Previously, at around 1:00 a.m. on October 22, fisherman NS (39 years old) after diving 30 meters deep for 120 minutes, came ashore feeling tired, had muscle pain in both legs, dizziness, urinary retention, and difficulty breathing.
The patient was admitted to Song Tu Tay Island Infirmary the same afternoon in a state of general pain, quadriplegia, muscle strength 3/5, sphincter dysfunction, urinary retention, anuria. At the same time, the skin appeared marbled, tissue hypoxia, abdominal distension...
Song Tu Tay Island Infirmary quickly consulted with doctors from the Naval Medical Institute, 108 Military Central Hospital, and 175 Military Hospital. The doctors concluded that the patient had severe decompression due to deep diving and multiple organ air embolism. The prognosis was very serious and beyond the treatment capacity of the island's military medical staff. Therefore, the doctors decided to transport the patient to 175 Military Hospital for timely treatment.
Helicopter VN-8619 landed to take the patient to Hospital 175 for emergency treatment.
During the flight to Song Tu Tay Island to transport the patient, the emergency team received an order to transport another patient from Sinh Ton Island with multiple injuries including severe traumatic brain injury and closed fracture of 1/3 of the left midclavicle due to a fall. Upon admission, the patient was in a coma, with a dilated left pupil of 5 mm. The patient was intubated, ventilated and transported with patient NS on a flight back to the mainland for treatment.
Senior Lieutenant, Doctor Nguyen Van Nghia, Intensive Care Department, Military Hospital 175, said that this was a special flight because the two patients were being treated from two different islands, so it required extremely close coordination between the on-site treatment and the air ambulance team of Military Hospital 175, especially during the transportation process to ensure the highest safety for the two patients.
"The most difficult thing about this emergency flight was having to travel through two different islands. The patient also had to take off and land many times, three times to be exact. Each time, due to changes in pressure, there was a risk of re-forming air bubbles in the blood vessels, making the patient's decompression sickness worse. In addition, the bad weather conditions and heavy rain affected both the flight crew and the emergency team as well as the patient's condition," Dr. Nghia shared.
Currently, the patients have shown signs of stable survival. Immediately after being transferred to Military Hospital 175, the patients were taken to the Emergency Department, where a hospital consultation was conducted for further treatment.
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