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To: techdiver@opal.com
Subject: Computers versus tables
From: <Geir.Johannessen@bi*.ui*.no*>
Date: Tue, 12 Jul 1994 10:55:06 +0200
(In rec.scuba or bit.listsev.scuba-l?) Jay Hack wrote an interesting
posting on computer versus dive table safety. His interpretation of DAN=B4s
data seems sound and interesting. His conclusion: it takes more negative
factors to produce DCS for a diver relying on his computer than for someone
relying on written tables.
Several replies to this posting argue that tables can be as safe and list
all kinds of healthy precautions. As somebody else has pointed out already,
that is besides the point. The main message is, provided that a diver (for
whatever reason) accepts negative attributes, a computer diver is more
likely to get away with it.
I have got one objection which goes past the statistical interpretation:
Could it be that the negative attributes for table divers are
underestimated? When somebody gets bent, there will always be a wish to
avoid looking foolish. People lie (or "forget") about maximum depth and
bottom time. The patient will be treated for symptoms anyway. The
recompression facility does not really have to know your dive profile.
However, the "adjusted records" mess up our much wanted feedback on the
validity of tables. We are not going to flog anybody for having carried out
a stupid dive - our only concern is: are the tables we use safe or will
some entries have to be changed?
As an example: Joe Diver goes to 200 feet for 15 min and skips most of his
decompression. He gets bent. Upon recompression he is asked what kind of
dive this was. He feels like a jerk and presents a nicer version: I dove to
130 feet for 15 min. Moreover, I decompressed according to my tables. I
assume I am just one of the unlucky ones. He gets treated, no problem. But,
we are left with a case that makes us doubt the safety of the 130 feet/ 15
min entry - here is somebody who did everything right and still he got hit.
If Joe Diver had told us the true story, we would not have to doubt our
tables. He would not be condemned for admitting his "sin" - in fact we
would feel good about it since the truth would confirm the validity of our
tables. So, the moral is: Do not lie about your dive. Physicians want to
learn which table entries work and which do not. The doctor is there to try
and fix you, not to fine you according to your violations.
Computer divers would like to tidy up their stories too. But, it is a lot
harder. When that little gadget recalls the latest dive, maximum depth will
be displayed as well as dive time. Some will recall the profile also.
Negative attributes are much harder to conceal. In effect, computer divers
will have to admit the true colors of their dive, while table divers can go
on lying about it.
In Norway bends victims are treated for free. No special insurance is
needed. If the relevant U.S. insurance can be waived on the basis of gross
negligence, that could be a reason for presenting a modified record. I do
not know whether special terms apply and would appreciate some feedback.
Will an off-color dive waive the insurance? If so, we all loose. The
voluntary field-testing of tables, our best means of learning what they are
worth, will be fraught with errors.

On the other hand, suppose the data is correct. What then, could be the
explanation to an inherently higher risk for table dives? In general, a
table dive is a square profile bounce dive. The computer diver will be more
prone to choose a multi-level approach. Could it be that computer divers
tend to have less provokative ascents? That is, in spite of other adverse
factors the multi-level ascent will provide for a better decompression. In
any event, provided there is a different risk factor, the reason should be
sought in the profile. Physiology stays the same whether one is wearing a
computer or not. I would suggest that multi-level ascents could be the
answer.
It would also be interesting to look into what kinds of negative attributes
we are dealing with. As mentioned by others, there is no need to discuss
why some divers accept stupid risks. But, it could be productive to look at
the various factors and see whether there is a pattern to it. That is, do
computer divers and table divers accept different risks? Could it be that
computer divers pick up four subtle factors to get bent, while table divers
go for two serious ones? If "excessive ascent rate" is listed for a
computer dive, that dive will not provide the typical computer profile
protection. On the other hand, if the unlucky computer divers have taken
advantage of a gradual ascent, picking up their high INA score from other
factors, my above argument is valid. That is: It takes several negative
factors to contract DCS despite a healthy, shallow "tail" to ones dive
profile.
Also, I would like to see a distinction between presumably correct dives
and violations. If the computer beeps on the surface, that is no computer
dive - it is a case of missed decompression. The same goes for table dives.
I am interested in dives that should have been OK, but turned out to be
bad.

Hans-Petter Roverud

currently using Geir Johhannesen mail address

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