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Annual Diving Report - Divers Alert Network

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APPENDIX B. DIVE FATALITY CASE REPORTS<br />

04-56 Student in OW class with moderate heart disease, witnessed to have seizure on<br />

ascent<br />

Cause of Death: Drowning due to Air Embolism<br />

This 52-year-old male was a student in an initial open-water certification class who made a shore<br />

dive into the ocean with a buddy. The diver used a decongestant nasal spray prior to the dive<br />

because he was congested. His medical problems included an elevated cholesterol level and<br />

high blood pressure. The decedent suffered what appeared to his buddy to be a seizure while<br />

ascending from 51 fsw (16 msw). The problem seemed to occur at approximately 30 fsw (10<br />

msw). He was brought to the surface but could not be resuscitated. The autopsy demonstrated<br />

changes associated with drowning as well as moderate atherosclerosis of the coronary arteries<br />

and aorta. He also had intravascular gas and mediastinal emphysema. The death was<br />

determined to be a drowning due to an air embolism.<br />

04-29 Obese diver with heart disease on night dive for AOW certification, had problems<br />

with mask, panicked and made rapid ascent to surface and lost consciousness<br />

Cause of Death: Drowning due to Air Embolism due to Rapid Ascent<br />

This 50-year-old male had basic open-water certification with six lifetime dives. He was enrolled<br />

as a student in an advanced open-water class. The diver was also obese. During the day the<br />

diver completed two uneventful dives to 30 fsw (10 msw) and a night dive was planned for the<br />

evening. For the night dive the students entered the water from the boat; visibility was poor. The<br />

decedent had problems clearing his mask and spit out his regulator. Despite coaching by the<br />

instructor the student panicked and made a rapid ascent. He lost consciousness shortly after<br />

reaching the surface. The autopsy revealed changes associated with drowning as well as air<br />

embolism. He also had moderate to severe coronary artery disease and cholelithiasis.<br />

04-63 Solo diver certified many years with unknown experience, on spearfishing dive,<br />

made rapid ascent and lost consciousness at surface<br />

Cause of Death: Drowning due to Air Embolism due to Rapid Ascent<br />

This 42-year-old male had been a certified diver for twenty years, but his level of experience is<br />

unknown. The diver made a solo dive from a boat for the purpose of spearfishing. He surfaced<br />

from a dive to 89 fsw (27 msw) and rapidly lost consciousness. Resuscitation efforts were<br />

unsuccessful. The autopsy disclosed changes associated with drowning, as well as pulmonary<br />

and ear barotrauma, and gas in the arteries at the base of the brain. The decedent’s computer<br />

showed that he made a rapid ascent on this fatal dive profile and in fact that he habitually made<br />

rapid ascents.<br />

04-84 Infrequent diver with unknown experience and certification level, diving on<br />

rebreather for first time, separated from buddy, made rapid ascent and sank, body<br />

recovered later<br />

Cause of Death: Drowning due to Air Embolism due to Rapid Ascent<br />

The certification status and experience of this 56-year-old female is unknown and she had not<br />

made a dive in the previous two years. She was using a rebreather for the first time to make an<br />

ocean dive to 50-60 fsw (15-20 msw). While she had a buddy early in the dive, she was diving<br />

solo at the end. According to her computer she made a rapid ascent to the surface and then sank<br />

back down. Her body was recovered 30 minutes later. An autopsy was performed but only the<br />

death certificate was made available. The cause of death was listed as drowning but in all<br />

likelihood the diver likely was incapacitated by an air embolism.<br />

<strong>Annual</strong> <strong>Diving</strong> <strong>Report</strong>: 2006 Edition 73

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