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UWS-104AA-DCS
| UWS Physiology 104AA |
20
Sports
Undergraduate 1
11/10/2013

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Term
DECOMPRESSION SICKNESS RESULTS FROM THE FORMATION
Definition
OF BUBBLES IN THE BLOOD OR BODY TISSUES
Term
DECOMPRESSION SICKNESS IS CAUSED BY
Definition
INADEQUATE ELIMINATION OF DISSOLVED GAS AFTER A DIVE OR OTHER HYPERBARIC (OR HYPOBARIC) EXPOSURE TO PRESSURE.
Term
Gas micronuclei is:
Definition
microscopic gas pockets
Term
Vigorous exercise causes
Definition
gas micronuclei to form (theory)
Term
Adaptation theory
Definition
the more continuous diving the less production of gas micronuclei
Term
Factors Affecting DCS
Definition
1. PARTIAL PRESSURE OF INERT GAS
2. LENGTH OF BOTTOM TIME
3. RATE OF ABSORPTION - EXERCISE (DURING AND AFTER DIVE AND DECOMPRESSION)
4. REPETETIVE DIVING
5. LACK OF DIVING EXPERIENCE (ACCLIMATIZATION)
6. FLYING AFTER DIVING
7. INADEQUATE OR IMPROPER DECOMPRESSION
Term
PHYSIOLOGICALLY RELATED:
Definition
1. DEHYDRATION
2. AGE AND OBESITY
3. COLD
4. RECENT PHYSICAL INJURY
5. RECENT DCS
6. ANYTHING WHICH WILL IMPEDE CIRCULATION
Term
DCS Prevention
Definition
1. DON’T DIVE!
2. CONSTANT DIVING
3. PROPER HYDRATION
4. NO HANGOVERS
5. PHYSICAL FITNESS
6. RESTING DURING DECOMPRESSION
7. FOLLOW DIVE SCHEDULE
8. INCREASE PPO2 IN MIX
Term
FREQUENCY OF DCS SYMPTOMS
Definition
LOCAL JOINT PAIN (AIR)
LEG 30% (KNEE)
ARM 70 % (SHOULDER)
DIZZINESS 2.3%
CHOKES 1.6%
EXTREME FATIGUE AND PAIN 1.3%
COLLAPSE WITH UNCONSCIOUSNESS .5%
Term
TIME OF ONSET OF SYMPTOMS
Definition
TIME OF ONSET OF SYMPTOMS
50% WITHIN 30 MINUTES
85% WITHIN 1 HOUR
95% WITHIN 3 HOURS
1% MORE THAN 6 HOURS
Term
SKIN BENDS:
Definition
Red rash, itchy skin usually associated with short deep exposures in chamber or dry suit. (do not pressurize)
Term
CUTIS MARMORATA (MORE SERIOUS)
Definition
Skin Marbling: starts as pale area and becomes bluish with swelling - treat – Table 6)
Term
LIMB BENDS
Definition
pain usually in the elbow, knee, or shoulder (sometimes in finger joint). Pain is dull throbbing and deep in the joint or tissue. Pain generally worsens over time. (Table 6)
Term
Cerebral DCS:
Definition
(DCS occurring in the brain) can produce: headaches, visual disturbance, dizziness, confusion, psychotic symptoms, paralysis, unconsciousness (stroke like signs or symptoms) (Table 6)
Term
Spinal DCS:
Definition
May cause: muscular weakness, numbness, Pins and needles, abdominal encircling pain, paralyses, loss of sensation (Table 6)
Term
Pulmonary DCS: (or “Chokes”)
Definition
Pain under sternum, coughing, coughing up blood, severe respiratory distress leads to unconsciousness and death (Table 6)
Term
Inner Ear DCS or Vestibular DCS:
Definition
Usually associated with a gas switch (air from heliox) vertigo, tinnitis, nausea, vomiting, loss of balance
Term
TREATMENT Process
Definition
CHIEF COMPLAINT - WHAT’S WRONG?
HISTORY
RAPID NEURO
Term
HISTORY
Definition
- DIVE PROFILE
- ANYTHING UNUSUAL DURING THE DIVE OR DECOMPRESSION?
- TYPE OF WORK
- REPET. DIVE?
- EVER HAD DCS BEFORE
- PAIN - TYPE - SHARP, DULL, RADIATING, CHANGED IN SEVERITY OR LOCATION
Term
Treatment for DCI -(DCS) and Arterial Gas Embolism (AGE)
Definition
Initial treatment depth is 60 fsw
CONTACT MEDICAL ADVISOR
RE-HYDRATE FLUIDS ORALLY or (START I.V.)
MONITOR URINARY OUTFLOW
Complete Table 6
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