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Any thoughts

You asked ... you get :-)

Talking from the background of the UK's emergency service network, IWR 
gives three main concerns..

1: In reality, if planned for that hard it will be used .... trouble 
is the result will often be a delay in calling the emergency services 
and the subsequent attention of those properly trained, experienced 
and equipped for recompression therapy. 

2: Consider just what the attendant is taking on. O2 seizures aside, 
down below or more likely on the re-ascent there is a chance of 
symptoms progressively worsening. Communication between 
attendant-casualty and between attendant-surface is inevitably 
(ignoring coms) restricted making it all the harder to monitor.

3: Are you qualified to administer O2 to a casualty under water? ... 
litigation and all that? :-) My BSAC O2 "badge"  covers me for 
administration to diving casualties (DCS/CAGE/near-drowning) on the 
surface ... it specifically excludes giving O2 to non-divers and would 
certainly not allow IWR.

Yes, there are places where chambers are not readily available .... 
your first line of defence in that situation is just to keep well away 
from the edge .... if you can ;-)

Bob Talbot

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