Advice for UK Emergency Services

Advice to Paramedic and Medic Personnel (Suspected DCI)

Any symptoms developing within 48 hours of diving may be a decompression problem. The definitive treatment for decompression illness (DCI) is hyperbaric oxygen therapy. If a diving accident is suspected then contact one of the following IMMEDIATELY:

• DDRC Plymouth: 01752 209999
• Royal Navy Doctor: 07831 151 523
• Aberdeen Royal Infirmary: 0845 408 6008

Immediate Management

Assess Airway and Breathing
Rapid ascent can lead to pneumothorax or emphysema

Administer 100% oxygen continuously as part of ventilation management
Never administer Entonox to a person who is suspected of suffering from Decompression Illness (DCI)
Continue oxygen therapy despite any apparent clinical improvement
Keep the patient warm and out of the wind

Circulation
Administer IV fluids: 1000ml 0.9% Saline (Hartmann's if available)
Administer PO fluids (non-caffeinated) if no IV access and the patient can tolerate oral fluids
Monitor pulse and blood pressure

Disability
Monitor level of consciousness
Examine neurologically for any gross weakness or sensory loss

Other Points
Symptoms can rapidly deteriorate; reassess frequently for change
Do not give analgesia or other medication (except for resuscitation purposes) unless discussed with Duty Diving Physician