Document Detail


Standards on medical fitness examinations for Navy divers.
MedLine Citation:
PMID:  14974787     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The German Navy employs approximately 480 divers in their primary and secondary role. Before entering diving training, every diver has to pass an intensive physical examination programme at the German Naval Medical Institute (NMI) in Kiel-Kronshagen. Annual follow-ups ensure the currency of the medical findings. Criteria of medical fitness for diving reflect industrial medical standards for hyperbaric workers as well as the general medical guidelines for NATO divers. A diving examination consists of the individual medical history, a physical examination including the neurological status and the assessment of the cardiovascular fitness by ECG and bicycle ergometry. The respiratory system is screened by regular chest x-rays and spirometry or body plethysmography. Blood and urine samples are taken to look for abnormal haematological and metabolic conditions as well as disorders of the genito-urinary system. In order to determine visual fitness, diver's visual acuity, colour vision and stereopsis as well as eye fundi are examined by an eye specialist. Also the ENT examination involves a speciality consultant and consists of audiometry, inspection of the external ear and tympanic membrane and functional tests. To ensure a high standard of dental fitness, screening by a dental officer is part of the annual check-up. Every routine diving medical examination at the NMI includes a pressure test in the hyperbaric chamber. Divers who use nitrox or oxygen-rebreather devices have to pass successfully an oxygen tolerance test under hyperbaric conditions. The annual routine diving medical examination contributes to minimize the risk of accidents in military diving operations.
Authors:
Michael Weiss
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International maritime health     Volume:  54     ISSN:  1641-9251     ISO Abbreviation:  Int Marit Health     Publication Date:  2003  
Date Detail:
Created Date:  2004-02-20     Completed Date:  2004-04-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100958373     Medline TA:  Int Marit Health     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  135-43     Citation Subset:  IM    
Affiliation:
Naval Medical Institute, Kopperpahler Allee 120, D-24119 Kronshagen.
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MeSH Terms
Descriptor/Qualifier:
Adult
Diving / standards*
Female
Germany / epidemiology
Humans
Male
Naval Medicine / standards*,  statistics & numerical data*
Occupational Health
Physical Examination
Physical Fitness*
Seasons

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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