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Advice for Emergency Services |
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Advice to Paramedic and Medic Personnel
Any symptoms developing within 48 hours of diving may be a decompression problem.
The definitive treatment for decompression illness is hyperbaric oxygen therapy.
If a diving accident is suspected then contact one of the following IMMEDIATELY:
- DDRC Plymouth: 01752 209999
- Royal Navy Doctor: 07831 151 523
- Aberdeen Royal Infirmary: 0845 408 6008
Immediate Management
Assess Airway & Breathing
Rapid ascent can lead to pneumothorax or emphysema
Administer 100% oxygen continuously as part of ventilation management
NEVER administer Entonox®
Continue oxygen therapy despite any apparent clinical improvement
Keep the patient warm and out of the wind
Circulation
Administer IV fluids: 1000ml 0.9% Saline (Hartmann's if available)
Administer PO fluids (non-caffeinated) if no IV access and the patient can tolerate oral fluids
Monitor pulse and blood pressure
Disability
Monitor level of consciousness
Examine neurologically for any gross weakness or sensory loss
Other Points
Symptoms can rapidly deteriorate; reassess frequently for change
Do not give analgesia or other medication (except for resuscitation purposes) unless discussed with Duty Diving Physician
If unstable, or problem identified on Primary Survey, discuss with Duty Diving Physician regarding transfer to Hyperbaric unit or nearest Emergency Department. |
