A case of presumed scuba divers' pulmonary oedema (SDPE) is presented. The symptomatology and clinical progress is typical and it illustrates some of the aetiological factors incriminated in this disease, as well as measures taken to avoid the disorder. Such factors include the effects of immersion, negative-pressure inspiration induced by vertical positioning in the water, resistance to breathing by the scuba regulator and advanced age. Dyspnoea may have been exacerbated by the respiratory restriction imposed by the diving equipment. Other aetiological factors not relevant to this case are mentioned, as is the possible differential diagnosis. An accompanying review article discusses SDPE in greater detail.
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Diving Hyperb Med
December 2024
TAC Healthcare Group, Wellheads Industrial Estate, Aberdeen, United Kingdom.
This joint position statement (JPS) on immersion pulmonary oedema (IPO) and diving is the product of a workshop held at the 52nd Annual Scientific Meeting of the South Pacific Underwater Medicine Society (SPUMS) from 12-17 May 2024, and consultation with the United Kingdom Diving Medical Committee (UKDMC), three members of which attended the meeting. The JPS is a consensus of experts with relevant evidence cited where available. The statement reviews the nomenclature, pathophysiology, risk factors, clinical features, prehospital treatment, investigation of and the fitness for future compressed gas diving following an episode of IPO.
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December 2024
Department of Hyperbaric Medicine, Townsville University Hospital, Townsville, Australia.
This paediatric diving position statement was developed from a targeted workshop at the 51st Annual Scientific Meeting of the South Pacific Underwater Medicine Society (SPUMS) on 8 June 2023. It highlights the factors that SPUMS regards as important when undertaking health risk assessments for diving by children and adolescents (defined as aged 10 to 15 years). Health risk assessments for diving should be performed by doctors who are trained in diving medicine and who are familiar with the specific risks which result from breathing compressed gas in the aquatic environment.
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December 2024
Department of Pathology, Helsinki University, Helsinki, Finland.
Introduction: A 54-year-old, previously healthy Caucasian male diver was on a 22-day liveaboard diving holiday. During this time, he performed 75 open-circuit dives, of which 72 were with enriched air nitrox. All dives were within recreational length and depth.
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December 2024
Department of Kinesiology, Faculty of Medicine, Université Laval, Québec, Canada.
Introduction: Hyperbaric oxygen treatment (HBOT) is considered definitive treatment for decompression illness. Delay to HBOT may be due to dive site remoteness and limited facility availability. Review of cases may help identify factors contributing to clinical outcomes.
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December 2024
Centre for Hyperbaric Oxygen Therapy, Military Hospital, Brussels, Belgium.
Introduction: Characterisation of the recreational diving community could help to identify scuba divers at risk for accidents.
Methods: We performed a cross-sectional evaluation in a federation for recreational scuba divers in Belgium (Duiken.Vlaanderen).
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