness. 4. Reverse squeeze - ears equalize on descent, but congestion at depth prevents air from escaping during ascent. Eardrum flexes outward. a. Feels like a squeeze, but happens during ascent. b. May help to pinch nose and inhale against it. c. Slow ascent and give air time to work itself out. d. Usually caused by diving with a cold using decongestants; decongestant wears off during dive causing blockage. e. Prevent by not diving with a cold. 5. Ear plug problems - ear plugs or a tight wet suit hood create an airspace between plug and eardrum that cannot be equalized. During descent, eardrum flexes toward earplug - unequalized space. a. Feels like middle ear squeeze. b. Eardrum can rupture outward if descent continues. Divemaster Course Instructor Guide 3-93 c. In rare cases, ear plug can be forced into ear canal. d. Prevent by not diving with ear plugs; if unable to equalize while wearing a hood, pull hood off ear momentarily and try again in case hood is sealing ear canal. 6. Round window rupture - caused by delayed equalization accompanied by forceful Valsalva equalization (exhaling against pinched nostrils). a. Pressure on eardrum presses in on ossicles, which press in on oval window on cochlea; round window flexes outward in response. b. Valsalva raises pressure in thorax, which causes increase in pressure in cochlea (connected by fluid as part of nervous system); this plus transmitted pressure bursts round window outward. c. This is a serious injury requiring medical treatment to avoid or reduce permanent hearing damage. d. Symptoms include reduced hearing, vertigo, balance problems, ear ringing, a feeling the ears are blocked. e. Prevented by: 1. Equalizing early and often. 2. Not equalizing forcefully - if having difficulty, ascend a bit and try again. 3. Using the Frenzel maneuver - using throat muscles to push air against pinched nose instead of using diaphragm to exhale against pinched nose. C. Sinuses 1. Sinus squeeze usually caused by diving with a cold. 2. Unequalized sinuses fill with blood and fluid during dive - may feel like sharp pain against eyes. 3. Upon ascent, expanding air pushes blood and fluid into nasal cavity - diver surfaces with blood in mask. 4. Usually not serious and heals on its own. Medical attention usually only required if pain is severe or extended. D. What is the cause and physiology of lung squeeze? 1. Lung squeeze - caused by breath-hold descent to a depth that reduces lung volume below residual vol3-94 Three: Knowledge Development ume - the lowest volume after exhaling all possible air. a. Not a problem if you descend with full lungs unless you go very deep. b. Can occur shallow if you descend with partially full or empty lungs. c. Lung squeeze causes fluid to accumulate in the lungs, however, this requires some time to become significant. d. Can be life threatening and require medical attention, but not likely in recreational diving. E. What are the causes and physiologies of the lung overexpansion injuries: air embolism, pneumothorax, mediastinal emphysema and subcutaneous emphysema? 1. Lung overexpansion injuries are usually caused by holding breath during ascent. They may also be caused by lung congestion when diving with a chest cold, or by local blockage due to loss of surfactant (due to smoking) which keeps bronchioles from adhering shut. In all cases, expanding air overexpands lungs causing lung rupture. 2. Air embolism - also called arterial gas embolism (AGE). Alveoli and pulmonary capillaries rupture, air enters bloodstream and flows into arteries. a. Serious and immediately lifethreatening - bubbles can lodge anywhere, but most common is to flow through the carotid arteries and cause cerebral air embolism. b. Signs and symptoms similar to stroke - dizziness, confusion, shock, paralysis, personality change, unconsciousness and death. c. Symptoms can vary depending upon where the bubbles go. 3. Pneumothorax - air from rupture goes between lung and chest wall, causing lung to collapse. a. Also serious. Symptoms include chest pain and patient may cough up blood. 4. Mediastinal emphysema - air from rupture accumulates in center of chest over heart. a. Serious, because air presses on heart and vessels, interfering with circulation. b. Patient may feel faint or short of breath. Divemaster Course Instructor Guide 3-95 5. Subcutaneous emphysema - air from rupture accumulates in soft tissues at base of neck. The victim feels fullness in neck and voice may change. The skin may crackle to the touch. 6. More than one of these injuries can occur simultaneously. 7. Avoid lung overexpansion injuries by breathing normally, not diving with chest congestion and by not smoking. If unable to quit smoking, avoiding smoking before diving may reduce risk. F. What are the recommendations and physiological rationales for lung overexpansion injury first aid and treatment? 1. First aid same as for DCS, hence the common term “decompression illness” for both. 2. Giving oxygen helps supply tissues deprived of blood flow by bubbles. 3. Treatment of air embolism requires recompression to reduce bubble size (as in DCS). 4. Pneumothorax requires removing air and reinflating collapsed lung. 5. Air from mediastinal and subcutaneous emphysemas dissipates over time; oxygen breathing may help. G. What are the cause and physiology of mask and dry suit squeezes? 1. Mask squeeze - caused by failure to equalize mask. a Tissues swell, forced into unequalized mask by pressure, capillaries in skin and eyes rupture. b. Looks very dramatic and severe, but generally clears without complications. 2. Dry suit squeeze - caused by failure to add air to dry suit on descent. a. May raise welts and cause severe pinches. b. Can constrict breathing and cause shortness of breath. 3. Avoid by equalizing mask and dry suit during descents. 3-96 What is the first aid and treatment for lung overexpansion injuries? ■ ■ First First aid aid is is identical identical to to DCS DCS –– oxygen, oxygen, lie lie level level on on left left side, side, head head supported, � supported, primary primary care, care, etc. etc. ■ ■ Treatment Treatment may may involve involve recompression recompression and and surgery surgery � for for pneumothorax pneumothorax DM DM 6 6 --38 38 What is mask squeeze and dry suit squeeze? ■ ■ Failure to equalize mask� mask� ◆ ◆ Swelling Swelling ffacial acial tissues tissues and and � capillary capillary rruptures uptures in in eyes� eyes� ■ ■ Failure to add air to dry � suit on descent� descent� ◆ ◆ Welts Welts and and pinc pinc hes� hes� ◆ ◆ Constricted Constricted br br eathing eathing Three: Knowledge Development DM 39 DM 6 6 --39 Topic 7 Dive Equipment Recommended Materials and Methods for Covering this Topic The recommended method for developing knowledge about dive equipment is to have candidates read the Equipment section of The Encyclopedia of Recreational Diving and complete the equipment section in the Diving Knowledge Workbook (or The Encyclopedia of Recreational Diving Multimedia). Have them consult the related objectives in the Appendix of the PADI Divemaster Manual to be sure they can meet all the performance requirements. After independent study, meet with candidates individually or in a group. Begin by reviewing their work in the Diving Knowledge Workbook, then answer candidate questions. Ask questions to assess mastery and review the material based on how they complete their workbooks. Use the presentation outline as a guide for a complete review. If The Encyclopedia of Recreational Diving and the Diving Knowledge Workbook don’t exist in a language candidates understand, you can develop knowledge by giving the following presentation in detail. Have examples of the equipment you’re discussing as training aids during your presentations. Presentation Overview and Learning Objectives I. Scuba cylinders Overview 1. How do you identify and what are the meanings of the following scuba cylinder marks: alloy designation, hydrostatic test date, working pressure and overpressurization designation? ■ ■ Scuba Cylinder s� s� ■ ■ Valves� Valves� ■ ■ Regulator s� s� ■ ■ Instruments � 2. What are the differences between steel and aluminum cylinder pressures, thickness and capacity? ■ ■ Enriched Air Equipment Considerations DM DM 77 -- 22 3. What are the steps and procedures of a hydrostatic test? 4. How does extreme heat affect a scuba cylinder, and what should you do if a scuba cylinder is exposed to extreme heat? 5. Why should a tank be visually inspected annually? II. Valves 6. What are the different types of tank valves? 7. What device prevents an over-pressurized cylinder from exploding, and how does it work? III. Regulators 8. What is meant by open circuit scuba, semiclosed circuit scuba and closed circuit scuba? Divemaster Course Instructor Guide 3-97 9. How does an open circuit regulator work? 10. What is meant by fail-safe with respect to regulators, and how does it work? 11. What are meant by upstream and downstream valves, and balanced and unbalanced regulators? 12. What is the purpose of a regulator environmental seal? IV. Instruments 13. What are the proper procedures for using dive computers in a buddy team? 14. What are the different operating principles for depth gauges, SPGs and compasses? 15. What are the options for carrying gauges? V. Enriched Air Equipment Considerations 16. What special equipment requirements and considerations do you have when diving with enriched air? Outline I. Scuba cylinders A. How do you identify and what are the meanings of the following scuba cylinder marks: alloy designation, hydrostatic test date, working pressure and over-pressurization designation? 1. Scuba cylinders have various markings stamped at the neck. These vary somewhat internationally, but typically include: [Have example cylinders present to show candidates the following marks.] a. The government agency responsible for supervision/approval of compressed gas containers. (e.g., in North America - DOT/CTC) b. The alloy designation. Steel will normally have a designation 3AA. Aluminum will normally be designated by 3AL. c. The working pressure. The specific working pressure is indicated by a numerical designation. Tanks that have a “+” designation after the current hydrostatic test date can be filled to 10 percent beyond their rated working pressure. d. The hydrostatic test date indicates both the date of hydrostatic pressure tests and the testing facility. A plus sign after the test date is the over-pres3-98 Three: Knowledge Development What are the st eps of a hydrostatic (pressure) t est? ■ ■ Tank Tank volume volume measured measured � ■ ■ Tank Tank pressuriz pressuriz ed ed beyond beyond normal normal working working pressure pressure � ■ ■ Pressure Pressure released released and and tank tank vv olume olume measured measured aa gain� gain� ■ ■ If If change change is is within within specified specified limits, limits, tank tank passes passes test test NOTE: NOTE: Specific Specific pr pr otocols otocols ma ma yy vary vary from from countr countr yy to to countr countr yy Cylinders DM DM 77 -- 55 Divemaster Course Instructor Guide surization designation, which means the cylinder may be filled 10 percent beyond the stamped working pressure. e. Tanks also have a stamped serial number and manufacturer’s designation. B. What are the differences between steel and aluminum cylinder pressures, thickness and capacity? 1. Virtually all scuba cylinders are made from steel alloy or aluminum alloy. 2. Steel alloys are stronger than aluminum for the same thickness, so steel scuba tanks have thinner walls and larger internal volumes for a given external size. This means that for a given size, they hold more air at a given pressure than aluminum, or the same air at a lower pressure. 3. Because aluminum is weaker than steel it requires a thicker wall and lower internal volume for a given external size. Typically, aluminum tanks have higher working pressures so they hold comparable or slightly more air than steel cylinders. Aluminum’s advantage is that it is less subject to structural weakening due to corrosion. C. What are the steps and procedures of a hydrostatic test? How does extreme heat affect a scuba cylinder, and what should you do if a scuba cylinder is exposed to extreme heat? 1. Many countries require periodic hydrostatic pressure testing to determine the structural integrity of cylinders. a. In the U.S., the test is required every five years. b. In the U.K., it is required every four years. 2. Although tests procedures vary from country to country, in general: a. The tester immerses the cylinder in water and measures its volume. b. The tester next fills the cylinder with water and pressurizes it to more than working pressure and measures the cylinder’s expansion. c. After releasing the pressure, the tester measures its new unpressurized volume against its original volume. d. If the tank contracts to within acceptable limits (as set by the government), the tank passes. [Provide local protocols if different.] 3-99 D. Certain circumstances can weaken tanks before a hydro test is required. Have tanks hydrostatically tested after exposure to any of the following conditions: 1. Tumbling (or sandblasting) to remove corrosion 2. Damage due to impact 3. Exposure to heat in excess of 82° C /180° F may affect the metals integrity. Never repaint a cylinder using a heat painting process such as that used on automobiles. 4. Left unused for two years or more (especially if with zero pressure) E. Why should a tank be visually inspected annually? 1. Visual inspection - an inspector examines the interior and exterior of a cylinder annually. This is done to check for damage or wear that may cause the cylinder to fail between hydrostatic tests. 2. The inspection is not required by law in most countries, but is an industry standard. 3. Removal of the valve during the test also enables lubrication, reducing problems from electrolysis due to the dissimilar metals of the valve and tank. O-rings may be replaced as needed, and the valve examined for overhaul if necessary. Hydrostatic t ests are necessary: ■ ■ At At regular regular inter inter vals vals specified specified � by by the the go government vernment � ■ ■ If If tank tank is is tumb tumb led led to to remo remo ve ve corr corrosion� osion� ■ ■ When When aa tank tank is is dama dama ged ged due due to to impact impact � ■ ■ After After aa tank tank is is ee xposed xposed to to heat heat in in � excess excess of of 82°C/180°F 82°C/180°F � ■ ■ If If the the tank tank is is left left un un used used for for � two two or or more more yy ears ears Cylinders Why should a tank be visually inspect ed?� ed?� � To check for damage or wear that may cause cylinder to fail Cylinders II.Valves A. What are the different types of tank valves? 1. The simplest tank valve is simply an on-off valve. This is referred to as a K valve, which is by far the most commonly used today. 2. A valve with a mechanical reserve is a J valve. It contains a spring-loaded mechanism that, if activated (by placing it in the “up” position) restricts the air flow when the pressure drops to between 20-40 bar (2000-4000kPa)/300-500 psi. a. This alerts the diver to low air. The diver pulls the lever into the “down” position, which releases the restricted air flow. The J valve is a warning device; it doesn’t provide any additional air volume. b. With the advent of the submersible pressure gauge, J valves began to disappear. In fact, when using a J valve, many divers often disable it by keeping it in the “down” position. c. Note that when filling tanks equipped with J 3-100 DM DM 77 -- 6 6 Three: Knowledge Development DM DM 77 -- 77 valves that they cannot be filled if the valve is in an “up” position. 3. Long popular in Europe, DIN (Deutsche IndustrieNorm) connectors are becoming more common. With the DIN system, the regulator screws into the cylinder valve, providing two primary advantages over the yoke screw design: a. A better seal between the tank and regulator valves due to the fact that the o-ring is actually trapped between the two valves. (The tank valve is “female” and the regulator connector is “male.”) b. Because the tank valve and regulator are secured by threads, the connection is much stronger than the yoke screw assembly. This makes DIN valves particularly popular among cave and wreck divers, who may accidentally strike the valve/regulator on overhead obstructions. c. This system, because of the superior o-ring positioning and strength, enables the use of much higher air pressures. B. What device prevents an over-pressurized cylinder from exploding, and how does it work? 1. A burst disk is required by law in many countries and installed into every valve to reduce the possibility that an overpressurized cylinder will explode. 2. It is a thin copper disk that ruptures and allows air to vent from the cylinder when the internal pressure reaches approximately 125 percent to 166 percent of the working pressure. 3. Because they weaken over time, you want to have these disks replaced regularly by a qualified equipment technician. Installing the wrong burst disk could result in the tank rupturing before the disk. Valves are equipped with burst disks � — a thin copper disk that ruptures if the tank pressure greatly exceeds � its working pressure Cylinders DM DM 77 -- 99 III. Regulators A. What is meant by open circuit scuba, semiclosed circuit scuba and closed circuit scuba? 1. There are three types of scuba - self contained underwater breathing apparatus. a. Open circuit scuba - scuba typically used by recreational divers. The diver inhales air from cylinder via a demand valve regulator and exhales it into the water, thus the circuit is open because none of the air is recycled. Divemaster Course Instructor Guide 3-101 b. Semiclosed circuit scuba - the diver inhales from a breathing bag that receives a steady flow of gas (usually enriched air). The diver exhales back into a breathing bag and the gas has carbon dioxide removed chemically - excess gas from the steady flow trickles out through a valve. The circuit is semi-open because part of the gas is recycled and part of it is released. c. Closed circuit scuba - the diver inhales from a breathing bag and diver exhales back into a breathing bag. The gas has carbon dioxide removed chemically and electronic sensors control flow of oxygen and other gases as required The circuit is closed because all gas is recycled and none released (except to vent expanding gas on ascent). 2. Though open circuit doesn’t recycle breathing gases, it is the main stay of recreational diving for several reasons. a. It much simpler in design, which makes it reliable and less costly. Closed and semiclosed are more prone to malfunctions. b. It is much easier to learn to use. c. It requires only a cylinder of air. Closed and semiclosed units require chemicals and access to pure gases or enriched air. d. It is much simpler to maintain and service. B. How does an open circuit regulator work? 1. The first stage reduces the high pressure delivered by the tank to an intermediate pressure (usually about 10-13 bar (1000-3000 kPa)/140-190 psi above the ambient water pressure). a. When the diver inhales, the air pressure in the first stage drops below the desired ambient pressure. This allows water pressure to flex a diaphragm or move a piston, opening a valve that releases air from the tank. b. Air flows as long as the diver inhales, keeping the first stage from reaching intermediate pressure. c. When the diver stops inhaling, the pressure rises in the first stage so that upon reaching intermediate pressure, the valve to the tank closes and air no longer flows. 2. The second stage reduces the intermediate air pressure to ambient pressure for breathing. 3-102 Three: Knowledge Development Define these t erms with respect to scuba regulators: ■ ■ Upstream - Downstream� Downstream� ■ ■ Fail-safe� Fail-safe� ■ ■ Environmental seal� seal� ■ ■ Balanced - Unbalanced Regulators DM DM 77 -- 13 13 Divemaster Course Instructor Guide a. When the diver inhales, water pressure pushes in a diaphragm in the second stage and opens the second stage downstream valve releasing air flow from the first stage. b. As long as the diver inhales, air continues to flow. c. When the diver stops inhaling, the diaphragm returns to its relaxed position and the valve closes. d. Exhaled air exits the second stage through oneway exhalation valves. e. On some second stage models, the diaphragm opens a small pilot valve, which creates a pressure imbalance that opens the main valve. 1. Advantage - less breathing effort 2. Disadvantage - more complex design difficult to service and adjust. C. What are meant by upstream and downstream valves? 1. Modern open circuit regulator valves have downstream design, meaning they open with the air flow (the pressure is trying to open the valve) rather than upstream, in which the valves open against the air flow (the pressure is trying to close the valve). 2. A malfunctioning downstream valve will permit continuous air flow (freeflow) rather than cut off air flow. 3. What is meant by fail-safe with respect to regulators, and how does it work? a. Freeflowing during a malfunction gives regulators a fail-safe design - it would fail in a safe manner in that it continues to provide air. Obviously the tank will exhaust quickly so the diver must ascend immediately. D. What is the purpose of a regulator environmental seal? 1. Normal air flow causes regulator temperature to drop (expanding gases have a lower temperature). 2. In extremely cold water (such as cold water deep diving, ice diving, etc.) the temperature drop can cause water to freeze regulator first stage valves into the open, freeflowing position. 3. To avoid freeflow in extremely cold water, some regulator first stages have environmental sealing. This seals silicone grease or oil, which don’t freeze, around the first stage. The silicone or oil transmits 3-103 the pressure from the water to the diaphragm or piston so the regulator operates normally. E. What are balanced and unbalanced regulators? 1. A regulator designed so that tank air pressure resists or assists the opening of valves in the first stage is called an unbalanced regulator. a. Less costly design b. Breathing characteristics change with cylinder pressure c. No longer commonly found 2. A regulator designed so that tank air pressure neither assists or resists the opening of valves is called a balanced regulator. a. Breathing characteristics unchanged with varying cylinder pressure. b. Virtually all modern regulators are balanced regulators. IV. Instruments A. What are the proper procedures for using dive computers in a buddy team? 1. Dive computers calculate remaining no decompression time by comparing the depth/time input to the limits of a programmed decompression model. 2. Practical considerations for using dive computers: a. Because buddy pairs are unlikely to dive exactly the same profile, each diver should have an individual computer. b. The buddy team should ascend based on the shortest times shown by any diver in the team. c. If a computer fails, and the divers have recorded their dive time, depths and surface intervals, it may be possible to continue diving using tables. Otherwise the diver must remain out of the water for at least 12 hours, or as specified by the computer manufacturer. d. The same guidelines that apply to dive table use, such as making deep dives before shallow dives, starting deep and working shallow, etc. apply to dive computers. B. What are the different operating principles for depth gauges, SPGs and compasses? 1. Depth gauges - there are several types, some in common use and some not as common 3-104 What are the procedures for using dive comput ers? ■ ■ Each Each buddy buddy should should � have have aa computer� computer� ■ ■ Buddies Buddies should should follow follow � the the most most conservative conservative dive dive time� time� ■ ■ All All dive dive table table guidelines guidelines (deeper (deeper dive/depth dive/depth first) first) and and manufacturer manufacturer recommendations recommendations apply apply DM DM 77 -- 14 14 Instruments Three: Knowledge Development What are the different types of depth gauges? ■ ■ Capillar Capillaryy — — open open tube tube � best best used used at at shallo shallo w w depths depths � ■ ■ Open Open bour bour don don tube tube — — tube tube straightens, straightens, moving moving the the depth depth needle needle � ■ ■ Oil-filled Oil-filled — — sealed sealed bour bour don don tube tube � ■ ■ Diaphra Diaphragm gm — — diaphra diaphra gm gm flexes, flexes, levers levers and and ggears ears move move needle needle � ■ ■ Digital Digital — — transducer transducer senses senses depth depth Instruments DM 15 DM 77 -- 15 How do submersible pressure gauges work? ■ ■ Mechanical Mechanical ((similar similar to to bourdon bourdon tube) tube) — high pressure pressure entering entering the the tube tube — high moves moves the the pressure pressure gaug gaug ee needle needle� ■ ■ Electronic — pressure pressure transducer transducer Electronic — � ■ ■ Hoseless Hoseless — — pressure pressure transducer transducer transmits transmits reading reading to to wrist wrist computer computer How do compasses work? Instruments DM 16 DM 77 --16 Divemaster Course Instructor Guide a. Capillary depth gauges are a simple piece of clear tubing, sealed at one end and open at the other, with depth increments indicated according to where the water column rests based on Boyle’s Law. They are inexpensive and reliable, though hard to read accurately much deeper than 10 metres/30 feet. b. Open bourdon tube gauges contain a spiral shaped tube. Water enters the tube end and increasing pressure causes tube to straighten somewhat. The straightening moves the depth gauge needle. Because the tube is open, clogging can be a problem with these devices. c. Oil-filled gauges also use bourdon tube design, but using a sealed tube in an oil-filled gauge housing. Pressure transmitted through the oil causes the tube to coil more tightly. This moves the depth gauge needle. The depth gauge is not open to the water and therefore not clog prone. d. Diaphragm gauges function by connecting a flexible diaphragm to a series of levers and gears that move the display needle. e. Digital gauges are electronic gauges that read depth via a transducer, which varies the electricity it transmits depending on the pressure exerted on it. These provide a digital display. These offer the highest degree of accuracy, and are used in dive computers to determine depth. C. Submersible pressure gauges (SPG) 1. The SPG works based on the same principle as the bourdon tube gauge - high pressure air from the cylinder enters a C shaped or spiral tube and causes it to straighten somewhat, causing the SPG needle to read the pressure. 2. Electronic SPGs use a pressure transducer similar to those in dive computers/electronic depth gauges. 3. SPGs may be integrated with dive computers. The most recent innovation is a transducer on the regulator that transmits the air pressure to a wrist-worn computer, eliminating the SPG hose. D. Compasses 1. North needle of compass always points to magnetic north because the needle is a magnet, aligned by the field of earth’s geomagnetism. 3-105 2. With most dive compasses, the diver reads direction directly against the needle, but new electronic compasses read the heading digitally. 3. Divers use liquid filled compasses so the gauge withstands pressure, and to dampen needle movement for easier reading. E. What are the options for carrying gauges? 1. Wrist mount - Diver straps gauges to the wrist. a. Useful for compact instruments. b. Most accurate placement for compass use other than hand holding it. c. More streamlined than console on chest, especially in overhead environments. d. May be more prone to entanglement in some instances (e.g., kelp diving.) 2. Console - Combines several instruments into a package on the SPG or may integrate several instruments into one, such as a pressure integrated dive computer. a. Speeds up dive preparation - no strapping on gauges. b. Keeps arms clear for easy donning/doffing. c. Console requires securing so it doesn’t drag and damage itself or environment. 3. Retractable mount - Gauge mount clips to BCD with spring wound retraction cord. The diver pulls out to read then retracts out of the way. a. Popular for hoseless computers with divers who don’t like wrist mount. b. Makes it convenient to hand-hold compass for greatest accuracy. What are the options for carrying gauges? ■ ■ Wrist mount � ■ ■ Console � ◆ ◆ Retractable Retractable mount mount Instruments V. Enriched Air Equipment Considerations A. What special equipment requirements and considerations do you have when diving with enriched air? 1. Because enriched air has more oxygen than air has oxygen, there is a greater potential for fire or explosion related to improperly cleaned equipment. 2. Diving with enriched air presents oxygen toxicity hazards not common to diving with air within recreational diving limits Divers must know they’re using enriched air, and what blend of enriched air they’re using. 3-106 Three: Knowledge Development DM 17 DM 77 -- 17 Enriched Air (EANx) Equipment Considerations ■ ■ Equipment Equipment needs needs to to be be cleaned cleaned to to oxygen oxygen service service specifications� specifications� ◆ ◆ Required Required b b yy most most man man ufacturer ufacturer ss when when using using more more than than 23% 23% O O ◆ ◆ Definitel Definitelyy required required with with � 22 � more more than than 40% 40% O O 22 continued... continued... DM DM 77 --18 18 EANx Equipment... ■ ■ Cylinders Cylinders require require special special marking� marking� ◆ ◆ Identifying Identifying band band � ◆ ◆ Visual Visual inspection inspection decal decal � –– oxygen oxygen cleaned cleaned� ◆ ◆ Content Content anal anal ysis ysis decal decal � ■ y� ■ Divers personally Divers must must personall analyze analyze their their cylinder cylinder content content DM 19 DM 77 -- 19 Divemaster Course Instructor Guide B. These concerns have led to the following industry guidelines involving equipment used with enriched air. 1. Most manufacturers require their equipment to be cleaned to oxygen service specifications if it will be exposed to more than 23 percent oxygen. 2. Some in the dive industry say that up to 40 percent oxygen requires no special cleaning or materials. a. This so-called “40 percent rule” is under debate and has yet to be settled. [Note to instructor: Inform candidates of the industry’s most current position on this issue, if different.] b. Follow manufacturer guidelines with respect to using equipment with enriched air. 3. Any piece of equipment that will be exposed to more than 40 percent oxygen requires special cleaning, lubrication and materials to meet oxygen service specifications. If such equipment is used with air from a standard source, it may need to be recleaned. 4. Enriched air cylinders require special marking: a. A 15cm/6in (approx.) band at the tank shoulder. The top and bottom of band should be a yellow 2.5cm/1in band with the center 10cm/4in green with the words “Enriched Air,” “Enriched Air Nitrox,” “Nitrox” or similar. Yellow cylinders need only the green/label portion. b. A visual inspection sticker stating the cylinder has been cleaned to oxygen service specifications, or not if enriched air will not be blended in the cylinder (partial pressure blending in the cylinder requires putting pure oxygen in the cylinder, even if final blend will have less than 40 percent oxygen). c. A contents sticker or tag identifying the current blend, the fill date, the blend’s maximum depth, and the analyzer/diver name. d. Local laws may alter or add to these requirements. C. Enriched air cylinders in the dive environment 1. Enriched air divers personally analyze the contents of their cylinders before using them. 2. On some dive boats, the normal practice is to grab any full cylinder available for the next dive - this isn’t appropriate with enriched air, which practice calls for divers to use the tanks they personally analyzed. 3-107 Topic 8 ‑ Decompression Theory and the RDP Recommended Materials and Methods for Covering this Topic The recommended method for developing knowledge about decompression theory and the Recreational Dive Planner is to have candidates read: 1. The Physiology section of The Encyclopedia of Recreational Diving, (or The Encyclopedia of Recreational Diving Multimedia). 2. The “Decompression Theory and the RDP” chapter of the PADI Divemaster Manual. 3. The Recreational Dive Planner section in the Diving Knowledge Workbook. Additional sources: • The Recreational Diver’s Guide to Decompression Theory, Dive Tables and Dive Computers will help candidates understand decompression models and the differences between how dive computers apply decompression models. • The “Decompression Management” section of The Best of the Undersea Journal features articles about decompression theory and the history and development of the RDP. After independent study, meet with candidates individually or in a group. Begin by reviewing their work in the Diving Knowledge Workbook, then an‑ swer candidate questions. Ask questions to assess mastery and review the material based on how they complete their workbooks. Use the presentation outline as a guide for a complete review. By the end of the course, candidates should have mastered calculating dive profiles using both the RDP table and the eRDPML. Have them consult the related objectives in the Appendix of the PADI Divemaster Manual to be sure they can meet all the performance requirements. This presentation outline includes only a RDP skills review to assess mas‑ tery. Candidates who need to refresh their skills may receive remediation under your direction. They can also independently use the Open Water Diver CD-ROM or RDP Instructions for Use booklets. If The Encyclopedia of Recreational Diving and the Diving Knowledge Workbook don’t exist in a language candidates understand, you can develop knowledge by giving the following presentation in detail. 3-108 Three: Knowledge Development Presentation Overview and Learning Objectives I. The Haldanean Decompression Model 1. Who is credited with developing the basic decompression model we use today in most computers and dive tables? Overview ■ ■ The The Haldanean Haldanean 2. Describe the structure and operation of a Haldanean model. Decompression Decompression Model Model ■ ■ US US Navy Navy Tables Tables and and Repetitive Repetitive Diving Diving ■ ■ The The Recreational Recreational Dive Dive Planner Planner 3. What are meant by compartment, halftime and Mvalue? ■ ■ Dive Dive Computer Computer ss ■ ■ Special Special Rules, Rules, Recommendations Recommendations and and Situations Situations ■ ■ RDP RDP Table Table and and Wheel Wheel Re Re view view 4. Why do you need to know your approximate altitude when diving? DM DM 8 8 -- 22 5. What is the relationship between the Haldanean model and the human body, and how far can you rely on a model? II. U.S. Navy Tables and Repetitive Diving 6. Why was the U.S. Navy (USN) table at one time the “standard” for recreational diving? III. The Recreational Dive Planner 7. What is the basis for the USN table’s repetitive diving surface interval credit, and why does the Recreational Dive Planner use a different basis? 8. For whom was the RDP developed, and how does its testing contrast with the testing of the USN table? 9. What effect does the RDP’s repetitive diving surface interval credit have compared to the USN tables? 10. Why are there two forms of the RDP? 11. Why can’t pressure groups from the RDP be used on the USN tables or any other tables? IV. Dive Computers 12. How do modern dive computers apply decompression models to provide more no decompression dive time? 13. How do computers compare with each other and the RDP with respect to surface interval credit and M-values? V. Special Rules, Recommendations and Situations Using the RDP and Computers 14. What are the general rules and recommendations Divemaster Course Instructor Guide 3-109 for diving with the Recreational Dive Planner, including for flying after diving, emergency decompression and omitted decompression? 15. What are the recommendations for diving with dive computers? VI. RDP Table and eRDPML Use Review 16. Demonstrate how to find a no decompression limit for a first and repetitive dive using both the RDP table and the eRDPML. 17. Demonstrate how to plan a multilevel dive using the eRDPML. 18. Using both the RDP table and the eRDPML, demonstrate how to calculate dive profiles for three or more repetitive dives. Outline I. The Haldanean Decompression Model A. Who is credited with developing the basic decompression model we use today in most computers and dive tables? 1. Virtually all dive tables and dive computers calcu‑ late no decompression limits and decompression stops (when needed) based on a Haldanean decom‑ pression model. 2. Haldanean models are named after John Scott Hal‑ dane, credited with developing the first such math‑ ematical decompression model and based on it, the first dive tables. a. British Royal Navy assigned Haldane to address and solve decompression sickness in Navy divers. b. Haldane knew of Paul Bert’s work, which showed that dissolved nitrogen causes DCS, but no one had developed a system for predicting DCS. c. Haldane experimented and produced his model and tables in 1906, his work was published in 1908 in the Journal of Hygiene. Modern Haldanean models differ little conceptually from the original model. B. Describe the structure and operation of a Haldanean model. 1. Haldane based his model on experiments and the following concepts: 3-110 Haldanean Decompression Model ■ ■ Model Model consists consists of of multiple multiple theoretical theoretical tissues tissues ■ ■ What What is is aa tissue tissue compar compar ◆ ◆ What What is is halftime halftime ? ? ◆ ◆ What What in in M-v M-v alue alue ? ? Three: Knowledge Development tment tment ? ? DM DM 8 8 -- 33 a. Upon descent to a given depth, nitrogen pressure in breathing air is higher than in the body, so nitrogen dissolves into body tissues. b. Given enough time, the body will saturate and absorb no more nitrogen at that depth. c. Upon ascent, nitrogen in the body (tissue pres‑ sure) is higher than surrounding pressure, caus‑ ing tissues to release nitrogen. d. The difference between the dissolved nitrogen pressure and the surrounding pressure (whether ascending or descending) is called the pressure gradient. e. On ascent, tissues can tolerate some gradient of high tissue pressure without DCS. f. If gradient exceeds acceptable limits, bubbles form causing DCS. g. DCS can be avoided by keeping the gradient within acceptable limits. C. What is meant by compartment, halftime and M-value? 1. Haldane discovered that different parts of the body absorb and release dissolved nitrogen at different rates. To account for the differences, Haldane con‑ structed a model consisting of multiple theoretical tissues: a. The tissues did not directly correspond to any par‑ ticular body tissue. b. Because they’re not actually corresponding to body tissues, it is more proper to call them compartments, or tissue compartments. c. Haldane’s original model had five compartments. Modern versions may have 14 or more compart‑ ments. 2. Each compartment has a halftime for the rate at which it absorbs and releases nitrogen. a. Halftime is the time, in minutes, for a particular compartment to go halfway from its beginning tissue pressure to saturation at a new depth, in exponential progression. b. After six halftimes the compartment is considered saturated (actually 98.4 percent saturated ‑ close enough for practical purposes). For simplicity tis‑ sue pressure is often expressed in msw/fsw gauge. Divemaster Course Instructor Guide 3-111 c. Halftimes are assigned in minutes ‑ Haldane’s ranged from 5 to 75 minutes. Modern models range from 3 to more than 600 minutes ‑ short halftime compartments are sometimes called fast tissues or fast compartments and those with longer halftimes are called slow tissue/compartments. Example ‑ A 5 minute halftime compartment will have how much tissue pressure 5 minutes after taken from the surface to 18 metres/60 feet in seawater? Answer: 9 msw/30 fsw of pressure (in one halftime, compartment goes half distance from begin‑ ning to new pressure). Example ‑ A 20 minute halftime compartment will have how much tissue pressure after 40 minutes at 24 msw/80 fsw? Answer: 18 msw/60 fsw of pressure 40 minutes = 2 halftimes for 20 minute halftime. After first halftime, pressure goes halfway = 12 msw/40 fsw. After second halftime, pressure goes halfway from 12 msw/40 fsw to 24 msw/80 fsw = 18 msw/60 fsw. Example ‑ How long would it take a 60 minute compart‑ ment to saturate to a given depth? Answer: 360 minutes (60 x 6 halftimes) 3. Besides differing in halftimes, each compartment has a different M-value. a. M-value is the maximum tissue pressure allowed in the compartment when surfacing to prevent exceeding acceptable gradient. [Note: there’s ac‑ tually different M-values for each compartment at each depth, but in no stop diving we only use the one that applies to the surface. b. The faster the compartment (shorter halftime), the higher the M-value (the more nitrogen it is allowed to have when surfacing); the slower the compartment, the lower the M-value. c. The M-value is determined by test dives showing what does and does not result in DCS or Dopplerdetectable bubbles. 3-112 Three: Knowledge Development 4. Why do you need to know your approximate altitude when diving? a. The M-value is calculated for surfacing at sea level; at an altitude higher than approximately 300 metres/1000 feet, the gradient may be too high unless you use altitude diving procedures. You need to know your approximate altitude when diving so you can adjust for the gradient us‑ ing high altitude diving protocols. 5. The model works by determining how much each compartment absorbs for a given depth and time; when any compartment reaches its M-value, the dive ends (or it becomes a decompression dive). a. On deeper dives, fast compartments usually reach M-value first ‑ this is why deeper dives have short no decompression limits. b. On shallower dives, the depth may be less than the M-value of some faster compartments. There‑ fore a slower compartment controls the dive and model allows more no decompression time. c. Compartment that reaches its M-value first is called the controlling compartment. D. What is the relationship between the Haldanean model and the human body, and how far can you rely on a model? 1. Haldanean models are mathematical extrapola‑ tions. 2. There is no direct relationship between model and the body. The relationship is implied based on actual dive data (tests and field experience). 3. Like all models, Haldanean models have limits of reliability. 4. You can only rely on a model as far as it has been shown to work in tests and by field experience. 5. Models are imperfect ‑ this is why divers learn from the beginning that there is always some risk of DCS, even within computer/table limits ‑ the actual inci‑ dence is less than 1 percent, but there is always some risk. US Navy T ables ■ ■ Developed Developed primaril primaril yy for for militar militar yy decompression decompression diving diving II. U.S. Navy Tables and Repetitive Diving ■ ■ The The “standar “standard” d” for for recreational recreational diving diving until until mid1980s mid1980s ■ ■ Surface Surface inter inter val val credit credit based based on on worst worst case case –– slo slo west west compar compar tment tment halftime halftime of of 120 120 min min utes utes DM DM 8 8 -- 44 Divemaster Course Instructor Guide A. Haldane’s tables were well accepted, but the U.S. Navy revised the model and tables periodically to meet changing needs and to keep up with new information. 3-113 B. The 1950s revision (current U.S. Navy tables) had two important differences from original Haldane model and tables: 1. Six compartments were used with a longest halftime of 120 minutes based on Navy data that there were even slower body areas to consider. 2. Credit for surface interval for repetitive diving added ‑ previously, all dives in 24 hours were added togeth‑ er and treated as a single dive. C. Why was the U.S. Navy (USN) table at one time the “standard” for recreational diving? 1. The U.S. Navy tables were developed primarily for military decompression diving, but they became vir‑ tually the standard in recreational diving until the mid-1980s for several reasons: a. Before computers, developing a table was a te‑ dious process that had to be computed by hand. Few outside the Navy had the resources or ability to produce tables. b. Many early sport divers began as military divers, bringing the USN tables with them. c. The USN tables were widely available and public domain, allowing publishers to reproduce and rearrange them. d. Though they weren’t ideal for recreational divers, they could be relied on when following accepted conservative diving practices. D. Repetitive Diving 1. The rise of Navy scuba diving created a need for repetitive diving that allowed longer repetitive dives based on credit for time at the surface. 2. On the Haldanean model, in pure math all com‑ partments would lose nitrogen at their normal half‑ time (e.g., a 5 minute compartment would be free of nitrogen after 30 minutes or 6 halftimes at surface; a 10 minute compartment would be free after 60 minutes or 6 halftimes at surface, etc.) 3. However, you can’t make a usable table this way because any compartment could control a repetitive dive, depending on the first dive, the surface inter‑ val and the second dive. 4. To solve this, U.S. Navy designed its surface interval credit based on the worst case ‑ a dive may be pre‑ ceded by a decompression dive, so the slowest com‑ partment (120 minutes halftime) controls. 3-114 Three: Knowledge Development 5. In effect, all compartments turn into 120 minute compartments at the surface and all repetitive dive credit is based on this worst-case approach. This is why it takes 12 hours (720 minutes ‑ 6 halftimes) to be “clean” with the USN tables. 6. USN tested its tables and repetitive dive procedures using Navy divers and released them for fleet use. a. Subjects were male, reasonably fit, primarily in 20s and 30s. b. Test criteria were bends/no bends. III. The Recreational Dive Planner Recreational Dive Planner (R DP) ■ ■ Proposed Proposed in in the the early early 1980s 1980s by by Dr. Dr. Raymond Raymond Rogers Rogers ◆ ◆ Believed Believed 120 120 min min ute ute surface surface inter inter val val credit credit was was too too long long ◆ ◆ USN USN tab table le were were tested tested on on militar militar yy personnel, personnel, not not recreational recreational diver diver ss ◆ ◆ Doppler Doppler Flo Flo w w meter meter sho sho wed wed silent silent bubbles bubbles at at USN USN tab tab le le limits limits DM DM 8 8 -- 55 Working with DS AT (Diving Science and T echnolog y), Dr. Rogers developed the R DP Testing occurred at the Institut e of Applied T echnolog y (IAP M) with Dr . Michael P owell as the principle investigator DM DM 8 8 -- 6 6 Divemaster Course Instructor Guide A. What is the basis for the USN table’s repetitive diving surface interval credit, and why does the Recreational Dive Planner use a different basis? 1. In the mid-1980s, Dr. Raymond E. Rogers, a PADI Divemaster, recognized that the USN tables, while having a good track record, might not be ideal for recreational diving a. The 120 minute surface interval credit, while appropriate for repetitive decompression diving, seemed excessively conservative for recreational divers, who make only no decompression dives. b. The USN tables were made for Navy divers, but this test group didn’t fully reflect the demograph‑ ics of recreational divers, who include females and ages above and below the Navy’s. c. Doppler ultrasound flow meters had come into being and they showed that silent bubbles of‑ ten formed at USN table limits, suggesting lower M-values (which would reduce single dive no decompression limits) might be more appropriate for nonmilitary diving. B. For whom was the RDP developed, and how does its testing contrast with the testing of the USN table? 1. Working with DSAT (Diving Science & Technology ‑ a corporate affiliate of PADI) Rogers developed the RDP. It was tested in 1987 and 1988 at the Institute of Applied Physiology and Medicine (IAPM) with Dr. Michael R. Powell the principal investigator. 2. Testing during 1987 and 1988: a. Established the 60 minute surface interval credit concept. 3-115 b. Was first extensive testing of multilevel diving. c. Included broader demographic test subjects ‑ more like recreational diver population. d. Was based on limiting Doppler detectable bub‑ bles, not just bends/no bends. e. Multiday testing successfully tested RDP making 4 dives daily for 6 days (though diving more conser‑ vatively is recommended) C. What effect does the RDP’s repetitive diving surface interval credit have compared to the USN tables? 1. Dr. Rogers found that the 120 minutes halftime for surface interval was too conservative for no stop div‑ ing, a 60 minute halftime was more appropriate. a. This means that it offers about twice as much credit for surface interval time than the USN tables. 2. The RDP model has 14 compartments ranging from 5 to 480 minute halftimes. 3. Surface interval credit is based on 60 minutes wash‑ out. The WX, YZ rules make sure slower compart‑ ments remain within accepted limits. D. Dr. Rogers lowered the M-values to match recent Dop‑ pler data. The RDP offers more repetitive dive time, but its maximum allowed nitrogen loading is lower. 1. Limits sometimes called “Spencer” limits after physi‑ ologist who first proposed them. E. Why are there two forms of the RDP? 1. Table version introduced for those more comfortable with a table format. 2. The eRDPML offers multilevel diving, more precision and is easier to use. F. Why can’t pressure groups from the RDP be used on the USN tables or any other tables? 1. The RDP has more pressure groups than Navy tables. Pressure Group letters designate theoretical nitrogen levels based on the model and since USN and other tables use different models, letters are not interchangeable between RDP, USN tables or any other tables. 2. You can interchange letters between different ver‑ sions of the RDP. . 3-116 R DP Charact eristics ■ ■ Model Model uses uses 14 14 compartments compartments ■ ■ Maximum Maximum allowed allowed nitrogen nitrogen loading loading (M-values) (M-values) lower lower than than USN USN tables tables ◆ ◆ Shorter Shorter initial initial no no decompression decompression limits limits ■ ■ Surface Surface interval interval credit credit based based on on 60 60 minute minute washout washout ◆ ◆ Longer Longer allowed allowed repetitive repetitive dive dive times times DM DM 8 8 -- 77 Two V ersions Multilevel Multilevel diving diving Pressure group designations are NOT interchangeable with other dive tables Three: Knowledge Development DM DM 8 8 -- 8 8 IV. Dive Computers Dive Comput ers ■ ■ Computers Computers essentially essentially write write custom custom dive dive tables tables for for exact exact dives dives ◆ ◆ Eliminates Eliminates rr ounding ounding ◆ ◆ Longer Longer dive dive times times DM DM 8 8 -- 99 How do dive comput ers compare to the R DP? ■ ■ Three Three groups groups ◆ ◆ Spencer Spencer limits, limits, EE EE washout washout ◆ ◆ Spencer Spencer limits, limits, 60 60 min minute ute washout washout ◆ ◆ Buhlmann Buhlmann limits, limits, EE EE washout washout DM DM 8 8 --10 10 Divemaster Course Instructor Guide A. How do modern dive computers apply decompression models to provide more no decompression dive time? 1. Dive computers offer the maximum bottom time es‑ sentially by writing a custom dive table for the exact dive ‑ eliminates unnecessary rounding and there‑ fore more dive time. B. How do computers compare with each other and the RDP with respect to surface interval credit and M-values? 1. Spencer limits, EE washout a. Approximately same M-values as RDP b. All compartments release theoretical nitrogen at the surface at their underwater halftime rate (EE stands for “exponential ‑ exponential” ), as com‑ pared to the RDP, which releases theoretical nitro‑ gen at the 60 minute rate for all compartments of 60 minutes or faster. c. This washout means these computers can permit dives beyond what has been tested to work ‑ e.g., 3 dives to 40 metres/130 feet in a row for 10 min‑ utes each with only 30 minutes between them. d. This washout is not a problem if divers avoid multiple deep dives with short surface intervals (generally not recommended whether using a computer or not). 2. Spencer limits, 60 minute washout a. Based on data for RDP b. At surface, all compartments 60 minutes and faster wash out at 60 minute rate; all slower com‑ partments wash out at their underwater halftime rate (like the RDP). c. Dives very similar to what RDP model allows. 3. Buhlmann limits, EE washout a. Further reduced M-values (based on work of Dr. Buhlmann). b. All compartments wash out at their underwater halftime rate. c. With reduced M-values, repetitive dives similar to what RDP data supports, though repetitive deep dives with short surface intervals may still permit dives beyond what has been tested to work. 3-117 C. Spencer, 60 minute washout and Buhlmann, EE wash‑ out seem to be the most popular types of computers. V. Special Rules, Recommendations and Situations Us‑ ing the RDP and Computers Note and Reminder: Because people differ in their susceptibility to DCS, no decompression table or computer can guarantee that DCS will never occur, even though a dive is within the limits of the table. Never “push” any computer or table to or beyond its limits. A. What are the general rules and recommendations for diving with the Recreational Dive Planner, including for flying after diving, emergency decompression and omitted decompression? 1. When planning a dive in cold water or under condi‑ tions that may be strenuous, plan the dive assuming the depth is 4 metres/10 feet deeper than it actual. 2. Plan repetitive dives so each successive dive is to the same or a shallower depth. Don’t follow a dive with a deeper dive. Plan your deepest dive first. 3. Limit maximum depths in consideration of training and experience. (Scuba Divers: 12 metres/40 feet; Open Water Divers: 18 metres/60 feet; divers with greater training and experience: 30 metres/100 feet; no dive in excess of 40 metres/130 feet.) 4. Multiple Repetitive Dives ‑ use when planning three or more dives in a day. a. If the ending pressure group after any dive is W or X, the minimum surface interval between all subsequent dives is 1 hour. b. If the ending pressure group after any dive is Y or Z, the minimum surface interval between all subsequent dives is 3 hours. 5. Limit repetitive dives to 30 metres/100 feet or shal‑ lower. 6. The 42-metre/140-foot designation on the Recre‑ ational Dive Planner is for emergency purposes only; do not dive deeper than 40 m/130 ft. 7. If you discover you have accidentally descended below 40 metres/130 feet, immediately ascend (at a rate not to exceed 18 metres/60 feet per minute) 3-118 Special Rules, Recommendations and Situations DM DM 8 8 -- 11 11 Rules ■ ■ Cold/stren Cold/stren uous uous dives dives –– plan plan as as if if 4m/10ft 4m/10ft deeper deeper than than actual actual ■ ■ Each Each successive successive dive dive is is to to the the same same or or shallo shallo wer wer depth depth xperience xperience ■ ■ Multiple Multiple repetitive repetitive dives dives ■ ■ Limit Limit depth depth to to training training and and ee ◆ ◆W W or or X X –– 11 hour hour surface surface interval interval on on all all subsequent subsequent dives dives ◆ ◆Y Y or or Z Z –– 33 hour hour surface surface interval interval on on all all subsequent subsequent dives dives continued... continued... DM DM 8 8 --12 12 Rules... ■ ■ Repetitive Repetitive dive dive limit limit –– 30m/100ft ■ ■ Maximum Maximum limit limit –– 40m/130ft ◆ ◆ Accidentall Accidentall yy deeper? deeper? ✚ ✚ Make Make an an emer emer gency gency decompression decompression stop stop for for 8 8 minutes minutes at at 5m/15ft 5m/15ft ✚ ✚ Do Do not not dive dive aa gain gain for for at at least least 6 6 hours hours Three: Knowledge Development DM DM 8 8 --13 13 Safety Stops ■ ■ Recommended Recommended after after every every dive dive ■ ■ Required Required after: after: ◆ ◆ Any Any dive dive to to or or deeper deeper than than 30m/100ft ◆ ◆ Any Any dive dive made made within within 3 pressure pressure gr gr oups oups of of NDL NDL ◆ ◆ Any Any dive dive reac reac hes hes any any limit limit on on the the RDP RDP DM DM 8 8 --14 14 Emergency Decompression ■ ■ 8 minutes minutes at at 5m/15ft 5m/15ft when when limit limit is is exceeded exceeded by by 55 minutes minutes or or less less ■ ■ 15 minutes minutes at at 5m/15ft 5m/15ft (or (or as as long long as as air air supply supply permits) permits) when when limit limit is is exceeded exceeded by by more more than than 55 minutes minutes DM DM 8 8 --15 15 Divemaster Course Instructor Guide to 5 metres/15 feet, and make an emergency decompression stop for 8 minutes. If the no decompression limit for 40 metres/130 feet is NOT exceeded by more than 5 minutes. Do not dive again for 6 hours. B. Safety stops 1. You are encouraged to make a safety stop for 3 minutes at 5 metres/15 feet after every dive. (The time spent at a safety stop need not be added to the bottom time of the dive.) 2. Always make a safety stop: a. After any dive to 30 metres/100 feet (or greater). b. Any time you will surface within 3 pressure groups of your NDL. c. When a dive is made to any limit of the RDP. 3. PADI S.A.F.E. (Slowly Ascend From Every dive) Cam‑ paign a. This project resulted from PADI’s leadership role in encouraging slower ascent rates among sport divers. [Refer to sidebar article “Be a S.A.F.E. Div‑ er” in section Four of the PADI Open Water Diver Manual.] C. Emergency decompression 1. An emergency decompression stop for 8 minutes at 5 metres/15 feet must be made if a no decompression limit is accidentally exceeded by 5 minutes or less. • Upon surfacing, the diver must remain out of the water at least 6 hours prior to making another dive. 2. If a no decompression limit is exceeded by more than 5 minutes, a 5 metre/15 foot decompression stop of no less than 15 minutes is required (air sup‑ ply permitting). • Upon surfacing, the diver must remain out of the water at least 24 hours prior to making another dive. 3. Decompression is considered an emergency proce‑ dure. The RDP should never be used for decompres‑ sion diving purposes or when breathing a gas other than air or enriched air with special procedures. 4. Inwater recompression ‑ treating DCI by putting the diver back underwater shouldn’t be attempted. Recompression requires long durations, oxygen, and often drug therapy. Normally the required resources 3-119 aren’t available at a dive site, and incomplete recom‑ pression will usually make the diver even worse. D. Omitted decompression 1. If an emergency decompression stop is mistakenly omit‑ ted, do not reenter the water for at least 24 hours. 2. Rest, be alert for any signs or symptoms of DCS. 3. Breathe pure oxygen. 4. Seek medical assistance if signs or symptoms occur. E. Altitude considerations 1. Because depth at altitude must be converted into a theo‑ retical equivalent depth at sea level, special procedures must be implemented when using the RDP at altitudes over 300 metres/1000 feet. 2. Special training is advised when diving at high altitudes. F. Flying and ascending to altitude after diving recommenda‑ tions. (These recommendations apply to altitudes between 600-2400 metres/2000-8000 feet.) 1. For a single dive within the no decompression limit, a minimum preflight surface interval of 12 hours is sug‑ gested 2. For repetitive dives and/or multiday dives, a minimum preflight surface interval of 18 hours is suggested. 3. For dives requiring decompression stops, a minimum preflight surface interval greater than 18 hours is sug‑ gested. G. What are the recommendations for diving with dive computers? 1. Divers should not attempt to share a diver computer. Use the same computer throughout the diving day ‑ it must keep up with all dives and surface intervals. 2. Keep these points in mind: a. Computers and tables have same theoretical basis ‑ nothing makes one better or safer. b. Therefore, same guidelines apply (e.g., don’t make deep dives after shallow dives, etc.) 3. Follow all manufacturer recommendations. 4. End the dive based on the most conservative computer in the buddy team. 5. If a computer fails: a. Ascend immediately according to the manufacturer’s instruction. If there is no recommendation, immedi‑ ately ascend slowly and make a safety stop at 5 metres/15 feet. If there’s any question as 3-120 Omitt ed Decompression ■ ■ Do Do not not reenter reenter the the water water ■ ■ Do Do not not dive dive for for at at least least 24 24 hours hours ■ ■ Monitor Monitor for for signs signs or or symptoms symptoms of of DCS DCS ■ ■ Breathe Breathe oxygen oxygen and and seek seek medical medical assistance assistance if if signs/symptoms signs/symptoms occur occur DM DM 8 8 --16 16 Altitude Considerations Special procedures must be implement ed when using the R DP at altitudes great er than 300m/1 000ft DM DM 8 8 -- 17 17 Flying Aft er Diving ■ ■ Wait Wait aa minim minim um um surface surface inter inter val val of of 12 12 hours hours prior prior to to ascent ascent to to altitude altitude in in aa commer commer cial cial jet jet airliner airliner (altitude (altitude up up to to 2400m/8000ft) 2400m/8000ft) ■ ■ Divers Divers who who plan plan to to make make dail dail y, y, multiple multiple dives dives for for several several da days ys or or make make dives dives that that require require decompression decompression stops stops should should take take aa special special precaution precaution — an e xtended surface inter — an e xtended surface inter val val beyond beyond 12 12 hour hour ss before before flight flight DM DM 8 8 --18 18 What should you do if your comput er fails? ■ ■ Slowly Slowly ascend ascend to to 5m/15ft 5m/15ft and and make make aa safety safety stop stop — — ee xtended xtended ifif necessar necessar yy ■ ■ If If your your dive dive pr pr ofile ofile is is within within no no stop stop limits, limits, you you may may be be ab able le to to resume resume diving diving using using the the RDP RDP ■ ■ If If not, not, stay stay out out of of the the water water accor accor ding ding to to man manufacturer ufacturer recommendations recommendations — — usuall usuall yy 12 12 to to 24 24 hour hour ss Three: Knowledge Development DM DM 8 8 --19 19 to whether you may have accidentally exceeded the no decompression limits, make the stop as long as possible with the air you have. b. If you have been tracking your profiles with tables and are within no stop limits, you may be able to resume diving using tables. c. Otherwise, remain out of the water according to manufacturer recommendations before resuming diving with tables or another computer. This is usually 12 to 24 hours. VI. RDP Table and eRDPML Use Review R DP Wheel Review DM DM 8 8 --20 20 Note to instructor: Candidates should be familiar with the RDP, but you may want to review its use to assure leadership-level mastery. Candidates should be able to perform the following listed procedures. Work through examples to assess learning, to review and remediate as necessary. • Demonstrate how to find a no decompression limit for a first and repetitive dive using both the RDP table and the eRDPML. • Demonstrate how to plan a multilevel dive using the eRDPML. • Using both RDP table and the eRDPML, demonstrate how to calculate dive profiles for three or more repetitive dives. R DP Table Review DM DM 8 8 --21 21 Divemaster Course Instructor Guide A. Find NDL. B. Find Pressure Group after a dive. C. Find new Pressure Group after surface interval. D. Find adjusted NDL and RNT (Table). E. Find TBT (Table) and new Pressure Group after a re‑ petitive dive. F. Find all of the above for dive profile with three or more repetitive dives. G. Find next level depth for a multilevel dive. (eRDPML) H. Find NDLs for each level on multilevel dive. (eRDPML) I. Apply the WX-YZ rules. J. Find the minimum surface interval required for a re‑ petitive dive of given bottom time and depth. 3-121 Topic 9 – Divemaster Conducted Programs Recommended Materials and Methods for Covering this Topic The recommended method for developing knowledge about programs PADI Divemasters can conduct independently is to have candidates read sections of the PADI Instructor Manual that apply to those programs. Then conduct this presentation, referencing those sections as you highlight standards and other information needed when conducting the program. Also cover changes announced in the Training Bulletin that may apply and have candidates write these changes into their PADI Instructor Manual. Remind candidates that they will be practicing one of these programs during Required Training Exercise 3 - Divemaster Conducted Program, so they need to know how to find this material (not necessarily memorize). The presentation outline suggests points that you can apply to all PADI Divemaster conducted programs. Repeat the outline for each program. At this writing, Discover Snorkeling, Skin Diver, Discover Local Diving, Scuba Review, Discover Scuba Diving and PADI Scuba Diver are the programs you’ll cover under this topic. Presentation Overview and Learning Objectives I. Finding the program in the PADI Instructor Manual. 1. Demonstrate how to find standards and related information in the PADI Instructor Manual. II. Standards and Ratios 2. In the PADI Instructor Manual, differentiate between requirements (standards) that you must adhere to when conducting a PADI program, and supporting material/recommendations. 3. Find the performance requirements and explain why it’s important to state these for participants. Overview ■ ■ Finding Pr ograms in the ■ ■ Standards and Ratios � ■ ■ Administrative Requirements � ■ ■ Marketing DM DM 99 -- 22 4. Find the maximum ratio of participants to PADI Divemaster. 5. List materials required and recommended when conducting the program. III. Administrative Requirements 6. Complete administrative requirements (Liability Release and Express Assumption of Risk, PIC, etc.) 7. State the annual renewal requirements for PADI Divemasters. 3-122 � PADI Instructor Man ual� ual� Three: Knowledge Development 8. State the professional liability insurance requirements for PADI Divemasters conducting the program. IV. Marketing 9. State who the program is intended for (audience) and explain the program’s approach and philosophy. 10. List and explain suggested marketing and promotional tips for the program. Outline What programs can P ADI Divemasters conduct? ■ ■ Skin Skin Diver Diver course� course� ■ ■ Discover Discover Snorkeling� Snorkeling� [Go through outline for each program.] ■ ■ Discover Discover Local Local Diving� Diving� ■ ■ Scuba Scuba Review� Review� I. Finding the program in the PADI Instructor Manual. ■ ■ Discover Discover Scuba Scuba Diving Diving � — — subsequent subsequent dives dives � A. Demonstrate how to find standards and related information in the PADI Instructor Manual. B. Identify relevant sections in General Standards and Procedures. ■ ■ PADI PADI Scuba Scuba Diver Diver � — — super super vise vise recreational recreational dives dives DM DM 99 -- 33 II. Standards and Ratios A. Differentiate between requirements (standards) that you must adhere to when conducting a PADI program, and supporting material/recommendations. 1. Boldface text 2. Nonbold recommendations B. Find the performance requirements and explain why it’s important to state these for participants. 1. Participants must meet these before continuing in the program. 2. Stating objectives for participants helps them learn by showing them clearly what they’re trying to do. a. Not necessary to read objectives verbatim (though may be acceptable). b. [Give examples by reading objectives as found in the Instructor Manual, then stating them as you would for program participants.] C. Find the maximum ratio of participants to PADI Divemaster. D. List materials required and recommended when conducting the program. Divemaster Course Instructor Guide 3-123 III. Administrative Requirements [Have samples of all forms that candidates can practice filling out and reviewing for completeness.] A. Complete administrative requirements (Liability Release and Express Assumption of Risk, PIC, etc.) B. Form completion practice [Cover filling out PIC Envelopes for the PADI Skin Diver course in detail.] C. State the annual renewal requirements for PADI Divemasters. 1. PADI Members renew their memberships annually with their PADI Office. They sign an annual renewal and license agreement and pay annual membership dues. D. State the professional liability insurance requirements for PADI Divemasters conducting the program. 1. When programs are conducted independently by a PADI Divemaster, Professional Underwater Liability Insurance is required in many territories. [Explain local requirements, emphasizing that insurance is always recommended even if not required, and that insurance requirements may change if candidates relocate.] You must renew your PADI Membership and carry professional liability insurance (where applicable) to conduct these programs DM DM 99 -- 44 IV. Marketing A. State who the program is intended for (audience) and explain the program’s approach and philosophy. 1. This information is usually found in the introduction to Instructor Guide. 2. [Review material in PADI Instructor Manual for each program. Be sure candidates understand the intended participants and the conduct philosophy behind each program. For example, candidates need to recognize that Discover Snorkeling differs from the PADI Skin Diver course, etc.] B. List and explain suggested marketing and promotional tips for the program. 1. Developing marketing/promotion methods [Review material in the PADI Instructor Manual for each program.] a. Consult The Undersea Journal, The Business of Diving, and other business-oriented material from 3-124 Let’s review the appropriate sections in your PADI � Instructor � Manual Three: Knowledge Development Professional Professional Association Association of of Diving Diving Instructors Instructors Instructor Manual DM DM 99 -- 55 PADI Skin Diver Course ■ ■ Course Course Goals� Goals� ■ ■ Standards� Standards� ■ ■ Course Course Overview� Overview� ■ ■ Open Open Water Water Dive Dive � (optional)� (optional)� ■ ■ Filling Filling out out the the PIC PIC envelope� envelope� ■ ■ How How can can you you market market this this program? program? DM 6 DM 99 -- 6 Scuba Review PADI for general marketing information, and for information specific to each program. b. Coordinate with your dive operation. Dive operations often has specific marketing objectives and strategies that you can draw from in promoting the programs you can conduct. c. Think about for whom each program is intended and pursue groups of such individuals. 2. Examples: a. Skin Diver course - for serious free divers, people wanting more vigorous exercise. Also useful for children too young for scuba certification when parents take Open Water Diver course. Promote in health clubs, summer camps, teen organizations. b. Discover Snorkeling - suitable for travel and tour groups, popular with all age groups, good as a relaxing way to enjoy the water and as a swimming activity for exercise Promote in health clubs and with outdoors-oriented organizations. c. Scuba Review - bring inactive diving friends or new divers into diving. Promote in resort destinations where inactive divers discover opportunities to dive. Also at travel agencies, tour groups, etc. ■ ■ Why?� Why?� ■ ■ Divemaster’s Divemaster’s role� role� ■ ■ Standards� Standards� ■ ■ Knowledge Knowledge Review� Review� ■ ■ Confined Confined Water Water Skill Skill Review� Review� ■ ■ Recognition� Recognition� ■ ■ How How can can you you market market this this program? program? DM DM 99 -- 99 Discover Scuba Diving ■ ■ Standards� Standards� ◆ ◆ What What can can cer cer tified tified � assistants assistants do? do? PADI Scuba Diver ■ ■ Diver Diver qualifications� qualifications� ■ ■ Depth Depth recommendation� recommendation� ■ ■ How How can can you you market market your your � services services to to these these divers? divers? DM DM 99 --10 10 Divemaster Course Instructor Guide 3-125 Topic 10 - Risk Management Recommended Materials and Methods for Covering this Topic This section introduces candidates to principles of risk management as it relates to the immediate duties they’ll have as PADI Divemasters. It is recommended that you have candidates read The Law and the Diving Professional, if available in a language they understand. The risk management and quality assurance articles in The Best of the Undersea Journal are also good references. Refer candidates to the Quality Management and risk management discussions in the General Standards and Procedures Guide of the PADI Instructor Manual. The presentation outline covers the basic risk management principles found most commonly in legal systems. As appropriate, cover details specific to risk management that apply to the local area, or the area where candidates will be functioning as PADI Divemasters. Presentation Overview and Learning Objectives I. Definition of Risk Management 1. What is meant by risk management? II. Legal Risk Management 2. What are meant by duty of care and negligence in most legal systems? Overview 3. Why is it recommended that you carry professional liability insurance, even when you plan to function exclusively as an assistant working under a PADI Instructor? 4. What is the most important step you can take to manage legal risk? ■ ■ Definition of Risk Mana ■ ■ Quality Mana gement — Recognition and Assurance � ■ ■ Personal Health and Saf ety DM DM 10 10 -- 22 5. Why does adhering to standards help you reduce legal risk? 6. What role does good judgment play in reducing legal risk? 7. What is the role of proper paperwork and administration in reducing legal risk? 8. In the event of a dive accident, besides giving priority to taking all steps you can to handle the emergency, what should you do from a legal risk management point of view? 3-126 gement� gement� ■ ■ Legal Risk Mana gement� gement� Three: Knowledge Development III. Quality Management - Recognition and Assurance 9. How does the Quality Management process help you reduce legal risk? 10. What are the steps in the Quality Management process? IV. Personal Health and Safety 11. What are five suggestions to help you manage risks to your health and safety as a divemaster? Outline What is meant by � risk management?� management?� � I. What is meant by risk management? A. Risk management is the process of reducing risks you face while acting within your capacity as a PADI Divemaster. The goal of risk management is to increase the safety for divers and you by avoiding accidents for all involved, and by reducing legal risk for you as a dive leader. B. Risk management can be divided into two broad areas that you need to address: 1. Legal risk - dealing with sources of liability 2. Your personal health and safety Increasing safety and avoiding accidents � to reduce risk DM DM 10 10 -- 33 II. Legal Risk Management What is duty of care ? ■ ■ The The expectation expectation to to act act as as aa reasonably reasonably prudent prudent divemaster divemaster would would act act under under the the same same or or similar similar circumstances� circumstances� � � What is negligence ? � ■ ■ Failure Failure to to meet meet aa duty duty of of care care DM DM 10 10 -- 44 Divemaster Course Instructor Guide A. Functioning as a leadership-level diver who supervises others entails some legal risk. B. What are meant by duty of care and negligence in most legal systems? 1. Under most legal systems, you have a duty of care - to act as a reasonably prudent divemaster would act under the same or similar circumstances - to those you supervise. a. Since diving is a risk-taking activity, a divemaster doesn’t and can’t ever guarantee diver safety. There is always some residual risk of serious harm or death, despite the divemaster’s best efforts, and divers must accept this risk if they intend to dive. 2. The act of failing to meet a duty of care is negligence under most legal systems. 3. In the event of an accident, if a lawsuit is filed, the suit usually alleges that as a divemaster you had a duty of care and were negligent. 3-127 4. Under most legal systems, if you are found in court to have been negligent, and your negligence is the direct cause of an accident that causes injury, property destruction or death, then you are liable and will owe damages (compensation). B. Why is it recommended that you carry professional liability insurance, even when you plan to function exclusively as an assistant working under a PADI Instructor? 1. Under most legal systems, you can be sued even if you did nothing wrong - defending yourself can be costly and liability insurance provides coverage for your defense. 2. If you are found liable, insurance provides coverage for damages. 3. If you are assisting an instructor, though the instructor has most of the responsibility, coverage is recommended because: a. You can still be named in the suit. b. You can be found responsible for your own actions or what part you may have played in an accident, even with an instructor present. c. Instructor’s insurance does not cover assistants. d. You can be added to a suit already in progress. 4. Within the U.S. and territories and many other regions, professional liability insurance is required when engaging in PADI Divemaster conducted programs independently. [Explain local requirements.] 5. Note that professional liability insurance does not normally provide liability coverage for your personally owned scuba equipment you might provide a diver or student diver (such as when something malfunctions or is forgotten). a. Instead, provide equipment from a dive center/ resort’s normal rental/class scuba equipment, which will be covered under the operation’s store insurance. b. If necessary, you can obtain special coverage as part of your professional liability insurance to provide liability coverage for personal equipment you might provide a certified diver or student diver. 3-128 Why is professional liability insurance impor tant? ■ ■ You You can can be be sued, sued, even even ifif you you � did did nothing nothing wr wr ong� ong� ■ ■ Insurance Insurance ma ma yy cover cover def defense ense costs costs and and dama dama ges, ges, ifif necessar necessar y� y� � not not cover cover assistants assistants NOTE: NOTE: Professional Professional liability liability insur insur ance ance does does not not normally normally cov cov er er personally personally owned owned equipment equipment ■ ■ Instructor’ Instructor’ss insurance insurance does does Three: Knowledge Development DM DM 10 10 -- 55 What is the most important step you can take to manage legal risk?� risk?� � Adhere to conservative diving, supervisory and assisting practices DM 6 DM 10 10 -- 6 Reducing Legal Risk ■ ■ Follow Follow standards� standards� ■ ■ Use Use good good judgment� judgment� ■ ■ Have Have documentation� documentation� — proper paperw ork� ork� ◆ ◆ Liability Liability release release � ◆ ◆ Medical Medical fform� orm� ◆ ◆ Other Other student student or or � participant participant documents documents DM DM 10 10 -- 77 Divemaster Course Instructor Guide C. What is the most important step you can take to manage legal risk? 1. The primary way to manage legal risk is to prevent accidents in the first place by adhering to conservative diving, supervisory and assisting practices. a. This is professional judgment and basic human compassion and caring - not just a legal tool. b. You’re not likely to face a suit for an accident that doesn’t happen. 2. Why does adhering to standards help you reduce legal risk? a. Standards stipulate your duty of care - by sticking to standards, you go a long way to proving you met your duty. b. PADI defends the appropriateness of standards so you don’t have to. 3. What role does good judgment play in reducing legal risk?. a. Good judgment and being conservative reduces your legal risk. b. Even when following standards, you need to use good judgment in their application - example: reducing ratios when conditions aren’t ideal. c. Ties in to primary risk management - reduces possibility of an accident in the first place. 4. What is the role of proper paperwork and administration in reducing legal risk? [Ask candidates how paperwork might relate to risk management. Have them discuss this briefly before presenting the following points as elaborations on conclusions they reach, or to cover ideas they missed.] a. Paperwork is very important - suits have been dismissed based on proper paperwork alone! b. Paperwork and administration help you document that you followed standards. c. The Liability Release and Express Assumption of Risk form shifts legal responsibility to program participants - they assume risk where allowed by law [explain local laws]. 1. Informs participants of risks. 2. Forms a contract between you and participants that they accept risks, including the risk that you may do something that could be held negligent by a court. 3-129 3. This is one of the most important documents; have it completed and keep it on file. d. Medical form 1. Helps prevent accidents by screening those medically ineligible to dive. a. Those who answer “yes” to any condition must receive physician approval before participating. b. In some countries, all participants must see a physician prior to enrolling in scuba activities. 2. Accidents resulting from a medical condition listed on form helps shift responsibility to participant (for incorrectly filling out form) or physician who signed form. e. Review paperwork closely to be sure all blanks are filled, that it is signed, dated and legible. f. Keep all paperwork at least seven years, or longer if local statute of limitations is longer. D. In the event of a dive accident, besides giving priority to taking all steps you can to handle the emergency, what should you do from a legal risk management point of view? 1. Your first priority is handling the emergency, contacting authorities and emergency medical care, showing compassion and doing everything possible for the well being of victim. 2. Do inform the victim’s family about the accident and show compassion and care. 3. Do cooperate with authorities and give them the facts of the incident. 4. Do not assign, admit or speculate on causes or blame. a. Distracts from managing the accident and helping the victim. b. Facts are seldom complete, so speculations are usually inaccurate. c. Statements made about causes may appear in the press and in court (if a suit is filed) even if subsequent investigation proves these inaccurate. 5. Do collect the victim’s equipment to turn over to authorities. a. Have someone (a diver) not connected with the 3-130 In the event of an accident, what should you do? ■ ■ Handle Handle emergency emergency and and tend tend to to victim� victim� ■ ■ Provide Provide the the victim’s victim’s family family and and authorities authorities with with facts� facts� ■ ■ Do Do not not assign, assign, admit admit to to or or speculate speculate on on causes causes or or blame� blame� ■ ■ Collect Collect the the victim’s victim’s equipment equipment � for for authorities� authorities� ■ ■ File File an an incident incident report report with with PADI PADI Three: Knowledge Development DM DM 10 10 -- 8 8 accident confirm in writing whether it appears to be working normally and how much air is in the cylinder. b. Record person’s contact information - equipment may sit unrinsed for months and not work properly when checked later. 6. File an incident report with your PADI Office. III. Quality Management - Recognition and Assurance A. How does the Quality Management process help you reduce legal risk? 1. All PADI Offices conduct random surveys of PADI student divers and program participants, and follow up on reports from the field to ensure that PADI programs are conducted to PADI Standards. This process also confirms that PADI professionals understand those standards. This proactive process helps you reduce legal risk. 2. It creates documentation that you follow standards to support your paperwork and statements. 3. It gives standards that defend your credibility by showing that PADI enforces them. 4. If you are found to be accidentally not following standards: a. Provides opportunity to correct problem before a related accident occurs. b. Documents the correction so that, in the event of an accident later, no one can successfully allege you violated standards based on witness reports of earlier standards violations. B. What are the steps in the Quality Management process? 1. Procedures are primarily corrective. Most standards problems result from misunderstandings. 2. [Review the Quality Assurance procedure steps in the General Standards and Procedures section of the PADI Instructor Manual.] How does PADI’s quality management process work? ■ ■ Students Students and and pr pr ogram ogram par par ticipants ticipants are are randoml randoml yy surveyed� surveyed� ■ ■ Repor Reports ts received received fr fr om om customer customer ss and and PADI PADI Member Member s� s� ■ ■ Proactive Proactive pr process ocess ensures ensures that that PADI PADI programs programs are are conducted conducted per per PADI PADI Standar Standar ds ds DM DM 10 10 -- 99 Members who provide excellent instruction and customer service are recognized� recognized� � When necessary, corrective action is taken to ensure PADI Members understand and follow PADI Standards DM 10 DM 10 10 --10 IV. Personal Health and Safety A. Functioning as a divemaster can raise several potential health and safety concerns. 1. Supervising duties may require long periods of being active and alert, despite being tired. Divemaster Course Instructor Guide 3-131 2. You may need to make multiple dives in a relatively short period. 3. Your duties may call for physical labor, stamina and continuous exertion. B. Maintaining your health and safety is a matter of following common health guidelines and conservative diving practices. C. What are five suggestions to help you manage risks to your health and safety as a divemaster? 1. Stay physically fit by exercising regularly, getting adequate rest and eating properly. 2. When making multiple repetitive dives, plan your dives so that you make the deepest dive of the day first and work progressively shallower, staying well within the no decompression limits. Make a safety stop at the end of all dives. Take a day off from diving every few days. 3. Stay hydrated. Tropical heat depletes body fluids, as do caffeine and alcohol consumption. 4. When ill or injured, moderate your activities accordingly. Pressing on may delay healing and may compromise your abilities. 5. Pay attention to your mental health - dive for fun, not just for work, so you avoid burnout, and engage in other pastimes. 3-132 Personal Health and Safety ■ ■ Stay Stay physically physically fit� fit� ■ ■ Make Make the the deepest deepest dive dive of of the the � day day first first and and sta sta yy well well within within � no decompression limits � no decompression limits ■ ■ Remain Remain h hydrated ydrated� ■ ■ When When ill ill or or injured, injured, moderate moderate � your your activities activities � ■ ■ Pay Pay attention attention to to yy our our mental mental health health � — — HAVE HAVE FUN FUN Three: Knowledge Development DM 11 DM 10 10 -- 11 Topic 11 The Business of Diving Recommended Materials and Methods for Covering this Topic This section introduces candidates to their function in the business aspects of a dive operation. It is recommended that you have candidates read The Business of Diving book, and business related articles in The Best of the Undersea Journal and the IDC Candidate Workbook, if available in a language they can read. It’s also recommended that you encourage candidates to begin developing business skills by viewing PADI business-related programs such as Positive Approach Selling and Advanced Strategies for Recruiting and Retaining Enthusiastic Divers. Focus your elaboration on specific examples of how this information pertains to the dive business in your local area. Presentation Overview and Learning Objective I. The Dive Consumer 1. What are the “three Es” of diving, and where does the dive consumer find them? 2. What functions may a PADI Divemaster have in helping dive consumers with the three Es? Overview ■ ■ The Dive Consumer� Consumer� ■ ■ Equipment Counseling II. Equipment Counseling 3. What is the role of leadership-level divers with respect to equipment counseling? 4. What are four attributes of a positive sales process? DM DM 11 11 -- 22 Outline I. The Dive Consumer [Ask candidates what they need to be a diver. Write their answers on the board in three columns according to equipment, education or entertainment (experiences), but don’t label columns. After getting several items in each column, ask candidates to name each column. Transition into discussion of three Es.] A. What are the “three Es” of diving, and where does the dive consumer find them? 1. The “three Es” are characteristics needed by all dive Divemaster Course Instructor Guide 3-133 consumers, without which there would be no dive industry. a. Education - To dive safely initially, and to progress to more challenging types of dive activities, divers need dive training. b. Equipment - Without it diving is impossible. Dive consumers need access to equipment to buy or rent. c. Entertainment (experience) - Education and equipment have no value if divers can’t do something with them. Entertainment is the reason people become divers. 1. Travel, local diving, clubs, and other events all qualify as entertainment - reasons to dive and to be involved with diving. 2. The need for entertainment is the reason to get new student divers diving in confined water as quickly as possible. Beginning divers often perceive the conventional long-classroom-sessions as an obstacle or delay, and this stops some people from learning to dive. 2. A fourth E sometimes mentioned is environment. Divers need a healthy dive environment, and we all need a healthy environment to live. As the dive community grows, we take on increasing responsibility to act together as advocates for aquatic environments. B. The dive center and dive resort, where the three Es come together under one roof, is the focus of the dive industry. C. What functions may a PADI Divemaster have in helping dive consumers with the three Es? 1. As a leadership-level diver, it is your role to help divers meet their education, equipment and entertainment needs. a. May be direct involvement, such as leading a trip or assisting with student divers in training. b. May be indirect assistance, such as providing recommendations or advice to divers who ask about travel, equipment, etc. 2. Certified divers will seek your supervision for guided diving partly because you help assure that all three Es are met. 3-134 How can you help customers fulfill their needs? ■ ■ Direct Direct involvement involvement � ■ ■ Indirect Indirect assistance assistance Three: Knowledge Development DM DM 11 11 -- 55 a. You handle the entertainment by knowing where the best dive sites are and by making the experience fun. b. You help divers assess whether they have the education needed to make a particular dive. c. You help divers assess whether they’re properly equipped for a dive, and may have spare equipment from the dive operation rental stock if there’s an equipment related problem. II. Equipment Counseling [Ask candidates what they think about salespeople. Next ask candidates to think of a salesperson who they felt was genuinely helpful and tell you what made the person effective. Take the resulting description and make the point that divemaster duties are likely to involve equipment sales or counseling, so they need to recognize the effective aspects of the sales process.] What about sales and salespeople?� salespeople?� � Become an � equipment counselor DM DM 11 11 --6 6 Positive Sales Approach ■ ■ Give Give recommendations recommendations that that are are good good for for building building long long term term customer customer relationships� relationships� ■ ■ Listen Listen carefully carefully to to customer customer needs� needs� ■ ■ Do Do not not make make assumptions� assumptions� ■ ■ Provide Provide the the advice advice you you � would would like like to to receive receive A. What is the role of leadership-level divers with respect to equipment counseling? 1. Divers, especially student divers, come to leadershiplevel divers for advice about equipment. 2. It is entirely appropriate for you to give advice on equipment purchases. a. Diving is a technical activity and learning about equipment is part of the education each diver goes through. b. Divers appreciate the recommendations of those they respect - think about when you were at their level in diving. 3. The dive operation you work with relies on equipment sales as part of how they stay in business. a. If you don’t help, divers may go elsewhere. b. Or they may get advice from a less qualified source. c. Or they may not continue with diving - everyone loses. B. What are four attributes of a positive sales process? 1. Your goal is to give the best recommendations so the diver will be happy with the equipment to promote a long term relationship. DM DM 11 11 -- 77 Divemaster Course Instructor Guide 3-135 a. You don’t need to “push” anything when your goal is a long term relationship. b. Long term relationships bring in the most business in the end - best for the dive operation, best for the customer. 2. You listen to the divers who come to you for advice and help them based on what they tell you. a. They will usually tell you what they want and need, but you may have to ask about their interests, planned uses, etc. b. Try not to assume - it’s surprising how often what they tell you differs from what you thought they’d say. 3. You don’t make assumptions about price: a. Recommend the equipment that best addresses their needs and wants without worrying about price. b. People often want more than they need. Give them the facts and let them decide - buying higher performance equipment may cost more, but it is often cheaper in the long run, even if the individual doesn’t need that performance level immediately. 4. You give all the advice you’d like to get. a. Don’t forget the little things that make the big difference (e.g., a bottle of defog with a mask purchase, etc.). b. Suggest ways (courses, trips, etc.) divers can enjoy their new investment. 3-136 Three: Knowledge Development Topic 12 - Your Diving Career Recommended Materials and Methods for Covering this Topic This topic is intended to aim candidates toward a satisfying and successful career in the dive industry, whether they’re pursuing leadership training as a vocation or as an avocation. During this topic, your main emphasis will be on progressing to the Assistant Instructor and Instructor levels, and on additional skills and training that can give individuals a competitive advantage in the industry. Presentation Overview and Learning Objective I. PADI Training to Further Your Dive Career Overview 1. What are six reasons why you should consider continuing your training through the PADI Open Water Scuba Instructor level? ■ ■ PADI Training to Fur ther Your Dive Career � ■ ■ Other Training That Can Aid Your Career � 2. How does it benefit you to complete the PADI Assistant Instructor course prior to enrolling in the PADI OWSI Program? ■ ■ The Role of Emer ging Technologies DM DM 12 12 -- 22 3. How does diver-level specialty training help your career as a PADI Divemaster? II. Other Training That Can Aid Your Career 4. What are six skills, outside of diver training, that can make you more valuable in the dive industry? III. The Role of Emerging Technologies 5. How will emerging technologies affect your career, and what should you do in response? Outline Why continue your education? I. PADI Training to Further Your Dive Career ■ ■ Gaining Gaining new new skills skills � and and qualifying qualifying to to � conduct conduct additional additional � courses courses makes makes � you you more more versatile� versatile� ■ ■ Versatility Versatility is is what what � employers employers look look for for DM DM 12 12 -- 33 Divemaster Course Instructor Guide A. What are six reasons why you should consider continuing your training through the PADI Open Water Scuba Instructor level? 1. Because they’re fully qualified to teach classes, instructors have more versatility as employees. 2. The majority of dive boat professionals supervising certified divers are instructors, which gives them more versatility as employees because they can train divers. 3-137 3. Most individuals who move into other areas of the dive industry (e.g., manufacturer representatives) begin as instructors - this experience lets them understand their customer’s needs. 4. Even if you’re primarily interested in leadership as an avocation, not a full time vocation, certification as an instructor creates more opportunities. 5. Increasingly, institutions of higher learning recognize the quality of PADI Instructor training. This recognition may apply to opportunities and careers beyond diving. 6. There are more opportunities for PADI Instructors than for any other professional in the industry. The demand for PADI Instructors exceeds the demand for instructors of all other organizations combined. B. How does it benefit you to complete the PADI Assistant Instructor course prior to enrolling in the PADI OWSI Program? 1. Much of the AI course comes from the IDC, so the AI course reduces your instructor training program load. 2. The AI course applies directly to what you learn in the OWSI Program, gives you more time and practice that will help you be successful in the Instructor Examination (IE) and as a certified instructor. 3. You need 100 logged dives to become a PADI Instructor. If you’re short that number, the AI course gives you more opportunities to dive and gain experience. 4. The AI course gives you teaching and income opportunities by qualifying you to conduct additional PADI courses and programs, including some nondiving PADI Specialities. 5. As an AI, you can enroll in PADI Specialty Instructor courses. When you successfully complete the IE and have ten dives in the specialty, you’ll be qualified to teach the specialties in which you took these courses. C. How does diver-level specialty training help your career as a PADI Divemaster? 1. Providing more dive opportunities. 2. Helping you gain specialty experience that applies when you qualify to teach the specialty at the Assistant Instructor and/or instructor levels. 3-138 Three: Knowledge Development 3. Giving you experience you can apply when assisting specialty diver training. II. Other Training That Can Aid Your Career Why take specialty diver courses? A. Like any industry, the dive industry needs a variety of skills. Becoming a PADI Divemaster, Assistant Instructor and Instructor provides the base for a successful career, but additional skills and training can help your chances of finding rewarding full time or part time positions. B. What are six skills, outside of diver training, that can make you more valuable in the dive industry? 1. Boat handling/captain’s license - useful at resorts and boat-intensive operations. 2. Retail sales training - useful in virtually any dive operation. 3. Sales management training - valuable for growth within a retail dive operation. 4. Manufacturer equipment repair technician - certification to repair specific equipment expands a dive operation’s services. 5. Compressor and/or diesel engine mechanics - virtually all dive operations have compressors, many have diesel engines (in boat); these skills are especially valuable at remote destinations. 6. Writing/word processing/layout/photography - producing store newsletters/brochures. ■ ■ Learn Learn ne new w skills skills � and and gain gain ad ad ditional ditional � diving diving oppor oppor tunities tunities� ■ ■ Gain Gain experience experience � to to apply apply when when � assisting assisting with with specialty specialty training training DM DM 12 12 -- 55 What other training will aid your diving career? ■ ■ Boat Boat handling/captain’s handling/captain’s license� license� ■ ■ Retail Retail sales sales training� training� ■ ■ Sales Sales management management training� training� ■ ■ Equipment Equipment repair repair technician� technician� ■ ■ Compressor/diesel Compressor/diesel mechanic� mechanic� ■ ■ Writing Writing and and photography photography DM DM 12 12 --6 6 What should you know about emerging technologies? ■ ■ Chang Changee is is ine inevitable vitable and and III. The Role of Emerging Technologies � usually PACE� usually rapid rapid — KEEP PACE� ■ ■ Stay Stay current current � ◆ ◆ Read Read dive dive periodicals periodicals and and watching watching diving-related diving-related programs� programs� ◆ ◆ Attend Attend dive dive trade trade shows� shows� ◆ ◆ Continually Continually learn learn about about computers� computers� ◆ ◆ Put Put new new technologies technologies to to use� use� ◆ ◆ Be Be open open to to change change DM DM 12 12 -- 77 Divemaster Course Instructor Guide A. How will emerging technologies affect your career, and what should you do in response? 1. Technology changes rapidly in diving just as in other industries, and the pace continues to accelerate. 2. Much of what you know today will be obsolete in only a few years. a. Medical advancements are likely to rescue and first aid recommendations. b. Closed and semiclosed circuit scuba may become more common in recreational diving. c. Electronics may revolutionize navigation. d. Physiology may learn more about DCI, leading to new approaches to dive computer modeling, and DCI treatment. 3-139 e. Instruction continues to become more convenient and more efficient by using new technologies such as multimedia computer-based training, online training via the internet, etc. These will expand. B. A professional-level diver must remain current and up to speed with technology. 1. Failure to do so obsoletes you - you may have difficulty competing with new professionals entering the dive industry. 2. In some areas, failure to follow the most current standards-of-care may have potential liability. C. Ways to stay up to date. 1. Read a wide variety of dive periodicals and watch dive videos and television programming. 2. Attend dive trade shows. 3. Keep up with changes in computer technology - they affect virtually all industries, including diving. 4. Put new technologies into use. The best way to be familiar with them is through hands-on application. 5. Never accept nor reject something just because it’s new. Be open to change (you can’t stop it anyway), but use your experience to evaluate the merits of emerging technologies. Some will bring significant improvements to diving; others will be short-lived fads with little practicality. 3-140 Three: Knowledge Development