certificado meidco

Medical Requirements & Regulations

The Medical Examination is mandatory for safety reasons based on:

National Legislation: Safety standards for underwater activities (Ministry of Development Order, October 14, 1997, BOE No. 280, Article 25).
Regional Legislation (Andalusia): Decree 216/2003 (Sports-recreational diving) and Decree 28/2002 (Professional diving).
Andalusian Sports Law 6/1998: Ensuring health control and medical care to guarantee the safety of athletes.
European Legislation: Great Britain (E.D.T.C. standards).

The Initial Medical Examination

A proper initial check-up must include:

Directed Anamnesis (Medical history and signed questionnaire).
General exploration: Vital signs and anthropomorphic parameters.
Cardiorespiratory, neurological, dental, and skin examinations.
E.N.T. (Ear, Nose, and Throat): Otoscopy.
Psychological assessment.
Recommended: ECG, Spirometry, Chest X-ray (PA & L), and blood analysis.

Medical Questionnaire (Key Questions)

The candidate must answer (YES/NO) regarding:

Difficulties equalizing ears (diving or planes).
History of decompression accidents or barotrauma.
Conditions: Diabetes, asthma, pneumothorax, epilepsy, or loss of consciousness.
Cardiac issues: Murmurs, arrhythmias, chest pain, or hypertension.
Psychological factors: Claustrophobia, anxiety, or nervous disorders.
Current status: Medications, smoking/alcohol habits, or pregnancy.

Contraindications & Frequency

Absolute & Permanent Contraindications: Spontaneous pneumothorax, Epilepsy, Cystic lung disease, Bullous bronchopneumopathy, or history of acute hypoxic encephalopathy.

Examination Validity:

Scientific Diving: Every 2 years.
Recreational Diving: Every 2 years.
Professional Diving: Every 1 year.

Authorized Medical Centers (Spain)

Examinations must be performed by doctors with official certification in underwater medicine. Some authorized centers include: