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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.
A 39-year-old female executive has a several-month history of fatigue, headache, and memory lapse. Multiple specialists have performed evaluations, but no diagnosis has been established. During a period of feeling worse than usual, she called a friend, who arrived at the residence to find the woman semicomatose and called 911. The patient was given supplemental oxygen and transported to the emergency department,
The Clinical Problem
Strategies and Evidence
Short-Term Management
Use of Hyperbaric Oxygen
Long-Term Management
Prevention
Areas of Uncertainty
Sequelae
Variability among Patients
Hyperbaric-Oxygen Therapy
Other Therapy
Guidelines
Conclusions and Recommendations
Source Information
From the Department of Hyperbaric Medicine, LDS Hospital; and the Department of Medicine, University of Utah School of Medicine — both in Salt Lake City; and the Department of Hyperbaric Medicine, Intermountain Medical Center, Murray, Utah.
An audio version of this article is available at NEJM.org.
Address reprint requests to Dr. Weaver at the Department of Hyperbaric Medicine, LDS Hospital, Eighth Ave. and C St., Salt Lake City, UT 84143, or at lindell.weaver@imail.org.
This article has been cited by other articles:
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