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Physiology of Diving

Water pressure acts on the air spaces of the body: ears, sinuses, mask and lungs. Divers must equalise their ears and never hold their breath when rising. More nitrogen dissolves in the blood at depth, so divers rise slowly or it forms bubbles (decompression sickness). Other risks are nitrogen narcosis, cold and tiredness. First aid: get the diver out, check breathing, give oxygen, keep them lying and warm, and call for help.

🎬 Step-by-step story

  1. At the surface the pressure is 1 atm and the body feels normal. All the air spaces in the body, such as ears and lungs, are at the same pressure as outside.
  2. Dive down and the water pushes harder. The eardrum is pushed inward. Pinch the nose and blow gently to push air into the ear. This is called equalising.
  3. Take one breath at depth and rise with the breath held. The air in the lungs grows bigger as pressure falls. A stretched lung can be hurt. So always breathe out while rising.
  4. At depth, extra nitrogen dissolves in the blood, like gas in a fizzy drink. Press "Slow" to rise slowly: it leaves safely. Press "Fast": bubbles form. That is decompression sickness.
  5. If a diver is hurt: bring out of the water, give oxygen, lie the diver flat, and call for help. These three green, blue and red cards are the first steps.
  6. Your turn. Slide the depth, then try slow and fast ascents, and watch ears, lungs and blood.

Tip: drag the 3D scene to turn it. Use two fingers to zoom.

🤔 Common doubts, cleared

Why do ears hurt going down?

Pressure outside the eardrum rises, but the air in the middle ear stays the same. The drum bends inward. Blow gently to add air and make it equal.

Why must I never hold my breath when rising?

Air in the lungs expands as pressure falls. Watch the lung grow in the 3D. A stretched lung can be hurt.

Where does the nitrogen come from?

Air is 79% nitrogen. At higher pressure more of it dissolves in blood and body tissue.

Why are bubbles formed with a fast ascent?

Pressure drops quickly, so the dissolved gas comes out as bubbles, like fizz in a shaken bottle. A slow ascent lets gas leave through the lungs.

Why give oxygen first?

Pure oxygen helps the body clear nitrogen and gives tissues oxygen, so it helps most pressure injuries.

Can I ever ascend as fast as I like if I feel fine?

No. Bubbles can form without early signs. Always use a slow ascent.

Effects of diving on the body

Water pressure squeezes the body's air spaces. Solid and liquid parts do not change much.

Diving injuries and countermeasures

Many injuries are pressure injuries called barotrauma. Here is each problem with its prevention.

First aid

This is awareness, not training. Real first-aid courses are needed.

  1. Stay safe and bring the diver out of the water with help.
  2. Check breathing. If there is none, start rescue breaths and chest compressions (CPR) if trained.
  3. Give 100% oxygen if available. It helps all pressure injuries.
  4. Lay the diver flat and keep warm and dry. Do not give alcohol.
  5. Call emergency help and say it is a diving accident. Someone with decompression sickness may need a recompression chamber, where pressure is raised again and lowered slowly.
  6. Write down the dive depth and time for the doctor.

Try it

In the 3D, press "Fast" and then "Slow" and compare the blood bubbles. At home, shake a bottle of fizzy water and open it fast and slow. Which one foams? That is the idea of decompression.

Key formulas and definitions

Worked examples

1. A diver at 30 m has 4 atm around. A breath holds 4 L of air at that depth. If the diver rose to the surface with the breath held, what volume would it want to fill?

P1V1 = P2V2. 4 × 4 = 1 × V2, so V2 = 16 L. A lung cannot hold that, so it could burst. Breathe out while rising.

2. How long should an ascent from 36 m take at 9 m per minute?

36 / 9 = 4 minutes (plus a safety stop of about 3 minutes at 5 m).

3. A diver breathes 20 L of air per minute at the surface. How much per minute at 30 m? How long does a 1600 L supply last at 30 m?

Absolute pressure = 4 atm, so use is 20 × 4 = 80 L/min. Time = 1600 / 80 = 20 minutes.

Common mistakes

Practice quiz

1. The best way to protect ears when going down is to:
2. Decompression sickness is caused by:
3. When rising, a diver should:
4. Which first-aid item helps most pressure injuries?
5. Nitrogen narcosis feels like:

Practice: answer these yourself

Type or choose your answer, then press Check. Use a hint if you are stuck; the full solution appears after you answer.

Frequently asked questions

What is decompression sickness?

Also called the bends. Nitrogen dissolved in blood at depth forms bubbles if the diver rises too fast, causing pain, rash or worse.

Why do my ears hurt when I dive?

Water pressure pushes the eardrum inward. Equalise by pinching the nose and gently blowing.

What is the safe ascent speed?

Commonly about 9 to 10 metres per minute, with a short safety stop. Always follow your training and dive computer.

Where this is taught

Japan高校(専門学科)1〜3年Diving

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