The mean age of victims was 38.1 (range 10–72). Most of the victims were diving at sea, while one diver died in fresh water during a speleological expedition (2.1%). N (%) N (%) N (%) The information on the type of diving was isocitrate dehydrogenase inhibitor review missing for one victim. The number of victims in scuba diving and free-diving does not differ [23 (50%) vs 23 (50%)]. Out of 22 scuba diving fatalities,

3 (6.7% of the total diving accidents) occurred while performing a technical dive (at depths greater than 60 m or during occupational and/or speleological diving). In the group of free-divers, two cases (4.3%) involved snorkelers and included the youngest (a 10-year-old girl) and the oldest (a 72-year-old man) victim. The age groups of victims in the two categories differ in that the majority of scuba divers belong to the age group of 30 to 49 years

(34.8%), while most free-divers are young adults [20–29 years (19.6%)] (Table 1). However, there is no significant difference between the mean ages of the victims belonging to the two groups. Data about the organization of the diving were available in 40 cases. Most free-divers were diving alone at the time of death (16/20, 80%), while scuba divers were always diving in pairs or in a group (20/20, 100%). Out of 47 CHIR-99021 mw victims, 28 were tourists (59.6%), mostly coming from Germany (7 victims), Austria (4 victims), Czech Republic (3 victims), France (3 victims), and Italy (3 victims). A significant difference (p = 0.002) in diving styles was discovered

between foreign and local divers: while foreign divers were most commonly victims of scuba diving (19/27, 70.4%), residents died during free-diving (15/19, 78.9%) (Table 1). Only four deaths of Croatian Montelukast Sodium scuba divers were recorded and of these, three (15.8%) were casualties of technical and occupational dives. A significant difference (p < 0.001) in age was observed between tourists and local victims, tourists being older than Croatian victims (mean age of tourists was 44 years, while for residents it was 29.3 years). Most of the fatal diving incidents occurred in the summer months (38.9% locals vs 60.7% tourists). All female victims in the sample were tourist divers. The number of diving-related deaths has grown with every decade. From 1981 to 1990 there were 8 causalities, from 1991 to 2000 17 casualties, and from 2001 to 2010 22 diving casualties (Figure 1). While the number of casualties due to scuba diving shows stagnation during the last decade, the number of free-diving casualties has continued to rise (Figure 1). During the last three decades, the number of tourist casualties has risen faster than the number of Croatian diver casualties (Figure 2). The difference is most notable when examining the number of diving-related deaths before and after 1996. After 1996, the rise of tourist casualties (5 tourists before 1996 and 23 tourists after 1996) is greater than that of local divers (6 Croatian divers before 1996 and 13 after 1996).