Abstract：
BACKGROUND:Since 2009, the United Kingdom diving incident data show an increasing number of fatalities in the over-50s age group. Previous studies also suggest some divers take cardiac medications. Since 2001, diving medicals have not been mandatory for UK sport divers. Instead, an annual medical self-certification form, submitted to their club/school or training establishment, is required. We documented in a survey of UK sport divers the prevalence of cardiac events and medications and the frequency of medical certifications. METHODS:An anonymous on-line questionnaire was publicised. Measures included diver and diving demographics, prescribed medications, diagnosed hypertension, cardiac issues, events and procedures, other health issues, year of last diving medical, diagnosed persistent foramen ovale (PFO), smoking and alcohol habits, exercise and body mass index. RESULTS:Of 672 completed surveys, hypertension was reported by 119 (18%) with 25 of these (21%) having not had a diving medical. Myocardial infarction 6 (1%), coronary artery bypass grafting 3 (< 1%), atrial fibrillation 19 (3%) and angina 12 (2%) were also reported. PFOs were reported by 28 (4%), with 20 of these opting for a closure procedure. From 83 treated incidences of decompression illness (DCI), 19 divers reported that a PFO was diagnosed. CONCLUSIONS:Divers inevitably develop health problems. Some continue to dive with cardiac issues, failing to seek specialised diving advice or fully understand the role of the diving medical. Physicians without appropriate training in diving medicine may inform a diver they are safe to continue diving with their condition without appreciating the potential risks. The current procedure for medical screening for fitness to dive may not be adequate for all divers.
journal_name
Diving Hyperb Medjournal_title
Diving and hyperbaric medicineauthors
St Leger Dowse M,Waterman MK,Penny CE,Smerdon GRsubject
Has Abstractpub_date
2015-09-01 00:00:00pages
184-9issue
3eissn
1833-3516issn
2209-1491journal_volume
45pub_type
杂志文章abstract：INTRODUCTION:The adverse effects of hyperbaric oxygen (HBO) on cardiac physiology are considered a potential hazard during the treatment of some patients. The haemodynamic effects of HBO are poorly understood and the incompatibility of electrical equipment inside the chamber has made assessment difficult. At Fremantle ...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2014-09-01 00:00:00
abstract：:Divers suspected of suffering decompression illness (DCI) in locations remote from a recompression chamber are sometimes treated with in-water recompression (IWR). There are no data that establish the benefits of IWR compared to conventional first aid with surface oxygen and transport to the nearest chamber. However, ...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章,评审
doi：10.28920/dhm48.2.84-95
更新日期：2018-06-30 00:00:00
abstract：:Sphenoid sinus mucocele is a rare cystic lesion. It grows gradually and causes visual disturbances, ocular motility abnormalities and headache due to cavernous sinus compression. Sudden change in sinus cavity volume by a barotrauma may compress a mucocele and precipitate symptoms that may easily be confused with decom...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm50.2.168-172
更新日期：2020-06-30 00:00:00
abstract：:We present a case of cerebral venous gas embolism. Our patient made a complete neurological recovery after hyperbaric oxygen therapy (HBOT). The principles of HBOT, compressing and eliminating air bubbles and decreasing Β-2 integrin function, thus improving microcirculation, can only be beneficial in a situation where...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2012-06-01 00:00:00
abstract：:Cerebral arterial gas embolism (CAGE) from breath-holding or inadequate exhalation during ascent is a well-recognised complication of scuba diving. It does not usually occur with breath-hold (BH) diving in those with normal lungs, as the volume of gas in the lungs on surfacing cannot exceed what it was on leaving the ...
journal_title：Diving and hyperbaric medicine
pub_type：
doi：10.28920/dhm49.4.304-305
更新日期：2019-12-20 00:00:00
abstract：:In an emergency, life support can be provided during recompression or hyperbaric oxygen therapy using very basic equipment, provided the equipment is hyperbaric-compatible and the clinicians have appropriate experience. For hyperbaric critical care to be provided safely on a routine basis, however, a great deal of pre...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章,评审
doi：
更新日期：2015-03-01 00:00:00
abstract：:Basic life support (BLS) in a diving bell (DB) or deck decompression chamber (DDC) is difficult due to the confined space and limited equipment. Retrieval of the unconscious diver into the DB requires the use of a pulley system. Once inside the bell, space limitations dictate that any resuscitative efforts are attempt...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2008-06-01 00:00:00
abstract：BACKGROUND:Both negative wound pressure therapy (NPWT) and hyperbaric oxygen therapy (HBOT) are useful modalities in the treatment of problem wounds. However, none of the commercially available portable negative-pressure devices have been certified safe for use in a recompression chamber. Thus, the NPWT device is remov...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2011-09-01 00:00:00
abstract：INTRODUCTION:When a standard water-seal pleural drain unit (PDU) is used under hyperbaric conditions there are scenarios where excessive negative intrapleural pressure (IPP) and/or fluid reflux can be induced, risking significant morbidity. We developed and tested a pleural vacuum relief (PVR) device which automaticall...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm47.3.191-197
更新日期：2017-09-01 00:00:00
abstract：INTRODUCTION:Decompression sickness (DCS) results from a decrease in ambient pressure leading to supersaturation of tissues with inert gas and bubble formation. Perfluorocarbons (PFCs) are able to dissolve vast amounts of non-polar gases. Intravenous (IV) PFC emulsions reduce both morbidity and mortality associated wit...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2012-03-01 00:00:00
abstract：:Two cases are presented of divers suffering epileptic seizure and loss of consciousness as a result of probable cerebral arterial gas embolism (CAGE). Both cases had apparently problem-free dives with no obvious provocation for CAGE, though one case may have been having repeated embolisms for some time in their diving...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2008-03-01 00:00:00
abstract：INTRODUCTION:We investigated in a prospective, observational trial the feasibility of using the Eustachian tube function test (ETFT) to measure the effect of repetitive pressure exposure during open seawater dives on Eustachian tube function. METHODS:The study included 28 adult divers during six consecutive days of di...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm47.4.216-222
更新日期：2017-12-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to further the understanding of the opening of the Eustachian tube in relation to changes in barometric pressure. DESIGN:An ear canal microphone was used to measure the specific sounds related to tube opening and possible eardrum movements. Five subjects with normal tube functio...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2016-03-01 00:00:00
abstract：:It is increasingly common for recreational scuba divers to use breathing mixtures enriched with additional oxygen ('nitrox' or 'enriched air nitrogen') and for technical divers to be exposed to elevated partial pressures of oxygen for prolonged periods of time. The National Oceanic and Atmospheric Administration oxyge...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2008-06-01 00:00:00
abstract：INTRODUCTION:During a hyperbaric oxygen therapy (HBOT) session, every medical device that is used within the hyperbaric chamber is exposed to several hazards, including an increased ambient pressure and partial pressure of oxygen. In Europe, all medical devices marketed and/or sold for use in hyperbaric conditions must...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm49.2.137-140
更新日期：2019-06-30 00:00:00
abstract：:Cerebral arterial gas embolism (CAGE) is a feared complication of ambient depressurisation and can also be a complication of hydrogen peroxide ingestion. We present an unusual case of CAGE in a 57-year-old woman exposed to both of these risk factors. We describe her subsequent successful treatment with hyperbaric oxyg...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2016-06-01 00:00:00
abstract：INTRODUCTION:Transcutaneous oximetry measurement (TCOM) is a non-invasive method of determining oxygen tension at the skin level using heated electrodes. AIM:To compare TCOM values generated by different machines and to establish lower limb TCOM values in a cohort of healthy individuals younger than 40 years of age. ...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm47.2.82-87
更新日期：2017-06-01 00:00:00
abstract：INTRODUCTION:In-water resuscitation has recently been proposed in the European resuscitation guidelines. Initiation of mechanical ventilation underwater might be considered when an immediate ascent to the surface is impossible or dangerous. The present study evaluated the feasibility of such ventilation underwater. ME...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2013-06-01 00:00:00
abstract：BACKGROUND AND AIMS:Severe decompression sickness (DCS) is a multi-organ injury. This study investigated the preventive effects of rosiglitazone on liver injury following rapid decompression in mice and examined the underlying mechanisms. METHODS:Mice were randomly divided into four groups: a control group, vehicle gr...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm47.1.17-23
更新日期：2017-03-01 00:00:00
abstract：:Vomiting and aspiration of gastric contents into the airways and lungs is a common and well-known clinicopathological entity. This phenomenon might also occur in underwater diving, where it can lead to life-threatening or fatal situations. This article presents two incidents involving diving-related vomiting with asso...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm48.1.36-39
更新日期：2018-03-31 00:00:00
abstract：INTRODUCTION:An individual case review of diving-related deaths reported as occurring in Australia in 2006 was conducted as part of the Divers Alert Network Asia-Pacific (DAN AP) dive fatality reporting project. METHOD:The case studies were compiled using reports from witnesses, the police and coroners. In each case, ...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2011-06-01 00:00:00
abstract：:Commercial or occupational breath-hold (BH) harvest divers along the coast and islands of Japan are collectively called Ama divers. Repetitive BH diving by Ama divers may place them at risk of developing neurological decompression sickness (DCS). We report a 74-year-old Ama diver who demonstrated right hemiparesis dur...
journal_title：Diving and hyperbaric medicine
pub_type：
doi：10.28920/dhm48.4.262-263
更新日期：2018-12-24 00:00:00
abstract：:The South Pacific Underwater Medicine Society (SPUMS) diving medical for recreational scuba divers was last reviewed in 2011. From 2011 to 2019, considerable advancements have occurred in cardiovascular risk assessment relevant to divers. The SPUMS 48th (2019) Annual Scientific Meeting theme was cardiovascular risk as...
journal_title：Diving and hyperbaric medicine
pub_type： 指南
doi：10.28920/dhm50.3.273-277
更新日期：2020-09-30 00:00:00
abstract：INTRODUCTION:Scuba diving is a big part of the tourism sector in Malta, and all the cases of decompression illness (DCI)are treated within the single hyperbaric referral centre in the country. METHODS:This retrospective analysis reviews all the medical records of divers with DCI in Malta within the 30-year period betw...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm49.3.161-166
更新日期：2019-09-30 00:00:00
abstract：:Divers are exposed to circulatory stress that directly affects the endothelial lining of blood vessels, and even asymptomatic dives are associated with inflammatory responses, microparticle release and endothelial dysfunction. As humans age, there is a relative increase in the risk of cardiovascular disease, attribute...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章,评审
doi：
更新日期：2015-12-01 00:00:00
abstract：:Gas micronuclei are gas-filled voids in liquids from which bubbles can form at low gas supersaturation. If water is depleted of gas micronuclei, high gas supersaturation is required for bubble formation. This high gas supersaturation is required in part to overcome the Laplace pressure at the point of transition from ...
journal_title：Diving and hyperbaric medicine
pub_type： 信件
doi：10.28920/dhm49.1.64
更新日期：2019-03-31 00:00:00
abstract：INTRODUCTION:In studies of decompression procedures, ultrasonically detected venous gas emboli (VGE) are commonly used as a surrogate outcome if decompression sickness (DCS) is unlikely to be observed. There is substantial variability in observed VGE grades, and studies should be designed with sufficient power to detec...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2014-03-01 00:00:00
abstract：:Exposure to hyperoxia is associated with oxidative stress and is known to cause inflammation in the lung and the airways. Exhaled nitric oxide concentration (FENO) is a marker of some inflammatory processes in the lung and airways, and is reduced immediately after a single session of hyperbaric oxygen (HBO) exposure. ...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2009-06-01 00:00:00
abstract：INTRODUCTION:We have previously shown that hyperbaric oxygen treatment (HBOT) increased insulin sensitivity in men who were obese or overweight, both with and without type 2 diabetes. The aim of this study was to test whether this insulin-sensitising effect is seen in hyperbaric air (HA). METHODS:Men with type 2 diabe...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章,随机对照试验
doi：10.28920/dhm50.4.386-390
更新日期：2020-12-20 00:00:00
abstract：INTRODUCTION:Decompression illness (DCI) is associated with a right-to-left shunt, such as persistent foramen ovale (PFO), atrial septal defect (ASD) and pulmonary arteriovenous malformations. About one-quarter of the population have a PFO, but considerably less than one-quarter of divers suffer DCI. Our aim was to det...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2015-06-01 00:00:00
