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Coma Scales. The primary goal of the neurologic examination in an unresponsive patient is to localize the lesion and thereby narrow the differential diagnosis. The examination should proceed in a stepwise fashion and be familiar to the neurologist because of constant repetition.
If the diver is responsive continue rescue breathing and tow to safety while starting equipment removal between breaths. If the diver is unresponsive, immediately discontinue rescue breathing and tow to shore as quickly as possible. Get the diver out of water, do a primary assement and if needed start CPR with AED if available. Imagine you are rescuing an unresponsive diver at the surface. You find the diver is not breathing.