A 35-year-old male scuba diver becomes acutely unwell on surfacing from a dive. He is confused and complaining of visual loss. His obs are as follows:

  • GCS 14
  • HR 140
  • BP 100/55
  • RR 40
  • Sats 92% on 10L/min NRBM

1. What is the most likely diagnosis? 1 mark

2. List three other differential diagnoses. 3 marks

3. List two risk factors for arterial gas embolism. 2 marks

4. Outline six steps in immediate management. 6 marks