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Air embolism with bilateral pneumothorax after a five-meter dive
I Friehs1, G M Friehs, G B Friehs
1Department of Thoracic and Hyperbaric Surgery, University of Graz, Medical School, Austria.
Summary
A diver experienced lung barotrauma, air embolism, and paralysis after a rapid ascent. Hyperbaric oxygen (HBO) therapy successfully treated this rare diving emergency.
Area of Science:
- Diving Medicine
- Hyperbaric Medicine
- Emergency Medicine
Background:
- Rapid ascent from shallow depths can cause lung barotrauma in divers.
- Barotrauma involves lung overexpansion injuries due to pressure changes.
- This case highlights a rare but severe consequence of diving emergencies.
Observation:
- A diver presented with a combination of symptoms following an emergency ascent.
- The patient exhibited bilateral lung barotrauma, leading to air embolism with paraparesis.
- Additional complications included pneumomediastinum and bilateral pneumothorax.
Findings:
- This represents the first documented instance of this specific triad of symptoms in 20 years at the Graz hyperbaric center.
- The patient's condition was successfully managed using hyperbaric oxygen (HBO) therapy.
- The successful treatment underscores the efficacy of HBO in managing complex diving-related injuries.
Implications:
- This case emphasizes the critical importance of proper diving procedures and emergency protocols.
- It highlights the potential severity of lung barotrauma and its associated complications.
- Successful HBO treatment demonstrates its vital role in managing severe diving accidents.