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  1. #71
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    Quote Originally Posted by Bigbadcj View Post
    Usually he doesn't know his dive profile.
    True, or he wouldn't be needing a chamber.

    Forrest Wilson (with 2 Rs)
    Any opinions are personal.
    Sump Divers

  2. #72
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    Quote Originally Posted by Bigbadcj View Post
    I've seen this so many times. I sell a chamber. 6 months to a year the bank goes calling like a old episode of deal or no deal. Then I'm knocking half the building down to get the thing out. California is not Florida. Much less the budget of la county. Like I said....before you sign off your savings make sure you find a doctor first. Then hope he doesn't quit. Ive seen 2 decades of failed independent chamber operations. Volunteers are great. Just make sure you have techs and doctors in line first who don't mind missing a round of golf and "giving" there time.
    Obviously you can't run it as an independent chamber operation treating diving casualties only; the point of the models above is that you're gonna need some combination of tax-supported county dept of health services, volunteers and annual monetary donations from the diving community to make this work. Again the cost of stand-by 24/7 operations for treating dive accidents only using volunteers and an on-call hyperbaric physician is not as great as running a full service weekday Hyperbaric Clinic facility treating diabetic wound care, burns and other medical conditions, because DCI cases in comparison are rare, uncommon and sporadic.

    The concept is similar to running a volunteer fire department -the call volume is not as great or frequent as a major metropolitan city or county, but the Emergency Service is still there on stand-by ready to respond.


  3. #73
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    Quote Originally Posted by Kevrumbo View Post
    Obviously you can't run it as an independent chamber operation treating diving casualties only; the point of the models above is that you're gonna need some combination of tax-supported county dept of health services, volunteers and annual monetary donations from the diving community to make this work. Again the cost of stand-by 24/7 operations for treating dive accidents only using volunteers and an on-call hyperbaric physician is not as great as running a full service weekday Hyperbaric Clinic facility treating diabetic wound care, burns and other medical conditions, because DCI cases in comparison are rare, uncommon and sporadic.

    The concept is similar to running a volunteer fire department -the call volume is not as great or frequent as a major metropolitan city or county, but the Emergency Service is still there on stand-by ready to respond.

    I see what you are saying now.

    Broke

  4. #74
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    Quote Originally Posted by FW View Post
    There may be another way. Using the first model, automate the whole system. The patient comes in, enters his dive profile, and selects a list of symptoms from a menu. Then sticks his credit card in a slot, and climbs into the chamber. No need for doctors, or even technicians
    Maybe you just plug in your shearwater computer?

    The doctors aren't there for when everything works like it's supposed to. They're there for all the problems that could come up.


  5. #75
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    Quote Originally Posted by jlillest View Post
    Maybe you just plug in your shearwater computer?

    The doctors aren't there for when everything works like it's supposed to. They're there for all the problems that could come up.
    If they had a Shearwater, and actually did what it said to, probably they wouldn't need a chamber.

    Forrest Wilson (with 2 Rs)
    Any opinions are personal.
    Sump Divers

  6. #76

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    Quote Originally Posted by FW View Post
    If they had a Shearwater, and actually did what it said to, probably they wouldn't need a chamber.
    Sounds like a great product quote to me. They should use it for PR. Well said Mr. Wilson.


  7. #77
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  8. #78

    Default Chambers recompressing diver's database

    Quote Originally Posted by FW View Post
    If they had a Shearwater, and actually did what it said to, probably they wouldn't need a chamber.
    Not always true. And to say so shows a lack of understanding of the complexities and nuances of the activity. It's easy to be flippant or blasé until you're confronted with it yourself. And forget about IWR. in many cases (mine included), it's a nonstarter.

    https://m.youtube.com/watch?v=0t8djdervQw


  9. #79
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    Quote Originally Posted by johnnyh View Post
    . And forget about IWR. in many cases (mine included), it's a nonstarter.
    So in Florida what are the options as time progresses? I wish I could tell you the number of people I have seen that got bent, sat in a hospital ER for HOURS, and then eventually transported somewhere else. And the real pity is that they sat in a hospital ER of a hospital with a chamber. I get it recompressing divers is not profitable, and modern day health care isn't about providing the patient what they need,but keeping profitable. If you get bent cave diving in Florida,there will be a shell game of determining where to send you, hence time equals tissue injury. So you are sitting in the ER for 5 hours with pain related to a type 1 hit while they try to figure out where to send you..hmmmm.....IWR may not be that bad.

    If they had a Shearwater, and actually did what it said to, probably they wouldn't need a chamber.
    I did, and ended up with pulmonary DCS.

    "Not all change is improvement...but all improvement is change" Donald Berwick

  10. #80
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    Quote Originally Posted by Kelly Jessop View Post
    So in Florida what are the options as time progresses? I wish I could tell you the number of people I have seen that got bent, sat in a hospital ER for HOURS, and then eventually transported somewhere else. And the real pity is that they sat in a hospital ER of a hospital with a chamber. I get it recompressing divers is not profitable, and modern day health care isn't about providing the patient what they need,but keeping profitable. If you get bent cave diving in Florida,there will be a shell game of determining where to send you, hence time equals tissue injury. So you are sitting in the ER for 5 hours with pain related to a type 1 hit while they try to figure out where to send you..hmmmm.....IWR may not be that bad. ..
    If there is a question of medical malpractice, then of course any physician or medical clinic can be sued -whether a case has merit or not is a whole other issue. And again setting up & running a divers only chamber with support based on a conceptual on-call volunteer fire department model costs less than operating a full-time weekday hyperbaric clinic for treating all applicable medical conditions such as wound care, burns, CO poisoning etc.

    The point is fear of litigation or unprofitability should not be valid reasons in not having a dive casualty only Recompression Chamber on 24/7 stand-by in a popular Scuba location with as many advanced & technical divers taking up Cave Diving.

    The non-profit Catalina Hyperbaric Chamber has been working here in SoCal since 1974; there's a wealth of experience in that model that can apply as a solution to setting up a similar operation in North Florida Cave Country, an obvious & critical emergency service to provide immediately as needed. . . Otherwise you will continue to have serious delayed or deferred treatment cases like the above.



 

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