Training BULLETIN A Training and Education Update for PADI Members Worldwide FIRST QUARTER 2011 Product No. 01220 In This Issue... Dive Theory Online Link to Divemaster 2 Referral Form Notice 2 EANx RDP Tables-to-Computer Transition 2 New CPR Guidelines for EFR and PADI courses 3 TecRec Q&A 5 2011 Instructor Development Updates Online 6 Revised IDC Curriculum section Divemaster Course 6 IDC Translation Implementation Update 6 Dive Theory Online Link to IDC 6 Preparing IDC-Bound Candidates for Dive Theory Requirements 7 Using New Materials with the Previous IDC Curriculum 7 Assistant Instructor Documentation Reminder 8 IDC Staff Instructor Course Audit Options 8 Training Bulletin Required Reading This update is the primary training communication from your PADI Office to you. It announces PADI training standards and procedures changes and their implementation date. Your PADI Membership commitment requires you to keep abreast of PADI standards by reviewing and putting into practice the information in this quarterly update. Check with your PADI Office for more information.
General Training Dive Theory Online Link to Divemaster Divemaster candidates who choose to study dive theory by enrolling in Dive Theory Online may credit that training toward Part 2 (dive theory and environment) of the revised Divemaster Final Exam. To do so, divemaster candidates present the Dive Theory Online erecord within 12 months of completing the program; and candidates are required to complete only Part 1 of the two-part Divemaster Final Exam. Dive Theory Online develops and tests dive theory knowledge at the instructor level, so divemaster candidates who take this PADI elearning program have exceeded the dive theory knowledge requirements for the PADI Divemaster course. PUBLISHER PADI EDITOR Julie Taylor Sanders ASSOCIATE EDITOR Lori Bachelor-Smith CONTRIBUTING EDITORS PADI Americas Johnny Wetzstein PADI Asia Pacific Mike Holme PADI Europe Pascal Dietrich PADI International, Ltd. Suzanne Pleydell PADI Japan Yasuhiro Soda PADI Nordic Trond Skaare The Training Bulletin is published quarterly by PADI, Professional Association of Diving Instructors 30151 Tomas Rancho Santa Margarita, CA 92688 USA +1 949 858 7234 PADI 2011 All rights reserved Referral Form Notice Please note that the Open Water Diver Course Record and Referral Form (Product 10056, version 3.06) has the Scuba Unit Remove and Replace On the Surface skill missing from the list of Dive Flexible Skills. This form is found on the back of the Student Record Folder (English, Product 10058, version 4.07) and inside the PADI Diver Training Record and Log Book (English, Product 70047, version 3.02.) Please add this skill to thedive Flexible Skills list, or download the latest Open Water Diver Record and Referral Form from the Pros Site to replace the one found in these two products. If you have any questions, please contact an Educational Consultant at your PADI Office. EANx RDP Tables-to-Computer Transition In 2009, the revised Enriched Air Diver course materials, (including Enriched Air Online) that emphasize dive computer use for planning and making enriched air dives were released. This focus on computer use has been popular because nearly all modern dive computers are enriched-air-compatible, and divers prefer the ease of programming the relevant mix, planning and monitoring enriched air dives with their dive computers over table use. Although you can still acquire EANx RDP Tables and teach their use during your Enriched Air Diver courses, at some point in the future, PADI Offices will discontinue carrying these products. If you haven t made the switch from tables to computers yet, please consider making the transition to the computer based program. To get started, review the revised PADI Enriched Air Diver Course Instructor Guide (Product 70244) and revised exam (Product 70122). Note that the only Enriched Air Diver Manual (Product 70460) currently available, exclusively discusses computer use. For further information please review the Third Quarter 2009 Training Bulletin and The Undersea Journal. Page 2 Training Bulletin First Quarter 2011
Consensus 2010 New CPR Guidelines for EFR and PADI courses In October 2010, the American Heart Association (AHA) and the European Resuscitation Council (ERC), two members of the International Liaison Committee on Resuscitation (ILCOR), released new CPR and Emergency Cardiac Care (ECC) guidelines. Other large ILCOR resuscitation councils, such as the Australian Resuscitation Council, will release their guidelines after this bulletin is published. Emergency First Response and PADI programs follow guidelines established by these ILCOR member associations and implement changes whenever protocols are revised. The 2010 guidelines represent the most extensive research into emergency cardiac care to date. These are based on extensive review of various studies, literature, debates and discussions by international resuscitation experts. The new guidelines do not show a great change from Guidelines 2005, and further reinforce emphasis on providing effective chest compressions with minimal interruptions. Studies have shown the importance of providing fast, effective chest compressions as a critical aspect in treating a patient who has suffered cardiac arrest. Most practices, such as the compression to ventilation ratio of 30:2, have not changed. Compression-only CPR continues as a recommendation for untrained individuals. However, the recommendation remains for the trained lay rescuer to perform compressions and ventilations. A summary of the changes in administering CPR and AEDs for both ERC and AHA follows: European Resuscitation Council Changes New Guideline Old Guideline Rationale for Change When obtaining help, ask someone to call for an ambulance and to bring an automated external defibrillator (AED), if one is available When obtaining help, ask for someone to call for an ambulance With more AEDs in public places, it s common to have one accessible when administering CPR Compress adult chest to at least 5 cm at a rate of at least 100 compressions per minute Compress infant chest to approximately 4 cm and child chest to approximately 5cm at a rate of 100-120 compressions per minute To minimise interruptions in chest compressions, if there is more than one rescuer present, continue CPR while the AED is switched on and the pads are being placed on the patient Compress adult chest 4-5 cm and a rate of 100 compressions per minute Compress infant or child chest to approximately one third the depth of the chest at 100 compressions per minute No reference to continuing chest compressions while preparing the AED Emphasis is on good quality chest compressions with an attempt to reduce the number and duration of pauses during compressions Emphasis is on providing quality compressions of an adequate depth Emphasis is on reducing the number and duration of pauses during chest compressions ERC First Aid Changes not yet published. Any changes published will be announced in The Responder. Training Bulletin First Quarter 2011 Page 3
Consensus 2010 American Heart Association Changes New Guideline Old Guideline Rationale for Change No Look, listen, and feel for breathing Look, listen and feel for breathing before administering rescue breaths and chest compressions Minimize the delay in providing chest compressions Begin CPR by providing 30 chest compressions, then open the airway and give two breaths. If you suspect possible drowning, begin CPR with rescue breaths before chest compressions Compress adult chest to a depth of at least 2 inches (5 cm) Compression depth for children and infants is one third the diameter of the chest. This corresponds to approximately 2 inches (5cm) for children and 1½ inches (4cm) for infants Give compressions at a rate of at least 100 per minute To minimize interruptions in chest compressions, if there is more than one rescuer present, continue CPR while the AED is switched on and the pads are being placed on the patient For infants (less than 1 year of age) use of an AED with pediatric dose reducer is recommended. An AED without a dose attenuator may be used if a pediatric one is not available. Reduced emphasis on barrier use when providing CPR. Although still recommended, treatment should not be delayed if barriers are not available. Give two rescue breaths prior to giving 30 chest compressions Compress adult chest to a depth of 1½ to 2 inches Administer chest compressions at one third to one half of the diameter of the chest for child and infant CPR Give compression at a rate of approximately 100 per minute No reference to continuing chest compressions while preparing the AED AED use for infants (less than 1 year of age) was not recommended Emphasized use of barriers Existing oxygen in the lungs and in the circulatory system is sufficient to provide immediate benefits provided by chest compressions Emphasis is on providing good quality chest compressions with sufficient depth to provide adequate circulation Emphasis is on providing quality compressions of an adequate depth Emphasis is on good quality chest compressions at a rate to provide adequate circulation Emphasis is on reducing the number and duration of pauses during chest compressions Use of AED on infants has shown to be effective Research has shown that disease transmission is very rare when providing CPR Page 4 Training Bulletin First Quarter 2011
Consensus 2010 AHA First Aid Changes Allergic Reactions For patients carrying an epinephrine kit, help patient use it following directions. If symptoms of anaphylaxis persist despite epinephrine administration, seek medical assistance before administering a second dose of epinephrine. In unusual circumstances, when advanced medical assistance is not available, a second dose of epinephrine may be given if symptoms of anaphylaxis persist. Heart Attack Advise the patient to chew one adult (nonenteric-coated) or two low dose aspirins, if the patient is complaining of chest pains and does not have a history of allergy to aspirin and no recent gastrointestinal bleeding. This may be performed after activating the EMS system. Venomous Bites and Stings For snake bites, apply a pressure immobilization bandage around the entire length of the bitten extremity. This is an effective and safe way to slow the dissemination of venom. Care must be taken to ensure the pressure bandage is not too tight. You should be able to slide a finger under the bandage. Treat jellyfish stings by liberally washing the affected area with vinegar (4-6% acetic acid solution) for at least 30 seconds to inactivate venom and prevent further envenomation. After the nematocysts are removed or deactivated, treat pain with hot-water immersion when possible. Implement these changes into your courses immediately; with required implementation no later than 31 March 2011. To keep EFR and PADI courses current and internationally applicable, course materials are being revised to reflect these recent guidelines. As other resuscitation council national guidelines are released, you will find more detailed information about them and how they apply to EFR and PADI courses in your regional edition of The Responder. For detailed references see the full 2010 AHA Guidelines for CPR and ECC and the ILCOR CoSTR document in the journal Circulation at www.circ.ahajournals.org, and view the ERC Guidelines 2010 at www.cprguidelines.eu. TecRec Q: May I conduct accelerated decompression as part of Tec 45 Dive 4? A: Yes, when conducting Dive 4 of the Tec 45 course, you may use EANx or oxygen to accelerate decompression, or to make decompression more conservative. The motor skills required for either option are the same; therefore, you have the choice based on student diver needs, comfort and logistics. Training Bulletin First Quarter 2011 Page 5
Instructor Development 2011 Instructor Development Updates Online If you weren t able to attend the Course Director or IDC Staff Instructor updates presented by your PADI Office staff, you can access them online (in English). Go to the Pros Site/Pro Development and register to take the update online at your convenience. Upon registration, you ll receive a web link to get started. You ll learn about the revised PADI Divemaster course, and you ll take part in an evaluation training session featuring the new Divemaster Course Lesson Guides. Revised IDC Curriculum section Divemaster Course You can download the revised IDC curriculum presentation notes for your PADI Course Director Manual as well as the associated IDC Lesson Guides that reflect the changes to the PADI Divemaster course. Go to Pros Site/Training Essentials/Curriculum/Instructor Development. As a reminder, the revised Divemaster Course Instructor Guide for the PADI Instructor Manual and Divemaster Course pages for PADI s Guide to Teaching are available on the Pros Site or through your PADI Office. Dive Theory Online Link to IDC Use Dive Theory Online to help develop your instructor candidates dive theory knowledge to the instructor level. Dive Theory Online both develops and assesses the elearner s dive theory knowledge. Effective immediately, a Dive Theory Online erecord verifying successful completion of Dive Theory Online within 12 months may be submitted: With the Instructor Candidate Information and Training Record as credit toward completing the Instructor Dive Theory Exams during the IDC or OWSI program. To meet the dive theory exams prerequisite for the IDC Staff instructor course. To meet the dive theory exams prerequisite for the CDTC. As a useful study tool for leadership continuing education, Dive Theory Online elearners have access to the online program content for up to 12 months after completing the program. Dive Theory Online is currently available in English. IDC Translation Implementation Update As announced locally, revised IDC materials are available in the following languages: Language Required Implementation Date Japanese, Chinese 1 January 2011 Dutch, Spanish, Italian, French, German 1 July 2011 Page 6 Training Bulletin First Quarter 2011
Instructor Development Preparing IDC-Bound Candidates for Dive Theory Requirements There are several learning options for those who need to increase or refresh their dive theory knowledge as they prepare for an IDC. Candidates can choose to do this through independent study, via instructor-led sessions, or using a combination of both. Candidate Independent Study Options: Enroll in Dive Theory Online (currently available in English). See previous article for more information. Study using the Diving Knowledge Workbook, The Encyclopedia of Recreational Diving, RDP and erdpml Instructions for Use booklets. Previous course manuals (Open Water, Adventures in Diving, Rescue Diver, Divemaster) are also great resources. Instructor-led Workshops Use the dive theory segments of the previous Divemaster Course Presentation Outlines, which are available for download from the Pros Site/Training Essentials/Curriculum/Divemaster available in 15 languages. The former lesson guides can also be used along with the outlines. Use the new theory segment of the revised Divemaster Course Lesson Guides to review foundational concepts. Using New Materials with the Previous IDC Curriculum As new translated materials, such as the PADI Instructor Manual and PADI s Guide to Teaching, have become available, many PADI Members have started to use these new materials during IDCs conducted using the previous curriculum. This can result in a mismatch of some information candidates refer to, particularly when using new materials to answer questions on older Systems, Standards and Procedures practice exams. If you are using newer materials with the previous IDC Curriculum (prior to the mandatory implementation date for your region), please advise candidates accordingly when reviewing their practice exams. Contact an Educational Consultant if you have any questions. Training Bulletin First Quarter 2011 Page 7
Instructor Development Assistant Instructor Documentation Reminder When you submit an Assistant Instructor (AI) Application to your PADI Office, make certain you include the required Instructor Candidate Information and Training Record with the application. This documentation has become increasingly important since the Instructor Development Course was revised. The training record documents whether the AI candidate completed IDC Online segments or instructor development staff-led presentations, including the three optional AI presentations that are required for the OWSI program. This is important to have documented, particularly if the candidate chooses to complete the IDC/IE. IDC Staff Instructor Course Audit Options The preferred option when conducting an IDC Staff Instructor course is to have candidates audit an entire IDC. However, if all instructor candidates participate in the IDC Online, IDC Staff Instructor candidates will not have a chance to audit those curriculum sections. Because the goal of an IDC Staff Instructor course is to expose candidates to the preparation and conduct of each IDC curriculum presentation, there are several ways to achieve this. Have the IDC Staff Instructor candidates audit the live presentations (Option A) in addition to one of the following: Have the IDC Staff Instructor candidates present the IDC Online components and critique their delivery. Review all IDC Online presentations with the IDC Staff Instructor candidates and provide advice from your own experience on how to present each component. Have IDC Staff Instructor candidates enroll in the IDC Online. Afterwards, review the online presentations and use the opportunity to add background and local information. The method you choose may vary depending on the IDC Staff Instructor candidates experience and certification history. Use your judgment and contact your PADI Office if you have any questions. Page 8 Training Bulletin First Quarter 2011