Treatment of decompression illness in the field - guidelines published

[Russjstewart]

Thank you

 

[Rred]

Mike, I had the same question about crystalloid whohas. If I read it right, that translates to saline solution or Ringer's Lactate, basically both "plasma expanders" without added sugar. I think in the field that would mean using an unsugared UN-standard rehydration mix, or something like low-sugar Gatorade or pedialyte, trying to keep the patient well hydrated.

 

[Kevrumbo]

Mike, I had the same question about crystalloid whohas. If I read it right, that translates to saline solution or Ringer's Lactate, basically both "plasma expanders" without added sugar. I think in the field that would mean using an unsugared UN-standard rehydration mix, or something like low-sugar Gatorade or pedialyte, trying to keep the patient well hydrated.

Plasmalyte w/ Caldolor (Ibuprofen) IVPB was administered to me by @Dr Simon Mitchell "in the field" at Bikini Atoll 2013.

 

[Duke Dive Medicine]

Mike, I had the same question about crystalloid whohas. If I read it right, that translates to saline solution or Ringer's Lactate, basically both "plasma expanders" without added sugar. I think in the field that would mean using an unsugared UN-standard rehydration mix, or something like low-sugar Gatorade or pedialyte, trying to keep the patient well hydrated.

Crystalloids are manufactured, water-based IV fluids that don't contain any blood products. The isotonic part means that the electrolyte/water ratio is the same as that of blood, so that there's no osmotic pressure to cause fluids to diffuse across cell membranes. Normal (0.9%) saline and lactated Ringer's are both isotonic crystalloids. Fluids that contain dextrose or glucose (D5W for example) are typically contraindicated for fluid resuscitation in DCI patients, especially those with central neurological symptoms, because they can aggravate cerebral edema.

Best regards,
DDM