DOI: 10.36347/sjams.2018.v06i04.010

Pages: 1428-1433

We describe our attempts to form a co-operative system for patients with decompression illness (DCI). We selected the narrative method concerning the distribution of fire departments, medical control systems, the coast guard, diving shops, physician-staffed emergency helicopters (HEMS) in eastern Shizuoka; the time trend in DCI patients transported by HEMS and described our attempts to form a co-operative system for patients with DCI. In 2011, we began to hold meetings concerning how to manage patients with DCI in our hospital. As a result, all representatives of these organizations joined the meeting. This meeting has been regularly held once a year since 2011. In this meeting, we hold lectures concerning new topics of DCI, review the management of patients with DCI at the scene using videos, discuss how to share information on the diving profile using a diving check list, and review the proper, prompt management of patients with DCI. This report describes a unique medical co-operative system to cooperate in preparation for managing patients with DCI with a mutual understanding of how to improve the outcomes of patients with DCI.