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KOROR STATE GOVERNMENT MARINE TOUR GUIDE ... - C3

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Unfamiliar, Misuse of and lack of equipment – 15% of all dive accidents are caused<br />

because the diver had no watch! If you have equipment that you do not know how to<br />

use it can be a hazard.<br />

Over-equipped – If your hands are not free and you have heavy equipment, it is difficult<br />

to hold on and move around.<br />

Tip: Advise divers against the use of heavy camera equipment when conditions are not<br />

optimal<br />

Information Source: The Environment, Inc. 1994 Tour Guide Handbook.<br />

6.2 Diving Ailments<br />

This section is designed to act as a source of reference for common problems<br />

and injuries that may occur on a typical dive. ALL DIVE MASTERS AND <strong>TOUR</strong><br />

<strong>GUIDE</strong>S SHOULD BE CERTIFIED IN FIRST AID AND CPR EACH YEAR!<br />

Training is available at the Palau Red Cross Society. You need to be certified<br />

by a qualified instructor in order to practice and administer first aid and CPR<br />

properly.<br />

Decompression Illness<br />

Decompression Illness (DCI) is a term, which encompasses decompression sickness<br />

and arterial gas embolism. This term is often used because the manifestations and<br />

management of the two disorders are often identical and because of the difficulty in<br />

distinguishing between them.<br />

Decompression illness is caused by the presence of gas bubbles in our bodies. The<br />

bubbles may have entered the bloodstream as a result of breath holding or inadequate<br />

exhalation on ascent; or trapping of air in the lungs due to asthma, mucus, water<br />

inhalation, laryngospasm, cough, or cold. On the other hand, the bubbles could be<br />

excess nitrogen (or another inert gas), formed in the blood or body tissues as a result of<br />

inadequate decompression after a dive. DCI can and does occur on dives that are well<br />

within the no-stop limits of various dive tables, and on dives conducted in accordance<br />

with various dive computers.<br />

The following factors may increase a diver’s likelihood of getting decompression illness<br />

even if the tables/computers are followed correctly:<br />

• Repetitive diving (especially multiday repetitive diving)<br />

• Deeper diving (deeper than 80ft/24m)<br />

• Rapid or multiple ascents<br />

• Exercise before, during or after the dive<br />

• Flying after diving<br />

• Dehydration (seasickness, alcohol, diving in the tropics)<br />

• Obesity<br />

• Fatigue, lack of fitness, illness, stress, previous injury, heart defects<br />

• Being cold<br />

• Age – risk may increase with age<br />

98

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