Scuba Diving and Dysbarism
Barotitis Externa
Seen when there is a block between outer ear and TM from cerumen or foreign bodies
Barotitis Media
failure to equalize pressure between middle ear and water. TM Rupture
Barotitis Interna
tinnitus, deafness, and vertigo after overly aggressive valsalva
Barosinusitis
Rupture or pain in sinuses upon ascent
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
Arterial Gas Embolism
Instantaneous LOC
Carbon Monoxide
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