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Home Diver Medical Technician Emergency Medical Technician Registration & Costs Location & Lodging Faculty & Facilities Off-Site DMT Training Online Secure Payments Gallery Contact Us |
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November 1 - November 12, 2010 April 4 - April 15, 2011 October 31 - November 11, 2011 |
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Hyperbaric Training Associates is currently in the process of petitioning the International Marine Contractors Association (IMCA) for accreditation as a Diver Medical Technician Training Facility. Check Back For Updates!
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2010 Course Dates
October 4 - October 29, 2010
November 1 - November 12, 2010 2011 Course Dates
April 4 - April 15, 2011 October 31 - November 11, 2011 |
DMT Program
The
Cornerstone DMT curriculum is based in diving and gas
Students will be provided the knowledge and skills to provide basic and advanced
care to persons injured in the diving related work and recreational
environments. For individuals who are currently involved in commercial, military, or recreational diving, but do not hold an EMT certification, Cornerstone Medical Services offers an accredited Emergency Medical Technician program in conjunction with the DMT class.
Student Requirements Students of the Hyperbaric Training Associates Diver Medical Technician program will be required to provide a "diver medical certificate". If a student does not have this documentation, a diver physical examination can be provided by our staff physicians at a minimal cost. Currently, that cost is $25.00 USD. All students are required to actually work in the hyperbaric environment. This may be during an actual patient treatment run and/or a training run. All students will be required to operate the hyperbaric chamber during training and/or during actual patient treatment runs. All students will be required to conduct medical procedures inside the hyperbaric chamber at a depth of 165 fsw. These procedure would include assembly of laryngoscopes, taking vital signs, withdrawing medications, injecting saline into cuffs, endotracheal intubation, and thoracic needle decompression simulations.
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Diver
Medical Technician – Course Outline & Curriculum I. INTRODUCTION Top of Page A. Skills and Knowledge Objectives of Course B. Demonstrations and Simulation Treatments C. Review Attendance Requirements, Grading, Evaluations and Exam Polices II. Diving Physics and Gas Laws Top of Page A. Pressure 1. Atmospheric 2. Absolute Atmospheric B. Diving Gases 1. Air 2. Nitrox (EAN) a. NOAA 32 b. NOAA 36 c. Custom EAN 3. Helium/Oxygen 4. Tri-gas Mixes C. Gas Laws 1. Boyle’s Law 2. Charles’ Law 3. Dalton’s Law 4. Henry’s Law 5. General Gas Law
III.
Role and Responsibilities on the DMT
Top
of Page A. Responsibilities as a Diver 1. Safe Practices 2. Teach and Instruct Others B. Responsibilities as a Medic 1. Provide Emergency Medical Care per Protocol 2. Document Accidents and Treatments 3. Maintain Proficiency in Diving and Emergency Medicine C. Liaison with Other Diving and Medical Professionals 1. Network with Diving Physicians in Area 2. Local Hospitals and Chambers 3. Local Fire and EMS and Law Enforcement
IV.
Records and Fitness A. Baseline Records 1. Disqualifying Factors 2. Diver’s Medical History and Previous Exams 3. Emergency Data 4. Routine Physical a) Vitals b) ENT c) Heart and Lungs B. Pre-Dive Physical Evaluation 1. Current Medical Conditions 2. Current Medications 3. Recent History a) Lifestyle b) Habits 4. Recent Dive History 5. Physical Examination C. Post-Dive Physical Evaluation 1. Dive Profile and Decompression History 2. Physical Examination 3. Neurological Examination V. DIVING MEDICINE Top of Page A. Introduction B. Diving Medical Disorders and Disease 1. Decompression Injury a.) Decompression Pathophysiology i. Inert Gas Saturation ii. Bubble Effects iii. Complications b.) Predisposing Factors i. Dehydration ii. Poor Fitness iii. Illness iv. Overexertion During Dive v. Age vi. Temperature vii. Rapid Gas Switch c.) Type I i. Signs and Symptoms d.) Type II i. Signs and Symptoms e.) Other Symptoms 2. Barotrauma a.) Squeeze i. Ear ii. Sinus iii. Tooth iv. Thoracic v. Body vi. Reverse 3. Pulmonary Disorders and Injuries a.) Overinflation i. Arterial Gas Embolism ii. Pneumothorax iii. Mediastinal Emphysema iv. Subcutaneous Emphysema b.) Other Respiratory/Breathing Problems i. Hypoxia/Anoxia ii. Hypercapnia iii. Carbon Monoxide iv. Dyspnea v. Nitrogen Narcosis vi. Oxygen Poisoning vii. Oxygen Pulmonary Toxicity viii. CNS Oxygen Toxicity 4. Thermal Disorders a.) Hyperthermia b.) Hypothermia 5. Other Diving Related Problems a.) Near-Drowning b.) Marine Animals C. Emergency Medical Flow Charts 1. Cardio-Pulmonary Resuscitation 2. Arterial Gas Emboli 3. DCS
1. Decompression Injury/Illness a.) U.S. Navy Treatment Tables 2. Barotrauma 3. Pulmonary Disorders and Injuries 4. Respiratory/Breathing Problems
VI.
Hyperbaric Chamber Operations A. Hyperbaric chambers 1. Types and Construction a.) Mono Place b.) Multi-Lock Multi-Place 2. Common Factors 3. Gas Supplies B. Hyperbaric Chamber Safety 1. Standards 2. Fire and Electrical Safety (NFPA) 3. Fire Fighting 4. Gas Levels 5. Noise Protection 6. CO2 Absorbents and Caustics C. Pre-Dive Checklist 1. Chamber Exterior and Interior a.) Damage b.) Hatches and Seals c.) Gauges 2. Gas Supply a.) Adequate Supply for Treatment b.) Reserve Supply c.) Regulators d.) Valve Positions i. Supply ii. Exhaust iii. Equalizers e.) Compressor 3. Electrical a.) Lights b.) Communications c.) Analyzers and Monitors 4. Fire a.) Suppression Materials b.) Safe Clothing and Supplies 5. Scrubbers 6. Ancillary Equipment (Outside) a.) Medical Kit b.) Record Keeping Supplies c.) Charts, Tables, Reference Materials D. Post-Dive Checklist 1. Chamber Exterior and Interior a.) Clean and Air Out b.) Repair Damage c.) Clean and Replace Equipment 2. Gas Supply a.) Proper Position of Valves b.) Record Gas Supplies, Refill or Recharge c.) Reset Regulators d.) Fuel Compressor, Maintenance 3. Electrical a.) Repair Damage b.) Turn Off c.) Ready Equipment for Next Use 4. Fire a.) Restock Items as Needed b.) Safe Materials in Chamber 5. Scrubbers 6. Ancillary Equipment a.) Restock Medical Kit b.) Store Record Keeping Equipment
E.
Chamber
Operations 1. Pressurizing Chamber a.) Obtaining Seal b.) Rates of Descent 2. Ventilating a.) Requirements b.) Maintaining Constant Depth 3. BIBBS a.) Gas Supply b.) Overboard Dump c.) Analyzing / Monitoring Chamber Atmosphere 4. Tenders / Observers a.) Locking In / Out b.) Safety Considerations c.) Time Limits and Treatment of 5. Communications a.) Proper Use b.) Backup 6. Decompressing a.) Proper ascent rate 7. Records a.) Time Keeping and Log Book b.) Computerized Format for Tables 8. Medical Equipment Considerations a.) Airway Procedures b.) I.V. Procedures
c.)
Catheterization Procedures
Diver
Medical Technician
Student Skills Objectives The student shall demonstrate the ability, to the instructor, that he/she has mastered the following: 1. Physical Examinations A.) Perform an adequate emergency baseline examination B.) Obtain and evaluate vital signs, including pulse oximetry readings, utilizing basic diagnostic equipment including; BP cuff, stethoscope, and penlight. C.) Perform a simple ear examination while utilizing an otoscope. D.) Provide basic life support, including CPR, oxygen administration and advanced airway adjuncts E.) Document, in a professional manner, all findings. 2. Neurological Examinations A.) Perform an adequate field neuro examination including: i. Level of Consciousness ii. Intellectual Functions iii. Cranial Nerves iv. Sensory Function v. Motor Function vi. Balance / Coordination B.) Perform examinations inside and outside the chamber C.) Perform follow-up examinations to treatments 3. Multi Place Chamber Operation A.) Perform proper operation of chambers including: i. Descents ii. Ascents iii. Ventilation iv. Lock-In / Lock-Out 4. Simulation Treatments* (Student shall demonstrate the ability to:) A.) Elicit and recognize signs and symptoms of DCS. B.) Elicit and recognize signs and symptoms of Barotrauma. C.) Use a basic medical kit inside and outside the chamber. D.) Function smoothly at depth. E.) Formulate and conduct basic treatment plans. F.) Keep accurate records and logs and to report findings to a dive physician. G.) Observe and maintain proper oxygen limits within the chamber. Recognize and manage symptoms of oxygen toxicity.
*
Simulations
will be utilized only if no actual DCS patients are being treated
by Cornerstone Medical
Services.
5. Advanced Medical
(Remote) Procedures
A.) Intravenous
and Intraossious access
1. Basic IV Access
a. Medical
b. Trauma
2. I.O. Device Usage
a. Bone Injection Gun (B.I.G.)
b. F.A.S.T.1 Sternal I.O.
c. EZ I.O. B.) Wound Care and
Cleaning
1. Hemostatic Products (Trauma Dex, QuikClot, Celox, etc.)
2. Emergency Wound Closure (Suturing)
3. Suturing Practical Station
C.) Foley
Catheterization
1. Male and Female Foley
Catheterization
D.) Thoracic
Injuries and Treatments
1. Chest Decompression
2. Chest Tube Maintenance
E.) Advanced Airway Intervention
1. Endotracheal Intubation
2. Double Lumen Airways and LMA
3. Surgical and Needle Cricothyrotomy |
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physics review, medical diagnosis and treatment of diving
related injuries along with hyperbaric chamber operations.