With direct reference to your post, Ingemar, I don't know how far from the cave entrance your decompression stops begin, so the following text may be inapplicable. If, as you suggested, a habitat is required for this contingency, I think a dry habitat would be best, not only logistically, but for the fact that core rewarming (discussed below) as well as other medical treatments can be administered during the decompression. Cave diving certainly does pose some unique problems. I have assembled some thoughts on the suit flood problem, although they are probably more applicable to divers who can get to the surface reasonable quickly... As with any system component failure, the loss of suit integrity is something that will almost certainly occur at some point in time. Many methods of decreasing the probability of a suit failure are in widespread use; however, most off these produce characteristics that are detrimental to the normal operation of the diver, such as excessive drag, non-ideal buoyancy or increased system complexity. The probability of a suit failure is best reduced by selection of a suit appropriate to the environment (and consistent with all other suit selection criteria), with good puncture and abrasion resistance, and possibly reinforcing panels in areas where abrasion is anticipated. Having said that, management of a flooded suit is something we should all be prepared for, specifically in cold water environments where heat loss can become critical in a short period of time. Suit undergarments should be fabricated from non-absorbent material. In the case of a slow or minor leak, such an undergarment will still retain much of its insulating value. The undergarment should also be properly fitted. This will not only facilitate full mobility of the diver, but in the case of a complete suit flood will limit the amount of water circulation proximal to the diver's skin. A diver with a significant decompression obligation who encounters a flooded suit will immediately begin to exhibit physiological changes due to the onset of hypothermic conditions, which will reduce the effectiveness of the decompression. In cold water where the advance of hypothermia is quite rapid, the diver is best to follow a bailout involving the use of %100 oxygen to get out of the water (before the onset of any critical symptoms) and seek medical attention. Obviously, a portable surface recompression chamber would be an invaluable asset in this case. Alternately, when an additional suit and set of undergarments is available, the diver may opt to interrupt the decompression to don the second suit and return to the water to deco, or to attempt in-water recompression. For the details of both of these practices as I would employ them I refer you to one of my old posts with the subject :Interrupted Deco. I wish to make clear, however, that this should only be attempted if the diver is not exhibiting any apparent symptoms of hypothermia (probably rare given the scenario). As regards the treatment of the hypothermic diver at the surface, care should be taken not to apply heat to the extremities, as this could result in a shunt (due to enlargement of previously restricted blood vessels) of cold blood to the core, which can induce or speed up core cooling. There is a device that is widely available to permit core rewarming on site, which is powered by a rechargeable battery and which will accept the flow from your oxygen kit, heat and humidify it to saturation before delivering it to the patient. In my experience this has been very effective in preventing the advancement of hypothermia while transporting a patient. -Sean -- Send mail for the `techdiver' mailing list to `techdiver@aquanaut.com'. Send subscribe/unsubscribe requests to `techdiver-request@aquanaut.com'.
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