Senin, 18 Agustus 2008

Indonesia Hyperbaric chambers

Indonesia
Hyperbaric chambers (or recompression chamber) in Indonesia

There are 5 recompression chambers in Indonesia to treat decompression sickness

Bali:
Sanglah General Hospital (in Indonesian language) USUP Sanglah Denpasar JI. Diponegoro, Denpasar 80114 Bali, Indonesia: Phone 62-361-227911 through -15 ext. 232 (hyperbaric medical department) Fax 62-361-22426 Run by Dr. Antonius Natasamudra and Dr. Etty Herawati

Manado (Sulawesi):
At the Malalayang Hospital (chamber for 3 to 4 persons) Phone: 0812-4302970 / Dr Glen Hawkins HP +61 407700701 / Dr Sosiawati HP 0812 467 2923 / Dr Hanry Takasenseran HP 0813 4000 0840

Makassar (Sulawesi):
Rumah Sakit Umum Wahidin Sudirohusodo. Contact person: Pak Daniel Address: Jl. Perintis Kemerdekaan Km. 11, Tamalanrea Kampus UNHAS Indonesia TEL:++ 62 - 0411 (584677) , 584675. Said to be for 3 to 4 persons.

Jakarta (Java):
Rumah Sakit Angkatan Laut (Navy Hospital) in Jl. Bendungan Hilir No.17, Central Jakarta (see text in italian with some addresses - list of help)

Kalimantan:
Rumah Sakit Pertamina Balikpapan, Jl Jendral Sudirman Nr 1, email: aspb@rspb.co.id, Tel:+62542 734020, 734020, 734024. Contact person: Dr Lukman Hatta, Sp.PD, Sp.KL (Internist).
The Borneo Divers have the only professional recompression chamber located on Sipadan island (Borneo - Malaysia)

Surabaya (Java):
Rumah Sakit Angkatan Laut (RSAL) (Military Marine hospital) Jl. Gadung no. 1, Surabaya: Phone 031-45750 and 41731 (another number given was 031-838153 and fax 031- 837511) Run by Dr Suharsono

Decompression Sickness (DCI)

Decompression Sickness (DCI)
The Signs:

1. Blotchy skin rash
2. Weakness
3. Paralysis or weakness anywhere in the body
4. Coughing spasms
5. Staggering or instability
6. Shortness of breath
7. Altered mental status
8. Unconsciousness


The Symptoms:

1. Pain, arms, legs or trunk
2. Extreme fatigue
3. Headache, nausea
4. Itching, skin rash
5. Restlessness
6. Numbness, tingling or paralysis
7. Personality changes
8. Reflex changes
9. Bladder problems
10. Chest compression or shortness of breath, dizziness

Anything unusual after the dive

Emergency First Aid :

1. Check airway, breathing, and circulation (ABCs)
2. Administer 100% oxygen
3. Place diver in recovery position
4. Treat for shock
5. Transport to the nearest hyperbaric facility
6. Be sure to get an infusion for dehydration

decompression sickness

the best way to avoid decompression sickness is still:
1. Don't dive too deep
2. Don't ascend too fast
3. Check with your computer for multiple dives
4. Always make a safety stop for at least 3 minutes and do all necessary decompression stops
5. Drink a lot of water (to avoid dehydration - 3 liters of water per day minimum, some say up to 10 liters in the tropics!).