Crashing Patient

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Scuba, Dysbarism, and Undersea Medicine

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Scuba Diving and Dysbarism

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Barotitis Externa

Seen when there is a block between outer ear and TM from cerumen or foreign bodies

 

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Barotitis Media

failure to equalize pressure between middle ear and water. TM Rupture

 

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Barotitis Interna

tinnitus, deafness, and vertigo after overly aggressive valsalva

 

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Barosinusitis

Rupture or pain in sinuses upon ascent

 

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Decompression sickness

from too rapid an ascent

DCS 1=mild 2=severe

 

Type I

  • Cutaneous=skin bends
  • Musculoskeletal=”the bends”

Type II

  • Pulmonary=”the chokes”
  • CNS
    • Spinal cord-acute paraplegia
    • Cerebellar=”the staggers”
    • Cerebral

 

Give 100% O2 and get the patient to a chamber

 

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Arterial Gas Embolism

Instantaneous LOC

 

 

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Carbon Monoxide

 

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