Human perf 2 Flashcards
Describe the original diving bell and later improvemets
Lowered into water, at 10m, vol of air halves so barrel that is lower to fill up
Free dive from here
Later connected to surface and air pumped in
Describe the Lethbridge diving engine
Suit connected to surface with handsfree
Problems with first diving suits connected to surface
CO2 build up
underestimated pressures needed
Cold exposure
Falling over- air to feet
Describe SCUBA/ aqua lung
Self contained underwater breathing appliance.
Now to 200atm/ 3000PSI
Automatic demand valve to mouthpiece which regulates pressure in regards to depth
Exosuit pressure and problems
Very deep
Must remain constant vol as if this decreases it will be very hard to increase again
how many Torr, kPA, hPa, mbar, bar and cm H2O = 1atm?
760mmHg 760 Torr 100 kPa 1000 hPa 1 bar 1000 cmH20
Explain Boyle’s law
For a fixed amount of gas at a constant temperature
Volume x Pressure = constant
Or
P1 x V1 = P2 x V2
Hence deeper you go (higher pressure) the quicker the gas bottle will empty (lower vol)
What is the normal residual volume of the lungs and how deep before this is met? Why was it thought that we couldnt free dive lower than this?
6L down to 1.5 at 30m (4ata)
would draw tissue fluid and burst BVs as lower pressure and result in drowning
What factors allow us to dive deeper than initially though
Larger volume of lung (>6L) and hyperventilation/ overfilling
Smaller residual volume - diaphragm rises higher
Different types of free diving competitions
Static apnea
Dynamic apneo
Constant wight (no fins or fins)
Explain Dalton’s Law
The pressure exerted by a ags mixture is equal to the sum of the pressures which each of the gasses would exert if it alone occupied the space filled by the mixture (partial pressure)
What is the normal partial pressure of O2?
.209 x 760 = 159mmHg
How can partial pressure be calculated
conc x 760 x ata (total pressure)
What is Henry’s law?
if the Partial pressure of a gas in a liquid is reduced then the amount of that gas which can be held in solution will be decreased proportionally
why does shallow water blackout occur?
Normally rising CO2 triggers urge to breath.
Hyperventilation prior decreases CO2 (doesnt really increase O2 as already nearly fully saturated) resulting in a delay breathing stimulus.
If O2 falls below 30mmHg (normally 105) then blackout occurs
All phases of the dive in shallow water so depressurisation is not a factor
Can train yourself to be less sensitive to CO2 also by often breathing in high Co2. - more likely
Why does deep water black out occur?
Arterial O2 is normally 105mmHg
At 4ATA it increases to 420.
This can decrease to 105 without a problem.
Sudden ascent then pressure will fall 3x.
Result in <30mmHg and a blackout.
Deeper more likely
What is Samba and when does it occur? What can proceed it?
Loss of motor control.
It is a partial loss of physical or mental integrity and generally occurs up to 15 seconds after reaching the surface, normally during your first breath after a dive.
Blackout is the next stage.
How does a scuba tank keep lung volume constant?
Adjusts pressure to match surrounding pressure so lung volume stays constant
What is a caisson?
Watertight container with an open bottom lowered to a waterbed to allow construction work.
Kept pressurised to prevent water getting in
Describe symptoms of caisson disease in order or appearence/ severity
Itching
The bends - joint adn back pain and hunched appearence
The chokes - Lung caps and capillaries - suddenly loads of gas given off in lung
The staggers - vestibular organ/ balance
The cerebral bends - vision, higher functions, speech (fatal)
Spinal cord - pins and needles, paralysis
Why does caisson disease occur?
Nitrogen partial pressure increases resulting in more nitrogen dissolved in the blood stream - approximately 1L per atm.
As ascend then microbubbbles form in blood stream - can block capillaries (embolise) or occupy space causing deformity e.g. bone
Can enduce a blood clot
Air embolism if lung tissue ruptures
Face mask squeeze - BVs
Blockage of Eustachian tube - prevents equalising and can cause haemorrhage and rupture of tympanic
Blockage of sinus opening - relative vaccum - haemorrage of sinus membrane and fain
Mediastinal and SC emphysema
Pneumothorax - expanding air pocket (keep mouth often on ascent) rupturing pleura
Why dont whales have the same problems?
Fully exhale - collapsible alveoli, and sturcutres (not trachea), decrease blood flow to lungs
How can caisson’s disease be prevented? how did knowledge of this come about?
Re-compression if possible to treat.
Decompression slowly - use charts.
Haldane 1906 found that halving pressure (doubling volume) was acceptable.
Navy decompression tables
Factors effecting time needed for decompression at set depth and time
% body fat - being female.
If flying soon.
Differences in the bends symptoms between free divers of the Tuamoto archipelago and Mangareva divers
Tuamoto - 6-14dives in 40mins with 2 min rest between
Mangareva - 10 mins between each dive
Less bends in Mangareva - successive dives can make worse
Why does air time remaining decrease with depth?
At higher pressuer so more needed to fill vol of lungs. Used quicker
How could caissons disease kill you underwater
Increase in density with depth - low vol of air so sink <7m if unconscious
also hyperventilation/ blackbout
BP and blackout
Why are people dehydrated from diving?
Pseudoraised BP - duiresis - augmented if cold. Pull out of cold water horizontally
Describe the effects of Nitrogen toxicity
30-40m confident, elated, happy
50-90 can lose consciousness
90m tests got confused, elated, loss of dext
People can adapt slightly
Describe O2 toxicity
Irritation of airways - fluid drawn to lung and capillaries bleed
safe below 0.5ata but most <3.5.
1ata for 24hrs cause resp symptoms
PP >2ata (90m) causes altered CNS properties function and can cause convulsions/ fit
how can high O2 pressures lead to CO2 buildup
People breath less and so O2 accumulates
Also higher affinity for Hb at higher pressures so less CO2 remove.
What is a saturation dive? What is a similar situation?
At time so that gases equilibriate
SCUBA diving unique risks
INcreased resistance due to viscosity so harder to breath
Heat loss from He
Anaesthetic effect of N
O2 toxicity
10l/min so low usage of O2 - lots of waste
Describe closed circuit breathing systems and limitation
CO2 scrubber/ absorber
All O2 used- O2 poisoning so cant go more than 7m
Less weight
Decribe different gas mixtures used at depth
<30m nitrogen
<200m-250 heliox
Then Trimix O2, N2 and He up to 500m
Describe CO2 toxicity at pressure
1% = stuffy air 3-4% = breathless , headach 10% = drowsiness, confsion, headachesomolence, loss of conc
2% = safe limit at sea level
Soda lime scrubber
Describe the ‘THETIS’ disaster and explain
99 died and 4 survived a submarine disaster.
CO2 raised to 6% due to breathing
Increased pressure in escape chamber - caused LOC in 5 mins and loss of dexterity.
At 10ata - in similar experiment haldane passed out at 5%.
Problem and benefit from heliox
Less narvosis- stupor, dowsiness/ unconscuousness from N, He lighter so less viscous (2 vs 24)
6x more heat loss so cabins heated to 30C
Voice changes and psychological stress so voice changers used.
>200 - HPNS - high pressure neurological syndrome- nausea, vomiting, the shakes, dizziness, inattentiveness, somnolence, convulsions
Advantages of nonair mixtures
Less resistance - forestalls alveolar hypoventilation and arterial hypercapnia
Less flammable
LEss tox
Describe living at depth and decompression time
4 days for 100m 10 days for 300m Voice changes Casulties into pressurised chamber High air temp
Long term issues of repeated exposure to high pressure
bone degen
arthritis due to joint/ articular surface damage
None below 30
20% below 200m had some bone degen evidence
Hearing loss - bubbles and noisy suba system
Brain damage - patent FO
Sources of heat stress at altitude
Higher solar radiation and often heavy clothing
What happened when baloon went supposed 11000m
Went blind, couldnt lift arms, paralysed
Describe progressive isssues of hypoxia
Loss of light sensitivity and acutity -90%
Loss of attention
loss of stability and decrease in cognition at 80
Loss of pursuit tracking recall
loss of coding and reaction time 70
Also feel euphoric - death penalty
What happens if O2 is suddenly restored?
Tremors
What is a hyper/hypobaric chamber? What is it used for?
Hometically sealed box
Decompression training of military and aircrews - breach of fusilage
How many kg/cm3 is 1 bar
1
Difference between ata and atm
ata is atmospheres abcolute compared with vaccume
atm is a unit of pressure e.g. 3 ata at 20m = 2atm and 1atm of water and air
Definitions of high, very high and extreme altitude
What is the limit?
high 1500-3500m
very high 35-5500m
extreme >5500
5000 limit but some at 5800 in mexico
What affects major problems at altitude?
Rate of ascent - 24hrs per 300m above 3000
dehydration
Low carb
Vig execise avoid
Describe AMS, symptoms and prevalence
Acute mountain sickness
Nausea, vomiting, fatigue, dizziness, decreased appetite, sleep disturbance, euphoria.
Affect 40%
Neuropsychological effects often >3000m ithin 6-12 days
Peaks at 2-3days
Goes 4-5 (normally)
AMS treatment
Descend, O2, self limiting
Acetazolamide - carbonic anhydrase inhibitor (prophylactic too)
Describe HAPE, symptoms prevalence
High altitude pulmonary edema
relatively low O2 reaching lungs results in vasoconstriction of caps and a higher pressure in lung.
Forces fluid out resulting in oedema.
CAn cause cyanosis, dyspnea, fatigue, cough with frothy or blood tinged, chest pain, drowning, secondary drowning from inflam response
Children and adults higher risk.
Need evac
2% of ppl over 3000m
Describe HACE
high altitude cerebral edema.
hypoxia in brian triggers vasodilation and increased pressure in brain.
Can cause neuro symptoms e.g. cognitive decline, seve headache, fatigue, N/V, ataxia, coma, death, retinal haemorrhage
1% incidence
O2 and evac
>4500m deterioration may be coonsiderable but large variation
What is chronic mountain sickness
INcreased RBC, viscosity resulitng in cyanosis, headache, tinitus, dyspnoea, confusion, anorexia