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> Is it possible to (usefully) describe how to perform a Rapid Neurological
> exam.? It sounds interesting/useful.
>
I'm not sure if it is the same neurological test we were taught in a
sportsdivers' advanced course and a commercial scientific diving
course, but here goes :
Mental: Ask the suspected DCS victim his name, address, name of
buddy, day of week, etc.
Eyes: See if pupils are of equal size - a dilated pupil usually
means trouble
Face: One side of the face may be partially paralyzed
Hearing: Click your fingers next to each ear to ensure hearing is
unaffected
Shoulder: See if victim can shrug his shoulders evenly - he may be
only able to lift one shoulder up high
Gag: Victim may have trouble swallowing
Tongue: Ask victim to stick out his tongue to the left and right
Muscles: Test victim's strength by asking him to push your arms
apart or something similar - weakness is a danger sign
Sensory: Run your hands along the victim's legs, arms and body to
determine if he can feel your touch
Balance: Ask victim to stand on one leg, or to close his eyes and
try to keep his balance
The importance of doing this test BEFORE the dive cannot be
overemphasized to avoid misdiagnosis. Some people have hearing
problems, or just have a poor sense of balance, and others NEVER know
what day it is.
If any one of the symptoms is apparent, suspect neurological damage
and treat accordingly.
Greetings from the New South Africa
Bridget Elliott
Department of Zoology
University of Port Elizabeth
Box 1600
Port Elizabeth
South Africa
6000
phone: +27-41 - 504 2317
fax : +27-41 - 53 2317
e-mail:ZLBBLE@ZO*.UP*.AC*.AZ*
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