RECOMPRESSION CHAMBER PROCEEDURES

DIVER EMERGENCY PLAN NORTH SULAWESI

AVAILABLE TO ANY AND ALL DIVE OPERATORS.
PROVIDED BY HYPERBARIC HEALTH AUSTRALIA (HHA)
AND
NORTH SULAWESI WATERSPORTS ASSOCIATION (NSWA)
First provide appropriate diver first aid. Remove from danger, check Airway, Breathing,
Circulation. Attend to any other major injuries (bleeding etc). Position the diver correctly, administer
100% oxygen, or as high a percentage as possible. If able to swallow and conscious, give clear fluids
orally (water).
It is now important to establish whether the diver requires recompression treatment, or not:
Contact Doctors Listed Below:
NOTE: Most obvious would be to contact Dr Hanry Takasenseran (# 4 below), because he is in
Manado. If he cannot be contacted or if you want additional information, or a second opinion,
you can continue to contact other doctors.
Any diver with any unusual signs or symptoms after diving, must be medically evaluated to confirm
or exclude Decompression Sickness. Contact must be established with a competent diving doctor.
Initial medical contact can be made to the following specialists:

Dr. Tony Lee: Primary Overseas Doctor for DCI Consultation,

HP 60-12506 8947 email: hyperbarichealth@gmail.com

Dr Glen Hawkins: HP +61 407700701, email: hawkeye@swiftdsl.com.au

Dr Sosiawati: Doctor, Hyperbaric Sanglah Hospital Denpassar. Bali

HP 0812 467 2923 email: ayuade@hotmail.com

Dr Hanry Takasenseran: Doctor, Hyperbaric Manado

HP 0813 4000 0840

DAN Australia and for all DAN insured evacuations. (+61) 8 8212 9242
Divers Emergency Service (DES) Australia (+61) 8 8212 9242
DAN Singapore (+65) 6758 1733 DAN America (+1) 919 684 8111
Objective of this call is to establish if medical treatment is required for the diver. Dr. advice may be:
-No treatment required
-Other, non-diving treatment required
-Hyperbaric treatment.

The doctor will require details of the diver, name, age, sex, any previous relative medical history.
Details of the signs and symptoms that the diver now has?
How long since they last dived?
When did these symptoms develop?
Some details of the dives in the last few days?
Any recent other problems?
Details of current first aid?

IF DIVER REQUIRES RECOMPRESSION CHAMBER TREATMENT –

PROCEED TO TREATMENT PLAN:
UPDATED February 2008
 TREATMENT PLAN

Dive Center Responsibilities and Action Steps:

1. Assist diver and contact Dr.
2. Simultaneously contact Coordinator to alert of possible chamber treatment. (Average
treatment requires min 1.5 hour hospital preparation.)
3. Once Dr. confirmation is established and recompression treatment required:
a. Continue to administer O2 until diver enters recompression chamber
b. Confirm information with Coordinator and estimate travel time to hospital.
c. Obtain oral and written confirmation from diver insurance (agreement for treatment).
4. Be available at all times during and after treatment procedures to/for:
a. Monitor possible relapse and or assist with additional chamber treatments
b. Communication with Dr. and insurance provider and Coordinator

COORDINATOR and other NSWA members familiar with chamber procedures.

Coordinator Telephone # 0812-4302970 (KRES)

(if no answer, please use numbers listed below)
Mobile Home Work Fax
Danny Charlton 0811431838
Roel Jong 812 430 2974 838440-838441
Simone Gerritsen 0811436434 850230 850231
826833, 824445
Kim Hessel 08194000401 831441 823444
ext. 737

NEXT
RECOMPRESSION CHAMBER COORDINATOR:
NSWA RECOMPRESSION CHAMBER COORDINATOR’S main task is to assist the patient with the new
and unfamiliar situation in and around the Hospital and Recompression Chamber.
The Coordinator will assemble the diver emergency treatment team, greet the patient at the hospital and liaison
communication with hospital to ensure the patient is attended to promptly and professionally. The Coordinator
will also provide the patient and or facility with various documents that needs to be filled out.

DIVE CENTER RESPONSIBILITIES:

1. The facility where patient is diving has a crucial assisting role and is ultimately responsible for patient.
Dive Center must organize hospital transportation. If required, organize accommodation, medication and
meals for the patient.
2. Dive Center must contact insurance company, obtain written guarantee for treatment and maintain contact
with insurance company. If a diver is not insured, he/she will be required to provide payment or payment
agreement before entering chamber. Credit card, cash or proof of bank transfer is acceptable.
3. Dive Center /patient must complete, in full, all documents required and be given back to coordinator asap.
It must be understood that the NSWA and its coordinator do not take over the above responsibilities.
NSWA’s role is to assist in the matter the best we can.
NOTE 1: Any costs involved other then the actual hyperbaric treatment , (Hospital room nights, outside
chamber oxygen, medicines, transportation etc), must be claimed directly from the patient. NSWA or HHA is
not responsible for claiming or payment of these expenses.
NOTE 2: In case the chamber team gets the request to prepare for hyperbaric treatment, but no treatment
follows, the costsFebruary
UPDATED involved of the preparation must be paid directly to the hospital, by the facility where the
2008
request came from. It is up to the hospital what these costs are.
 Manado Recompression Chamber
PRICE LIST (US DOLLAR)

Table 6=USD $4,000

Table 5= USD $2,400
Any extensions are at USD $800 per extension. *
+ All cases attract a doctor’s fee of USD $500 per case.

* Table 6 can be lengthened up to 2 additional 25 minute oxygen breathing periods at 60 feet (20
minutes on oxygen and 5 minutes on air) or up to 2 additional 75 minute oxygen breathing periods
at 30 feet (15 minutes on air and 60 minutes on oxygen) or both. If Table 6 is extended only once
at either 60 or 30 feet, the inside attendant breathes oxygen during the ascent from 30 feet to the
surface. If more than one extension is done, the inside attendant breathes oxygen for the last hour at
30 feet during ascent to the surface. The decision to extend is made by the Dr and is depending on
how the patient is responding to the treatment.

UPDATED February 2008