Advanced Dive Medicine Assumed Test Questions Flashcards
Sea Urchins have a Venomous stinging Organ Called
Gobiferous Pedicellariae, or stinging spine
The most deadly Octopus
Blue Ringed -No Antivenin
Steroids for Dive treatment
Not recommended, worsens CNS injuries
Lidocaine for Dive treatment
Used for AGE, not recommended in DCS.
Fluids for DCS II Patients
Fluids are contradicted when patient is suffering from the chokes
Urine output for patient
.5cc Hour
Drip Chamber on Descent/Ascent
Chamber Fills on decent/Emptys on ascent
D5W Electrolyte IV fluid
Use @ DMO’s Discretion due to cerebral and pulmonary edema.
Chest tube site
2nd or 3rd intercostal space midclavicular line over the affected lung
Chest tube secondary site
5th intercostal space anterior axillary line. Hand under the armpit
Endotracheal intubation ventilation stop time, Vent time
Do not stop for more than ::30, Ventilate for ::60
Endo tracheal Bradycardia
Can slow during intubation from vagus nerve stimulation
Inside tender responsibilities
Releaseing Door Latchs, Communicateing with outside personnel, Provideing first Aid, Administering treatment gas @ depth, Normal assistance, Donning/doffing hearing protection, Paitient is lying down to permit adequate blood flow.
NON Diving Personnel as IT
Completion of Navy IT PQS, Current Physical Exam, Conform to Navy physical standards, Passed a pressure test
Clinical HBO2 Therapy TX Disorders
Cyanide poisoning, Carbon Monoxide, Gas gangrene, Smoke inhalation, Necrotizing soft tissue infection, Iatrogenic embolism, thermal burns, chronic refractory osteomyelitis, intracranial abscess.
Rationale for HBO in bubble disorders
Increase in pressure decrease in bubble size, Reduce bubble by maximizing inert gas off-gassing gradient, Increase O2 to the tissues.
Candidate Pressure test
Navy Certified Chamber -60 FSW for :10, Must remain on site for :15 and facility for 1 hour
Re compression Chamber extinguishing means
Wetted towels, Bucket of water, Pressurized water extinguisher, Hand held hose system, suppression deluge system
Abort Procedure - Natural Disaster - Mechanical failure
Ascend to 60FSW AT 30 FPM, All on O2, Follow AIR/O2 Table for max depth breathing O2 continuously, Breath 02 for the sum of deeper deco stops prior to deco from that depth, No more time bring chamber to surface @ 10FPM on 100 O2. NO symptoms follow TT6 asap.
Post Chamber Treatment observation time
TT-5 - 2 hours TT-6 6 hours , All others at DMO discretion
Treatments administered more than 5 days require
1 day break
Re-compression at altitude Gauge’s
Zero gauges
First Decompression Theories published by
J.s Haldane theory of half times
Maximum chamber co2 sev at depths
.78 30fsw
.53 60fsw
.25 165fsw
