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Diving on a blistery morning can be fun, but shivering your way through an hour of decompression can put you on a fast track to the local chamber. It is up to you to make sure that you are adequately prepared for your dive, and for the aftermath. It is easy to end up cold on a dive through no fault of your own, but knowing the signs and symptoms of hypothermia before you dive will help you know when you might be pushing things just a little too far.

These situations are especially daunting in remote locations. Learning how to respond to some of the most common medical emergencies before your next offshore trip or diving expedition could help you save a life. Do you know how to identify the early warning signs of these common emergencies?

Being tired or achy after a long dive, unplanned exertion at depth or a change in decompression planning is often not considered very seriously; if you do not have symptoms, the prevailing thinking is to not worry about it. Despite the way divers have operated for decades, researchers at the forefront of decompression research are pushing hard for greater consideration of the factors that contribute to DCS risk—factors, which combined, create a total picture of our risk.

Whether you have the skills and training to care for a diver yourself or you want to be prepared to help until a more experienced caregiver is available, learn the basics of assessing post-dive symptoms.

Articles like this one are no replacement for training, but they are a good way to refresh or build your awareness of the importance of emergency-response skills.

Almost all experts in dive medicine agree that divers should ascend slowly following dives, whether they’re recreational, working or technical. The reality is that very little direct evidence exists about what ascent rate is safest. Most of the recommendations come from observational studies of bubble grade found using Doppler ultrasound or are based on anecdotal or theoretical concerns.

Following training guidelines and conservatively planning our dives can reduce our risk somewhat, but learning how oxygen toxicity affects us and how we can prevent it can mean the difference between a fun dive and one that ends in injury. Push back against complacency and unquestioning acceptance of common practices—understand the effect of oxygen on your body before you plan your next dive.

For three decades the researchers at DAN have monitored, tracked and analyzed diving incidents and fatalities worldwide. One of the best sources of this incident data is you, the diver. When you self-report an injury or incident that you experienced or witnessed via the DAN Incident Reporting System, you offer a valuable look at real world diving incidents and injuries.

IPE is the abnormal leakage of fluid from the bloodstream into the alveoli, the microscopic air sacs in the lungs. Symptoms include shortness of breath, coughing up bloody sputum, and respiratory distress. Leakage into the alveoli results in fluid buildup in the lungs, and interrupts gas exchange, similar to drowning. It is important to note that fluid resulting from IPE comes from within the body, rather than from inhalation of surrounding water.

However you define your expedition it is important to recognize that once you begin planning it you have crossed out of the realm of normal recreational or technical and entered a world that requires serious oversight, preparation, and risk mitigation. Expedition diving does not have to be technical or extreme – a recreational diving trip to a destination like Truk Lagoon could put you hours or days away from the nearest medical help and require expedition level preparations for medical treatment and evacuation.

Modern discussion has led to a wide variety of recommendations on the topic from a number of sources, leading to some confusion. While some agencies and physicians recommend diving conservatively with a known PFO, others recommend surgical closure, and still others advise that there may not be a benefit to closure and that divers should just be aware of their condition.