Following diving-related decompression sickness symptoms, what is the most appropriate transport destination?

• A. Closest emergency department
• B. General hospital with hyperbaric capability
• C. Private clinic with no hyperbaric capability
• D. Home

Answer: (B)

Decompression sickness requires recompression therapy delivered in a hyperbaric chamber, along with high-flow oxygen, to shrink the nitrogen bubbles and restore tissue oxygenation. Transporting the patient to a general hospital that has hyperbaric capability ensures they can receive definitive treatment promptly, which improves outcomes. Sending them to a facility without a hyperbaric chamber or to home would delay or miss the needed therapy and could be dangerous. If possible, provide 100% oxygen during transport and avoid flight or elevation increases until evaluated for hyperbaric treatment.