Hi tstocum,
Divers Alert Network (DAN) is currently recommending 72 hours between donation and diving, and the Undersea and Hyperbaric Medical Society (UHMS) between at least 48 to 72 hours.
However, I am unable to discern the basis for those recommendations. We all seem to be in agreement that fluid replacement is the critical matter following donation, and if one's intake of liquids is appropriate in quantity and type this should be a non-issue after 24 hours. Continued appropriate fluid intake during a post-donation dive trip should preclude any increased risk of DCS due to dehydration.
This leaves only the red blood cell (RBC) and associated hemoglobin (Hgb) levels. As I understand it, the drop in RBCs from a routine donation is quite small. In my limited appreciation of hematology, it would seem an individual going in with a normal hematocrit and hemoglobin level (which is checked at the time of donation) should at 24 hours post-donation have sufficient oxygen carrying/waste gas removal capacity to engage in reasonably vigorous physical activity without fatigue. If they do not, I am not sure that the replacement of RBCs that occurs within the recommended max 72-hour wait would be sufficient to significantly attenuate the problem.
Obviously the diver should be otherwise physically fit and psychologically up for the activity.
Regards,
DocVikingo
This is educational only and does not constitute or imply a doctor-patient relationship. It is not medical advice to you or any other individual and should not be construed as such.