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Date: Wed, 02 Aug 2000 13:02:10 -0400
Subject: Re: ABC on Diving the San Diego - STROKE ALERT
From: Jim Cobb <cobber@ma*.ci*.co*>
To: <billy@bd*.co*.au*>, <techdiver@aquanaut.com>
I don't see anything wrong with this setup, Billy. Obviously this death was
due to diver error. I guess he forgot whether the yellow tape was air or
nitrox. An innocent mistake anybody could have made. He should have had a
hose wrap around the nitrox, um, or the air, that would have made everything
better.

Billy, I truly hope you are not implying with this post that weird, bizarre,
non-standard equipment and configurations could possibly have been at fault.
I mean the mere suggestion of this makes you a DIR goose-stepping nazi
fanatic.

It's a much better for divers to follow their own path, do their own thing.
How could you possibly suggest that following a standard, proven gear
configuration could do anything but stifle the creative urges of the
aspiring techdiver.

Take a look at this fellow, independent doubles with different mixes going
to an unlabeled gas block equipped with a great big easily-moved lever. This
fellow is, er, was obviously an genius of the highest order.

I see that his wonderful, inspiring rig is now available for purchase.
Perhaps we can all pitch in and purchase it for Black, the only person *I*
know of smart enough to appreciate it's beauty of design and construction.

   Jim


 -------------------------------------------------------------------
 Learn About Trimix at http://www.cisatlantic.com/trimix/

> From: <billy@bd*.co*.au*>
> Date: Wed, 02 Aug 2000 20:37:41 +1000
> To: <techdiver@aquanaut.com>
> Subject: Re: ABC on Diving the San Diego - STROKE ALERT
> 
> 
>> on 7/31/00 2:24 AM, speez3 (Techdiver) at speez3@ea*.ne* wrote:
>> 
>>> As for Tony Maffatone, he takes his
>>> ideas, puts them on paper and makes them work. Everything he builds is from
>>> his own design. This whole thread really shows ZERO intelligence from this
>>> list. A proper apology is definitely in order.
> 
> 
> Seems Maffatone is determined to take an outdated
> and terminally stupid idea and grind it around and
> around some-more.
> 
> The old Kevorkian rig rears its ugly head again.
> 
> rgds billyw
> 
> 
> ------5. New South Wales State Coroner. Coroner's Court, 1995. File number
> 94/574. -------
> 
> Clinical record
> 
> A 47-year-old experienced underwater cave diver, with no significant medical
> history, was diving with two tanks -- one containing compressed air, the other
> a 50% mixture of oxygen and nitrogen (nitrox). Towards the end of the 47-m,
> 19-min dive, he was seen floating head down, unresponsive, with his mouthpiece
> out of his mouth and "his fins [flippers] moving as if he was shivering" (as
> reported by another diver to the Coroner). The body was carried up to 15 m
> depth and then allowed to ascend freely as the other divers decompressed.
> 
> Cardiopulmonary resuscitation was attempted, but abandoned after 43 minutes as
> there was no response.
> 
> Autopsy findings
> 
> Erect postmortem x-rays and autopsy of the body performed 24 hours after death
> revealed large amounts of gas in the venous system of the trunk and limbs and
> in both sides of the heart (Figure 1). The heart weighed 380 g and was normal,
> apart from foamy blood and gas in all chambers. Analysis of gas from the right
> ventricle showed O2 (20.6% by volume), and N2 (75.9%). There was bruising of
> the tongue and petechiae on the lungs and heart. The brain (1740 g) showed
> mild cerebral oedema and a microscopic perivascular haemorrhage in the floor
> of the fourth ventricle.
> 
> Figure 1: Postmortem erect chest x-ray, showing gas in both sides of the chest
> and in the neck veins (a combination of postmortem decompression, perimortem
> barotrauma and, possibly, decomposition).
> 
> Examination of diving equipment
> 
> Examination of the subject's diving equipment (Figure 2) revealed that he had
> been breathing the 50% oxygen/nitrogen mixture for most of the dive. Each tank
> had a separate first stage connected in an unusual fashion by a two-way
> switch, which the diver had had made by a local engineering shop. This allowed
> the diver to switch from one tank to another rapidly. This switch supplied a
> single second-stage mouthpiece. The two tanks were different colours; the
> circuit from the black (compressed-air) tank was marked with yellow tape,
> while the circuit from the yellow (nitrox) tank was unmarked.
> 
> Figure 2: Equipment used by the diver, showing the 50% oxygen/nitrogen gas
> tank (yellow, right), compressed-air tank (black, left), yellow tape marking
> the compressed-air circuit, and two-way valve which controlled the source of
> the air supply (inset shows close-up of valve).
> 
> The regulator had a small tear and a bite mark in the mouthpiece. The diver
> wore a facemask and separate mouthpiece rather than a full facemask, which
> covers eyes, nose and mouth.
> 
> Discussion
> 
> The cause of death, as determined by the Coroner, was drowning after oxygen
> toxicity.(5) The "shivering" movements and the biting of the tongue and
> mouthpiece suggested fitting. Using a 50% oxygen/nitrogen mixture at 47 m
> depth, the diver had been exposed to a partial pressure of oxygen of 291 kPa
> (2.9 atm), possibly for as long as 19 min. During diving, this gas mixture
> should be used only at depths less than 14-18 m (depending on the duration of
> exposure).
> 
> Cerebral gas embolism and decompression illness were unlikely causes of death,
> as the subject was unresponsive before ascent. The gas observed at autopsy
> probably resulted from a combination of postmortem decompression (release of
> tissue nitrogen), perimortem barotrauma and, possibly, a degree of
> decomposition.(6)
> 
> This death resulted from several compounding problems:
> 
> 1.The diver may have turned the switch to the unmarked nitrox circuit,
> thinking he was using the circuit to the compressed air in the black tank (the
> yellow label marked the circuit from the black [compressed-air] tank, not the
> circuit from the yellow [nitrox] tank). Alternatively, as the two-way valve
> needed very little pressure to turn, it could have been accidentally switched
> from a safe to an unsafe gas mix.
> 
> 2.The diver was using a separate facemask and mouthpiece. During the seizure,
> the mouthpiece fell out. A full facemask, covering both the mouth and nose,
> should be worn by divers using oxygen-rich mixtures or carrying out deep
> diving on compressed air, to reduce the chance of drowning should an oxygen
> convulsion occur.
> 
> This technical diving fatality and those reported in the United States in
> 1992(4) were in experienced divers, who should have understood the dangers.
> 
> source: "an article published on the Internet by The Medical Journal of
> Australia <http://www.library.usyd.edu.au/MJA/>"
> 
> 


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