Triage and emergency evacuation of recreational divers: a case series analysis.
نویسندگان
چکیده
INTRODUCTION It is unknown if the benefits of rapid treatment always outweigh the risks of emergency evacuation for recreational divers. To investigate current triage practice, we reviewed a three-year consecutive series of evacuations and analyzed the relationship of evacuation completion time (EvCT) to outcome in the decompression illness (DCI) cases. METHODS Checkbox-keyword searches of calls to Divers Alert Network (DAN) between 4/06 and 2/09 identified cases for review. RESULTS Of 24,275 calls, 107 were evacuations. Median EvCT, (defined as time from injury to arrival at treatment facility) was 20 hours (mean +/- SD, 27.3 +/- 27.2). Indications were: DCI 56% (60), medical illness 28% (30) or trauma 16% (17). Twenty-five percent of medically indicated evacuations were for pre-existing conditions. One-third of all DCI air evacuations (17 of 51) were for mild cases (pain or tingling only). EvCT and presentation severity were not significant predictors of DCI outcome; however, early data (< 6 hours) was sparse. CONCLUSION More data are needed assess the benefits of faster evacuations. However, in real-world scenarios with EvCTs in the 20-hour range, time did not influence outcome. Risk-benefit analysis of emergency transport is advised, especially for mild cases of DCI with a low probability of symptom progression.
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ورودعنوان ژورنال:
- Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc
دوره 37 2 شماره
صفحات -
تاریخ انتشار 2010