"One study (mentioned, but not cited ) on one of the boards did indicate that Doppler-detectable gas bubbles
were released into the blood stream after rewarming, but that this did not provoke decompression
sickness. (Dr. Michael Powell, NASA physiologist, PhD)
Dr. Richard Vann, in the chapter on Mechanisms and Risks of Decompression in Bove's 'Diving Medicine",
p.156, under perfusion effects - describes warm water immersion increasing nitrogen elimination and
decreasing DCS from 90% to 20% in oxygen breathing before altitude decompression. Exercise reduced the
incidence from 63% to 0%. Cold water immersion caused an increased incidence of DCS. The question of
rewarming is entirely different and has different answers when immersing in hot/warm water for the treatment
of hypothermia. Fears of an afterdrop of the core temperature with arrhythmias has been uppermost.
However, Yancey Mebane, in Bove, Diving Medicine , p.211 states that recent studies show that the
hypothermic diver may not experience cooling of the heart when immersed limbs and all in a hot bath. DCS is
not mentioned as an increased risk.
In opposition to the above, heating of the skin is said to cause vasodilation of the skin vasculature with a
shift of blood from the muscles to the skin and a resultant decrease in nitrogen off-gassing (Michael
Powell, PhD - scuba boards, no references cited.
As a matter of fact - I have searched Medline in every way imaginable for references to support the assertion
one way or the other and can not find any support either way.
I may be wrong on this but I can not imagine not taking a warm shower after a cold dive. If heated water
were bad - we most likely would have seen a marked increase in DCS in cold water deep divers who use
heated water in their suits. I suspect that the truth lies somewhere in the middle - as is usually the case.
If any of you know of any studies that back up the assertion that hot tubs or hot showers increase the risks of
a decompression accident - please let me know. "Consensus" reports are good for guidelines - but still are
subjective educated conjecture if not backed up by good RCTs. ."
source =
http://www.scuba-doc.com/apr3002.pdf