Tekst źródłowy strony Recommendations for rescue of a submerged unresponsive compressed-gas diver

{{Artykuł
|autor = Mitchell, SJ; Bennett, MH; Bird, N; Doolette, DJ; Hobbs, GW; Kay, E; Moon, RE; Neuman, TS; Vann, RD; Walker, JR; Wyatt, HA  
|tytuł = Recommendations for rescue of a submerged unresponsive compressed-gas diver. 
|link = 23342767.pdf
|opis= The Diving Committee of the Undersea and Hyperbaric 
Medical  Society  has  reviewed  available  evidence  in 
relation to the medical aspects of rescuing a submerged 
unresponsive compressed-gas diver. The rescue process 
has  been  subdivided  into  three  phases,  and  relevant 
questions have been addressed as follows. Phase  1,  preparation  for  ascent:  If  the  regulator  is  out 
of  the  mouth,  should  it  be  replaced?  If  the  diver  is  in 
the tonic or clonic phase of a seizure, should the ascent 
be  delayed  until  the  clonic  phase  has  subsided?  Are 
there any special considerations for rescuing rebreather 
divers? Phase  2,  retrieval  to  the  surface:  What  is  a  “safe” 
ascent rate? If the rescuer has a decompression obliga-
tion, should they take the victim to the surface? If the 
regulator  is  in  the  mouth  and  the  victim  is  breathing, 
does this change the ascent procedures? If the regulator 
is in the mouth, the victim is breathing, and the victim 
has  a  decompression  obligation,  does  this  change  the 
ascent procedures? Is it necessary to hold the victim’s 
head  in  a  particular  position?  Is  it  necessary  to  press 
on  the  victim’s  chest  to  ensure  exhalation? Are  there 
any   special   considerations   for   rescuing   rebreather 
divers? Phase 3, procedure at the surface: Is it possible to make 
an assessment of breathing in the water? Can effective 
rescue  breaths  be  delivered  in  the  water?  What  is  the 
likelihood  of  persistent  circulation  after  respiratory 
arrest?  Does  the  recent  advocacy  for  “compression- 
only  resuscitation”  suggest  that  rescue  breaths  should 
not  be  administered  to  a  non-breathing  diver?  What 
rules  should  guide  the  relative  priority  of  in-water 
rescue  breaths  over  accessing  surface  support  where 
definitive CPR can be started? A  “best  practice”  decision  tree  for  submerged  diver 
rescue has been proposed.
}}
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