Related Experiment Video
Updated: Jun 13, 2026
06:59
A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Managing Decompression Sickness in a Low-Resource Setting, a Clarion Call to Improve Systems: A Case Report
Fonseka C L1,2, Liyanage D C2, Nusaiha M N A2
1Department of Medicine, Faculty of Medicine, University of Ruhuna, Karapitiya, Galle, Sri Lanka, ruh.ac.lk.
Case Reports in Medicine
|June 12, 2026
Summary
Decompression sickness (DCS) can occur after rapid ascent from dives, even with planning. This case highlights issues with dive computer use and delayed treatment access, stressing the need for better diver education and healthcare accessibility.
Area of Science:
- Diving Medicine
- Hyperbaric Medicine
- Neurology
Background:
- Decompression sickness (DCS) is a serious risk for divers due to rapid pressure changes.
- Neurological symptoms, like numbness, can indicate DCS.
- Proper dive planning and equipment use are crucial for prevention.
Purpose of the Study:
- To report a case of neurological DCS in a recreational diver.
- To identify contributing factors to DCS development, including equipment and planning issues.
- To emphasize challenges in accessing timely hyperbaric treatment.
Main Methods:
- Case report of a 32-year-old male experiencing DCS symptoms.
- Review of the patient's diving history and equipment used.
- Description of diagnostic procedures and hyperbaric oxygen treatment administered.
Main Results:
- The patient developed neurological DCS after repetitive dives within a week.
- Use of multiple, unlinked dive computers led to inadequate assessment of nitrogen washout.
- Delayed diagnosis and transport to the sole hyperbaric facility complicated treatment.
Conclusions:
- Suboptimal dive planning and equipment management increase DCS risk.
- Early recognition and accessible hyperbaric treatment are vital for DCS management.
- Enhanced training for divers and medical professionals is needed for prompt DCS care.
Related Concept Videos
01:30Acute Respiratory Failure-III
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without causing...
01:28Pleural Effusion II: Symptoms and Management
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
01:26Flail Chest-II
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
01:26Acute Coronary Syndrome V: Nursing Management
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
01:29Acute Respiratory Failure-V
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
01:30Pneumonia V: Nursing management and Prevention
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.