{"id":18774,"date":"2021-08-31T16:03:36","date_gmt":"2021-08-31T20:03:36","guid":{"rendered":"https:\/\/wordpress.world.dan.org\/?post_type=dan_divers_blog&#038;p=18774"},"modified":"2023-01-26T17:43:14","modified_gmt":"2023-01-26T22:43:14","slug":"dcs-uncertainty-and-treatment-delay","status":"publish","type":"dan_divers_blog","link":"https:\/\/world.dan.org\/fr\/safety-prevention\/diver-safety\/divers-blog\/dcs-uncertainty-and-treatment-delay\/","title":{"rendered":"Incertitude de la maladie de d\u00e9compression et retard de traitement"},"content":{"rendered":"<p>Les sympt\u00f4mes courants de la maladie de d\u00e9compression comprennent une fatigue extr\u00eame, des douleurs articulaires et de la confusion. Il existe \u00e9galement de nombreux sympt\u00f4mes peu courants, qui sont souvent associ\u00e9s \u00e0 des formes moins connues de la maladie de d\u00e9compression. Comme les sympt\u00f4mes les plus courants ne repr\u00e9sentent qu'une liste partielle des complications potentielles, les plongeurs (ainsi que les professionnels de la plong\u00e9e et les m\u00e9decins) ont souvent des lacunes dans la compr\u00e9hension de la maladie de d\u00e9compression. Cela peut conduire \u00e0 des diagnostics erron\u00e9s et \u00e0 des retards de traitement.<\/p>\n\n\n\n<p>Quelle que soit la mani\u00e8re dont la maladie de d\u00e9compression se manifeste, il est important d'agir d\u00e8s l'apparition de tout sympt\u00f4me anormal. En cas d'accident de plong\u00e9e, DAN peut contribuer \u00e0 faciliter les soins m\u00e9dicaux. Avoir une couverture accidents de plong\u00e9e permet de couvrir des frais importants. Avec plus de 40 ans d'exp\u00e9rience dans l'assistance aux plongeurs, DAN peut vous aider \u00e0 mieux comprendre les sympt\u00f4mes que vous pr\u00e9sentez, et \u00e0 d\u00e9terminer le meilleur plan d'action.<\/p>\n\n\n\n<p>Kelly, membre DAN et formatrice en plong\u00e9e sous-marine (Master Scuba Diver Trainer) avec plus de 500 plong\u00e9es \u00e0 son actif, avait mis des mois \u00e0 se pr\u00e9parer \u00e0 son brevet de plong\u00e9e technique en sidemount. Elle \u00e9tait pr\u00eate \u00e0 affronter la partie th\u00e9orique de son cours, \u00e0 g\u00e9rer plusieurs bouteilles de gaz et \u00e0 effectuer 12 plong\u00e9es en six jours.<\/p>\n\n\n\n<p>Le cours commence en eaux peu profondes, les plong\u00e9es devenant progressivement plus profondes et plus longues. L'approche g\u00e9n\u00e9rale de Kelly \u00e9tait prudente, elle avait subi un accident de d\u00e9compression cutan\u00e9e l'ann\u00e9e pr\u00e9c\u00e9dente, et elle voulait suivre ses paliers de d\u00e9compression exactement comme le prescrivait son ordinateur de plong\u00e9e multigaz dernier cri.<\/p>\n\n\n\n<p>Tout d'abord, elle a effectu\u00e9 deux plong\u00e9es \u00e0 l'air \u00e0 9 m\u00e8tres (29 pieds). Ensuite, Kelly a effectu\u00e9 trois plong\u00e9es au nitrox \u00e0 27 m\u00e8tres (90 pieds). Apr\u00e8s une plong\u00e9e, Kelly a eu un petit accroc en sortant de l'eau, la mer agit\u00e9e l'a bouscul\u00e9e et elle est entr\u00e9e en collision avec l'\u00e9chelle. Pour les deux plong\u00e9es suivantes, Kelly a utilis\u00e9 comme gaz de d\u00e9compression, de l'oxyg\u00e8ne \u00e0 100 %. Ces plong\u00e9es ont \u00e9t\u00e9 effectu\u00e9es \u00e0 29 m\u00e8tres (95 pieds) pendant 42 minutes, puis \u00e0 36 m\u00e8tres (119 pieds) pendant 67 minutes.<\/p>\n\n\n\n<p>Apr\u00e8s plus de la moiti\u00e9 de ses plong\u00e9es, Kelly remarque que son biceps gauche est douloureux et que la peau est tendue et chaude. Elle suppose que la blessure est due \u00e0 la collision avec l'\u00e9chelle et, sans se d\u00e9courager, continue \u00e0 plonger.<\/p>\n\n\n\n<p>Mais la douleur s'est aggrav\u00e9e et s'est r\u00e9pandue \u00e0 son sein gauche. L'hypoth\u00e8se qui avait un sens aupr\u00e8s des personnes pr\u00e9sentes sur le bateau de plong\u00e9e \u00e9tait que Kelly avait souffert d'un h\u00e9matome au niveau du biceps gauche. Cependant, l'absence d'ecchymoses dans la zone contredit cette \u00e9valuation.<\/p>\n\n\n\n<p>Quatre jours s'\u00e9taient \u00e9coul\u00e9s depuis l'apparition des sympt\u00f4mes, et ceux-ci s'aggravaient : elle ressentait des picotements dans les doigts, une oppression thoracique et des troubles de la vision. L'\u00e9quipage du bateau a d\u00e9cid\u00e9 de ramener Kelly sur le rivage et de l'emmener au centre m\u00e9dical le plus proche pendant que son partenaire a contact\u00e9 DAN.<\/p>\n\n\n\n<p>Apr\u00e8s avoir appris les sympt\u00f4mes de Kelly, l'\u00e9quipe m\u00e9dicale de DAN s'est inqui\u00e9t\u00e9e de la possibilit\u00e9 de bulles de gaz inerte dans le syst\u00e8me lymphatique de Kelly, cr\u00e9ant une accumulation de liquide lymphatique dans le haut des bras et la poitrine : maladie de d\u00e9compression lymphatique.<\/p>\n\n\n\n<p>\u00c0 l'h\u00f4pital, Kelly a \u00e9t\u00e9 dirig\u00e9e vers le caisson hyperbare le plus proche pour y recevoir des traitements. Lorsqu'elle est arriv\u00e9e au caisson, elle a transmis les informations qu'elle avait re\u00e7ues de DAN au sujet de la maladie de d\u00e9compression lymphatique, ce qui a contribu\u00e9 \u00e0 orienter ses traitements.<\/p>\n\n\n\n<p>L'hypoth\u00e8se d'un barotraumatisme pulmonaire a \u00e9t\u00e9 \u00e9cart\u00e9e, et Kelly a \u00e9t\u00e9 transport\u00e9 dans un caisson hyperbare pour subir un traitement de cinq heures selon le tableau de traitement 6 de la marine am\u00e9ricaine, qui constitue la norme pour la maladie de d\u00e9compression. Kelly a finalement \u00e9t\u00e9 autoris\u00e9e \u00e0 sortir de l'h\u00f4pital et ses sympt\u00f4mes ont diminu\u00e9 au fur et \u00e0 mesure qu'elle se r\u00e9tablissait \u00e0 la maison.<\/p>\n\n\n\n<p>Les sympt\u00f4mes obscurs de Kelly correspondaient \u00e0 une maladie de d\u00e9compression lymphatique, mais il s'agit d'une manifestation de la maladie de d\u00e9compression qui n'est pas bien connue. Ses plong\u00e9es ont \u00e9t\u00e9 longues et profondes mais n'ont pas enfreint le profil de profondeur et de temps pr\u00e9vu.<\/p>\n\n\n\n<p>Heureusement, DAN savait ce qu'il fallait faire. Les connaissances et la rapidit\u00e9 d'esprit des infirmiers de DAN ont donn\u00e9 aux m\u00e9decins de Kelly un point de d\u00e9part. Gr\u00e2ce \u00e0 la combinaison de l'assurance DAN de Kelly et de son assurance m\u00e9dicale personnelle, ses d\u00e9penses ont \u00e9t\u00e9 couvertes. DAN \u00e9tait l\u00e0 pour Kelly \u00e0 chaque \u00e9tape.\u00a0 &nbsp;<\/p>\n\n\n\n<p class=\"translation-block\"><a href=\"https:\/\/dan.org\/membership-insurance\/dive-insurance\/\" target=\"_self\"><strong>\u00a0La couverture des accidents de plong\u00e9e DAN World<\/strong><\/a>  n\u2019est disponible que pour les membres de DAN World, et couvre les accidents et les blessures li\u00e9s aux accidents de plong\u00e9e La couverture commence \u00e0 partir de $ 65 USD\/an, et d\u00e8s le premier jour, DAN aide \u00e0 \u00e9liminer les incertitudes de la logistique en cas d'urgence. D\u00e8s qu'un membre appelle la ligne d'assistance 24 heures sur 24 et 7 jours sur 7, DAN organise les soins n\u00e9cessaires. Derri\u00e8re la sc\u00e8ne, les sp\u00e9cialistes de DAN coordonnent les soins m\u00e9dicaux et le transport avec les agences locales. En cas d'urgence, le personnel m\u00e9dical de DAN peut m\u00eame proposer des consultations aux m\u00e9decins traitants qui ne sont pas familiaris\u00e9s avec la m\u00e9decine de plong\u00e9e.<\/p>\n\n\n\n<p class=\"translation-block\">Avec une excellente r\u00e9putation, DAN World est bien plus qu'une compagnie d'assurance. En savoir plus sur les  <a href=\"https:\/\/dan.org\/membership-insurance\/dive-insurance\/dan-dive-accident-insurance-claim-stories\/\" target=\"_self\"><strong>Avantages de l\u2019adh\u00e9sion \u00e0 DAN World<\/strong><\/a> et sur la <a href=\"https:\/\/dan.org\/membership-insurance\/membership\/\" target=\"_self\"><strong>couverture des accidents de plong\u00e9e<\/strong><\/a>.<\/p>","protected":false},"excerpt":{"rendered":"<p>Common symptoms of decompression sickness (DCS) include extreme fatigue, achy joints and confusion. There are also numerous uncommon symptoms, however, and these are often associated with lesser-known forms of DCS. [&hellip;]<\/p>\n","protected":false},"featured_media":18775,"comment_status":"closed","ping_status":"closed","template":"","dan_divers_blog_categories":[],"dan_divers_blog_tags":[],"class_list":["post-18774","dan_divers_blog","type-dan_divers_blog","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>DCS Uncertainty and Treatment Delay - DAN World<\/title>\n<meta name=\"description\" content=\"Common symptoms of decompression sickness (DCS) include extreme fatigue, achy joints and confusion. There are also numerous uncommon symptoms, however, and these are often associated with lesser-known forms of DCS.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/world.dan.org\/fr\/safety-prevention\/diver-safety\/divers-blog\/dcs-uncertainty-and-treatment-delay\/\" \/>\n<meta property=\"og:locale\" content=\"fr_CA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"DCS Uncertainty and Treatment Delay\" \/>\n<meta property=\"og:description\" content=\"Common symptoms of decompression sickness (DCS) include extreme fatigue, achy joints and confusion. There are also numerous uncommon symptoms, however, and these are often associated with lesser-known forms of DCS.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/world.dan.org\/fr\/safety-prevention\/diver-safety\/divers-blog\/dcs-uncertainty-and-treatment-delay\/\" \/>\n<meta property=\"og:site_name\" content=\"DAN World\" \/>\n<meta property=\"article:modified_time\" content=\"2023-01-26T22:43:14+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/world.dan.org\/wp-content\/uploads\/2021\/08\/hyperbaric-chamber-facility_1200x700.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"700\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:description\" content=\"Common symptoms of decompression sickness (DCS) include extreme fatigue, achy joints and confusion. 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