AIR SUPPLY Flashcards
What is ASYMPTOMATIC OMITTED DECOMPRESSION?
• When a diver misses the required decompression stop according to T/S but does not show any symptoms.
* uncontrolled ascent No D table, surface interval none- Observe on surface for an hour. Neuro.
* 30’/20’ :01 chamber available, multiply 30’/20’ Air/O2 stop time by 1.5
• :01 to :07 Use Surface Decompression
• :> :07 TT5 2 or fewer Sur D02 periods/ TT6 > 2 Sur D02 periods
• >30’: Any surface interval do TT6.
: If Chamber not available, descend to 1st stop. Follow schedule to 30’, switch to
O2 if available. Multiply 30’/20’ Air/O2 by 1.5
- Note 1: Surface Interval begins leaving stop in water to arrive at depth in Chamber.
- Note 2: Recompression Chamber is strongly recommended over In water decompression. Compress as fast as possible not to exceed 100fpm.
- Note 3: Surface interval is :05 less than equal to :07, add :15 to :30 at 50’ in chamber.
- Note 4: If diver missed stop deeper than 50’, compress to 165’ and do TT6A.
What is SYMPTOMATIC OMITTED DECOMPRESSION?
- When a diver misses the required decompression stop but shows symptoms.
- Chamber available, compress to 60’ and conduct rapid assessment.
- If 50’ or shallower, do TT6
- Or depth of relief where symptoms are significantly improved not to exceed 165’- TT6A
- Uncontrolled ascent >165’, contact DMO- TT8
What are the (3) decompression tables?
- In water air
- In water air/o2
- Surface decompression
What is In Water Air Decompression?
• Most suitable mode for dives that do not require more than :15 of total decompression stop time.
When to use In Water Air Decompression?
• last resort
• only used if not chamber is on site w/in 12-24hrs
• symptoms are significant
• Prior to recompressing in water, have patient breathe on surface O2 for :30 before committing to in water decompression.
• If stabilized after O2, do not compress in water even if signs and symptoms show after O2.
• Continue 100% O2 up to 12Hrs or until supplies last, air breaks when needed.
• If after :30 and no signs of improvement, conduct in water decompression. (caution: water temp and hypothermia).
• TREATMENT: follow TT1A as close as possible.
o Use MK20 or helmet
o Never use scuba open circuit unless it’s the only source.
o Maintain constant comms.
o Keep stby w/ diver
o Plan for shifting hats and cylinders
o Ample tenders top side
o If to shallow and cannot follow depth of TT1A, go as deep as you can attain.
o Remain :30
o Decompress using TT1A.
What is in water air/ o2 decompression?
• strongly recommended whenever the total deco on air exceeds :15 and surface deco on o2 is not a viable alternative.
What is surface decompression?
• Is a technique where some of the decompression stops in the water are skipped. These stops are made up by compressing the diver back to depth in chamber on the surface.
What is exceptional exposure?
• dives in which the risk of DCS, o2 tox and exposure to the elements is substantially greater than a normal working dives.
• Its intended to use ONLY for emergencies such as diver entrapment.
• CNO approval
o dives deeper than 190’
o any in water air/o2 dive greater than :90
o any sur D O2 chamber time greater than :120/ 4 O2 periods
What does it mean when you see In water air deco table does not list a repet grp.?
- Designator for a dive, NO DIVES deeper than 20’ are permitted following this dive.
- the diver must have an 18hr surface interval before making another dive deeper than 20’.
When depths of 10, 15 and 20’ does not show they have a defined RNT, what does that mean?
• it’s undefined because the tissue nitrogen loading associated w/ those repet grps is higher than the nitrogen loading that could be achieved even if the diver were to remain at the those depths for an infinite period of time.
What is the RNT Exception Rule?
• sum of bottom times or 2 dives and taking deepest depth.
what are the PNEUMO CORRECTION FACTORS?
0-100ft: +1
101 to 200 +2
201 to 300 +4
301 to 400 +7
when to use SHALLOW WATER AIR TABLES?
known MD
- typically UWSH (ballast tank)
- tables are logged from 30 to 50 feet at 1 ft increments.
what are some common disorders in ALTITUDE DIVING?
hypoxia
DCS (flying after diving, = driving over a mountain)
Altitude Diving: cross correction and gauges:
1- actual dive must be corrected to determine in SLED
2- deco stops in SLED must be corrected for use of altitude.
mechanical/ electrical gauge most preferred for increasing depth. Can be re zeroed at dive side. once rezeroed, no further correction needed.
most mechanical depth gauges have a sealed one atmosphere reference and cannot be adjusted for altitude. A correction factor of 1fsw for every 1000ft should be added.
when would to use cross correction?
0-300ft no correction
300- 1000ft - dives deeper than 145ft.
>1000ft- all dives