Hyperbaric Chamber FAQ

I have heard that it's not uncommon for hyperbaric chambers — even ones that treat divers — to refuse to receive certain patients. Why is this?
We are aware of this issue, which we recently discussed in an open forum at the Undersea and Hyperbaric Medical Society Gulf Coast Chapter meeting. We have also written articles about the growing number of chambers that do not accept emergency cases. The following are some of the reasons why hyperbaric chambers might refuse patient transfers:

Availability: Sometimes there simply are not enough chambers. For example, a facility may already have a patient in a chamber and not have the staff or chamber space to manage others. If a small facility accepts an emergency case, that could force the facility to reschedule or cancel scheduled treatments due to the longer periods of time required for emergency care. Even if a chamber can admit a patient, the hospital or clinic might not have any beds available, which precludes acceptance of some patients.

Staffing: Many facilities lack 24-hour on-call coverage. Smaller facilities may have only one or two physicians, who may be mainly employed in other specialties, such as primary care or emergency medicine. Tender and technician positions may also be limited in smaller facilities. The comfort level of the physicians with a particular case must also be considered. A physician who has treated only stable divers, for example, may not feel comfortable enough with his or her expertise to provide care in a serious case of decompression illness.

Patient condition: Certain facilities are not equipped to accept critically injured patients. For example, a patient on a ventilator could not be adequately treated in a facility designed for stable patients. Even though large multiplace facilities are more likely to be able to accept emergency cases, the facility would have to be equipped with critical-care capabilities.
Posted in

No Comments


Categories

 2018 (60)
 2016 (119)
After anaesthesia Air Quality Altitude sickness Annual renewal Apnea Arthroscopic surgery BCD Badages Bag valve mask Bandaids Barbell back squat Bench press Bouyancy compensators Boyle's Law Boyle\'s Law Boyle\\\'s Law Boyle\\\\\\\'s Law Boyle\\\\\\\\\\\\\\\'s Law Brain Breast Cancer Breath hold Breath-hold Bruising Buoyancy Burnshield CGASA CO2 Camera settings Cancer Remission Cancer treatments Cancer Cape Town Dive Festival Carbon dioxide Charles' Law Charles\' Law Charles\\\' Law Charles\\\\\\\' Law Charles\\\\\\\\\\\\\\\' Law Chemotherapy Coastalexcursion Cold Water Cold care Cold Conservation Contaminants Corals Cutaneous decompression DAN Profile DAN Researchers DAN medics DAN report DCI DCS Decompressions sickness DCS DReams Dalton's Law Dalton\'s Law Dalton\\\'s Law Dalton\\\\\\\'s Law Dalton\\\\\\\\\\\\\\\'s Law Decompression Illness Decompression Sickness Decompression illsnes Diseases Dive Instruction Dive Instructor Dive accidents Dive computers Dive health Dive medicines Dive medicine Dive safety Dive staff Diveleaders Divers Alert Diving Kids Diving career Diving emergencies Diving injuries Diving suspended Diving Domestic Dr Rob Schneider EAP Ear pressure Ears injuries Emergency plans Environmental impact Equipment care Exercise Eye injuries FAQ Fatigue First Aid Equipment First Aid kits Fish Fitness Francois Burman Free diving Freediver Gas laws Gastric bypass Gordon Hiles HELP Haemorhoid treatment Health practitioner Heart High temperatures Hot Hydrostatic pressure Hypothermia Indian Ocean Inert gas Infections Instinct Instructors International travel International Irritation Kids scubadiver Labour laws Legislation Leukemis Liability Risks Life expectancy Lifestyle Low blood pressure Lung injuries MOD Maintenance Mammalian effect Maximum operating depth Medical Q Medical questionaire Medical statement Middle ear pressure Military front press More pressure Mycobacterium marinum Nitrox Non-rebreather Mask Nosebleeds O2 providers O2 servicing OOxygen maintenance Ocean pollution Orbital implants Oronasal mask Oxygen Cylinder Oxygen Units Oxygen deicit Oxygen ears Oxygen equipment Oxygen masks Oxygen supply Oxygen therapy Part 3 Plastic Pneumothorax Pool Diving Pulmanologist Pulmonary Bleb Radio communications Rashes Report incidents Rescue training Resume diving SABS 019 Safety Save our seas Science Scuba Injury Scuba children Scuba dive Scuba health Scubalearners Skin Bends Skin outbreak Skin rash Snorkeling Sodwana Bay Splits Squeezes Supplemental oxygen Surgeries Surgery The Bends The truth Thermal Notions Tides Travel tips Travel Tweezers Unconsciousness Underwater photographer Underwater pho Vaccines Vagus nerve Valsalva manoeuvers Vasvagal Syncope White balance Winter Wound dressings Wreck dive Youth diver abrasion air-cushioned alert diver altitude antibiotics antiseptics bandages bent-over barbell rows breathing air calories burn cardiovascular checklist chemo port child clearances closed circuit scuba currents cuts dead lift decompression algorithms decongestants dehydration dive injuries dive medicing dive ready child dive reflex dive tribe diver rescue dive diving attraction doctors domestic travel dri-suits dry mucous membranes dry suits dry ear spaces electroytes emergency action plans emergency assessment equalizing exposure injuries flexible tubing health hospital humidity immersion pulmonary edema (IPE join DAN longevity lower stress marine pathogens medical procedures medical risk assesment minor illness mucous membranes nasal steroids nasal newdivers nitrogen bubbles off-gassed operating theatre outgas pain plasters post dive preserve rebreather mask rebreathers risk areas saturation scissors scuba equipment scuba single use sinus infections stings strength tecnical diver thermal protection training trimix unified standards warmers water quality