Alert Diver 2021 Special Edition (DAN World Edition)

Page 12

MEDICAL SERVICES

STEPHEN FRINK

Nitrox is often used to extend dive times but can alternatively be used to reduce DCS risk if dive times are kept within the no-decompression limits of air dives to the same depth. Opposite: A thorough buddy check before every dive reduces the risk of forgetting important equipment and serves as a reminder to adjust gear for comfort and security.

When planning a trip, consider how your skills, experience and fitness match up to environmental conditions and requirements of the dive destination. Reassess your risks before each dive, taking into consideration the actual conditions. Rough water, poor visibility, currents and unfamiliar surroundings can present significant challenges to divers. When combined with gear troubles and poor physical fitness, these factors really set up divers for failure, which in the diving environment may be fatal. When at a dive site for the first time, seek the assistance of local professionals in assessing dive conditions and risks. In addition, dive professionals may help you assess your own abilities and limitations and provide the training necessary to ensure your skills match the environment. SAFER DIVING PRACTICES

Once at the dive site, what can you do to enhance your safety, reduce your risk of decompression sickness (DCS) and further stack the deck in your favor? While the overall risk of DCS is very low, it still occurs and is worth 12 |

2021 SPECIAL EDITION

avoiding. Some simple steps you can employ on your next trip may make a difference. For divers, DCS results from the formation of nitrogen (or other inert gas) bubbles within tissues and blood vessels secondary to a reduction in ambient pressure. Gas dissolved into liquid (bodily tissues and blood) at depth may come out of solution and form bubbles either during or after ascent. Bubbles can cause tissue inflammation and compromise blood flow. The amount of dissolved nitrogen is proportional to the depth and duration of a dive, so decreasing these will reduce the risk of DCS. Longer surface intervals, slow ascents and prolonging the time spent at shallow depths will promote off-gassing — the safe elimination of accumulated inert gas. Enriched air nitrox (EAN) has less nitrogen than air, so its use by divers results in less nitrogen absorption than similar profiles on air. It should be noted, however, that the safety margin enjoyed with nitrox is achieved only by diving air tables or equivalent computer settings. When divers set their computers for nitrox with the intention of extending bottom time, this safety margin is lost. The use of nitrox comes with unique safety concerns such as oxygen toxicity and requires proper training. An additional factor that may impact the incidence of DCS is poor hydration. Hydration has gained attention


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Checklists: Keys to Safer Diving?

5min
pages 92-93

Immersion Pulmonary Edema

8min
pages 94-98

PFO and Decompression Illness in Recreational Divers

12min
pages 88-91

Matters of the Heart: Aging, Wellness and Fitness to Dive

12min
pages 78-82

Delay to Recompression

8min
pages 83-85

Timing Exercise and Diving

3min
pages 86-87

RESEARCH

1min
page 77

When Things Go Wrong: Emergency Action Plans

2min
page 76

The Social Psychology of Safe Diving

5min
pages 74-75

What Drowning Really Looks Like

5min
pages 70-71

Dive Boat Fire Safety

5min
pages 72-73

Freediving Safety

8min
pages 66-69

You’ll Be OK

5min
pages 64-65

Experience and Risk

6min
pages 62-63

Invisible Crystals

6min
pages 60-61

Preventing Breathing-Gas Contamination

4min
pages 58-59

Choosing Safety

5min
pages 56-57

Survive Your Dive: A U.S. Coast Guard Perspective

4min
pages 54-55

SAFETY SERVICES

1min
page 53

DCS in Cozumel

5min
pages 50-51

Reduce Your Liability Risk

3min
page 52

Divers Losing Access to Emergency Care

10min
pages 46-49

Professional Liability: Not Just for Pros

9min
pages 42-45

Touch and Go in Tonga

5min
pages 40-41

Timeline of an Emergency Call

6min
pages 38-39

More Than Just Bubbles: Are We Too Concerned About DCS?

5min
pages 36-37

Pneumonia in Germany

1min
page 35

MEMBERSHIP AND INSURANCE

3min
page 31

A Culture of Dive Safety

10min
pages 32-34

Uncertainty After Diving: Case Reports and Recommendations

9min
pages 28-30

Back to Basics: Understanding Decompression Illness

7min
pages 14-17

Lionfish Stings

4min
pages 12-13

Children and Diving: What Are the Real Concerns?

13min
pages 24-27

Perspectives

3min
pages 2-4

Women’s Health and Diving

9min
pages 18-21

Marine Envenomations: Jellyfish and Hydroid Stings

2min
pages 22-23

MEDICAL SERVICES

1min
page 5

Stacking the Deck: Applying Lessons Learned to Dive Safety Basics

8min
pages 6-11
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