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Decompression illness retrieval — DipIMC MCQ

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HardRetrieval MedicineDecompression illness retrievalDipIMC

A 46-year-old woman has decompression illness after a diving accident on a coastal island. She has limb weakness and paraesthesia; oxygen is being administered. What is the most appropriate transport decision?

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Correct answer: B — Transfer to the nearest appropriate hyperbaric facility after specialist advice

Neurological decompression illness requires high-concentration oxygen, hydration within clinical limits, specialist advice and transfer to hyperbaric capability. Commercial flight can worsen decompression stress and is inappropriate without specialist direction. Normal pulse oximetry does not remove the indication for oxygen. The pearl is that destination choice may be highly specialised in environmental retrieval.

Reference: JRCALC Guidelines 2025; UK Diving Medical Committee guidance