DCS Recognition

Know the signs. Reduce the risk. Act fast.

Recognising Decompression Sickness

Decompression sickness can affect any diver. Symptoms may appear soon after a dive or within the following 24 hours, and early recognition matters. Not every symptom is dramatic. Fatigue, unusual pain, tingling, dizziness, skin changes or shortness of breath after diving should always be taken seriously.

This page is for diver education and awareness. It does not replace professional medical advice, emergency services, DAN guidance or formal first aid training. If you suspect DCS, stop diving and seek appropriate medical help promptly.

MacroDivers.com DCS Recognition infographic showing signs and symptoms, how to reduce the risk, what to do if DCS is suspected and treatment priorities.

Key Points Every Diver Should Know

Early recognition and prompt action are far more important than trying to guess whether symptoms are minor.

Recognise it

Symptoms can include unusual fatigue, joint or muscle pain, tingling, numbness, dizziness, headache, skin rash or marbling, breathing difficulty and confusion.

Reduce the risk

Dive within your training and computer limits, ascend slowly, complete an appropriate safety stop, stay hydrated and avoid unnecessary exertion after diving.

First response

Stop diving, give 100 percent oxygen if available, keep the diver at rest, monitor breathing and responsiveness, and encourage fluids only if the diver is fully conscious.

Seek urgent help

Any unusual symptom after diving should be taken seriously. Contact local emergency medical services and DAN or an appropriate diving medical advice service as soon as possible.

Frequently asked questions

What are common signs of decompression sickness?

Possible signs include unusual joint or limb pain, tingling, numbness, weakness, dizziness, skin changes, unusual fatigue, breathing difficulty, confusion or problems with balance. Symptoms can vary, so treat anything unusual after diving seriously.

Can DCS symptoms appear after leaving the dive site?

Yes. Symptoms may appear shortly after a dive or develop later. Divers should remain alert for unusual symptoms after diving, especially after repetitive, deep, cold, strenuous or decompression-stress dives.

What should a diver do if DCS is suspected?

Stop diving, keep the diver safe and resting, activate local emergency procedures, seek urgent medical advice and contact an appropriate diving medical service such as DAN where available.

Should oxygen be given to a suspected DCS casualty?

If trained and it is available, high-concentration oxygen is generally recommended as first aid for suspected decompression illness while emergency medical help is arranged.

When should emergency medical help be called?

Emergency help should be called immediately if a diver has neurological symptoms, breathing difficulty, severe pain, weakness, collapse, confusion, worsening symptoms or any worrying symptom after diving.

Can good dive planning reduce DCS risk?

Good planning can reduce risk, but it cannot remove it completely. Conservative profiles, slow ascents, safety stops, hydration, warmth, fitness, rest and staying within training and computer limits all help.