{"id":5068,"date":"2022-12-28T04:54:47","date_gmt":"2022-12-27T20:54:47","guid":{"rendered":"http:\/\/scubatechphilippines.com\/scuba_blog\/?p=5068"},"modified":"2023-04-14T11:06:59","modified_gmt":"2023-04-14T03:06:59","slug":"high-pressure-nervous-syndrome-hpns","status":"publish","type":"post","link":"https:\/\/scubatechphilippines.com\/scuba_blog\/high-pressure-nervous-syndrome-hpns\/","title":{"rendered":"High Pressure Nervous Syndrome | Deep Diving Maladies"},"content":{"rendered":"\n<h1 class=\"wp-block-heading has-text-align-center\">Deep Diving Maladies &#8211; High Pressure Nervous Syndrome &#8211; HPNS<\/h1>\n\n\n\n<p>HPNS or High Pressure <a href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/scuba-diving-stress-management-and-diver-panic\/\">Nervous<\/a> Syndrome (<em>also called High-Pressure Neurological Syndrome<\/em>)&nbsp;can onset beyond a depth of 150m\/500ft when using heliox or trimix <a href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/immersion-pulmonary-edema-oedema-ipe-ipo\/\">breathing<\/a> gasses. <\/p>\n\n\n\n<p>The severity of HPNS is determined by the speed of <a href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/best-technical-diving-computer\/\">descent<\/a> (rate of compression), depth attained (absolute pressure) and the percentage of <a href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/why-do-deep-divers-use-helium\/\">helium<\/a> inspired by the diver. There is also a varying level of individual susceptibility, but an individual diver is likely to see no variation in susceptibility on different dives.<\/p>\n\n\n\n<p>High Pressure Nervous Syndrome is a neurological\/physiological disorder, that was first described using the term &#8220;helium tremors&#8221; by the navy physiologist Peter Bennett in 1965 (they were first discovered by Russian scientist G. L. Zal&#8217;tsman in 1961, but this report was not made public until 1967). Numerous studies have been completed since that time but, despite much research, the physiological\/neurological causes of HPNS are still unknown.<\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title ez-toc-toggle\" style=\"cursor:pointer\">Article Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/high-pressure-nervous-syndrome-hpns\/#High-Pressure-Nervous-Syndrome-symptoms\" >High Pressure Nervous Syndrome symptoms<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/high-pressure-nervous-syndrome-hpns\/#Avoiding-HPNS\" >Avoiding HPNS<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/high-pressure-nervous-syndrome-hpns\/#About-The-Author\" >About The Author<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/high-pressure-nervous-syndrome-hpns\/#Purchase-my-exclusive-diving-ebooks\" >Purchase my exclusive diving ebooks!<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"High-Pressure-Nervous-Syndrome-symptoms\"><\/span>High Pressure Nervous Syndrome symptoms<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>The symptoms of high pressure nervous syndrome are:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>tremors <\/li>\n\n\n\n<li>seizures, twitches or jerks, <\/li>\n\n\n\n<li>somnolence (strong desire to sleep)<\/li>\n\n\n\n<li>visual disturbances<\/li>\n\n\n\n<li>nausea<\/li>\n\n\n\n<li>dizziness<\/li>\n\n\n\n<li>decreased mental performance<\/li>\n<\/ul>\n\n\n\n<p>On dives up to 300m\/1000ft, these symptoms may subside after some time stabilizing at depth. However, beyond 300m\/1000ft, the symptoms typically persist, regardless of time.<\/p>\n\n\n\n<div class=\"scuba-b4-h2-2\" style=\"margin-top: 10px;margin-bottom: 10px;\" id=\"scuba-3984411683\"><div class=\"scuba-adlabel\">Sponsored Link<\/div><script async src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-9354033900485448\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display:block;\" data-ad-client=\"ca-pub-9354033900485448\" \ndata-ad-slot=\"2393012471\" \ndata-ad-format=\"auto\" data-full-width-responsive=\"false\"><\/ins>\n<script> \n(adsbygoogle = window.adsbygoogle || []).push({}); \n<\/script>\n<\/div><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Avoiding-HPNS\"><\/span>Avoiding HPNS<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>To avoid High-Pressure Nervous Syndrome, the following advice is given:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Refrain from diving&nbsp;Heliox (O2\/He) beyond 122m\/400ft.<\/li>\n\n\n\n<li>Refrain from diving&nbsp;Trimix (O2\/He\/N2) beyond &nbsp;180m\/600ft<\/li>\n\n\n\n<li>Descend at slower rates (less than 30cm\/1ft per minute can mitigate HPNS, but is impractical for <a href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/what-is-technical-diving\/\">technical diving<\/a>).<\/li>\n<\/ul>\n\n\n\n<p class=\"has-text-align-center has-everlasting-sky-gradient-background has-background\">See also: <a href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/compression-arthralgia\/\" target=\"_blank\" rel=\"noreferrer noopener\">Deep Diving Maladies &#8211; Compression Arthralgia<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/compression-arthralgia\/\"><img decoding=\"async\" width=\"1024\" height=\"512\" src=\"https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2019\/08\/deep-diving-maladies-compression-arthralgia-1024x512.webp\" alt=\"deep-diving-maladies-compression-arthralgia\" class=\"wp-image-16501\" srcset=\"https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2019\/08\/deep-diving-maladies-compression-arthralgia-1024x512.webp 1024w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2019\/08\/deep-diving-maladies-compression-arthralgia-300x150.webp 300w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2019\/08\/deep-diving-maladies-compression-arthralgia-768x384.webp 768w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2019\/08\/deep-diving-maladies-compression-arthralgia-18x9.webp 18w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2019\/08\/deep-diving-maladies-compression-arthralgia-jpg.webp 1256w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-dots\"\/>\n\n\n\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-content-justification-center is-layout-constrained wp-block-column-is-layout-constrained\" style=\"flex-basis:25%\">\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-medium is-resized is-style-default\"><a href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/andy-davis-technical-diving\/\"><img decoding=\"async\" width=\"300\" height=\"296\" src=\"https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2018\/03\/Cartoon-Andy-900x900-1-300x296.png\" alt=\"Andy Davis Technical Sidemount Wreck Diving Subic Bay Philippines RAID Courses Training\" class=\"wp-image-6812\" style=\"width:225px;height:222px\" srcset=\"https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2018\/03\/Cartoon-Andy-900x900-1-300x296.png 300w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2018\/03\/Cartoon-Andy-900x900-1-1024x1009.png 1024w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2018\/03\/Cartoon-Andy-900x900-1-768x757.png 768w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2018\/03\/Cartoon-Andy-900x900-1.png 1280w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-constrained wp-block-column-is-layout-constrained\" style=\"flex-basis:75%\">\n<h2 class=\"wp-block-heading has-text-align-center\"><span class=\"ez-toc-section\" id=\"About-The-Author\"><\/span>About The Author<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><a href=\"https:\/\/buymeacoffee.com\/andydavistech\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" width=\"274\" height=\"77\" src=\"https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2022\/12\/bmc-button-1-1.png\" alt=\"\" class=\"wp-image-27046\" srcset=\"https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2022\/12\/bmc-button-1-1.png 274w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2022\/12\/bmc-button-1-1-250x70.png 250w\" sizes=\"(max-width: 274px) 100vw, 274px\" \/><\/a><\/figure>\n\n\n\n<p><a href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/andy-davis-technical-diving\/\">Andy Davis<\/a> is a <a href=\"https:\/\/scubatechphilippines.com\/raid-diving-courses-philippines\/raid\/\">RAID<\/a>, PADI TecRec, ANDI, BSAC, and SSI-qualified independent <a href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/technical-diving-instructor-location\/\">technical diving instructor<\/a> who specializes in teaching <a href=\"https:\/\/scubatechphilippines.com\/sidemount-courses\/\">sidemount<\/a>, <a href=\"https:\/\/scubatechphilippines.com\/technical-diving-courses\/\">trimix<\/a>, and <a href=\"https:\/\/scubatechphilippines.com\/technical-diving-courses\/\">advanced wreck<\/a> diving courses.<\/p>\n<\/div>\n<\/div>\n\n\n\n<p>Currently residing in <a href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/subic-bay-wreck-diving-sites\/\">Subic Bay, Philippines<\/a>; he has amassed more than 10,000 open-circuit and CCR dives over three decades of challenging diving across the globe.<\/p>\n\n\n\n<p><a href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/andy-davis-technical-diving\/\">Andy<\/a> has published numerous diving magazine articles and designed advanced certification courses for several dive training agencies, He regularly tests and reviews new <a href=\"https:\/\/scubatechphilippines.com\/scuba_blog\/scuba-equipment-shopping-buying-best-dive-gear\/\">dive gear<\/a> for scuba equipment manufacturers. Andy is currently writing a series of <a href=\"https:\/\/www.buymeacoffee.com\/andydavistech\/extras\">advanced diving books <\/a>and creating a range of <a href=\"https:\/\/www.redbubble.com\/people\/andydavistech\/shop\">tech diving clothing and accessories<\/a>.<\/p>\n\n\n\n<p>Prior to becoming a professional technical diving educator in 2006, Andy was a commissioned officer in the Royal Air Force and has served in Iraq, Afghanistan, Belize, and Cyprus.<\/p>\n\n\n\n<p>In 2023, Andy was named in the &#8220;<a rel=\"noreferrer noopener\" href=\"https:\/\/gue.com\/blog\/sidemount-andy-davies\/\" target=\"_blank\">Who&#8217;s Who of Sidemount<\/a>&#8221; list by GUE InDepth Magazine.<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center has-palette-color-7-color has-vivid-red-background-color has-text-color has-background has-link-color wp-elements-dd81a6de961563c5bf17302e4376cbd2\"><span class=\"ez-toc-section\" id=\"Purchase-my-exclusive-diving-ebooks\"><\/span>Purchase my exclusive diving ebooks!<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<div class=\"wp-block-columns is-not-stacked-on-mobile is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/buymeacoffee.com\/andydavistech\/e\/233191\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" width=\"652\" height=\"1024\" src=\"https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/03\/Gas-Management-Book-Cover-Image-652x1024.jpg\" alt=\"Gas Management For Scuba Divers Book\" class=\"wp-image-26264\" srcset=\"https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/03\/Gas-Management-Book-Cover-Image-652x1024.jpg 652w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/03\/Gas-Management-Book-Cover-Image-191x300.jpg 191w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/03\/Gas-Management-Book-Cover-Image-768x1206.jpg 768w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/03\/Gas-Management-Book-Cover-Image-96x150.jpg 96w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/03\/Gas-Management-Book-Cover-Image.jpg 794w\" sizes=\"(max-width: 652px) 100vw, 652px\" \/><\/a><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/buymeacoffee.com\/andydavistech\/e\/233171\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" width=\"652\" height=\"1024\" src=\"https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/Shearwater-Gradient-Factors-ebook-652x1024.jpg\" alt=\"Become A Shearwater Power User Book\" class=\"wp-image-26382\" srcset=\"https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/Shearwater-Gradient-Factors-ebook-652x1024.jpg 652w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/Shearwater-Gradient-Factors-ebook-191x300.jpg 191w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/Shearwater-Gradient-Factors-ebook-768x1206.jpg 768w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/Shearwater-Gradient-Factors-ebook-978x1536.jpg 978w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/Shearwater-Gradient-Factors-ebook-95x150.jpg 95w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/Shearwater-Gradient-Factors-ebook.jpg 1200w\" sizes=\"(max-width: 652px) 100vw, 652px\" \/><\/a><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/buymeacoffee.com\/andydavistech\/e\/111242\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" width=\"652\" height=\"1024\" src=\"https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/COVER-IMAGE-652x1024.jpg\" alt=\"\" class=\"wp-image-26656\" srcset=\"https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/COVER-IMAGE-652x1024.jpg 652w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/COVER-IMAGE-191x300.jpg 191w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/COVER-IMAGE-768x1206.jpg 768w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/COVER-IMAGE-96x150.jpg 96w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/COVER-IMAGE.jpg 794w\" sizes=\"(max-width: 652px) 100vw, 652px\" \/><\/a><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-not-stacked-on-mobile is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/buymeacoffee.com\/andydavistech\/e\/262907\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" width=\"652\" height=\"1024\" src=\"https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/07\/BPW-Book-Cover-Image-652x1024.jpg\" alt=\"A Comprehensive Guide to Backplate &amp; Wing BCDs\" class=\"wp-image-26808\" srcset=\"https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/07\/BPW-Book-Cover-Image-652x1024.jpg 652w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/07\/BPW-Book-Cover-Image-191x300.jpg 191w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/07\/BPW-Book-Cover-Image-768x1206.jpg 768w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/07\/BPW-Book-Cover-Image-96x150.jpg 96w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/07\/BPW-Book-Cover-Image.jpg 794w\" sizes=\"(max-width: 652px) 100vw, 652px\" \/><\/a><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/buymeacoffee.com\/andydavistech\/e\/260377\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" width=\"652\" height=\"1024\" src=\"https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/The-Path-To-Proficiency-Book-Cover-Image-652x1024.jpg\" alt=\"Diving Psychology The Path to Proficiency: Mental Strategies for Scuba Divers (eBook)\" class=\"wp-image-26633\" srcset=\"https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/The-Path-To-Proficiency-Book-Cover-Image-652x1024.jpg 652w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/The-Path-To-Proficiency-Book-Cover-Image-191x300.jpg 191w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/The-Path-To-Proficiency-Book-Cover-Image-768x1206.jpg 768w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/The-Path-To-Proficiency-Book-Cover-Image-96x150.jpg 96w, https:\/\/scubatechphilippines.com\/scuba_blog\/wp-content\/uploads\/2024\/05\/The-Path-To-Proficiency-Book-Cover-Image.jpg 794w\" sizes=\"(max-width: 652px) 100vw, 652px\" \/><\/a><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-dots\"\/>\n<p id=\"rop\"><small>Originally posted 2018-11-05 06:10:40. <\/small><\/p>","protected":false},"excerpt":{"rendered":"<p>An overview of high pressure nervous syndrome | HPNS | Hyperbaric deep diving 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