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[Is it possible to dive again after decompression sickness?]

Jean Morin1, Sébastien de Maistre1, Arnaud Druelle1

  • 1Service de médecine hyperbare et d'expertise plongée, Hôpital d'instruction des armées (HIA) Sainte-Anne, 2, boulevard Sainte-Anne, 83000 Toulon, France.

Revue De L'Infirmiere
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PubMed
Summary

Divers with decompression sickness may return to diving after assessment. Hyperbaric practitioners evaluate physical, psychological, and social factors to prevent future risks.

Keywords:
accident de désaturationcaredecompression sicknessemergencyinfirmiernurseplongée sous-marinesoinunderwater divingurgence

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Area of Science:

  • Hyperbaric medicine
  • Diving physiology
  • Sports medicine

Background:

  • Decompression sickness (DCS) is a risk for underwater divers, potentially leading to lasting health issues.
  • Following recovery from DCS, divers may consider returning to diving activities.
  • Secondary prevention strategies are crucial for managing the risks of re-exposure to pressure.

Purpose of the Study:

  • To outline the comprehensive evaluation process for divers with a history of decompression sickness.
  • To assess the multifaceted impact (physical, psychological, social) of re-pressurization and immersion on patient-divers.
  • To inform clinical decision-making regarding the safety of returning to diving after DCS.

Main Methods:

  • Hyperbaric practitioners conduct thorough assessments of patient-divers.
  • Evaluation includes physical examinations to detect residual sequelae.
  • Psychological and social impacts of potential re-exposure are systematically measured.

Main Results:

  • The assessment identifies potential risks associated with returning to diving.
  • Understanding the patient-diver's holistic condition is key to risk management.
  • This approach supports informed decisions on diving re-entry.

Conclusions:

  • A comprehensive, multidisciplinary assessment is essential for secondary prevention in divers with a history of DCS.
  • Evaluating physical, psychological, and social factors guides the decision-making process for safe return to diving.
  • Hyperbaric practitioners play a vital role in ensuring diver safety and well-being post-DCS.