期刊论文详细信息
Annals of Occupational and Environmental Medicine
Underwater and Hyperbaric Medicine as a Branch of Occupational and Environmental Medicine
Young Il Lee1  Byeong Jin Ye2 
[1] Boryeong public health center, 234, Boryeongnam-ro, Nampo-myeon, Boryeong-si, Chungcheongnam-do 355-882, South Korea
[2] Department of Occupational & Environmental Medicine, College of Medicine, Kosin University, 34-1 Amnam-dong, Seo-gu, Busan 602-702, South Korea
关键词: Fitness for diving;    Toxicity of diving gases;    Decompression illness;    Barotrauma;    Occupational and environmental medicine;    Underwater and hyperbaric medicine;   
Others  :  790700
DOI  :  10.1186/2052-4374-25-39
 received in 2013-07-25, accepted in 2013-12-11,  发布年份 2013
PDF
【 摘 要 】

Exposure to the underwater environment for occupational or recreational purposes is increasing. As estimated, there are around 7 million divers active worldwide and 300,000 more divers in Korea. The underwater and hyperbaric environment presents a number of risks to the diver. Injuries from these hazards include barotrauma, decompression sickness, toxic effects of hyperbaric gases, drowning, hypothermia, and dangerous marine animals. For these reasons, primary care physicians should understand diving related injuries and assessment of fitness to dive. However, most Korean physicians are unfamiliar with underwater and hyperbaric medicine (UHM) in spite of scientific and practical values.

From occupational and environmental medicine (OEM) specialist’s perspective, we believe that UHM should be a branch of OEM because OEM is an area of medicine that deals with injuries caused by physical and biological hazards, clinical toxicology, occupational diseases, and assessment of fitness to work. To extend our knowledge about UHM, this article will review and update on UHM including barotrauma, decompression illness, toxicity of diving gases and fitness for diving.

【 授权许可】

   
2013 Lee and Ye; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20140705002822764.pdf 496KB PDF download
Figure 2. 39KB Image download
Figure 1. 62KB Image download
【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】
  • [1]Kim BG, Choi BS, Kim EA, Lee JO: The investigation for the number of the professional divers and the condition of their health related to diving practices in Korea. Incheon, Korea: OSHRI, Korea Occupational Safety and Health Agency; 2005:13-68. Korean
  • [2]Sakong J, Yoon SK, Lee KS, Hwang TY, Lee SW: Incidence, prevalence, and prevention of diving related disease of diving fisherman and breath-hold divers in Korea. Seoul, Korea: Ministry of Maritime Affairs & Fisheries; 2006:27. Korean
  • [3]Park SK, Oh JW: An introduction to diving medicine and decompression Sickness. J Korean Med Assoc 2012, 55:659-665. Korean
  • [4]Lynch JH, Bove AA: Diving medicine: a review of current evidence. J Am Board Fam Med 2009, 22:399-407.
  • [5]Newton HB: Neurologic complications of scuba diving. Am Fam Physician 2001, 63:2211-2218.
  • [6]Marieb EN, Katja H: Human Anatomy and Physiology. 8th edition. San Francisco: Benjamin Cummings; 2009:824.
  • [7]Carl E, Bart M, Robert T, John P: Diving medicine for scuba divers. 5th edition. New York: Aqua Quest Pub; 2013:11-29.
  • [8]Eckenhoff RG, Olstad CS, Carrod G: Human dose–response relationship for decompression and endogenous bubble formation. J Appl Physiol 1990, 69:914-918.
  • [9]Becker GD, Parell GJ: Barotrauma of the ears and sinuses after scuba diving. Eur Arch Otorhinolaryngol 2001, 258:159-163.
  • [10]Carl E, Bart M, Robert T, John P: Diving medicine for scuba divers. 5th edition. New York: Aqua Quest Pub; 2013:95-107.
  • [11]Segev Y, Landsberg R, Fliss DM: MR imaging appearance of frontal sinus barotrauma. Am J Neuroradiol 2003, 24:346-347.
  • [12]Levett DZ, Millar IL: Bubble trouble: a review of diving physiology and disease. Postgrad Med J 2008, 84:571-578.
  • [13]Vann RD, Moon RE, Freiberger JJ: Decompression illness diagnosis and decompression study design. Aviat Space Environ Med 2008, 79:797-798.
  • [14]Kim KJ: Diving and hyperbaric medicine. Korean J Anesthesiol 2008, 54:479-485. Korean
  • [15]Richard DV, Frank KB, Simon JM, Richard EM: Decompression illness. Lancet 2010, 377:153-164.
  • [16]Weiss LD, Van Meter KW: Cerebral air embolism in asthmatic scuba divers in a swimming pool. Chest 1995, 107:1653-1654.
  • [17]Mellem H, Emhjellen S, Horgen O: Pulmonary barotrauma and arterial gas embolism caused by an emphysematous bulla in a SCUBA diver. Aviat Space Environ Med 1990, 61:559-562.
  • [18]Bove AA: Medical aspects of sport diving. Med Sci Sports Exerc 1996, 28:591-595.
  • [19]Van Liew HD, Flynn ET: Direct ascent from air and N2-O2 saturation dives in humans: DCS risk and evidence of a threshold. Undersea Hyperb Med 2005, 32:409-419.
  • [20]Carl E, Bart M, Robert T, John P: Diving medicine for scuba divers. 5th edition. New York: Aqua Quest Pub; 2013:150-151.
  • [21]Tom SN: Arterial gas embolism and decompression sickness. Physiology 2002, 17:77-81.
  • [22]Mitchell SJ, Doolette DJ: Selective vulnerability of the inner ear to decompression sickness in divers with right-to-left shunt: the role of tissue gas supersaturation. J Appl Physiol 2009, 106:298-301.
  • [23]Command USNSS: US Navy diving manual. 6th rev. Vol. 5. Diving medicine and recompression chamber operations. Washington, DC: Aqua Press; 2008.
  • [24]Francis TJ, Mitchell SJ: Pathophysiology of decompression sickness. In Diving medicine. 4th edition. Edited by Bove AA, Davis JC. Philadelphia: Elsevier Saunders Pub; 2004:175.
  • [25]Tetzlaff K, Shank ES, Muth CM: Evaluation and management of decompression illness - an intensivist’s perspective. Intensive Care Med 2003, 29:2128-2136.
  • [26]Boussuges A, Blanc P, Molenat F, Bergmann E, Sainty JM: Haemoconcentration in neurological decompression illness. Int J Sports Med 1996, 17:351-355.
  • [27]Zwirewich CV, Müller NL, Abboud RT, Lepawsky M: Noncardiogenic pulmonary edema caused by decompression sickness: rapid resolution following hyperbaric therapy. Radiology 1987, 163:81-82.
  • [28]Benson J, Adkinson C, Collier R: Hyperbaric oxygen therapy of iatrogenic cerebral arterial gas embolism. Undersea Hyperb Med 2003, 30:117-126.
  • [29]Gempp E, Blatteau JE, Stephant E, Pontier JM, Constantin P, Peny C: MRI findings and clinical outcome in 45 divers with spinal cord decompression sickness. Aviat Space Environ Med 2008, 79:1112-1116.
  • [30]Dunford RG, Vann RD, Gerth WA, Pieper CF, Huggins K, Wacholtz C, Bennett PB: The incidence of venous gas emboli in recreational diving. Undersea Hyperb Med 2002, 29:247-259.
  • [31]Leitch DR, Green RD: Pulmonary barotrauma in divers and the treatment of cerebral arterial gas embolism. Aviat Space Environ Med 1986, 57:931-938.
  • [32]Moon RE, Sheffield PJ: Guidelines for treatment of decompression illness. Aviat Space Environ Med 1997, 68:234-243.
  • [33]Balldin UI: Effects of ambient temperature and body position on tissue nitrogen elimination in man. Aerosp Med 1973, 44:365-370.
  • [34]Muth CM, Shank ES: Gas embolism. N Engl J Med 2000, 342:476-482.
  • [35]Drummond JC, Moore SS: The influence of dextrose administration on neurological outcome after temporary spinal cord ischemia in the rabbit. Anesthesiology 1989, 70:64-70.
  • [36]Zornow MH, Scheller MS, Todd MM, Moore SS: Acute cerebral effects of isotonic crystalloid and colloid solutions following cryogenic brain injury in the rabbit. Anesthesiology 1988, 69:180-184.
  • [37]Helps SC, Gorman DF: Air embolism of the brain in rabbits pretreated with mechlorethamine. Stroke 1991, 22:351-354.
  • [38]Steigleman A, Butler F, Chhoeu A, O’Malley T, Bower E, Giebner S: Optic neuropathy following an altitude exposure. Aviat Space Environ Med 2003, 74:985-989.
  • [39]Bennett M, Mitchell S, Dominguez A: Adjunctive treatment of decompression illness with a non-steroidal anti-inflammatory drug tenoxicam. Undersea Hyperb Med 2003, 30:195-205.
  • [40]Talpalar AE, Grossman Y: CNS manifestations of HPNS. Undersea Hyperb Med 2006, 33:205-210.
  • [41]Bennett PB: Inert gas narcosis and high-pressure nervous syndrome. In Diving medicine. 4th edition. Edited by Bove AA, Davis JC. Philadelphia: Elsevier Saunders Pub; 2004:231-232.
  • [42]Clark JM, Thom SR: Toxicity of oxygen, carbon dioxide, and carbon monoxide. In Diving medicine. 4th edition. Edited by Bove AA, Davis JC. Philadelphia: Elsevier Saunders Pub; 2004:241.
  • [43]Bitterman H: Bench-to-bedside review: oxygen as a drug. Crit Care 2009, 13:205. BioMed Central Full Text
  • [44]Clark JM, Lambertsen CJ, Gelfand ND, Pisarello JB, Rossman MD, Elias JA: Effects of prolonged oxygen exposure at 1.5, 2.0, or 2.5 ATA on pulmonary function in men (Predictive Studies V). J Appl Physiol 1999, 86:243-259.
  • [45]Clark JM, Thom SR: Toxicity of oxygen, carbon dioxide, and carbon monoxide. In Diving medicine. 4th edition. Edited by Bove AA, Davis JC. Philadelphia: Elsevier Saunders Pub; 2004:242.
  • [46]Millar IL, Mouldey PG: Compressed breathing air–the potential for evil from within. Diving Hyperbaric Med 2008, 38:145-148.
  • [47]Kenney IJ, Sonksen C: Dysbaric osteonecrosis in recreational divers: a study using magnetic resonance imaging. Undersea Hyperb Med 2010, 37(5):281-288.
  • [48]Cimsit M, Ilgezdi S, Cimsit C, Uzun G: Dysbaric osteonecrosis in experienced dive masters and instructors. Aviat Space Environ Med 2007, 78(12):1150-1154.
  • [49]Dennis NW, David HE: Aseptic necrosis of bone. In Diving medicine. 4th edition. Edited by Bove AA, Davis JC. Philadelphia: Elsevier Saunders Pub; 2004:428.
  • [50]Examples of conditions which may restrict or limit exposure to hyperbaric conditions [https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10140 webcite]
  • [51]Fitness to dive standard http://www.edtc.org/Documents.htm webcite
  • [52]Leach RM, Rees PJ, Wilmshurst P: Hyperbaric oxygen therapy. BMJ 1998, 317:1140-1143.
  文献评价指标  
  下载次数:24次 浏览次数:22次