Is centralization in emergency rural medicine always right? Lessons learned from two cases of decompression sickness.

نویسندگان

  • T Sato
  • T Iga
  • K Nagashima
  • S Matsubara
چکیده

The cases of two patients with decompression sickness (DS) are described to add to the discussion about whether centralization, especially when accompanied by air-medical transport, is always justifiable in island emergency medicine. One patient received hyperbaric oxygen (HBO) treatment on another island after island-to-island transfer by boat; the other received HBO treatment on a ship that was anchored, by chance, close to the island where he became ill. Both cases had a good outcome. Island-to-island transport and within-island treatment, rather than island-to-urban-center transport, was effective, indicating that treatment centralization may not be the most effective protocol all cases. A DS treatment strategy is proposed for use in this geographic area; however, DS occurring on remote islands highlights the wider issue of the centralization of health services.

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عنوان ژورنال:
  • Rural and remote health

دوره 11 2  شماره 

صفحات  -

تاریخ انتشار 2011