Diving Safety & First Aid

Oxygen First Aid for Divers

A practical overview of why emergency oxygen matters in diving incidents and what divers should check before they need it.

Why oxygen matters in a diving incident

For a suspected diving injury, emergency oxygen is one of the most important first aid interventions a trained provider can deliver while evacuation and medical advice are being arranged.

Oxygen first aid is not a diagnosis and it is not a replacement for recompression or medical care. It buys time, supports the casualty and should be started early by someone trained and equipped to use the system safely.

MacroDivers.com Oxygen First Aid infographic showing when to give oxygen, how to give oxygen, oxygen safety and key reminders for divers.

A simple response framework

Think in terms of scene safety, assessment, oxygen, monitoring and escalation.

1. Make the scene safe

Stop further diving, secure the casualty, keep the boat or shore team organised and avoid creating a second casualty.

2. Assess ABCs

Check responsiveness, airway, breathing and circulation. Start CPR and use an AED if the casualty is unresponsive and not breathing normally.

3. Give oxygen if trained

Use the most suitable oxygen delivery method available and follow your training. Aim for continuous high-concentration oxygen while help is arranged.

4. Call for help early

Contact local emergency services, the dive operator, coastguard or chamber pathway as appropriate. Contact DAN or local diving medical advice where available.

5. Record the dive story

Write down dive profiles, gases, symptoms, timings, first aid given and changes in condition. This helps the receiving medical team.

6. Monitor and hand over

Keep the casualty warm, still and reassured. Reassess regularly and give a clear handover to emergency responders.

Practical dive-site considerations

Oxygen is only useful if it is present, full, accessible and someone knows how to use it. Before a dive day, check where the kit is, who is trained, what masks and regulators are available, how much oxygen is carried and how long it will last at expected flow rates.

For remote locations, do not assume oxygen will be nearby. Ask the operator directly. A good emergency plan includes oxygen, communication, evacuation route, nearest medical support and chamber contact pathway.

Reference points

DAN describes emergency oxygen as preferred first aid for scuba diving injuries and emphasises early administration by trained responders. UK HSE diving guidance also expects suitable first aid provision and oxygen administration equipment for diving operations.