Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

19-40-1C > Chamber Supervisor > Flashcards

Chamber Supervisor Flashcards

This topic will familiarize with supervising recompression chamber operations

1
Q

Purpose of recompression therapy

A

Decrease bubble size, restart blood flow, and relieve local pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Can recompression treatments be started without an UMO

A

Yes, consult ASAP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What table can only be prescribed by UMO

A

TT-9

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Who can modify recompression treatment protocols with CO/OIC concurrence

A

DMO with sub-specialty code 16U0 or 16U1

UMO with sub-specialty code 16U0 or 16U1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What dose Treatment Table 5 treat

A
  • Type I DCS (Except cudas marmoralas)
  • Asymptomatic omitted decompression
  • Asymptomatic/symptomatic exceeded SurD surface interval
  • Follow- Up treatments for residual systems
  • HBO therapy
  • CO poisoning
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What must be completed to use Treatment Table 5

A

Nuero prior to recompression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How long do you have to achieve complete relief to stay on Treatment Table 5

A

Complete relief obtained 10 minutes or less or go to TT-6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What depth does O2 breathing start at for Treatment Table 5

A

60 FSW

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How many extensions can you do on a Treatment Table 5

A

Two O2 periods at 30 foot stop. No air break required between O2 periods or prior to ascent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When does tender breath O2 on Treatment Table 5

A

Tender breaths 100% O2 from 30 foot stop to the surface

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When does tender with previous HBO in the last 18 hours breath O2 on Treatment Table 5?

A

An additional 20 min of O2 prior to ascent and ascent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When do you use a Treatment Table 6

A

-Arterial gas embolism (AGE) -Type II DCS systems -Type I symptoms not relieved in :10 - No neuro exam done - Cutis marmorata - Severe CO Poisoning, smoke inhalation - Asymptomatic omitted decompression de - Asymptomatic/symptomatic exceeded SurD surface interval - Treatment of unresolved symptoms following in-water-recompression - Recurrence of systems shallower than 60 fsw

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How many extensions can you do on Treatment Table 6

A

Twice at 60 ft (20-5 cycle) and twice at 30 (60-15 cycle)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

When does the tender breath O2 on treatment table 6

A

The last 30 min at 30 ft and to the surface (If one more extensions all 60 mun of last O2 period)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When does the tender with previous HBO in last 18 hours breath O2 on treatment table 6

A

add 60 min 100% O2 at 30ft to requirement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

When would you use Treatment Table 6A

A
  • Unchanged/worsening symptoms of AGE/DCS within 20 min at 60 SFW - Asymptomatic omitted decompression - Symptomatic omitted decompression
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How many extensions can you do on Treatment Table 6A

A

Sam as TT6 (Twice at 60 ft (20-5 cycle) and twice at 30 (60-15 cycle))

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

When does the tender breath O2 on treatment table 6A

A

Tender breaths 100% O2 during the last 60 min at 30 fsw and during ascent to surface for an unmod table or with only 1 extension at 30 or 60 fsw (If more extensions breath O2 at 30 fsw is increased to 90 min)

19
Q

When does the tender with previous HBO in last 18 hours breath O2 on treatment table 6A

A

Additional 60 min O2 at 30 fsw

20
Q

When would you use Treatment Table 4

A

-AGE/DCS where patient would benefit from additional time at depth of significant relief 165 or shallower -Only for severe DCS Type II or AGE

21
Q

What do you have to do before commiting to a Treatment Table 4

A

Consult UMO

22
Q

What are your procedures for CNS O2 Toxicity (non-convultion)

A

Remove O2 :15 after all symptoms have subsided resume O2 at point of interruption

23
Q

What are the procedures for second O2 Tox hit or first symptom is a convulsion

A

Remove O2 After all systems have subsided, decompress 10 feet at a rate of 1 foot per min Resume O2 If 3 O2 Tox hits contact UMO

24
Q

Symptomatic Omitted “D” < 50 fsw treatment

A

Compress to 60 fsw and begin TT-6

25
Q

Symptomatic Omitted “D” > 50 fsw treatment

A

Compress to 60 fsw or depth of significant symptoms improve, not to exceed 165 fsw begin TT-6A

26
Q

Patient only needs to be awake when breathing O2 deeper than?

A

30 fsw

27
Q

When can you eat in the camber

A

Any time

28
Q

Hydration rate for IV in the chamber

A

75-100cc/hour

29
Q

O2 control maintained between

A

19-25%

30
Q

CO2 control maintain

A

< 1.5% surface equivalent

31
Q

Permissible temperature level not to exceed

A

> 104 F

32
Q

Permissible temperature level TT 5 and 9

A

95-104 F

33
Q

Permissible temperature level TT 5, 6, 6A, 1A and 9

A

85-94 F

34
Q

What is the ventilation rate for air BIBS dump system or closed circuit BIBS

A

2 acfm resting 4 acfm working

35
Q

What is the ventilation rate for Oxygen BIBS without a dump system

A

12.5 acfm resting 25 acfm working

36
Q

How many treatments can you do consecutively without at least one day break

A

5 treatments

37
Q

Post treatment observation period for patients on TT-5

A

Remain at the facility at least 2 hours 1 hour of chamber for 24 hours

38
Q

Post treatment observation period for patients on TT-6

A

Remain at the facility at least 6 hours 1 hour of chamber for 24 hours

39
Q

Post treatment observation period for tenders

A

Must stay at chamber facility for 1 hour 1 hour of chamber for 24 hours

40
Q

Flying after treatment for patient

A

Minimum 72 hours wait after complete resolution of DCS or AGE

41
Q

Flying after treatment for tenders

A

TT-5, 6, 6A, 1A, 2A or 3 at least 24 hours TT-4, 7, or 8 at least 72 hours

42
Q

Time requirements for tenders to return to diving

A

TT-5, 6, 6A, 1A, 2A or 3 Min 18 hour SI for No “D” dive Min 24 hour SI for decompression dives TT-4, 7 or 8 Min 48 hour SI

43
Q

Air required for compression equation

A

Depth x FV = scf required

33

44
Q

Air Required for ventilation at depth equation

A

ata x vent requirement x time = scf required

19-40-1C (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions