title: Type II decompression sickness in a hyperbaric inside attendant.
abstract: BACKGROUND
  Decompression sickness (DCS) of an inside attendant (IA) is rarely encountered in hyperbarics. This report describes an IA who developed Type II DCS after a routine hyperbaric exposure.
  
  
  METHODS
  A 50-year-old male complained of lower extremity weakness and paresthesias after serving as an IA during a hyperbaric treatment to 40 fsw (122.52 kPa). Within 10 minutes after the conclusion of the treatment, the IA experienced irritability and confusion, and was unable to walk. Physical examination revealed decreased sensation below the T7 level, and decreased strength in the lower extremities. Type II DCS was diagnosed, and the IA was recompressed to 60 fsw (183.78 kPa) on a U.S. Navy Treatment Table 6, which resulted in improvement of his symptoms. Transthoracic echocardiography with bubble study performed 16 months after the event demonstrated a large patent foramen ovale (PFO).
  
  
  CONCLUSIONS
  Increased age, decreased physical fitness and the undiagnosed PFO may have predisposed this attendant to developing DCS.
  
  
  CONCLUSIONS
  Although rare, DCS may occur in IAs. Routine monitoring and reporting of the long-term health of hyperbaric IAs should be considered by hyperbaric facilities and medical directors in order to further understand the characteristics of DCS and other hyperbaric-related conditions in these workers.
authors.affiliation: Department of Emergency Medicine and Traumatology, Hartford Hospital, Hartford, Connecticut USA. kjohnso@harthosp.org
authors.forename: Kelly
authors.initials: K
authors.lastname: Johnson-Arbor
mesh_terms: D000488:Allied Health Personnel; D001273:Atmosphere Exposure Chambers; D003665:Decompression Sickness / Q000175:diagnosis / Q000209:etiology*; D054092:Foramen Ovale, Patent / Q000150:complications; D006801:Humans; D006931:Hyperbaric Oxygenation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged