MedBugs: SAQ #508

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Case: Decompression illness

A 39 year old man returns from a diving trip and presents to your Emerg Dept. with severe lower back pain that began on surfacing. He has no medical problems, is not on any medications and is not allergic to anything. Vital signs are:

HR 97 bpm
BP 124/72 mmHg
GCS 15/15
RR 15 bpm
SpO2 97% on room air

You suspect he has decompression illness.

1. List (5) features on his history that would be important to know. 5 marks

2. Aside from decompression illness, list (4) indications for hyperbaric oxygen therapy. 4 marks

3. List (3) supportive measure that you would institute in the ED to treat a patient with decompression illness. 3 marks

4. How would you transfer a patient with decompression illness to a hyperbaric unit? 1 mark

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Case: Decompression illness

1. List (5) features on his history that would be important to know. 5 marks

2. Aside from decompression illness, list (4) indications for hyperbaric oxygen therapy. 4 marks

3. List (3) supportive measure that you would institute in the ED to treat a patient with decompression illness. 3 marks

4. How would you transfer a patient with decompression illness to a hyperbaric unit? 1 mark

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