[abstract] EARLY OXYGEN BREATHING FOR SCUBA INJURIES: A HIGHLY EFFECTIVE THERAPY.

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[abstract] EARLY OXYGEN BREATHING FOR SCUBA INJURIES: A HIGHLY EFFECTIVE THERAPY.

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Title: [abstract] EARLY OXYGEN BREATHING FOR SCUBA INJURIES: A HIGHLY EFFECTIVE THERAPY.
Author: Dick, APK; Mebane, GY; Johnson, J
Abstract: Because immediate recompression is such a successful therapy for decompression sickness and air embolism, a study assessing the effect of surface oxygen breathing has never been performed. Prompt recompression however, is not a realistic possibility for sport divers who are most often injured in areas remote from chambers. We present an evaluation of the effectiveness of early surface oxygen breathing on neurological decompression sickness based on cases treated with the assistance of the Diving Accident Network in 1981-82. A rating scale for neuroloqical symptom severity was used to allow an objective assessment and comparison of the cases. A retrospective review of case histories produced 10 adequately matched pairs, one receivinq early oxygen, the other receiving only recompression. Early oxygen breathing totally eliminated symptoms in all but one case in which there was a one hour delay prior to breathing oxygen. Using the symptom severity scale, oxygen breathinq resulted in an average of 90% symptom resolution compared to a 50% average resolution during initial recompression therapy in the control group. Mild symptoms recurred in 5 cases which had used less than one hour oxygen. The long term outcome was better in the oxygen treated group, especially for the more severe injuries. Based on this study, we recommend two hours or more of early oxygen breathing, as primary therapy for sport divers. Recompression should still be considered the eventual definitive therapy but the need for eventual recompression should not displace the early focus from oxygen.
Description: Abstract of the Undersea and Hyperbaric Medical Society, Inc. Annual Scientific Meeting held May 29-June 2, 1984. The Gunter Hotel, San Antonio, Texas (http://www.uhms.org)
URI: http://archive.rubicon-foundation.org/5338
Date: 1984

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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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