Treatment based almost solely on case reports and series
ABCs/BLS/ACLS
Denitrogenation with 100% NRB regardless of SpO2, and continue 2 hours after symptom resolution
Keep supine, Trendelenburg not recommended
Initiate IV crystalloid fluids, rate of 250 cc/hr for first few hours
Hyperbaric oxygen
Effective even in delayed cases
Immediate<unk>  for suspicion of Type 2<unk> , in consultation with hyperbarics specialist
Do not wait for<unk> , but if delayed presentation, may recompress up to 14 days after symptom onset
If due to high altitude aviation or hypobarics
Descend to ground level ASAP
Contact Divers Alert Network (DAN) Emergency Hotline at 1-919-684-2948
Similar function as to poison control
If patient requires transport to another facility, consider ground transport, air transport at max of 1000 ft, or air transport with pressurization capability
O2 with tight fitting mask during flight
Consider adjuncts such as Lidocaine, Perfluorocarbon emulsions
Effective even in delayed cases
Immediate<unk>  for suspicion of Type 2<unk> , in consultation with hyperbarics specialist
Do not wait for<unk> , but if delayed presentation, may recompress up to 14 days after symptom onset
Descend to ground level ASAP
Similar function as to poison control
O2 with tight fitting mask during flight
Decompression sickness
Barotrauma of descent
Acute mountain sickness
Otic barotrauma
Chronic mountain sickness
Pulmonary barotrauma
Acute chest syndrome
Sinus barotrauma