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Diagnosis and Treatment of Decompression Sickness

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The Physician’s Guide to Diving Medicine

Abstract

Decompression sickness has in the past been defined as an overt illness that may appear in a human being while diving or following a reduction in environmental pressure sufficient to cause bubble formation and/or growth from the gases dissolved in the tissues. Other terms have been legitimized by use to have an equivalent meaning, despite the opinions of experts that it would be more desirable either to not use such terms at all or else to use them only in relation to a particular type of decompression sickness: such terms include caisson disease, compressed air illness, and the bends. The diving medical community has been fairly successful in discouraging the use of the term dysbarism, which really could refer to any one of the many disorders that might result from a change in pressure, and the term aeroembolism, which was confusing because it was often unclear whether the reference was to air embolism or to aviators’ decompression sickness. At any rate the classic definition of decompression sickness (DCS), while still applicable in the majority of cases, is no longer strictly correct. For example there is now serious doubt that DCS is overt in all cases.

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  1. Robert F. Goad
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  2. Joseph C. Farmer Jr.
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  3. David R. Leitch
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  4. John M. Hallenbeck
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  1. Undersea Medical Society, Bethesda, Maryland, USA

    Charles W. Shilling , Catherine B. Carlston  & Rosemary A. Mathias ,  & 

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Goad, R.F., Farmer, J.C., Leitch, D.R., Hallenbeck, J.M., Hamilton, R.W. (1984). Diagnosis and Treatment of Decompression Sickness. In: Shilling, C.W., Carlston, C.B., Mathias, R.A. (eds) The Physician’s Guide to Diving Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2671-7_6

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