{"title":"Crossings: Dr. Peter Bennett and Dr. Claes Lundgren","authors":"","doi":"10.22462/07.08.2022.13","DOIUrl":"https://doi.org/10.22462/07.08.2022.13","url":null,"abstract":"We said farewell and thank you to two giants in dive medicine this year: Dr. Peter Bennett and Dr. Claes Lundgren. They leave the proverbial big shoes for us to fill – and a wealth of good works and fond memories.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"56 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88364111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter: Vein discoloration after administration of hydroxocobalamin","authors":"L. Weaver, K. Deru","doi":"10.22462/03.04.2022.9","DOIUrl":"https://doi.org/10.22462/03.04.2022.9","url":null,"abstract":"","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"15 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87468188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ASM 2022 Abstracts Part II","authors":"","doi":"10.22462/03.04.2022.10","DOIUrl":"https://doi.org/10.22462/03.04.2022.10","url":null,"abstract":"","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"77 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90935548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter: Consideration of the numerous etiologies of carbon monoxide exposures","authors":"D. Covington, Richa Wardhan, C. Giordano","doi":"10.22462/07.08.2021.12","DOIUrl":"https://doi.org/10.22462/07.08.2021.12","url":null,"abstract":"","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"31 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85366595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Swim performance with and without snorkel and the underlying energetic differences","authors":"N. Schellart","doi":"10.22462/07.08.2021.1","DOIUrl":"https://doi.org/10.22462/07.08.2021.1","url":null,"abstract":"Swimming requires frequent lifting and rotating of the head to inhale. A snorkeler saves energy by avoiding this maneuver, but the snorkel adds breathing work due to air flow resistance. The needed power of these head movements has never been examined, although the extra power of breathing through a snorkel was studied recently. This study aimed: 1) to model the work of vertically lifting and rotating in comparison with the breathing work added by a snorkel; 2) to compare heart rate (HR) and velocity (v) while swimming under both conditions; 3) to evaluate the results for surface-swimming divers. Presumably the power when using a snorkel is less, and the difference in power predicts the difference in swimming velocity. Kinematics of head lifting and rotation, and the difference between the hydrodynamics were modeled. A swim test lasting 12 minutes at maximum speed (Cooper swim test) was performed in a pool by nine recreational divers in the front crawl style, with face mask but without fins. All subjects performed the test both with and without snorkel. The average velocity with a snorkel, 0.72±0.09 m∙s-1, was 4.4±3.9% higher than without (p=0.008), but HR (144±16 bpm) showed no difference (0.8±3.4%). The model based on our subjects’ performance showed that 7.5% of the total power is spent in the inhaling maneuver while crawling and 2.7% while snorkeling. Theoretically this would allow the snorkeler to swim 5.2% faster. It is concluded that snorkeling is energetically advantageous as well as for divers swimming on the surface.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"9 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89135231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hayden W. Hess, Courtney E. Wheelock, Erika St. James, Jocelyn L Stooks, B. Clemency, D. Hostler
{"title":"Variability in venous gas emboli following the same dive at 3,658 meters","authors":"Hayden W. Hess, Courtney E. Wheelock, Erika St. James, Jocelyn L Stooks, B. Clemency, D. Hostler","doi":"10.22462/07.08.2021.11","DOIUrl":"https://doi.org/10.22462/07.08.2021.11","url":null,"abstract":"Exposure to a reduction in ambient pressure such as in high-altitude climbing, flying in aircrafts, and decompression from underwater diving results in circulating vascular gas bubbles (i.e., venous gas emboli [VGE]). Incidence and severity of VGE, in part, can objectively quantify decompression stress and risk of decompression sickness (DCS) which is typically mitigated by adherence to decompression schedules. However, dives conducted at altitude challenge recommendations for decompression schedules which are limited to exposures of 10,000 feet in the U.S. Navy Diving Manual (Rev. 7). Therefore, in an ancillary analysis within a larger study, we assessed the evolution of VGE for two hours post-dive using echocardiography following simulated altitude dives at 12,000 feet. Ten divers completed two dives to 66 fsw (equivalent to 110 fsw at sea level by the cross correction method) for 30 minutes in a hyperbaric chamber. All dives were completed following a 60-minute exposure at 12,000 feet. Following the dive, the chamber was decompressed back to altitude for two hours. Echocardiograph measurements were performed every 20 minutes post-dive. Bubbles were counted and graded using the Germonpré and Eftedal and Brubakk method, respectively. No diver presented with symptoms of DCS following the dive or two hours post-dive at altitude. Despite inter- and intra-diver variability of VGE grade following the dives, the majority (11/20 dives) presented a peak VGE Grade 0, three VGE Grade 1, one VGE Grade 2, four VGE Grade 3, and one VGE Grade 4. Using the cross correction method for a 66-fsw dive at 12,000 feet of altitude resulted in a relatively low decompression stress and no cases of DCS.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"119 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89979252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Response: Consideration of the numerous etiologies of carbon monoxide exposures","authors":"N. Hampson","doi":"10.22462/07.08.2021.13","DOIUrl":"https://doi.org/10.22462/07.08.2021.13","url":null,"abstract":"","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"35 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87399844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ten-year Spanish cohort of diving-related injuries in a non-hyperbaric tertiary hospital on the Spanish Mediterranean coast","authors":"V. Garcia-Bustos, M. D. Cabañero-Navalón","doi":"10.22462/07.08.2021.2","DOIUrl":"https://doi.org/10.22462/07.08.2021.2","url":null,"abstract":"Introduction: Global evidence on the epidemiology of prevalent diving-related injuries (DRI) different from decompression sickness (DCS) and other fatalities is lacking. This study aimed to perform a comprehensive review of DRIs in the year-period between 2010-2020 in a non-hyperbaric tertiary hospital in the Spanish Mediterranean coast, in addition to identifying patient risk factors for severe middle ear barotrauma. Methods: The study was conducted via a retrospective review of medical records during a 10-year period (2010- 2020) at the University and Polytechnic Hospital La Fe (UPHLF) of Valencia. We performed a case-control study recruiting controls through an online survey to identify independent predictors for severe middle ear barotrauma. Results: A total of 68 patients with DRI attended the emergency department of our tertiary referral hospital. Barotrauma accounted for more than 80% of DRI, followed by unrecognized DCS and animal-related injuries. Most patients required neither hospital admission nor surgery; appropriate treatment could be carried out largely on an outpatient basis. The presence of subsequent sequelae was minimal. Previous presence of significant ear, nose and throat (ENT) comorbidities (OR 3.05 – CI 95% 1.11 – 8.35), and older age (OR of younger age 0.94 – CI 95% 0.91 – 0.98) were identified as independent risk factors for severe middle ear barotrauma, with an acceptable discrimination capacity (AUC 0.793, 95% CI 0.71 – 0.87). Conclusions: The incidence of DRI may be higher than previously thought, and the need to know their epidemiology, their associated morbidity, and the deficiencies of the diving management system is becoming steadily important in order to develop prevention, diagnostic and therapeutic protocols in non-hyperbaric hospitals of these regions.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"57 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79617367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}