DAN Blog – Decompression Sickness

https://www.scubadivermag.com/dan-blog-decompression-sickness/
Stephen Frink MFT Photo Tour to Tubbataha National Park aboard Philippines Siren. Dive site: Jessie Beazley, Part I (Jessie Beasley was expedition vessel that discovered Tubbataha)

This month the DAN Blog focuses on Decompression Sickness

One hour after diving, the room started spinning…

A DAN member experiences severe dizziness, tingling and impaired balance post-dive.

The Diver: Male, in good general health.

The Diver’s Experience: Advanced Open Water certified.

DAN Blog - Decompression Sickness

The Trip: Dive holiday in Anilao, Philippines.

The Dives: On the day of the incident, the diver had completed three dives on air. He went into deco on his final dive, so he performed a six-minute deco stop at 3m. Along with his Divemaster, he descended to 5m to complete a 15-minute safety stop.

The Profiles:

Dive 1: 25.3m for 59 minutes; surface interval of 1 hour.

Dive 2: 19.7m for 1 hour and 11 minutes; surface interval of 1 hour and 15 minutes.

Dive 3: 17.4m for 1 hour and 11 minutes.

Onset of Symptoms

Upon surfacing the diver had no apparent problems. However, one hour later while resting in his bed at the hotel, he started to feel as though the room was spinning. This was followed by an episode of vomiting. A few minutes later he developed a tingling sensation in both hands.

He informed the dive resort of his symptoms and was put on oxygen for 20 minutes via nasal canula with no relief, so was taken to a nearby hospital by road. Requiring further treatment, the diver was transferred to another hospital 90 minutes away (also by road) for higher level care, including further evaluation and management. (Note: A nasal canula provides insufficient oxygen for managing a diving accident. With a flow rate of only 1-6 litres per minute the percentage of oxygen inspired is quite low at 24-44%).

DAN Blog - Decompression Sickness

Treatment

On admission to the hospital the diver was given oxygen. While he was in the emergency department the doctor wanted him evaluated for a cerebrovascular accident (stroke) and referred him to a neurologist, who ordered a cranial CT scan. The stroke was ruled out, and the diver was treated for DCS Type II. It was found that while he could sit up on his own, he could not stand due to severe dizziness. It was also found that his tongue was deviated to the left.

He underwent a US Navy Table 6 treatment. After this treatment, the diver could stand but staggered when trying to walk, falling to one side, and he was still dizzy.

The decision was made for the diver to undergo a second Table 6 treatment. Although there was improvement after this treatment, he still had trouble with his balance.

The diver underwent a third and final recompression treatment (Table 9).

Diagnosis: Decompression Sickness Type II

Recovery

The diver was discharged the day after his final recompression treatment. While his balance had not fully recovered, he was in much better condition, and the dizziness has nearly fully resolved.

The treating doctor provided these recommendations:

  • No diving for 30 days after the last chamber treatment
  • No airline travel or driving to high altitude for a minimum of 96 hours after the last chamber treatment
  • Avoid strenuous activities
  • Follow up with a diving medical officer in 2 weeks

Costs

  • Hospital: US$3,441.28
  • Chamber: US$6,100.00

Total US$9,541.28

Fully covered by DAN

Analysis

Brain injury can result from external trauma (blunt injury, falls) or from interruptions in blood flow within the brain. The latter is known as a cerebral vascular accident (CVA) or stroke, which is what the doctors first suspected when the diver arrived at the hospital. The fact that this diver also had tongue deviation was another possible indicator that he had experienced a stroke. However, it is likely this doctor was not familiar with diving medicine.

After testing, stroke was ruled out and the diver was diagnosed with Type II Decompression Sickness.

Symptoms of Type II Decompression Sickness are serious. They typically fall into three categories: neurological, inner ear and cardiopulmonary. Neurological symptoms may include numbness; pins and needles or tingling (paraesthesia); muscle weakness; an impaired gait (difficulty walking); problems with physical coordination or bladder control; paralysis; or a change in mental status, such as confusion or lack of alertness.

It is common for divers to be assessed by a neurologist before being treated for DCI to rule out CVA.
Type II Decompression Sickness symptoms can develop at different speeds. A slow build-up can obscure the seriousness of the situation by allowing denial to persist. Less common symptoms such as difficulty walking, urinating, hearing or seeing — especially if their onset is quick — can prompt faster recognition and action.

Fortunately, the diver in this case acted fast and requested help at the first onset of symptoms, so he was able to receive prompt treatment, and ultimately he recovered well.

DANAP.org

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@jaketarren
#askmark Heyo!  Been learning about sidemount and I'm having a hard time finding a clear example of how to rig the tanks.  I know it'll be covered in the training, but I need to know what to get before I take the class, there isn't a good sidemount shop near me.

Can you show how sidemount tanks and deco/stage tanks are rigged please?

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๐ŸŽฌSuggested videos for you:

โ–ถ๏ธ https://www.youtube.com/watch?v=T0e1UkNqC64
โ–ถ๏ธ https://www.youtube.com/watch?v=hzpChck2t38
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โ–ถ๏ธ https://www.youtube.com/watch?v=_Y6wIOKde48 

=================================

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Whether youโ€™re a seasoned diver or just starting your underwater journey, our content is designed to keep you informed, inspired, and ready for your next dive. Get in, explore, and stay connected to the world of scuba diving with us! Join us and never miss an adventure!

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@jaketarren
#askmark Heyo! Been learning about sidemount and I'm having a hard time finding a clear example of how to rig the tanks. I know it'll be covered in the training, but I need to know what to get before I take the class, there isn't a good sidemount shop near me.

Can you show how sidemount tanks and deco/stage tanks are rigged please?

Please visit our website for more Scuba news, underwater photography, hints & advice, and travel reports: https://divernet.com/

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=============================

๐ŸŽฌSuggested videos for you:

โ–ถ๏ธ https://www.youtube.com/watch?v=T0e1UkNqC64
โ–ถ๏ธ https://www.youtube.com/watch?v=hzpChck2t38
โ–ถ๏ธ https://www.youtube.com/watch?v=-xssfyMuHLA
โ–ถ๏ธ https://www.youtube.com/watch?v=abJeh86OTI4
โ–ถ๏ธ https://www.youtube.com/watch?v=HtBi7RP71Rs
โ–ถ๏ธ https://www.youtube.com/watch?v=Vk0dB7AsMfY
โ–ถ๏ธ https://www.youtube.com/watch?v=Mv-PnILYPlI
โ–ถ๏ธ https://www.youtube.com/watch?v=fMCYT_KB4pU
โ–ถ๏ธ https://www.youtube.com/watch?v=rcqdceF8LIk
โ–ถ๏ธ https://www.youtube.com/watch?v=wKboVxFhqZU
โ–ถ๏ธ https://www.youtube.com/watch?v=YLHCpnu4EAo
โ–ถ๏ธ https://www.youtube.com/watch?v=VWdE_wABwPQ
โ–ถ๏ธ https://www.youtube.com/watch?v=siXAoUDrJZA
โ–ถ๏ธ https://www.youtube.com/watch?v=F7MfATRd5Os
โ–ถ๏ธ https://www.youtube.com/watch?v=_Y6wIOKde48

=================================

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Whether youโ€™re a seasoned diver or just starting your underwater journey, our content is designed to keep you informed, inspired, and ready for your next dive. Get in, explore, and stay connected to the world of scuba diving with us! Join us and never miss an adventure!

For Business inquiries, please use the contact information below:

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YouTube Video UEw2X2VCMS1KYWdWbXFQSGV1YW84WVRHb2pFNkl3WlRSZS4wMUIwQkI1NEQ1RTFBNTND

How Do You Rig a Sidemount Cylinder?

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@martink72
#askmark How do I attach a flashing light to my twin or single cylinder so that my buddy can see/find me even in poor visibility or at night? The typical lanyard on these things always let the light fall downwards and obscure it.
Please visit our website for more Scuba news, underwater photography, hints & advice, and travel reports: https://divernet.com/ 

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๐Ÿ””๐ƒ๐จ๐ง'๐ญ ๐Ÿ๐จ๐ซ๐ ๐ž๐ญ ๐ญ๐จ ๐ฌ๐ฎ๐›๐ฌ๐œ๐ซ๐ข๐›๐ž ๐ญ๐จ ๐จ๐ฎ๐ซ ๐œ๐ก๐š๐ง๐ง๐ž๐ฅ ๐Ÿ๐จ๐ซ ๐ฆ๐จ๐ซ๐ž ๐ฎ๐ฉ๐๐š๐ญ๐ž๐ฌ.
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=============================

๐ŸŽฌSuggested videos for you:

โ–ถ๏ธ https://www.youtube.com/watch?v=T0e1UkNqC64
โ–ถ๏ธ https://www.youtube.com/watch?v=hzpChck2t38
โ–ถ๏ธ https://www.youtube.com/watch?v=-xssfyMuHLA
โ–ถ๏ธ https://www.youtube.com/watch?v=abJeh86OTI4
โ–ถ๏ธ https://www.youtube.com/watch?v=HtBi7RP71Rs
โ–ถ๏ธ https://www.youtube.com/watch?v=Vk0dB7AsMfY
โ–ถ๏ธ https://www.youtube.com/watch?v=Mv-PnILYPlI
โ–ถ๏ธ https://www.youtube.com/watch?v=fMCYT_KB4pU
โ–ถ๏ธ https://www.youtube.com/watch?v=rcqdceF8LIk
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โ–ถ๏ธ https://www.youtube.com/watch?v=YLHCpnu4EAo
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โ–ถ๏ธ https://www.youtube.com/watch?v=siXAoUDrJZA
โ–ถ๏ธ https://www.youtube.com/watch?v=F7MfATRd5Os
โ–ถ๏ธ https://www.youtube.com/watch?v=_Y6wIOKde48 

=================================

โœ… About Scuba Diver Magazine.

Welcome to Scuba Diver Magazine! Weโ€™re passionate about everything related to the underwater world. As a free distribution magazine in Europe, ANZ, and North America, we bring you the latest in scuba diving, from epic dive travel destinations and honest gear reviews to expert advice, news, and inspiring underwater stories.

Whether youโ€™re a seasoned diver or just starting your underwater journey, our content is designed to keep you informed, inspired, and ready for your next dive. Get in, explore, and stay connected to the world of scuba diving with us! Join us and never miss an adventure!

For Business inquiries, please use the contact information below:

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๐Ÿ”” Love scuba diving? Subscribe now for dive travel tips, gear reviews, scuba advice, epic dives, diving news, and underwater stories!
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@martink72
#askmark How do I attach a flashing light to my twin or single cylinder so that my buddy can see/find me even in poor visibility or at night? The typical lanyard on these things always let the light fall downwards and obscure it.
Please visit our website for more Scuba news, underwater photography, hints & advice, and travel reports: https://divernet.com/

โœ… Important Affiliate Links to Follow

๐Ÿ”— Get 15% Off International eSIM Offer! Use Code: SCUBADIVERMAG
https://airalo.pxf.io/bO7Wy9

๐Ÿ”— Shop Scuba Gears Here:
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๐Ÿ””๐ƒ๐จ๐ง'๐ญ ๐Ÿ๐จ๐ซ๐ ๐ž๐ญ ๐ญ๐จ ๐ฌ๐ฎ๐›๐ฌ๐œ๐ซ๐ข๐›๐ž ๐ญ๐จ ๐จ๐ฎ๐ซ ๐œ๐ก๐š๐ง๐ง๐ž๐ฅ ๐Ÿ๐จ๐ซ ๐ฆ๐จ๐ซ๐ž ๐ฎ๐ฉ๐๐š๐ญ๐ž๐ฌ.
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=============================

๐ŸŽฌSuggested videos for you:

โ–ถ๏ธ https://www.youtube.com/watch?v=T0e1UkNqC64
โ–ถ๏ธ https://www.youtube.com/watch?v=hzpChck2t38
โ–ถ๏ธ https://www.youtube.com/watch?v=-xssfyMuHLA
โ–ถ๏ธ https://www.youtube.com/watch?v=abJeh86OTI4
โ–ถ๏ธ https://www.youtube.com/watch?v=HtBi7RP71Rs
โ–ถ๏ธ https://www.youtube.com/watch?v=Vk0dB7AsMfY
โ–ถ๏ธ https://www.youtube.com/watch?v=Mv-PnILYPlI
โ–ถ๏ธ https://www.youtube.com/watch?v=fMCYT_KB4pU
โ–ถ๏ธ https://www.youtube.com/watch?v=rcqdceF8LIk
โ–ถ๏ธ https://www.youtube.com/watch?v=wKboVxFhqZU
โ–ถ๏ธ https://www.youtube.com/watch?v=YLHCpnu4EAo
โ–ถ๏ธ https://www.youtube.com/watch?v=VWdE_wABwPQ
โ–ถ๏ธ https://www.youtube.com/watch?v=siXAoUDrJZA
โ–ถ๏ธ https://www.youtube.com/watch?v=F7MfATRd5Os
โ–ถ๏ธ https://www.youtube.com/watch?v=_Y6wIOKde48

=================================

โœ… About Scuba Diver Magazine.

Welcome to Scuba Diver Magazine! Weโ€™re passionate about everything related to the underwater world. As a free distribution magazine in Europe, ANZ, and North America, we bring you the latest in scuba diving, from epic dive travel destinations and honest gear reviews to expert advice, news, and inspiring underwater stories.

Whether youโ€™re a seasoned diver or just starting your underwater journey, our content is designed to keep you informed, inspired, and ready for your next dive. Get in, explore, and stay connected to the world of scuba diving with us! Join us and never miss an adventure!

For Business inquiries, please use the contact information below:

๐Ÿ“ฉ Email: info@scubadivermag.com

๐Ÿ”” Love scuba diving? Subscribe now for dive travel tips, gear reviews, scuba advice, epic dives, diving news, and underwater stories!
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YouTube Video UEw2X2VCMS1KYWdWbXFQSGV1YW84WVRHb2pFNkl3WlRSZS42MzYyQ0E2MUE4ODAzQkU5

How Can I Attach a Flashing Light Strobe To Myself So My Buddy Can See Me? #askmark #scubadiving

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The information in this video is not intended nor implied to be a substitute for professional SCUBA Training or recommendations for every manufacturer. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace training from a qualified Dive Instructor or specific requirements from equipment manufacturers.

YouTube Video UEw2X2VCMS1KYWdWbXFQSGV1YW84WVRHb2pFNkl3WlRSZS43RkJGOTAwRDhCOEQ1RjIy

Is This The Best Dive Center Ever? W\@wakatobidiveresort

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