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.
https://www.scubaboard.com/community.../#post-7891471
https://www.facebook.com/diveprospen...4849969986063/
So far is this the best you can do there in Florida. . .(?)
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
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.
I did, and ended up with pulmonary DCS.If they had a Shearwater, and actually did what it said to, probably they wouldn't need a chamber.
"Not all change is improvement...but all improvement is change" Donald Berwick
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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