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PubMed · 11540586

[Dehydration--a risk factor for the decompression-accident in diving].

C h Plafki·M Almeling·W Welslau
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Abstract

We report on a decompression-accident with neurological manifestation in an experienced recreational diver. As no obvious omission against the prescribed rules of decompression could be observed, dehydration due to intense jogging prior to the dive was identified as a risk-factor. Hyperbaric treatment resulted in a complete restitution. The physiological aspects are discussed and recommendations for the fluid-intake before diving are given.

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Decompression SicknessDehydrationDivingFluid TherapyHumansHyperbaric OxygenationJoggingCase ReportsEnglish AbstractJournal Article

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C h Plafki, M Almeling, W Welslau. 1997. [Dehydration--a risk factor for the decompression-accident in diving].. https://pubmed.ncbi.nlm.nih.gov/11540586/

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PubMed2006

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INTRODUCTION: Most cases of decompression sickness (DCS) in the U.S. are treated with hyperbaric oxygen using U.S. Navy Treatment Tables 5 and 6, although detailed analysis shows that those tables were based on limited data. We reviewed the development of these protocols and offer an alternative treatment table more suitable for monoplace chambers that has proven effective in the treatment of DCS in patients presenting to our facility. METHODS: We reviewed the outcomes for 140 cases of DCS in civilian divers treated with the shorter tables at our facility from January 1983 through December 2002. RESULTS: Onset of symptoms averaged 9.3 h after surfacing. At presentation, 44% of the patients demonstrated mental aberration. The average delay from onset of symptoms to treatment was 93.5 h; median delay was 48 h. Complete recovery in the total group of 140 patients was 87%. When 30 patients with low probability of DCS were excluded, the recovery rate was 98%. All patients with cerebral symptoms recovered. Patients with the highest severity scores showed a high rate of complete recovery (97.5%). DISCUSSION: Short oxygen treatment tables as originally described by Hart are effective in the treatment of DCS, even with long delays to definitive recompression that often occur among civilian divers presenting to a major Divers Alert Network referral center.

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