Decompression Illness First Aid

Initial treatment for decompression illness (DCI) or arterial gas embolism (AGE) is the same for either condition.

Remember:
Airways
Breathing
Circulation
(Defibrillation)

• Give 100% oxygen (by means of a tight fitting mask).
  


• Lay the casualty down and keep them horizontal.This prevents conditions worsening with bubbles traveling to the brain. If the diver loses consciousness put the diver into the recovery position.
  


• Give fluids orally (aim for 1 litre an hour and no alcohol or caffeine). Only give if the casualty is able to take them unaided and ideally the fluid should be isotonic.
  


• Keep the patient comfortable.
  


• Protect against Hypothermia. Cover with blankets or thermal shields.
  


• Consider the buddy, are there two or more casualties?
  


• No in-water recompression.
  


• The only effective treatment is recompression, seek medical help immediately.
  


• Never give Entonox to suspected DCI / AE cases.
  

Contact London Hyperbaric Medicine for training in DAN or BSAC Oxygen Administration and DAN Automated External Defibrillation (AED).

Call 020 8539 1222 for your training needs.