Pre-hospital management of decompression illness: expert review of key principles and controversies.

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Pre-hospital management of decompression illness: expert review of key principles and controversies.

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dc.contributor.author Mitchell, SJ
dc.contributor.author Bennett, MH
dc.contributor.author Bryson, P
dc.contributor.author Butler, FK
dc.contributor.author Doolette, DJ
dc.contributor.author Holm, JR
dc.contributor.author Kot, J
dc.contributor.author Lafere, P
dc.date.accessioned 2018-06-04T04:02:10Z
dc.date.available 2018-06-04T04:02:10Z
dc.date.issued 2018
dc.identifier.citation Diving Hyperb Med. 2018 Mar 31;48(1):45-55. doi: 10.28920/dhm48.1.45-55. en_US
dc.identifier.issn 1833-3516
dc.identifier.other 29557102
dc.identifier.uri http://archive.rubicon-foundation.org/11060
dc.description The Journal of the South Pacific Underwater Medicine Society (Incorporated in Victoria) A0020660B and the European Underwater and Baromedical Society en_US
dc.description.abstract Guidelines for the pre-hospital management of decompression illness (DCI) had not been formally revised since the 2004 Divers Alert Network/Undersea and Hyperbaric Medical Society workshop held in Sydney, entitled "Management of mild or marginal decompression illness in remote locations". A contemporary review was initiated by the Diver's Alert Network and undertaken by a multinational committee with members from Australasia, the USA and Europe. The process began with literature reviews by designated committee members on: the diagnosis of DCI; first aid strategies for DCI; remote triage of possible DCI victims by diving medicine experts; evacuation of DCI victims; effect of delay to recompression in DCI; pitfalls in management when DCI victims present at hospitals without diving medicine expertise and in-water recompression. This was followed by presentation of those reviews at a dedicated workshop at the 2017 UHMS Annual Meeting, discussion by registrants at that workshop and finally several committee meetings to formulate statements addressing points considered of prime importance to the management of DCI in the field. The committee placed particular emphasis on resolving controversies around the definition of "mild DCI" arising over 12 years of practical application of the 2004 workshop's findings, and on the controversial issue of in-water recompression. The guideline statements are promulgated in this paper. The full workshop proceedings are in preparation for publication. en_US
dc.language.iso en en_US
dc.publisher South Pacific Underwater Medicine Society and European Underwater and Baromedical Society en_US
dc.subject literature review en_US
dc.subject decompression illness en_US
dc.subject DCI en_US
dc.subject decompression sickness en_US
dc.subject DCS en_US
dc.subject First aid en_US
dc.subject In-water recompression en_US
dc.subject IWR en_US
dc.subject Recompression en_US
dc.subject Remote locations en_US
dc.subject Arterial gas embolism en_US
dc.subject AGE en_US
dc.subject outcomes en_US
dc.subject Consensus guideline en_US
dc.title Pre-hospital management of decompression illness: expert review of key principles and controversies. en_US
dc.type Article en_US

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