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. 2020 Sep 30;50(3):278–287. doi: 10.28920/dhm50.3.278-287

Table 1. Classification of divers or diving candidates based on severity of COVID-19 suspected illness. The categories of divers are based upon presenting symptoms and severity of disease, including oxygen requirement, imaging, need for and level of hospitalisation, and cardiac involvement. A diver should be placed in the highest category where they meet any (not all) of the criteria. BIPAP = bilevel positive airway pressure support; BNP = brain natriuretic peptide; CK-MB = creatine kinase MB fraction; CPAP = continuous positive airway pressure support; CT = computed tomography; DVT = deep venous thrombosis; ECG = electrocardiogram; ICU = intensive care unit .

Category 0 NO history of COVID-19-suspected illness Category 1 MILD COVID-19-suspected illness Category 2 MODERATE COVID-19-suspected illness Category 3 SEVERE COVID-19-suspected illness
Definition: Definition: Definition: Definition:
Divers who have no history of COVID-19 suspected illness should proceed with normal evaluations. Additionally, we would use these criteria in those who may have had a positive screening PCR or antibody test, but without any history of illness or symptoms consistent with COVID-19. • Did not seek health care or received outpatient treatment only without evidence of hypoxaemia. • Required supplemental oxygen or was hypoxic. • Required mechanical (intubation) or assisted ventilation (BIPAP, CPAP) or ICU level of care.
• Did not require supplemental oxygen. • Had abnormal chest imaging (chest radiograph or CT scan). • Cardiac involvement defined as abnormal ECG or echocardiogram, or elevated cardiac biomarkers e.g., troponin or CK-MB and BNP (or absence of documented work up).
• Imaging was normal or not required. • Admitted to the hospital but did NOT require mechanical (intubation) or assisted ventilation (BIPAP, CPAP) or ICU level of care. • Thromboembolic complications (such as pulmonary embolism, DVT, or other coagulopathy).
• If admitted, had documentation of a normal cardiac work up including normal ECG and cardiac biomarkers e.g., troponin or CK-MB and BNP. • Thromboembolic complications (such as pulmonary embolism, DVT, or other coagulopathy).