Report on Decompression Illness, Diving Fatalities and Project Dive
Report on Decompression Illness, Diving Fatalities and Project Dive
Report on Decompression Illness, Diving Fatalities and Project Dive
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Secti<strong>on</strong> 2 - <strong>Project</strong> <strong>Dive</strong> Explorati<strong>on</strong> (PDE)2. <strong>Project</strong> <strong>Dive</strong>Explorati<strong>on</strong> (PDE)PDE is anobservati<strong>on</strong>alresearch study thatcollects <strong>and</strong>analyzes electr<strong>on</strong>icpressure-timeexposures fromrecording divecomputers worn byrecreati<strong>on</strong>al divers.2.1 Introducti<strong>on</strong>DAN Research is c<strong>on</strong>tinuing to address the scientific need for a databaseof re c reati<strong>on</strong>al dives through <strong>Project</strong> <strong>Dive</strong> Explorati<strong>on</strong> (PDE).PDE is an observati<strong>on</strong>al re s e a rch study that collects <strong>and</strong> analyzese l e c t r<strong>on</strong>ic pre s s u re-time exposures from data-logging dive computersworn by re c reati<strong>on</strong>al divers. In 2003, data collecti<strong>on</strong> was possiblewith four dive computers <strong>and</strong> <strong>on</strong>e data re c o rder that are PDE-compatible:Cochran, <strong>Dive</strong>Rite, Suunto, Uwatec <strong>and</strong> Reefnet Sensus. In2004, the st<strong>and</strong>ard data format was adopted by Oceanic <strong>and</strong> VR-3,widening the base of potential participants in the pro j e c t .Since its incepti<strong>on</strong> in 1995, PDE has re c o rded more than 80,439 dives.Thirty cases of decompressi<strong>on</strong> sickness (DCS) <strong>and</strong> two deaths havebeen associated with these exposures. The deaths were not felt to beD C S - related. In PDE, the diver’s health status before the dive <strong>and</strong> at48 hours after diving is linked to the digitally re c o rded pre s s u re - t i m ee x p o s u re. PDE specifically capture s :1) d i v e r’s demographic data;2) d i v e r’s pre-existing medical data;3) d i v e r’s digital dive pre s s u re-time exposure data; <strong>and</strong>,4) 48-hour post-exposure report <strong>on</strong> any medical outcomeassociated with the pre s s u re exposure .The project’s goal is to provide accurate data for complex physiologicalmodeling <strong>and</strong> hypothesis testing of diving-related c<strong>on</strong>diti<strong>on</strong>s.All participants in PDE must be certified recreati<strong>on</strong>al divers. If thediver is exposed to altitude during the 48-hour post-dive reportingperiod, this exposure becomes part of the recorded dive profile.Many divers participate under the guidance of a Field ResearchCoordinator (FRC), who coordinates the data collecti<strong>on</strong> <strong>and</strong> entry<strong>and</strong> submits the dive profiles to DAN. The FRC is a passive observerinstructed not to interfere with the c<strong>on</strong>duct of any dive. FRCs d<strong>on</strong>ot screen divers for symptoms of DCS, nor do they play any officialmedical role in the event of a dive accident. <strong>Dive</strong>rs are alsoencouraged to collect dive profiles <strong>on</strong> their own without the assistanceof an FRC. <strong>Dive</strong> profiles downloaded from Cochran, <strong>Dive</strong>Rite<strong>and</strong> Uwatec computers can be emailed directly to DAN (dasdata@dan.duke.edu).Further informati<strong>on</strong> is available at the DANwebsite at www.<strong>Dive</strong>rsAlertNetwork.org.22DAN’s <str<strong>on</strong>g>Report</str<strong>on</strong>g> <strong>on</strong> Decompressi<strong>on</strong> <strong>Illness</strong>, <strong>Diving</strong> <strong>Fatalities</strong> <strong>and</strong> <strong>Project</strong> <strong>Dive</strong> Explorati<strong>on</strong>: 2005 Editi<strong>on</strong>