Death at P1

[rddvet]

So who was it. I can not find any info


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Not trying to be a jerk, but I?ve learned my lesson about sharing details on cdf with you guys. The name has been released. Likely not someone you know. But due to the hate mail and negative commentary I received in the past for sharing details on things such as the Ginnie death (when asked to post by a recovery team diver) I 100% wont be the one to name names or give details on cdf.
Several jackasses here even tracked down my wife to get my contact info back in the day because they didnt like me sharing what I was aksed to share about a death. That goes well beyond normal behavior and I?m not opening myself or my wife up to the headache again.


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[Diverlee]

Understand! I remember that.


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[rddvet]

Understand! I remember that.


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Thanks. Unfortunately once dummies start tracking down my family so they can get my contact info I have to draw a line. Glad you understand its nothing personal.


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[rilelen]

I was at P1 that day, along with my buddies; we were diving the cave at OG when word went out there that as an unconscious diver at P1.

I don’t want to add too much, but for the sake of clarifying some confusion, I will say that one of us stayed behind at OG to direct EMT and first responders, the others went down to P1 to render aid. We are all first aid and CPR trained; CPR was administered continuously to the diver until the ambulance arrived and paramedics took over. Their AED indicated that a shock was NOT advised. Oxygen was not being administered when we first arrived at P1; one of us is an instructor and had a DAN 02 kit, and put the diver on oxygen. The paramedics continued to work on the diver until it became apparent that he was not going to make it. My heart goes out to him and his family; I hope it is some little comfort to them to know that he was not alone and was surrounded by folks from the cave community that came together to give what help they could. A terrible terrible day.

[twaldo]

I was at P1 that day, along with my buddies; we were diving the cave at OG when word went out there that as an unconscious diver at P1.

I don’t want to add too much, but for the sake of clarifying some confusion, I will say that one of us stayed behind at OG to direct EMT and first responders, the others went down to P1 to render aid. We are all first aid and CPR trained; CPR was administered continuously to the diver until the ambulance arrived and paramedics took over. Their AED indicated that a shock was NOT advised. Oxygen was not being administered when we first arrived at P1; one of us is an instructor and had a DAN 02 kit, and put the diver on oxygen. The paramedics continued to work on the diver until it became apparent that he was not going to make it. My heart goes out to him and his family; I hope it is some little comfort to them to know that he was not alone and was surrounded by folks from the cave community that came together to give what help they could. A terrible terrible day.

SO... all my friend could confirm was that an AED was in use... is it possible that it was the EMT AED? and not the one at the park?

[Diverlee]

It might have been on the person but if a shock is not indicated it won?t shock. Still leave it in place. Does it really matter who it belonged to?


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[rddvet]

SO... all my friend could confirm was that an AED was in use... is it possible that it was the EMT AED? and not the one at the park?

Yeah doesnt really matter. Clearly emt?s were involved and a death still occurred. More important questions still remain such as possibility of a medical issue vs gas issue vs rebreather issue. From the bits and pieces I?ve received it sounds medical, but that is 100% speculation and shouldnt be thought of as fact


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[MORGAN]

I know nothing at all about this particular case, but for general information:

Defibrillation is used to treat ventricular fibrillation and pulseless ventricular tachycardia. Cardiac arrest from hypoxia, whether from drowning, from a hypoxic loop on a rebreather, or from CO poisoning, tends to present as asystole (flatline) or PEA - Pulseless Electrical Activity, where the intrinsic pacemaker system of the heart is generating an electrochemical stimulus (visible on the EKG) but the heart muscle is unable to respond and contract to generate a pulse. Outcomes tend to be poor - the brain is more sensitive to hypoxia than the heart, so by the time someone is hypoxic enough to cause cardiac arrest, the brain is likely too hypoxic to yield a good neurological outcome.

But it's always worth starting CPR. The patient may have arrested from a primary cardiac event into ventricular fibrillation or ventricular tachycardia, and not be that hypoxic. At the time these decisions need to be made, we don't usually have much information, so we err on the side of starting resuscitation. Sometimes the patient will surprise you. Of the cardiac arrest patients I've had that walked out of the hospital neurologically intact (a small percentage of well over a thousand cardiac arrests both prehospital and in-hospital) the common denominator has been early and effective CPR and early defibrillation when in a shockable rhythm.

Mike

[twaldo]

It might have been on the person but if a shock is not indicated it won?t shock. Still leave it in place. Does it really matter who it belonged to?


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There was suggestion that the one posted at the p1 changing room had battery issues... so it matters.

[PfcAJ]

There was suggestion that the one posted at the p1 changing room had battery issues... so it matters.

100%.

If a dead battery resulted in a delay of care, that’s not good.