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  1. #1
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    Dec 2012
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    Pre-hospital management of decompression illness: expert review of key principles and

    Pre-hospital management of decompression illness: expert review of key principles and controversies.Mitchell, SJ; Bennett, MH; Bryson, P; Butler, FK; Doolette, DJ; Holm, JR; Kot, J; Lafere, PGuidelines 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.The Journal of the South Pacific Underwater Medicine Society (Incorporated in Victoria) A0020660B and the European Underwater and Baromedical Society


  2. #2
    #keepittea ebt's Avatar
    Join Date
    Dec 2012
    dahn saf
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    Blog Entries
    Interesting stuff....

    Theres a common trend in diving, for decades people have a need and the work it out using their judgement (which tends to be a self selecting group of people) whilst getting vilified for it by the 'industry'. Finally it gains acceptance gradually.

    To be fair, theres plenty of scope for daft choices, but its nice to see a good review by experienced/unbiased experts has seemingly validated it.


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