Surfacing the Unconscious, Nonbreathing Diver
- Upon discovering the victim, make a number of mental notes about the situation.
- If the regulator is in the victim's mouth, it should be left in place and held in place during the ascent.
- The victim should be held near the head and maintained in an upright, normal anatomical position throughout the ascent.
- The rescuer maintains buoyancy control through his or her own equipment. Begin the ascent to the surface maintaining proper buoyancy.
- Visualize the sequence of events that needs to take place upon surfacing and upon approching the surface, plane the victim out preparing for transport to the exit area.
- The most important thing to do is get the victim to the surface. Although all the steps are important, do not be overly concerned if it is not possible to follow some of them. As a last resort option, you can make the victim positively bouyant by discarding his weightbelt.
ONCE ON THE SURFACE:
- Get the person's face out of the water.
- Make the person bouyant.
- Check for breathing and perform artificial respiration if necessary.
- Transport the victim and prepare for exit.
Primary Assessment deals with an immediate life threatening situation using the Circle of Care. Repeat the circle until the victim is no longer under your care.
- Arousal
- Establish an Airway
- Check for Breathing
- Check for Pulse
- Check for Bleeding
- Shock Management
Secondary Assessment 
The secondary assessment helps identify and treat visible or unseen illnesses and injuries. The following is a general procedure for conducting a secondary assessment.
- Call for help if needed.
- If there is a possible severe injury, keep the victim in the position in which he was found.
- Examine the victim from head to toe using the sixty second check. Look for and ask about tenderness or pain, deformity, fluid, and moisture.
- Begin treatment for any found injuries after the entire assessment has been performed.
- Record any abnormalities found for reporting to other emergency personnel.
- Monitor the patient closely and continue treatment for shock.
Maintain the patient until emergency medical personnel arrive.
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