Just Culture

Debriefing allows lessons to be learned—successes and failures. Photo by Gareth Lock.

A diver had an oxygen toxicity seizure because an incorrect gas was filled in a cylinder by a dive centre. A baby died because the wrong dose of medication was injected. Who is to blame for the error and how do we try to make sure that these types of incidents aren’t repeated?

Profile Evie Dudas

As Evelyn Bartram Dudas’s Nikonos III made its way toward the bottom of the Atlantic Ocean one day not too long ago, she did the only thing that made sense to her at the time. She dove after it, retrieving the camera just before it was lost amidst the twisted remains of a shipwreck on the sea floor. Her rapid descent cost her a broken eardrum.

What if diving was new?

Imagine scuba diving is a brand new sport. You hear about it for the first time when one of your friends tells you about a scuba experience she had recently on holiday and you think this sounds incredibly exciting. After thinking about it for a long time, you decide you want to learn. You take lessons to improve your swimming and then you look online for a dive instructor. There are no dive centres in your town.