Formulating policies and procedures for managing diving related deaths: a whole of state engagement from frontline and hospital services in Tasmania

Diving Hyperb Med. 2024 Jun 30;54(2):86-91. doi: 10.28920/dhm54.2.86-91.

Abstract

Introduction: Tasmania is a small island state off the southern edge of Australia where a comparatively high proportion of the 558,000 population partake in recreational or occupational diving. While diving is a relatively safe sport and occupation, Tasmania has a significantly higher diving death rate per head of population than other States in Australia (four times the national diving mortality rate).

Methods: Three compressed gas diving deaths occurred in seven months between 2021-2022 prompting a review of the statewide approach for the immediate response of personnel to diving-related deaths. The review engaged first responders including the Police Marine and Rescue Service, hospital-based departments including the Department of Hyperbaric and Diving Medicine, and the mortuary and coroner's office.

Results: An aide-mémoire for all craft groups, digitalised checklists for first responders (irrespective of diving knowledge), and a single-paged algorithm to highlight inter-agency communication pathways in the event of a diving death were designed to enhance current practices and collaboration.

Conclusions: If used, these aids for managing diving related deaths should ensure that time-critical information is appropriately captured and stored to optimise information provided for the coronial investigation.

Keywords: Autopsy findings; Diving deaths; Diving incidents; Diving medicine; Forensic pathology.

MeSH terms

  • Adult
  • Algorithms
  • Checklist
  • Decompression Sickness / mortality
  • Decompression Sickness / therapy
  • Diving* / statistics & numerical data
  • Emergency Responders / statistics & numerical data
  • Female
  • Humans
  • Male
  • Middle Aged
  • Tasmania / epidemiology

Grants and funding

Funding: nil