IWR SUMMARY

Chapter 1 Program Overview
Chapter 2 Tiers: Classification of Symptom Severity
Chapter 3 Technique of the History and Physical
Chapter 4 Interpretation of the Physical Findings
Chapter 5 Considerations to Initiate In-Water Recompression
Chapter 6 IWR Operations: The decision Algorithm
Chapter 7 Potential Complications of IWR and Management
Chapter 8 Conclusion

Chapter 1 Program Overview

1.1 Introduction
1.2 DCS Review
1.3 Probable Mechanisms
1.4 Treatment in the beginning
1.5 Risk Factors for DCS and Risk Minimization:
A. Patent Foramen Ovale(PFO)
B. Previous DCS
C. Age
D. Body Fat
E. Post dive Exercise
F.  Body Temperature
G. Workload at depth
H. Hydration Level
1.6 General Care Plan
1.7 Review of First Aid Steps for Decompression illness
1.7.1 Details of Oxygen Administration

Chapter 2 Tiers: Classification of Symptom Severity
2.1 Signs and Symptoms
2.2 Diagnosis and Prognosis (Tier I, II, III)

Chapter 3 Technique of the History and Physical
3.1 Purpose
3.2 Examination Overview
3.2.1 Cardiopulmonary Examination
3.2.2 Joint pain
3.2.3 Neurologic Examination q 3.2.4 Optimized Diagnostic Medical Kit
3.3 Essential Concepts
- Differential Diagnosis
- Symptom progression
- Patterns
- Contraindications
3.4 Obtaining the Focus History
3.4.1 Essential info 
- Previous Medical/Dive History
- Age, Gender
- General Medical History (Pre-existing cardiac, pulmonary disease
- Diving History
- Symptom History
3.4.2 Physical Exam

3.5 Focused neurologic Examination : 6 KEYS components
- Mental Status
- Coordination and Balance
- 12 Cranial Nerves
- Muscle Strength 
- Sensory
- Reflexes

Chapter 4 Interpretation of the Physical Findings
4.1 after you diagnose diver with  DCS
4.2 what Tier is it
4.3 Consideration this 
- Dive History (Depth, Gas Mixture, Timing of DCS
- Patient Clinical Presentation (Pain, Rash, Subcu Emphysema)
4.4 Put 4.1-4.3 all together is Summary

Chapter 5 Considerations to Initiate In-Water Recompression
5.1 Portable Recompression Chambers
5.2 In water recompression
5.2.1 Diver Status
5.2.2 Logistic Support (Oxygen Supply
5.2.3 Alternative recompression Options
5.3 Summary of Principles

Chapter 6 IWR Operations: The Decision Algorithm 
6.1 if IWR is Chosen
6.1.1. IWR without oxygen
6.2 Oxygen Toxicity Warning
6.3 Write a Report

Chapter 7 Potential Complications of IWR and Management
7.1 Medical contraindication to IWR
7.2 General Discussion
7.3 Treatment of Neurologic Toxicity
7.4 Pulmonary Oxygen Toxicity
7.5 Depth Control
7.6 Caution
7.7 Gas management 
7.8 Follow on Care of the Stricken Diver
7.9 What if I can’t
7.10 Summary

Chapter 8 Conclusion 









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