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A case study involving a case of sinus barotrauma and tips for avoidance. The diver was a 26-year-old woman with approximately 200 lifetime. The diver did a single, morning dive to a maximum depth of 26 m. She reported no troubles equalising or other complications during her descent. While approaching, her safety stop near the end of the ascent, she was struck by a sudden massive headache, nausea and vomiting. She skipped the safety stop and ascended directly to the surface. The headache and vomiting continued on the boat, and she also experienced an onset of what she called dizziness. The crew helped her remove her gear and administered oxygen. After a few minutes with no improvement, the crew recalled the rest of the divers and called emergency medical services (EMS) and the DAN Emergency Hotline.