The psychophysical criteria for monitoring personnel in diving activities are the same as those prescribed in Annex A, with the following modifications:
I – AGE
All divers who remain active must undergo periodic medical examinations.
II – ANAMNESIS
The history of any disease detected after the last inspection will be meticulously investigated, especially neuropsychiatric, otorhinolaryngological, pulmonary, and cardiac diseases, whether or not they result from diving accidents.
III – MEDICAL EXAMINATION
1. BIOMETRICS
Same criteria as Annex A.
2. CIRCULATORY SYSTEM
a) Evidence of organic injury or functional disturbance of the heart will be a cause for disqualification;
b) Systolic and diastolic pressures must not exceed 150 and 95 mm/Hg, respectively.
3. RESPIRATORY SYSTEM
Any pulmonary injury, whether or not resulting from a diving accident, is disqualifying.
4. DIGESTIVE SYSTEM
Same criteria as in Annex A.
5. GENITOURINARY SYSTEM
Same criteria as in Annex A.
6. ENDOCRINE SYSTEM
Metabolic, nutritional, or endocrine function disorders cause temporary incapacity; diagnosed diabetes is a reason for disqualification.
IV – OPHTHALMO-OTORHINOLARYNGOLOGICAL EXAMINATION
Same criteria as in Annex A with the following modification: visual acuity: 20/40 vision in both eyes, correctable to 20/20.
V – NEURO-PSYCHIATRIC EXAMINATION
Same criteria as in Annex A. Pay attention to a history of traumatic air embolism or decompression sickness, neurological form, which may have left neuropsychiatric sequelae.
VI – COMPLEMENTARY EXAMINATIONS
- Chest X-ray (AP view);
- Urine: normal elements and sediment analysis;
- Feces: protozoan and helminth ova examination;
- Blood: serology for syphilis, complete blood count, glucose;
- Baseline ECG;
- Audiometry, if deemed necessary;
- X-ray of the scapulohumeral, hip, and knee joints, if deemed necessary;
- Any other examinations (e.g., echocardiogram, ergometric test, etc.) may be requested at the discretion of the physician responsible for the diver’s health examination.