{"id":5520,"date":"2019-07-03T13:25:40","date_gmt":"2019-07-03T13:25:40","guid":{"rendered":"https:\/\/www.kooxdiving.com\/en\/?p=5520"},"modified":"2019-07-03T14:02:17","modified_gmt":"2019-07-03T14:02:17","slug":"what-are-the-bends-in-scuba-diving","status":"publish","type":"post","link":"https:\/\/www.kooxdiving.com\/en\/what-are-the-bends-in-scuba-diving\/","title":{"rendered":"What are the bends in scuba diving?"},"content":{"rendered":"
The bends \u2013 more properly known as decompression sickness \u2013 are something you need to be very aware of when scuba diving.<\/p>\n
If you dive deep, if you dive for a long time or you come back up too fast, well…<\/p>\n
That’s when decompression sickness can be a serious danger. In fact, in extreme cases, it can kill you.<\/p>\n
But don’t worry:<\/p>\n
In this article, you will learn all about decompression sickness, the symptoms of the bends and how to avoid them.<\/p>\n
Decompression sickness (DCS) or \u201cthe bends\u201d is also called Caisson disease.<\/p>\n
It is caused when bubbles of gas (most commonly nitrogen) form in the body tissues due to changes of pressure which occur during scuba dives (or aerospace or high altitude events when the participants experience quick changes of pressure from sea level).<\/p>\n
These bubbles can have a range of negative effects on almost any part of your body.<\/p>\n
When DCS was first discovered and written down in medical journals, the term \u201cthe bends\u201d related specifically to the joint pain which is perhaps the most common symptom.<\/p>\n
The other symptoms had similar colloquial names \u2013 such as \u201cthe chokes\u201d and \u201cthe staggers\u201d \u2013 as we’ll see below.<\/p>\n
When you dive beneath the water, you experience greater pressure than you do when at sea level.<\/p>\n
As you dive, the pressure may cause the gases in your air tank to dissolve into your body tissues. This is sometimes called \u201con-gassing.\u201d<\/p>\n
Then, as you come back to the surface, the pressure is reduced and the gases should slowly leave the tissue. This is often called \u201coff-gassing.\u201d<\/p>\n
However, if the ascent is too fast, the gas will not leave your body’s tissues safely. Instead, tiny bubbles of it will be formed and remain. This is what causes the bends.<\/p>\n
Picture it like a bottle of soda. In the closed, pressurised bottle, all is well. You only see all of the carbon dioxide bubbles fizz out of the drink when you take the top off and release the pressure.<\/p>\n
Although any kind of gas in a diver’s tank can be affected in this way, nitrogen is the problematic one. This is because your body has no use for nitrogen. All it does is build up in the tissues, prevent blood from flowing properly and stretch or damage the nerves.<\/p>\n
The released gas can also cause an embolism, cause blood to coagulate or vasoactive compounds (these are natural agents in your body which decrease or increase blood pressure or heart rate) to be released.<\/p>\n
The risk of DCS is increased by:<\/p>\n
The symptoms of decompression sickness are usually found to affect the musculoskeletal and nervous systems.<\/p>\n
They almost always develop within 48 hours of the dive (or another event) taking place. However, it is more common for them to develop within 6 hours or even within the first hour.<\/p>\n
Some of the most common symptoms of the bends include:<\/p>\n
<\/br>
\nA note on skin rashes<\/b><\/p>\n
Skin rashes which are very itchy or which appear red or marbled in colour are often cited as being a symptom of the bends. They are sometimes colloquially known as \u201cthe creeps\u201d.<\/p>\n
However, these tend to be more related to pressure changes experienced by portions of the skin which were not properly covered by the wet suit.<\/p>\n
They may also appear when someone is in the hyperbaric chamber. Again, this is because of pressure changes.<\/p>\n
If you or anyone you dive with experiences any of the possible symptoms of the bends you should seek treatment for decompression sickness immediately.<\/p>\n
It is important to tell the doctor or staff at the emergency care facility you visit that you have been diving in the past 48 hours so that they know that DCS is a likely cause of your condition.<\/p>\n
1) Professional treatment for the Bends<\/b><\/p>\n
A hyperbaric re-compression chamber is the device required for treatment of DCS:<\/p>\n
Before treatment in the re-compression chamber, a doctor will usually test the person suffering from the condition and hook them up to IV and oxygen lines.<\/p>\n
Afterwards, hospital admission for monitoring of their status is a likely outcome.<\/p>\n
2) Emergency care for DCS<\/b><\/p>\n
Calling the local emergency services should always be your first port of call when a case of the bends is reported.<\/p>\n
Be sure that the professional you are speaking to understand:<\/p>\n
If you absolutely cannot reach a hospital in time, there are a few things you can do to keep a person suffering from the bends stable until help arrives:<\/p>\n
Avoiding getting the bends is relatively simple:<\/p>\n
Don’t go scuba diving without getting some proper instruction and supervision first. There are several organizations which will certify that you know how to dive safely.<\/p>\n
You want to be on the lookout for NAUI (National Association of Underwater Instructors) or PADI (Professional Association of Diving Instructors) courses to make sure you are getting qualifications which are recognized internationally.<\/p>\n