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To: scifi!njs@uu*.uu*.ne* (Nicholas J. Simicich)
Subject: Re: In-water Decompression Completion
From: story@be*.wp*.sg*.co* (David (Duis) Story)
Cc: techdiver@santec.boston.ma.us
Date: Mon, 29 Mar 1993 11:21:30 -0800 (PST)
Nicholas J. Simicich
> 
> >  The only in-water recompression procedure I would consider is one
> >  utilizing pure O2, such as Dr. Edmonds', but I do not believe it to be
> >  practical except in extremely remote locales.  I believe his article
> >  makes the same point: when transportation is available, the victim
> >  should be transported, not recompressed.
> 
> Of course, in the original paper on the Hawaiian method, it described
> a pair of divers, both bent on the same dive, one of whom elected to
> in-water recompress (even though the boat was leaving) and lived, and
> the other, who elected to be transported to the local chamber, and
> died. 
> 
> It may be that for severe cases of decompression sickness, extremely
> rapid recompression (within five minutes of symptom onset) does have
> some advantage.

Nick, you don't seriously consider this anecdote worth citing, do you?
What if the fellow who died was going to die no matter what happened?
I suppose the judgement of someone who is severely bent will be
completely unaffected, and a medical professional (or even untrained
fellow diver) should unquestioningly go along with his choice, leaving
him alone, without surface support, in open water?

An anecdote from the original RN tables development recounts a fellow
who surfaced from a half hour dive at 150fsw, cheerfully began
describing the dive, and then keeled over and died.  Total interval
between surfacing and pronouncement of death: 4 minutes.

Safe diving,

David Story                        NAUI AI Z9588, PADI DM 43922, EMT
story@be*.wp*.sg*.co*		   Oxygen is a drug in California.

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