Diagnosis and Treatment of Decompression Sickness and
Arterial Gas Embolism 2023 Guide with complete solution
1) Where a recompression chamber is part of a diving operation
2) Where a recompression chamber is maintained as an area response requirement
What are the wo situations when a recompression chamber team is assembled?
3
1: Chamber Supervisor
1: Inside Tender
1: Outside Tender
What is the Minimum Manning Levels for Recompression Treatments?
7
1: Diving Officer
1: Master Diver
1: Chamber Supervisor
1: Diving Medical Officer (DMO)
1: Inside Tender
1: Log Keeper
1: Outside Tender
What is the Ideal Manning Levels for Recompression Treatments?
2
1: Chamber Supervisor
1: Inside Tender
What is the Emergency Manning Levels for Recompression Treatments?
The best qualified person available.
***this may be a non-diving surgeon, respiratory therapist, or non-diving IDC.
Who should provide specialized medical care to a patient in the chamber?
A qualified inside tender is required inside the chamber at all times
Who must accompany all non-diving personal if they are rendering treatment within a
recompression chamber?
Safe conduct of recompression chamber operations
Presenting recommended changes to treatment protocals
What is the Diving Officer responsibilities to the Commanding Officer?
Master Diver
Who is the most qualified person to supervise recompression treatments?
Direct oversight of the Chamber Supervisor
Technical Expertise
What does the Master Diver provide during recompression treatments?
1) Execution of treatment protocols
2) Emergency Procedures
,3) Supervision of the Chamber Team
4) Communication with Personnel inside the Chamber
5) Adhearing to minimum manning levels
6) Ensuring every member of the chamber team is thoroughly familiar with all
recompression procedures
7) Ensuring DMO is contacted at the earliest opportunity (during tx or before releasing
the pt)
8) Ensuring treatment of patient are thoroughly documented
9) Tracking BT and decompression profiles of personnel lock in/out of chamber
10) Ensure profiles of persons locking in/out of chamber are logged
What is the Chamber Supervisor responsible for?
Proper course of treatment
Consults with other medical personnel
Prescribes medications and treatment adjuncts
What can the Diving Medical Officer recommend?
Dive Medical Officer
Who is the only person who can modify recompression treatment tables?
Commanding Officer or Officer-in-Charge
Who must the DMO have concurrence with in order to modify recompression treatment
tables?
As the patient's condition dictates
To verify complete relief of symptoms
When does the DMO typically get in the chamber?
Treatment Table 4 and 7
What two treatment tables should the DMO be consulted on before committing to them?
DMO
Deviation from standard Treatment Tables should be made only with the
recommendation of what person?
16U0 - Basic Undersea Medical Officer
16U1 - Residency in Undersea Medicine
DMO's with which two sub specialty codes can modify a patients treatment during
recompression?
Dive Med Tech
Qualified Diver
Qualified Non-Diving Medical Personnel
Who can sit as an inside tender?
, 1) Qualify Military Diver Inside Tender PQS
2) PQ Dive Physical Exam
3) Conform to Navy Physical Standards
4) Pass the Diver Candidate Pressure Test
For a non-diving medical personnel, what must they do to qualify as an Inside Tender?
1) monitor patient for signs of relief
2) Observation of the Patient
3) Performance of repeated Neuro Exams
4) Releasing door latches after seal is made
5) Comms with outside personnel
6) Providing first aid as required
7) Monitor vital signs
8) Administering treatment gas to patient
9) Monitoring patient for signs of O2 tox
10) Ensuring ear protection is worn
11) Ensure patient is in position to permit free blood cirulation
What are the responsibilities of the Inside Tender?
preparing chamber system for use and securing from use IAW the system operating
procedures and the chamber pre and post dive check lists.
What is the responsibilities of the outside tender?
NEDU (Naval Experimental Diving Unit)
NDSTC (Naval Diving Salvage and Training Center
Emergency consultation can be made anywhere in the world at what two locations?
Entry of gas bubbles into the arterial circulation as a result of pulmonary over inflation
syndrome (POIS)
What is AGE caused by?
Sudden and Dramatic
How does the onset of AGE symptoms present themselves?
10 Minutes
How long after surfacing must a diver remain within direct supervision of the diving
supervisor?
Central Nervous System
What part of the body is almost always compromised?
Any diver who has obtained a breath of compressed gas from any source at any depth
and who surfaces unconscious, loses consciousness, or has any obvious neurological
symptoms within 10 minutes of reaching surface, must be assumed to be suffering from
an AGE.
What is the basic rule of AGE?
(ABC's) Airway, Breathing, Circulation
What is a HIGHER PRIORITY THAN RECOMPRESSION in the event of an AGE?
Neurological Evaluation
What must a diver who surfaces unconscious and recovers when exposed to fresh air
receive to rule out AGE?
DMO or higher level of medical care
Who should always evaluate a near-drowning victim who has no neurological
symptoms?
Arterial Gas Embolism 2023 Guide with complete solution
1) Where a recompression chamber is part of a diving operation
2) Where a recompression chamber is maintained as an area response requirement
What are the wo situations when a recompression chamber team is assembled?
3
1: Chamber Supervisor
1: Inside Tender
1: Outside Tender
What is the Minimum Manning Levels for Recompression Treatments?
7
1: Diving Officer
1: Master Diver
1: Chamber Supervisor
1: Diving Medical Officer (DMO)
1: Inside Tender
1: Log Keeper
1: Outside Tender
What is the Ideal Manning Levels for Recompression Treatments?
2
1: Chamber Supervisor
1: Inside Tender
What is the Emergency Manning Levels for Recompression Treatments?
The best qualified person available.
***this may be a non-diving surgeon, respiratory therapist, or non-diving IDC.
Who should provide specialized medical care to a patient in the chamber?
A qualified inside tender is required inside the chamber at all times
Who must accompany all non-diving personal if they are rendering treatment within a
recompression chamber?
Safe conduct of recompression chamber operations
Presenting recommended changes to treatment protocals
What is the Diving Officer responsibilities to the Commanding Officer?
Master Diver
Who is the most qualified person to supervise recompression treatments?
Direct oversight of the Chamber Supervisor
Technical Expertise
What does the Master Diver provide during recompression treatments?
1) Execution of treatment protocols
2) Emergency Procedures
,3) Supervision of the Chamber Team
4) Communication with Personnel inside the Chamber
5) Adhearing to minimum manning levels
6) Ensuring every member of the chamber team is thoroughly familiar with all
recompression procedures
7) Ensuring DMO is contacted at the earliest opportunity (during tx or before releasing
the pt)
8) Ensuring treatment of patient are thoroughly documented
9) Tracking BT and decompression profiles of personnel lock in/out of chamber
10) Ensure profiles of persons locking in/out of chamber are logged
What is the Chamber Supervisor responsible for?
Proper course of treatment
Consults with other medical personnel
Prescribes medications and treatment adjuncts
What can the Diving Medical Officer recommend?
Dive Medical Officer
Who is the only person who can modify recompression treatment tables?
Commanding Officer or Officer-in-Charge
Who must the DMO have concurrence with in order to modify recompression treatment
tables?
As the patient's condition dictates
To verify complete relief of symptoms
When does the DMO typically get in the chamber?
Treatment Table 4 and 7
What two treatment tables should the DMO be consulted on before committing to them?
DMO
Deviation from standard Treatment Tables should be made only with the
recommendation of what person?
16U0 - Basic Undersea Medical Officer
16U1 - Residency in Undersea Medicine
DMO's with which two sub specialty codes can modify a patients treatment during
recompression?
Dive Med Tech
Qualified Diver
Qualified Non-Diving Medical Personnel
Who can sit as an inside tender?
, 1) Qualify Military Diver Inside Tender PQS
2) PQ Dive Physical Exam
3) Conform to Navy Physical Standards
4) Pass the Diver Candidate Pressure Test
For a non-diving medical personnel, what must they do to qualify as an Inside Tender?
1) monitor patient for signs of relief
2) Observation of the Patient
3) Performance of repeated Neuro Exams
4) Releasing door latches after seal is made
5) Comms with outside personnel
6) Providing first aid as required
7) Monitor vital signs
8) Administering treatment gas to patient
9) Monitoring patient for signs of O2 tox
10) Ensuring ear protection is worn
11) Ensure patient is in position to permit free blood cirulation
What are the responsibilities of the Inside Tender?
preparing chamber system for use and securing from use IAW the system operating
procedures and the chamber pre and post dive check lists.
What is the responsibilities of the outside tender?
NEDU (Naval Experimental Diving Unit)
NDSTC (Naval Diving Salvage and Training Center
Emergency consultation can be made anywhere in the world at what two locations?
Entry of gas bubbles into the arterial circulation as a result of pulmonary over inflation
syndrome (POIS)
What is AGE caused by?
Sudden and Dramatic
How does the onset of AGE symptoms present themselves?
10 Minutes
How long after surfacing must a diver remain within direct supervision of the diving
supervisor?
Central Nervous System
What part of the body is almost always compromised?
Any diver who has obtained a breath of compressed gas from any source at any depth
and who surfaces unconscious, loses consciousness, or has any obvious neurological
symptoms within 10 minutes of reaching surface, must be assumed to be suffering from
an AGE.
What is the basic rule of AGE?
(ABC's) Airway, Breathing, Circulation
What is a HIGHER PRIORITY THAN RECOMPRESSION in the event of an AGE?
Neurological Evaluation
What must a diver who surfaces unconscious and recovers when exposed to fresh air
receive to rule out AGE?
DMO or higher level of medical care
Who should always evaluate a near-drowning victim who has no neurological
symptoms?
