Decompression sickness is a medical condition caused by dissolved gases emerging from solution as bubbles inside the body tissues during decompression. DCS most commonly occurs during or soon after a decompression ascent from underwater diving, but can also result from other causes of depressurisation, such as emerging from a caisson, decompression from saturation, flying in an unpressurised aircraft at high altitude, and extravehicular activity from spacecraft. DCS and arterial gas embolism are collectively referred to as decompression illness.
Freediving, free-diving, free diving, breath-hold diving, or skin diving is a form of underwater diving that relies on breath-holding until resurfacing rather than the use of breathing apparatus such as scuba gear.
Altitude diving is underwater diving using scuba or surface supplied diving equipment where the surface is 300 metres (980 ft) or more above sea level. Altitude is significant in diving because it affects the decompression requirement for a dive, so that the stop depths and decompression times used for dives at altitude are different from those used for the same dive profile at sea level. The U.S. Navy tables recommend that no alteration be made for dives at altitudes lower than 91 metres (299 ft) and for dives between 91 and 300 meters correction is required for dives deeper than 44 metres (144 ft) of sea water. Most recently manufactured decompression computers can automatically compensate for altitude.
A breathing gas is a mixture of gaseous chemical elements and compounds used for respiration. Air is the most common and only natural breathing gas, but other mixtures of gases, or pure oxygen, are also used in breathing equipment and enclosed habitats such as scuba equipment, surface supplied diving equipment, recompression chambers, high-altitude mountaineering, high-flying aircraft, submarines, space suits, spacecraft, medical life support and first aid equipment, and anaesthetic machines.
Dysbaric osteonecrosis or DON is a form of avascular necrosis where there is death of a portion of the bone that is thought to be caused by nitrogen embolism in divers. Although the definitive pathologic process is poorly understood, there are several hypotheses:
Diving disorders, or diving related medical conditions, are conditions associated with underwater diving, and include both conditions unique to underwater diving, and those that also occur during other activities. This second group further divides into conditions caused by exposure to ambient pressures significantly different from surface atmospheric pressure, and a range of conditions caused by general environment and equipment associated with diving activities.
Diving Science and Technology is a corporate affiliate of the Professional Association of Diving Instructors (PADI) and the developer of the Recreational Dive Planner. DSAT has held scientific workshops for diver safety and education.
The Bühlmann decompression algorithm is a mathematical model (algorithm) of the way in which inert gases enter and leave the human body as the ambient pressure changes. Versions are used to create Bühlmann decompression tables and in personal dive computers to compute no-decompression limits and decompression schedules for dives in real-time. These decompression tables allow divers to plan the depth and duration for dives and the required decompression stops.
Rubicon Foundation, Inc. is a non-profit organization devoted to contributing to the interdependent dynamic between research, exploration, science and education. The foundation, started in 2002, is located in Durham, North Carolina and is primarily supported by donations and grants. Funding has included the Office of Naval Research from 2008 to 2010. Gibson, Dunn & Crutcher has provided pro bono services to assist in copyright searches and support.
The Undersea and Hyperbaric Medical Society (UHMS) is an organization based in the US which supports research on matters of hyperbaric medicine and physiology, and provides a certificate of added qualification for physicians with an unrestricted license to practice medicine and for limited licensed practitioners, at the completion of the Program for Advanced Training in Hyperbaric Medicine. They support an extensive library and are a primary source of information for diving and hyperbaric medicine physiology worldwide.
Capt. Edward Deforest Thalmann, USN (ret.) was an American hyperbaric medicine specialist who was principally responsible for developing the current United States Navy dive tables for mixed-gas diving, which are based on his eponymous Thalmann Algorithm (VVAL18). At the time of his death, Thalmann was serving as assistant medical director of the Divers Alert Network (DAN) and an assistant clinical professor in anesthesiology at Duke University's Center for Hyperbaric Medicine and Environmental Physiology.
The Thalmann Algorithm is a deterministic decompression model originally designed in 1980 to produce a decompression schedule for divers using the US Navy Mk15 rebreather. It was developed by Capt. Edward D. Thalmann, MD, USN, who did research into decompression theory at the Naval Medical Research Institute, Navy Experimental Diving Unit, State University of New York at Buffalo, and Duke University. The algorithm forms the basis for the current US Navy mixed gas and standard air dive tables. The decompression model is also referred to as the Linear–Exponential model or the Exponential–Linear model.
The United States Navy Experimental Diving Unit is the primary source of diving and hyperbaric operational guidance for the US Navy. It is located within the Naval Support Activity Panama City in Panama City Beach, Bay County, Florida.
Hydrox, a gas mixture of hydrogen and oxygen, was used as a breathing gas in very deep diving. It allows divers to descend several hundred metres.
Professor Albert Alois Bühlmann was a Swiss physician who was principally responsible for a number of important contributions to decompression science at the Laboratory of Hyperbaric Physiology at the University Hospital in Zürich, Switzerland. His impact on diving ranged from complex commercial and military diving to the occasional recreational diver. He is held in high regard for his professional ethics and attention to his research subjects.
The decompression of a diver is the reduction in ambient pressure experienced during ascent from depth. It is also the process of elimination of dissolved inert gases from the diver's body, which occurs during the ascent, largely during pauses in the ascent known as decompression stops, and after surfacing, until the gas concentrations reach equilibrium. Divers breathing gas at ambient pressure need to ascend at a rate determined by their exposure to pressure and the breathing gas in use. A diver who only breathes gas at atmospheric pressure when free-diving or snorkelling will not usually need to decompress, Divers using an atmospheric diving suit do not need to decompress as they are never exposed to high ambient pressure.
Neal Pollock is a Canadian academic and diver. Born in Edmonton, Canada he completed a bachelor's degree in zoology; the first three years at University of Alberta and the final year at the University of British Columbia. After completing a master's degree he then served as diving officer at University of British Columbia for almost five years. He then moved to Florida and completed a doctorate in exercise physiology/environmental physiology at Florida State University.
Human physiology of underwater diving is the physiological influences of the underwater environment on the human diver, and adaptations to operating underwater, both during breath-hold dives and while breathing at ambient pressure from a suitable breathing gas supply. It, therefore, includes the range of physiological effects generally limited to human ambient pressure divers either freediving or using underwater breathing apparatus. Several factors influence the diver, including immersion, exposure to the water, the limitations of breath-hold endurance, variations in ambient pressure, the effects of breathing gases at raised ambient pressure, effects caused by the use of breathing apparatus, and sensory impairment. All of these may affect diver performance and safety.
