Describe the anatomy and physiology of the eye.

Describe the anatomy and physiology of the eye.

When light energy enters the eye it passes through the Cornea – the tough protective lining of the eye, and then through the Lens which together focus the incoming rays against the Retina – the back of the eye.

If the light energy is strong enough it will cause a light chemical reaction within the Retina generating a nerve signal that passes from the Retina to the Vision centre located at the back of the brain.

The eyes are able to function at very bright levels of light and can also detect very low levels of light – made possible by the Pupil – the variable hole at the front of the eye. There are 2 different types of light receptor within the Retina.

Explain the dangers of flying after diving.

Explain the dangers of flying after diving.

After diving the increased nitrogen solution may have been insufficient to cause decompression sickness, but if further decompression occurs associated with a flight at altitude then decompression sickness may be triggered

Flying makes this alot worse

Describe how decompression sickness can be treated.

Describe how decompression sickness can be treated.

Urgent recompression in a compression chamber

If a diver has to be flown for this treatment, must be flown below 500ft

This type of chamber is called a Hyperbaric chamber 

Explain how decompression sickness can be prevented.

Explain how decompression sickness can be prevented.

  • Avoid prolonged high altitude flight
  • Do not fly after an injury
  • Do not fly after diving
  • Pre-breathing of oxygen 
Diving and FlyingDepth / Time 2 Flight 5 - 10 Metres Wait 12 hours to go flying 10 - 35 Metres Wait 24 hours (1 Day) to go flying 35+ Metres Wait 48 hours (2 Days) to go flying

Describe the symptoms of decompression sickness.

Describe the symptoms of decompression sickness.

  • Pain in the joints
  • Itchiness
  • Numbness
  • Tingling
  • Paralysis
  • Unconsciousness

This blood vessel blockage causes pain and various other symptoms, for example, sometimes similar to those of a stroke (such as sudden weakness on one side of the body, difficulty speaking, or dizziness), or even flu-like symptoms. Nitrogen bubbles also cause inflammation, causing swelling and pain in muscles, joints, and tendons.

Explain the causes of decompression sickness.

Explain the causes of decompression sickness.

Any reduction in pressure / increase in altitude causes nitrogen to come out of solution and form nitrogen gas bubbles

These gas bubbles move about the body and can become lodged in the joints, brain, spinal cord and under the skin

As outside pressure decreases during a climb, the accumulated nitrogen that cannot be exhaled immediately forms bubbles in the blood and tissues. These bubbles may expand and injure tissue, or they may block blood vessels in many organs—either directly or by triggering small blood clots. 

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Define decompression sickness.

Define decompression sickness.

Decompression sickness, sometimes called the bends, occurs due to nitrogen in the bloodstream turning into gas bubbles – causing joint and muscle pains

It is usually as a result of a diver ascending too quickly

Describe how barotrauma can be treated.

Describe how barotrauma can be treated.

Normally the Eustachian tube allows
equalization of this pressure
 (especially
after yawning, swallowing or chewing
gum).

Describe how barotrauma can be prevented.

Describe how barotrauma can be prevented.

Ears/sinuses

Equalise the pressure by clearing the Eustachian tube when pressure is changing

Do not fly with a cold or hay fever

Gut

Do not fly if you haven’t eaten regularly, have eaten gas causing food such as cabbage or fizzy drink

Describe the effects of barotrauma on the various parts of the body.

Describe the effects of barotrauma on the various parts of the body.

Stomach and intestines – abdominal pain caused by ‘wind’ (peptic ulcer / strangulated hernia also reported)

Sinuses – facial pain

Toothache – caused by air trapped in cavities

Ears / blocked Eustachian tube – ear pain / perforation

Lungs – spontaneous pneumothorax (condition when air leaks into the space between the lungs and chest wall)

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This video is an overview of trapped gasses and the causes, treatment and prevention.