Pre-hospital care 1

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  • Pre-hospital care 1
The correct first aid for the DCS is :

Place both divers into a horizontal possition on the back, immediately start a 100% oxygen inhalation and substitute fluids, contact the EMS.

Correct answer

Correct! When suspecting a DCS it is very important to immediately start a 100% oxygen inhalation (a 100% oxygen cylinder is a mandatory equipment of all diving centers). Early oxygenotherapy highly increases the efficiency of the following therapy, less severe symptoms of DCS can even be completely cured by it. As scuba diving causes dehydration and dehydration worsens the progression of DCS, fluid substitution is always a part of the first aid. When suspecting a DCS we always contact the EMS.


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Dive with the divers back into the depth of 30 meters to ensure recompression followed by a 100% oxygen inhalation.

Wrong answer

In general, underwater recompression is not considered a safe treatment option. Trouble with the air flow, hypothermia, possible oxygen toxicity, dehydration and uncontrolled environment are less than ideal and bare the risk of drowning. Under specific conditions this method can be used for example by the Navy SEALs forces - which we are definitely not.


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Start the diver with breathing problems on a 100% oxygen inhalation, it is enough to observe the other.

Wrong answer

Every time we suspect the DCS it is important to start a 100% oxygen inhalation as soon as possible despite seemingly light symptoms.


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Put both divers into the Trendelenburg position to prevent gas embolism of the brain, start a 100% oxygen inhalation and substitute fluids, contact the EMS.

Wrong answer

Even though this procedure used to be recommended as a gas embolism prevention, it is now considered obsolete. The method increases the intracranial pressure and therefore worsens the haematoencephalic barrier damage.


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DCS - decompression sickness Navy SEALs - United States Navy's Sea, Air, and Land Teams×
 
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