DIVING

Recommendations

Info

2. Dive Injuries There were 136 cases involving scuba, equating to 4,368 estimated emergency department presentations (95% CI 1,334, 7,400), with an estimated 1114 in 2010, 518 in 2011, 1297 in 2012 and 1438 in 2013. Of those, 3,159 (72%) were male and 1,209 (28%) female. Care should be taken when extrapolating small raw numbers, in this case probably anything less than 2000 cases, because a few extra cases in the sample can grossly inflate the estimated number of cases. That said, the following tables and figures offer a guide only to the types of injuries that might be seen in any year in emergency departments that receive divers. The actual number might vary from almost zero cases to twice as many as estimated (that is, the confidence interval) as shown in Figure 2.2-2, the monthly estimated number of cases with confidence interval whiskers. The estimated mean age of patients presenting at emergency departments with scuba related injuries is shown in Table 2.2-2. The wide confidence intervals indicate how imprecise these estimates are. Table 2.2-2 Estimated mean age of patients presenting at emergency departments for scuba related injuries between 2010-13, by sex Sex n (%) Mean Age (yrs) 95% CI Female 1,209 (28) 36.1 10.9, 61.3 Male 3,159 (72) 38.7 11.9, 65.6 Total 4,368 (100) 38.0 11.6, 64.4 Figures 2.2-1 and 2.2-2 show the estimated monthly distribution of emergency department presentations. 900 800 700 Estimated Number of cases 600 500 400 300 200 100 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Month Figure 2.2-1 Monthly distribution of estimated US Emergency Department admissions for scuba injuries, 2010-13 As can be seen in both Figures 2.2-1 and 2.2-2, there is considerable variability month by month but overall injuries approximate the same monthly distribution as fatalities (see Section 1), peaking each-year around July and tapering off for winter. 58 Annual Diving Report – 2012-2015 Edition
2. Dive Injuries 1400 1200 Estimated number of cases 1000 800 600 400 200 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Month Figure 2.2-2 Monthly distribution of estimated emergency department admissions for scuba injuries, 2010-13, with 95% confidence intervals and trendline Table 2.2-3 presents the areas of the body most affected when divers presented to the emergency department during 2010-13 and Table 2.2-4 expands the area of the body classification ‘All parts of the body (more than 50% of body)’ to show the types of injuries suffered. Table 2.2-3 Body part affected by scuba-related injury 2010-13 (N.B. weighted estimate) Body Part NEISS Body Part N (%) Code Arm, lower (not including elbow or wrist) 33 133 (3) Arm, upper 80 0 (0) Ankle 37 31 (1) Ear 94 1386 (32) Elbow 32 68 (2) Eyeball 77 272 (6) Face (including eyelid, eye area and nose) 76 127 (3) Finger 92 32 (1) Foot 83 345 (8) Hand 82 158 (4) Head 75 126 (3) Internal (use with aspiration and ingestion) 00 0 (0) Knee 35 288 (6) Leg, lower (not including knee or ankle) 36 174 (4) Leg, upper 81 0 (0) Mouth (including lips, tongue and teeth) 88 0 (0) Annual Diving Report – 2012-2015 Edition 59
Page 1 and 2:
A N N U A L DIVING R E P O R T 2012
Page 3 and 4:
Annual Diving Report 2012-2015 Edit
Page 5 and 6:
Worldwide DAN Offices DAN is compri
Page 7 and 8:
1. Introduction Introduction Since
Page 9 and 10: 1. Dive Fatalities Section 1. Dive
Page 11 and 12: 1. Dive Fatalities Table 1.2-1 (con
Page 13 and 14: 1. Dive Fatalities Table 1.2-2 (con
Page 15 and 16: 1. Dive Fatalities 45 Florida (n=20
Page 17 and 18: 1. Dive Fatalities Among the decede
Page 19 and 20: 1. Dive Fatalities Table 1.5-1 Divi
Page 21 and 22: 1. Dive Fatalities Sea condition (s
Page 23 and 24: 1. Dive Fatalities Breathing gas, (
Page 25 and 26: 1. Dive Fatalities Table 1.7.2-1 (c
Page 27 and 28: 1. Dive Fatalities Plotting the lea
Page 29 and 30: 1. Dive Fatalities Discussion Hunte
Page 31 and 32: 1. Dive Fatalities 12 10 Non Dive P
Page 33 and 34: 1. Dive Fatalities the effectivenes
Page 35 and 36: 1. Dive Fatalities 1.11 Rebreather
Page 37 and 38: 1. Dive Fatalities 11-46: Loss of c
Page 39 and 40: 2. Dive Injuries Section 2. Dive In
Page 41 and 42: 2. Dive Injuries 2.1.3 Where are Di
Page 43 and 44: 2. Dive Injuries 2.1.4 DAN Travel A
Page 45 and 46: 2. Dive Injuries A typical evacuati
Page 47 and 48: 2. Dive Injuries the DAN on-call ca
Page 49 and 50: 2. Dive Injuries blotchy skin and i
Page 51 and 52: 2. Dive Injuries Vertigo Vertigo wa
Page 53 and 54: 2. Dive Injuries Case 2-08: Margina
Page 55 and 56: 2. Dive Injuries He had periods of
Page 57 and 58: 2. Dive Injuries open water and at
Page 59: 2. Dive Injuries 2.2 Dive Injuries
Page 63 and 64: 2. Dive Injuries Table 2.2-5 Diagno
Page 65 and 66: 2. Dive Injuries 100859397 29-year-
Page 67 and 68: 2. Dive Injuries Case number Case n
Page 69 and 70: 3. Diving Incident Reporting System
Page 81 and 82: 4. Breath-hold Dive Incidents Secti
Page 83 and 84: 4. Breath-hold Dive Incidents Numbe
Page 85 and 86: 4. Breath-hold Dive Incidents can r
Page 87 and 88: 4. Breath-hold Dive Incidents It is
Page 89 and 90: 4. Breath-hold Dive Incidents There
Page 91 and 92: Appendix A. Breath-hold Incident Ca
Page 93 and 94: Appendix A. Breath-hold Incident Ca
Page 95 and 96: Appendix B. Diving Related Fataliti
Page 105 and 106: Appendix C. Asia-Pacific Diving Dea
Page 111 and 112:
Appendix D - Japanese Diving Certif
Page 113 and 114:
Appendix D - Japanese Diving Table
Page 115 and 116:
Appendix E. DAN Classification of H
Page 117 and 118:
Appendix E. DAN Classification of H
Page 119 and 120:
Appendix F. Glossary Arterial Gas E
Page 121 and 122:
Appendix F. Glossary ness, paralysi
Page 123 and 124:
Appendix F. Glossary typically in a
Page 125 and 126:
Appendix F. Glossary Mixed-Gas Any
Page 127 and 128:
Appendix F. Glossary Rebreather Sel
Page 129 and 130:
Appendix F. Glossary Type I DCS (DC
show all

DIVING

Create successful ePaper yourself

Delete template?

Save as template?