Ear infections and ice with the bends?

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Avonthediver

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Location
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I'm a Fish!
Hello I have a dive buddy who has had many ear infections in the past "but not always related with scuba" and has scaring he is under a doctors care for it now.
But we were talking and trying to come up with a way to keep water out while diving other than the muff's we have seen on mask.
My question is could he put in a foam ear plug and be ok?

Next question:
Same buddy and I were talking about the bends and Decompression sickness.
In the movie beneath the 12-mile reef they pack a man in ice after he becomes bent and during his OW Class my buddy's Instructor also told that this is still done today!
And that a few years ago a diver in the town they live in had to be packed in ice till he got to a recompression chamber.
so what does this do as far as slowing down the affect?

I have read a great many papers and online about DCS but have found nothing on this so if someone out their could inlighten me please do.
 
Any ear plug, including foam earplugs, would be pushed into your ear, but only so far. This creates a low pressure space in your outer ear canal that can result in damage to the ear drum from pressure increases in your middle ear as you equalize.

You have two choices available to keep your ears dryer while diving.

Pro Ear mask

Swimming Ear Protection Diving Masks ProEar 2000

Doc's Pro Plugs

Doc's Proplugs: The Doctor's Choice for Ear Protection

The mask is what you describe as having "muffs" on it. I have used this mask for around 100 dives. I really like it and it has eliminated ear issues for me. If you don't like the smallish mask Ist provides, the earcup hoses are held in the mask with threaded fasteners. You can punch small holes in any mask of your choice and move the earcups to the other mask.

Here's an earlier thread I posted pictures of this process in "the equipment of scuba diving" forum, in the "fins, masks and snorkles" section:

http://www.scubaboard.com/forums/fins-masks-snorkels/315937-pro-ear-mask-earcup-transplant.html

I have also used Doc's Pro Plugs. They do seem to help, especially in cold water. They have a small hole in the center of the plug which keeps water out due to surface tension of the water over the small hole. The ear plug flexes into the outer ear canal, maintaining a bubble of air which decreases as depth increases. Water is kept out down to about 20 ft., then there is limited water entry and exchange thereafter. I found them easy to displace if I dragged my mask strap over my ear. The clear plastic models are easy to misplace or lose if you drop them.
 
But we were talking and trying to come up with a way to keep water out while diving other than the muff's we have seen on mask.
My question is could he put in a foam ear plug and be ok?

Your buddy can try the following:

1. Doc's Proplugs: The Doctor's Choice for Ear Protection

I would also recommend that he read the piece "Stoppering the Problem: Do Ear Plugs Work Underwater?" authored by me and compliments of Undercurrent, Oct '09 issue (See below*)

2. Swimming Ear Protection Diving Masks ProEar 2000

I am acquainted with the man who developed the ProEar2000 and he gave me one (I've since given it to another diver). They're kind of silly looking and take a while to master, but used properly typically are very effective in keeping water out of the outer ear.

I know divers with ruptured tympanic membranes and frequent ear infections who use both.

Same buddy and I were talking about the bends and Decompression sickness. In the movie beneath the 12-mile reef they pack a man in ice after he becomes bent and during his OW Class my buddy's Instructor also told that this is still done today! And that a few years ago a diver in the town they live in had to be packed in ice till he got to a recompression chamber. I have read a great many papers and online about DCS but have found nothing on this so if someone out their could inlighten me please do.

That movie is from the early 50's and is fictional. The diver in question went into an uncontrolled ascent to the surface. Of course he could have developed either DCS or AGE, but in any event after being packed in ice he dies anyway.

Packing in ice is not a recommended or wise emergency response while an affected diver is awaiting recompression, no matter how long the delay. Doing so could result in fatal hypothermia. If needed, maintaining the airway, breathing and circulation are the first priorities. Placing the diver on 100% 02, if available, and pushing fluids orally are the next appropriate responses.

On the other hand, after the diver expires from being packed in ice he'll smell better longer.

Best of luck.

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.


* "Stoppering the Problem: Do Ear Plugs Work Underwater?

The question of divers using vented ear plugs to ease equalization and keep water out of their ears is often raised on divers' online message boards. These soft polymer plugs form a tight seal and have a very small hole, or vent, running through them to allow for equalization of the ear. Many responders indicate that the plugs reduce the frequency of external ear canal infections and ease clearing of the ears.

Doc's Proplugs is the manufacturer and distributor of vented ear plugs. It claims that when fitted properly the plugs reduce "ear squeeze caused by inability to equalize between the outer and middle ear” and help "prevent outer ear and inner ear infection, vertigo and thermal reaction.” Its Web site includes a list of undated and unverifiable testimonials.

Only the most minimal medical research has been conducted on these ear plugs. A self-published, undated piece by the "Sardinian Institute of Underwater and Hyperbaric Medicine" evaluated two professional divers with histories of perforated eardrums "who in the summer made constantly 3 dives per day.” After observing one diver for 17 months and the other for three months, no problems with inflammation of the middle ear were noted.

Another study found that in patients involved in various watersports, the use of earplugs substantially reduced surfer's ear/exostosis (benign bony growth in the external ear canal caused by exposure to cold, wet and windy conditions).

If a vented ear plug did lessen the flow of water into the external auditory canal, the expectation is that outer ear infections (swimmer's ear) would be reduced. As regards the claim of prevention of "inner ear infection," this isn't believable. Water does not enter the middle ear space from the outer ear unless the eardrum is ruptured. It doesn't enter the inner ear unless both the eardrum and either the oval or round window are ruptured. And someone with any of these eardrum problems shouldn't be diving.

Decreased water flow also would be expected to reduce temperature-related abnormalities, such as caloric vertigo and surfer's ear.

The claim of easing equalization is difficult to support, as there is no reasonable mechanism of which I am aware to explain how this might occur. Doc's Proplugs' Web site states, "Due to surface tension, the vented plug also reduces abrupt pressure changes from reaching the sensitive eardrum which contributes to easier equalization.” I find this assertion not compelling.

I was unable to find any published reports of harm to the ear from such plugs. Provided the vent in the plug remains unobstructed, these devices appear to pose little danger to the ear. However, if a vent should become clogged, especially upon descent, equalization could become impeded and the eardrum damaged.

As for using such plugs to protect a ruptured eardrum, remember that these devices still do admit a small amount of water. Plus, the diver runs the risk of losing the plug altogether, thus allowing water to freely enter the middle ear space and resulting in pain, disorienting vertigo and possible middle ear infection.

The bottom line? If you're experiencing external ear infections or worried about surfer's ear, vented plugs may be worth the small investment. However, divers with a history of middle-ear congestion or infection are unlikely to benefit from these plugs, and they should refrain from diving until seen by an ear, nose and throat specialist. For those with continuing difficulty in equalizing, experiment with various clearing techniques before trying vented ear plugs. — Doc Vikingo"
 
On the other hand, after the diver expires from being packed in ice he'll smell better longer.

Nearly blew my coffee out my nose :D
 
https://www.shearwater.com/products/perdix-ai/

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