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March 2017    Download the Entire Issue (PDF) Vol. 32, No. 3   RSS Feed for Undercurrent Issues
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Tweaking the Inwater Recompression Protocol

medical experts share concerns about safety

from the March, 2017 issue of Undercurrent   Subscribe Now

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While divers writing to Undercurrent generally indicate that in case of bends symptoms, they would seriously consider underwater recompression in remote places, two medical men, a DAN physician and the clinical director of dive medicine at Duke University, find serious fault with the protocol presented by Bret Gilliam.

"Most DCS cases improve with therapeutic surface oxygen which avoids the risk of drowning."

Petar J. Denoble MD, of DAN (Diver's Alert Network) wrote that although most diving medicine experts recognize the value of IWR in selected cases and in special circumstances, most physicians specializing in diving medicine have serious caveats.

Denoble pointed out that some DCS cases progressively deteriorate regardless of treatment, which raises the specter of a diver in treatment becoming dangerously ill while underwater. To re-immerse him quickly, as Gilliam's protocol suggests, would mean no opportunity to ask him questions and evaluate him properly. However, if treatment began on the surface with 100 percent oxygen for one cycle of 20 minutes, most of these progressive cases could be identified....

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