As a medical doctor of the aeromedical services you arrived to these two scuba divers with suspicion of the DCS. The patient with breathing problems - Antonio - is vomiting and shortly after your arrival becomes unconscious. What are your next steps?
Fantastic! As this is a diagnosis with a very specific treatment, it is necessary to contact a specialized HBO medical center. HBO is essential for the DCS treatment and it is not rational to transport the patient to a facilty without this treatment option. According to guidelines the fluid resuscitation would be done exclusively by balanced crystalloids, never by a glucose solution. A patient with a DCS must be transported by aviation services under the 300 meters flight level.
What if there is no HBO treatment at the nearest hospital? Every patient with the DCS suspicion should be transported as fast as possible to a center with the HBO option. It is not rational to transport him/her to a hospital without an HBO.
Near miss! Your answer is almost correct but we never resuscitate the fluids by a glucose solution!