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Decompression sickness - Controversies and remote management
Germonpré, P.; Taher, A.; Sakr, A.; Thomas, G.; Burman, F.; Marroni, A.; Kot, J.; Tkachenko, Y. (2017). Decompression sickness - Controversies and remote management, in: Balestra, C. et al. The science of diving. Things your instructor never told you. pp. [226-254]
In: Balestra, C.; Germonpré, P. (2017). The science of diving. Things your instructor never told you. Lambert Academic Publishing/Éditions Acrodacrolivres: Villers-la-Ville. ISBN 978-2-512007-36-4. [262] pp., meer
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  • Germonpré, P., meer
  • Taher, A.
  • Sakr, A.
  • Thomas, G.
  • Burman, F.
  • Marroni, A.
  • Kot, J.
  • Tkachenko, Y.
Abstract
    The physiology and pathology of decompression have been studied for over 100 years. The procedures that have been developed for preventing decompression sickness and for its treatment have proven to be relatively effective, even though a large number of individual factors – of which many are not sufficiently understood – seem to play a role. Even if the available decompression procedures seem to “work well” in most circumstances, the reason why sometimes DCS occurs despite having “followed all the rules” is unclear. A considerable number of cases of decompression sickness could be classified as “undeserved”. The unpredictable nature of DCS imposes an obligation of prevention awareness and preparation. Diver- and environment related factors however, make this not always very easy to achieve. This chapter will discuss some of these factors and the possible solutions or work-arounds. While writing and editing this chapter, the authors received comments that not all divers should be considered ignorant, stupid or irresponsible. This was by no means the intention; however, perhaps even the very responsible, experienced and foreseeing diver could in our view gain some new insights from this chapter, as all the situations described herein are drawn from reality. One can never be too prepared for a diving decompression incident, and reading about possible difficulties, mishaps or mistakes made by others can only help improve one’s sense of judgment.
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