As DAN Members you know that DAN continuously gathers data on dive injuries. A small, but growing, number of cases reported to DAN involves what was traditionally considered a fairly rare condition.
It’s called
immersion pulmonary edema (IPE), or pulmonary edema of diving. When this occurs, a diver or surface swimmer experiences an accumulation of fluid in the lungs.
The number of IPE cases has increased. Why the increase is unclear. The condition itself is not clearly understood, but since it is occurring more frequently, divers should know about it.
Jax note - maybe the number is not increasing, but the recognition of it and the proper diagnosis of it is increasing.
How does it feel?
Symptoms include shortness of breath or the sensation of not getting enough air while at depth, often after only a few minutes in the water. Typically the symptoms start before ascent.
As divers with this condition ascend, they experience no improvement.
In fact, they usually cough up pink, frothy sputum: Such fluid in the lungs can reduce the amount of oxygen reaching the blood. The diver may have noisy breathing that can be heard without a stethoscope. The condition usually occurs after only a few minutes in the water at a shallow depth, so it is not usually confused with cardiorespiratory decompression sickness (or “chokes”
. Chest pain is usually absent, unless the condition is due to a heart attack. If the diver lacks sufficient amounts of oxygen, he or she may exhibit confusion or loss of consciousness.