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Treating Decompression Sickness: Military Flight Simulation Site-Community Hospital Partnership.

Whitney C Rhodes¹, George Hertner², Robert Price²

¹School of Medicine, University of Colorado, 13001 East 17th Place, Aurora, CO 80045.

Military Medicine

|August 17, 2017

Summary

Military training involving high-altitude simulation can cause decompression sickness (DCS). Partnering with community hospitals for hyperbaric oxygen (HBO) therapy is significantly more cost-effective than standalone military chambers.

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Area of Science:

Aerospace Medicine
Hyperbaric Medicine
Military Health

Background:

High-altitude flight simulation trains military personnel on hypoxia symptoms.
Decompression sickness (DCS) is a risk associated with these simulations.
Hyperbaric oxygen (HBO) therapy is crucial for treating DCS when supplemental oxygen is insufficient.

Purpose of the Study:

To describe a unique partnership between a community hospital and a military training site for emergent DCS treatment.
To estimate and compare the costs of HBO therapy provided by the community hospital versus a standalone military chamber.

Main Methods:

A cost analysis was performed using data from a community hospital in Colorado.
The study compared the per-treatment cost of HBO therapy in a hospital setting versus a standalone chamber.

Main Results:

The community hospital treated approximately 50 DCS patients from October 2003 to April 2015.
Per-treatment cost at a standalone center was estimated at $95,380 (assuming 5 treatments).
Per-treatment cost at the community hospital was estimated at $698 (assuming 1,000 treatments).

Conclusions:

Operating a standalone HBO therapy center can be over 100 times more expensive per treatment than at a community hospital.
The partnership offers a more cost-effective solution for the military to access essential HBO therapy for DCS treatment.