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Case Report Rural Remote Health 2011

Is centralization in emergency rural medicine always right? Lessons learned from two cases of decompression sickness

Sato T, Iga T, Nagashima K, Matsubara S — Rural Remote Health, 2011

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers described two cases of patients with decompression sickness to discuss whether centralizing emergency medical services, especially with air transport, is always the best approach in island settings.

What They Found

Both patients, one transferred by boat to another island for hyperbaric oxygen (HBO) treatment and the other treated on a nearby ship, had good outcomes. The study suggested that island-to-island transport or within-island treatment was effective, indicating that centralizing treatment in urban centers may not be the most effective protocol for all cases of decompression sickness.

Canadian Relevance

This study covers decompression sickness, which is a Health Canada-recognised indication for hyperbaric oxygen therapy. No direct Canadian connection was identified as the study was conducted in Japan.

Study Limitations

As a case report describing only two patients, the findings may not apply to all situations or a larger patient population.

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Study Details

Study Type Case Report
Category Decompression Sickness
Source Pubmed
PubMed ID 21623648
Year Published 2011
Journal Rural Remote Health
MeSH Terms Centralized Hospital Services; Decompression Sickness; Emergency Medicine; Humans; Hyperbaric Oxygenation; Japan; Middle Aged; Rural Health Services; Ships; Transportation of Patients; Treatment Outcome

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.

Last reviewed: April 16, 2026 | Reviewed by: Canada Hyperbarics Editorial Team | Editorial process | Research sources | Counts & methodology