for Medical Fitness Examinations?*
Why A Medical Exam?
The only real reason for recreational
to have an examination is to "maximize personal in-water safety". Other
reasons possibly include the safety of others, limiting the progression
of diseases (skin diseases), and prevention of long-term sequelae.
reported on 100 fatalities: 25 had known disqualifying factors --9 had
been told not to dive.
Working divers have a need to
progression of natural disease, detect any long-term consequences of
check for other occupational requirements and protect the employers by
ascertaining expected effective performance.
What is Fitness to Dive?
Australia and Malta
BSAC (British Subaqua Club)
- Insist that recreational divers
an exam by
a doctor trained in diving medicine before taking any diving courses.
"Advisory" only. Physicians
associated with hyperbaric
chambers, emergency room doctors and DAN doctor members are usually
about diving medicine and may give opinions and advice.
- Family practitioner assists
out a special
form and suggests referral to a BSAC "medical referee' who charges no
NOAA Fitness to Dive
NOAA Diving Program
Diver Minimum Fitness Requirements
Diving Program Medical Standards
NOAA Diving Programs
Navy Diver Screening
Navy Diving Physical
Fitness to Dive? When?
Medical assessment is enhanced by a
has any diving knowledge or is himself a diver.
- Before training
- After surgery, diving accident,
Medical History and Physical Exams
- The novice diver
- The asthmatic diver
- The diabetic diver
The physically handicapped
The aging diver
After head injury
The diver who has had CAGE or DCS
- Questions to ask the diabetic
- Any changes in insulin
requirement over the past
- Any hypoglycemia in the
- Any hospitalizations in
- Is control well managed?
*Adapted from David Elliott, Medical
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