This book provides a comprehensive analysis of the Oxford Aviation Human performance book, presented through questions and answers to facilitate understanding and memorization for civil aviation students. It aims to help them successfully pass the EASA ATPL exam.

Covers basic diving physiology; the pathophysiology of decompression sickness; maritime toxicology; assessment of fitness for diving; special considerations for female, elderly, and pediatric divers; diving-related problems in people with pre-existing medical conditions such as pulmonary, cardiac, and neurologic disease, and much more, with new chapters on the kinetics of intert gas, marine poisoning and intoxication, and diabetes and diving.

This handbook attempts to translate data on various parameters of man's capability in underwater and hyperbaric environments for those without a background in the life sciences. Accomplishing any multifaceted task requires team work, and effective team work depends on facile communication among all participants. To communicate properly, all parties must understand each other's problems and be able to speak a similar language. To this end we believe that this publication will go a long way in furthering the understanding and communication necessary for maximum achievement. The U. S. Navy has a fundamental interest in all types of activities connected with the ocean and is especially interested in the growing field of manned underwater and hyperbaric activities. Thus, the manuscript for this comprehensive book was developed under Office of Naval Research contract N00014-67-A-0214-0013 with The George Washington University. We acknowledge with appreciation the financial support and technical guidance for this undertaking by the Naval Medical Research and Develop ment Command of the Bureau of Medicine and Surgery as well as by the Engineering Psychology Program and the Physiology Program of the Office of Naval Research. JOSEPH P. POLLARD Director Biological and Medical Sciences Division Office of Naval Research vii Preface A need was felt for a book that would document the relationship of the human being to the underwater hyperbaric environment in such a way that the individual unfamiliar with the psychological or biomedical jargon could still understand and appreciate the information.

This book is designed to be a physician's guide for those interested in diving and hyperbaric environments. It is not a detailed document for the erudite researcher; rather, it is a source of information for the scuba-diving physician who is searching for answers put to him by his fellow nonmedical divers. Following the publication of The Underwater Handbook: A Guide to Physiology and Performance for the Engineer there were frequent requests for a companion volume for the physician. This book is designed to fill the void. Production of the book has been supported by the Office of Naval Research and by the Bureau of Medicine and Surgery, Research and Development Command, under Navy Contract No. NOOOOI4-78-C-0604. Our heartfelt thanks go to the many authors without whose contributions the book could not have been produced. These articles are signed by the responsible authors, and the names a~e also listed alphabetically in these preliminary pages. Every chapter was officially reviewed by at least one expert in the field covered and these reviewers are also listed on these pages. Our thanks go to them for their valuable assistance. We are grateful to Marthe Beckett Kent for editing Chapter III. Our thanks also go to Mrs. Carolyn Paddon for typing and retyping the manuscripts, and to Mrs. Catherine Coppola, who so expertly handled the many fiscal affairs.