Braatvedt G D, Mathew B G, Corrall R J
Department of Medicine, Royal Infirmary, Bristol, UK.
Br J Sports Med. 1991 Jun;25(2):102-3. doi: 10.1136/bjsm.25.2.102.
We have evaluated the available medical care to sports divers by a postal questionnaire sent to consultants and senior registrars in Accident and Emergency medicine in the UK, assessing their training in underwater medicine. Replies were received from 60 of 96 consultants (63%) and 32 of 58 (55%) senior registrars. Thirty-two per cent of consultants and 50% of senior registrars had previous personal experience in managing an underwater diving accident. Thirty per cent of consultants and only 19% of senior registrars had prior formal postgraduate training in underwater medicine. Twenty-seven per cent of consultants and 13% of senior registrars replying did not know the pattern of referral for specialist advice nor where the nearest recompression chamber was to be found. We believe that more formal postgraduate training in underwater medicine is needed by A and E medical staff. Furthermore, clear guidelines about emergency management and patterns of referral for diving accidents should be displayed prominently in all A and E departments.
我们通过向英国急诊医学领域的顾问医生和高级住院医生发送邮政调查问卷，评估了为潜水运动员提供的现有医疗服务，调查他们在水下医学方面的培训情况。96名顾问医生中有60名（63%）回复，58名高级住院医生中有32名（55%）回复。32%的顾问医生和50%的高级住院医生此前有过处理水下潜水事故的个人经验。30%的顾问医生和仅19%的高级住院医生此前接受过水下医学方面正规的研究生培训。回复的顾问医生中有27%、高级住院医生中有13%不知道寻求专家建议的转诊模式，也不知道最近的加压舱在哪里。我们认为急诊医护人员需要接受更多水下医学方面正规的研究生培训。此外，关于潜水事故应急管理和转诊模式的明确指南应在所有急诊科显著展示。
