{"id":20813,"date":"2022-04-13T13:20:38","date_gmt":"2022-04-13T17:20:38","guid":{"rendered":"https:\/\/world.dan.org\/?post_type=dan_alert_diver&p=20813"},"modified":"2023-05-31T12:36:16","modified_gmt":"2023-05-31T16:36:16","slug":"more-than-a-sore-shoulder","status":"publish","type":"dan_alert_diver","link":"https:\/\/world.dan.org\/fr\/alert-diver\/article\/more-than-a-sore-shoulder\/","title":{"rendered":"Plus qu'une \u00e9paule douloureuse"},"content":{"rendered":"

JE ME SOUVIENS D'\u00caTRE ASSIS DEVANT MON ORDINATEUR<\/span><\/strong> tout en pensant \u00e0 tout l'ibuprof\u00e8ne que j'avais pris au cours des 18 derni\u00e8res heures et en me demandant pourquoi j'avais toujours cette douleur sourde et douloureuse \u00e0 l'\u00e9paule. Cela pouvait-il \u00eatre plus qu'une douleur due au transport du mat\u00e9riel depuis notre point d'entr\u00e9e sur le rivage ou \u00e0 l'effort fourni lors d'une entr\u00e9e et d'une sortie venteuses et pleines de vagues ? Pourrais-je souffrir du mal des caissons (DCS) ?<\/p>\n\n\n

\n
\"th\u00e9rapie
Ce qui a commenc\u00e9 par une douleur \u00e0 l'\u00e9paule gauche a donn\u00e9 lieu \u00e0 une th\u00e9rapie de recompression de la table de traitement 6 de la marine am\u00e9ricaine.<\/figcaption><\/figure>\n<\/div>\n\n\n

My dive profile from the previous morning was well within safe limits, but something was obviously wrong, so I called\u00a0DAN. I explained to the DAN medic that I had been using my rebreather on a technical dive and that the dive went fine. I reported the timing of my symptoms, noting that I was cold at the end of the dive but didn\u2019t notice anything else until my left shoulder started hurting about an hour after the dive. The DAN medic recommended I go to the emergency room at Virginia Mason Hospital and tell them I had a dive injury.<\/p>\n\n\n\n

The emergency room staff started me on oxygen while doing tests. I had been there for only about 45 minutes before the hyperbaric nurse came in and asked about my dive and if I\u2019d be up for another one. The U.S. Navy Treatment Table 6 recompression gave me plenty of time to recall the dive and think about how I ended up with DCS.<\/p>\n\n\n\n

We were diving the\u00a0PB4Y Privateer, a Navy bomber that crashed during a training flight in 1956 and sank to about 150 feet in Lake Washington, near Seattle, Washington. I\u2019ve made plenty of dives, but on this day the wind was whipping up big waves so strong it felt like a current. The water movement knocked my camera and lights off my scooter, so I had to spend time retrieving them from where they had washed ashore. I kept my stage cylinder on my left side as I walked on shore, unnecessarily carrying the extra weight.<\/p>\n\n\n\n

One of our group members got separated from us when his scooter propeller broke, so we surfaced to find him and evaluate the situation before he had to head back while some of us continued the dive. My buddy and I ended up too far south of where we intended to intersect the descent line at 100 feet, so we had to scooter back north. The delays meant that by the time I needed my heater, we weren\u2019t as close to the wreck as we would typically be\u2014 and I wondered if we would even make it to the line and down to the wreck.<\/p>\n\n\n\n

We found it a few minutes later and had a great dive on the plane. After we had our fill of this gorgeous wreck, we turned the dive and headed back up. Our ascent was uneventful, decompression was easy, and I felt comfortable until suddenly getting cold. My heater\u2019s first battery pack was drained, so I switched the cord leads to my second battery pack and flipped it on to discover there was no heat. It would be an uncomfortably cold last 15 minutes of the dive for me. My buddy still had a few minutes of decompression left when I was theoretically done, so I waited for him to clear before we headed back to the beach.<\/p>\n\n\n\n

My left shoulder started bothering me when I was driving home, and I regretted the extra effort I exerted to go ashore and retrieve my camera along with the strain of the extra weight I had carried. I took some ibuprofen when I got home and snuggled up with my pups after putting away all my gear.\u00a0When I finally stopped moving, I realized how unusually tired I was. I did nothing for the rest of the day and then took more ibuprofen before going to bed, but my shoulder pain kept me from getting a good night\u2019s sleep. I was still in pain in the morning and needed more ibuprofen before going to work, where I finally realized it wasn\u2019t just a sore shoulder.<\/p>\n\n\n\n

Il s'agissait d'un cas relativement mineur de DCS, et je n'ai ressenti qu'une douleur isol\u00e9e dans les muscles et les articulations, qui s'est r\u00e9sorb\u00e9e apr\u00e8s le traitement en chambre. Le stress suppl\u00e9mentaire li\u00e9 au fait de porter ma bouteille de plong\u00e9e hors de l'eau peut \u00e9galement avoir contribu\u00e9 \u00e0 mes douleurs. Mes seules obligations suppl\u00e9mentaires \u00e9taient un rendez-vous de suivi de 30 jours avec le m\u00e9decin hyperbare et une interdiction de plonger pendant au moins 30 jours.<\/p>\n\n\n\n

En r\u00e9fl\u00e9chissant \u00e0 ce qui a probablement mal tourn\u00e9, je me suis rendu compte que mes 15 minutes de d\u00e9compression \u00e0 froid apr\u00e8s 45 minutes de chaleur confortable en profondeur \u00e9taient un cas d'\u00e9cole de ce qu'il ne faut pas faire. Bien qu'il serait agr\u00e9able d'\u00eatre au chaud pendant toute la plong\u00e9e, je commence et effectue g\u00e9n\u00e9ralement la partie la plus profonde de ma plong\u00e9e \u00e0 l'abri du froid, puis j'allume mon chauffage lorsque je quitte le fond et commence la d\u00e9compression.<\/p>\n\n\n\n

I could have avoided all these problems if we had recognized the many difficulties the conditions caused as warning signs to call the dive earlier. We chose to continue, and it turned into a learning experience. Even with plenty of dives under my belt and a site and dive plan with which I was comfortable and familiar \u2014 it included additional decompression time to be extra safe \u2014 there are other factors you might not consider enough. Your environment, stress, and temperature can contribute to your DCS risk.<\/p>\n\n\n\n

I will be more cautious and judicious with my use of heat in the future. This incident reinforced the importance of always checking all your gear. If I had tested the second heat pack before the dive, I would have known it wasn\u2019t working. Without a backup pack, I would have never used the first one early, assuming the second one would work for the later part of the dive and the final decompression.<\/p>\n\n\n\n

I have also learned to add a buffer to my gradient factors, which allow you to control your decompression algorithm. Now I run one computer on 30\/85 and the other on 15\/85. I\u2019m not sure where I\u2019ll land on my final numbers, but they will be more conservative.<\/p>\n\n\n\n

I am a safer diver after learning several valuable lessons from a dive we should have canceled \u2014 including paying better attention to the full impact of the conditions. The most important lesson is that I should have sought medical care as soon as my shoulder became painful. Waiting could have made it worse.<\/p>\n\n\n\n

J'ai eu la chance que mon DCS soit rest\u00e9 l\u00e9ger. Lors de mes prochaines plong\u00e9es, je prendrai tous les sympt\u00f4mes au s\u00e9rieux.<\/p>","protected":false},"excerpt":{"rendered":"

I REMEMBER SITTING AT MY COMPUTER while thinking about all the ibuprofen I had been popping for the past 18 hours and wondering why I still had the dull, aching pain in my shoulder. Could this be more than soreness from carrying gear back and forth from our shore entry point or exertion from a [\u2026]<\/p>\n","protected":false},"featured_media":20815,"template":"","dan_alert_diver_categories":[82],"dan_alert_diver_issues":[478],"class_list":["post-20813","dan_alert_diver","type-dan_alert_diver","status-publish","has-post-thumbnail","hentry","dan_alert_diver_categories-incident-insights","dan_alert_diver_issues-q1-2022"],"acf":[],"yoast_head":"\nMore Than a Sore Shoulder - DAN World<\/title>\n<meta name=\"description\" content=\"I REMEMBER SITTING AT MY COMPUTER\u00a0while thinking about all the ibuprofen I had been popping for the past 18 hours and wondering why I still had the dull, aching pain in my shoulder.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/world.dan.org\/fr\/alert-diver\/article\/more-than-a-sore-shoulder\/\" \/>\n<meta property=\"og:locale\" content=\"fr_CA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"More Than a Sore Shoulder\" \/>\n<meta property=\"og:description\" content=\"I REMEMBER SITTING AT MY COMPUTER\u00a0while thinking about all the ibuprofen I had been popping for the past 18 hours and wondering why I still had the dull, aching pain in my shoulder.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/world.dan.org\/fr\/alert-diver\/article\/more-than-a-sore-shoulder\/\" \/>\n<meta property=\"og:site_name\" content=\"DAN World\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-31T16:36:16+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/world.dan.org\/wp-content\/uploads\/2022\/04\/sore-q1_74_incidentinsight.tif-copy.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"514\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:description\" content=\"I REMEMBER SITTING AT MY COMPUTER\u00a0while thinking about all the ibuprofen I had been popping for the past 18 hours and wondering why I still had the dull, aching pain in my shoulder.\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/world.dan.org\\\/alert-diver\\\/article\\\/more-than-a-sore-shoulder\\\/\",\"url\":\"https:\\\/\\\/world.dan.org\\\/alert-diver\\\/article\\\/more-than-a-sore-shoulder\\\/\",\"name\":\"More Than a Sore Shoulder - 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