37 Decompression sickness cases treated in the department of underwater and hyperbaric medicine, Istanbul faculty of medicine.

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37 Decompression sickness cases treated in the department of underwater and hyperbaric medicine, Istanbul faculty of medicine.

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Title: 37 Decompression sickness cases treated in the department of underwater and hyperbaric medicine, Istanbul faculty of medicine.
Author: Toklu, AS; Aktas, S; Aydin, S; Çimsit, M
Abstract: The time interval between the onset of decompression sickness (DCS) and recompression therapy, and the first aid with medical treatments applied before reaching a recompression facility, will affect the outcome of the recompression therapy. In this study 37 DCS cases were evaluated to find out the time interval to the onset of DCS, the type of the disease and symptoms, delay to recompression treatment, medical treatments applied during transport, recompression treatment protocols performed and outcomes. All the patients were male. Professional divers (32 or 86.5%) outnumbered sports divers (5 or 13.5%). In 20 cases (54.1%) onset of symptoms was within the first 10 minutes after the dive. In three men (8.1%) symptoms came on underwater. Numbness, tingling and back pain were the most frequent symptoms reported by the patients with Type II DCS. Complete recovery was achieved in 32 (86.5%) of the cases by recompression therapy combined with medical treatment. Rehabilitation was needed in 12 (32.4 %) of the cases. Omitted decompression was the most frequent cause of DCS in our cases. Additional hyperbaric oxygen therapy needed in delayed cases is evidence of the importance of immediate transport and adjunctive medical treatments.
Description: Journal of the South Pacific Underwater Medicine Society.
URI: http://archive.rubicon-foundation.org/6026
Date: 1999

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