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Date: Mon, 10 Jan 2000 13:38:13 -0800 (PST)
From: "Michael J. Black" <mjblackmd@ya*.co*>
Subject: Re: DCI Preconditions
To: Aquanaut Mail <techdiver@aquanaut.com>
Steve,

DCI preconditions include PFO (which you can be checked for),
pulmonary blebs (which develop in obstructive disorders like
bronchitis, emphysema, and asthma), and other cardiac or vascular
defects that could lead to right-to-left shunting of blood, i.e.
venous to arterial shift.

Risk factors are numerous, including dehydration, obesity and
poor physical condition, pushing the table limits, heavy exercise
during or shortly after diving, hypothermia, previous DCI, age,
alcohol, etc.

Common sense counts for a lot, and even if you don't know all
the risk factors, just be careful.  If doing extreme diving, or
advanced technical diving like many on this list, it probably
is a good idea to get checked for PFO (although some will argue
that every diver should be checked).  As for pulmonary blebs,
don't smoke (common sense).

Mike Black
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