Decompression Sickness or Dysbarism

Section 6 - TRAUMA

6.05 DECOMPRESSION SICKNESS / DYSBARISM

ASSESS FOR SIGNS AND SYMPTOMS:

• Onset usually within 1 - 3 hours after scuba diving.
• Severe, throbbing pain involving the muscles, joints and abdomen.
• Pruritus and mottling of the skin.
• Patients with a severe reaction will have CNS and / or respiratory difficulties.

INITIAL TRAUMA CARE, (2.02) OXYGEN @100% via NRB mask or assist with BVM.

• Contact receiving facility early to allow them time to gather and prepare Hyperbaric Team.
• Transport patient in left lateral head down position. Keep patient warm.
• Consider facility with hyperbaric services as primary destination.

If the patient is presenting with an altered mental status the Paramedic should notify the appropriate facility from the scene to make arrangements for the hyperbaric chamber.

• If other significant injuries exist, follow Trauma Transport Protocol or appropriate Practice Parameters.

HYPERBARIC CHAMBERS:

Florida Hospital South, Orlando

Shands Hospital, Gainesville

Holmes Regional Medical Center, Melbourne