- Print and fill out “Diving history and examination” in all patients
- Gather info from diver – incl depth of dive, bottom time, ascent time, no. of dives, symptoms and time of onset
- Contact consultant on call. All diving related calls should be dealt with by consultant on call.
For diving related advice contact nos. below. They will guide you as to which recompression table is needed to deal with each particular case.
- For advice contact Duty Diving Medical Officer in Institute of Naval Medicine UK on 0044 7831 151523 or 0044 2392 768020 if first number not answered.
- If still cannot contact INM, Divers Alert Network (DAN), US can be contacted: Divers Alert Network+1-919-684-4326 (Collect) or +1-919-684-8111.
- Both navies have nearly identical tables. RN tables are in metres; USN tables in feet.
- RN Table 61= USN Table 5; RN Table 62 = USN Table 6; RN Table 63 =USN Table 6A
- The consultant involved should telephone the Navy diving officer on 087 2355263 to relay clinical information and appropriate table to be used for recompression.
- If, in the opinion of Medico, the patient may require to go to the Hyperbaric Chamber (Galway), Medico Cork will inform Ambulance Control Cork by dialling zero on an internal phone, then 112 or 999 and asking for the ambulance service.
The decision to transfer to Cork University Hospital will depend on whether the patient is fit for transfer. For example those patients with low conscious levels or breathing difficulties may first need to be transferred to the nearest emergency department. This decision will be made by Medico Cork. The consultant on call may then liaise with the Emergency medicine doctors regarding the patients condition for possible transfer.
- In the event that a patient is seen initially in an Emergency Department of another hospital, that hospital will contact Medico Cork through the Coast Guard. Medico may direct the Coast Guard directly to the Naval Base, landing in the football field. Alternatively the consultant may want the patient to be examined at Cork University Hospital. In this case Cork Airport is the preferred landing site.
- The Coast Guard will inform Ambulance Control Cork of this landing site and E.T.A. A HSE ambulance will meet the helicopter and transport the patient.
The Naval Base recompression chamber is not equipped to treat patients who have severe respiratory problems requiring tracheal intubation. These patients, if they require recompression treatment, will need to be transferred to a suitable chamber in the UK.
How this transfer is to be affected will be decided by the Irish Coast Guard with medical advice from Medico Cork.
Coast guard numbers
Valentia – 066-9476-109
Dublin - 01-6620-922
Malin Head – 074-9370-103
Craigavon Area Hospital - emergency call centre number +44 28 3861 2307.
Dr Neville Rutherford-Jones +44 77 079 7950 1207