John Lippmann1, Christopher Lawrence2, Andrew Fock3, Thomas Wodak4, Scott Jamieson5, Richard Harris6, Douglas Walker7. 1. Divers Alert Network (DAN) Asia-Pacific, Ashburton, Victoria, Deakin University, Victoria, P O Box 384 Ashburton VIC 3147, Australia, Phone: +61-(0)3-9886-9166, E-mail: johnl@danap.org. 2. Statewide Forensic Medical Services, Royal Hobart Hospital, Tasmania, Australia. 3. Departments of Hyperbaric Medicine and Intensive Care Medicine, The Alfred Hospital, Melbourne, Victoria, Australia. 4. Retired County Court Judge, Victoria, Australia. 5. Divers Alert Network (DAN) Asia-Pacific, Ashburton, Victoria, Australia. 6. Department of Diving and Hyperbaric Medicine, Royal Adelaide Hospital, South Australia. 7. Retired general practitioner, Sydney, New South Wales, Australia.
Abstract
INTRODUCTION: An individual case review was conducted of known diving-related deaths that occurred in Australia in 2010. METHOD: The case studies were compiled using statements from witnesses and reports of the police and coroners. In each case, the particular circumstances of the accident and details from the post-mortem examination, where available, are provided. A root cause analysis was made for each case. RESULTS: There were 20 reported fatalities, one less than the previous year. Five of the victims were female (four scuba divers) and 15 were males. Twelve deaths occurred while snorkelling and/or breath-hold diving, seven while scuba diving (one of whom was using a rebreather), and one diver died while using surface supplied breathing apparatus. At least two breath-hold divers likely drowned as a result of apnoeic hypoxia. Cardiac-related issues were thought to have contributed to the deaths of at least three and possibly five snorkellers, and of at least one, possibly two compressed gas divers. CONCLUSIONS: Snorkelling or diving alone, poor supervision, apnoeic hypoxia, pre-existing medical conditions, lack of recent experience and unfamiliar and/or poorly-functioning equipment were features in several deaths in this series. Reducing delays to CT-scanning and autopsy and coroners' reports documenting that the victim of a drowning was snorkelling or scuba diving at the time are aspects of the investigation of these fatalities that could be improved.
INTRODUCTION: An individual case review was conducted of known diving-related deaths that occurred in Australia in 2010. METHOD: The case studies were compiled using statements from witnesses and reports of the police and coroners. In each case, the particular circumstances of the accident and details from the post-mortem examination, where available, are provided. A root cause analysis was made for each case. RESULTS: There were 20 reported fatalities, one less than the previous year. Five of the victims were female (four scuba divers) and 15 were males. Twelve deaths occurred while snorkelling and/or breath-hold diving, seven while scuba diving (one of whom was using a rebreather), and one diver died while using surface supplied breathing apparatus. At least two breath-hold divers likely drowned as a result of apnoeic hypoxia. Cardiac-related issues were thought to have contributed to the deaths of at least three and possibly five snorkellers, and of at least one, possibly two compressed gas divers. CONCLUSIONS: Snorkelling or diving alone, poor supervision, apnoeic hypoxia, pre-existing medical conditions, lack of recent experience and unfamiliar and/or poorly-functioning equipment were features in several deaths in this series. Reducing delays to CT-scanning and autopsy and coroners' reports documenting that the victim of a drowning was snorkelling or scuba diving at the time are aspects of the investigation of these fatalities that could be improved.
Authors: John Lippmann; Christopher Stevenson; David McD Taylor; Jo Williams; Mohammadreza Mohebbi Journal: Diving Hyperb Med Date: 2017-09 Impact factor: 0.887
Authors: John Lippmann; David McD Taylor; Christopher Stevenson; Jo Williams; Simon J Mitchell Journal: Diving Hyperb Med Date: 2017-09 Impact factor: 0.887