Document Detail


Cerebral arterial gas embolism with delayed treatment and a fatal outcome in a 14-year-old diver.
MedLine Citation:
PMID:  21560983     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
In today's recreational diving climate, diving fitness examinations are not mandatory, and even divers who go for these examinations may not have routine chest X-rays (CXR) done in the absence of respiratory symptoms or a past history of respiratory problems. We present a case of an ultimately fatal cerebral arterial gas embolism in a 14-year-old boy with an undiagnosed lung cyst, the contribution of which to his death is uncertain. Various factors such as lack of oxygen first aid at the remote dive site; poor communication; lack of diving medicine expertise, poor oxygen administration and management in a local hospital and long delay to recompression therapy contributed to the poor outcome. It is imperative that dive operators and physicians working in close proximity to popular dive sites be educated on how to recognise and treat diving emergencies and be well-acquainted, as should divers, with the contact numbers of diving medical hotlines that offer timely and appropriate advice in case of emergency.
Authors:
John Lippmann; Andrew Fock; Shalini Arulanandam
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diving and hyperbaric medicine : the journal of the South Pacific Underwater Medicine Society     Volume:  41     ISSN:  1833-3516     ISO Abbreviation:  Diving Hyperb Med     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-05-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101282742     Medline TA:  Diving Hyperb Med     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  31-4     Citation Subset:  IM    
Affiliation:
Divers Alert Network Asia-Pacific. johnl@danasiapacific.org
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