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29 Cards in this Set
- Front
- Back
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Minimum Manning levels |
Min- 3 (sup,it,ot) Ideal- 7 (do,mdv,sup,umo,it,logs,ot) Emergency- 2 (sup,it) |
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PT has symptoms of serious DCS and AGE where BLS or advanced medical support. Or specialized medical care. Can you put in non IT? |
Yes but IT should accompy. |
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How many ITs can you put in? |
As many ITs as needed but should be kept No D |
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7 items chamber sup responsible for |
1. Communicate with Inside personal 2. Adhering to minimum Manning levels 3. Ensure every member of team thoroughly familiar with recompression procedures. 4. Umo contacted ASAP and before release of pt from treatment facility. 5. Document details related to assessment and treatment IAW section 5-5 and command dive bill. 6. Track BT and TS in and out of chamber 7. Logging those TS of personnel. |
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Who can modify treatment tables |
16U0 and 16U1 with concurrence of the CO. |
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Symptoms of AGE |
1. Extreme fatigue 2. Difficulty in thinking 3. Vertigo 4. Nausea and or vomiting 5. Hearing abnormalities 6. Bloody sputum 7. Loss of control of bodily functions 8 tremors 9. Loss of coordination 10. Numbness |
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Symptoms of Type 1 DCS |
1. Join pain- musculoskeletal or pain-only 2. Symptoms involving the skin- Cutaneous symptoms 3. Swelling and pain in lymph nodes |
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Type 1 pain treated as type 2 |
1.Pain localized to join between the ribs and spinal column or joint between the ribs and sternum. 2. A shooting-type pain that radiates from the back around the body (radicular or girdle pain) 3. A cashier, aching pain in the chest or abdomen (visceral pain) |
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Type II DCS symptoms |
1. Neurological 2. Inner ear (staggers) 3. Cardiopulmonary symptoms (chokes) |
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Working and relief pressures |
Air hp- 5450 WP 0-5000Compressor-5500 WP 0- 5000Lp chamber reduce station-275 wp-220O2/mix- 110psi wp- 100Fes-200 wp-175Chamber-110 TT-4 1pt 2 itReg to pneumatic control valve-100 |
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Symptomatic omitted D |
Never a TT5, press to 60' and start TT6. If blow up deeper the 60' press to depth of significant improvement not to exceed 165' TT6a. UMO if deeped |
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Most common symptoms of Alt DCS |
Brain is most likely and spinal cord less common. If joint pain resolved before reaching 1 ata, 100% O2 for 2hrs followed by 24 hr observation. Other symptoms or persistent- Transport on 100% O2 even if symptoms resolve treat as symptoms there. |
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Primary Objectives |
1. Compress bubbles to restart blood flow 2. Allow sufficient time for bubble resorption 3. Increase blood O2 to injured tissues. |
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Guidance on recompression treatments. |
1. Treat promptly and adequately 2. Effectiveness treatment decreases with delay in treatment. 3. Don't ignore minor symptoms 4. Follow the selected TT. unless approved by UMO 5. Treat most serious condition. |
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TT5 uses |
1. Type 1 DCS W nero on surface and relieve in :10 2. Asymptomatic omitted D 3. Resolved symptoms following In-water D 4. Follow-up for residual symp 5. carbon monoxide poisoning 6. gas gangrene |
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TT 6 uses |
1. AGE 2. Type II DCS 3. Type I not relieved w/ in :10 or no surface nero 4. Cutis marmorata 5. Severe Carbon monoxide poising, cyanide or smoke inhalation 6. Asymptomatic omitted d 7. Reocccurance symptoms shallower then 60' |
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TT6a |
when unchanged or worsening after :20 @60'. symtomatic omitted D deep then 60' |
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TT4 |
More time at 165' :30-2hr |
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TT7 |
Extension at 60' min of 12 hrs |
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TT8 |
Depth of relief not to exceed 225. Deep blow up or more then 60' D missed |
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Chamber gases |
O2 19-25 CO2 1.5- absorbent can be used passed exp date if you have monitors. |
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Chamber Temps |
-Over 104 Intolerable No treatments Unless qualified medical evaluated
-95-104 2hr TT5,9 85-94 6hr TT5,6,6a,1a,9 84below Unlimited all treatments. |
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Hydration |
1-2 liters of water, juice or non-carbonated drink over TT 5,6. 75-100 CC/Hr Lactated Ringers solution, normal saline. avoid Dextrose if brain or spinal cord injury. Pee- .5cc/kg/hr |
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When can all breath O2 |
all can breath O2 45' and shallower. IT not strap mask. When deeper one person on air. |
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Tending Frequency |
18 hr between 1a,2a,3,5,6,6a can be less if 5,6,6a done again but owe more O2
48hr 4,7,8 |
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Gases with depth
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PPO2 1.5-30 0-60 100 O2 61-165 5050 166-225 6436 HeO2 |
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CNS O2 tox |
VENTID-C 50' unlikely 30' very unlikely Off O2, :15 after all symptoms subsided on O2 @ POI. 2nd symptom/Convulsion- Off O2, protect pt, all symptoms subsided up 10' @1'/min. On O2 @ POI. TT478- off o2 consult with UMO |
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Loss of O2 |
:15 or less- On O2 @ POI :15-2hr- Max extension 2hr- Air table |
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Post treatment considerations |
Tenders 18 hr interval unless 4,7,8 then 48 Fly-24hr unless 4,7,8 72 hour PT TT5- Remain for 2 hours TT6- 6 hours TT6,6a,4,7,8,9 UMO must release Plus remain w/in :60 for 24hr fly-72hr |
