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To: techdiver@aquanaut.com
Date: Thu, 02 Aug 2001 09:47:58 +0200
From: mat.voss@t-*.de* (Matthias Voss)
Organization: Harry Haller Memorial Fund
CC: Trey <trey@ne*.co*>, techdiver@aquanaut.com, sstraat1@ta*.rr*.co*
Subject: Re: DCS incident
Steve, 
I am sorry to be this late in replying.

It is most probably an " undeserved" hit, Trey mentioned possible
causes, another cause could be alveolar rupture affecting which can
affect both sides, or a small cyste in the lung breaking.
To fast an accent on breathhold can be excluded?

When you got someone on the line, be prepared to answer at least the
following questions :

Chronology of symptoms and everything till arrival at chamber
Medication given and response hereto.
Preconditions ( medication, hydration, sicknesses, heart conditions,
unusual effort in the dive and the 3 days before)
history of past DCS

There should be made an X-ray of the lungs , or an NMR, to detect a
possible cyste.

If you haven' already got access to someone giving competent help (
DCIEM ??) you may try to call the german Navy's facility in Kiel.
Reception desk is +49 (0)431 54090. They will answer " Bundeswehr Kiel",
you may speak english, ask for DR. Ulrich van Laak, indicating a diving
accident ( Tauchunfall, Dekompressions-Unfall ) You may refer to my
name. Or use  +49 (0) 431-549-861, Dr. v. Laak. He is fluent in english.
Dr. van Laak is the german DAN chairman as well.
They most possibly have treated a similar case in Kiel.
e-mail: germany@da*.or*


Other:

Dr.Roggenbachin   +49(0)2 01 50 25 54 or cellphone
+49(0)1 71) 2 10 02 87.( my associations scubadoc)
he was one of the first to describe hits like that (non DCS1 non DCS 2,
resistent to HBO)

The DAN-Hotline Switzerland ( through REGA, an Heli-AR servive)
+41-1-1414

DAN USA Hotline
"DAN Emergency call Prof. Mano"
Tel. +1-9 19-6 84 81 11

HTH.
Matthias


> On Tue, 31 Jul 2001, Trey wrote:
> 
> > This poor kid obviously had a gaping ASD or PFO, and
> > took the worst kind of hit. 
   -----Original Message-----
> >   From: SRS [mailto:sstraat1@ta*.rr*.co*]
> >   Sent: Tuesday, July 31, 2001 4:37 AM
> >   To: techdiver@aquanaut.com
> >   Subject: DCS incident
> >
> >
> >   I'd appreciate it if anyone can forward to me info regarding DCS treatment
> > in the Michigan area - had a friend's nephew (16 years old, fairly
> > experienced) get hit while on a 90 ft./:20 dive in Lake Michigan. Can't
> > walk/urinate after two chamber rides. Who are the experts in that area, or
> > who else (anywhere) should they consult.  Trey, if you see this, whose the
> > doc. who did the doppler studies on the WKPP guys (U. of MIami?) - the
> > friend of mine lives down there, she could get info from him? Any help is
> > appreciated.
> >
> >   Thanks,
> >
> >   Steve Straatsma
> >
> 
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