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Date: Mon, 10 Jun 1996 10:21:32 -0700 (PDT)
From: "Peter N.R. Heseltine" <heseltin@hs*.us*.ed*>
To: techdiver@terra.net
Subject: What's a *safe* pPO2
Date: Tue, 4 Jun 1996 09:10:28 -0700 (PDT)
From: "Peter N.R. Heseltine" <heseltin@hs*.us*.ed*>
Reply-To: "Peter N.R. Heseltine" <heseltin@hs*.us*.ed*>
To: IANTD <iantdhq@ix*.ne*.co*>
Subject: Re: What's a *safe* pPO2?
In-Reply-To: <199606041509.IAA04504@df*.ix*.ne*.co*>
Message-ID: <Pine.SOL.3.92.960604084910.11335A-100000@hs*.us*.ed*>
MIME-Version: 1.0
Content-Type: TEXT/PLAIN; charset=US-ASCII

Tom,

Many thanks for your reply to my post. I don't know whether you have seen
the original threads of this discussion.

My concern is that, with the new availablility of nitrox to sport divers,
they will be facing the possibility of attaining pPO2s that simply were
beyond the reach of most a few years ago. Very few were diving on air to
186 fsw let alone 218 fsw. While it is clear that tech divers and even
those trained in tech nitrox will have both the knowledge, training and
fitness to vary their pPO2s and reasonably assess risk (as you describe in
your post), I am not so convinced that the average sport diver will do so.

If nitrox is to gain wide acceptance in the sport diving community it must
be seen as having reasonable rules that provide a reasonable level of
safety. Your e-mail to me and many others that I have received on this
topic, suggest reasonable guidelines that (as you point out) do not seem
difficult to plan and are consistent with all the training I have
received. On the other hand, Brett Gilliam, in a letter to Undercurrent
published in May 96, states that *no-one* has ever suffered O2 toxicity at
pPO2s less than 1.6, unless they has also exceded their CNS clock. Because
of his reputation, that statement will be taken as gospel by many who read
his books, attend his lectures or know that he is now the CEO of Uwatec
USA.

If Brett is right, then 'nuff said. But it seems that the perception of
the knowlegeable dive community is that caution is needed. As a physician
who advises sport divers on health and diving medicine issues, I am
concerned that statements like Brett's undermine safety practices and
possibly mislead. I would like to see the safety caveats that you
mentioned in your e-mail operationalized in published letters/articles to
sport divers, when absolute limits are discussed.

Many thanks

Peter Heseltine, MD


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