Dear Bradford:
Surveys
This method is often used not only in diving but also in many aspects of daily life. Opinion polls are often taken to ascertain the feeling of citizens on a myriad of topics.
To be effective, it is necessary that a large sample be obtained (large is a relative term), and that the response be 100% of the sampled population. If anyone declines to answer a question, you do not really know why, and the accuracy of the study is diminished. :anon:
Since person surveys are difficult and expensive, recourse to made to mail-in polls. The typical problem here is the low rate of returned questionnaires. When these are not returned, you do not know why; possibly someone was reluctant to admit to a problem. Possibly they are in denial or possibly timid. With diving situations, many divers simply do not know if they had joint-pain DCS (the bends) if it was very mild. Alternatively, quite possibly, any ache will be attributed to DCS.:doctor:
Diagnosis
Many divers are really quite unsure (about DCS, that is, not about smoking marijuana). To be certain, a test of pressure is necessary. The means a trip in a recompression chamber to confirm the diagnosis, and this is probably not done in most minor cases. Therefore, we are left with major problems.
General this and that
For example, it has been difficult to determine if recent injury plays a role in decompression problems, because frequently someone will bump an arm or elbow on a dive trip. When later asked about a recent injury, divers will generally reply in the affirmative. A prospective test could be done by giving one half of the test subjects a good whack on the knee prior to decompression. I dare say this would not attract many volunteers.
Since the incidence of DCS is very low in recreational scuba, a big survey would be necessary. Were you high when you were down? Say what?
Dr Deco :doctor: