Van Meter Keith
Chief, Section of Emergency Medicine, LSU Health Sciences Center, Clinical Professor of Medicine, LSU Health Sciences Center , Clinical Professor of, Surgery, Tulane University School of Medicine, New Orleans, Louisiana.
Surg Technol Int. 2011 Dec;21:61-73.
Most commercial diving operations and naval operations have 24/7, on-site availability of hyperbaric oxygen therapy to perform routine surface decompression or immediate treatment of arterial gas embolism or decompression sickness. Availability and prompt use of hyperbaric oxygen therapy in the field for treatment of divers with dysbaric conditions has demonstrated its efficacy in acute, co-morbid conditions such as acute exsanguination, blast injury, crush injury, and cardiopulmonary arrest affecting those same divers. Hyperbaric oxygen therapy applied in these cases has demonstrated its utility to augment the efficacy of conventional, pre-hospital advanced cardiac life support and advanced trauma life support. Case studies gleaned from actual experience with the diving industry illustrate the use of hyperbaric oxygen therapy in these conditions. The unexpectedly favorable results have been replicated by controlled laboratory animal studies. The deck decompression or saturation multiplace chambers used by offshore diving operations can easily and quickly be converted for use as medical field resuscitative units. Lightweight and mobile hyperbaric chambers can be outfitted for use in ambulances or helicopters to address civilian street injury or military "far-forward" injury. These transport chambers are compact in design to be efficient transport stretchers designed to hold both the patient and the medical support clinician. It is hoped that hyperbaric oxygen therapy will gain an increasing role as an adjunct to pre-hospital advanced cardiac life support and advanced trauma life support resuscitative efforts as a low-cost, high-yield intervention. In this regard HBO as applied to ATLS/ACLS in civilian and military medical systems may be a productive, disruptive new application of technology.
大多数商业潜水作业和海军行动都能提供全天候的现场高压氧治疗，以进行常规的水面减压或对动脉气体栓塞或减压病进行即时治疗。在野外对患有气压病的潜水员及时使用高压氧治疗，已证明其在急性合并症中的疗效，如急性失血、爆炸伤、挤压伤以及影响这些潜水员的心肺骤停。在这些情况下应用高压氧治疗已证明其有助于增强传统的院前高级心脏生命支持和高级创伤生命支持的疗效。从潜水行业实际经验中收集的案例研究说明了高压氧治疗在这些情况下的应用。可控的实验室动物研究也重复得出了意外的良好结果。海上潜水作业使用的甲板减压舱或饱和多人舱可以轻松快速地转换为医疗现场复苏单元。轻便且可移动的高压舱可以装备在救护车或直升机上，以处理平民街道受伤或军事“前沿”受伤情况。这些运输舱设计紧凑，是高效的运输担架，可同时容纳患者和医疗支持人员。希望高压氧治疗作为一种低成本、高收益的干预措施，在院前高级心脏生命支持和高级创伤生命支持复苏工作中能发挥越来越重要的辅助作用。在这方面，高压氧治疗应用于民用和军事医疗系统中的高级创伤生命支持/高级心脏生命支持可能是一项富有成效、具有颠覆性的新技术应用。
