Management of a complex diving accident

J. N. Norman; C. M. Childs; C. Jones; J. A. Smith; J. Ross; G. Riddle; A. MacKintosh; N. I. McKie; I. I. Macaulay; X. Fructus

Management of a complex diving accident

J. N. Norman, C. M. Childs, C. Jones, J. A. Smith, J. Ross, G. Riddle, A. MacKintosh, N. I. McKie, I. I. Macaulay, X. Fructus

Research output: Contribution to journal › Article › peer-review

Abstract

After the accidental ascent of a diving bell from 80 m, one diver died from pulmonary barotrauma and the other - though grossly ill - survived. After recompression therapy, this diver was tetraplegic with evidence of patchy microcirculatory damage of brain, cord, liver, kidneys, and gut. All systems eventually returned to normal, except the spinal cord, mainly because of the post-recompression phase of management, in which pharmacological doses of steroids, hyperbaric oxygen, and dextran were used. Although function returned in the upper limbs, the diver remained paraplegic.

Original language	English
Pages (from-to)	209-216
Number of pages	7
Journal	Undersea Biomedical Research
Volume	6
Issue number	2
Publication status	Published - 1979

Keywords

Accidents
Adult
Blood Volume
physiopathology: Decompression Sickness
therapeutic use: Dextrans
Diving
Humans
Hyperbaric Oxygenation
etiology: Lung Diseases
therapeutic use: Methylprednisolone
therapy: Respiratory Insufficiency
etiology: Spinal Cord Diseases

Cite this

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title = "Management of a complex diving accident",

abstract = "After the accidental ascent of a diving bell from 80 m, one diver died from pulmonary barotrauma and the other - though grossly ill - survived. After recompression therapy, this diver was tetraplegic with evidence of patchy microcirculatory damage of brain, cord, liver, kidneys, and gut. All systems eventually returned to normal, except the spinal cord, mainly because of the post-recompression phase of management, in which pharmacological doses of steroids, hyperbaric oxygen, and dextran were used. Although function returned in the upper limbs, the diver remained paraplegic.",

keywords = "Accidents, Adult, Blood Volume, physiopathology: Decompression Sickness, therapeutic use: Dextrans, Diving, Humans, Hyperbaric Oxygenation, etiology: Lung Diseases, therapeutic use: Methylprednisolone, therapy: Respiratory Insufficiency, etiology: Spinal Cord Diseases",

author = "Norman, {J. N.} and Childs, {C. M.} and C. Jones and Smith, {J. A.} and J. Ross and G. Riddle and A. MacKintosh and McKie, {N. I.} and Macaulay, {I. I.} and X. Fructus",

year = "1979",

language = "English",

volume = "6",

pages = "209--216",

journal = "Undersea Biomedical Research",

issn = "0093-5387",

publisher = "Undersea and Hyperbaric Medical Society",

number = "2",

}

TY - JOUR

T1 - Management of a complex diving accident

AU - Norman, J. N.

AU - Childs, C. M.

AU - Jones, C.

AU - Smith, J. A.

AU - Ross, J.

AU - Riddle, G.

AU - MacKintosh, A.

AU - McKie, N. I.

AU - Macaulay, I. I.

AU - Fructus, X.

PY - 1979

Y1 - 1979

N2 - After the accidental ascent of a diving bell from 80 m, one diver died from pulmonary barotrauma and the other - though grossly ill - survived. After recompression therapy, this diver was tetraplegic with evidence of patchy microcirculatory damage of brain, cord, liver, kidneys, and gut. All systems eventually returned to normal, except the spinal cord, mainly because of the post-recompression phase of management, in which pharmacological doses of steroids, hyperbaric oxygen, and dextran were used. Although function returned in the upper limbs, the diver remained paraplegic.

AB - After the accidental ascent of a diving bell from 80 m, one diver died from pulmonary barotrauma and the other - though grossly ill - survived. After recompression therapy, this diver was tetraplegic with evidence of patchy microcirculatory damage of brain, cord, liver, kidneys, and gut. All systems eventually returned to normal, except the spinal cord, mainly because of the post-recompression phase of management, in which pharmacological doses of steroids, hyperbaric oxygen, and dextran were used. Although function returned in the upper limbs, the diver remained paraplegic.

KW - Accidents

KW - Adult

KW - Blood Volume

KW - physiopathology: Decompression Sickness

KW - therapeutic use: Dextrans

KW - Diving

KW - Humans

KW - Hyperbaric Oxygenation

KW - etiology: Lung Diseases

KW - therapeutic use: Methylprednisolone

KW - therapy: Respiratory Insufficiency

KW - etiology: Spinal Cord Diseases

M3 - Article

SN - 0093-5387

VL - 6

SP - 209

EP - 216

JO - Undersea Biomedical Research

JF - Undersea Biomedical Research

IS - 2

ER -

Management of a complex diving accident

Abstract

Keywords

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