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Diving and Hyperbaric Medicine

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A prospective single-blind randomised clinical trial comparing two treatment tables for the initial management of mild decompression sickness

Neil Banham, Philippa Hawkings, Ian Gawthrope

Appendix 1 - Vann RD, Denoble PJ, Uguccioni DM, Freiberger JJ, Perkins R, Reed W et al.  Report on decompression illness, diving fatalities and Project Dive Exploration: DAN’s Annual Review.  DAN’s Annual Review of Recreational Scuba Injuries and Diving Fatalities. 2002 Edition. Durham, NC: Divers Alert Network; 2002:35.

 

Arbitrary severity classification

Group symptom 

 (alphabetical order)

 

Reported signs or symptoms

1. Serious neurology

Bladder or bowel

bladder or bowel dysfunction

Coordination

ataxia, ↓coordination, gait

Consciousness

↓consciousness

Hearing

↓hearing, tinnitus

Mental status

dysphasia, ↓memory, mental status, mood, orientation, personality

Reflexes

↓ or ↑reflexes

Strength

hemiparesis, motor weakness, muscle weakness, paraplegia

Vision

↓vision

2. Cardiopulmonary

Cardiovascular

arrhythmia, cardiovascular, palpitations

Pulmonary

cough, haemoptysis, respiratory distress, shortness of breath, voice change

3. Mild neurology

Paresthesia

numbness, numbness & tingling, paresthesia, ↓sensation, tingling, twitching

4. Pain

Pain

ache, cramps, discomfort, joint pain, pain, pressure, sharp pain, spasm, stiffness

5. Lymphatic/skin

Lymphatic

swelling

Skin

burning of skin, itching, marbling, rash

6. Constitutional/ non-specific

Dizziness

dizziness, dizziness/vertigo

Fatigue

fatigue

Headache

headache

Nausea

 

nausea, nausea & vomiting, vomiting

Other

chills, diaphoresis, heaviness, heavy head, light-headedness,

malaise, restlessness

Vertigo

vertigo

Diving and Hyperbaric Medicine

is indexed on

MEDLINE, Science Citation Index Expanded (SciSearch®) and Embase/Scopus and complies with the International Committee of Medical Journal Editors (ICMJE) Recommendation for the Conduct, Report, Editing and Publication of Scholarly Work in Medical Journals. Articles from 2017 are deposited in PubMed Central.