Travelers Medical Guide

Page 144

to drop, and unconsciousness can occur without the natural warning sign. To reduce hypoxic blackout risk, snorkelers should not practice hyperventilation. Even in the best circumstances, limit hyperventilation to one or at most two deep breaths before submersion. Water inhalation can occur due to difficulty holding the snorkel in place or due to wave action. Dental issues may also contribute to water inhalation. The sudden inhalation of water can cause coughing, uncontrolled breathing, laryngospasm (an involuntary spasm of the muscles that control the windpipe, or larynx), flooding of the lungs with water, or the development of cardiac arrhythmia — any of which can render a snorkeler unconscious and result in drowning. Being struck by watercraft is not uncommon for snorkelers or swimmers in high-traffic areas. Snorkelers should stay within visibly marked protected areas and pay attention to the boat traffic around them. Strong water movement such as waves or currents can also overcome snorkelers, sweep them out to sea, tow them under the surface or throw them onto rocks. Snorkelers should always seek information about local water conditions and hidden hazards. Novice snorkelers should not swim in remote and unpopulated areas.

S C UBA D I VI N G Diving can be an inspiring and enjoyable recreational activity, but many disorders can afflict divers who don’t take proper precautions. This guide will briefly discuss the two primary conditions — decompression illness and barotrauma — plus a few other concerns. DAN offers numerous publications that cover dive-related disorders in considerable detail; for more information, see DAN.org/health144

medicine/health-resources.


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Glossary

0
pages 185-189

Wounds

1min
page 175

Heart Attack

0
page 172

Headache

1min
page 171

Urinary Tract Infections

1min
page 174

Administering Emergency Oxygen

1min
pages 166-167

Water-Related Injuries

3min
pages 144-146

Boating

2min
pages 153-154

Marine Animal Injuries

7min
pages 156-160

Beachgoing

1min
page 155

Snorkeling

2min
pages 147-148

Scuba Diving

3min
pages 149-152

Other Exposure Concerns

7min
pages 139-143

Altitude Sickness / Acute Mountain Sickness

6min
pages 133-136

Gout

1min
page 118

Hypothermia

9min
pages 126-132

Diabetes

6min
pages 109-112

Heart Disease

6min
pages 119-122

Hemorrhoids

1min
page 117

Heartburn/Reflux (GERD

1min
pages 115-116

Chronic Obstructive Pulmonary Disease

1min
page 108

Cholelithiasis

1min
page 107

Diseases

1min
page 98

Asthma

1min
page 106

Abdominal Wall Hernia

1min
page 105

Hand, Foot and Mouth Disease

1min
page 93

Ebola

1min
page 92

MRSA

2min
pages 94-95

Middle East Respiratory Syndrome (MERS

0
page 96

Other Conditions

11min
pages 76-82

Motor Vehicle Travel

3min
pages 13-15

Boat Travel

3min
pages 16-17

Motion Sickness

5min
pages 49-52

Medical Evacuation

2min
pages 19-20

Jet Lag

2min
pages 47-48

Malaria

3min
pages 74-75

Common Causes of Death Among Travelers

0
page 10

Deep Vein Thrombosis

8min
pages 53-60
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