A Diving Accident Checklist in Izu Peninsula can be Associated with Some Pitfalls

Abstract

Objective: We retrospectively investigated the degree of completion of the checklist during or immediately after diving accident, who were transported by a physician-staffed helicopter emergency medical service (HEMS). Method:From May 2016 to December 2020, we conducted a retrospective the diving accident checklist review of all patients with diving accident, who were transported by HEMS. If all questions of the diving accident checklist were answered, full marks were 40 points. Subjects were divided into two groups: the Arrest group, which included subjects who became cardiac arrest in prehospital setting, and the Control group. Results: A total of 86 patients with diving accident were transported by the HEMS. Among these patients, there were 16 subjects in the Arrest group and 70 in the Control group. Average total score in the Arrest group were significantly smaller than those in the Control group. Conclusion:Degree of completion of the diving accident checklist in cases with cardiac arrest was low in comparison with cases without cardiac arrest. To improve this, further approach based on several remedies will be required in the future.

Outcomes of patients with decompression illness transported by physician-staffed helicopter according to Japanese Registry data (2015–2020)

“…These meetings have been held annually since 2011. In these meetings, we hold lectures concerning new topics related to DCI, review the management of patients with DCI at the scene using videos, discuss how to recognize DCI, the importance of early request for dispatch of DH, share information on the diving profile using a diving checklist, and review the proper and prompt management of patients with DCI 14 ) . To request the early dispatch of the Eastern Shizuoka DH, we recommended using the key words of “accident during diving”.…”