Alert Diver 2021 Special Edition (DAN World Edition)

Page 78

RESEARCH

STEPHEN FRINK

MATTERS OF THE HEART AGING, WELLNESS AND FITNESS TO DIVE B Y

P E TA R

“Feelings of wellness do not necessarily coincide with physical fitness. People who do not do regular, vigorous exercise may discover their limitations in the face of a challenge — only when it is too late.” 82 |

2021 SPECIAL EDITION

D E N O B LE,

M . D . ,

D . S C .

THE AGING OF THE DIVE POPULATION and an increased rate of cardiacrelated deaths with age in scuba divers are becoming important concerns to the dive community. In a favorable environment, scuba diving is a leisurely physical activity that many people choose for their lifetime or late-life recreation. Age is not considered a disease or a condition that necessarily disqualifies people from diving or any other physical activities, but it is associated with a decrease in functional capacity and an increased prevalence of chronic diseases. Criteria for medical fitness to dive have been defined and used with confidence for more than half a century. When it comes to physical fitness requirements for scuba diving, however, there is no consensus; divers are generally advised to evaluate the diving environment before each dive and avoid strenuous conditions that may exceed their physical capabilities. This approach seems to work for most divers except those who become victims of dive fatalities. Older divers are at greater risk of fatal


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Checklists: Keys to Safer Diving?

5min
pages 92-93

Immersion Pulmonary Edema

8min
pages 94-98

PFO and Decompression Illness in Recreational Divers

12min
pages 88-91

Matters of the Heart: Aging, Wellness and Fitness to Dive

12min
pages 78-82

Delay to Recompression

8min
pages 83-85

Timing Exercise and Diving

3min
pages 86-87

RESEARCH

0
page 77

When Things Go Wrong: Emergency Action Plans

2min
page 76

The Social Psychology of Safe Diving

5min
pages 74-75

What Drowning Really Looks Like

5min
pages 70-71

Dive Boat Fire Safety

5min
pages 72-73

Freediving Safety

8min
pages 66-69

You’ll Be OK

5min
pages 64-65

Experience and Risk

6min
pages 62-63

Invisible Crystals

6min
pages 60-61

Preventing Breathing-Gas Contamination

4min
pages 58-59

Choosing Safety

5min
pages 56-57

Survive Your Dive: A U.S. Coast Guard Perspective

4min
pages 54-55

SAFETY SERVICES

0
page 53

DCS in Cozumel

5min
pages 50-51

Reduce Your Liability Risk

3min
page 52

Divers Losing Access to Emergency Care

10min
pages 46-49

Professional Liability: Not Just for Pros

9min
pages 42-45

Touch and Go in Tonga

5min
pages 40-41

Timeline of an Emergency Call

6min
pages 38-39

More Than Just Bubbles: Are We Too Concerned About DCS?

5min
pages 36-37

Pneumonia in Germany

0
page 35

MEMBERSHIP AND INSURANCE

3min
page 31

A Culture of Dive Safety

10min
pages 32-34

Uncertainty After Diving: Case Reports and Recommendations

9min
pages 28-30

Back to Basics: Understanding Decompression Illness

7min
pages 14-17

Lionfish Stings

4min
pages 12-13

Children and Diving: What Are the Real Concerns?

13min
pages 24-27

Perspectives

3min
pages 2-4

Women’s Health and Diving

9min
pages 18-21

Marine Envenomations: Jellyfish and Hydroid Stings

2min
pages 22-23

MEDICAL SERVICES

1min
page 5

Stacking the Deck: Applying Lessons Learned to Dive Safety Basics

8min
pages 6-11
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