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Decompression sickness in South African sport divers.

P G Landsberg

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |February 10, 1979
    PubMed
    Summary

    Decompression sickness (DS) affected 7% of amateur sport divers in South Africa between 1969-1977. All four cases involved serious type II neurological symptoms, highlighting the need for an effective emergency medical system (EMS).

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    Area of Science:

    • Diving Medicine
    • Hyperbaric Physiology
    • Emergency Medical Services

    Background:

    • Review of 56 underwater diving accidents among amateur sport divers in South Africa from 1969 to 1977.
    • Focus on the incidence and characteristics of decompression sickness (DS) within this cohort.

    Observation:

    • Four cases of decompression sickness (DS) were identified, representing a 7% incidence rate.
    • All diagnosed DS cases were classified as serious type II neurological decompression sickness.

    Findings:

    • The high proportion of severe neurological decompression sickness aligns with findings from other regions like Hawaii and Australia.
    • Analysis suggests specific contributing factors to the severity of DS in these amateur divers.

    Implications:

    • Highlights the critical need for robust emergency medical systems (EMS) for underwater diving incidents.
    • Discusses the importance of on-site, pre-chamber, and in-chamber treatment protocols for managing severe decompression sickness.
    • Emphasizes the potential for improved diver safety through targeted interventions and advanced medical support.

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