Hi! A few months ago there was a thread discussing ascent rates which turned into a discussion on computerized decompression models. Unfortunately I have lost the first letter but as far as I can remember someone claimed that rapid compression could cause bone necrosis "due to the high pressure gradients in the tissues" and the same person refered to a chapter in Edmonds, Lowry, and Pennefather's "Diving and subaquatic medicine". I neither can understand how these pressure gradient can occur nor can I find anything mentioned about it in my edition of "Diving and ...". I am presently involved in a project studying the problems with deep single escapes from disabled submarines. As a part of the project we do rapid compressions to 50 m / 165feet followed by a normal decompression after 5 min at pressure. In this case rapid is a doubling of pressure every 4 seconds which results in a 50m compression taking about 10 seconds. The subjects usually do only one or two dives each but we who assist the subjects we do one dive a day for 7 or 8 days a little now and then... The decompressions are usually not problematic but if the compression per se can cause dybaric bone necrosis I am very very interested in learning more about it. {ke Larsson (E-mail Lars_Larsson@In*.se*) National Defence Research Establishment Sweden Naval medicine division
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