Triage and Treatment of Mass Casualty Decompression Sickness After Depressurization at 6400 m.

Abstract:

:BACKGROUND: Decompression sickness is a condition that results from an abrupt change from a higher to a lower pressure. It is described most commonly in divers; however, it can occur in aviation incidents, which this case report will discuss.CASE REPORT: Following an acute cabin depressurization incident, 36 patients presented to a small outpatient clinic with multiple symptoms, including fatigue, headache, nausea, vomiting, and dizziness. These patients were evaluated, triaged, and some were able to be successfully treated with supplemental oxygen in clinic. Eight of the patients had symptoms that were either persistent or concerning enough that they were referred to the dive medical clinic, where the dive medical team diagnosed six of the patients with Type II decompression sickness and referred them for hyperbaric oxygen chamber therapy. All patients who received hyperbaric therapy experienced at least some relief of symptoms, with most reporting some residual fatigue after the therapy.DISCUSSION: This case provided both lessons in triage and management of multiple patients in a small outpatient clinic, as well as the challenges in making the diagnosis of decompression sickness.Mancini S, Crotty AM, Cook J. Triage and treatment of mass casualty decompression sickness after depressurization at 6400 m. Aerosp Med Hum Perform. 2018; 89(12):1085-1088.

journal_name

Aerosp Med Hum Perform

authors

Mancini S,Crotty AM,Cook J

doi

10.3357/AMHP.5142.2018

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

1085-1088

issue

12

eissn

2375-6314

issn

2375-6322

journal_volume

89

pub_type

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