RISKS AND DIVING: "AGGRAVATING FACTORS"

Jérôme Palazzolo, liberal psychiatrist in Nice but also PADI Instructor, and CMAS *** Monitor, publishes at Turtle Prod "Risks and diving". A book which takes stock of the precautions to be taken when diving against depression, smoking, drug addiction, or even aquaphobia for example. It actually explores all the particular states that make a diver not quite like everyone else.

DOCTOR AND DIVE MONITOR

"In my practice," explains the doctor, "I often ask myself:" Here, and if this patient was in your group under your responsibility, would you let him get into the water? ". In many cases, when reading his prescription or his care record, just the idea that the person can immerse himself with fins, mask and snorkel gives me a chill in my back ... when the patient in question announces to me: “Doctor, I know that you are a fan of diving; you know I passed my Level 3 last week? ". Today, we are entitled to ask ourselves the question of what to do with an aquaphobic or depressed diver, with an elderly or stressed subject, or a fortiori with a drug user… These are the questions I asked myself, as a diving instructor and doctor. "

AGRAVANT FACTORS THAT CAN LEAD TO THE ACCIDENT

The initial idea is simple: very often, these aggravating personal factors can lead to an incident, or an accident, without there having been any technical “fault” with regard to the diving parameters. And what is often called an undeserved accident sometimes has a very real cause. Just as a diver who is simply stressed or tired will have a greater "chance" of having a problem underwater or on the ascent, a diver who presents an "aggravating risk factor" will be all the more exposed. Either because he will be more fragile physiologically, or because he will be less able to react to an incident.

FOR EACH THEME, TREAT ALL ASPECTS

For each topic addressed, the author endeavors to deal with all aspects of the problem, whether it be physiological changes, such as an increase in heart rate, or psychological consequences, such as an altered perception of his environment which will change. modify the diver's reactions to a given situation. Going from general to specific, it gives a maximum of information: and if some require a small base of scientific knowledge, most are easily understood by all of us.

A WORK FOR ALL

“Risks and diving” is therefore aimed at both the diver himself and his doctor or instructor. Everyone must find the information they need to better understand these particular risks. "The diver but also his instructor, insists the author, must both be aware of the dangers inherent in such problems. Let us not forget that the instructor is bound by an obligation of means, and this obligation of means is analyzed as the obligation to implement the material and intellectual resources specific to guaranteeing the student that the activity will take place in conditions such that the risk will be reduced to minimum proportions. "

NI DRAMATIZATION OR BANALIZATION

The purpose of Jérôme Palazzolo's book is not to prohibit diving to all those who present a particular risk, but rather to adapt the practice of the activity by having a better knowledge of these risks. Then, for the diver, it remains to speak: to his doctor first, since it is he who is best able to estimate our aptitude to dive, and to advise us on the precautions to be taken. But also to your instructor, which sometimes seems more difficult: it is not easy to explain when you arrive in a club that you suffer from depression for example. But it is our security that depends on it, and there is undoubtedly, for each of us, a real work to be done in this direction: in general, even outside of any pathology or any addiction that would change the gives, being able to recognize our limits, and to express them.

The book " Risks and diving", From Jérôme Palazzolo, is available from Turtle Prod.

Note that a “Risks and Diving” conference will take place on March 23 in the presence of Jérôme Palazzolo, at the Maison Régionale des Sports in Mandelieu-la-Napoule. Registration is free, for any information just send an email to   giroud.fsgt06@gmail.com

TABLE OF CONTENTS THE AUTHOR PREFACES FOREWORD SCUBA DIVING AND NERVOUS SYSTEM I. Decompression sickness 1. What is a decompression accident?
2. The consequences of a decompression illness on the nervous system II. Intoxication of the Deep III. The direct toxicity of oxygen on the nervous system Synthesis GENERAL ADAPTATION SYNDROME (GAS) AND DIVING I. Alarm phase II. The resistance phase III. The Exhaustion Phase Summary LEARNING TO RELAX BEFORE THE DIVE I. Relaxation 1. Progressive relaxation (Jacobson method) 2. Autogenic training (Schultz method) II. Sophrology III. Visualization Synthesis AQUAPHOBIA AND DIVING I. How phobia can ruin your life II. Support 1. Sandrine's story 2. Analysis of the disorder 3. Psychotherapeutic intervention Summary SLEEP AND DIVING DISORDERS I. Altered sleep, fatigue and diving: an explosive cocktail II. Taking a hypnotic: to proscribe!
1. Benzodiazepines 2. Non-benzodiazepine hypnotics Summary DEPRESSION AND DIVING I. Some epidemiological data II. Simple sadness or depression?
III. The diagnosis of depression IV. The different forms of depression V. Management, in practice ALCOHOL AND DIVING Summary I. General data II. Effects of alcohol on diving 1. “After two drinks, everything speeds up” III. Risk prevention and action strategies 1. Reducing risky use 2. Prevention of the development of harmful use and the onset of dependence on alcohol 3. The development of medical and social care for people dependent on alcohol Summary SMOKING AND DIVING I. A real pandemic II. The harmful effects of tobacco on the diver 1. The effects of tobacco on health 2. Passive smoking 3. Recalcitrant smokers III. The physiological effects of nicotine 1. Effects on the central nervous system 2. Effects on the endocrine system 3. Effects on the cardiovascular system 4. Effects on the muscular system 5. Effects on the respiratory system 6. Effects on the gastrointestinal system 7. Metabolic effects IV. Evolution of smoking V. Classifications 1. The different categories of smokers 2. The different types of smokers Summary CANNABIS AND DIVING I. General II. The acute effects: cannabis intoxication 1. Psychoactive effects 2. The physical signs III. Delayed effects linked to repeated and regular consumption 1. Psychic consequences 2. The somatic consequences 3. The behavioral consequences Summary ADDICTION AND DIVING I. What is addiction?
II. The different types of drugs III. The main substances 1. Cocaine 2. Opiates 3. GHB 4. Heroin 5. Ecstasy 6. LSD IV. The addictive personality V. The diving risks of drug use 1. Risks to physical health 2. Mental health risks 3. Risks concerning the safety of the individual and that of those around him 4. Legal risks118 5. Risks related to the mode of communication Summary AGING AND DIVING I. Aging and diving II. Normal and pathological aging of the brain 1. Theories concerning brain aging 2. Aging and cognitive performance 3. Aging and psychic upheaval 4. Aging and Autonomy REFERENCES