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Diving does entail some risk. Not to frighten you, but these risks include decompression sickness (DCS, the "bends"), arterial air embolism, and of course drowning. There are also effects of diving, such as nitrogen narcosis, that can contribute to the cause of these problems. However, careful training and preparation make these events quite rare.

We have attempted to explain some of the risks below; please do not take this as an all inclusive list. We are not physcians, much less diving-specialist physicians. You can also check out Divers' Alert Network (DAN), a non-profit organization which studies diving science, including diving's risks, and (through a for-profit subsidiary) provides specialized insurance for divers. Another good source for diving medicine information is Scuba Doc.

Drowning

As far as fatalities, this is actually the highest risk occurrence, although you usually hear more about DCS. Drowning typically occurrs because of diver panic or because of a diver becoming unconscious due to other, non-diving related health problems. Diver panic can occur because of an out-of-air situation or other emergency. Proper training and the buddy system can go a long way in preventing diver panic and therefore drowning.

You should not dive unless you have a clean bill of health. You should consult a physician with knowledge in diving medicine if you have any cardiac or respiratory conditions, or any other condition that may affect your diving. When you get your dive certification, you will be given a medical checklist. It is very important that you are honest on this list; not all of the items will prevent you from being able to dive, and it's important to discuss any of these with your instructor.

Decompression Sickness

DCS is probably the most commonly talked about diving-related injury. When you breathe compressed air at depth, your body tissues will absorb extra nitrogen. When you resurface, if your tissues have absorbed too much nitrogen, the reduction in pressure can cause that nitrogen to create nitrogen bubbles inside your tissues. This is decompression sickness, or the bends. It causes a lot of pain, and, if untreated, and result in nerve and other tissue damage, and even death.

DCS is mostly preventable by carefully following dive tables and computers, properly acending at a slow rate, and performing the standard safety stop. However, there are a lot of factors that contribute to DCS, including dehydration, physical fitness, amount of sleep, alcohol and other drug use, and stress. It's important that you dive well within the safe limits you learn in your training, and that you take good care of your body to prevent DCS. You should not assume you are immune just because you followed your tables or dive computer. If you begin to exhibit symptoms of DCS, you should take it seriously and get treatment right away.

Arterial Air Embolism

An arterial embolism is a blockage of an artery. This can happen to a diver when bubbles form in an artery on ascent and block the bloodflow. Usually, this is the result of pulminary barotrauma, or damage to the lungs as a result of differences in the ambient pressure and the pressure in the lungs. For example, if a diver holds his or her breath while ascending, the air inside the lungs will expand and can cause serious or even fatal damage to the lungs.

This is rare but preventable through proper training and careful diving.

Nitrogen Narcosis

Nitrogen narcosis is a feeling of drunkeness or giddiness that divers feel at deeper depths, usually around 80-100 feet in saltwater. While not directly damaging, nitrogen narcosis causes temporary reduction in reasoning, decision making, and motor coordination. This can lead to poor decisions by the diver, resulting in DCS or other problems. Nitrogen narcosis is one of the reasons that diving beyond 60 feet requires additional training after your first certification.


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