PMID- 23129100
OWN - NLM
STAT- MEDLINE
DCOM- 20130415
LR  - 20131106
IS  - 2081-3252 (Electronic)
IS  - 1641-9251 (Linking)
VI  - 63
IP  - 3
DP  - 2012
TI  - Decompression sickness in urban divers in France.
PG  - 170-3
AB  - BACKGROUND: Decompression sickness (DCS) can occur in SCUBA divers. DCS is 
      treated with oxygen, preferably given under hyperbaric conditions. Although Paris 
      (France) is located at a distance from the sea or lakes, some injured divers 
      require hyperbaric oxygen treatment (HBOT) in this city, sometimes within a 
      specific time frame. Thus, this study investigated the epidemiology and outcomes 
      of such urban divers. AIM: We conducted an observational study of SCUBA divers 
      admitted to the Raymond Poincare Hyperbaric centre near Paris from 1993 to 2003. 
      MATERIALS AND METHODS: We prospectively enrolled 69 consecutive SCUBA divers 
      presenting DCS. Common risk factors were reported, especially aeroplane flight 
      and training dives. Symptoms are very often atypical (63%) and onset time of 
      symptoms is often too long (59% after 2 h) due to denial of symptoms. First aid 
      is generally inadequate, with only 23% of victims receiving oxygen, fluid loading 
      and aspirin together. HBOT was given for 42 (61%) patients although their 
      examination results were considered as normal. CONCLUSIONS: Diving pits and 
      diving travel agencies should do more to warn divers of the need for treatment 
      with normobaric oxygen and hydration pending HBOT. Moreover, hyperbaric 
      physicians should better clarify HBOT indications for both symptoms of late onset 
      and atypical presentations.
FAU - Bessereau, Jacques
AU  - Bessereau J
AD  - General Intensive Care Unit, Hyperbaric Medicine Department, Raymond Poincare 
      Hospital, University of Versailles SQY, Garches, France. 
      jacques.bessereau@ap-hm.fr
FAU - Genotelle, Nicolas
AU  - Genotelle N
FAU - Brun, Pierre-Marie
AU  - Brun PM
FAU - Aboab, Jerome
AU  - Aboab J
FAU - Antona, Marion
AU  - Antona M
FAU - Chenaitia, Hichem
AU  - Chenaitia H
FAU - Huon, Anne
AU  - Huon A
FAU - Annane, Djillali
AU  - Annane D
LA  - eng
PT  - Journal Article
PL  - Poland
TA  - Int Marit Health
JT  - International maritime health
JID - 100958373
SB  - IM
CIN - Int Marit Health. 2013;64(1):51. PMID: 23788166
CIN - Int Marit Health. 2013;64(3):175. PMID: 24072546
MH  - Activities of Daily Living
MH  - Adult
MH  - Decompression Sickness/*diagnosis/epidemiology
MH  - Diving/adverse effects/*statistics & numerical data
MH  - Female
MH  - France
MH  - *Health Status
MH  - Humans
MH  - Male
MH  - Medical History Taking/methods
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Risk Factors
MH  - *Severity of Illness Index
MH  - Urban Population/statistics & numerical data
MH  - Young Adult
EDAT- 2012/11/07 06:00
MHDA- 2013/04/16 06:00
CRDT- 2012/11/07 06:00
PHST- 2012/11/07 06:00 [entrez]
PHST- 2012/11/07 06:00 [pubmed]
PHST- 2013/04/16 06:00 [medline]
PST - ppublish
SO  - Int Marit Health. 2012;63(3):170-3.