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Extreme environments—flying, altitude, diving 

Extreme environments—flying, altitude, diving
Extreme environments—flying, altitude, diving

Stephen Chapman

, Grace Robinson

, John Stradling

, Sophie West

, and John Wrightson

Page of

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date: 21 November 2018

Clinicians are increasingly asked to give advice over the health issues which may occur in the pursuit of work and leisure activities producing physiological challenges. The hypoxia and changes in barometric pressure associated with flying produce particular complications that are extensively discussed. The value of pre-flight assessment is covered. High-altitude complications, such as pulmonary oedema and cerebral oedema, including their management, are also covered. The useful role of acetazolamide, temazepam, nifedipine, dexamethasone, and the Gamow bag are debated. The peculiar problems related to diving and pre-existing lung disease, including the British Sub-Aqua Club recommendations, are included.

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