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Appendix A All chapters, full text, free download, available at http://www.divingmedicine.info DIVING MEDICAL LIBRARY DIVING TEXTS • Physics, Physiology and Decompression Theory for the Technical and Commercial Diver – Bruce Wienke • Deeper Into Diving – John Lippman and Simon Mitchell • High Altitude Diving - Bruce Wienke • Scuba Equipment Care and Maintenance - Farley and Royer • Oxygen and the Scuba Diver - Hendrick and Thomson • Oxygen First Aid – John Lippmann • The Application of Enriched Air Mixtures - Betts • Sport Diving in Depth - Griffiths • The Physics and Engineering of Diving - Dickens • The Underwater Handbook, a Guide to Physiology and Performance for the Engineer (1976) — by C. W. Shilling, M. F. Werts & N. R. Schandolmeier. • Mastering Rebreathers - Jeff Bozanic • Nitrox Manual - Dick Rutkowski • Recreational Nitrox Diving - Robert N. Rossier • Technical Diving In Depth - Bruce R. Wienke • Snorkeling and Free Diving - Tom Scott, Jim Flagg • Cold Water Diving - John N. Heine • Scuba Diving - Dennis K. Graver Appendix A — 1
DIVING MANUALS • U S Navy Diving Manual, Revision 6, (Vol 1 Air Diving) - Naval Sea Systems Command, Supervisor Of Diving. Free download on internet • British Subaqua Club (BSAC) Diving Manual http://www.bsac.com/ • National Oceanic and Atmospheric Administration (NOAA) Diving Manual • Professional Association of Diving Instructors (PADI) – Open Water Diving Manual. • National Association of Underwater Instructors (NAUI) – Diving Manual. NEWSLETTERS • Undercurrent – this doubles both as a consumer guide to holiday dive sites, as well as a forum for the presentation of recent technical data, diving accidents, etc. : Address : PO BOX 1658 Sausalito, California 94965, U.S.A. • Alert Diver – a quarterly newsletter of the Divers Alert Network. An excellent informative newsletter regarding diving medical safety and accident information, produced by DAN : Address : BOX 3823 Duke University Medical Centre, Durham, North Carolina 27710, U.S.A. • Pressure – a bi-monthly newsletter of the Undersea and Hyperbaric Medical Society, with information of a social, academic and educational nature, relevant to the Society and its members – mainly physicians and paramedics: Address : Undersea and Hyperbaric Medical Society 9650 Rockville Pike, Bethesda Marylands 20814, U.S.A. • Diving and Hyperbaric Medicine Journal – a bi-monthly journal/newsletter of the South Pacific Underwater Medical Society and the European Undersea Biomedical Society. This contains both original diving medical articles and reviews, and also summaries of other diving medical research conducted throughout the world: Address: SPUMS, c/- ANZCA, 630 St Kilda Rd, Melbourne Vic, 3004, Australia email spumsadm@bigpond.net.au • Undercurrent. A USA newsletter with excellent independent information on equipment and dive travel sites. http://www.undercurrent.org/ • X-Ray Mag. A free internet magazine. More into ecology, marine animals, photography, etc. URL: http://www.xray-mag.com/ • Advanced Diver. More into high tech diving and equipment. http://www.advanceddivermagazine.com/ NB. Many other countries have their own variations of the above newsletters, from local institutions. Appendix A — 2
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Diving Medicine for Scuba Divers 4t
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ACKNOWLEDGMENTS ! For the 1 st and
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Chapter 1 All chapters, full text,
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The development of self-contained a
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Water is much denser than air and 1
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This law can easily be demonstrated
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For example, if diver has a maximum
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Stated in another way; if a gas is
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Henry's Law This law describes the
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O 2 supports combustion vigorously
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BUOYANCY It is important for divers
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the water temperature decreases wit
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Below the larynx the air passes thr
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Gas Uptake and Loss Air, which cont
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In venous blood, the haemoglobin in
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Circulation The blood flow from the
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educes the safety margin in the eve
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infections, hypothermia, panic and
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BREAK POINT Fig 4.2 . . This diagra
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MEDICAL CHECKLIST FOR SNORKELLERS H
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Some face masks are fitted with a o
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Snorkel The snorkel allows the dive
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A poorly fitting wet suit can cause
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entanglement with other equipment i
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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
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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
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The problems centre on impaired vis
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The lower surface pressure also mea
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In general, successful military div
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Factors which upset a diver's emoti
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The above story illustrates some of
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Women divers must be doing somethin
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convenience, most women today prefe
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Other Diving Diseases In a number o
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! Decompression sickness. As mentio
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vibrate. These vibrations are trans
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Fig. 9.5 If equalisation does not o
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If the ear drum was perforated, com
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The diver should then equalise ever
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If reasonable, avoid the use of hoo
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One or more of these must be presen
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There are four main groups of sinus
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TREATMENT Any case of suspected sin
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Fig. 11.2 The various clinical mani
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Fig 11.3 The location of the medias
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Occasionally a valve effect allows
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The air bubbles obstruct or damage
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Predisposing Factors ! Breath-holdi
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In many navies free ascent training
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! Out of Air (OOA) and Low on Air (
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PULMONARY BAROTRAUMA OF DESCENT (LU
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This condition is easily prevented
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SUIT BAROTRAUMA OF ASCENT ("BLOW UP
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SATURATION When tissues are subject
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DIVE PROFILES The type of dive has
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! Cold. Diving in cold conditions m
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A very short surface interval may a
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ased on modified Haldane principles
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DECOMPRESSION METERS and COMPUTERS
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! Safety suggestions (the DC Ten Co
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ONSET OF SYMPTOMS The clinical feat
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confined within the solid bone of t
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SKIN MANIFESTATIONS of DCS These ar
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The ABBREVIATED MENTAL TEST SCORE (
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Unfortunately 100% O 2 can be toxic
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Transportation in aircraft presents
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Other tables are available which in
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! Slow ascent rates. A slow ascent
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epeated minor trauma which is commo
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Prevention Avoidance of the known p
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CAUSES OF NITROGEN NARCOSIS The exa
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A diver who can "hold his liquor" i
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CLINICAL FEATURES The first sign is
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obstruction somewhere in the respir
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the lungs and body into the counter
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CAUSES OF O 2 TOXICITY For resuscit
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Pulmonary Effects These effects wil
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Clinical Features A person hyperven
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CO 2 toxicity may increase the like
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CLINICAL FEATURES Symptoms are thos
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If the compressor is operated in an
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eaches the surface. If the diver is
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TREATMENT Rescue and recovery from
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PREVENTION It is paradoxical that d
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Fig. 27.3 Graph illustrating surviv
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PREVENTION Alcohol and other drugs
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Occasionally this disorder has been
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! Treatment. All coral cuts should
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! Vibrio and other Aquatic Organism
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SWIMMING POOL GRANULOMA Also called
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Until the risk is excluded it would
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MARINE Chapter 29 All chapters, ful
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! Stop the blood loss. This must be
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The venom has its most serious effe
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IRUKANDJI SYNDROME This disorder wa
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The first aid basic life support me
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hospital as soon as possible. Serio
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The spine may produce a puncture an
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Middle Ear Disorders Disturbances o
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CAUSES OF VERTIGO Problems arising
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Nitrogen narcosis may aggravate ver
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CRAMPS Cramp is a painful spasm of
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Air emboli and bubble development i
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Cold water entering an ear canal ca
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unconsciousness have been well reco
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SEASICKNESS This is a distressing a
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EXPLOSIONS - UNDERWATER BLAST This
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In addition to these the causes ass
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COLD OR HYPOTHERMIA (SEE CHAPTERS 3
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GENERAL MEDICAL CONDITIONS A variet
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! Major Causes of Death identified
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unfortunately promoted by some inst
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Fig 34.3 But not always ! Buddy res
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Salt Water Aspiration This factor w
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Nitrogen Narcosis This was an effec
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Other Equipment Problems In 5% or l
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SUMMARY Diving fatalities generally
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CONTRIBUTING CAUSES There are a num
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This reflex is present to some exte
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! Myocarditis. Some viral infection
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Flora Fisk Quiz for Recreational Di
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(50 ft) and admitted to being "bent
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is undertaken. Then a drug reaction
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Antihistamines These are usually ta
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PROPHYLACTIC (PREVENTION) DRUGS Sta
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Marijuana — Cannabis or "pot" Chr
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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 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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