TDA CMAS Badalveda Partnership

1
TDA CMAS - Badalveda Partnership
Presented by Rowan SandersonMarketing
ManagerBadalveda Diving Medicine NetworkMedical
Consultant TDA CMAS Thailand
2
What is the Badalveda Diving Medicine Network?

• Largest Recompression Chamber and Diving
  Medicine Group in Thailand
• Established in 2002 by Dr Suriya Na Nakorn
• Vice Admiral Royal Thai Navy
• Head of Underwater Medicine Division
• 30 years experience in hyperbaric and diving
  medicine
• President Medical Committee
• TDA CMAS Thailand

3
Bangkok Hospital Group

• The Badalveda Diving Medicine Network is
  affiliated with the Bangkok Hospital Group.
• The largest international hospital network in
  Thailand
• Recompression Chambers and
• Diving Medicine Centers located at
• Bangkok General Hospital
• Bangkok Phuket Hospital
• Bangkok Pattaya Hospital
• Bangkok Samui Hospital
• and evacuation station on Koh Tao.

This affiliation enables us to provide a higher
standard of medical care to injured divers.
4
Our Objectives

• To treat, educate and support the diving
  community in Thailand
• Education and training
• Medical advice and emergency assistance
• Correct diagnoses and treatment for decompression
  illness
• Example
• Koh Tao previously had the highest number of DCI
  cases in Thailand.
• Since Badalveda established a diving medicine
  center on the island we have had
• approx. 90 divers with DCI symptoms.
• Only 8 divers received recompression treatment in
  18 months
• By correctly diagnosing DCI and not automatically
  treating every suspected DCI
• case we have been able to significantly reduce
  the amount divers receiving
• recompression treatment in Thailand.
• Helps improve Thailands image as a safe diving
  location

5
Number of divers receiving hyperbaric treatment
in Thailand
6
Affiliations

• All Badalveda Diving Medicine Centers are
• part of the DAN Referral Network
• Other affiliations include
• DDRC - Diving Disease Research Center UK
• NBS - National Baromedical Service US
• UHMS - Underwater Hyperbaric Medicine Society
• Royal Thai Navy
• Sechrist Hyperbaric Systems

7
TDA CMAS - Badalveda Partnership

• 1. Establishment of a Medical Committee
• 2. 24 hour emergency assistance and medical
  advice
• 3. Medical training and First Aid equipment
• 4. TDA CMAS Protection Program

8
1. Establishment of a Medical Committee

• The Medical Committee Role is to provide guidance
  and advice on all
• Medical issues that may effect TDA CMAS.
• Separate medical statement and doctor approval
  form
• Advice on insurance and assistance when making a
  claim
• Assisting TDA CMAS Executive committee for policy
  making on medical issues
• Medical checkups for Thailand Monofin and
  Underwater sport teams
• Medical backup for TDA CMAS events and activities

9
1. Medical Committee

• This includes
• Medical statements and documentation for students
  / instructors
• Example text
• Before diving you must complete a medical form.
  You have to inform your instructor of any known
  health problems or any medication your are
  taking. Any person with a history of coronary /
  heart problems, epilepsy, or severe medical
  problem or who is under the influence of drugs or
  alcohol should not dive.

10
1. Medical Committee

• Future Plans
• Development of a TDA CMAS Medical Statement
• Dedicated medical statement
• Development of a TDA CMAS Diving Medical Check up
• Development of a TDA CMAS Medical Fund
• Establishment of a TDA CMAS medical fund that can
  be used
• to help injured Thai divers
• be used for education programs
• providing basic first aid / medical equipment.

11
2. Emergency Assistance and Medical Advice

• 24 hour emergency assistance and medical advice
• Emergency hotline number will be included on the
  back of TDA card
• Divers are able to call this number and talk
  direct to a diving medic or to a doctor for
  medical advice and assistance. This includes
  emergency evacuations or general diving medicine
  questions.

12
3. Medical Training and First Aid Equipment

• Training
• Chamber awareness courses
• DAN Courses
• REM Remote Emergency Medic Courses
• CHT - Certified Hyperbaric Technician courses
• CPR BLS (Basic Life Support) training
  specifically for Thai divers / boat boys
• Future plan Dedicated TDA CMAS Diving Medic
  Course.
• Focus on CPR, Basic life support, oxygen
  provision and airway management, remote medical
  assistance, MEDEVAC evacuation, and treatment for
  decompression illness.
• Incl. practical scenarios on beach and/or boat

13
3. Medical Training and First Aid Equipment

• Equipment
• Oxygen kits
• Regulators
• First aid kits
• Pocket masks
• Incl.setting up oxygen delivery
• systems and development of
• evacuation plans.

14
4. TDA CMAS Protection Program

• Aim is to provide additional protection to TDA
  CMAS divers who need
• recompression treatment. All instructors and
  students will be automatically
• included in the Protection Program.
• Costs THB 200 per person per year
• Benefits
• Valid for 12 months
• Used across all Badalveda Diving Medicine Centers
  in Thailand
• 70 discount on hyperbaric treatment for any
  uninsured TDA / CMAS card holder
• Normally rate of treatment THB 23 000 (US 500
  per hour)
• TDA CMAS rate THB 6 900 (US 120 per hour)

15
4. TDA CMAS Protection Program

• All Instructors are automatically included in the
  program as part of
• their annual membership (cost of THB 200 incl.)
• All instructors must be registered
• The following information must be sent
  tomedicconsult_at_cmas-Thailand.org
• Name
• Address
• Nationality
• Date of birth
• and email address (if applicable)
• All information is added to the TDA CMAS
  Protection Program Database
• Any instructors not registered will be unable to
  receive the coverage

16
4. TDA CMAS Protection Program

• Students / Instructor candidates
• Students automatically included in the
• program once they begin course. Price
• THB 200 will be included in the cost of
• the TDA card.
• Once a student begins course the instructor must
  register their details
• within 24 hours to medicconsult_at_cmas-Thailand.org
  
• Name Address
• Nationality
• Date of birth
• and email address (if applicable)
• All information is added to the TDA CMAS
  Protection Program Database.
• Any student not registered will be unable to
  receive the cover.

17
4. TDA CMAS Protection Program

• Information about the Protection Program will be
  included on all
• instructor/students forms
• Example text
• Please note All students are automatically
  enrolled in CMAS / TDA
• Protection Program. This will entitle an
  uninsured diver to a discounted rate
• for treatment in a hyperbaric / diving chamber in
  the unlikely event of
• decompression illness. All students must be
  registered within 24 hours of
• beginning the course. To register the following
  information must be sent via
• email to medicconsult_at_cmas-Thailand.org
• Date, Students Name (Mr, Ms), Address, Date of
  birth, Nationality
• and email address (if applicable)

18
Benefits of Protection Program

• Extra Protection for TDA CMAS staff, students,
  instructors
• Automatic cover in case of accident
• Discounted rate can be used in with AIG New
  Hampshire Insurance
• TDA / CMAS Dive Center do not need to pay
  separate annual membership fees to hyperbaric
  chambers
• Remember Insurance companies do not always
  provide payment.
• Why? - Dont provide cover for diving accidents
  or recompression
• - Customer/ dive center to pay first and claim
  back
• - Restrictions exists for depth, level of
  training etc etc
• - No cover for certain nationalities
• Even if your dive center has insurance for their
  customers the Protection Program is a good back
  up in case problems occur.

19
Summary How can Badalveda help TDA CMAS?

• Central location for advice and assistance
• Medical Emergencies - 24 hr hotline [phone]
• Equipment selection and installation
• - Group discounts on first aid equipment
• Training- Group discounts on training courses
• Check up programs
• Policy making
• General medical questions
• email medicconsult_at_cmas-Thailand.org
• Protection Program for TDA CMAS students /
  instructors

20
Questions?