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Appendix B All chapters, full text, free download, available at http://www.divingmedicine.info INFORMATION CONTACTS SOCIETIES Apart from the instructor organisations (NAUI, PADI, SSI, YMCA, BSAC, CMAS, IANTD, etc.) there are certain societies which would be very useful for any diving paramedic to belong to. These include the following : • Divers Alert Network (DAN) — BOX 3823 Duke University Medical Centre, Durham, NC 27710 (USA and the American continent, offshore and USA islands and trust territories). www.diversalertnetwork.org • Divers Alert Network, Asia Pacific(DAN.AP). P.O. Box 384, Ashburton, Vic, Australia. www.danasiapacific.org Email: info@danasiapacific.org • Undersea and Hyperbaric Medical Society —Mailly American. www.uhms.org • South Pacific Underwater Medicine Society (SPUMS) — C/- The Australian and New Zealand College of Anaesthetists. Mainly the Indo-Pacific region, centred in Australia). www.spums.org.au • European Underwater and Biomedical Society. www.eubs.org • British Subaqua Club (BSAC) — (mainly around the U.K. and Europe). www.bsac.org • CMAS Confédération Mondiale des Activités Subaquatiques. Mainly European. http://www.cmas.org • IANTDAn organisation that publishes information for technical divers. http://www.iantd.com/iantd2.html See Appendix D for all DAN regional offices and emergency contacts Appendix B — 1
EMERGENCY TELEPHONE NUMBERS Your Area : __________________________________ __________________________________ __________________________________ Telephone : __________________________________ __________________________________ __________________________________ Telephone : __________________________________ __________________________________ __________________________________ Telephone : Others : __________________________________ __________________________________ __________________________________ Telephone : Others : __________________________________ __________________________________ __________________________________ Telephone : Others : __________________________________ __________________________________ __________________________________ Telephone : Others : __________________________________ __________________________________ __________________________________ Telephone : Others : __________________________________ __________________________________ __________________________________ Telephone : Appendix B — 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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Some antibiotics may have no direct
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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 356 and 357: Appendix C All chapters, full text,
Page 358 and 359: Appendix D All chapters, full text,
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