12/18/2023 0 Comments Barotrauma lungs overinflation![]() Of special note, many dive operators routinely screen clients by requiring a medical statement signed by the diver’s physician with approval to dive. A diver should never feel compelled to make a dive, especially if feeling unwell. Using correct and well-maintained protective equipment, diving with supervision, and ensuring that medical care is available in the event of an emergency are other controls divers can implement. Preparing for a safe dive also includes having an up-to-date emergency action plan, on-hand first aid supplies (with ample oxygen), and reliable communication devices. Identifying and assessing potential hazards (e.g., environment, water and weather conditions, planned depth and bottom time) can help divers make decisions about acceptable risk. Serious injury and death are associated with poor physical conditioning regular aerobic exercise should already be part of a diver’s routine before arriving for their dive physical and subsequent diving.ĭuring the travel medicine examination, remind divers (and would-be divers) of actions they can take in advance to reduce or eliminate risks. Diving is a potentially strenuous activity that can put substantial demands on the cardiovascular system. This examination might include an electrocardiogram, exercise treadmill test, or echocardiogram. People with known risk factors for coronary artery disease, including but not limited to diabetes, elevated blood pressure, family history, an abnormal lipid profile, and smoking history, who wish to either begin a dive program or continue diving, should undergo a physical examination to assess their cardiovascular fitness. While it is important to review patient medications for their compatibility with diving, usually the primary concern is the underlying condition for which the patient takes medication. Mental health disorders (e.g., anxiety, claustrophobia, substance abuse) and disorders affecting central nervous system higher function and consciousness (e.g., seizures) raise special concerns about diving fitness. Underlying respiratory conditions (e.g.,asthma, chronic obstructive pulmonary disease, infections, history of spontaneous pneumothorax) can challenge the breathing capacity required of divers. ![]() When assisting patients who are planning dive-related travel, take into consideration chronic health conditions, any recent changes in health (e.g., injuries, pregnancy, surgeries), and medication use. Divers face a variety of medical challenges, but because dive injuries generally are rare, few clinicians are trained to prevent, diagnose, or treat them.Recreational divers should assess potential risks before diving, be prepared to recognize signs of injury, and seek qualified dive medicine help promptly when needed. Published estimates report anywhere from 0.5 million to 4 million people in the United States participate in recreational diving many travel to tropical areas of the world to dive. ![]()
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