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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.
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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 diverDemonstrate
how to provide Oxygen First Aid with the Bag Valve Mask
to a non-breathing diver
Recommended Minimum Hours of Training
Knowledge development (lecture) hours = 1
Skills development (practice) hours = 2
This module should be taught as a three-hour program as
outlined in this manual. The time needed to teach the course
varies and depends on many factors including the number
of students and their ability to process the educational
components of the program. Instructors who want to include
subjects or training beyond the course requirements may
do so only before or following the course. Any additional
training must not be required for completion of course requirements.
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
The instructor must ensure each course participant can
successfully perform the following:
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.
Course participants must complete the DAN Advanced Oxygen
First Aid for Scuba Diving Injuries examination with a minimum
passing score of 80 percent. The instructor will review
the examination with each participant to ensure mastery
of the material.
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The
MTV-100 is an Oxygen-Powered Manually Triggered Device that
may be attached to a portable, pressure-regulated oxygen
cylinder or a central oxygen source. It is designed to deliver
100% oxygen to a breathing or nonbreathing person and may
be used with a mask, endotracheal tube, or tracheotomy tube.
The rescuer may manually inflate lungs by depressing the
button located on top of the device or it may be used like
a standard Demand Valve. The MTV-100 is equiped with a secondary
pressure relief valve to safely manage pressure conditions.
SPECIAL NOTE: This type of device requires special training
to use and has been classified as "Indeterminate" by the
American Heart Association 2000 Guidelines.
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