MedBugs: SAQ #557

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Case: Decompression illness

A 30-year-old recreational diver is brought by ambulance to your small coastal ED. He collapsed shortly after emerging from the water and suffered a generalised seizure lasting 2-3 minutes. On examination, he is drowsy with R-sided hemiparesis. The nearest tertiary hospital is 300km away by road. Vital signs are as follows :

HR 100
BP 90/50
GCS 11 E4 V2M5

SaO2 89% RA

1. List (2) diagnoses for this patient and a unifying aetiology. 2 marks

2. BRIEFLY outline your management of this patient. 4 marks

3. Complete the table below listing (3) possible methods of retrieval for this patient. Give (1) advantage and (1) disadvantage of each method. 6 marks

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Case: Decompression illness

1. List (2) diagnoses for this patient and a unifying aetiology. 2 marks

2. BRIEFLY outline your management of this patient. 4 marks

3. Complete the table below listing (3) possible methods of retrieval for this patient. Give (1) advantage and (1) disadvantage of each method. 6 marks

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