Tim,
One of the things they teach in Rescue, and it seems the same as you've learned as a wilderness guide, is considering the risk to yourself. You need to analyze the situation, determine your risk factor and decide if that risk factor is acceptable. That risk factor is going to be dependent on your level of training and what gas mix your diving. In some cases you'll come up with the answer that there is more likelihood that trying to rescue someone will result in both of you needing rescue. In that case, your best option, and the victims best option, is for you to head to the surface post haste and get qualified help. If it's a popular dive spot, you'll most likely find some divers present that are both qualified and equipped to effect the rescue. The most important thing is not turning the scenario into two divers needing rescue, as you'll not only failed at saving the victim, but quite possibly delayed his chances at getting help while putting yourself in the position of needing rescue.
While I have been Rescue trained, there are going to be instances where I wouldn't rescue the victim myself. If I have insufficient air or diving a nitrox blend that wouldn't allow me to go to the required depth I would head for the surface and either get someone else to go for the victim, or grab a fresh tank of air to go back while getting someone to call for EMS. In any and all events, remember to not make yourself a victim
One of the things they teach in Rescue, and it seems the same as you've learned as a wilderness guide, is considering the risk to yourself. You need to analyze the situation, determine your risk factor and decide if that risk factor is acceptable. That risk factor is going to be dependent on your level of training and what gas mix your diving. In some cases you'll come up with the answer that there is more likelihood that trying to rescue someone will result in both of you needing rescue. In that case, your best option, and the victims best option, is for you to head to the surface post haste and get qualified help. If it's a popular dive spot, you'll most likely find some divers present that are both qualified and equipped to effect the rescue. The most important thing is not turning the scenario into two divers needing rescue, as you'll not only failed at saving the victim, but quite possibly delayed his chances at getting help while putting yourself in the position of needing rescue.
While I have been Rescue trained, there are going to be instances where I wouldn't rescue the victim myself. If I have insufficient air or diving a nitrox blend that wouldn't allow me to go to the required depth I would head for the surface and either get someone else to go for the victim, or grab a fresh tank of air to go back while getting someone to call for EMS. In any and all events, remember to not make yourself a victim