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| Title: | REPETITIVE FLYING AFTER DIVING |
| Authors: | Cramer, FS
Sheffield, PJ |
| Keywords: | decompression
case report
monoplace
chamber
FLYING AFTER DIVING
REPETITIVE |
| Issue Date: | 2006 |
| Abstract: | BACKGROUND: Decompression Illness (DCI) represents a significant risk to the large number of sport SCUBA divers. Divers commonly develop asymptomatic tissue and vascular bubbles after no-decompression dives. This bubbling is a highly individual characteristic. A case report will be presented of a 37 year old female experienced SCUBA diver who traveled to the Caribbean for a six-day dive trip.CASE REPORT: Following ten dives in a six-day period and a 30-hour surface interval, the individual began a four-leg trip home via commercial airline. Upon landing after the third leg she noted the onset of classic skin bends. In spite of this symptom she continued to her next flight and arrived with a dull pain in her right shoulder. Four hours later she awoke at 2 a.m. with the sudden onset of acute anxiety, shortness of breath, substernal chest pain and worsened right shoulder pain. She was evaluated in the local emergency room and was referred for emergency treatment in a monoplace chamber located at a nearby community hospital. A USN Table 6 was begun with complete resolution of her symptoms after one hour at 2.8 ATA. CONCLUSIONS: Although the risk of flying after diving is well recognized, the increased risk of repetitive flights has not been extensively reported. The concept of bubble growth with a series of decompressions, due to the hysteresis of the gas-liquid interface, is important to the understanding of the pathophysiology of this disease. The presentation will address bubble growth with repetitive ascents due to the hysteresis effect. The discussion will include missed opportunities to minimize the severity of the decompression illness once symptoms arose, and potential means of prophylaxis against similar incidents. |
| Description: | Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org ) |
| URI: | http://archive.rubicon-foundation.org/3633 |
| Appears in Collections: | UHMS Meeting Abstracts
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