[abstract] TIME REQUIRED TO ORGANIZE AND EFFECT AIR AMBULANCE TRANSPORT IN 99 DCI CASES REFERRED TO DAN TRAVEL ASSIST

Rubicon Research Repository/Manakin Repository

[abstract] TIME REQUIRED TO ORGANIZE AND EFFECT AIR AMBULANCE TRANSPORT IN 99 DCI CASES REFERRED TO DAN TRAVEL ASSIST

Show full item record


Title: [abstract] TIME REQUIRED TO ORGANIZE AND EFFECT AIR AMBULANCE TRANSPORT IN 99 DCI CASES REFERRED TO DAN TRAVEL ASSIST
Author: Wacholtz, CJ; Terjung, HC; Freiberger, JJ; Bennett, PB
Abstract: INTRODUCTION: Air transport by sea level pressurized aircraft is the standard of care for transportation of DCI to recompression facilities from distant locations. DAN contracted with Worldwide Assistance Services, Inc. (WA) in Washington, DC to organize and effect air transports for the TravelAssist program between July 1995 and December 1998. Data provided by WA was reviewed to evaluate the time required to organize air transports and deliver the patient to the designated chamber treatment facility. METHODS: WA organized 99 air transports to chambers for treatment or evaluation for DCI or probable DCI. Cases were differentiated by whether the transport occurred within the country or was an international transport. Time in hours and minutes was recorded from the time the referral for transport was made to WA until the time the patient was delivered to the chamber. RESULTS: N HOURS, Range Mean Median, National 49 2-72 10 6, International 50 1-148 20 13, Total 99 Separating international cases where the distance between the diver's location and the treating recompression facility was near (such as between the Bahamas and Florida) resulted in a mean time of 22 hours. CONCLUSIONS: Air ambulance transportation of DCI is often not immediate, particularly for transports from distant locations or where the availability of air ambulance services is limited. Among 4,415 cases in DAN's DCI database, the median time to calling DAN for assistance is 12 hours for cases within a country and 14 hours for international cases. Delays of 2 to 4 days before recompression were common among recreational dive DCI cases reported to DAN (2000 Report, 1998 data). The time required to organize and effect air ambulance transports, as well as the time before divers recognize and report their symptoms as possible DCI are significant factors in delays to treatment which may affect outcome.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/906
Date: 2001

Files in this item

Files Size Format View
abstract.txt 259bytes Text file View/Open

This item appears in the following Collection(s)

  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

Show full item record

Browse

My Account