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Hyperbaric Emergency Medicine Flashcards

6 cards from real Certified Hyperbaric Technologist Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. What is the primary treatment protocol for acute carbon monoxide poisoning using HBO?

    Answer: 3.0 ATA for 60-90 minutes, initiated as soon as possible after exposure

    Acute CO poisoning treatment typically uses 3.0 ATA for a 60-90 minute oxygen breathing period, ideally initiated within 6 hours of exposure, with additional treatments based on symptom severity and COHb levels.

  2. How does HBO therapy treat decompression sickness (the bends)?

    Answer: By reducing bubble size through increased pressure and promoting inert gas elimination through oxygen breathing

    HBO treats DCS by recompression (Boyle's law reduces bubble volume), followed by gradual decompression while breathing 100% oxygen to create a gradient that promotes nitrogen elimination from tissues and bubbles.

  3. What US Navy Treatment Table is most commonly used for decompression sickness?

    Answer: US Navy Treatment Table 6

    US Navy Treatment Table 6 is the most commonly used protocol for treating decompression sickness, starting at 2.8 ATA (60 fsw) with oxygen breathing periods, total treatment time approximately 4 hours 45 minutes.

  4. What are the symptoms of acute arterial gas embolism (AGE)?

    Answer: Sudden neurological symptoms (stroke-like), loss of consciousness, or cardiac arrest within minutes of surfacing

    AGE presents with sudden, dramatic neurological symptoms (seizures, paralysis, visual disturbances, confusion, loss of consciousness) typically within minutes of surfacing from a dive, caused by gas bubbles entering the arterial circulation.

  5. What is the role of HBO in treating gas gangrene (clostridial myonecrosis)?

    Answer: HBO inhibits toxin production, kills anaerobic bacteria through oxygen toxicity, and enhances antibiotic effectiveness

    HBO therapy in gas gangrene inhibits alpha-toxin production, is directly bactericidal to Clostridium perfringens (an obligate anaerobe), enhances WBC function, and supports antibiotic therapy, used as an adjunct to surgery.

  6. What vital signs must be continuously monitored during emergency HBO treatment?

    Answer: Heart rate, blood pressure, respiratory rate, oxygen saturation, and neurological status

    During emergency HBO treatments, continuous monitoring includes ECG/heart rate, blood pressure, respiratory rate, SpO2 (though readings may be affected by pressure), neurological status, and chamber atmosphere conditions.

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