Hearing injuries due to atmospheric pressure changes in air and water survival training instructors
DOI:
https://doi.org/10.56294/hl202339Keywords:
Atmospheric Pressure, Hearing Diseases, Barotrauma, Decompression SicknessAbstract
Under normal atmospheric conditions, the individual has an optimal state of health, but these conditions alter their physiology and can cause damage to health. Hence, sudden changes in atmospheric pressure generate hearing manifestations and/or injuries because the pressure inside the ear must be equal to that outside. The objective of this study was to determine the prevalence of hearing injuries caused by sudden changes in atmospheric pressure in air and water survival training instructors, during the period 2012-2022. Epidemiological, descriptive cross-sectional research. To collect the information, a documentary review of the clinical records and the work plan was carried out. The population and sample were made up of the 20 instructors of the Department of Physiological Training (DAF). Results: the male sex predominated (85 %), the average age and seniority were 36 ± 4,68 and 12 ± 6,59 years respectively, with a work exposure of 6 hours per week. In addition, 15 cases of hearing loss and 01 case of decompression illness with hearing injury were diagnosed, a prevalence of 0,8 cases per year, which indicates that one instructor annually suffers from hearing injury due to Barotrauma. This is why the main prevention measure is in the organization of work, limiting the number and duration of dives. Therefore, it is recommended to implement a hearing conservation program and comply with the morbidity registry of occupational diseases and accidents of the DAF instructor staff related to changes in atmospheric pressure
References
1. Scarpa A, Ralli M, De Luca P, Gioacchini FM, Cavaliere M, Re M, Cassandro E, Cassandro C. Inner Ear Disorders in SCUBA Divers: A Review. J Int Adv Otol. 2021 May;17(3):260-264. doi: 10.5152/iao.2021.8892. PMID: 34100753; PMCID: PMC9450052.
2. Edge CJ, Wilmshurst PT. The pathophysiologies of diving diseases. BJA Educ. 2021 Sep;21(9):343-348. doi: 10.1016/j.bjae.2021.05.003. Epub 2021 Jul 13. PMID: 34447581; PMCID: PMC8377235.
3. Hamilton M, Bhattacharyya A. Lesión por Barotrauma. Cap. 2004;35(4):359-70. doi:10.1016/j.injury.2003.08.020
4. Centro de Medicina Aeroespacial de Chile. Manual de Conceptos Básicos de Fisiología de la Aviación. Santiago: Centro de Medicina Aeroespacial de Chile; 2004.
5. Padilla L, Camacho A, Figueroa L, Chaín T, Fuentes C, García L y Ferráez H (2002). Análisis epidemiológico-ocupacional del barotraumaótico en buzos profesionales Departamento de Salud en el Trabajo, Hospital General de Subzona, Baja California Sur. México. Rev Med IMSS, 40(4), 359-363.
6. González B, Fojón S, López M, Fernández C, García C, M. Umbral auditivo en buzos profesionales no expuestos a ruido. España. Acta Otorrinolaringol Esp. 2008;59(4):193-197. https://www.sciencedirect.com/science/article/abs/pii/S0001651908732655
7. Barra B, Gallegos K. Relación entre el estado auditivo, años de práctica y tiempo de inmersión en buceadores de la ciudad de Talcahuano, Región del bío-bío, Chile. Int J Morphol. 2016;34(1):117-122.
8. Garrido Campos M, Hidenglan Benedikt A, Siquiera De C. Denise, Urzua F. Ilse, Herrera Ronald, Randon Katia, et. al. Prevalencia y factores de riesgo de pérdida auditiva en mariscadores chilenos. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748297/ 2018
9. Ministerio del Poder Popular para el Transporte. Resolución Nro. 032, 27 de julio de 2022.
10. Decreto 1.445. Ley de Marinas y Actividades Conexas. 18/11/2014.
11. Gaceta Oficial 38236. Ley de Prevención, Condiciones y Medio Ambiente de Trabajo. 26 de Julio del 2005.
12. Gaceta Oficial No 1.631. Reglamento de las Condiciones de Higiene y Seguridad en el Trabajo. 1973. Capítulo IV, Art 176 y 179.
13. Directiva de los exámenes y procedimientos que regirán al sector salud en la aviación militar Bolivariana 2011. Directiva AV/D 3-22. Serie 3 actividades comunes del personal. Pp. 26-36.
14. Templado S. Los buceadores profesionales experimentan alteraciones en su sistema auditivo. Escuela Superior de Tecnología de la Salud de Coimbra Portugal, publicado en la revista: audio infos 2018;142:septiembre.
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Copyright (c) 2023 Elisa Leon, Carmen Rodriguez , María Del Carmen Martínez, Misael Ron (Author)
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