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Tytuł:
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Fatalities involving divers using surface-supplied breathing apparatus in Australia, 1965 to 2019.
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Autorzy:
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Lippmann J; Australasian Diving Safety Foundation, Canterbury, Victoria, Australia.; Department of Public Health and Preventive Medicine, Monash University, Victoria, Australia.; Corresponding author: Dr John Lippmann, Australasian Diving Safety Foundation, P.O. Box 478 Canterbury, VIC 3126, Australia, .
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Źródło:
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Diving and hyperbaric medicine [Diving Hyperb Med] 2021 Mar 31; Vol. 51 (1), pp. 53-62.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: <2014- > : Tai Tapu, Christchurch, New Zealand : South Pacific Underwater Medicine Society and the European Underwater and Baromedical Society
Original Publication: Melbourne : South Pacific Underwater Medicine Society, [2006]-
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MeSH Terms:
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Diving*
Drowning*
Adult ; Aged ; Australia/epidemiology ; Autopsy ; Cause of Death ; Humans ; Male
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References:
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Diving Hyperb Med. 2020 Sep 30;50(3):273-277. (PMID: 32957130)
Undersea Hyperb Med. 2015 Jul-Aug;42(4):297-305. (PMID: 26403015)
Diving Hyperb Med. 2017 Sep;47(3):144-154. (PMID: 28868594)
Diving Hyperb Med. 2010 Sep;40(3):131-49. (PMID: 23111911)
Diving Hyperb Med. 2020 Jun 30;50(2):105-114. (PMID: 32557411)
Diving Hyperb Med. 2018 Sep 30;48(3):141-167. (PMID: 30199888)
Diving Hyperb Med. 2020 Sep 30;50(3):220-229. (PMID: 32957123)
Diving Hyperb Med. 2009 Mar;39(1):4-19. (PMID: 22753163)
Diving Hyperb Med. 2019 Sep 30;49(3):192-203. (PMID: 31523794)
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Contributed Indexing:
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Keywords: Carbon monoxide; Chain of events analysis; Diving compressors; Diving deaths; Fitness to dive; Occupational diving
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Entry Date(s):
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Date Created: 20210324 Date Completed: 20210326 Latest Revision: 20220401
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Update Code:
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20240105
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PubMed Central ID:
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PMC8313783
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DOI:
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10.28920/dhm51.1.53-62
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PMID:
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33761541
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Introduction: This study identified characteristics and diving practices of victims of fatal surface supplied breathing apparatus (SSBA) incidents in Australia from 1965-2019 to determine underlying factors and risks associated with these activities, better educate the diving community and prevent such deaths.
Methods: A hand search was made of 'Project Stickybeak' reports from 1965-2000 and SSBA fatality data were compared to the Australasian Diving Safety Foundation fatality database. The National Coronial Information System was searched to identify SSBA diving deaths for 2001-2019. Extracted data were collated and analysed using descriptive statistics and Poisson Regression. A chain of events analysis was used to determine the likely sequence of events.
Results: There were 84 identified SSBA-related deaths during the study period. Most victims were relatively young, healthy males (median age 33 years). At least 50% of victims were undertaking work-related diving, and 37% were recreational diving. Equipment issues, mainly compressor-related, were the main contributor, identified as a predisposing factor in 48% of incidents and as triggers in 24%.
Conclusions: Preventable surface-supplied diving deaths still occur in both occupational and recreational diving, often from poor equipment maintenance and oversight. Incorrect configuration of the SSBA and lack of training remain on-going problems in recreational users. These could be addressed by improved education, and, failing this, regulatory oversight. The increase in health-related incidents in older participants may be controlled to some extent by greater medical oversight, especially in recreational and non-certified occupational divers who should be encouraged to undergo regular diving medical assessments.
(Copyright: This article is the copyright of the author who grants Diving and Hyperbaric Medicine a non-exclusive licence to publish the article in electronic and other forms.)
