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Annual Diving Report - Divers Alert Network

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APPENDIX B. DIVE FATALITY CASE REPORTS<br />

(14 msw) for 37 minute profile. During the second dive, the diver became separated from his<br />

buddy on the bottom and was found floating on the surface unconscious, without his buoyancy<br />

compensator or regulator. The diver was taken to a medical treatment facility where he received<br />

hyperbaric oxygen therapy, but he remained comatose. He died six days after the event and no<br />

autopsy was performed. The cause of death was determined to be anoxic encephalopathy due to<br />

near-drowning, but air embolism cannot be excluded.<br />

04-74 Diver with intermediate experience, made shore dive with buddy to practice skills,<br />

lost consciousness on surface swim back to shore, received hyperbaric therapy but died<br />

four days later<br />

Cause of Death: Anoxic Encephalopathy due to Near Drowning<br />

This 61-year-old female had received her initial open-water certification 3 months earlier but had<br />

already completed nearly 50 dives. She and her husband made a shore entry dive to 26 fsw (8<br />

msw) for 44 minutes, practicing dive skills. They made a safety stop at 15 fsw (5 msw) then<br />

ascended to the surface. The diver lost consciousness during the surface swim back to shore and<br />

was brought to the beach. The decedent received hyperbaric oxygen therapy at a local hospital,<br />

but her condition progressively deteriorated, and she died 4 days later. The cause of death, after<br />

an autopsy, was determined to be brain injury due to near drowning, but HBO therapy and the<br />

time between the accident and death would have masked autopsy findings that would corroborate<br />

air embolism.<br />

04-82 Experienced public service diver, made canal dive to recover wheelchair, poor<br />

visibility and suction drain, became entrapped under gate and lost consciousness<br />

Cause of Death: Anoxic Brain Injury due to Near Drowning due to Entrapment (canal gate)<br />

This 43-year-old male was a public service diver and an experienced recreational diver. He made<br />

a shore entry dive with three other divers into a canal where the depth was 5 ffw (1.5 mfw) in<br />

order to recover a wheelchair. There was poor visibility and some kind of suction drain on the<br />

bottom. The diver became entrapped under a gate and lost consciousness. He was brought to<br />

the surface and resuscitated but died at a hospital two days later. In addition to anoxic brain<br />

injury, the autopsy revealed a fatty liver and mild glomerulosclerosis.<br />

04-28 Moderately experienced diver with hypertension, diving on wreck with nitrox, low on<br />

air and made a rapid ascent, died four days later, after recompression treatment<br />

Cause of Death: Hypoxic Brain Injury due to Air Embolism due to Rapid Ascent<br />

This 52-year-old male was a moderately experienced diver with advanced open-water<br />

certification and a history of hypertension. He was diving on a wreck with a large group to a<br />

maximum depth of 108 fsw (33 msw). The diver used nitrox as a breathing gas, and he became<br />

low on air. The diver made a rapid ascent. The sea state was fairly rough, but he was able to get<br />

back into the boat. Shortly thereafter the diver became short of breath and collapsed. He was<br />

taken to a hospital where he received hyperbaric oxygen therapy but died after four days. An<br />

autopsy was not performed. The history and course are typical for an air embolism.<br />

04-20 Student in OW class panicked while performing buddy breathing skill, brought to<br />

surface coughing through regulator, died after five days on life support<br />

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

This 55-year-old female was a student in an initial open-water certification class making her<br />

second lifetime dive. Her first dive was to 17 fsw (5 msw) for 10 minutes, during which she lost<br />

some of her weights. During the second dive the student was involved in a buddy breathing drill<br />

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

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