Use of the Monoplace vs. Multiplace Chamber in the Treatment of Diving Diseases.

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Use of the Monoplace vs. Multiplace Chamber in the Treatment of Diving Diseases.

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Title: Use of the Monoplace vs. Multiplace Chamber in the Treatment of Diving Diseases.
Author: Kindwall, EP; Goldmann, RW; Thombs, PA
Abstract: Kindwall EP, Goldmann RW, and Thombs PA. Use of the Monoplace vs. Multiplace Chamber in the Treatment of Diving Diseases. J. Hyperbaric Med 1988; 3(1):5-10. Controversy has existed regarding treatment of decompression sickness (DCS) and acute gas embolism (AGE) in monoplace recompression chambers. Local monoplace facilities should be used for emergency treatment of DCS and AGE if transfer to a distant multiplace facility will cause delay. Delay in recompression utilizing modern low pressure oxygen treatment is a major cause of poor outcome. The initial research involved in developing US Navy treatment table 5 revealed that it can safely be performed without air breaks. A built-in breathing system may be employed in a monoplace chamber to allow administration of air breaks. Initial compression to 6 ATA in the treatment of AGE may be unnecessary. Physician expertise in treating diving accidents is a critical factor in achieving good outcome. Physicians not experienced in the management of diving casualties should consult the Diver Alert Network (DAN) to assure optimal patient care.
Description: Journal of Hyperbaric Medicine : Journal of the Undersea and Hyperbaric Medical Society, Inc.
URI: http://archive.rubicon-foundation.org/4359
Date: 1988

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