Report on Decompression Illness, Diving Fatalities - Divers Alert ...

More documents

Recommendations

Info

Table of ContentsSection Title PageDedication 2Acknowledgments 4DAN — Your Dive Safety Association 71 Introduction 212 Dive Injuries 243 Dive Fatalities 544 Project Dive Exploration (PDE) 645 Injury, Fatality andPDE Population Comparisons 896 Mixed-Gas Diving 96AppendicesGlossary 100Dive Injury Case <strong>Report</strong>s 102Dive Fatality Case <strong>Report</strong>s 108Injuries and Fatalities by Regionand State in 2001 127Publications in 2002 128DAN <strong>Report</strong> on Decompression Illness, Diving Fatalities andProject Dive Exploration: 2003 Edition(Based on 2001 Data) © 2003 Divers Alert NetworkPermission to reproduce this document, entirely or in part, isgranted provided proper credit is given to Divers Alert Network.Cover design and layout by Rick Melvin.DAN’s <strong>Report</strong> on Decompression Illness, Diving Fatalities and Project Dive Exploration: 2003 Edition 3
AcknowledgmentsData for the 2002 <strong>Report</strong> on Decompression Illness, Diving Fatalities and Project Dive Exploration have been collected and assembled byDAN employees and associated staff. DAN wishes to recognize the following people and departments for their important contributions:Authors Richard Vann, Ph.D. John Freiberger, M.D., MPH James Caruso, M.D.Petar Denoble, M.D., D.Sc. Ward Reed, M.D. Renée Duncan, B.A.Donna Uguccioni, M.S. Joel Dovenbarger, B.S.N. Wesley Hyatt, B.A.ContributorsDAN MedicineJoel Dovenbarger, BSNDaniel A. Nord, BFA, EMT-P, CHTM. Celia Evesque, B.A., NREMT-IDan Kinkade, M.S., NREMT-PJon M. Rogers, Jr., CHT, DMT-A, NREMTDoug Hoskins, NREMTJane Foley, B.A.Shelly FisherDAN ResearchJulie EllisLisa Li, B.S.Jeanette MooreDAN CommunicationsRenée Duncan, B.A.Rick MelvinWesley Hyatt, B.A.DAN TrainingEric Douglas, EMT-B, DMT-BJeff Myers, B.A.ReviewersPeter B. Bennett, Ph.D., D.Sc.Steve Barnett, B.A.Frans Cronjé, M.D.Cindi Easterling, M.Ed.David Lawler, EMT-BBrian Merritt, M.S.Betty Orr, M.S.Dan Orr, M.S.Daniel A. Nord, BFA, EMT-P, CHTNeal Pollock, Ph.D.Shaun Tucker, B.A.DAN wishes to thank all of the individuals involved in the worldwide diving safety network. This network includes many hyperbaricphysicians, DAN on-call staff, nurses and technicians from the national network of chambers who complete DAN reporting forms. DANalso wishes to thank the local sheriff, police, emergency medical personnel, U.S. Coast Guard, medical examiners and coroners who submittedinformation on scuba fatalities.DAN Senior Medical Staff& ReviewersGuy de L. Dear, M.B., FRCARichard Moon, M.D.Bryant Stolp, M.D., Ph.D.Edward D. Thalmann, M.D.DAN Emergency On-Call Staff and Volunteer PhysiciansRobert Perkins, M.D.Ward Reed, M.D.Bob Long, M.D.Brett Boyle, M.D.Joel Dovenbarger, BSNDaniel A. Nord, BFA, EMT-P, CHTM. Celia Evesque, B.A., NREMT-IJon M. Rogers, Jr., CHT, DMT-A, NREMTDan Kinkade, M.S., NREMT-PDoug Hoskins, NREMTProject Dive Exploration Dive Profile Collection (collectors and number of dives)DATA COLLECTION CENTERSNekton Rorqual (Caribbean) 2,745Robert Forbes 2,413Cayman Aggressor 2,069DAN STAFFDonna Uguccioni 975Petar Denoble 270DAN INTERNS(Summer 2001)Robert Burke 1,096David Powers 1,033Clare Spooner 902Daniel Klaus 268Dana Burfiend 44DAN INTERNS(Summer 2002)Chris Kreigner 1,383Scott Thompson 948Beth Terpolilli 748Jessica Thompson 688Greg Yagoda 580Jennifer Robison 253COZUMEL DATA COLLECTORSMateo Guiterrez 3,174Ricardo Cosio 2,266Roberto Castillo 1,786INDEPENDENT FRCSTotal Dives Collected: 1,157Fabio Amorim Brian BasuraJeffrey Bianchi James ConnerScott Cook James EagerRenate Eichinger Hank EllisGerald Finsen, Jr. Jade GibbonEdward Gross Daniel HartmanBarry Hummel Larry JordanBetty Kjellstrom Jason LewisMitchell Ligenza Greg MerrillEmmette Murkette Jean-Phillipe RougierDarrell Seale John SkainSergio Viegas Jeffrey WatkinsColin ZylkaINDIVIDUAL USERS OF COCHRANAND DIVE RITE COMPUTERS(Level 3 Compatible Computers)Total Dives Collected: 496Jim Adams Sergio AitaEric Belrose Chris BrownBrent Clevenger David CowanJames Eager Michael GrahamBo Harper Richard HarrisRichard Hodgson Greg HoltzerBrian Johanek Gabriel LamarreAngela Lockhart Michael LongManoli Manolis Steve MuslinGeorge Radoczy Murilo SouzaJon Underwood Robert West4DAN’s <strong>Report</strong> on Decompression Illness, Diving Fatalities and Project Dive Exploration: 2003 Edition
Page 1 and 2: Report onDecompres
Page 3: Dedicated toDr. Peter B. BennettThe
Page 7 and 8: International DAN OfficesDAN Americ
Page 9 and 10: When divers have questions about th
Page 11 and 12: Flying After Diving (FAD) StudyIn 1
Page 13 and 14: In 2002, DAN trained six interns fr
Page 15 and 16: DAN Training ProgramsOxygen First A
Page 17 and 18: DAN members are also eligible for d
Page 19 and 20: DAN Diver Identification System (DI
Page 21 and 22: Instructors who don’t have access
Page 23 and 24: Of 522 reports submitted in 2001, 5
Page 25 and 26: 2. Dive Injuries2.1 Injury Data Des
Page 27 and 28: Arterial Gas Embolism (AGE)• Symp
Page 29 and 30: The pre-existing medical problems o
Page 31 and 32: Figure 7 shows the number of self-r
Page 33 and 34: As shown on Figure 11, most diving
Page 35 and 36: As in previous years, the largest p
Page 37 and 38: Figure 19 shows number of days divi
Page 39 and 40: Figure 23 shows the maximum depth o
Page 41 and 42: 2.4 Signs and Symptoms in Injured D
Page 43 and 44: Figure 29 shows symptoms reported b
Page 45 and 46: Fig 32Distribution ofcases by PSI.E
Page 47 and 48: Figure 35 shows the administration
Page 49 and 50: Figure 37 shows the type of recompr
Page 51 and 52: 2.6 Therapeutic OutcomeFigure 40 sh
Page 53 and 54: Figure 43 shows that AGE was more l
Page 55 and 56:
3. Dive FatalitiesDAN is not the pr
Page 57 and 58:
Figure 49 shows the gender and cert
Page 59 and 60:
Figure 53 shows the time of day at
Page 61 and 62:
Figure 57 shows the distribution of
Page 63 and 64:
Figure 61 shows the limited informa
Page 65 and 66:
4. Project DiveExplorationPDE is an
Page 67 and 68:
Fig 65Cumulativenumber of PDEdives
Page 69 and 70:
Table 10Number ofseries per diver.T
Page 71 and 72:
Figure 69 illustrates the certifica
Page 73 and 74:
4.4 DivesMost PDE data (97 percent)
Page 75 and 76:
4.5 Dive SeriesPDE recorded 1,960 d
Page 77 and 78:
The maximum depth of the dive serie
Page 79 and 80:
The workload reported by divers in
Page 81 and 82:
The pre-flight surface interval (PF
Page 83 and 84:
Fig 88Percentageof dives bycertific
Page 85 and 86:
Figure 90 shows the month in which
Page 87 and 88:
All PDE divers were asked to report
Page 89 and 90:
The incidence of DCS was different
Page 91 and 92:
Figure 94 shows the proportion of m
Page 93 and 94:
Fig 98Comparison ofdive purpose byp
Page 95 and 96:
Figures 102 and 103 show how the po
Page 97 and 98:
6. Mixed-Gas DivingThis section off
Page 99 and 100:
Figure 110 shows that injured diver
Page 101 and 102:
GlossaryAGE — Arterial Gas Emboli
Page 103 and 104:
Appendix A: Injury Case Rep
Page 105 and 106:
During the second day of diving, th
Page 107 and 108:
Case 6. Delayed Onset of Mild Neuro
Page 109 and 110:
Case 9. One Diver Treated Twice in
Page 111 and 112:
Appendix B: Fatality Case R
Page 113 and 114:
Proximate Cause: Drowning / AirEmbo
Page 115 and 116:
Proximate Cause: Cardiac01-05 Divin
Page 117 and 118:
the water with the instructor and a
Page 119 and 120:
01-22 Public safety diver who was o
Page 121 and 122:
dock. Fifteen minutes into the dive
Page 123 and 124:
end of the dive, but seemed to be d
Page 125 and 126:
01-67 Inexperienced diver, diving s
Page 127 and 128:
01-61 Novice diver lost control of
Page 129 and 130:
entry into a freshwater lake for a
Page 131 and 132:
2002 PublicationsBennett PB, Rostai
Page 133 and 134:
Notes132DAN’s Report</str
show all

Report on Decompression Illness, Diving Fatalities - Divers Alert ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?