Common Signs of Decompression Illness (the Bends)

Typical symptoms of decompression sickness are:suit squeeze due to the absence of regular lines which
- joint and muscle aches and pains – when thesecharacterise the latter.  Extreme fatigue can be one
are not severe, there is a tendency to put them downof the more subtle symptoms that often goes
to aches and strains from lifting dive equipment, holdingunnoticed.  Another one sometimes seen is swelling,
onto the boarding ladder and so on.  An examinationparticularly from lymphatic bends. What should you do
by a hyperbaric doctor is able to distinguish betweenif you have symptoms?
strains and decompression illness in most cases.In all cases where symptoms are noted, specialist
- neurological symptoms, ranging from the impossiblemedical advice should be sought.  How this is done
to ignore, such as hemiplegia (paralysis, particularly ofdepends on the location of the dive, but in the UK
the lower limbs) or unconsciousness to others such asaccess to these services whilst at sea should be
loss of bladder function, deafness, visual disturbances,made through HM Coastguard.
dizziness, tingling – particularly of fingers/hands andRapid recompression is necessary in cases of
feet.  Tight cuff seals can often cause some tinglingdecompression illness to minimise and reverse damage
in the finger tips – it is often a question ofcaused by gas bubbles in the system following the
considering what is usual for you, as a diver anddive.  Sufficient treatment provided rapidly decreases
looking at the dive profiles.  If rapid ascents, missedthe risk of any longer term problems significantly. 
stops or other factors are involved which increase theIf presenting to an Accident and Emergency
possibility of decompression illness, then assessmentdepartment at a Hospital following a dive, when some
by a dive doctor is worthwhile.of the signs and symptoms noted above are present,
- respiratory distress (known as the “chokes”),do ensure that staff are made aware of your dives. 
including chest pain, a burning sensation in the chestYou may well be more knowledgeable about
and sometimes a cough that is hard to shake off. decompression illness than the staff attending you and
- other symptoms such as skin rashes, ormaking them aware of your dive profiles can ensure
subcutaneous marmorata – a mottled patchythat specialist medical advice is obtained, leading to
appearance, particularly over the shoulders, upperswifter diagnosis and treatment if required.
arms and on the torso.  It can be distinguished from