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Scuba diving is inherently dangerous, with safety limits that can take years to define. Additional challenges arise when a diver cannot control their buoyancy. Understanding the conditions under which a diver is injured helps predict diagnosis and treatment strategies for clinical providers. Determining whether barotrauma occurred during ascent or descent is crucial for healthcare personnel to anticipate patient needs effectively. The mechanics and history of buoyancy control provide additional insight for healthcare staff. The treatment strategies described in this activity are most useful for divers and boat operators, but they also apply to remote facilities with limited resources. Specialist consultation with the Diver Alert Network is recommended and is available 24/7. Advanced treatment, such as hyperbaric therapy, may be necessary and is discussed in detail elsewhere.
Staff who conduct regular physical screening examinations for prospective and ongoing scuba divers should consult additional information from the Underwater and Hyperbaric Medical Society and the Diver Alert Network.