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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.
Engel chooses to sacrifice himself to save Jones, sharing a story of how his selfishness in the past cost a young boy his life. Though Jones develops bleeding from the mouth due to decompression sickness given his fast ascent, he reaches the surface and is rescued by teams from the Marlborough. After learning that Jones has been rescued and ...
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.
Dysbaric osteonecrosis, also known as aseptic bone necrosis, is generally a longer term effect on the bones and joints of divers caused by decompression bubbles and may occur even if no clinical decompression sickness has been diagnosed. [6] [7]
In decompression theory, the solubility of gases in liquids is of primary importance, as it is the formation of bubbles from these gases that causes decompression sickness. [4] [5] [6] Solubility of gases in liquids is influenced by three main factors: The nature of the solvent liquid and the solute [7]
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]
This can lead to bubble formation and growth, with decompression sickness as a consequence. Partial pressure of oxygen is usually limited to 1.6 bar during in-water decompression for scuba divers, but can be up to 1.9 bar in-water and 2.2 bar in the chamber when using the US Navy tables for surface decompression. [93]
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]