PHYSIOLOGY Flashcards
Neurological DCI with spinal involvement is usually associated with gas bubbles in which area of the body?
Lumber Area
What area of the body is Lumbar?
Lower back (spine)
What area of the body is the Sacral area?
Below lumbar spine (back of pelvic cavity)
What part of the body is your Thoracic area?
Space in your chest (middle section of spine)
What part of your body is the Cervical area?
Neck region of your spinal column
After a pulmonary barotrauma a diver may not return to diving before?
At least 3 months after full recovery
Where in the body is the bone called the Patella?
In the Leg
A diver who surfaces uncontrollably from 36msw must be recompressed to?
18msw (or 60fsw) on O2
Body tissues receive oxygen from?
Capillaries
Which chemical in the blood enables the blood to carry oxygen?
Haemoglobin
Oxygen is used during decompression to?
Improve the elimination of inert gas
The vital capacity of the lungs is?
The greatest volume of air you can breathe in and out of your lungs in a single breath
What is the maximum depth for pure oxygen in a DDC?
18msw (2.8Bar)
While on BIBS a diver complains of; Twitching of facial muscles, dizziness, tunnel vision and difficulty hearing, what is he likely suffering from?
Acute Oxygen Toxicity
During decompression a diver complains of chest pain and difficulty in breathing what are the suffering from?
Pneumothorax
During decompression a diver complains of chest pain and difficulty in breathing what are the suffering from?
Pneumothorax
If the body temp is raised, what will happen to the solubility of gases in the body?
It will decrease
What are the three ways heat can be transferred?
Conduction
Convection
Radiation
A diver loses heat to the surrounding water by means of?
Conduction
Heat loss by creating water currents (by heating the surrounding fluid) is transferred by?
Convection
Heat from the sun is transmitted by?
Radiation
Which heat transfer method is most significant to divers?
Conduction
Body heating must be supplied below what depth?
50msw
Gas heating must be supplied below what depth?
150msw
Which tissue will absorb more gas in a given time?
The brain
What are giveaway symptoms of a neurological DCI
Weakness and fatigue
Air/gas liberated around the heart area is called?
Mediastinal Emphysema
Air or Gas embolism causes a blockage of?
Arterial Circulation
A diver complains of ear pain and vertigo whilst working between 0-15msw, what would you suspect?
Ear drum rupture
AODC recommended maximum PPO2 in diving?
1.6Bar
AODC recommended maximum PPO2 in the chamber?
2.8Bar
What is the likely first sign of CNS O2 toxicity in the DDC?
Quivering Lips
What’s usually the first sign of acute CNS O2 toxicity in the water?
Convulsion
A common sign of pulmonary O2 toxicity is?
Dry cough
During O2 breathing the pulse will?
Fall
When breathing air, nitrogen narcosis will begin around what depth?
30msw
DMAC 07 is?
Recommendations for flying after diving
DMAC 15 is?
Medical equipment to be held at the site of offshore diving operation
DMAC 28 is?
Provisions for equipment for saturation medical emergency
DMAC 31 is?
Accelerated decompression in emergency for saturation
Gas formation in tissues around the neck is called?
Subcutaneous Emphysema
Signs of acute O2 toxicity are likely after three hours of breathing a PPO2 of what?
1.6Bar
Signs of pulmonary O2 toxicity are encounter when the PPO2 over a long period exceeds?
500mb
When the heart stops, how many minutes will it take for brain damage to occur?
4 minutes
Serious DCI symptoms are unlikely to present themselves after a surface interval of how long
12 hours
During normal respiration at rest how much oxygen does the body move per minute?
250ml
During exercise how much oxygen is used by the body in a minute?
1000ml
Therefore 500ml per minute is used for calculations involving a diver as per IMCA D 050
During normal breathing how much gas remains in the dead space?
150ml
How many breaths per minute does the average male take at rest?
12
During tidal breathing how much gas is moved per breath?
500ml
What is tidal volume?
The amount of gas moved during normal resting breathing
What is the total lung capacity? And how much can actually be moved during very deep breathing?
6000ml total lung capacity
But 5000ml vital capacity
What is vital capacity?
The maximum volume of gas moved through the body during very deep breathing
What is the recovery position in first aid?
Lying down on side with leg extended
What is the red pigment in the blood called?
Haemoglobin
Which bloody vessel carries oxygen from the lungs to the heart?
Vein
Which blood vessel carries blood directly to the tissues?
Capillaries
How does oxygen assist decompression?
By blood perfusion
Where is the cochlea found?
Inner ear
Shortly after a diver, the diver complains of pins and needles in his toes and pain around the waist, what is the diagnosis?
Spinal bend
CO2 poisoning commences when the PPCO2 reaches approx?
20mb (2000ppm)
Carbon monoxide poisoning commences when the PPCO reaches approx?
0.02mb
A DCS on board must be reported to?
Offshore Manager or Master of the Vessel
Interstitial Emphysema is gas trapped where?
In the tissue outside of the lungs alveoli
Mediastinal Emphysema is gas trapped where?
The space in the chest between the two lungs
Gas formation in the tissue around the neck is called?
Subcutaneous Emphysema
A Pneumothorax is a collection of gas where?
Outside the lung but within the pleural cavity
The Imominate bone is found where?
Pelvis
When treating for hypothermia by submerging trunk in warm water, what should you look out for during treatment?
Cardiac Arrest
As per DMAC 007, what is the recommended time to wait before flying after an air saturation (more than 4 hours under pressure)?
Flights below 600m after 24hours but all other flights after 48hours
A squeeze occurs in a body cavity that has?
Rigid walls
Joint pain occurring 15 hours after a dive is probably due to?
Joint strain (basically not DCI)
Serious symptoms are unlikely to present themselves after a surface interval of?
12 hours
After a fast ascent, a diver suffers from visual distortion and loss of coordination, what is probably wrong?
Neurological DCI
Unconsciousness will occur when the PPCO2 reaches?
150mb
During a dive the bellman starts to complain of a headache, he is breathing rapidly and sweating, what is most likely wrong with him?
Hypercapnia
After an uncontrolled ascent to the surface, an air diver becomes confused and semi conscious. What is probably wrong with him?
Arterial Gas Embolism
Shortly after a diver, the diver complains of pins and needles in his toes and a pain around his waist, the pain is getting worse, what is your diagnosis?
Progressive Neurological DCI with girdle pain
Following successful treatment for DCI, a diver should not fly over 8000ft for how long?
72 hours for commercial flights if complete resolution after first recompression
In the lungs what is the function of the alveoli?
Gas exchange
If the body temperature is raised then what will happen to the solubility of gasses into the body?
It will decrease
What is a symptom of a static limb bend?
Localised Pain (not neurological)
High frequency hearing loss following a no stop dive would suggest?
Round window rupture
Air/Gas liberated around the heart area is called?
Mediastinal Emphysema
During oxygen breathing the pulse rate will?
Fall
During a surface decompression, a diver eyes are flicking from side to side, what is he likely to be suffering from?
Decompression sickness
Body tissues receive oxygen from?
Capillaries
A diver blows to the surface where he complains of difficulty breathing, chest pain and visual disturbance, what is he likely to be suffering from?
Arterial Gas Embolism
A diver becomes breathless and complains of nausea and tinnitus after 10 mins at 20msw, what could be the cause?
Carbon Monoxide poisoning
During compression, high pressure nervous syndrome (HPNS) can occur in dives in excess of?
100msw
What is the name for the centre of regulation of body heat?
Hypothalamus
Over half of the bloods volume consists of?
Plasma
Decompression sickness symptoms usually present within 30 minutes how often?
50% of cases
85% of the time Decompression sickness symptoms will present in the first?
1 hour
Middle ear barotrauma is caused by?
A blockage between Eustachian tube or outer ear
Immediately following a dive, a diver complains of loss of power and sensation down one side, severe headaches and seems drowsy
What is he suffering from?
Arterial Gas Embolism