Diving
medicine, also called undersea medicine, is the diagnosis, treatment and
prevention of conditions caused by humans entering the undersea environment. It
includes the effects on the body of pressure on gases, the diagnosis and
treatment of conditions caused by marine hazards and how relationships of a
diver's fitness to dive affect a diver's safety.
Hyperbaric medicine is a corollary field associated with diving, since
recompression in a hyperbaric chamber is used as a treatment for two of the
most significant diving related illnesses, decompression illness and arterial
gas embolism.
Most diving accidents or illnesses are related to the effect of depth/pressure
on gases in the body; examples are decompression sickness, nitrogen narcosis,
oxygen toxicity, arterial gas embolism and CO2 retention. Dysbaric
osteonecrosis is an example of the effects on the bones and joints of bubbles
from decreased pressure in a nitrogen saturated diver.
All divers should be free of conditions and illnesses that would negatively
impact their safety and well-being underwater. The diving medical physician
should be able to identify, treat and advise divers about illnesses and
conditions that would cause them to be at increased risk for a diving accident.
Some reasons why a person should not be allowed to dive are as follows:
Disorders that lead to altered consciousness: conditions that produce reduced
awareness or sedation from medication, drugs, marijuana or alcohol; fainting,
heart problems and seizure activity.
Disorders that inhibit the "natural evolution of Boyle's Law": conditions or
diseases that are associated with air trapping in closed spaces, such as
sinuses, middle ear, lungs and gastrointestinal tract. Severe asthma is an
example.
Disorders that may lead to erratic and irresponsible behavior: included here
would be immaturity, psychiatric disorders, diving while under the influence of
medications, drugs and alcohol or any medical disorder that results in
cognitive defects.
Besides, other Marine hazards in the ocean that can affect divers include
marine life, marine infections, polluted water, ocean currents, waves and
surges and man-made hazards such as boats, fishing lines and underwater
construction. Diving medical personnel need to be able to recognize and treat
accidents from large and small predators and poisonous creatures, appropriately
diagnose and treat marine infections and illnesses from pollution as well as
diverse maladies such as sea sickness, traveler's diarrhea and malaria.