Diving medicine in clinical practice

Deutsches Ärzteblatt International
Lars Eichhorn, Dieter Leyk

Abstract

Diving is a popular sport, and some recreational divers have medical risk factors. Their health can be endangered by high extracorporeal (ambient) pressure and its many systemic effects. We review relevant publications on free (breath-hold) diving, scuba diving, medical evaluation for diving, barotrauma, decompression sickness, and diving with medical risk factors, which were retrieved by a selective search of PubMed. Free diving or scuba diving, even at seemingly innocuous depths, puts considerable stress on the cardio - vascular system, ears, and lungs. Unexpected events while diving, diminished functional reserve, and pre-existing medical illnesses increase the risk of a diving accident. An international survey revealed that minor incidents occur in 1.3% of all dives, and decompression accidents in 2 of every 10 000 dives. A properly conducted medical examination to determine diving fitness, followed by appropriate counseling, can make a life-threatening diving accident less likely. To be able to certify diving fitness and give competent medical advice about diving, physicians must be well informed about the physical and physiological changes of diving and the associated risks to health, and they need to know how to perform ...Continue Reading

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Citations

Sep 24, 2015·Deutsches Ärzteblatt International·Ralf Cüppers
Sep 24, 2015·Deutsches Ärzteblatt International·Lars Eichhorn, Dieter Leyk
Sep 24, 2015·Deutsches Ärzteblatt International·Rolf Stockhausen
Apr 3, 2021·International Journal of Occupational Safety and Ergonomics : JOSE·Thomas MuthJochen D Schipke
Apr 16, 2021·Journal of Public Health Research·Asti Melani AstariSri Andarini

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