Underwater Medicine and Safe Diving

Regardless of which area of expertise physicians, whether brand new or experienced divers, underwater conditions explain the relationship between the health status of people. The terms of the physician in addition to how you know this is underwater, the diver is about to candidates for the pathophysiology of the health problem. At least SCUBA the physician and/or have to establish this relationship contributes to the correct orientation and free driver. Therefore, it is important that a medical examination be done by a professional underwater and hyperbaric medicine.

Marin

Or underwater sports enthusiasts (amateur) diver the purpose of examination of candidates, and ultimately endanger the safety of underwater diving lover and has health problems about their treatment are more likely to to investigate whether to show the way.

The applicant professional (military, underwater man, scientific diving, diver trainer) or sports (amateur) to dive, whether physiological compliance is required. Therefore even sporty diver certain standards will be required. At this stage, physicians, profession, or sport diver the choice of candidates when conducting the assessment between health status that will threaten your life with the desire to stay in a limit should know how to.

Even in an ordinary dive due to increased skeletal Nov system activity, oxygen consumption is increasing. This high oxygen demand, cardiac idol are also on the rise. For this reason, the evaluation of Exercise tolerance and diver candidates is critical to whether they are hemodynamically stable.

Who Can Dive?

What are the diseases preventing the issuing of the report appropriate for diving?

That will lead to the ingress of water into the middle ear infections, connected to hot and cold stimulus, Vertigo (dizziness) which may cause perforation in the tympanic membrane (eardrum rupture can heal in 3-4 weeks if you may enjoy), diving is contraindicated for conditions such as ventilation tubes.

In other words disrupt the synchronization of the middle ear, the ear that prevents the opening of any pathology, polyps, rhinitis, upper respiratory tract infections in cases such as diving can be done temporarily. Cases of allergic rhinitis you need to evaluate more carefully.Because since the risk is high in cases of allergic rhinitis asthma, respiratory function tests and asthma depending on the severity, sometimes we do not allow to dive.

The outer ear the outer ear, forming a panorama of indoor air gap and thus prepare the ground for cook, exocytosis, creates pathologies such as osteoma to prevent diving. In the absence of skin disease allergic skin rash in the ear canal is infected, there will be a problem while diving. HOWEVER, IN THIS CASE THE CLEANLINESS OF THE WATER DIVING TO BE DONE IS IMPORTANT.

Meniere's disease and other chronic Vertigo (dizziness) that will lead to the loss of orientation causes the mind creates underwater.

The bone destruction and prepare the ground to create pressure variations in the inner ear, the middle ear, the mastoid bone prostheses and concerns chronic mastoiditis, mastoid pathologies such as fistula to dive is contraindicated.

The regulator is the mouthpiece of any oral or Maxillofacial deformity that will have a negative impact on the use of subducted those with inconvenient.

Dive report what should be considered in the examination of the eye?

While diving with a mask numbered pressure gauge, decompression tables, Clock, Compass a device with a defect who can't see near vision without the use of diving, boat diving, dive vision at a level that you can't see the area they found a defect they can't.

It is not a matter of color blindness in sport diving.

Having provided sufficient visual acuity and field of glaucoma, retinal detachment and those who are not still at risk had you can enjoy. You can also dive with Arica.

If radical surgery or ocular keratotomi recently migrated, due to be a source of bacteria from the air in the mask for a period of 4-6 weeks (eye doctor you'll have to decide) diving barrier.

Dive report of the person in the mental status also should be assessed.

At levels that can cause a panic, claustrophobia (fear of closed spaces, severe depression, manic conditions, such as alcoholism, drug or stimulant drug addiction, behavior disorder in patients with diving unsuitable for diving should be strictly prohibited. This type of physician should keep in mind one thing during the rush of people in an emergency situation and the danger of diving partner atilacag the life of the Savior.

Those with a history of epilepsy can dive?

Unlike other sports, it is necessary to be fully conscious in every moment of a diver in an underwater environment. An epileptic person can struggle with athleticism. However, an ordinary seizure, it would be compatible with underwater life. Therefore, from time to time, those with a history of loss of consciousness, seizure ones, serebro vascular attack (SVA) or those with a history of transient ischemic attack nearest they are.

Those with a history of childhood febrile convulsions can be addressed on the basis of the case; usually it will be a diving related problem.

Migraine attacks are the ones you would enjoy?

The dive itself (the temperature of the water in a different environment being caused by stress,anxiety) and migraine revealed by the crisis, especially complications such as vomiting underwater divers must be kept in mind that it will leave you in Dire Straits.With careful evaluation in terms of individuals, maybe just to freediving may be allowed.

Those with a neurological disease can dive?

Neurological sequelae, spinal cord trauma, with a history of those previously underwater and hyperbaric medicine decompression illness and similarly those with neurological deficits are assessed by a specialist after that, however, should not have decided whether or not to dive. Shekels left head trauma, birth defects, should be decided after a good neurological examination.

Reviewers intracranial operation, a demyelinating disease, a brain tumor intracranial aneurysm or other vascular malformation and their subducted those with an found inconvenient.

Blood diseases is a contraindication to diving?

Sickle cell disease, unexplained anemia, polycythemia, or leukemia, diving is contraindicated.

Is it appropriate to dive those with disease of the heart and vascular system?

Migrated myocardial infarction, angina, or coronary artery disease as a result of detailed examination in cases of permission to dive is given.

Cardiac septal defects, aortic or mitral stenosis avoid diving in.

Sinking into the water, cold, as a plunge reflex stimuli may lead to changes in rhythm of their own hearts. Pathologies of the cardiovascular response to regular exercise, he will also break this group. Therefore detailed cardiological examinations and investigations before diving in rhythm disorders.

Complete heart block, second degree heart block exercise-induced tachyarrhythmia, syncope, or C A neonate paroxysmal atrial Wolff-Parkinson-white syndrome, a pacemaker, the use of constant velocity, regular exercise cardiovascular response that disrupts the use of drugs should be addressed in this context.

Diving is contraindicated for arterial and / or venous peripheral vascular diseases also curtailed exercise tolerance level.

Retinal, renal, cardiac, or vascular destruction created good and should make a careful evaluation in cases with hypertension. The upper limit of 135/85 mm Hg for mean arterial pressure no matter what age should be considered. Weight loss, the use of diuretics with the provision of this limit is acceptable. Beta blockers and other drugs in control of a more detailed examination is required. (see effects on the cardiovascular system of underwater).

Diseases of the respiratory system, which dive into, are not allowed?

When discussing the respiratory system, may cause air trapping lesions that tend to often attention. Underwater panorama, which could lead to lung most avoided such a situation the output lead to the conclusions in medicine. Therefore radiologically detected find, and Cavitation cavern, exercise, and cold air-induced bouts of asthma; chronic obstructive pulmonary disease final dive from relegation is the reason. As a result of detailed examinations should be given special permission to dive in childhood asthma.

Those with the development of spontaneous pneumothorax in the lung is significantly more intact than other people in a similar situation. Gotta dive need to be able to lead to the development of pneumothorax under pressure, considering the hazards of such a situation that it can make for diving permission must be granted.

Dive is problematic in diabetics?

Insulin-dependent diabetes in the case of diving, unconsciousness underwater can be dangerous due to the risk of suffocation and should be handled carefully because for each individual. Candidates conscious of diving underwater and hyperbaric medicine specialist and intellectual level based on the decision structure should provide. Non-insulin dependent patients with diabetes if insulin or a hypoglycemic attack if you have a history of regulation by the point has been reached if in the same scope should be addressed.

Situations related to the gastrointestinal system, the stomach should be approached how?

Surgically repaired abdominal wall hernia that could lead to the arrest of any kind of gas unless the dive is contraindicated. Similarly, diving or be able to Source a panorama of the digestive system hiatal hernia paraozofageal barrier. Also hiatus hernia intra-abdominal pressure can cause reflux esophagitis with increasing.