Barotrauma presenting as temporal lobe injury secondary to temporal bone rupture.

We present the case of a scuba diver who experienced acute ear pain during ascent from a dive. CT imaging was performed because of severe unrelenting headache. Blood and gas was identified within the epidural space of the middle fossa and over the petrous bone, as well as hemorrhage within the adjacent temporal lobe.

Pulmonary oedema of immersion.

Acute pulmonary oedema has been described in individuals participating in three aquatic activities: (i) scuba diving; (ii) breath-hold diving; and (iii) endurance swimming. In this review, 60 published cases have been compiled for comparison. Variables considered included: age; past medical history; activity; water depth, type (salt or fresh) and temperature; clinical presentation; investigations; management; and outcome.

Effects of intermittent exposure to hyperbaric oxygen for the treatment of an acute soft tissue injury.

Objective: To assess the hypothesis that subjects exposed to intermittent hyperbaric oxygen treatments would recover from signs and symptoms indicative of delayed-onset muscle soreness faster than subjects exposed to normoxic air.

Design: Randomized, double-blinded study with a 4-day treatment protocol.

Setting: University-based sports medicine clinic.