Advanced Oxygen First Aid for Scuba Injuries

This module, Advanced Oxygen First Aid for Scuba Diving Injuries, is an advanced-level program that provides additional training for those individuals who have successfully completed the DAN Oxygen First Aid for Scuba Diving Injuries course within the past year (12 months). It is designed to train DAN Oxygen Providers to use the MTV-100 or a Bag Valve Mask (BVM) while providing care for a non-breathing injured diver and activating the local emergency medical services (EMS) and / or arranging for evacuation to the nearest available medical facility.

Rescue breathing with supplemental oxygen delivers upwards of 50 percent inspired oxygen when performed correctly. However, using an MTV-100 or Bag Valve Mask with oxygen can deliver nearly 100 percent inspired oxygen to a non-breathing injured diver.  When supplemental oxygen is not available, a Bag Valve Mask can deliver 21 percent oxygen as compared to 16 percent with rescue breathing without supplemental oxygen. The MTV-100 does not work without an oxygen supply.

This is not a stand-alone program. It is intended to train current DAN Oxygen Providers to administer oxygen using advanced-level skills.

Objectives
The DAN Advanced Oxygen First Aid for Scuba Diving Injuries provider ("DAN Advanced Oxygen Provider") program is designed to:

* Demonstrate how to assemble and prepare the Manually Triggered Ventilator (MTV) and Bag Valve Mask (BVM)
* State the benefits of using the Manually Triggered Ventilator (MTV) and Bag Valve Mask (BVM) for a non-breathing diver
* Demonstrate how to provide Oxygen First Aid with the MTV resuscitator on a breathing and non-breathing diver
* Demonstrate how to provide Oxygen First Aid with the Bag Valve Mask to a non-breathing diver

Required Curriculum Subject Areas
The instructor must ensure participants are familiar with each of the following:

Knowledge Development
* O2 Resuscitation Systems (MTV and BVM)
* Providing Advanced Oxygen First Aid
* Recommendations for Advanced Oxygen Providers and equipment use

Skills Development
* CPR Review
* Resuscitation with an MTV
* Resuscitation with a BVM

Learning Objectives
At the end of this program, DAN Advanced Oxygen First Aid for Scuba Diving Injuries, participants will be able to:

* Inspect the MTV and / or Bag Valve Mask and determine readiness for use.
* Outline the circumstances for using the MTV and / or Bag Valve Mask.
* List the directions for ventilations with the MTV and / or Bag Valve Mask.
* List the potential problems associated with the use of the MTV and / or Bag Valve Mask.
* List the considerations for effective ventilations with the MTV and / or Bag Valve Mask.
* Describe the characteristics of effective ventilation using the MTV and / or Bag Valve Mask.
* Explain the steps to follow for cleaning, disinfecting and maintenance of the MTV and / or Bag Valve Mask.
* Disassemble and reassemble the MTV and / or Bag Valve Mask.
* Demonstrate the correct technique for testing the MTV and / or Bag Valve Mask prior to using it.
* Demonstrate the correct technique for using the MTV 100 and / or Bag Valve Mask to resuscitate non-breathing divers (during training this will be done on a mannequin).
* Demonstrate the correct technique for using the MTV 100 to provide oxygen to breathing divers.
* The nature and scope of this course is limited to training Oxygen Providers to provide first aid, using the MTV and / or BVM for non-breathing injured divers. This course does not provide complete training for cardiopulmonary resuscitation (CPR) or advanced airway management skills.