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Recompression Facility Important


                         to Commercial Divers in PNG


        Papua   New   Guinea’s   diver
       recompression  facility,  strategically
       located  in  Port  Moresby,  has
       saved  many  lives  and  prevented
       numerous  long-term  disabilities
       since it opened in 2004.  Although
       recreational divers have traditionally
       been the most frequently treated, the
       last five years have seen an increase
       in commercial diver patients.  Given
       the surge in projects that will require
       commercial  diving  services  over
       the next decade (e.g., new offshore
       LNG pipeline, mining tailings dams
       and  offshore  disposal,  marine
       surveys,  port  redevelopments),  it  is
       reasonable to expect that the facility
       will  continue  to  increasingly  be
       required by commercial divers.
        The Port Moresby recompression
       facility  operates  to  international
       standards.    Facility  Coordinator  of
       the PNG Dive Association (PNGDA),
       John Miller, asserts that the facility’s
       treatment  protocols  are  “world
       class” and in accord with the Divers
       Alert  Network  (DAN)  –  a  respected   Regional Hyperbaric Specialist Consultant, Dr Bobby Wellsh, conducting a neurological assessment on a patient prior to
                                   treatment at the recompression facility in Port Moresby, PNG.
       international  entity  that  provides
       emergency medical assistance to divers.
        Miller says that the recompression facility is just one part of the picture   “Our  PacTow  technicians  are  all  experienced  commercial  divers
       when it comes to diver safety in PNG. “Collectively, the PNGDA, DAN,   themselves  and  they’re  Papua  New  Guineans”  explains  Miller.    “This
       and our medivac partner, Tropicair have built a ‘diver safety network’   means  they  have  a  heightened  understanding  of  decompression
       which rivals similar setups in developed countries.”   illness and its seriousness, and they are extremely accessible given that
        “When  one  of  the  hospitals  or  dive  resorts  scattered  across  the   they’re in Port Moresby and on call 24/7.  Significantly, we know that
       country  contacts  us  with  a  suspected  case  of  decompression  illness,   the training we provide to our PNG technicians will stay in country to
       we’re  able  to  provide  a  rapid  over-the-phone  diagnosis  through   benefit dive patients for potentially decades as opposed to when we
       our  Regional  Hyperbaric  Specialist  Consultant,  Dr  Bobby  Wellsh,  an   train expatriates.”  Another member of PacTow’s commercial dive team
       emergency and critical care physician as well as a hyperbaric medicine   is scheduled to receive training and qualify as a recompression chamber
       expert.  If necessary, we liaise with Tropicair who through their subsidiary   technician in the second half of this year.
       Medicair,  send  one  of  their  specialised  planes  –  sometimes  with  Dr   Although commercial divers employed by reputable companies as well
       Wellsh on board – to pick up the patient.  The recompression chamber   as tourists with the right medical insurance have the means to access the
       is located within Tropicair’s facility right at the airport.  It’s literally 100m   Port Moresby recompression facility, others (such as those engaged in
       from where the plane lands to where the chamber is located so we’re   the illegal sea cucumber trade) typically do not. Miller reports that some
       able to provide the diver with seamless medical care.”  of these divers also simply leave it too late to access treatment. This
        Operation of the recompression chamber requires a team of medical   has been the case with several patients who were engaged in high-risk
       professionals and technicians led by Dr Wellsh.  Patients present with   commercial fishing activities that resulted in significant decompression
       various degrees of severity of decompression illness and often require   illness.
       treatment over several consecutive days.  Individual treatments between   There are no other recompression facilities operating in Melanesia.
       2-5 hours in duration are administered in accord with doctor directions.  Without the Port Moresby facility, patients would have to be evacuated
        In  2023  the  facility  increased  its  capacity  with  the  training  of  an   to either Northern Australia (i.e., Townsville) or Guam (i.e., the two closest
       additional doctor, three more nurses, as well as five extra technicians.     international facilities).  Given that rapid presentation for treatment is
       Miller says that some of the best technicians are those from local marine   central to successful decompression illness recovery, the Port Moresby
       towage and salvage company, Pacific Towing (PacTow), which provides   facility is incredibly important to its commercial divers and projects that
       numerous specialist services to the country’s growing oil and gas sector.  require their services.
                   To learn more about PacTow:  www.pacifictowingmarineservices.com

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