Ten Foot Stop

October 7, 2008

UNDERCURRENT ONLINE UPDATE FOR SUBSCRIBERS

Filed under: News, Publication — scubadoc @ 11:47 am

Undercurrent — Consumer Reporting for
the Scuba Diving Community since 1975
www.undercurrent.org

Dive News

October 7, 2008

You have received this message because you have signed up on our website to receive this email or you are a former subscriber or Online Member of Undercurrent . Removal instructions are below.

Serious Potential Danger with Apeks TX, ATX and XTX Second Stage Regulator Recall: 25,000 of these regulators, distributed by Aqualung USA, have been recalled by the Consumer Product Safety Commission (September 17). The manufacture forgot to include the diaphragm cover, a black, silver or yellow ring of plastic that sits on the main diaphragm. The diaphragm could get dislodged and lead to a diver sucking in water instead of air. The recall includes all second stages and octopuses purchased before July 2008 that have not had the authorized annual service. Take yours to an Apeks dealer for a visual inspection. You can remove the front cover to ensure the diaphragm cover is there and in its proper place. For details, contact Apeks at info@apeks.co.uk

Global Credit Crunch Affecting the Dive Industry: The first evidence coming our way that dive travel is severely affected by the financial crisis comes from Sunsea Cruises in Townsville, Australia. Next weekend they end their scuba/snorkel day cruises to the Great Barrier Reef. General manager Darin McDonald says the trips are no longer viable due to soaring fuel costs and global economic instability. “We’ve looked at other options of how we can save this business …but realistically we can’t see any other option but to close the doors.”

Best Value Dive Vacation: Read our review of CocoView, Honduras, where you can get unlimited diving and a good price. Of course our reviewer paid his own way and traveled anonymously. Click here.

Here’s a New Diver Hazard: Divers are told to avoid overhead environments for safety purposes, but now they are falling on us. As the U.S. highway infrastructure crumbles, so do its bridges. The east side of Blue Heron Bridge in Riviera Beach, Florida is a popular dive site., but it’s now a dangerous one due to large chunks of concrete falling from the bridge. Mark Kosarin, a dive instructor at the Force-E dive shop told WPTV, “I’ve heard it from more than one diver that pieces of the bridge are actually coming down.”

Holiday Gift for that Kid or Grandkid: Get them interested in diving and the undersea world with Underseas Encounters, a series of ten books from Scholastic, photographed by David Hall with text by children’s book expert Mary Jo Rhodes. Each book is an in-depth chapter on marine life, from crabs to dolphins to sea predators to sea horses They’re for ages 9-12 but younger kids can easily follow along. Paperback, 9 x 8 inches, $6.95 each. Order them or any other book at Undercurrent and not only will you get Amazon.com prices, but our profit will go directly to saving coral reefs.

Reserve Your Copy: The all new 2009 edition of The Travelin’ Diver’s Chapbook goes to press next week. Sign up now for an Undercurrent subscription and we’ll send you a free issue of the 488-page Chapbook, with more than 1,000 resort and liveaboard reviews and details about water temperature, best times to dive, whether there really is unlimited diving, if the food is palatable….everything you need to know. FOR FREE. You’ll get ten issues of Undercurrent, beginning with the October, 2008 issue, as well as online access to back issues and current travel reports from scores of destinations. Go to Undercurrent and sign up on the bottom right-hand side of the home page. Never seen a copy of Undercurrent? You can read a past issue for free from a link on our homepage (see “Read a Sample Issue“). Undercurrent is a 501 (c) (3) nonprofit organization.

North Carolina Dive Pioneer Dies: If you’ve dived North Carolina wrecks, there’s a good chance you went out with George Purifoy, owner of the Olympus Dive Center in Morehead City. Sadly, George, 63, died on September 14, collapsing on board his boat during a dive at the Queen Anne’s Revenge shipwreck site, where he was taking state archeologists to collect artifacts. His son Robert will continue running the dive center.

The World’s Biggest Shark Fight: Dubai is opening the world’s biggest aquarium in its Burj Dubai shopping mall on October 30, but it’s having problems with its sharks fighting and killing each other. That’s not surprising since there’s 400 sharks and rays swimming together in a 165-foot tank, but more than ten percent of their sharks have been killed by sand tiger sharks. Mall shoppers walk along a 270-degree see-through tunnel through the tank - at this rate, they’ll get ringside seats unless the aquarium takes action.

A New Wreck Dive in the Caymans: The Cayman Islands government plans to sink the decommissioned U.S. Navy ship Kittiwake as an artificial reef. Built in 1945, the 2,290-ton submarine rescue ship has been anchored for years among the rusting “Ghost Fleet” in St. Eustis, Virginia. The Kittiwake will head south as early as November, but no announcement yet on where its final resting place will be.

IN THE OCTOBER ISSUE:

* Pirates Point, Little Cayman, about as good as it gets;
* Yoga and Diving;
* Dive operator review; good spots in the Bahamas, BVI, boo on Buddy in Bonaire;
* New research on packing Rebreathers Canisters;
* Operators that refuse to go out when there aren’t enough divers, no matter how much you paid for the week;

* Avoiding Diver’s Vertigo;
* How the US falls short in Dive Death Investigations;
* How that morning hangover affects your diving;
* A Serious Rescue Device: GPS for Divers and which liveaboards provide them;
* Price Battle at Fiji’s Garden Island Hotel;
* Tidbits and tales of environmental degradation affecting diving;
* and much much more

Ben Davison, editor/publisher
Contact Ben

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October 4, 2008

Scan Detects Oxygen Levels in Tumors

Filed under: Article, News, Publication — scubadoc @ 11:05 am

Scan Detects Oxygen Levels in Tumors

April 23 (HealthDay News) — New research suggests that scientists are close to developing a simple way to measure oxygen levels in tumors, giving doctors a heads-up about what kind of treatment is best for individual patients.

The findings fit into an emerging trend of individualized treatment for patients with cancer instead of treating people the same way, said Dr. Mark Dewhirst, a professor of radiation oncology at Duke University Medical Center.

“If successful, [the trend] will revolutionize the way that we treat cancer,” said Dewhirst, who co-wrote a commentary accompanying the new study, published April 22 in the Journal of Clinical Investigation.

Scientists began realizing the important role of oxygen in tumors about 50 years ago, said study co-author James Mitchell, branch chief of radiation biology at the U.S. National Cancer Institute’s Center for Cancer Research. The scientists discovered that tumors with higher concentrations of oxygen were more susceptible to radiation, he said.

“Radiation damages cells by causing damage to DNA, and one particular type of damage renders the DNA molecule non-reparable,” Mitchell said. But less oxygen in the tumor allows tumor cells to survive more easily by making the DNA destruction process more difficult, he said.

According to Dewhirst, the same is true for chemotherapy drugs, which also don’t work as well when tumors have less oxygen.

Lower levels of oxygen create other problems, Dewhirst. “One would think at first that lack of oxygen would make tumors unhealthy and easy to kill,” he said. “But actually, the opposite happens — tumor cells that lack oxygen become more aggressive and more difficult to kill.”

Tumors with lower oxygen levels even spread more easily through the body, he said.

Doctors can check oxygen levels in patients by inserting a needle. But doctors can’t insert needles into some patients, and. in others, it’s difficult to insert the needle deep enough, Mitchell said.

In the new study, the researchers tested a scanning technique called pulsed electron paramagnetic resonance imaging and used it in tandem with magnetic resonance imaging. The study authors said they were able to successfully measure oxygen levels in tumors in mice by using the non-invasive technology.

“The imaging that is described in this study provides all of the information necessary to evaluate oxygen levels in tumors as well as to examine underlying causes for the lack of oxygen,” Dewhirst said. “The fact that all of the imaging is completely non-invasive provides the ability to perform this measurement more than once, (meaning) this could be used to monitor the effectiveness of cancer therapy.”

There are caveats, however. The research hasn’t reached the human testing level yet, and it may not work in people. “Scaling up the method to make it suitable for use in humans will be a significant challenge, but not impossible,” Dewhirst said.

For now, the plan is to launch more studies with animals to see if the technique works as a way to test cancer drugs.


SOURCES: Mark W. Dewhirst, DVM, Ph.D., Gustavo S. Montana professor of radiation oncology and professor of pathology and biomedical engineering, Duke University Medical Center, Durham, N.C.; James Mitchell, Ph.D., branch chief, radiation biology, Center for Cancer Research, U.S. National Cancer Institute, Bethesda, Md.; April 22, 2008, Journal of Clinical Investigation

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October 2, 2008

Meeting Great Lakes Chapter of the UHMS

Filed under: News — scubadoc @ 10:53 am

 Early-Bird Registration Deadline now Oct. 10

 

GREAT LAKES CHAPTER             

of the

Undersea & Hyperbaric Medical Society

 

 

2008 - 29th Annual Conference

 

We have again combined forces with THE TORONTO HYPERBARIC MEDICINE SYMPOSIUM to deliver an outstanding 2 day conference in the fields of Diving and Hyperbaric medicine.

 

Saturday, October 18 — Diving

   

Saturday: Presentations during this session should be of interest to the recreational diving community, and members of commercial and scientific diving organizations.  Topics will include:

  • Decompression Illness - It isn’t what it used to be…but then, it never was!

  • The 10 minute breath hold - tricks and traps of apnea

  • Improving diver performance

  • First hyperbaric stretcher in Quebec

  • AND MUCH MORE…… 

  •    08:00   Registration & coffee

       08:30 - 16:30 Speakers and lunch (full list of speakers and topics, click here)

       16:30   Decompression Stop - Meet the speakers, refreshments. Tour of TGH hyperbaric Chamber

 

For more information, please visit our website at:  

www.uhms–glc.org

 

 

 

 


 Sunday, October 19 — Hyperbaric

 

Sunday: This session should be of interest to the medical professional (technologist, nurse and physician).  The scientific symposium will provide an update about current medical knowledge, mechanisms of action and clinical applications in hyperbaric medicine.  Presentations will include new research topics and reviews of clinical hyperbaric medicine.

  

For more information, please visit THMS website at:  

www.hyperbaricmedicine.ca

 

 

GENERAL INFORMATION: 

 

TIME:             Saturday       8:00 - 17:30  Great Lakes Chapter UHMS.  

                       Sunday         8:00 - 17:30  Toronto Hyperbaric Medicine Symposium

 

COST:           For each of GLC & THMS the cost is $65 and increases by $15 after October 10.

                       Student rate is $50 and there is a two day combined rate of $120.

                       UHN staff have a discounted rate of $25 daily to cover food & refreshments

                       Fees include morning and afternoon refreshments and lunch as well.

 

Please register online using the University Health Network website

       http://www.uhn.ca/Clinics_&_Services/services/hyperbaric/online_conferences/GLC_THMS2008/index.asp  

 

LOCATION:  

TORONTO GENERAL HOSPITAL, Residence College Hotel, Unity Hall, Toronto Ontario, Canada

 

We gratefully acknowledge our sponsors:

Pan-America Hyperbarics, Inc.

Toronto General Hospital

Sechrist Industries, Inc

Oxy-Heal Health Group

ACUC

OUC - Ontario Underwater Council

Ontario Neurotrauma Association

The University of Toronto

The Ontario Medical Association

Air Canada

 

 



October 1, 2008

Dive with John Chatterton, in the Fourth Annual Michael J. Norwood Memorial Dive

Filed under: News — scubadoc @ 11:59 am

FOR IMMEDIATE RELEASE

Dive with John Chatterton, in the Fourth Annual Michael J. Norwood Memorial Dive


Morehead City, NC — Join John for a weekend of wreck diving and events, Oct.31-Nov. 2, for the fourth Annual Michael J. Norwood Memorial Dive sponsored by Olympus Dive Center and the N.C. Aquarium at Pine Knoll Shores.

All proceeds from the weekend will be donated to the Michael John Norwood Memorial Research Fund, which was established to advance the research initiatives conducted by Divers Alert Network®. Weekend events will include three days of wreck diving; a dinner and silent auction with a presentation by John Chatterton on Friday, Oct.31; and a late afternoon barbeque on Saturday, Nov.1.

Costs
• Friday — full-day charter aboard the Olympus and Midnight Express with Chatterton, $155
• Friday Evening - dinner and silent Auction at The Aquarium at Pine Knoll Shores featuring a presentation by our special guests. Dinner provided by Floyd’s 1921. Cost is $70, which includes unlimited wine and beer.
•Saturday – full-day charter aboard the Olympus and Midnight Express with Chatterton, $155
•Saturday - BBQ on the Olympus Dock, $20
•Sunday – full-day charter aboard the Olympus and Midnight Express with Chatterton, $155

For more information visit www.olympusdiving.com or www.mjnmemorialfund.com. To purchase tickets contact the Olympus Dive Center at (252) 726-9432 or email Nema at Nema@olympusdiving.com <mailto:Nema@olympusdiving.com> .

The Michael John Norwood Memorial Research Fund was established in memory of Michael Norwood who died on Dec. 6, 2003 while diving in Palau, Micronesia. He was filming an episode for the History Channel’s Deep Sea Detectives, of which he was the co-host with Chatterton, his friend and colleague.

Income from the Michael J. Norwood Memorial Research Fund advances the comprehensive research initiatives conducted by DAN that address every aspect of diver safety and health and gather data from all over the world in order to establish international standards. In the three years since it’s founding, the Michael John Norwood Memorial Research Fund has raised more than $60,000; $25,000 of which has been raised during the three previous fund-raising events sponsored by the Olympus Dive Center.

Divers Alert Network is a 501(c)(3) non-profit medical and research organization dedicated to the safety and health of recreational scuba divers and is associated with Duke University Medical Center. Founded in 1980, DAN has served as a lifeline for the scuba industry by operating the only 24-hour diving emergency hotline, a lifesaving service for injured divers.

DAN also operates a diving medical information hotline, conducts vital diving medical research, and develops and provides a number of first-aid and continuing education programs for everyone, from beginning divers to medical professionals. For more information about DAN, visit www.diversalertnetwork.org.

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September 28, 2008

Arterial gas embolism: a review of cases

Filed under: Article, Publication — scubadoc @ 11:13 am

There is an article in Anaesth Intensive Care. 2008 Jan;36(1):60-4, “Arterial gas embolism: a review of cases at Prince of Wales Hospital, Sydney, 1996 to 2006″ by Trytko BE, Bennett MH that is well written and reports on the experience of a hyperbaric facility that utilizes evidence based guidelines for HBO treatment. 

 
Arterial gas embolism may occur as a complication of diving or certain medical procedures. Although relatively rare, the consequences may be disastrous. Recent articles in the critical care literature suggest the non-hyperbaric medical community may not be aware of the role for hyperbaric oxygen therapy in non-diving related gas embolism. This review is part of an Australian appraisal of experience in the management of arterial gas embolism over the last 10 years. We identified all patients referred to Prince of Wales Hospital Department of Diving and Hyperbaric Medicine with a diagnosis of arterial gas embolism from 1996 to 2006. Twenty-six patient records met our selection criteria, eight iatrogenic and 18 diving related. All patients were treated initially with a 280 kPa compression schedule. At discharge six patients were left with residual symptoms. Four were left with minor symptoms that did not significantly impact quality of life. Two remained severely affected with major neurological injury. Both had non-diving-related arterial gas embolism. There was a good outcome in the majority of patients who presented with arterial gas embolism and were treated with compression.

September 15, 2008

Introductory Course in Hyperbaric Medicine and Wound Care

Filed under: News — scubadoc @ 6:02 pm

 

Hello fellow heath care professional,

I want to notify you that The Department of Hyperbaric Medicine at Long Beach Memorial Medical Center is offering the upcoming following 40 CME-hour program:

Introductory Course in Hyperbaric Medicine and Wound Care
November 10-14, 2008

This course has been approved by the UHMS Education Committee as meeting the rigorous standards of a UHMS Designated Co-Sponsored Introductory Course in Hyperbaric Medicine.

The primary purpose of this program is to use both didactic and practical chamber-side teaching formats to introduce and educate physicians, with a background in a variety of specialties, in the theory, principles, and practices of hyperbaric medicine and wound care. Additionally, this CME program is designed to educate nursing, allied health professionals, and medical administrators who have educational interests or needs in hyperbaric medicine and wound care.

This course is expected to provide the participant with core knowledge about the theory and practices of hyperbaric medicine and wound care and to be a solid base for which further education and training in hyperbaric medicine and wound care can be built upon.

The faculty at LBMMC Department of Hyperbaric Medicine is uniquely qualified to provide this education. Members of our faculty include leaders in the field of hyperbaric medicine. We take advantage of our multi-specialty background (e.g., orthopedic surgery/wound care, emergency medicine, hematology/oncology, and pulmonary/critical care medicine) to provide a well-rounded perspective of the specialty.

The next course is scheduled to take place in Long Beach, California on:

November 10-14, 2008

Discounted hotel accommodation information is available upon request.

If you are interested in attending this course or would like more information, please see the attached brochure and fill out the accompanying registration form or contact:

Shari Hart at:

SHart@memorialcare.org

Department of Hyperbaric Medicine
Long Beach Memorial Medical Center
2801 Atlantic Ave.
Long Beach, CA 90806
(562) 933-6950

We look forward to seeing you in November.

Sincerely,

Department of Hyperbaric Medicine
Long Beach Memorial Medical Center

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September 8, 2008

Undercurrent Online Update

Filed under: News, Publication — scubadoc @ 8:53 am

Undercurrent — Consumer Reporting for

the Scuba Diving Community since 1975
www.undercurrent.org

Dive News

September 8, 2008

You have received this message because you have signed up on our website to receive this email or you are a former subscriber or Online Member of Undercurrent . Removal instructions are below.

A Nasty Case of Conjunctivitis: One of our free reads in the September issue — how 13 divers at a Fiji resort caught major pink eye. Here’s a hint: Watch where you put your mask. Read what happened and how to avoid conjunctivitis. Go to Undercurrent and click on the article in our September issue’s table of contents.

Hurricane Update: Hurricane Gustav hit the Caymans recently. Grand Cayman sustained little significant damage, but Little Cayman and Cayman Brac lost most of their docks, and dive hotels and condos had some damage, though all are reparable. On Little Cayman, dive boats were tossed onto shore. Over the weekend, Hurricane Ike pummeled the Turks and Caicos islands; at least 80 percent of the homes on Grand Turk were damaged. More hurricanes are coming and the prediction is they will get nasty. A tip of our hat goes to “ASmith2,” who mentioned a good Internet tracker on the Undercurrent forum last week. He recommends the Caribbean Storm Network (http://stormcarib.com) for divers with upcoming Caribbean trips - it gives the latest hurricane updates, and reports from local correspondents on every island. And get travel insurance!

The 480-page 2009 Travelin Divers Chapbook: We publish this each year, filled with hundreds of current reviews of dive resorts written by our subscribers, the most serious group of divers anywhere. If you become a print subscriber or Online Member, you too can have your report published, but you must do so now. Go to Undercurrent to become a subscriber or Online Member, then click on “Submit a Reader Report” at the top right to submit your report for the next chapbook - the deadline is September 24.

Dive Planner for iPhones and iPods: Rob Griffiths, a diver and editor for Macworld, gives a thumbs-up for Dive Planner, an electronic alternative to standard dive tables that is compatible with any iPhone or iPod touch running the iPhone 2.0 software update. “It’s a simple tool with three vertical sliders - Pressure Group, Depth and Minutes Down. A fourth horizontal slider lets you set the planned surface interval between dives. Two buttons toggle between readouts in feet or meters, and two boxes contain pressure group after the dive and after the indicated surface interval. Compared to using a dive table, this is simplicity in action.” And at $3, it’s a bargain. DivePlanner is based on the Navy Dive Tables and can be downloaded from the iTunes App Store.

Save the Mantas: You’re just about guaranteed to see manta rays if you dive Yap, and now that Micronesian island has passed a law protecting their habitat out to 12 miles offshore. The new manta ray reserve will be 8,243-square-mile area, comprising 16 islands and atolls.

Rescue Devices for Saving Your Bacon: Our other free article in this month’s issue is a review by our guest columnist, DIVER magazine’s technical editor John Bantin, about the role that certain types of rescue devices play if you’re lost at sea. Are flags better than flashlights? What about beacons with GPS? Read about those, plus what Bantin’s favorite rescue device is, by clicking on “Rescue Devices for Saving Your Bacon” in the September issue lineup on Undercurrent.

Aquariums Opening Their Tanks to Divers: As least eight aquariums, including those in Atlanta, Baltimore, Denver, and Tampa, allow divers to dive in their tanks, generally for a hefty fee. Atlantis Marine World Aquarium on Long Island opened a shark-dive program last June to anyone ages 12 and up - they’re in a cage and wear a full-face mask helmet. The aquariums say this gets people more interested in marine life and saving the oceans but Jean-Michel Cousteau questions the stress this puts on whales, sharks and the like enclosed in the tanks. Holdouts that refuse to offer paid dives include the New York Aquarium, Boston’s New England Aquarium and Chicago’s Shedd Aquarium.

Ambient Pressure Diving Hose Recall: Some hoses fitted to products from this UK company could be unsafe due to insufficiently crimped connector fittings. The fittings should be crimped so that eight flats are clearly visible on the fitting collar. If the collar is smoothly rounded, crimping has not been done. There is a risk of the hose fittings coming away from the hose. Potentially affected are low-pressure hoses used on Inspiration, Evolution and Evolution+ rebreathers; the Buddy Blast Hose (air horn end only); second stage regulator hose (second-stage end only); and gas connection system (second stage/ADV end only). Among the rebreathers, the hoses to examine are the ADV hose (ADV end only); buzzer hose (both ends); oxygen supply hose (solenoid end); and handset hose (lid end). It is thought that the problem relates to a small number of hoses made between April and July 2008, but APD suggests that customers who purchased hoses after January 2007 - either as part of another product or as a spare - check their hose-crimping. APD hoses that employ screw-together fittings are not affected by the recall. To obtain a replacement or make an inquiry, call 603-447-2600 or email Nicky@apdiving.com. More details about the products are at www.apdiving.com.

The Ring of Fire Cruise: Dr. Lawrence Blair, Indonesia expert and author and co-producer of the book and PBS documentary film Ring of Fire and more recently the series Myths, Magic and Monsters, has two remaining cabins available for an adventure cruise with 30 people aboard the luxury vessel Indies Trader IV (http://www.indiestrader.com/indiestrader09/indies4.html) to central Papua and the Raja Empat Islands off West New Guinea for October 11-24, 2008. It’s both an exploratory diving and cultural cruise, with a visit to the Asmat tribe, famous for its tribal art. The two double cabins cost (for a couple) $35,100 and U$ 32,500 respectively. If you have that kind of money, then you’ll be pleased to know that 10 percent of your fee will be donated to Undercurrent and our effort to save the reefs. For further details, e-mail RingOfFire@banjartamu.org, or go to http://www.banjartamu.org/LawrenceBlair.html.

In Case You Missed It Last Month:
The Undercurrent Online Divers’ Forum: We have launched an exciting, new feature on our website to help serious divers obtain the best, most complete and latest diving information: The Divers’ Forum. This forum offers the thousands of Undercurrent readers a means of directly communicating with each other. You can post questions or replies to others’ questions on virtually any aspect of diving. Unlike other forums, here you interact only with other Undercurrent subscribers and Online Members — as knowledgeable, well traveled, and experienced a group of serious divers as you’ll find anywhere. . . If you are not a current print subscriber or Online Member, you can become one in just a minute and get immediate access to the Forum and thousands of pages of solid dive info. Or if you’re a former Online Member, you can rejoin instantly using your old username and password here. Then log in and join in the dialogue at The Undercurrent Online Divers’ Forum.

What’s in the September Issue:

Read it online now - take advantage of our trial membership for just $1 for the first month. In this issue, you’ll find out about:

* Palau diving, is it better on land or a liveaboard;
* Palau dive shop Fish ‘n Fins’s special trips to remote dive sites aboard its Ocean Hunter boats;
* A closer look at the hazards of dive boat engine exhaust;
* Dive deals in the U.S. and South Pacific;
* Having trouble equalizing? Try sinus surgery;
* Part II of how a liability release hurts divers wanting to take legal action, and whether you can make any changes to that release;
* An Alabama dive instructor charged with homicide;
* Why you should stop chasing digital innovations in underwater camera gear…And much, much more.

Ben Davison, editor/publisher
Contact Ben

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September 5, 2008

DIVING RISK

Filed under: Article — scubadoc @ 5:19 pm

When asked about “risk” in scuba diving, one almost automatically thinks of ratios, percentages and comparisons with other activities. Various estimates are published, varying from a risk of 3% (3% of what?) estimate of causing death during a lifetime to one dive equaling certain known dangerous activities; such as 1.4 cigarettes, or 1 hour in a coal mine or eating 40 tablespoons of peanut butter. You can see the absurdity in trying to place numbers on any activity that could cause death or injury - but the insurance planners have to do this in order to apply a monetary value to their protection.

Scuba diving does not allow for accurate accounting of risk because we have only vague ideas of what numbers we should fit into any equation that we might want to use. We have incomplete figures for deaths and injuries (numerator)and absolutely no true values for how many dives are made over a period of time(denominator). This is all guesswork. Divers Alert Network makes a valiant (and intelligent) effort to do this every year in their publication, ‘Report on Decompression Illness, Diving Fatalities and Project Dive Exploration: 2002 Edition’, but it should be apparent that their figures are incomplete for the general diving population.

I have long thought that a more sensible approach to assessing risk to the individual would be to identify factors that increase risks and to offer some guidelines to the diver for reduction of these risks. DAN’s follow-up and assessments of individual diving deaths comes the closest to offering this solution to the problem. Undercurrent Newsletter (www.undercurrent.org/) has long had a section on why divers die and other books and agencies use this method effectively,;e.g., Carl Edmonds book, Diving and Subaquatic Medicine.

An injured or dead diver represents a 100% statistic for that individual, and a study of “who, what, where when and why” often provides an insight into scuba risks that will not be found in any actuarial compendium. Risks arise from some identifiable hazard. A hazard is a source of danger, whether this is derived from the diver (host factors) or from external (environmental) factors. It seems to me that this can also be simplified into knowledge (training) and fitness (both physical and medical). Knowledge comes from training and experience. Types of fitness come from directed physical activity and from medical awareness of conditions dangerous to a diver under pressure.

On the positive side of the ledger (factors that decrease risk), knowledge of and sensible motivation to carry out activities that decrease risk include:

—Training and certification for the diving activity that is to be undertaken. (E.g., technical diving done by a diver who has only basic or advanced skills). In 10 years of DAN’s collection of diver fatalities, uncertified divers accounted for 7.7% (70) of the fatalities and students for 5.2% (47).

—Experience. This is a factor that cannot be quantified but which obviously decreases risk. (unless it leads to repeating the same mistake over and again).

—Being physically fit requires conscious effort and motivation from the knowledge that this will be beneficial.

—Good health or the absence of conditions that are adverse to diving. The diver should have knowledge that the diver does not have disorders that lead to altered consciousness, disorders that inhibit the “natural evolution of Boyle’s Law” or disorders that may lead to erratic and irresponsible behavior.

—Knowledge about the appropriate age of safe diving. Debatable, but there are many reasons why divers below 14 and above 70 should not dive.

—Knowledge of the positive effects of not smoking, using drugs and drinking alcohol

—Knowledge of the benefits of excellent, well-maintained equipment.

Negative factors increasing risks of diving include some or many of the following:

—Lack of proper (or no) certification for the dives undertaken. This includes clearing technique, ascent and deco technique. Poorly planned dives.

—Technical Diving (Inadequate knowledge for the dives undertaken) DAN’s collection of diver fatalities show recreationally certified divers making a technical dive accounted for 10.4% (95) of the fatalities.

—Commercial diving (a catch 22 of having to dive for a living but knowledge that prolonged work at depth can be detrimental, a whole ‘nother subject!)

—Hazards.

–Water –currents, surges, wave action, boat traffic, overhead diving (wrecks, caves)

–Weather

–Marine Life

—Buddy factor. A stranger or poorly trained buddy; buddy inadequate to rescue due age, strength or maturity. (Buddy separation occurred in 39.7% (362) of deaths and 14.4% (132) of divers were diving without a buddy).

—Equipment Malfunction. For whatever reason. This is rare.

—Air. Bad air, out of air, air never there. Happens more often than it should.

—Medical problems as outlined above (natural disease). Australian figures show that 9% of divers who die have been specifically advised by a diving medical expert or their dive instructor that they were unfit to dive. At least 25% of those who died while diving were medically unfit to dive and should not have been doing so.

—Cognizant/psychiatric problems. Diminished mentation from whatever cause. Mental illness, drugs, buccaneers.

—Age factors (see above) Knowledge and mentality to apply that information.

Interesting information is gleaned from ten years of diving fatality epidemiology: Divers Alert Network database, 1989-1998. Figures indicate that for the 912 diving fatalities a thorough investigation usually reveals a critical error in judgment or a violation of recommended safe diving procedures. (James Caruso, MD, in Journal of the Marine Medical Society, India,)

Dr. Caruso has also noted that in the 1995 review of this data, there are several recurring themes associated with fatal recreational diving accidents. He states, “Divers with little or no experience in more challenging types of diving are disproportionately represented in the DAN diving fatality database. Common causal and contributing factors include running out of air, cardiovascular disease, and buddy separation. Emphasizing increased training and experience, identifying significant pre-existing natural disease processes, and adhering to the recommended diving safety guidelines should reduce the annual number of diving fatalities.”

So it seems to boil down to knowledge and the application of that knowledge as the prime factors in risk management of diving injuries and fatalities. Of course, one cannot teach intelligence or common sense - but it would appear that our teaching agencies are all generally doing a good job in the training sphere, with the possible exception of the training of children.

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September 3, 2008

Latest Issue of XRAY International Dive Magazine

Filed under: Uncategorized — scubadoc @ 3:29 pm

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August 27, 2008

A New Kind of Barotrauma

Filed under: Uncategorized — scubadoc @ 2:30 pm

Bats killed by pressure change - not the blades at wind farms

Based on an article by David Biello in Scientific American

Scientists have known since 2004 that wind farms kill bats, just as they kill birds, even though the sonar of the flying mammals should be able to avoid them. An examination of 188 hoary and silver-haired bats killed at a wind farm in southwestern Alberta in Canada between July and September in 2007 showed that nearly half showed no external injuries—as would be expected if the giant blades had smashed the flying mammals to the ground.

Instead, 90 percent of the 75 bats the researchers ultimately dissected had been killed by burst blood vessels in their lungs, according to results presented in Current Biology—suggesting that the air pressure difference created by the spinning windmills had terminated them, not contact with the blades.

“As turbine height increases, bat deaths increase exponentially,” says ecologist Erin Baerwald of the University of Calgary in Alberta, who led research into the deaths as part of her master’s project. “What we found is a lot of internal hemorrhaging.”

As the wind moves through a wind turbine’s blades, pressure drops behind them by five to 10 kilopascals (a pascal is a unit of pressure), and any bat unlucky enough to blunder into such an undetectable low pressure zone would find its lungs and blood vessels rapidly expanding and, quickly, bursting under the new conditions.

The Summerview wind farm, which Baerwald studied, kills hundreds of bats every year, particularly during the fall migration period that has just begun. But bats that find their way via sonar should have no trouble detecting fast-moving objects like the 200-foot- (60-meter-) long blades on the 300-foot- (90-meter-) tall turbines that spin as quickly as 160 miles (255 kilometers) per hour. And before the installation of these new, taller turbines bat kills had been practically nonexistent.

Pressure drops of as low as 4.4 kilopascals kill common lab rats and all the bats autopsied showed internal damage and bleeding consistent with this type of death, known as barotrauma. “If bats have a lungful of air as they fly through the air-pressure change, there’s nowhere for the air to go,” Baerwald explains. “The small blood vessels around the lungs burst and fill the lungs with fluid and blood.”

This may also explain why, although some birds are killed by wind farms, the majority of casualties are bats. Birds’ lungs are much more rigid and their capillaries are stronger, making them capable of withstanding extreme pressure changes, according to Baerwald. Those birds that are killed typically show damage from being struck by the actual turbine blade. “This offers an explanation of why bats, once they come across these turbines, are so likely to end up dead,” says research biologist Paul Cryan of the U.S. Geological Survey, who has studied the issue but was not involved in this study. But “we don’t have a satisfying explanation for why we’re seeing such large numbers of bats. It seems they’re being attracted to turbines.”

Boyle’s Law strikes again.

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