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Decompression sickness (DCS; also called divers' disease, the bends, aerobullosis, and caisson disease) is a medical condition caused by dissolved gases emerging from solution as bubbles inside the body tissues during decompression.
Decompression sickness is caused by inert gas bubble formation in supersaturated tissues, barotraumas of decompression are usually caused by rapid decompression where gas spaces are not able to equalise pressure with the surroundings, and ebullism occurs only in cases of decompression to very low ambient pressures.
Decompression sickness occurs during rapid ascent, spanning 20 or more feet (typically from underwater). Decompression sickness may express itself in a variety of ways, including hypoesthesia. Hypoesthesia results because of air bubbles that form in blood, which prevents oxygenation of downstream tissue. [2]
The principal conditions are decompression illness (which covers decompression sickness and arterial gas embolism), nitrogen narcosis, high pressure nervous syndrome, oxygen toxicity, and pulmonary barotrauma (burst lung). Although some of these may occur in other settings, they are of particular concern during diving activities. [1]
Decompression sickness is usually avoidable by following the requirements of decompression tables or algorithms regarding ascent rates and stop times for the specific dive profile, but these do not guarantee safety, and in some cases, unpredictably, there will be decompression sickness.
Gas embolism is a diving disorder experienced by underwater divers who breathe gases at ambient pressure, and can happen in two distinct ways: . Pulmonary barotrauma: Air bubbles can enter the bloodstream as a result of gross trauma to the lining of the lung following a rapid ascent while holding the breath; the air held within the lung expands to the point where the tissues tear (pulmonary ...
The uptake of gas by the tissues is in the dissolved state, and elimination also requires the gas to be dissolved, however a sufficient reduction in ambient pressure may cause bubble formation in the tissues, which can lead to tissue damage and the symptoms known as decompression sickness, and also delays the elimination of the gas. [1]
[1] Also a general term for internal bleeding in a specific organ. Bends: Decompression sickness [2] Referred to the associated musculoskeletal issues of decompression illness. Bilious remitting fever: Dengue fever [3] Used in reference to a 1780 outbreak in Philadelphia. Break-bone fever: Dengue fever [3] Used in reference to a 1780 outbreak ...
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