A case of severe multi-system decompression sickness requiring critical care, aggressive fluid resuscitation and hyperbaric oxygen therapy.
Alice Palmer, Craig Holdstock, Doug Watts et al.
✦ AI-curated · Sources linked
Case in brief
An experienced recreational diver presented with severe multisystem decompression sickness after eight dives over four days, despite adhering to acceptable dive profiles. The diver exhibited significant haemoconcentration and required extensive intravenous fluid resuscitation. The case was managed in conjunction with a hyperbaric unit located within an intensive care department, highlighting the critical nature of the condition.
What made this case unusual
This case is notable as similar severe presentations of decompression sickness have typically been associated with deep dives, rapid ascents, or missed mandatory decompression, making this case atypical.
Diagnostic / clinical pearl
Clinicians should be aware that severe decompression sickness can occur even when dive profiles are within acceptable limits, necessitating vigilant monitoring and management.
Why it matters
Understanding the potential for severe decompression sickness in recreational divers can improve early recognition and treatment, ultimately enhancing patient outcomes.