Page 25 - Journal of Special Operations Medicine - Spring 2015

9. Klingmann C, Gonnermann A, Dreyhaupt J, et al. Decom­ LTC Hughes, MC, FS, USA, is the Brooke Army Medical
pression illness reported in a survey of 429 recreational div­ Center Department of Emergency Medicine Service Chief at
ers. Aviat Space Environ Med. 2008;79:123–128. Fort Sam Houston, Texas. He was the distinguished graduate
10. St Leger Dowse M, Bryson P, Gunby A, et al. Comparative of the US Military Academy in 1996, served as an infantry offi­
data from 2250 male and female sports divers: diving patterns cer for 2 years with the 82nd Airborne Division, and deployed
and decompression sickness. Aviat Space Environ Med. 2002; on a peacekeeping mission to Haiti. In 2002, he graduated
73:743–749.
11. Freiberger JJ, Denoble PJ, Peiper CF, et al. The relative risk of from the Uniformed Services University of the Health Sciences
decompression sickness during and after air travel following and then completed the emergency medicine residency at the
diving. Aviat Space Environ Med. 2002;73:980–984. San Antonio Uniformed Services Health Educational Consor­
12. Marx J, Hockberger R, Walls R. Rosen’s emergency medicine: tium. He is board certified in emergency medicine. He has had
concepts and clinical practice. 8th ed. Philadelphia, PA: Saun­ multiple deployments to Iraq and Afghanistan with both con­
ders; 2013. ventional and Special Operations units.
13. Rudge FW. Decompression sickness presenting as a viral syn­
drome. Aviat Space Environ Med. 1991;62:60–61. LTC Puskar, MC, SFS, DMO, USA, is a family practice
14. MacDonald RD, O’Donnell C, Allan GM, et al. Interfacil­ physician, a senior flight surgeon, a diving medical officer, and
ity transport of patients with decompression illness: literature the course director of the US Army Flight Surgeon Primary
review and consensus statement. Prehosp Emerg Care. 2006;
10:482–487. Course. He graduated from Case Western Reserve University
School of Medicine in 1997. He has been an active military
and civilian diver since completing the US Army Combat Diver
Qualification Course at Key West, Florida in 1984. He has
numerous combat deployments to Iraq and Afghanistan with
CPT Studer, MC, FS, USA, is a transitional intern at Brooke both aviation and Special Operations units.
Army Medical Center, Fort Sam Houston, Texas. He gradu­
ated from the University of South Florida College of Medicine
in 2014. He has been active in prehospital care since 2004 and
is a critical care paramedic. E­mail: nicholas.m.studer2.mil@
mail.mil.

Case Report: DCS Following Altitude-Chamber Training 15