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Rescuers should not take unacceptable risks; any rescuers who become casualties themselves may jeopardise the rescue of the original casualty particularly as many of the emergency resources available at dive site, such as rescue manpower, first aid oxygen, underwater time and gas are generally in short supply.

Conscious casualties may panic and put the rescuer's safety at risk particularly when the rescuer approaches a casualty in or under the water. It may be possible to avoid contacting a panicked casualty by throwing a rope or buoyancy aid and encouraging the casualty to help him or herself. If contact must be made, the rescuer should try to approach the casualty from a direction that presents least risk to the rescuer, such as from behind. Alternatively, the rescuer may need to wait until the casualty is incapacitated before approaching.

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