Abstract：
INTRODUCTION:The Diver Emergency Service (DES) in Australia provides specialised medical advice on diving incidents 24 hours a day to divers, dive operators, families and health professionals. It is operated from the Hyperbaric Medicine Unit of the Royal Adelaide Hospital where the physician-on-call also carries the DES phone (1800-088200 or +61-8-8212-9242). METHODS:Data from calls to the service have been compiled into a computer database since 1991. Calls for the 17 years from 1991 through 2007 were analysed. RESULTS:A total of 6,083 calls were logged, an average of 358 calls a year. Calls from Queensland and New South Wales each accounted for 25% of calls. Calls originating from outside Australia have been increasing and now make up 25% of calls. The diver themselves initiated the call 50% of the time and 66% of the calls were about male divers. The age range of divers was 12 to 95 years old. The mean age has increased from 30 to 36 years, with a greater proportion of calls from divers aged 50 years or older (from 2% to 14%). The largest group of calls (37%) related to whether symptoms might be the result of decompression illness (DCI). DCI was considered to be the probable diagnosis in 17% of calls, and possible in a further 12%. Other common findings were barotrauma (11%) and questions regarding fitness to dive (15%). Older divers were more likely to call in relation to a medical problem. CONCLUSION:Interpretation of these data is qualitative but the prolonged collection period of 17 years allows some consideration of trends as to who calls the DES and why.
journal_name
Diving Hyperb Medjournal_title
Diving and hyperbaric medicineauthors
Wilkinson D,Goble Ssubject
Has Abstractpub_date
2012-09-01 00:00:00pages
137-45issue
3eissn
1833-3516issn
2209-1491journal_volume
42pub_type
杂志文章abstract：:Livedoid vasculopathy is a painful, ulcerating condition of the lower legs, ankles and feet with the typical histological feature of hyalinising vascular change of dermal blood vessels with minimal inflammation. Therapeutic interventions have been diverse and varyingly successful. We report a biopsy-proven case in a 2...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2013-03-01 00:00:00
abstract：INTRODUCTION:An individual case review of diving-related deaths reported as occurring in Australia in 2006 was conducted as part of the Divers Alert Network Asia-Pacific (DAN AP) dive fatality reporting project. METHOD:The case studies were compiled using reports from witnesses, the police and coroners. In each case, ...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2011-06-01 00:00:00
abstract：BACKGROUND AND AIMS:Severe decompression sickness (DCS) is a multi-organ injury. This study investigated the preventive effects of rosiglitazone on liver injury following rapid decompression in mice and examined the underlying mechanisms. METHODS:Mice were randomly divided into four groups: a control group, vehicle gr...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm47.1.17-23
更新日期：2017-03-01 00:00:00
abstract：:Dear Editor, By focussing on the details of the Watson case, I believe Bryan Walpole has missed the thrust of my earlier letter. I agree this was a complex case, which is why I deliberately avoided the murky specifics in order to consider the 'big-picture' ramifications of the judgement. My concerns relate to the pote...
journal_title：Diving and hyperbaric medicine
pub_type： 信件
doi：
更新日期：2011-12-01 00:00:00
abstract：:Vomiting and aspiration of gastric contents into the airways and lungs is a common and well-known clinicopathological entity. This phenomenon might also occur in underwater diving, where it can lead to life-threatening or fatal situations. This article presents two incidents involving diving-related vomiting with asso...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm48.1.36-39
更新日期：2018-03-31 00:00:00
abstract：:Exposure to hyperoxia is associated with oxidative stress and is known to cause inflammation in the lung and the airways. Exhaled nitric oxide concentration (FENO) is a marker of some inflammatory processes in the lung and airways, and is reduced immediately after a single session of hyperbaric oxygen (HBO) exposure. ...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2009-06-01 00:00:00
abstract：BACKGROUND:Since 2009, the United Kingdom diving incident data show an increasing number of fatalities in the over-50s age group. Previous studies also suggest some divers take cardiac medications. Since 2001, diving medicals have not been mandatory for UK sport divers. Instead, an annual medical self-certification for...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2015-09-01 00:00:00
abstract：:Commercial or occupational breath-hold (BH) harvest divers along the coast and islands of Japan are collectively called Ama divers. Repetitive BH diving by Ama divers may place them at risk of developing neurological decompression sickness (DCS). We report a 74-year-old Ama diver who demonstrated right hemiparesis dur...
journal_title：Diving and hyperbaric medicine
pub_type：
doi：10.28920/dhm48.4.262-263
更新日期：2018-12-24 00:00:00
abstract：INTRODUCTION:In studies of decompression procedures, ultrasonically detected venous gas emboli (VGE) are commonly used as a surrogate outcome if decompression sickness (DCS) is unlikely to be observed. There is substantial variability in observed VGE grades, and studies should be designed with sufficient power to detec...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2014-03-01 00:00:00
abstract：INTRODUCTION:When a standard water-seal pleural drain unit (PDU) is used under hyperbaric conditions there are scenarios where excessive negative intrapleural pressure (IPP) and/or fluid reflux can be induced, risking significant morbidity. We developed and tested a pleural vacuum relief (PVR) device which automaticall...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm47.3.191-197
更新日期：2017-09-01 00:00:00
abstract：INTRODUCTION:Decompression sickness (DCS) results from a decrease in ambient pressure leading to supersaturation of tissues with inert gas and bubble formation. Perfluorocarbons (PFCs) are able to dissolve vast amounts of non-polar gases. Intravenous (IV) PFC emulsions reduce both morbidity and mortality associated wit...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2012-03-01 00:00:00
abstract：:Basic life support (BLS) in a diving bell (DB) or deck decompression chamber (DDC) is difficult due to the confined space and limited equipment. Retrieval of the unconscious diver into the DB requires the use of a pulley system. Once inside the bell, space limitations dictate that any resuscitative efforts are attempt...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2008-06-01 00:00:00
abstract：INTRODUCTION:Transcutaneous oximetry measurement (TCOM) is a non-invasive method of determining oxygen tension at the skin level using heated electrodes. AIM:To compare TCOM values generated by different machines and to establish lower limb TCOM values in a cohort of healthy individuals younger than 40 years of age. ...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm47.2.82-87
更新日期：2017-06-01 00:00:00
abstract：:Divers from many countries travel to explore various diving sites worldwide. In 2005, the Divers Alert Network (DAN) wrote guidelines for recreational diving and diabetes mellitus, but there is no up-to-date consensus or adoption of international guidelines on diabetes and diving. There are also large differences betw...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2012-12-01 00:00:00
abstract：:Firstly I would like to thank SPUMS members for making me a Life Member of SPUMS; I was surprised and greatly honoured by the award. I also want to confirm and expand on the findings on carbon dioxide absorbents reported by David Harvey et al. For about 35 years, I was the main player in deciding which absorbent went ...
journal_title：Diving and hyperbaric medicine
pub_type： 评论,信件
doi：
更新日期：2016-09-01 00:00:00
abstract：INTRODUCTION:Decompression illness (DCI) is associated with a right-to-left shunt, such as persistent foramen ovale (PFO), atrial septal defect (ASD) and pulmonary arteriovenous malformations. About one-quarter of the population have a PFO, but considerably less than one-quarter of divers suffer DCI. Our aim was to det...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2015-06-01 00:00:00
abstract：BACKGROUND:Both negative wound pressure therapy (NPWT) and hyperbaric oxygen therapy (HBOT) are useful modalities in the treatment of problem wounds. However, none of the commercially available portable negative-pressure devices have been certified safe for use in a recompression chamber. Thus, the NPWT device is remov...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2011-09-01 00:00:00
abstract：INTRODUCTION:After a maximal apnoea, breath-hold divers must restore O2 levels and clear CO2 and lactic acid produced. High intensity interval training (HIIT) and inspiratory muscle training (IMT) could be employed with the aim of increasing recovery capacity. This study aimed to evaluate the relative effects of IMT ve...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章,随机对照试验
doi：10.28920/dhm50.4.318-324
更新日期：2020-12-20 00:00:00
abstract：INTRODUCTION:We investigated in a prospective, observational trial the feasibility of using the Eustachian tube function test (ETFT) to measure the effect of repetitive pressure exposure during open seawater dives on Eustachian tube function. METHODS:The study included 28 adult divers during six consecutive days of di...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm47.4.216-222
更新日期：2017-12-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to further the understanding of the opening of the Eustachian tube in relation to changes in barometric pressure. DESIGN:An ear canal microphone was used to measure the specific sounds related to tube opening and possible eardrum movements. Five subjects with normal tube functio...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2016-03-01 00:00:00
abstract：INTRODUCTION:Scuba diving involves risks, and candidates in Australia usually have a medical evaluation prior to undertaking a diving course. Hyperbaric physicians act as secondary referral practitioners for these assessments. This study aimed to identify reasons for these secondary referrals, and document the assessme...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2010-09-01 00:00:00
abstract：:Cerebral arterial gas embolism (CAGE) is a feared complication of ambient depressurisation and can also be a complication of hydrogen peroxide ingestion. We present an unusual case of CAGE in a 57-year-old woman exposed to both of these risk factors. We describe her subsequent successful treatment with hyperbaric oxyg...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2016-06-01 00:00:00
abstract：:We present a case of cerebral venous gas embolism. Our patient made a complete neurological recovery after hyperbaric oxygen therapy (HBOT). The principles of HBOT, compressing and eliminating air bubbles and decreasing Β-2 integrin function, thus improving microcirculation, can only be beneficial in a situation where...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2012-06-01 00:00:00
abstract：:It is increasingly common for recreational scuba divers to use breathing mixtures enriched with additional oxygen ('nitrox' or 'enriched air nitrogen') and for technical divers to be exposed to elevated partial pressures of oxygen for prolonged periods of time. The National Oceanic and Atmospheric Administration oxyge...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2008-06-01 00:00:00
abstract：INTRODUCTION:We have previously shown that hyperbaric oxygen treatment (HBOT) increased insulin sensitivity in men who were obese or overweight, both with and without type 2 diabetes. The aim of this study was to test whether this insulin-sensitising effect is seen in hyperbaric air (HA). METHODS:Men with type 2 diabe...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章,随机对照试验
doi：10.28920/dhm50.4.386-390
更新日期：2020-12-20 00:00:00
abstract：:Gas micronuclei are gas-filled voids in liquids from which bubbles can form at low gas supersaturation. If water is depleted of gas micronuclei, high gas supersaturation is required for bubble formation. This high gas supersaturation is required in part to overcome the Laplace pressure at the point of transition from ...
journal_title：Diving and hyperbaric medicine
pub_type： 信件
doi：10.28920/dhm49.1.64
更新日期：2019-03-31 00:00:00
abstract：:Recreational scuba diving is a popular leisure activity with the number of divers reaching several millions worldwide. Scuba diving represents a huge challenge for integrative physiology. In mammalian evolution, physiological reflexes developed to deal with lack of oxygen, rather than with an excess, which makes adapt...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章,评审
doi：
更新日期：2013-09-01 00:00:00
abstract：INTRODUCTION:Scuba diving is a big part of the tourism sector in Malta, and all the cases of decompression illness (DCI)are treated within the single hyperbaric referral centre in the country. METHODS:This retrospective analysis reviews all the medical records of divers with DCI in Malta within the 30-year period betw...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm49.3.161-166
更新日期：2019-09-30 00:00:00
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journal_title：Diving and hyperbaric medicine
pub_type：
doi：10.28920/dhm50.1.66-69
更新日期：2020-03-31 00:00:00
abstract：:Decompression illness (DCI) is a syndrome with diverse clinical manifestations but in which cardiac symptoms are rare. In the presence of cardiac symptoms, the necessity to rule out an acute coronary syndrome (ACS) which requires prompt treatment may result in delay to appropriate recompression treatment. We describe ...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2013-12-01 00:00:00
