1/3. Delayed onset pulmonary barotrauma or decompression sickness? A case report of decompression-related disorder.A-24-yr-old male professional diver began to complain of substernal pain 3 h after a controlled ascent from a dive of less than 40 ft of sea water (fsw). The diving master who supervised his dive and the physicians who examined him on presentation suspected pulmonary barotrauma rather than decompression sickness (DCS) because he had only descended to a depth of 32 fsw. Hyperbaric oxygen therapy (HBO) by U.S. Navy treatment Table VI was implemented because of his progressively worsening pain. HBO was apparently effective and a relapse was not seen. The author cannot label his condition based on the conventional classification categories, such as decompression sickness (DCS), barotrauma or even decompression illness. This case report is offered as a topic for consideration in the controversy over decompression-related disorders.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/3. Orbital hemorrhage following face-mask barotrauma.A 41-yr-old female recreational diver suffered an orbital hemorrhage following face-mask barotrauma This case illustrates the potential for significant orbital injury to occur as a result of face-mask barotrauma Barotraumatic orbital hemorrhage is an unusual disorder, but recognition of this entity is important for diving physicians. The signs and symptoms should not be mistaken for decompression sickness or arterial gas embolism. patients with barotraumatic orbital hemorrhage require emergency referral to an ophthalmologist so that potentially vision-threatening ocular complications may be identified and treated. barotrauma may result in several different types of cranial neuropathies and should be recognized as another possible cause for neurologic deficits following a dive.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/3. Severe frontal sinus barotrauma in an airline passenger: a case report and review.The problems of sinus barotrauma in air travelers have received little attention in the literature of emergency medicine. Presented here is a report of severe (Grade III) frontal sinus barotrauma in an airline passenger. The pathophysiology and treatment of frontal sinus barotrauma are reviewed. Emergency physicians should strongly consider a diagnosis of sinus barotrauma in patients who present with symptoms of sinusitis and a history of recent flight.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |