**7. Treatment**

When acute poisoning statements are made during treatment in the pressure chamber, the patient should be given air to breathe deeply. If necessary, the treatment table can be changed by the underwater physician. In case of unconsciousness, stomach contents should be prevented from escaping to the lungs (aspiration).

The first goal during convulsion is to prevent trauma [7]. The tongue should prevent the patient from biting the tongue during the seizure. It should be known that naturally depends on the dive, the lack of oxygen (hypoxia) does not occur. It is necessary to wait until the tonic phase of the convulsion is finished. Otherwise, the diver may be exposed to lung barotrauma.

If oxygen poisoning develops in the pressure chamber treatment;


To prevent nitrogen narcosis, some mixed gases are used in professional dives. Diving is planned here by creating a mixture of oxygen with nitrogen, helium or helium/nitrogen. The aim here is to reduce the narcotic effect by reducing the partial pressure of the nitrogen. However, it is necessary to pay careful attention to oxygen poisoning since oxygen increases partial pressure in such diving. As helium increases heat transfer, divers must be careful against the hypothermic effect. Due to such effects, only professional divers are allowed to

Toxic Effects of Hyperbaric Conditions http://dx.doi.org/10.5772/intechopen.78392 119

Amphetamines reduce the narcotic effect that causes the prolongation of the reaction period, so they are not used in diving. The diver should be aware of the risks in the underwater environment. Also, increase narcotic efficacy, drugs that suppress the central nervous system, such as alcohol and antihistamines. These drugs create a synergistic effect with nitrogen,

When the symptoms disappear, and the diver feels ready, the dive may return. It should be noted here that nitrogen is a secondary health problem that will develop in a diver who is

In diving accidents, the treatment of hypoxic injuries is more important than oxygen poisoning. Therefore, priority should be given to the treatment of diving accidents. In the treatment of decompression, air or gas mixtures can be used in the pressure chamber to reduce the most toxic damage. Vitamin A, C, E, selenium, and so on to reduce oxygen poisoning. Antioxidant products can be used in hyperbaric oxygen therapy or before

Department of Underwater and Hyperbaric Clinical Medicine, Faculty of Medicine, Harran

[1] Lowry C. Inert gas narcosis. In: Edmonds C, Lowry C, Pennefather J, Walker R, editors. Diving and Subaquatic Medicine. 4th ed. London: Arnold Publ; 2002. pp. 183-193

[2] Strauss MB, Aksenov IM. The inert gas load. In: Strauss MB, Aksenov IM, editors. Diving

forced to exit during narcosis. If necessary, the diver should be re-examined [2].

accelerating the reduction of performance and decision-making.

mix gas dives.

**9. Return to diving**

diving [7].

**Author details**

Ali Erdal Gunes

**References**

University, Sanliurfa, Turkey

Address all correspondence to: aerdalg@gmail.com

Sicence. 1st ed. USA: Human Kinetics; 2004. pp. 51-80


The first intervention should be to prevent the diver from deeper to reduce the effect of anesthesia. The lifeguard must prevent the unconscious movements of the diver, such as removing the regulator from his mouth and holding his breath. He must think that the dive is like a dream, and he should try to go to ascend from the depth.

The diver must be closely followed when he comes out of the water. There is no treatment to be done when the anesthetic effect is passed. During close follow-up, hypoxic findings, drowning, sudden outbreaks, etc. should be considered and examined for secondary problems. The underwater physician should be consulted if such cases are found to be present.
