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Urinary Problems in Decompression Sickness*
Paraplegia 23 (1985) 20-25 © 1985 International Medical Society of Paraplegia Urinary Problems in Decompression Sickness* Athanasios Dounis, M.D. and Dionisios Mitropoulos, M.D. The Naval Medical Hyperbaric Center) Piraeus Naval Hospital and Department of Urology) Athens Naval Hospital) Greece Summary The records of 25 patients with type II decompression sickness and urinary problems have been reviewed. Seventeen patients were professionals and 8 were above the age of 40. The disease appeared within the 1st hour of emergence from the water in 70% of the cases and within the first 4 hours in the remaining 30%. Nine patients were diagnosed as paraplegic and two as tetraplegic. All patients had urinary disturbances and 14 were on Foley-catheter drainage during the decompression while 11 were on intermittent catheterisation. Fifteen patients had improved urinary function after recompression) 8 had some difficulty) 2 underwent a sphincterotomy and one a transurethral prostatectomy. The low percentage of complete recovery was due to the delayed arrival at the decompression chamber. Key words: Diving; Decompression sickness; Urinary disturbances. Introduction Diving for sponge fishery is the main professional occupation of the young men in the South-East Aegean islands. Although the use of recompression has decreased the number of decompression sickness victims, patients with remaining neurological problems still present. During the last 20 years, although there is a decrease of the professional divers' accidents there is an increase of the number of patients with decompression sickness. This is due to the continuously increasing numbers of sport divers in Greece. In Greece, the field of underwater medicine is covered mainly by the Naval Medical Service. -
Coastal and Marine Ecological Classification Standard (2012)
FGDC-STD-018-2012 Coastal and Marine Ecological Classification Standard Marine and Coastal Spatial Data Subcommittee Federal Geographic Data Committee June, 2012 Federal Geographic Data Committee FGDC-STD-018-2012 Coastal and Marine Ecological Classification Standard, June 2012 ______________________________________________________________________________________ CONTENTS PAGE 1. Introduction ..................................................................................................................... 1 1.1 Objectives ................................................................................................................ 1 1.2 Need ......................................................................................................................... 2 1.3 Scope ........................................................................................................................ 2 1.4 Application ............................................................................................................... 3 1.5 Relationship to Previous FGDC Standards .............................................................. 4 1.6 Development Procedures ......................................................................................... 5 1.7 Guiding Principles ................................................................................................... 7 1.7.1 Build a Scientifically Sound Ecological Classification .................................... 7 1.7.2 Meet the Needs of a Wide Range of Users ...................................................... -
Grade 3 Unit 2 Overview Open Ocean Habitats Introduction
G3 U2 OVR GRADE 3 UNIT 2 OVERVIEW Open Ocean Habitats Introduction The open ocean has always played a vital role in the culture, subsistence, and economic well-being of Hawai‘i’s inhabitants. The Hawaiian Islands lie in the Pacifi c Ocean, a body of water covering more than one-third of the Earth’s surface. In the following four lessons, students learn about open ocean habitats, from the ocean’s lighter surface to the darker bottom fl oor thousands of feet below the surface. Although organisms are scarce in the deep sea, there is a large diversity of organisms in addition to bottom fi sh such as polycheate worms, crustaceans, and bivalve mollusks. They come to realize that few things in the open ocean have adapted to cope with the increased pressure from the weight of the water column at that depth, in complete darkness and frigid temperatures. Students fi nd out, through instruction, presentations, and website research, that the vast open ocean is divided into zones. The pelagic zone consists of the open ocean habitat that begins at the edge of the continental shelf and extends from the surface to the ocean bottom. This zone is further sub-divided into the photic (sunlight) and disphotic (twilight) zones where most ocean organisms live. Below these two sub-zones is the aphotic (darkness) zone. In this unit, students learn about each of the ocean zones, and identify and note animals living in each zone. They also research and keep records of the evolutionary physical features and functions that animals they study have acquired to survive in harsh open ocean habitats. -
Dysbarism - Barotrauma
DYSBARISM - BAROTRAUMA Introduction Dysbarism is the term given to medical complications of exposure to gases at higher than normal atmospheric pressure. It includes barotrauma, decompression illness and nitrogen narcosis. Barotrauma occurs as a consequence of excessive expansion or contraction of gas within enclosed body cavities. Barotrauma principally affects the: 1. Lungs (most importantly): Lung barotrauma may result in: ● Gas embolism ● Pneumomediastinum ● Pneumothorax. 2. Eyes 3. Middle / Inner ear 4. Sinuses 5. Teeth / mandible 6. GIT (rarely) Any illness that develops during or post div.ing must be considered to be diving- related until proven otherwise. Any patient with neurological symptoms in particular needs urgent referral to a specialist in hyperbaric medicine. See also separate document on Dysbarism - Decompression Illness (in Environmental folder). Terminology The term dysbarism encompasses: ● Decompression illness And ● Barotrauma And ● Nitrogen narcosis Decompression illness (DCI) includes: 1. Decompression sickness (DCS) (or in lay terms, the “bends”): ● Type I DCS: ♥ Involves the joints or skin only ● Type II DCS: ♥ Involves all other pain, neurological injury, vestibular and pulmonary symptoms. 2. Arterial gas embolism (AGE): ● Due to pulmonary barotrauma releasing air into the circulation. Epidemiology Diving is generally a safe undertaking. Serious decompression incidents occur approximately only in 1 in 10,000 dives. However, because of high participation rates, there are about 200 - 300 cases of significant decompression illness requiring treatment in Australia each year. It is estimated that 10 times this number of divers experience less severe illness after diving. Physics Boyle’s Law: The air pressure at sea level is 1 atmosphere absolute (ATA). Alternative units used for 1 ATA include: ● 101.3 kPa (SI units) ● 1.013 Bar ● 10 meters of sea water (MSW) ● 760 mm of mercury (mm Hg) ● 14.7 pounds per square inch (PSI) For every 10 meters a diver descends in seawater, the pressure increases by 1 ATA. -
8. Decompression Procedures Diver
TDI Standards and Procedures Part 2: TDI Diver Standards 8. Decompression Procedures Diver 8.1 Introduction This course examines the theory, methods and procedures of planned stage decompression diving. This program is designed as a stand-alone course or it may be taught in conjunction with TDI Advanced Nitrox, Advanced Wreck, or Full Cave Course. The objective of this course is to train divers how to plan and conduct a standard staged decompression dive not exceeding a maximum depth of 45 metres / 150 feet. The most common equipment requirements, equipment set-up and decompression techniques are presented. Students are permitted to utilize enriched air nitrox (EAN) mixes or oxygen for decompression provided the gas mix is within their current certification level. 8.2 Qualifications of Graduates Upon successful completion of this course, graduates may engage in decompression diving activities without direct supervision provided: 1. The diving activities approximate those of training 2. The areas of activities approximate those of training 3. Environmental conditions approximate those of training Upon successful completion of this course, graduates are qualified to enroll in: 1. TDI Advanced Nitrox Course 2. TDI Extended Range Course 3. TDI Advanced Wreck Course 4. TDI Trimix Course 8.3 Who May Teach Any active TDI Decompression Procedures Instructor may teach this course Version 0221 67 TDI Standards and Procedures Part 2: TDI Diver Standards 8.4 Student to Instructor Ratio Academic 1. Unlimited, so long as adequate facility, supplies and time are provided to ensure comprehensive and complete training of subject matter Confined Water (swimming pool-like conditions) 1. -
The C-Floor and Zones
The C-Floor and zones Table of Contents ` ❖ The ocean zones ❖ Sunlight zone and twilight zone ❖ Midnight and Abyssal zone ❖ The hadal zone ❖ The c-floor ❖ The c-floor definitions ❖ The c-floor definitions pt.2 ❖ Cites ❖ The end The ocean zones 200 meters deep 1,000 Meters deep 4,000 Meters deep 6,000 Meters deep 10,944 meters deep Sunlight zone Twilight zone ❖ The sunlight zone is 200 meters from the ocean's ❖ The twilight zone is about 1,000 meters surface deep from the ❖ Animals that live here ocean's surface sharks, sea turtles, ❖ Animals that live jellyfish and seals here are gray ❖ Photosynthesis normally whales, greenland occurs in this part of the Shark and clams ocean ❖ The twilight get only a faint amount of sunlight DID YOU KNOW Did you know That no plants live That the sunlight zone in the twilight zone could be called as the because of the euphotic and means well lit amount of sunlight in greek Midnight zone Abyssal zone ❖ The midnight zone is ❖ The abyssal zone is 4,000 meters from 6,000 meters from the the ocean's surface ocean’s surface ❖ Animals that live in ❖ Animals that live in the the midnight zone Abyssal zone are fangtooth fish, pacific are, vampire squid, viperfish and giant snipe eel and spider crabs anglerfish ❖ Supports only ❖ Animals eat only the DID YOU KNOW invertebrates and DID YOU KNOW leftovers that come That only 1 percent of light fishes That most all the way from the travels through animals are sunlight zone to the the midnight zone either small or midnight zone bioluminescent The Hadal Zone (Trench ● The Hadal Zone is 10,944 meters under the ocean ● Snails, worms, and sea cucumbers live in the hadal zone ● It is pitch black in the Hadal Zone The C-Floor The C-Floor Definitions ❖ The Continental Shelf - The flat part where people can walk. -
Leonardo User Manual
Direction for use Computer Leonardo ENGLISH cressi.com 2 TABLE OF CONTENTS Main specifications page 4 TIME SET mode: General recommendations Date and time adjustment page 31 and safety measures page 5 SYSTEM mode: Introduction page 10 Setting of measurement unit and reset page 31 1 - COMPUTER CONTROL 3 - WHILE DIVING: COMPUTER Operation of the Leonardo computer page 13 FUNCTIONS 2 - BEFORE DIVING Diving within no decompression limits page 36 DIVE SET mode: DIVE AIR function: Setting of dive parameters page 16 Dive with Air page 37 Oxygen partial pressure (PO2) page 16 DIVE NITROX function: Nitrox - Percentage of the oxygen (FO2) page 18 Dive with Nitrox page 37 Dive Safety Factor (SF) page 22 Before a Nitrox dive page 37 Deep Stop page 22 Diving with Nitrox page 40 Altitude page 23 CNS toxicity display page 40 PLAN mode: PO2 alarm page 43 Dive planning page 27 Ascent rate page 45 GAGE mode: Safety Stop page 45 Depth gauge and timer page 27 Decompression forewarning page 46 Deep Stop page 46 3 Diving outside no decompression limits page 50 5 - CARE AND MAINTENANCE Omitted Decompression stage alarm page 51 Battery replacement page 71 GAGE MODE depth gauge and timer) page 52 6 - TECHNICAL SPECIFICATIONS Use of the computer with 7 - WARRANTY poor visibility page 56 4 - ON SURFACE AFTER DIVING Data display and management page 59 Surface interval page 59 PLAN function - Dive plan page 60 LOG BOOK function - Dive log page 61 HISTORY function - Dive history page 65 DIVE PROFILE function - Dive profile page 65 PCLINK function Pc compatible interface page 66 System Reset Reset of the instrument page 70 4 Congratulations on your purchase of your Leo - trox) dive. -
Ocean Zones Adapted from USC Sea Grant “Island Explorers” by Dr
2011 COSEE-West Introduction to Ocean Zones Adapted from USC Sea Grant “Island Explorers” by Dr. Rachel Kennison, COSEE West Co- Director Grade: K-12 Group Size: 30 students Time: 55 minutes BACKGROUND In order to begin to understand life below the seafloor, it is essential to grasp that the ocean has many different habitats that are defined by the physical and chemical properties that exist at different depths. The purpose of this activity is to identify and describe different zones of the ocean and the organisms that live there. The ocean is divided into 5 main zones from the surface to the depths where light can no longer penetrate. These zones are characterized by different physical and chemical properties, such as quantity and quality of light, pressure and temperature. These properties affect what life forms can exist within those limitations. This activity introduces the microbial environment in the deep ocean, and can be the foundation to explain geothermal processes, and the evolution of bacteria. Labels and features to include on diagram: Photic (sunlit) zone Aphotic (no light) zone Neritic system Benthic realm Pelagic realm Bathyal zone Abyssal zone Hadal zone Shoreline Sea level Coral reef Continental Shelf Continental slope Continental rise Submarine Canyon Abyssal Plain Seamount Guyot Trench Mid-ocean Ridge Rift Valley Hydrothermal vent Sub-seafloor sediment Sub-seafloor aquifer A useful reference for your ocean zones diagram is at http://geosci.sfsu.edu/courses/geol102/ex9.html Two basic guides for the zones: (Source: Sea -
For Creative Minds
For Creative Minds The For Creative Minds educational section may be photocopied or printed from our website by the owner of this book for educational, non-commercial uses. Cross-curricular teaching activities, interactive quizzes, and more are available online. Go to ArbordalePublishing.com and click on the book’s cover to explore all the links. Deep Ocean Habitats Things change the deeper you go in the ocean: light disappears, temperatures grow increasingly colder, and pressure gets much higher. The amount of oxygen in the water sunlight zone decreases with depth but then gets higher again at the bottom! Because these changes twilight zone affect the types of organisms that can survive there, the ocean is divided into five layers by depth called life zones. Only the sunlight zone receives enough sunlight for algae to convert light into energy midnight zone (photosynthesis). Because almost all food webs start with plants or algae, this is the zone where the most animals live. The twilight zone still gets some sunlight, but not enough for photosynthesis. The animals that live here either travel to the sunlight zone to feed or depend on food falling from above. There is no light in the midnight zone. Most abyssal zone of the animals that live here produce their own light through bioluminescence. The abyssal zone is pitch black, almost freezing cold, and has little oxygen and incredibly high pressure, yet animals still live here. In the deep trenches is the hadal zone. It is like the abyssal zone, except with even more hadal zone immense -
Nitrox Recreational Mode - Perdix
Nitrox Recreational Mode - Perdix User Manual Shearwater Perdix Nitrox Recreational Mode 8. System Setup+ ...........................................................18 Table of Contents 8�1� Dive Setup ��������������������������������������������������������������������������������������������������������� 18 Mode �������������������������������������������������������������������������������������������������������� 18 Table of Contents �����������������������������������������������������������������������������������������������������2 Salinity ����������������������������������������������������������������������������������������������������� 18 Conventions Used in this Manual �����������������������������������������������������������������������3 8�2� Deco Setup ������������������������������������������������������������������������������������������������������� 19 1. Introduction .................................................................. 4 Conservatism ������������������������������������������������������������������������������������������� 19 1�1� Features ���������������������������������������������������������������������������������������������������������������4 Safety Stop ���������������������������������������������������������������������������������������������� 19 8�3� Bottom Row ����������������������������������������������������������������������������������������������������� 19 2. Modes Covered by this Manual ................................. 5 8�4� Nitrox Gases ���������������������������������������������������������������������������������������������������� -
A Primer for Technical Diving Decompression Theory
SCUBA AA PPRRIIMMEERR FFOORR TECH TTEECCHHNNIICCAALL DDIIVVIINNGG DDEECCOOMMPPRREESSSSIIOONN PHILIPPINES TTHHEEOORRYY 1 | P a g e ©Andy Davis 2015 www.scubatechphilippines.com Sidemount, Technical & Wreck Guide | Andy Davis First Published 2016 All documents compiled in this publication are open-source and freely available on the internet. Copyright Is applicable to the named authors stated within the document. Cover and logo images are copyright to ScubaTechPhilippines/Andy Davis. Not for resale. This publication is not intended to be used as a substitute for appropriate dive training. Diving is a dangerous sport and proper training should only be conducted under the safe supervision of an appropriate, active, diving instructor until you are fully qualified, and then, only in conditions and circumstances which are as good or better than the conditions in which you were trained. Technical scuba diving should be taught by a specialized instructor with training credentials and experience at that level of diving. Careful risk assessment, continuing education and skill practice may reduce your likelihood of an accident, but are in no means a guarantee of complete safety. This publication assumes a basic understanding of diving skills and knowledge. It should be used to complement the undertaking of prerequisite training on the route to enrolling upon technical diving training. 2 | P a g e ©Andy Davis 2015 www.scubatechphilippines.com This primer on decompression theory is designed as a supplement to your technical diving training. Becoming familiar with the concepts and terms outlined in this document will enable you to get the most out of your theory training with me; and subsequently enjoy safer, more refined dive planning and management in your technical diving activities. -
Near Drowning
Near Drowning McHenry Western Lake County EMS Definition • Near drowning means the person almost died from not being able to breathe under water. Near Drownings • Defined as: Survival of Victim for more than 24* following submission in a fluid medium. • Leading cause of death in children 1-4 years of age. • Second leading cause of death in children 1-14 years of age. • 85 % are caused from falls into pools or natural bodies of water. • Male/Female ratio is 4-1 Near Drowning • Submersion injury occurs when a person is submerged in water, attempts to breathe, and either aspirates water (wet) or has laryngospasm (dry). Response • If a person has been rescued from a near drowning situation, quick first aid and medical attention are extremely important. Statistics • 6,000 to 8,000 people drown each year. Most of them are within a short distance of shore. • A person who is drowning can not shout for help. • Watch for uneven swimming motions that indicate swimmer is getting tired Statistics • Children can drown in only a few inches of water. • Suspect an accident if you see someone fully clothed • If the person is a cold water drowning, you may be able to revive them. Near Drowning Risk Factor by Age 600 500 400 300 Male Female 200 100 0 0-4 yr 5-9 yr 10-14 yr 15-19 Ref: Paul A. Checchia, MD - Loma Linda University Children’s Hospital Near Drowning • “Tragically 90% of all fatal submersion incidents occur within ten yards of safety.” Robinson, Ped Emer Care; 1987 Causes • Leaving small children unattended around bath tubs and pools • Drinking