CMDR Keener writes: > > In my mind, it seems that most of the incidents of DCS related by > the people involved in this mailing list showed less severe symptoms than > this diver did. Also, if a number of multiple shallow dives were made, and > the water was warm (ie. little temperature stress as long as the divers ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^ > didn't overheat), wouldn't it seem that this was a case of embolism? The confusingly indistinct boundaries between "Type II DCS" and "AGE" have led the hyperbaric medical community to stop using those names. See the latest AquaCorps ("Bent", No. 4?) for a good article on why [Decompression Illness + adjectives] is now the proper terminology. I'd like to go on (as long as I'm up on the soapbox :) and make what I consider an interesting point: warm water is not necessarily safer than cold water with respect to DCI! A study which is cited heavily in PADI's dive computer book is one by Barnard & Leitch, in which they found that a particular series of repetitive deep dives were able to be performed safely in cold water but not as safely in warm water. I should note that the PADI book grossly misinterprets the findings of this paper! The profiles were roughly: 147'/45m for 5 min 55 min surface interval 147'/45m for 5 min 55 min surface interval 147'/45m for 5 min Repeat 12 times (!) over a period of days. (Paper was unclear on how this aspect was controlled.) "Warm Water" temp was ~19C. Cold water temp not specified. Quoting from the paper: "The cold water group completed their dives with compelte freedom from decomrpession sickness. The warm water group stopped the experiment when the diver ding the 10th 147-ft (45m) triple dive got a limb-bend after his second dive. By this state otehr divers had begun to report transient aches at the end of the triple dives. The afflicted diver had completed four triple dives in the preceding 7 days." Just thought I'd point out how unclear the correlation between water temp and DCI incidence is, even in a controlled study. The authors suggested acclimitization as the cause. Cheers, David Story NAUI AI Z9588, PADI DM 43922, EMT story@be*.wp*.sg*.co* Every dive is a decompression dive.
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