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In-water Recompression
In-water recompression (IWR) or underwater oxygen treatment is the emergency treatment of decompression sickness (DCS) by returning the diver underwater to help the gas bubbles in the tissues, which are causing the symptoms, to resolve. It is a procedure that exposes the diver to significant risk which should be compared with the risk associated with the available options and balanced against the probable benefits. Some authorities recommend that it is only to be used when the time to travel to the nearest recompression chamber is too long to save the victim's life, others take a more pragmatic approach, and accept that in some circumstances IWR is the best available option. The risks may not be justified for case of mild symptoms likely to resolve spontaneously, or for cases where the diver is likely to be unsafe in the water, but in-water recompression may be justified in cases where severe outcomes are likely if not recompressed, if conducted by a competent and suitably equippe ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Decompression Sickness
Decompression sickness (abbreviated DCS; also called divers' disease, the bends, aerobullosis, and caisson disease) is a medical condition caused by dissolved gases emerging from solution as bubbles inside the body tissues during decompression. DCS most commonly occurs during or soon after a decompression ascent from underwater diving, but can also result from other causes of depressurisation, such as emerging from a caisson, decompression from saturation, flying in an unpressurised aircraft at high altitude, and extravehicular activity from spacecraft. DCS and arterial gas embolism are collectively referred to as decompression illness. Since bubbles can form in or migrate to any part of the body, DCS can produce many symptoms, and its effects may vary from joint pain and rashes to paralysis and death. DCS often causes air bubbles to settle in major joints like knees or elbows, causing individuals to bend over in excruciating pain, hence its common name, the bends. Indi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Dive Tables
The practice of decompression by divers comprises the planning and monitoring of the profile indicated by the algorithms or tables of the chosen decompression model, to allow asymptomatic and harmless release of excess inert gases dissolved in the tissues as a result of breathing at ambient pressures greater than surface atmospheric pressure, the equipment available and appropriate to the circumstances of the dive, and the procedures authorized for the equipment and profile to be used. There is a large range of options in all of these aspects. Decompression may be continuous or staged, where the ascent is interrupted by stops at regular depth intervals, but the entire ascent is part of the decompression, and ascent rate can be critical to harmless elimination of inert gas. What is commonly known as no-decompression diving, or more accurately no-stop decompression, relies on limiting ascent rate for avoidance of excessive bubble formation. Staged decompression may include deep st ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Recovery Of A Convulsing Diver
Beaching a casualty while providing artificial respiration Diver rescue, following an accident, is the process of avoiding or limiting further exposure to diving hazards and bringing a diver to a place of safety. A safe place is often a place where the diver cannot drown, such as a boat or dry land, where first aid can be administered and from which professional medical treatment can be sought. In the context of surface supplied diving, the place of safety for a diver with a decompression obligation is often the diving bell. Rescue may be needed for various reasons where the diver becomes unable to manage an emergency, and there are several stages to a rescue, starting with recognising that a rescue is needed. In some cases the dive buddy identifies the need by personal observation, but in the more general case identification of the need is followed by locating the casualty. The most common and urgent diving emergencies involve loss of breathing gas, and the provision of emerge ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Barotrauma
Barotrauma is physical damage to body tissues caused by a difference in pressure between a gas space inside, or contact with, the body and the surrounding gas or liquid. The initial damage is usually due to over-stretching the tissues in tension or shear, either directly by an expansion of the gas in the closed space or by pressure difference hydrostatically transmitted through the tissue. Tissue rupture may be complicated by the introduction of gas into the local tissue or circulation through the initial trauma site, which can cause blockage of circulation at distant sites or interfere with the normal function of an organ by its presence. Barotrauma generally manifests as sinus or middle ear effects, lung overpressure injuries and injuries resulting from external squeezes. Decompression sickness is indirectly caused by ambient pressure reduction, and tissue damage is caused directly and indirectly by gas bubbles. However, these bubbles form out of supersaturated solution f ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Diving Attendant
A diving team is a group of people who work together to conduct a diving operation. A characteristic of professional diving is the specification for minimum personnel for the diving support team. This typically specifies the minimum number of support team members and their appointed responsibilities in the team based on the circumstances and mode of diving, and the minimum qualifications for specified members of the diving support team. The minimum team requirements may be specified by regulation or code of practice. Some specific appointments within a professional dive team have defined competences and registration may be required. There is considerable difference in the diving procedures of professional divers, where a diving team with formally appointed members in specific roles and with recognised competence is required by law, and recreational diving, where in most jurisdictions the diver is not constrained by specific laws, and in many cases is not required to provide any ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Seasickness
Motion sickness occurs due to a difference between actual and expected motion. Symptoms commonly include nausea, vomiting, cold sweat, headache, dizziness, tiredness, loss of appetite, and increased salivation. Complications may rarely include dehydration, electrolyte problems, or a lower esophageal tear. The cause of motion sickness is either real or perceived motion. This may include from car travel, air travel, sea travel, space travel, or reality simulation. Risk factors include pregnancy, migraines, and Ménière's disease. The diagnosis is based on symptoms. Treatment may include behavioral measures or medications. Behavioral measures include keeping the head still and focusing on the horizon. Three types of medications are useful: antimuscarinics such as scopolamine, H1 antihistamines such as dimenhydrinate, and amphetamines such as dexamphetamine. Side effects, however, may limit the use of medications. A number of medications used for nausea such as ondansetron ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Hypothermia
Hypothermia is defined as a body core temperature below in humans. Symptoms depend on the temperature. In mild hypothermia, there is shivering and mental confusion. In moderate hypothermia, shivering stops and confusion increases. In severe hypothermia, there may be hallucinations and paradoxical undressing, in which a person removes their clothing, as well as an increased risk of the heart stopping. Hypothermia has two main types of causes. It classically occurs from exposure to cold weather and cold water immersion. It may also occur from any condition that decreases heat production or increases heat loss. Commonly, this includes alcohol intoxication but may also include low blood sugar, anorexia and advanced age. Body temperature is usually maintained near a constant level of through thermoregulation. Efforts to increase body temperature involve shivering, increased voluntary activity, and putting on warmer clothing. Hypothermia may be diagnosed based on either a per ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Oxygen Toxicity
Oxygen toxicity is a condition resulting from the harmful effects of breathing molecular oxygen () at increased partial pressures. Severe cases can result in cell damage and death, with effects most often seen in the central nervous system, lungs, and eyes. Historically, the central nervous system condition was called the Paul Bert effect, and the pulmonary condition the Lorrain Smith effect, after the researchers who pioneered the discoveries and descriptions in the late 19th century. Oxygen toxicity is a concern for underwater divers, those on high concentrations of supplemental oxygen (particularly premature babies), and those undergoing hyperbaric oxygen therapy. The result of breathing increased partial pressures of oxygen is hyperoxia, an excess of oxygen in body tissues. The body is affected in different ways depending on the type of exposure. Central nervous system toxicity is caused by short exposure to high partial pressures of oxygen at greater than atmospheric pr ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Royal Australian Navy School Of Underwater Medicine
The Royal Australian Navy School of Underwater Medicine (RANSUM) is an instructor-led training course based at Sydney, Australia. History Before 1961 medical support at the diving section of HMAS ''Watson'' was provided by the District Medical Officer, Surgeon Lieutenant Commander Shane A.C. Watson, whose interest in diving led to research in injuries related to marine animals. Medical Director-General of the Royal Australian Navy, Surgeon Rear Admiral Lionel Lockwood, recognized the need for a specialisation in diving medicine and appointed Surgeon Lieutenant Commander Rex Gray to service in Underwater Medicine. Dr. Gray was an anaesthesiologist and accepted this commission on 20 February 1961. Dr. Gray was trained as a diver and sent to England for seven months to learn about modern diving medicine. He visited the Royal Naval Medical School at Alverstoke, the R.N. Physiological Laboratory, the Submarine Training School at HMS Dolphin, Diving School HMS ''Vernon'', and the ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Oxygen Window
In diving and decompression, the oxygen window is the difference between the partial pressure of oxygen (PO2) in arterial blood and the PO2 in body tissues. It is caused by metabolic consumption of oxygen. Description The term "oxygen window" was first used by Albert R. Behnke in 1967. Behnke refers to early work by Momsen on "partial pressure vacancy" (PPV) where he used partial pressures of oxygen and helium as high as 2–3 ATA to create a maximal PPV. Behnke then goes on to describe "isobaric inert gas transport" or "inherent unsaturation" as termed by LeMessurier and Hills and separately by Hills, who made their independent observations at the same time. Van Liew et al. also made a similar observation that they did not name at the time. The clinical significance of their work was later shown by Sass. The oxygen window effect in decompression is described in diving medical texts and the limits reviewed by Van Liew et al. in 1993. Van Liew et al. describe the me ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Oxygen
Oxygen is the chemical element with the symbol O and atomic number 8. It is a member of the chalcogen group in the periodic table, a highly reactive nonmetal, and an oxidizing agent that readily forms oxides with most elements as well as with other compounds. Oxygen is Earth's most abundant element, and after hydrogen and helium, it is the third-most abundant element in the universe. At standard temperature and pressure, two atoms of the element bind to form dioxygen, a colorless and odorless diatomic gas with the formula . Diatomic oxygen gas currently constitutes 20.95% of the Earth's atmosphere, though this has changed considerably over long periods of time. Oxygen makes up almost half of the Earth's crust in the form of oxides.Atkins, P.; Jones, L.; Laverman, L. (2016).''Chemical Principles'', 7th edition. Freeman. Many major classes of organic molecules in living organisms contain oxygen atoms, such as proteins, nucleic acids, carbohydrates, and ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Oxygen First Aid
Oxygen therapy, also known as supplemental oxygen, is the use of oxygen as medical treatment. Acute indications for therapy include hypoxemia (low blood oxygen levels), carbon monoxide toxicity and cluster headache. It may also be prophylactically given to maintain blood oxygen levels during the induction of anesthesia. Oxygen therapy is often useful in chronic hypoxemia caused by conditions such as severe COPD or cystic fibrosis. Oxygen can be delivered via nasal cannula or face mask, or via high pressure conditions such as in endotracheal intubation or hyperbaric chamber. It can also be given through bypassing the airway, such as in ECMO therapy. Oxygen is required for normal cellular metabolism. However, excessively high concentrations can result in oxygen toxicity, leading to lung damage and respiratory failure. Higher oxygen concentrations can also increase the risk of airway fires, particularly while smoking. Oxygen therapy can also dry out the nasal mucosa without humi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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