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The Ministry of Public Health has provided the first Hyperbaric
chamber in Phuket,located at
Vachira Phuket Hospital. This is used for accidents which
occure during diving and is also used to treat other illinesses
which require Hyperbaric Oxygen therapy.The chamber has been in
4 November 2002
The division of Underwater and Hyperbaric Medicine at Vachira
Phuket Hospital are on duty all hours for Decompression illness
without delay for the best cahnce of recovery with no residual damage.Nursing
staff are present inside the chamber take care the patient for the
emergency life support. The chamber is committed to promote save
diving by providing education program for divers, fitness to dive,
physical evaluation, counseling for diving related health issues.
And treat common diving problem such as barotraumas, marine animal
injury or poisoning etc.
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Indication of additional treatment by Hyperbaric Oxygen therapy
from Undersea and Hyperbaric Medical Society (UHMS)
- Air or Gas Embolism
- CO Poisoning and Smoke Inhalation
- Clostridial Gas Gangrene
- Crush Injury : Compartment Syndrome, Acute Traumatic
Ischemia
- Decompression Sickness
- Problem Wound - Diabetic ulcer - Decubitus ulcer (Bed
sore) - Vascular disease
- Exceptional Blood Loss
- Necrotizing Soft tissue Infection
- Refractory Osteomyelitis
- Compromised Skin Graft or Flap
- Radiation Injury
- Thermal Burn
- Intracranial Abcess
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1)Pulmonary Over inflation Syndrome (POIS)
This can occur during diving when an ascent happens too rapidly
causing the lungs to over inflate resulting in damage to the lung.
POIS can result in;
1. Interstitial Emphysema
2. Pneumothorax
3. Arterial gas embolism. The symptom usually only last for periods
of 10 minutes.
4. Depending on the symptoms : patients have been divided into two
groups.
Group 1 Neurological symptoms : Can range from changes in mood
to immediate unconsciousness
Group 2 Cardiac symptom : Apnea, loss of consciousness and
cardiac dysrhythemia or arrest. Definitive treatment of any gas embolism
require a recompression facility. Miscellaneous Pressure Effects.
- Tooth squeeze, Mask squeeze and G-I squeeze
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Decompression sickness. (Bends or Caisson disease)
Decompression sickness (DCS) has been divided into two categories
Type I (Mild form of DCS) Joint pain, tissue swelling, skin
itching and weakness.
Type II (Serious form of DCS.) Pain at head, neck and body.
Seizure, hemiplegia - Visual symptom and headache, substernal pain,
cough, dyspnea. (trouble in breathing)
Decompression sickness Treatment.
Early recognition an treatment of DCS is essential for successful
treatment. Type II DCS needs recompression treatment as soon as
possible.
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Design
description of Vachira Phuket Hospital Hyperbaric Chamber
- Multiplace chamber, two compartments, 14 seats
- Cylindrical hyperbaric oxygen treatment unit.
- Overall size Length 6,880 mm Width 2,524 mm
- Design pressure 560 k-Pa(g)
- Two doorways, view port and camera port
- Internal/external PA system communication ,
Internal auxiliary head set, electronic sound powered phones.
- BIBS and HOOD oxygen with overboard exhaust.
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