| We have an in-water recompression protocol for all our off-shore trips and have used it a few times sucessfully.
Reviewing other cases is always a touchy thing, so please take my comments as suggestions.
(FYI - I ran a hyperbaric center for divers in NY for 3 years in the mid 1990s and supervised more than 250 treatments)
Your results were good this time. The key that worked for you was the rapid recompression and the oxygen. The recompression profile you used was similar to a typical "mono-place" chamber treatment. 2atm of oxygen for 30 min with a 60 minute ascent.
Some future things to have to make this "safer"
Build a kit that has in it the following.
Full Face Mask for patient (with coms would be best)
Hose with strength member for FFM (60 feet 20 meters of hose), and dry suit in flator.
Miller harness to put on diver with line attached (strength member of hose)
Bossons seat on the harness rig with weights (40-50 lbs)
Bag Dry suit that can fit most anyone (thermal protection)
The FFM protects the patient should they have oxygen convulsion. This is a critical issue when doing IWR. It also gives the patient some level of security that they cant drown. This is good for the psyche.
Rotate your tenders to the patient every 20 minutes, this keeps everyone in a no-stop zone. Make sure your tenders do 5-10 min of oxygen breathing at 10 fsw / 3 msw just as a clean up.
After patient is up 30 min of post treatment surface oxygen is a good thing to do. NSAIDS -- Non Steroidal Anti Inflamatory Drugs (celebrex, aleve ) is also a good thing if the patient is not contra-indicated or any anti-inflamatory (Motrin) is good following treatment, plus a lot of water.
Sleep is the most common side effect post treatment, and can usually last 4-8 hours.
You got lucky this time. Good Job.
Cheers |