Dive Medicals

Should dive medicals be mandatory?

  • Yes

    Votes: 11 14.7%
  • No

    Votes: 64 85.3%

  • Total voters
    75

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Tassi Devil Diver

Contributor
Messages
491
Reaction score
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Location
Tasmania, Australia
# of dives
1000 - 2499
Should dive medicals be mandatory?

Simple question yes or no, though would be interested in your thoughts if no, if yes when should a dive have a medical? prior to a course, every year, 5 or 10 years etc

I think this is a very important discussion the dive industry needs to have, particularly following a recent high profile death.
 
Should dive medicals be mandatory?
We are a nanny state already , all of Australia, that is, and my state of Queensland tops the list.
I have taught diving in most states over the years but only had a dive charter boat in two, and that was enough, and I had enough of the overregulation.
Overregulation, dive cylinders hydro tested every year as one example.
Some overofficious twit might stumble across this site and think it is a good idea, and think "what a good boy am I" , some shiny arse bureaucrat.
You know the rest.

I voted NO.
 
No.
I have a real concern about the ability of a diver to get reliable information from the average good doctor, who is simply out of his league when it comes to diving physiology. Yes, the doc could educate him/herself pretty easily using the template outline that USED to accompany the PADI physical exam form.
But in the fee-for-service U.S. at least, there's zero free time and no financial incentive for the doc to learn what's required, when the chance to use that new information will come so seldom.
And in countries with universal health care, while there's no financial disincentive, their docs are even busier than here. Good luck getting an appointment, and then a second appointment after your doc has taught himself what he needs to know to refer you to a dive medicine specialist (for your third appointment).

Diving is a self-regulated sport, and we need to do everything we can to keep the scuba police away. It's sad when we lose a buddy, but unless that person sought advice about their known medical condition, then it's all on them. And if they did seek advice and followed it, then the incident will quickly head to the courts and involve that doc.

How great is it that we have ScubaBoard, and can pose a "theoretical question" to @Duke Dive Medicine , and get a state-of-the-art generic answer at no charge?! I apologize for using the word "generic". I only mean that DDM, or any ScubaBoard doc, will not give personalized advice over the Internet.

How great is it that you can spend a very reasonable amount to belong to DAN, who will put an experienced dive medicine specialist on the phone with your Emergency Department physician when you're bent?

Much like standardized pre-op lab tests before surgery, when you do the math it's just not cost effective to force a bazillion divers to spend money and time on a rubber stamp approval, when the number of "lives saved" is very tiny. Why do I say "very tiny"? Why do I sound heartless? Because in my personal experience as both a physician and dive instructor, many (if not most) folks with what they think of as mild chronic disease will lie on their form rather than skip a trip or delay training.

If you have a problem and choose not to risk a "No" from a doctor, then what happens is on you.
If you don't know you have a problem, it's hard to find a doctor that can quantify that risk for diving. But you should try, as the rare but continuing incidents remind us.

"One life lost is one too many", is a nice sentiment, but wholly beyond the power of a governmental dictate to cure.

Diving Doc
 
Yes, the doc could educate him/herself pretty easily using the template outline that USED to accompany the PADI physical exam form.
It still does, it is two pdfs now instead of just one.
The current information is here. It is a screening system with two parts: the questionnaire with the doctor's evaluation, and the additional info for the doctor. If a doctor or a diver really wants a good screening, the information is readily available.
For reference, attached is the additional information.
 

Attachments

  • UHMS Diving MEdical Evaluation Additional information.pdf
    240.6 KB · Views: 114
Voted yes.
Not disagreeing with what is said above.
However, something is better than nothing. The primary doc may not know the diving physiology but will know if the guy has epilepsy or poorly controlled asthma or unstable angina…
 
Not disagreeing with you, but would this not have been disclosed on the diver medical form that the member had to fill out to get certified?
I've even been on deep dive boats and overseas where you had to fill out the form.

Now if the guy lies...
 
In the U.K. we used to have mandatory (for BSAC membership) dive medicals from local GPs. However, from our incidents analysis it was discovered that individuals were being given the all clear, when they shouldn’t have passed. And others with conditions like diabetes were being prevented from diving.

We now have annual medical self-certification, where if you answer yes to any question a diving specialist doctor is required to make an assessment. Our biggest challenge is to have sufficient diving specialist doctors to meet the demand.

We now have people diving who wouldn’t have got past their GP, and others who can still dive, but with depth or buddy restrictions.
 
Should dive medicals be mandatory?

Simple question yes or no, though would be interested in your thoughts if no, if yes when should a dive have a medical? prior to a course, every year, 5 or 10 years etc

I think this is a very important discussion the dive industry needs to have, particularly following a recent high profile death.
How do you define a dive medical?

Best regards,
DDM
 
Voted yes.
Not disagreeing with what is said above.
However, something is better than nothing. The primary doc may not know the diving physiology but will know if the guy has epilepsy or poorly controlled asthma or unstable angina…
The diver/potential diver should already know that. I couldn't (maybe others could) have even thought of potentially getting certified if I knew I had epilepsy, asthma, angina, or a myriad of other things.

I know for my required physical, I have a history of anxiety (military related). The program I went through to get certified is to help veterans overcome PTSD, anxiety/panic disorder, and even physical disabilities through diving. My doc was more than thrilled to sign off and said she thinks it's one of the best things I could do.*

*Caveat -- through medication and therapy, my anxiety is controlled. This would not even be on my radar if it was uncontrolled and shouldn't be for anyone.
 
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