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Diving decompression illness — DipIMC MCQ

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HardEnvironmental MedicineDiving decompression illnessDipIMC

A 31-year-old diver develops joint pain, paraesthesia and dizziness 30 minutes after a rapid ascent. SpO2 is 98% on air and neurological examination shows reduced sensation in both feet. What is the most appropriate transport decision?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BGive high-flow oxygen, keep supine and arrange hyperbaric advice/transfer

Neurological symptoms after rapid ascent suggest decompression illness requiring high-flow oxygen and urgent hyperbaric advice. Pulse oximetry may be normal and does not exclude decompression injury. Nitrous oxide and altitude exposure can worsen inert gas problems.

Reference: JRCALC Guidelines; UK Diving Medical Committee principles