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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. -
Full Paper/Talk Deep Stops and Shallow Stops – Fact and Fancy
Full Paper/Talk Deep Stops and Shallow Stops – Fact and Fancy B.R. Wienke1 and T.R. O’Leary2 1 C&C Dive Team Ldr, Program Manager Computational Physics, LANL, MS D490, Los Alamos, NM 87545 [email protected] 2 Director, NAUI Technical Diving Operations, 33256 State Rd 100, South Padre Island, TX, 78597 Abstract The question of deep stops and shallow stops is interesting and fraught with controversy in diving circles and operations, training, exploration and scientific endeavors. Plus frought with some misunderstanding which is understandable as the issues are complex. We therefore attempt a short history of deep and shallow stops, physical aspects, staging differences, diving tests, models with data correlations and data banks with user statistics and DCS outcomes as diver amplification. Pros and cons of both deep stop and shallow stop staging are presented. Misfacts are righted when appropriate. Chamber, wet and Doppler tests are contrasted. A compendium of Training Agency Standards regarding deep and shallow stops is included. Dive software is also detailed. Some commercial diving operations are discussed. A short tabulation of dive computer and software algorithms is given. From diving data, tests, DCS outcomes and field usage, we conclude that both deep stops and shallow stops are safely employed in recreational and technical diving. That is a good thing but choose your deco wisely and know why. Keywords: computational models, decompression staging, profile data, risk, statistical correlations, tests Acronyms and Nomenclature ANDI: Association of Nitrox Diving Instructors. BM: bubble phase model dividing the body into tissue compartments with halftimes that are coupled to inert gas diffusion across bubble film surfaces of exponential size distribution constrained in cumulative growth by a volume limit point. -
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. -
Chapter 23 ENVIRONMENTAL EXTREMES: ALTERNOBARIC
Environmental Extremes: Alternobaric Chapter 23 ENVIRONMENTAL EXTREMES: ALTERNOBARIC RICHARD A. SCHEURING, DO, MS*; WILLIAM RAINEY JOHNSON, MD†; GEOFFREY E. CIARLONE, PhD‡; DAVID KEYSER, PhD§; NAILI CHEN, DO, MPH, MASc¥; and FRANCIS G. O’CONNOR, MD, MPH¶ INTRODUCTION DEFINITIONS MILITARY HISTORY AND EPIDEMIOLOGY Altitude Aviation Undersea Operations MILITARY APPLIED PHYSIOLOGY Altitude Aviation Undersea Operations HUMAN PERFORMANCE OPTIMIZATION STRATEGIES FOR EXTREME ENVIRONMENTS Altitude Aviation Undersea Operations ONLINE RESOURCES FOR ALTERNOBARIC ENVIRONMENTS SUMMARY *Colonel, Medical Corps, US Army Reserve; Associate Professor, Military and Emergency Medicine, Uniformed Services University of the Health Sci- ences, Bethesda, Maryland †Lieutenant, Medical Corps, US Navy; Undersea Medical Officer, Undersea Medicine Department, Naval Medical Research Center, Silver Spring, Maryland ‡Lieutenant, Medical Service Corps, US Navy; Research Physiologist, Undersea Medicine Department, Naval Medical Research Center, Silver Spring, Maryland §Program Director, Traumatic Injury Research Program; Assistant Professor, Military and Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland ¥Colonel, Medical Corps, US Air Force; Assistant Professor, Military and Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland ¶Colonel (Retired), Medical Corps, US Army; Professor and former Department Chair, Military and Emergency Medicine, Uniformed Services University of the Health Sciences, -
Deadly Acute Decompression Sickness in Risso's Dolphins
www.nature.com/scientificreports OPEN Deadly acute Decompression Sickness in Risso’s dolphins A. Fernández, E. Sierra, J. Díaz-Delgado, S. Sacchini , Y. Sánchez-Paz, C. Suárez-Santana, M. Arregui, M. Arbelo & Y. Bernaldo de Quirós Received: 19 April 2017 Diving air-breathing vertebrates have long been considered protected against decompression sickness Accepted: 5 October 2017 (DCS) through anatomical, physiological, and behavioural adaptations. However, an acute systemic gas Published: xx xx xxxx and fat embolic syndrome similar to DCS in human divers was described in beaked whales that stranded in temporal and spatial association with military exercises involving high-powered sonar. More recently, DCS has been diagnosed in bycaught sea turtles. Both cases were linked to human activities. Two Risso’s dolphin (Grampus griseus) out of 493 necropsied cetaceans stranded in the Canary Islands in a 16-year period (2000–2015), had a severe acute decompression sickness supported by pathological fndings and gas analysis. Deadly systemic, infammatory, infectious, or neoplastic diseases, ship collision, military sonar, fsheries interaction or other type of lethal inducing associated trauma were ruled out. Struggling with a squid during hunting is discussed as the most likely cause of DCS. Pathologies related to efects of changes in pressure are well known among human divers. Decompression sick- ness (DCS) is a syndrome related to the formation of gas bubbles in blood and/or tissues when the sum of the dissolved gas tensions exceeds the local absolute pressure. Gas bubbles may have biochemical efects and disrupt the tissues or occlude the vessels with clinical and pathological signs and, in certain cases, death1. -
Diving Safety Manual Revision 3.2
Diving Safety Manual Revision 3.2 Original Document: June 22, 1983 Revision 1: January 1, 1991 Revision 2: May 15, 2002 Revision 3: September 1, 2010 Revision 3.1: September 15, 2014 Revision 3.2: February 8, 2018 WOODS HOLE OCEANOGRAPHIC INSTITUTION i WHOI Diving Safety Manual DIVING SAFETY MANUAL, REVISION 3.2 Revision 3.2 of the Woods Hole Oceanographic Institution Diving Safety Manual has been reviewed and is approved for implementation. It replaces and supersedes all previous versions and diving-related Institution Memoranda. Dr. George P. Lohmann Edward F. O’Brien Chair, Diving Control Board Diving Safety Officer MS#23 MS#28 [email protected] [email protected] Ronald Reif David Fisichella Institution Safety Officer Diving Control Board MS#48 MS#17 [email protected] [email protected] Dr. Laurence P. Madin John D. Sisson Diving Control Board Diving Control Board MS#39 MS#18 [email protected] [email protected] Christopher Land Dr. Steve Elgar Diving Control Board Diving Control Board MS# 33 MS #11 [email protected] [email protected] Martin McCafferty EMT-P, DMT, EMD-A Diving Control Board DAN Medical Information Specialist [email protected] ii WHOI Diving Safety Manual WOODS HOLE OCEANOGRAPHIC INSTITUTION DIVING SAFETY MANUAL REVISION 3.2, September 5, 2017 INTRODUCTION Scuba diving was first used at the Institution in the summer of 1952. At first, formal instruction and proper information was unavailable, but in early 1953 training was obtained at the Naval Submarine Escape Training Tank in New London, Connecticut and also with the Navy Underwater Demolition Team in St. -
Dive Theory Guide
DIVE THEORY STUDY GUIDE by Rod Abbotson CD69259 © 2010 Dive Aqaba Guidelines for studying: Study each area in order as the theory from one subject is used to build upon the theory in the next subject. When you have completed a subject, take tests and exams in that subject to make sure you understand everything before moving on. If you try to jump around or don’t completely understand something; this can lead to gaps in your knowledge. You need to apply the knowledge in earlier sections to understand the concepts in later sections... If you study this way you will retain all of the information and you will have no problems with any PADI dive theory exams you may take in the future. Before completing the section on decompression theory and the RDP make sure you are thoroughly familiar with the RDP, both Wheel and table versions. Use the appropriate instructions for use guides which come with the product. Contents Section One PHYSICS ………………………………………………page 2 Section Two PHYSIOLOGY………………………………………….page 11 Section Three DECOMPRESSION THEORY & THE RDP….……..page 21 Section Four EQUIPMENT……………………………………………page 27 Section Five SKILLS & ENVIRONMENT…………………………...page 36 PHYSICS SECTION ONE Light: The speed of light changes as it passes through different things such as air, glass and water. This affects the way we see things underwater with a diving mask. As the light passes through the glass of the mask and the air space, the difference in speed causes the light rays to bend; this is called refraction. To the diver wearing a normal diving mask objects appear to be larger and closer than they actually are. -
Biomechanics of Safe Ascents Workshop
PROCEEDINGS OF BIOMECHANICS OF SAFE ASCENTS WORKSHOP — 10 ft E 30 ft TIME AMERICAN ACADEMY OF UNDERWATER SCIENCES September 25 - 27, 1989 Woods Hole, Massachusetts Proceedings of the AAUS Biomechanics of Safe Ascents Workshop Michael A. Lang and Glen H. Egstrom, (Editors) Copyright © 1990 by AMERICAN ACADEMY OF UNDERWATER SCIENCES 947 Newhall Street Costa Mesa, CA 92627 All Rights Reserved No part of this book may be reproduced in any form by photostat, microfilm, or any other means, without written permission from the publishers Copies of these Proceedings can be purchased from AAUS at the above address This workshop was sponsored in part by the National Oceanic and Atmospheric Administration (NOAA), Department of Commerce, under grant number 40AANR902932, through the Office of Undersea Research, and in part by the Diving Equipment Manufacturers Association (DEMA), and in part by the American Academy of Underwater Sciences (AAUS). The U.S. Government is authorized to produce and distribute reprints for governmental purposes notwithstanding the copyright notation that appears above. Opinions presented at the Workshop and in the Proceedings are those of the contributors, and do not necessarily reflect those of the American Academy of Underwater Sciences PROCEEDINGS OF THE AMERICAN ACADEMY OF UNDERWATER SCIENCES BIOMECHANICS OF SAFE ASCENTS WORKSHOP WHOI/MBL Woods Hole, Massachusetts September 25 - 27, 1989 MICHAEL A. LANG GLEN H. EGSTROM Editors American Academy of Underwater Sciences 947 Newhall Street, Costa Mesa, California 92627 U.S.A. An American Academy of Underwater Sciences Diving Safety Publication AAUSDSP-BSA-01-90 CONTENTS Preface i About AAUS ii Executive Summary iii Acknowledgments v Session 1: Introductory Session Welcoming address - Michael A. -
Deep Sea Dive Ebook Free Download
DEEP SEA DIVE PDF, EPUB, EBOOK Frank Lampard | 112 pages | 07 Apr 2016 | Hachette Children's Group | 9780349132136 | English | London, United Kingdom Deep Sea Dive PDF Book Zombie Worm. Marrus orthocanna. Deep diving can mean something else in the commercial diving field. They can be found all over the world. Depth at which breathing compressed air exposes the diver to an oxygen partial pressure of 1. Retrieved 31 May Diving medicine. Arthur J. Retrieved 13 March Although commercial and military divers often operate at those depths, or even deeper, they are surface supplied. Minimal visibility is still possible far deeper. The temperature is rising in the ocean and we still don't know what kind of an impact that will have on the many species that exist in the ocean. Guiel Jr. His dive was aborted due to equipment failure. Smithsonian Institution, Washington, DC. Depth limit for a group of 2 to 3 French Level 3 recreational divers, breathing air. Underwater diving to a depth beyond the norm accepted by the associated community. Limpet mine Speargun Hawaiian sling Polespear. Michele Geraci [42]. Diving safety. Retrieved 19 September All of these considerations result in the amount of breathing gas required for deep diving being much greater than for shallow open water diving. King Crab. Atrial septal defect Effects of drugs on fitness to dive Fitness to dive Psychological fitness to dive. The bottom part which has the pilot sphere inside. List of diving environments by type Altitude diving Benign water diving Confined water diving Deep diving Inland diving Inshore diving Muck diving Night diving Open-water diving Black-water diving Blue-water diving Penetration diving Cave diving Ice diving Wreck diving Recreational dive sites Underwater environment. -
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. -
Theory and Treatment Solo Cave Diving
Decompression Sickness: Theory and Treatment Solo Cave Diving: Just How Safe Is It? A Few Words About Decompression Schedules Cave Diving Into The Dominican Past Diving Pioneers & Innovators: A Series of In Depth Interviews (Dick Bonin) Issue 8 – September 2012 Contents Editorial Editorial 2 Welcome to the eighth issue of Tech Diving Mag. In this issue, the contributors have, once more, brought together a wealth Decompression Sickness: Theory and Treatment of information, along with some distinctive first hand experiences. The By Bret Gilliam 3 contributors for this issue are world renowned industry professional Bret Gilliam, accomplished diver, instructor trainer and book author Steve Lewis, technical diving instructor Peter Buzzacott (PhD) and Solo Cave Diving: Just How Safe Is It? cave explorer Cristian Pittaro. Get to know more about them and read By Peter Buzzacott 22 their bio at www.techdivingmag.com/contributors.html. As you might know, Tech Diving Mag is based on article contribution A Few Words About Decompression Schedules from the readership. So you’re always welcome to drop me a line if you’re interested in volunteering an article. One more much appreciated By Steve Lewis 29 thing is your photos (even without articles)! For submission guidelines, take a look at www.techdivingmag.com/guidelines.html. Cave Diving Into The Dominican Past Tech Diving Mag is very much your magazine and I am always keen By Cristian Pittaro 37 to have your input. If you want to share your views, drop me a line at [email protected]. Diving Pioneers & Innovators: A Series of In Please visit www.techdivingmag.com/communicate.html to subscribe Depth Interviews (Dick Bonin) to the newsletter in order to be notified when new issues are available for download.