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To: techdiver@opal.com
Subject: Wrong reg @ depth
From: Rick Williams <williams@ma*.ev*.ed*>
Date: Wed, 20 Jul 1994 00:09:44 -0500 (CDT)
My wreck rig is composed of a primary and safe with the primary in my 
mouth and the safe suspended from surgical tubing around my neck.  The 
primary at this time is a D-400 and the safe is a Air I.  My deco mix is 
carried as side mounts with the deep mix on my left with both regs 
attached to the cylinder via tubing.  The O2 is on the right via tubing.  
Previously I carried O2 between the twins with the 109 regulator clipped 
to the side of the right cylinder of the twin.  

All regulators are shaped differently and located apart from each other.

I do not dive trimix, so I'm not faced with the additional task of 
switching from a travel mix to a bottom mix and back.  However, for what 
it is worth, I can see how a mistake could be made under various 
circumstances and a person grabs the wrong regulator.

The fact hat I physically isolate the location of my regulators so much 
no doubt has been a factor in never having had this problem.  That said 
however, I plan on a formal tri-mix class in the near future and the 
potential of this is bothersom.  To me redundant is just that, y valves 
on all critical gas supplies and if my understanding of the physics of 
trimix are correct, then all gas supplies are critical, then I'm looking 
at a fairly healthy number of regulators to contend with.  

I have to think that along with absolute familiarity of equipment 
location must go an almost rote understanding of the dive.  I've had more 
than a few people wonder about me as I sit for anywhere between 15 and 60 
minutes before a dive working through the entire thing with my eyes 
closed feeling my way around all my gear.  It may be paranoia, but it 
works for me.

I understand from some postings that there were some problems of a 
similar nature before the fatal dive.  If that is true, I can only say 
that being a very very conservative person, I would have probably gone 
back and reworked the entire system until I was sure I had corrected the 
situation that caused the problem.  This is no criticism of the people 
involved since they may have done just that and it is all too easy to 
armchair quarterback these things, but I would speaking for myself have 
gone back and probably spent a number of hours working on the system.

Really, a lot of these problems might be solved if we could get past the 
almost automatic fatal nature of seizures due to O2 CNS.  I agree with 
one person that the present "De Natura Rerum" is lacking in a reliable 
and simple switch system between gases using full face masks.  I know 
that we could design a block manifold and that purging between switches 
could insure almost immediate transfer of gases but that doesn't address 
the redundancy requirement of the primary regulator.  My own experience 
of having logged a couple of hundred hours with both AGA's and EXO's and 
no failures would mean little should such a failure occur without a 
complete and immediately available backup.  The obvious answer therefore 
is a full face mask with a redundant regulator system (easily said naturaly).

I think this is a question that ultimately has to be adddressed from a 
acceptable risk standpoint and it would be nice to say that it is an 
individual decision.  Unfortunately, the effects from each death adds 
fuel to the anti tek feelings which I think in good faith must be 
considered.  It would be nice if all parties concerned could sit down an 
address this problem without the typical political hyperbol.  The tek 
community has achieved standards on gas preperation, perhaps the issue of 
accidental gas switching should be the next subject addressed.

RW

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