Divers Alert Network clinical guidelines for DCS management
DAN hotline: (919) 684-8111 — 24-hour specialist access
Undersea and Hyperbaric Medical Society clinical guidelines
Indications for hyperbaric oxygen therapy
US Navy Diving Manual — Treatment Tables 5 and 6
Standard recompression protocols for DCS and AGE
Key evidence sources
Bennett et al — systematic review of DCS epidemiology and treatment
Incidence 0.4 to 1 per 10,000 recreational dives
Symptom onset timing data: 73% mild, 98% severe within 1 hour
Blatteau et al — RCT of tenoxicam adjunctive therapy
Reduced median recompression sessions from 3 to 2
Cartoni et al and Torti et al — PFO and DCS risk
PFO prevalence 97.2% in unexplained DCS vs 35.5% controls
High-grade PFO increases DCS risk 3- to 13-fold
Moon and Gorman — normobaric oxygen interim therapy
14% complete relief, 51% symptom reduction
Coding standards
ICD-10 T70.3XXA — effects of high pressure on sinuses and ears
Used for DCS and arterial gas embolism
ICD-10 T70.1XXA — sinus barotrauma
SNOMED CT decompression sickness disorder concept
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.