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Decompression sickness or cold injury?

D R Leitch, R R Pearson

    Undersea Biomedical Research
    |December 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Divers experiencing painful hands may have non-freezing cold injury (immersion hand), not decompression sickness. Thermal protection is crucial for hands during prolonged dives, even in 16°C water.

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    Area of Science:

    • Diving Medicine
    • Occupational Health
    • Environmental Physiology

    Background:

    • Decompression sickness (DCS) is a known risk for divers.
    • Painful extremities in divers can be misdiagnosed.
    • Cold exposure is a significant factor in diving injuries.

    Observation:

    • Two divers presented with painful hands after diving.
    • Initial treatment focused on decompression sickness.
    • Symptoms and diving history suggested an alternative diagnosis.

    Findings:

    • The divers' condition was more consistent with non-freezing cold injury (immersion hand) than DCS.
    • This injury can occur even in water temperatures as mild as 16°C.
    • Successful treatment was achieved, but the underlying cause was misattributed initially.

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    Implications:

    • Divers and medical professionals should consider immersion hand as a differential diagnosis for painful hands in divers.
    • Adequate thermal protection for hands is crucial, especially during extended dives or when insulation is insufficient.
    • Preventive measures, including appropriate handwear, can mitigate the risk of cold-related injuries in diving environments.