[abstract] DECOMPRESSION ILLNESS AT AN EXTREME DEPTH IN AN EXPERIENCED TECHNICAL DIVER SUCCESSFULLY TREATED WITH HYPERBARIC OXYGEN THERAPY IN A MONOPLACE CHAMBER: A CASE REPORT

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[abstract] DECOMPRESSION ILLNESS AT AN EXTREME DEPTH IN AN EXPERIENCED TECHNICAL DIVER SUCCESSFULLY TREATED WITH HYPERBARIC OXYGEN THERAPY IN A MONOPLACE CHAMBER: A CASE REPORT

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dc.contributor.author Lo, T en_US
dc.contributor.author Wijeratne, R en_US
dc.contributor.author Sample, RN en_US
dc.date.accessioned 2006-09-22T21:22:50Z
dc.date.available 2006-09-22T21:22:50Z
dc.date.issued 2006 en_US
dc.identifier.uri http://archive.rubicon-foundation.org/3738
dc.description Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org ) en_US
dc.description.abstract BACKGROUND: With the advent of modern computerized diving tables worn as wristbands, many divers are relying on computed values from these devices more than their own calculations derived from diving table manuals. The reliability of these computerized devices, however, has not been well validated in large-scale studies, and therefore, may not protect these divers from decompression injuries. We report the unique case of an experienced diver developing DCI from an extreme depth despite the assistance of two different computerized diving table devices, being successfully treated using a monoplace hyperbaric chambeCASE REPORT: A 37 year-old certified diver with ten year's experience presented with left shoulder and elbow pain after a technical dive with a dive buddy at an oil rig in southern California. His maximum depth was 264 feet, with a 17-minute bottom time breathing a 50TX17 gas mixture. Both divers used the Cochran EMC20H helium computer set to 10percent conservatism and Palm VPM 2.5.2 using default settings. After ascending to 30 feet he changed to a 25TX35 gas mixture. The computer dictated a slower ascent than the VPM tables. His 25TX35 gas was going to run out with 3 minutes left at the 30-foot stop so he switched back to the 50TX17 gas and continued normal ascent, switching to 100percent oxygen at 20 feet. Pertinent physical examination findings upon surfacing were remarkable for Teed-2 tympanic membranes and limited range-of-motion of his left shoulder. He was brought to our hyperbaric facility and successfully treated with complete symptom resolution in our monoplace chamber using United States Navy Diving Table CONCLUSION: This case suggests that computerized diving table devices warrant further validation before complete dependability on them. Divers utilizing these devices should have a certain amount of calculated supplemental gas during their dives for a safe and controlled ascent. en_US
dc.language.iso en_US
dc.rights Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org ) en_US
dc.subject decompression en_US
dc.subject technical diver en_US
dc.subject hyperbaric en_US
dc.subject monoplace en_US
dc.subject chamber en_US
dc.subject case report en_US
dc.title [abstract] DECOMPRESSION ILLNESS AT AN EXTREME DEPTH IN AN EXPERIENCED TECHNICAL DIVER SUCCESSFULLY TREATED WITH HYPERBARIC OXYGEN THERAPY IN A MONOPLACE CHAMBER: A CASE REPORT en_US

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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