During a 5-year period from January 1987 through January 1992, 58 pati
ents were admitted to the Allegheny General Hospital trauma center for
non-scuba, non-suicidal diving injuries. There were 46 men and 12 wom
en (mean age, 23 years). Forty-five patients were injured in swimming
pools. Twenty-two patients had blood alcohol levels >100 mg/dL. Cervic
al spine injury was the most common pathologic entity encountered in t
his group of patients. Closed head injury, pelvic fracture, thoracic v
ertebral fracture, and rib fractures were other injuries identified. S
ome patients had multiple organ failure syndrome. Aquatic recreational
activities carry a risk for injury that is preventable. The mechanism
,clinical data, and complications of 58 patients are presented and the
importance of prevention is discussed.