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The Incidence of Swimming-Induced Pulmonary Edema (SIPE) in Trainees at U.S. Navy Dive Training Facilities

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Title:
The Incidence of Swimming-Induced Pulmonary Edema (SIPE) in Trainees at U.S. Navy Dive Training Facilities
Author: Keuski, Brian M
Subjects: Anatomy and Physiology ; BREATHING APPARATUS ; DIVERS ; DIVING ; DYSPNEA ; HYPOXIA ; IMMERSION ; INCIDENCE RATES ; Life Support Systems ; Medicine and Medical Research ; NAVAL PERSONNEL ; NAVAL RESEARCH ; PULMONARY CAPILLARY STRESS FAILURE ; PULMONARY EDEMA ; PULMONARY FUNCTION ; SHORTNESS OF BREATH ; SIPE(SWIMMING INDUCED PULMONARY EDEMA) ; STATISTICAL ANALYSIS ; TRAINING
Description: Swimming-induced pulmonary edema (SIPE) case criteria surveys were distributed to Naval Diving and Salvage Training Center (NDSTC) and Basic Underwater Demolition/SEAL training center (BUD/S). 42 surveys were collected (41 from BUD/S and one from NDSTC). There were approximately 914 NDSTC enrollees and 1440 enrollees at BUD/S. Combining these numbers yields a cumulative cohort of 2354 enrollees. Two of the completed surveys were positive for all five case criteria yielding a 0.085% incidence of SIPE from March 2010 through April 2011 at the two Navy dive training facilities. Considering all completed surveys as cases of SIPE, the incidence increases to 1.78%. There was no correlation between return to duty time, water temperature, activity in the water or number of case criteria positive for SIPE. SIPE remains a potential cause of morbidity and lost training time amongst diving trainees. With proper identification and supportive care, it resolves relatively quickly. Compared to the reported incidence of common musculoskeletal training injuries, the incidence of SIPE at Navy dive training facilities is lower. SIPE is more commonly diagnosed at BUD/S compared to the NDSTC. The original document contains color images.
Creation Date: 2011
Language: English
Source: DTIC STINET

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The Incidence of Swimming-Induced Pulmonary Edema (SIPE) in Trainees at U.S. Navy Dive Training Facilities

Approved for public release; distribution is unlimited.

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