MPA Logo, San Francisco Maritime National Park Association, USS Pampanito, Historic Ships at Hyde Street Pier, Education Programs Maritime Park Association Home Page Maritime Park Association Home Page Events Maritime Park Association Home Page Maritime Park Association Home Page Maritime Park Association Home Page Volunteer Membership Donate Maritime Park Association Home Page USS Pampanito Submarine Historic Ships at Hyde Street Pier Education Programs About Maritime Park Association Home Page Directions to Maritime Jobs at Maritime Facility Rental at Maritime Trustees of the Association Calendar Press Room Store Maritime Map
Folks,

Submarine Medicine Practice, NAVMED-P 5054, 1956, was prepared for the training and orientation of medical personnel to the unique problems associated with diving and submarine life. For this online version we have omitted the extensive first part dealing with deep sea and scuba diving. We have included only the second part on submarine medicine. This was done as an economy of effort as there are numerous other dive medicine references available, but little on submarine medicine. It provides a unique view into the conditions aboard US Diesel submarines.

The information in this manual represents the state of the understanding in 1956, it should not be used as a basis of clinical practice.

In this online version of the manual we have attempted to keep the flavor of the original layout while taking advantage of the Web's universal accessibility. Different browsers and fonts will cause the text to move, but the text will remain roughly where it is in the original manual. We have not attempted to correct any errors found in the original document. However, this text was captured by optical character recognition and then encoded for the Web which has added new errors we wish to correct.

Please report any typos, or particularly annoying layout issues with the Mail Feedback Form for correction.

Our thanks to the US Naval History and Heritage Command for providing a copy of this manual.

Richard Pekelney
Webmaster


Search MARITIME.ORG



SUBMARINE MEDICINE
PRACTICE
BUREAU OF MEDICINE AND SURGERY
DEPARTMENT OF THE NAVY
NAVMED-P 5054



SUBMARINE MEDICINE
PRACTICE

BUREAU OF MEDICINE AND SURGERY

Seal of the Department of the Navy, Bureau of Medicine and Surgery

UNITED STATES
GOVERNMENT PRINTING OFFICE
WASHINGTON : 1956


For sale by the Superintendent of Documents, U. S. Government Printing Office
Washington 25, D. C. - Price $2.00



This page left blank



PREFACE

The purpose of this text is to present a comprehensive guide which can be utilized for training and indoctrinating regular and reserve Medical Department personnel with the many intricate problems connected with submarine medicine practice.

An attempt has been made to assemble in this volume the highlights of latest developments and the accumulated knowledge and experience resulting from years of research and investigations. Much has been accomplished in this respect since 1917, the year organized studies in the medical problems of undersea warfare were first initiated, but recent ventures and developments in underwater military operations demand an even greater surveillance of the medical problems involved. For the medical officer interested in the solution of these many unsolved problems, submarine (underwater) medicine practice offers a most challenging and fertile field. Increasing cruising range and prolonged submergence of modern submarines, penetration of greater depths by the deep sea diver, and the expanding practice of underwater swimming demand continued research effort and a promise of rich rewards for the individual investigator.

These discussions include personnel selection and assessment procedures, improvement of submarine habitability factors, solution of human engineering problems aboard submarines, submarine escape and rescue operations, and the medical aspects of all other undersea operational problems directed toward the improvement of the military effectiveness of the Submarine and Amphibious Forces.

This manual was prepared under the auspices of the Bureau of Medicine and Surgery for publication by the Bureau of Naval Personnel. However, credit for the actual accumulation of data and overall preparation involved should be given to the staffs of the U. S. Naval Medical Research Laboratory, U. S. Naval Submarine Base, New London, Conn.; and to the Experimental Diving Unit and the U. S. Naval School, Deep Sea Divers, Naval Gun Factory, Washington, D. C.


iii

SPECIAL NOTE

The decimal system of indices used throughout this text, and the separate index with the table of contents which precedes each chapter are used primarily for purposes of simplification. This arrangement is designed for the convenience of the student, to simplify the process of locating the specific text required in resolving the problems presented in this course.

The first of three figures of a given reference indicates the number of the chapter. A second decimal digit denotes the primary proposition under discussion within the chapter. The third and last number refers to a further exposition of problems related to the same subject. For example, the "5" in the group of figures 5.1.2 refers to the overall material contained in chapter 5, "Helium-Oxygen Diving." The second and third figures refer to the sub-headings "General Considerations" and the "Development and Principles" of helium-oxygen diving.

References are frequently made to the Bureau of Ships Diving Manual, and to the Manual of the Medical Department which are indicated by the abbreviations DM or MMD. For example, DM-825 refers to Bureau of Ships Diving Manual, paragraph 825. Likewise, MMD-15-30 refers to chapter 15, article 30 of the Manual of the Medical Department.

Several of the chapters have a list of references to books and medical journal articles. When these are specifically mentioned in the text, numbers (such as 12b) are used. In this case, the reference would be "b" in the list at the end of chapter 12. Other book references are similarly cited.


iv

CONTENTS

Part 1-Section 1

DEEP SEA DIVING AND UNDERWATER
MEDICINE PRACTICE

Page
CHAPTER 1.-General Information 1
CHAPTER 2.-Medical Aspects of Diving 29
CHAPTER 3.-Navy Standard Decompression Tables 51
CHAPTER 4.-The Dive 59
CHAPTER 5.-Helium-Oxygen Diving 69
CHAPTER 6.-Diving Accidents and Safety Precautions 97

Part 1-Section 2

DIVING WITH SELF-CONTAINED UNDERWATER
BREATHING APPARATUS

Page
CHAPTER 7.-Diving with Self-Contained Underwater Breathing Apparatus 125
CHAPTER 8.-Types of Self-Contained Underwater Breathing Apparatus 133
CHAPTER 9.-Selection and Training for the Use of Self-Contained Underwater Breathing Apparatus 147
CHAPTER 10.-Safety Considerations in the Use of SCUBA 153
CHAPTER 11.-Specific Medical Problems in the Use of SCUBA 163
CHAPTER 12.-Physiological Considerations in the Design and Evaluation of Breathing Apparatus 185
CHAPTER 13.-Decompression in Air Diving with Self-Contained Apparatus 211
CHAPTER 14.-Oxygen Tolerance 221
CHAPTER 15.-Gas Mixtures in Self-Contained Diving 227
CHAPTER 16.-Protective Clothing and Other Accessories 243
CHAPTER 17.-Diving Without Breathing Apparatus 257

Part 2

SUBMARINE MEDICINE PRACTICE

Page
CHAPTER 18.-Submarine Habitability and Clothing 265
CHAPTER 19.-Submarine Personnel Selection and Assessment 285
CHAPTER 20.-Medical Problems in Submarines 297
CHAPTER 21.-Escape From Submarines 311
CHAPTER 22.-Medical Problems of Future Submarines 331
INDEX 343

v

USS Nautilus cutaway drawing.
Courtesy of the Electric Boat Division of the General Dynamic Corporation

U. S. S. Nautilus.


vii

Note from webmaster: Part 1 pages vii, viii, and 1-262 are omitted from this online version.
Documents Home Page
Doc Home Page
Next chapter
Next Chapter

 

Copyright © 2013, Maritime Park Association.
All Rights Reserved.
Legal Notices and Privacy Policy
Version 3.00