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Decompression Sickness Management
Aka: Decompression Sickness Management, DCS Management, Recompression Chamber, Recompression Management, Recompression Therapy
- Management
- Air transport no higher than 1000 feet
- Urinary Catheter for spinal DCS
- Decompression chamber (see below)
- Management: Recompression (USN Table 6 Algorithm)
- Recompression mechanism
- Reduces bubble size
- Increases off-gassing of nitrogen
- Outcomes with Recompression
- Majority of DCS patients have good recovery
- Protocol Summary
- Initial recompression
- Depth: 60 feet salt water at 100% Oxygen
- Duration: 60 Minutes
- Next Recompression on Oxygen
- Depth: 30 feet salt water at 100% Oxygen
- Duration: 60 Minutes
- Next Recompression on Room Air
- Depth: 30 feet salt water at room air
- Duration: 60 Minutes
- Resources
- Divers Alert Network (DAN) at Duke UMC
- Emergency Phone: 919-684-8111 (24 hours)
- Nonemergency Phone: 919-684-2948 (weekdays 8-5)
- References
- Clenney (1996) Am Fam Physician 53(5):1761-6 [PubMed]
- Moon (1999) Crit Care Clin 15:429-56 [PubMed]
- Newton (2001) Am Fam Physician 63(11): 2211-2226 [PubMed]