Hazards of Scuba Diving: List of diving hazards and precautions. According to a 1970 North American study, diving was (on a man-hours based criteria) 96 times more dangerous than driving an automobile. According to a 2000 Japanese study, every hour of recreational diving is 36 to 62 times riskier than automobile driving. A big difference between the risks of driving and diving is that the diver is less at risk from fellow divers than the driver is from other drivers. (1) Injuries due to changes in pressure. See also: Pressure changes during descent, Pressure changes during ascent, and Barotrauma. Divers must avoid injuries caused by changes in pressure. The weight of the water column above the diver causes an increase in pressure in proportion to depth, in the same way that the weight of the column of atmospheric air above the surface causes a pressure of 101. 3 kPa (14. 7 pounds-force per square inch) at sea level. This variation of pressure with depth will cause compressible materials and gas filled spaces to tend to change volume, which can cause the surrounding material or tissues to be stressed, with the risk of injury if the stress gets too high. Pressure injuries are called barotrauma and can be quite painful, even potentially fatal - in severe cases causing a ruptured lung, eardrum or damage to the sinuses. To avoid barotrauma, the diver equalizes the pressure in all air spaces with the surrounding water pressure when changing depth. The middle ear and sinus are equalized using one or more of several techniques, which is referred to as clearing the ears. The scuba mask (half-mask) is equalized during descent by periodically exhaling through the nose. During ascent it will automatically equalise by leaking excess air round the edges. A helmet or full face mask will automatically equalise as any pressure differential will either vent through the exhaust valve or open the demand valve and release air into the low pressure space. If a drysuit is worn, it must be equalized by inflation and deflation, much like a buoyancy compensator. Most dry suits are fitted with an auto-dump valve, which, if set correctly, and kept at the high point of the diver by good trim skills, will automatically release gas as it expands and retain a virtually constant volume during ascent. During descent the dry suit must be inflated manually. Although there are many dangers involved in scuba diving, divers can decrease the risks through proper procedures and appropriate equipment. The requisite skills are acquired by training and education, and honed by practice. Open-water certification programs highlight diving physiology, safe diving practices, and diving hazards, but do not provide the diver with sufficient practice to become truly adept