The Physician’s Guide to Diving Medicine

I The Diving Environment.- A. Introduction.- B. Types of Diving.- C. Natural Diving Environments.- References.- D. Man-Made Diving Environments.- References.- II Physics of Diving and Physical Effects on Divers.- A. Introduction.- B. Pressure.- C. Pathophysiology of Gases Associated With Diving.- D. Gas Laws.- E. Characteristics of Gas.- F. Buoyancy.- G. Energy in Diving.- H. Effects of Changing Pressure on the Diver.- I. Summary.- References.- III Physiology of Diving.- A. Respiration.- References.- B. Immersion Effects.- References.- C. Cardiovascular Effects.- References.- D. High Pressure Nervous Syndrome.- References.- E. Inert Gas Narcosis.- References.- F. Women and Diving.- References.- G. Monitoring of Vital Signs; Doppler Monitoring.- References.- H. Thermal Considerations.- References.- I. Metabolism and Dietary Effects.- References.- J. Hyperbaric Arthralgia.- References.- K. Vestibular and Auditory Function.- References.- L. Vision.- References.- M. Breath-Hold Diving.- References.- IV Decompression Theory.- A. Introduction.- B. Defining the Problem.- C. The Haldane Concepts.- D. Using the Haldane Concepts.- E. Post-Haldane Difficulties.- F. U.S. Navy Initiative.- G. Diffusion vs. Perfusion.- H. Data From Tunnel Workers.- I. Bubble Generation and Growth.- J. Diving Tables Today.- K. General Observations.- References.- V Immediate Medical Evaluation of the Diving Casualty.- A. Introduction.- B. Emergency Care.- C. Diagnosis.- References.- VI Diagnosis and Treatment of Decompression Sickness.- A. General Survey.- References.- B. Inner Ear Decompression Sickness.- References.- C. Neurological Forms of Decompression Sickness.- References.- D. Delay After Decompression Sickness before Diving Again.- VII Diagnosis and Treatment of Gas Embolism.- A. Pulmonary Barotrauma and Arterial Gas Embolism.- B. Pulmonary Barotrauma.- C. Arterial Gas Embolism.- References.- VIII Near-Drowning.- A. Definitions.- B. Modifying Factors.- C. History.- D. Physiological Changes.- E. Treatment.- Case Histories.- References.- IX Diagnosis and Treatment of Other Diving-Related Conditions.- A. The Unconscious Diver.- References.- B. Osteonecrosis.- References.- C. Microbes and the Diver.- References.- D. Ear and Sinuses.- References.- E. Blast.- References.- F. Dangerous Marine Life.- References.- G. Spontaneous Pneumothorax.- References.- X Emergency Treatment While under Pressure.- A. Use of Drugs and Related Substances under Diving Conditions.- References.- B. Anesthesia for Emergency Surgery under High Pressure.- References.- XI Physical and Psychological Examination for Diving.- A. Physical Standards for Diving.- Appendix A.- Appendix B.- Appendix C.- Appendix D.- Appendix E.- References.- B. Psychological Standards for Diving.- References.- XII Stress Physiology and Behavior Underwater.- A. Introduction.- B. Concept of Stress.- C. Stress in Diving.- D. Diving Accidents.- E. Diver Panic.- F. Concluding Remarks.- References.- XIII Safety Considerations.- A. Introduction.- B. The Diver.- C. The Dive.- D. Diving at Altitudes above Sea Level.- E. Flying after Diving.- F. Fire Safety.- G. Electrical Safety.- H. Blast.- I. Drowning.- J. Hazards of Marine Life.- K.Escape and Rescue.- L. Ice Diving.- References.- XIV Equipment and Procedures.- A. Treatment Chambers.- References.- References.- B. Scuba Diving.- References.- C. Surface-Supplied Diving.- D. Deep Diving and Saturation Systems.- References.- XV Diving Accident Investigation.- A. Accident Reporting.- B. Objectives of Diving Accident Investigation.- C. Authority for Investigation and Autopsy.-D. The Autopsy in Diving Accident Investigations.- E. Medical Investigation of Fatal Diving Accidents.- F. Summary.- References.- Appendixes.- Appendix A: Glossary.- Appendix B: Abbreviations and Acronyms.- Appendix C: Pressure Conversion Table.- Author Index.