{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T00:17:16Z","timestamp":1706573836680},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"1-2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,23]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>3d Reconnaissance Battalion, a forward-deployed Marine Corps unit in Okinawa, Japan, frequently performs diving operations. Often throughout the year, several reconnaissance teams are diving simultaneously in different locations for training. We present a case of an otherwise healthy 30-year-old-male Reconnaissance Marine who surfaced from a dive with abnormal symptoms and received prompt care from exercise participants who were nonmedical personnel. Studies have demonstrated improved morbidity outcomes in decompression illness patients with shorter times to hyperbaric treatment following the onset of symptoms. High-risk military exercises with diving components have a mandatory safety structure that includes recompression chamber support. All United States Marine Corps Reconnaissance, Marine Corps Special Operations Command, and U.S. Navy dive operations are required to have at least one diving supervisor. To expand the diving capabilities of the unit, Marines are encouraged to attend training and qualify as diving supervisors. This case study demonstrates the efficacy and importance of training Recon Marines to recognize decompression illness as diving supervisors.<\/jats:p>","DOI":"10.1093\/milmed\/usad260","type":"journal-article","created":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T16:51:37Z","timestamp":1689180697000},"page":"e401-e404","source":"Crossref","is-referenced-by-count":0,"title":["The Influence of\u00a0Advanced Hyperbaric Medical Training on\u00a0Arterial Gas Embolism Treatment"],"prefix":"10.1093","volume":"189","author":[{"given":"Michael A","family":"Franco","sequence":"first","affiliation":[{"name":"3d Reconnaissance Battalion, United States Marine Corps , Unit 36180 FPO, AP 96389, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Ng","sequence":"additional","affiliation":[{"name":"3d Marine Division, United States Marine Corps , Unit 35801 FPO, AP 96382, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J","family":"Tuft","sequence":"additional","affiliation":[{"name":"United States Naval Hospital Okinawa, United States Navy , Camp Foster FPO, AP 96362, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian M","family":"Keuski","sequence":"additional","affiliation":[{"name":"Naval Special Operations Medical Institute, Navy Medicine Operational Training Command , Fort Bragg, North Carolina 28310, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,7,12]]},"reference":[{"issue":"1","key":"2024012918213447100_R1","first-page":"15","article-title":"Iatrogenic cerebral gas embolism: analysis of\u00a0the presentation, management and\u00a0outcomes of\u00a0patients referred to The Alfred Hospital Hyperbaric Unit","volume":"46","author":"Beevor","year":"2016","journal-title":"Diving Hyperb Med"},{"issue":"7","key":"2024012918213447100_R2","doi-asserted-by":"publisher","first-page":"1817","DOI":"10.1097\/CCM.0b013e31828ce8da","article-title":"Cerebral arterial gas embolism\u2014a race against time!","volume":"41","author":"Souday","year":"2013","journal-title":"Crit Care Med"},{"issue":"7","key":"2024012918213447100_R3","doi-asserted-by":"publisher","first-page":"1719","DOI":"10.1097\/CCM.0b013e31828a3e00","article-title":"Hyperbaric oxygen does not improve cerebral function when started 2 or 4 hours after cerebral arterial gas embolism in\u00a0swine","volume":"41","author":"Weenink","year":"2013","journal-title":"Crit Care Med"},{"key":"2024012918213447100_R4","article-title":"Hyperbaric Physics","author":"Jones","year":"2023"},{"issue":"3","key":"2024012918213447100_R5","doi-asserted-by":"publisher","first-page":"292","DOI":"10.28920\/dhm50.3.292-294","article-title":"Arterial gas embolism breathing compressed air in\u00a01.2 metres of\u00a0water","volume":"50","author":"Hampson","year":"2020","journal-title":"Diving Hyperb Med"},{"key":"2024012918213447100_R6","doi-asserted-by":"crossref","DOI":"10.1201\/b18700","volume-title":"Diving and Subaquatic Medicine","author":"Edmonds","year":"2015","edition":"5th"},{"key":"2024012918213447100_R7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3389\/fphys.2022.1005698","article-title":"Chest CT scan for\u00a0the screening of\u00a0air anomalies at risk of\u00a0pulmonary barotrauma for\u00a0the initial medical assessment of\u00a0fitness to dive in\u00a0a military population","volume":"13","author":"Bonnemaison","year":"2022","journal-title":"Front Physiol"},{"issue":"8","key":"2024012918213447100_R8","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1136\/oem.60.8.606","article-title":"Should computed chest tomography be recommended in\u00a0the medical certification of\u00a0professional divers? A report of\u00a0three cases with pulmonary air cysts","volume":"60","author":"Toklu","year":"2003","journal-title":"Occup Environ Med"},{"key":"2024012918213447100_R9","article-title":"NAVMED P-117: Manual of\u00a0the Medical Department, Article 15-102","author":"U.S. Navy","year":"2023"},{"key":"2024012918213447100_R10","volume-title":"U.S. Navy Diving Manual Revision 7","author":"Naval Sea Systems Command","year":"2018"},{"key":"2024012918213447100_R11","article-title":"Diving Gas Embolism","author":"Walker","year":"2022"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/189\/1-2\/e401\/56448544\/usad260.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/189\/1-2\/e401\/56448544\/usad260.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T18:23:07Z","timestamp":1706552587000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/189\/1-2\/e401\/7223353"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,12]]},"references-count":11,"journal-issue":{"issue":"1-2","published-online":{"date-parts":[[2023,7,12]]},"published-print":{"date-parts":[[2024,1,23]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usad260","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,1,1]]},"published":{"date-parts":[[2023,7,12]]}}}