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Date: Wed, 06 Feb 2002 09:07:09 -0500
From: Adam Volosik <adamjma@op*.ne*>
Subject: WHY WE DO NOT BOUNCE DIVE
To: "Techdiver@Aquanaut.Com" <techdiver@aquanaut.com>
Cc: "Cavers@Ca*.Co*" <cavers@ca*.co*>
This is a multi-part message in MIME format.

--Boundary_(ID_hs8EKUcJBhxzaUw425yWuw)
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* If somebody wants to put that post on here, go ahead* 

Here it is,

WHY WE DO NOT BOUNCE DIVE AFTER DIVING IN THE WKPP

It is ok to offgas from the tissues into the blood stream in bubble form in
the later steps of decompression as it is a more efficient, faster way of
getting rid of the remaining gas ( by reduced pressure ) than by elevated
oxygen alone ( which starts taking exponentially more time with greater
risk) . However, this depends on having a good lung filter and no shunts.
All of you have been PFO tested if you are diving with us.

The correct way to ascend from the last stop is one foot per minute for the
bigger dives.

The greatest potential for offgassing in bubble form is when the pressure is
totally removed back to one ATA out of the water. Now you get a real shower
of bubbles , relative to what was happening in the water. A good , clean
deco with the foot per minute ascent reduces this dramatically .
In MOST people, the greatest bubbling occurs out of the water and continues
for up to four hours, not even peaking for a couple of hours. In a well
vascularized, fit person like me, it is over with in 30 minutes. Don't bet
on that with most of you.

In ALL people, the bubbles continue to grow in size after the pressure is
off. They accumulate like gas into themselves from the surrounding blood or
tissues ( if there are bubbles in the tissues or injury sites ) and they
grow bigger. This is why you feel pain later rather than earlier if the
bubbles are in joints or tissues - they get bigger before they begin to
shrink. This is why what starts out as micro bubbles can get by the lungs
and grow and get lodged downstream, and you get neurological symptoms later.
Now here is the important part. If you understand everything I have said
above, then you know that bouncing to 20 feet or whatever to pick up a
bottle and immediately returning to the surface is the like giving yourself
a home-made PFO: the bubbles in the venous side compress enough to get past the
lungs and then will reexpand on the arterial side and lodge in the worst
places , the spine and brain blood supplies. You do not want this.

If you dive after dive, stay down and let everything reset. Get the bubbles
all compressed, and then deco out and ascend accordingly.
I do not want support divers diving support within four hours of doing a
real dive or deep support. This works out fine, since we have support
activities lasting up to 18 to 24 hours and need to rotate everyone.
Let me assure you that we have found this out the hard way in the past.

Parker used to get hot as hell when it would happen. In those days we had
"volunteers", and they would all get bent diving to 20 feet to pick up
bottles. We have also seen some severe cases of this where dives were done
away from the project with no support, and the players went back for bottles
later and got hammered.

Don't do it. Also, obviously, do not freedive after a dive. When you want to
freedive, do that first and then go scuba diving.


  ----- Original Message ----- 
  From: George Irvine 
  To: Techdiver@Aquanaut.Com 
  Cc: Cavers@Ca*.Co* 
  Sent: Wednesday, February 06, 2002 6:13 AM
  Subject: deco posts , repets, etc. start with this



  -----Original Message-----
  From: George_Irvine@

  Mike, I will put out my repet post and the others in sequence, but first let
me mention something here that is being missed. 

  Gas does not transfer from tissues into arteries or veins, it does so into
capillaries. The artilleries coming from the heart are huge, thick, elastic ,
pulsing conduits that get smaller as they branch out until they become
capillaries, and then the return to the heart is through veins which are also
thick and get larger as they combine to return blood to the right side of the
heart. 

  That blood is then sent to the lungs, where the massive network of tiny
capillary beds located in about 45,000 square feet of surface area, act as a
"filter" for bubbles. The "filtered" and now oxygenated blood which has passed
its co2 and other excess gasses to the lung space, goes back to the heart to be
pumper through the system again. The whole trip takes about two minutes to
happen. 

  You do not bubble into the arteries. If bubbles get into the arteries it is
because they passed the filter or were "shunted" over through a PFO in the
arterial walls, or because they were momentarily compressed enough momentarily
to get past the lungs and then reexpanded as the pressure dropped prior to
reaching the capillaries, in which case they lodge in the smaller and smaller
vessels and block them. This occurs in bounce diving, as in doing a dive and
then bouncing back down to retrieve something, like a deco bottle. This is why
we do not allow bouncing in the WKPP, and why we require our support divers to
stay out for 4 hours before diving shallow for support. 

  * If somebody wants to put that post on here, go ahead* 

  Most people get the greatest rush of bubbles from the tissues into the blood
stream upon surfacing from 20 feet or so. This is why we do that differently,
post to follow. Most people tend to bubble for hours after a dive. Most bubbles
tend to grow from the surrounding supply of gas before they get smaller and
disappear. 

  If the bubbles are in the tissues, yo have pain. The way to prevent bubbles
in the tissues is to properly decompress starting deep and at a rate that
allows the bubbles to escape to the blood stream. Deep this needs to be done
carefully and in solution, shallow you can press the gradient and allow
offgassing in bubble form into the blood stream. The difference is that if you
screw up shallow, you can go back a little and fix it. If it occurs deep, that
makes it impractical and a huge waste of time for nothing. For people wight
cardiac or pulmonary shunts, offgassing in bubble form is super dangerous. For
those without, it is far more efficient. For those with PFO's, the risk is
greatest AFTER they get out of the water for the reasons stated above ( growth
of bubbles and continuation of bubble offgassing) 

  I think you can see where I am going to tell you that you need to do your
shallowest dives first, do your drills before yo do your dives, and why you can
basically ignore repetitive dives using the correct deco. You can NOT ignore
them with respect to oxygen exposure. 

  This post is long enough , basic enough and preliminary enough. Now we can go
on to the whole bit. 


--Boundary_(ID_hs8EKUcJBhxzaUw425yWuw)
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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=Content-Type content="text/html; charset=iso-8859-1">
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<BODY bgColor=#ffffff>
<DIV><FONT face=Arial size=2><FONT face="News Gothic MT">* If somebody
wants to 
put that post on here, go ahead*</FONT><FONT face="Times New Roman"
size=3> 
</FONT></FONT></DIV>
<DIV><FONT face="News Gothic MT" size=2></FONT> </DIV>
<DIV><FONT face="News Gothic MT" size=2>Here it is,</FONT></DIV>
<DIV><FONT face="News Gothic MT" size=2></FONT> </DIV>
<DIV><FONT face=Arial size=2>WHY WE DO NOT BOUNCE DIVE AFTER DIVING IN
THE 
WKPP</FONT></DIV>
<DIV> </DIV>
<DIV><FONT face=Arial size=2>It is ok to offgas from the tissues into the
blood 
stream in bubble form in</FONT></DIV>
<DIV><FONT face=Arial size=2>the later steps of decompression as it is a
more 
efficient, faster way of</FONT></DIV>
<DIV><FONT face=Arial size=2>getting rid of the remaining gas ( by
reduced 
pressure ) than by elevated</FONT></DIV>
<DIV><FONT face=Arial size=2>oxygen alone ( which starts taking
exponentially 
more time with greater</FONT></DIV>
<DIV><FONT face=Arial size=2>risk) . However, this depends on having a
good lung 
filter and no shunts.</FONT></DIV>
<DIV><FONT face=Arial size=2>All of you have been PFO tested if you are
diving 
with us.</FONT></DIV>
<DIV> </DIV>
<DIV><FONT face=Arial size=2>The correct way to ascend from the last stop
is one 
foot per minute for the</FONT></DIV>
<DIV><FONT face=Arial size=2>bigger dives.</FONT></DIV>
<DIV> </DIV>
<DIV><FONT face=Arial size=2>The greatest potential for offgassing in
bubble 
form is when the pressure is</FONT></DIV>
<DIV><FONT face=Arial size=2>totally removed back to one ATA out of the
water. 
Now you get a real shower</FONT></DIV>
<DIV><FONT face=Arial size=2>of bubbles , relative to what was happening
in the 
water. A good , clean</FONT></DIV>
<DIV><FONT face=Arial size=2>deco with the foot per minute ascent reduces
this 
dramatically .</FONT></DIV>
<DIV><FONT face=Arial size=2>In MOST people, the greatest bubbling occurs
out of 
the water and continues</FONT></DIV>
<DIV><FONT face=Arial size=2>for up to four hours, not even peaking for a
couple 
of hours. In a well</FONT></DIV>
<DIV><FONT face=Arial size=2>vascularized, fit person like me, it is over
with 
in 30 minutes. Don't bet</FONT></DIV>
<DIV><FONT face=Arial size=2>on that with most of you.</FONT></DIV>
<DIV><FONT face=Arial size=2></FONT> </DIV>
<DIV><FONT face=Arial size=2>In ALL people, the bubbles continue to grow
in size 
after the pressure is</FONT></DIV>
<DIV><FONT face=Arial size=2>off. They accumulate like gas into
themselves from 
the surrounding blood or</FONT></DIV>
<DIV><FONT face=Arial size=2>tissues ( if there are bubbles in the
tissues or 
injury sites ) and they</FONT></DIV>
<DIV><FONT face=Arial size=2>grow bigger. This is why you feel pain later
rather 
than earlier if the</FONT></DIV>
<DIV><FONT face=Arial size=2>bubbles are in joints or tissues - they get
bigger 
before they begin to</FONT></DIV>
<DIV><FONT face=Arial size=2>shrink. This is why what starts out as micro 
bubbles can get by the lungs</FONT></DIV>
<DIV><FONT face=Arial size=2>and grow and get lodged downstream, and you
get 
neurological symptoms later.</FONT></DIV>
<DIV><FONT face=Arial size=2>Now here is the important part. If you
understand 
everything I have said</FONT></DIV>
<DIV><FONT face=Arial size=2>above, then you know that bouncing to 20
feet or 
whatever to pick up a</FONT></DIV>
<DIV><FONT face=Arial size=2>bottle and immediately returning to the
surface is 
the like giving yourself</FONT></DIV>
<DIV><FONT face=Arial size=2>a home-made PFO: the bubbles in the venous
side 
compress enough to get past </FONT><FONT face=Arial size=2>the lungs and
then 
will reexpand on the arterial side and lodge in the worst</FONT></DIV>
<DIV><FONT face=Arial size=2>places , the spine and brain blood supplies.
You do 
not want this.</FONT></DIV>
<DIV> </DIV>
<DIV><FONT face=Arial size=2>If you dive after dive, stay down and let 
everything reset. Get the bubbles</FONT></DIV>
<DIV><FONT face=Arial size=2>all compressed, and then deco out and ascend 
accordingly.</FONT></DIV>
<DIV><FONT face=Arial size=2>I do not want support divers diving support
within 
four hours of doing a</FONT></DIV>
<DIV><FONT face=Arial size=2>real dive or deep support. This works out
fine, 
since we have support</FONT></DIV>
<DIV><FONT face=Arial size=2>activities lasting up to 18 to 24 hours and
need to 
rotate everyone.</FONT></DIV>
<DIV><FONT face=Arial size=2>Let me assure you that we have found this
out the 
hard way in the past.</FONT></DIV>
<DIV> </DIV>
<DIV><FONT face=Arial size=2>Parker used to get hot as hell when it would 
happen. In those days we had</FONT></DIV>
<DIV><FONT face=Arial size=2>"volunteers", and they would all get bent
diving to 
20 feet to pick up</FONT></DIV>
<DIV><FONT face=Arial size=2>bottles. We have also seen some severe cases
of 
this where dives were done</FONT></DIV>
<DIV><FONT face=Arial size=2>away from the project with no support, and
the 
players went back for bottles</FONT></DIV>
<DIV><FONT face=Arial size=2>later and got hammered.</FONT></DIV>
<DIV> </DIV>
<DIV><FONT face=Arial size=2>Don't do it. Also, obviously, do not
freedive after 
a dive. When you want to</FONT></DIV>
<DIV><FONT face=Arial size=2>freedive, do that first and then go scuba 
diving.</FONT></DIV>
<DIV> </DIV>
<DIV><FONT face=Arial size=2></FONT> </DIV>
<BLOCKQUOTE 
style="PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT:
#000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style="FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV 
  style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color:
black"><B>From:</B> 
  <A title=girvine@be*.ne* href="mailto:girvine@be*.ne*">George 
  Irvine</A> </DIV>
  <DIV style="FONT: 10pt arial"><B>To:</B> <A
title=techdiver@aquanaut.com 
  href="mailto:Techdiver@Aquanaut.Com">Techdiver@Aquanaut.Com</A> </DIV>
  <DIV style="FONT: 10pt arial"><B>Cc:</B> <A title=cavers@ca*.co* 
  href="mailto:Cavers@Ca*.Co*">Cavers@Cavers.Com</A> </DIV>
  <DIV style="FONT: 10pt arial"><B>Sent:</B> Wednesday, February 06,
2002 6:13 
  AM</DIV>
  <DIV style="FONT: 10pt arial"><B>Subject:</B> deco posts , repets,
etc. start 
  with this</DIV>
  <DIV><BR></DIV>
  <DIV><FONT face=Arial color=#0000ff size=2></FONT> </DIV>
  <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma 
  size=2>-----Original Message-----<BR><B>From:</B> 
  George_Irvine@</FONT></DIV><BR><FONT face=sans-serif size=2>Mike,
I will put 
  out my repet post and the others in sequence, but first let me mention 
  something here that is being missed.</FONT> <BR><BR><FONT
face=sans-serif 
  size=2>Gas does not transfer from tissues into arteries or veins, it does so 
  into capillaries. The artilleries coming from the heart are huge, thick, 
  elastic , pulsing conduits that get smaller as they branch out until they 
  become capillaries, and then the return to the heart is through veins which 
  are also thick and get larger as they combine to return blood to the right 
  side of the heart.</FONT> <BR><BR><FONT face=sans-serif
size=2>That blood is 
  then sent to the lungs, where the massive network of tiny capillary beds 
  located in about 45,000 square feet of surface area, act as a "filter" for 
  bubbles. The "filtered" and now oxygenated blood which has passed its co2 and 
  other excess gasses to the lung space, goes back to the heart to be pumper 
  through the system again. The whole trip takes about two minutes to 
  happen.</FONT> <BR><BR><FONT face=sans-serif size=2>You do not
bubble into the 
  arteries. If bubbles get into the arteries it is because they passed the 
  filter or were "shunted" over through a PFO in the arterial walls, or because 
  they were momentarily compressed enough momentarily to get past the lungs and 
  then reexpanded as the pressure dropped prior to reaching the capillaries, in 
  which case they lodge in the smaller and smaller vessels and block them. This 
  occurs in bounce diving, as in doing a dive and then bouncing back down to 
  retrieve something, like a deco bottle. This is why we do not allow bouncing 
  in the WKPP, and why we require our support divers to stay out for 4 hours 
  before diving shallow for support.</FONT> <BR><BR><FONT
face=sans-serif 
  size=2>* If somebody wants to put that post on here, go ahead*</FONT> 
  <BR><BR><FONT face=sans-serif size=2>Most people get the greatest
rush of 
  bubbles from the tissues into the blood stream upon surfacing from 20 feet or 
  so. This is why we do that differently, post to follow. Most people tend to 
  bubble for hours after a dive. Most bubbles tend to grow from the surrounding 
  supply of gas before they get smaller and disappear.</FONT>
<BR><BR><FONT 
  face=sans-serif size=2>If the bubbles are in the tissues, yo have pain. The 
  way to prevent bubbles in the tissues is to properly decompress starting deep 
  and at a rate that allows the bubbles to escape to the blood stream. Deep
this 
  needs to be done carefully and in solution, shallow you can press the
gradient 
  and allow offgassing in bubble form into the blood stream. The difference is 
  that if you screw up shallow, you can go back a little and fix it. If it 
  occurs deep, that makes it impractical and a huge waste of time for nothing. 
  For people wight cardiac or pulmonary shunts, offgassing in bubble form is 
  super dangerous. For those without, it is far more efficient. For those with 
  PFO's, the risk is greatest AFTER they get out of the water for the reasons 
  stated above ( growth of bubbles and continuation of bubble
offgassing)</FONT> 
  <BR><BR><FONT face=sans-serif size=2>I think you can see where I am
going to 
  tell you that you need to do your shallowest dives first, do your drills 
  before yo do your dives, and why you can basically ignore repetitive dives 
  using the correct deco. You can NOT ignore them with respect to oxygen 
  exposure.</FONT> <BR><BR><FONT face=sans-serif size=2>This post
is long enough 
  , basic enough and preliminary enough. Now we can go on to the whole 
  bit.</FONT> <BR></BLOCKQUOTE></BODY></HTML>

--Boundary_(ID_hs8EKUcJBhxzaUw425yWuw)--
--
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