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Epilepsy, scuba diving and risk assessment. Near misses and the need for ongoing vigilance


Smart, D and Lippmann, J, Epilepsy, scuba diving and risk assessment. Near misses and the need for ongoing vigilance, Diving and Hyperbaric Medicine, 43, (1) pp. 37-41. ISSN 1833-3516 (2013) [Refereed Article]

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Copyright 2013 Diving and Hyperbaric Medicine

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There is ongoing debate about the safety of scuba diving for individuals with a history of epilepsy. An in-water seizure is highly likely to be fatal. Recommendations for fitness to dive vary with some regarding epilepsy as an absolute contraindication to diving (South Pacific Underwater Medicine Society) and others permitting diving under strict criteria (United Kingdom Sport Diving Medical Committee) with diving to be postponed for a period of three to five years without seizures. Long-term follow up of people with epilepsy shows that at least one-third will have a recurrence and that the risk remains elevated for many years. We present three cases where individuals with a history of epilepsy (or likely epilepsy) almost fell through the cracks of health risk assessment, two with near-fatal consequences. These cases inform the on-going debate about fitness to dive for those with current or past epilepsy, and highlight the importance of education for doctors, dive professionals and divers about the risks associated with epilepsy and diving.

Item Details

Item Type:Refereed Article
Keywords:epilepsy, scuba diving, scuba accidents, fitness to dive, recreational divers
Research Division:Biomedical and Clinical Sciences
Research Group:Neurosciences
Research Field:Central nervous system
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Smart, D (Associate Professor David Smart)
ID Code:88880
Year Published:2013
Web of Science® Times Cited:6
Deposited By:Medicine
Deposited On:2014-02-19
Last Modified:2017-12-08

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