28/01/2026
Interesting topic and very useful survey for those holding an Advanced Nitrox qualification or higher to completeโฆ
In-water recompression (IWR) is a controversial topic in dive medicine. Some view it as a lifesaving last resort for a diver exhibiting symptoms of decompression illness (DCI) when far from definitive care. Others emphasize the evident risk of potentially making a bad situation worse.
While return to pressure is the basic rationale for DCS treatment, IWR's effectiveness and safe implementation depend heavily on conditions, protocols, and diver preparedness. Emerging guidance suggests IWR may be considered only in specific, controlled circumstances, particularly in remote locations where access to a hyperbaric chamber is delayed or unavailable.
The goal for our new anonymous online survey is simple: to understand what the diving community actually thinks and knows about IWR, what training divers have, and whether people are incorporating IWR into real-world emergency planning despite the controversy. Participation is open to adults (18+) who hold an Advanced Enriched Air Nitrox (>40% oxygen) certification or higher. The survey is available in English, French, Italian, and Spanish, and is hosted on a secure online platform.
Your perspective matters, and we invite you to take our 10-15 minute survey at redcap.link/IWRSurvey_DAN.