On June 18, 2014 in collaboration with the Undersea Hyperbaric Medical Society, Divers Alert Network sponsored the Medical Examination of Diving Fatalities Symposium. The talks covered specifics of autopsy in scuba fatalities, field investigation of diving accidents, the complexity of rebreather accidents investigation, integration of various aspects of an investigation into final analysis and principles of the epidemiological approach.
Sudden Cardiac Death (SCD) while scuba diving was discussed extensively. While many cardiac-related deaths in scuba diving may be classified as “natural death” associated with preexisting cardiac conditions, the provocative role of diving could not be excluded in some cases. Cardiac causes were suspected in one-quarter to one-third of all recreational diving accidents in recent decades. Rates of cardiac-related deaths vary reflecting regional demographic differences and trends among divers. Current trends of the increasing age of divers are of concern, but on the other hand, cardiac-related deaths in the general population seem to be gradually decreasing thanks to preventive efforts to reduce exposure to lifestyle risk factors and to control involuntary risk factors. Thus, it is not possible to predict whether the current trends in scuba diving fatalities will continue, but cardiac issues will remain for a concern for divers in years to come. Effective trend monitoring requires reliable data including medical examination, and meetings like this one help to advance medical examination practice.