A short course in diving medicine.
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Biomedical subjects
Publications and source records attributed to R A Margulies.
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Non-ophthalmologists must know how to detect, diagnose, and initially manage acute eye and ocular adnexal injuries in order to minimize their morbidity. Such instruction can be provided medical students in part from dog eyes and lids injured so as to produce models of common forms of ocular trauma. We describe the generation of such models and the format of instruction employed at the Uniformed Services University of the Health Sciences.
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The professional and promotional literature is replete with advertisements for emergency kits. For many years, we have pursued the question from the perspective of immediate accessibility. This paper presents four case reports relating the authors' experience with such a small, personal emergency kit.
Decompression sickness following excursions to low atmospheric pressures has recently been a topic of confusion and concern. This article provides a reference for management of decompression sickness occurring after exposure to a reduction in ambient pressure in a hypobaric chamber. The pathophysiology, recognition, classification, initial management, definitive treatment, and eventual disposition of these cases are presented in a form which is applicable to all flight surgeons and flight physiologists, especially those with responsibility for utilization of hypobaric chambers.
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In the 12 month period Oct. 1, 1978 - Sept. 30, 1979, United States airlines carried 318 million passengers as revealed by the Federal Aviation Administration. It is estimated that 1 out of every 1 million passengers may be deplaned by an unscheduled landing due to a life-threatening medical emergency. The time required for airline aircraft to make an unscheduled landing can be in the range of an hour or more, especially for wide-body jet aircraft. Therefore, immediate emergency care, including first-aid and cardiopulmonary resuscitation, must be available if a hight level of occupant safety is to be assured. This paper provides information on in-flight emergencies and describes some simple ane effective techniques suitable for in-flight operations. Training flight attendants to deal with in-flight medical emergencies and to use first-aid support equipment and essential and useful drugs may later help with stabilization of a victim and allow continuing the flight to the scheduled destination, obviating the need for a diverted landing with all of the associated potential flight hazards, inconveniences, fuel wastage and increased costs.