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Download - Diving Medicine for SCUBA Divers

Download - Diving Medicine for SCUBA Divers

Download - Diving Medicine for SCUBA

  • Page 2 and 3: Diving Medicine for Scuba Divers 4t
  • Page 4 and 5: ACKNOWLEDGMENTS ! For the 1 st and
  • Page 6 and 7: Chapter 1 All chapters, full text,
  • Page 8 and 9: The development of self-contained a
  • Page 10 and 11: Chapter 2 All chapters, full text,
  • Page 12 and 13: Water is much denser than air and 1
  • Page 14 and 15: This law can easily be demonstrated
  • Page 16 and 17: For example, if diver has a maximum
  • Page 18 and 19: Stated in another way; if a gas is
  • Page 20 and 21: Henry's Law This law describes the
  • Page 22 and 23: O 2 supports combustion vigorously
  • Page 24 and 25: BUOYANCY It is important for divers
  • Page 26 and 27: the water temperature decreases wit
  • Page 28 and 29: Chapter 3 All chapters, full text,
  • Page 30 and 31: Below the larynx the air passes thr
  • Page 32 and 33: Gas Uptake and Loss Air, which cont
  • Page 34 and 35: In venous blood, the haemoglobin in
  • Page 36 and 37: Circulation The blood flow from the
  • Page 38 and 39: educes the safety margin in the eve
  • Page 40 and 41: infections, hypothermia, panic and
  • Page 42 and 43: BREAK POINT Fig 4.2 . . This diagra
  • Page 44 and 45: MEDICAL CHECKLIST FOR SNORKELLERS H
  • Page 46 and 47: Some face masks are fitted with a o
  • Page 48 and 49: Snorkel The snorkel allows the dive
  • Page 50 and 51: A poorly fitting wet suit can cause
  • Page 52 and 53:

    entanglement with other equipment i

  • Page 54 and 55:

    1. Air supply, cylinder, tank 2. On

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    Difficulties are still encountered

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    STANDARD DRESS or HARD HAT This tra

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    Closed and Semi-closed Circuit REBR

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    the B.C. to be inflated using air f

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    The scuba tank may be negatively bu

  • Page 66 and 67:

    Diving Watch A reliable, accurate,

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    Surface detection aids include: •

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    The "Half Tank Rule". The best tech

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    It is important to return to the su

  • Page 74 and 75:

    The problems centre on impaired vis

  • Page 76 and 77:

    The lower surface pressure also mea

  • Page 78 and 79:

    In general, successful military div

  • Page 80 and 81:

    Factors which upset a diver's emoti

  • Page 82 and 83:

    The above story illustrates some of

  • Page 84 and 85:

    Women divers must be doing somethin

  • Page 86 and 87:

    convenience, most women today prefe

  • Page 88 and 89:

    Other Diving Diseases In a number o

  • Page 90 and 91:

    ! Decompression sickness. As mentio

  • Page 92 and 93:

    Chapter 9 All chapters, full text,

  • Page 94 and 95:

    vibrate. These vibrations are trans

  • Page 96 and 97:

    Fig. 9.5 If equalisation does not o

  • Page 98 and 99:

    If the ear drum was perforated, com

  • Page 100 and 101:

    The diver should then equalise ever

  • Page 102 and 103:

    If reasonable, avoid the use of hoo

  • Page 104 and 105:

    One or more of these must be presen

  • Page 106 and 107:

    There are four main groups of sinus

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    TREATMENT Any case of suspected sin

  • Page 110 and 111:

    Chapter 11 All chapters, full text,

  • Page 112 and 113:

    Fig. 11.2 The various clinical mani

  • Page 114 and 115:

    Fig 11.3 The location of the medias

  • Page 116 and 117:

    Occasionally a valve effect allows

  • Page 118 and 119:

    The air bubbles obstruct or damage

  • Page 120 and 121:

    Predisposing Factors ! Breath-holdi

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    In many navies free ascent training

  • Page 124 and 125:

    ! Out of Air (OOA) and Low on Air (

  • Page 126 and 127:

    PULMONARY BAROTRAUMA OF DESCENT (LU

  • Page 128 and 129:

    This condition is easily prevented

  • Page 130 and 131:

    SUIT BAROTRAUMA OF ASCENT ("BLOW UP

  • Page 132 and 133:

    Chapter 13 All chapters, full text,

  • Page 134 and 135:

    SATURATION When tissues are subject

  • Page 136 and 137:

    DIVE PROFILES The type of dive has

  • Page 138 and 139:

    ! Cold. Diving in cold conditions m

  • Page 140 and 141:

    A very short surface interval may a

  • Page 142 and 143:

    ased on modified Haldane principles

  • Page 144 and 145:

    DECOMPRESSION METERS and COMPUTERS

  • Page 146 and 147:

    ! Safety suggestions (the DC Ten Co

  • Page 148 and 149:

    ONSET OF SYMPTOMS The clinical feat

  • Page 150 and 151:

    confined within the solid bone of t

  • Page 152 and 153:

    SKIN MANIFESTATIONS of DCS These ar

  • Page 154 and 155:

    The ABBREVIATED MENTAL TEST SCORE (

  • Page 156 and 157:

    Unfortunately 100% O 2 can be toxic

  • Page 158 and 159:

    Transportation in aircraft presents

  • Page 160 and 161:

    Other tables are available which in

  • Page 162 and 163:

    ! Slow ascent rates. A slow ascent

  • Page 164 and 165:

    epeated minor trauma which is commo

  • Page 166 and 167:

    Prevention Avoidance of the known p

  • Page 168 and 169:

    CAUSES OF NITROGEN NARCOSIS The exa

  • Page 170 and 171:

    A diver who can "hold his liquor" i

  • Page 172 and 173:

    CLINICAL FEATURES The first sign is

  • Page 174 and 175:

    obstruction somewhere in the respir

  • Page 176 and 177:

    the lungs and body into the counter

  • Page 178 and 179:

    Chapter 21 All chapters, full text,

  • Page 180 and 181:

    CAUSES OF O 2 TOXICITY For resuscit

  • Page 182 and 183:

    Pulmonary Effects These effects wil

  • Page 184 and 185:

    Clinical Features A person hyperven

  • Page 186 and 187:

    CO 2 toxicity may increase the like

  • Page 188 and 189:

    CLINICAL FEATURES Symptoms are thos

  • Page 190 and 191:

    Chapter 24 All chapters, full text,

  • Page 192 and 193:

    If the compressor is operated in an

  • Page 194 and 195:

    Chapter 25 All chapters, full text,

  • Page 196 and 197:

    eaches the surface. If the diver is

  • Page 198 and 199:

    TREATMENT Rescue and recovery from

  • Page 200 and 201:

    PREVENTION It is paradoxical that d

  • Page 202 and 203:

    Chapter 26 All chapters, full text,

  • Page 204 and 205:

    Chapter 27 All chapters, full text,

  • Page 206 and 207:

    Fig. 27.3 Graph illustrating surviv

  • Page 208 and 209:

    PREVENTION Alcohol and other drugs

  • Page 210 and 211:

    Occasionally this disorder has been

  • Page 212 and 213:

    ! Treatment. All coral cuts should

  • Page 214 and 215:

    ! Vibrio and other Aquatic Organism

  • Page 216 and 217:

    SWIMMING POOL GRANULOMA Also called

  • Page 218 and 219:

    Until the risk is excluded it would

  • Page 220 and 221:

    MARINE Chapter 29 All chapters, ful

  • Page 222 and 223:

    ! Stop the blood loss. This must be

  • Page 224 and 225:

    The venom has its most serious effe

  • Page 226 and 227:

    IRUKANDJI SYNDROME This disorder wa

  • Page 228 and 229:

    The first aid basic life support me

  • Page 230 and 231:

    hospital as soon as possible. Serio

  • Page 232 and 233:

    The spine may produce a puncture an

  • Page 234 and 235:

    Chapter 30 All chapters, full text,

  • Page 236 and 237:

    Middle Ear Disorders Disturbances o

  • Page 238 and 239:

    Chapter 31 All chapters, full text,

  • Page 240 and 241:

    CAUSES OF VERTIGO Problems arising

  • Page 242 and 243:

    Nitrogen narcosis may aggravate ver

  • Page 244 and 245:

    CRAMPS Cramp is a painful spasm of

  • Page 246 and 247:

    Air emboli and bubble development i

  • Page 248 and 249:

    Cold water entering an ear canal ca

  • Page 250 and 251:

    unconsciousness have been well reco

  • Page 252 and 253:

    SEASICKNESS This is a distressing a

  • Page 254 and 255:

    EXPLOSIONS - UNDERWATER BLAST This

  • Page 256 and 257:

    In addition to these the causes ass

  • Page 258 and 259:

    COLD OR HYPOTHERMIA (SEE CHAPTERS 3

  • Page 260 and 261:

    GENERAL MEDICAL CONDITIONS A variet

  • Page 262 and 263:

    Chapter 34 All chapters, full text,

  • Page 264 and 265:

    ! Major Causes of Death identified

  • Page 266 and 267:

    unfortunately promoted by some inst

  • Page 268 and 269:

    Fig 34.3 But not always ! Buddy res

  • Page 270 and 271:

    Salt Water Aspiration This factor w

  • Page 272 and 273:

    Nitrogen Narcosis This was an effec

  • Page 274 and 275:

    Other Equipment Problems In 5% or l

  • Page 276 and 277:

    SUMMARY Diving fatalities generally

  • Page 278 and 279:

    Chapter 35 All chapters, full text,

  • Page 280 and 281:

    CONTRIBUTING CAUSES There are a num

  • Page 282 and 283:

    This reflex is present to some exte

  • Page 284 and 285:

    ! Myocarditis. Some viral infection

  • Page 286 and 287:

    Flora Fisk Quiz for Recreational Di

  • Page 288 and 289:

    (50 ft) and admitted to being "bent

  • Page 290 and 291:

    is undertaken. Then a drug reaction

  • Page 292 and 293:

    Antihistamines These are usually ta

  • Page 294 and 295:

    PROPHYLACTIC (PREVENTION) DRUGS Sta

  • Page 296 and 297:

    Marijuana — Cannabis or "pot" Chr

  • Page 298 and 299:

    Chapter 38 All chapters, full text,

  • Page 300 and 301:

    Some antibiotics may have no direct

  • Page 302 and 303:

    The hearing function test (pure ton

  • Page 304 and 305:

    MEDICAL EXAMINATION FORMAT There is

  • Page 306 and 307:

    Chapter 38 — 9

  • Page 308 and 309:

    Chapter 38 — 11

  • Page 310 and 311:

    RESUSCITATION EQUIPMENT • Airways

  • Page 312 and 313:

    INFORMATION NEEDED about a DIVING A

  • Page 314 and 315:

    in medicine have 100% O 2 delivered

  • Page 316 and 317:

    compatible. Otherwise the diving il

  • Page 318 and 319:

    GENERAL INFORMATION Oxygen Toxicity

  • Page 320 and 321:

    Chapter 41 All chapters, full text,

  • Page 322 and 323:

    CHECK LIST FOR DIVING ACCIDENTS INF

  • Page 324 and 325:

    D and R - DANGER and RESPONSE DANGE

  • Page 326 and 327:

    If the rescuer has the equipment an

  • Page 328 and 329:

    Duration of CPR Continue CPR until:

  • Page 330 and 331:

    Chapter 43 All chapters, full text,

  • Page 332 and 333:

    THE TECHNICAL DIVE 1. DIVE PROTOCOL

  • Page 334 and 335:

    For the same depth/duration dive, t

  • Page 336 and 337:

    OXYGEN ENRICHED AIR or NITROX (EANx

  • Page 338 and 339:

    likely to oxidise and have a higher

  • Page 340 and 341:

    There is also a greater conductive

  • Page 342 and 343:

    The carbon dioxide absorbent must b

  • Page 344 and 345:

    • The oxygen rebreathers are clos

  • Page 346 and 347:

    CONCLUSION There are few problems i

  • Page 348 and 349:

    The actual incidence is unknown, bu

  • Page 350 and 351:

    Appendix A All chapters, full text,

  • Page 352 and 353:

    DIVING MEDICAL TEXTS • *Diving Me

  • Page 354 and 355:

    Appendix B All chapters, full text,

  • Page 356 and 357:

    Appendix C All chapters, full text,

  • Page 358 and 359:

    Appendix D All chapters, full text,

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