Burp 109.

[CPTOZZY]

Originally Posted by Beefcake

Great, now I have something new to be scared of. I have a condition that I think is called disfacia (sp?) that causes the valve above my stomach to remain closed at times while eating; now it sounds like this could trap air and kill me.

Dysphagia (greek for Bad Eating)

[scubadiver888]

Just hopped onto this thread so I missed the bulk of the conversation.

Just wanted to add the first rule of rescue. Ensure your own safety.

If someone is heck bent to go for the surface I'll try to slow them down but the moment we exceed a safe ascent rate the victim is on his own. I'll met him on the surface and do what I can to help them.

I was taught this originally when I took EMS training for a previous job and reminded of it when I took Rescue Diver and First Responder training recently.

Bottom line is, if you let yourself become a victim you now have two victims and the remaining resources need to be divided.

Additionally, something about this story sounds odd. I am not a hugely experienced diver but I have been with divers who were adamant about penetrating a wreck without a reel. I knew this before the dive and made it abundantly clear, they enter the wreck and they are on their own. The moment they TRY to enter the wreck I end the dive and I'm not waiting for them. I didn't tell them but the real plan was, they enter the wreck and I get a rescue diver (who has a reel and experience penetrating THAT wreck).

We got on the deck of the wreck and he goes for a hatch opening (3' square). I gave him a shake, signaled end of dive, waved good bye and started ascending. He followed up.

I find it difficult to believe experienced divers could not convince this guy not to do this. Why would you even bring the guy there? Experienced diver #1 and #2 go for a dive, lose the inexperienced diver and let him find another buddy. If someone seems like trouble I just won't dive with them. If you are going to MAKE me use my rescue training then don't go diving with me.

[Diving Jayhawk]

Hey Navy, that sucks about your crap experience with some idiot.

While some protocols do vary the execution of dive operations the treatment of dive accidents in essentially uniform (I can send out out a half-dozen company supervisor manuals.) To try and offer clarification on the treatment tables for DCS and AGE's here is the most current info.

If a diver has ANY neurological symptoms after diving (esp within 2 hours) it will be treated as an AGE or DCS Type II. Unilateral pain only away from the trunk or skin bends are treated as Type I DCS.

Any of these require immediate recompression to 60 FSW with 100% O2 for no less than 20 minutes. If Type I DCS and symptoms resolve in 10 minutes or less than treat on USN treatment table 5. If not then continue on TT6. If Type II DCS remain at 60 FSW for 20 minutes and look for stable or improving symptoms. If so, then continue on TT6 or TT6 w/ extentions. If not use Table 6a. etc, etc, protocols go on.

Navy is absolutely right about most clinical chambers (either monoplace or multiplace) will only go to 3ata and is probably not suitible for dive injuries. For whoever mentioned that diving docs can/do write custom tables for treatment- I have to respectfully disagree. Dive docs are required to extend treatment to table 4 or 7, but in 99% of cases DMTs, LSTs, and LSS's can beginning running the intial treatments,

[Bert]

That was me who brought up about the dive Dr. I am going to school for commercial diving, and there was an incodent where the Dr. had to wright a custom treatment table. In a nut shell former student broke into school while drunk and did a bell dive and got bent, tried to have another student fix them in a chamber, when the school found out what happened the called there Dr. who had to make a shedule based on the situation. We were told that most time we use a TT5 TT6 TT6a and extensions. SOP start treatment call Dr. follow direction to the "T"

[Diving Jayhawk]

TT5, TT6, and 6a are the most common, the doctor probably put him on TT4 or TT7 which require doctors direction to use. Really the only people who will write custom tables are NEDU and researchers at schools like Duke, etc. I would say that for liability reasons the only time a site physician would use a completely custom table would be by direction from one of the above places, if nothing else just for liability reasons.

What school are you at right now? When did that accident happen? I'd like to read about it.

[Bert]

I am going to the ocean corperation. I don't think this incodent made any papers as it happen in house and I doubt the idoits that got bent would, want to talk to the media. I will see if I can get more info on monday. IIRC the mod was on the depth the standers schedules did not offer relief so they had to go deeper I been told that the bell we train on depth gauge goes to 200+ ft and they hade pegged the gauge out. out of curosity what is your back round in chamber ops you seem to be very knowageable?
PS I did a searched bing and found nothing about this incodent.

[Diving Jayhawk]

I have a BS in Respiratory Care w/ and emphasis in Hyperbaric Medicine, in addition I am a Saturation Life Support Tech waiting to start with a company in the gulf and enough panal hours to complete my ADCI and IMCA LST certs

[navyhmc]

Originally Posted by Diving Jayhawk

I have a BS in Respiratory Care w/ and emphasis in Hyperbaric Medicine, in addition I am a Saturation Life Support Tech waiting to start with a company in the gulf and enough panal hours to complete my ADCI and IMCA LST certs

And he's a helluva diver to boot.

[Diving Jayhawk]

Haha! Thanks Doc!! It was good to see you again this weekend, hopefully I'll down again sooner than later, although I may be in the gulf for all of august so september may be it. But cool enough to camp out then

[Bert]

Impressive backround! One day we might bump into eachother out in the gulf. I have no more info the instructor who would know in the in and outs is out of town.