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Published on: May 20, 2011
Screening for oxygen sensitivity in U.S. Navy combat swimmers
K C Walters1, M T Gould, E A Bachrach
1Naval Medical Center, San Diego, California 92134-5000, USA.
Summary
Oxygen tolerance testing for Navy SEAL candidates is not useful. A review of 6,250 tests showed a very low incidence of oxygen toxicity, suggesting the screening is unnecessary.
Area of Science:
- Naval medicine
- Hyperbaric physiology
- Occupational health
Background:
- The U.S. Naval Special Warfare Community screens combat swimmer candidates for hyperbaric oxygen (HBO2) toxicity.
- Oxygen tolerance testing has been historically used for this screening process.
Purpose of the Study:
- To evaluate the utility of oxygen tolerance testing for U.S. Navy SEAL candidates.
- To determine the incidence of oxygen toxicity in this population.
Main Methods:
- Review of oxygen tolerance test data from 1976-1997 (6,250 tests) at Naval Special Warfare Center and Naval Special Warfare Group One.
- Analysis of Naval Safety Center data from 1986-1997 for oxygen toxicity during LAR V dives (157,930 dives).
Main Results:
- Only six episodes of O2 toxicity were found in 6,250 tests (0.096% incidence).
- This incidence is significantly lower than previously reported rates.
- Only one O2 toxicity episode occurred during 157,930 LAR V dives.
Conclusions:
- Oxygen tolerance testing is not a useful screening tool for U.S. Navy SEAL candidates.
- Factors beyond individual sensitivity likely contribute to O2 toxicity.
- Discontinuation of oxygen tolerance testing is recommended.
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