GrierHPharmD:
A couple of points for discussion:
1. I'm sorry that you were asked to remove your earlier posts, Vickie. .................
2. As to the nitrox discussion, I don't see any evidence from the accident report that nitrox played a role. ........................
3. I was wondering if he simply got separated from his buddy, exhausted his air at depth trying to rejoin him/her, then panicked from an OOA incident (and we can't rule out an arterial gas embolus from a possibly rapid ascent.) This explanation seems consistent with his behavior at the mooring buoy, explaining the empty tank and BC, the rush to swim for the boat, and his failure to make himself positively buoyant at the surface (dropping weights, removing/inflating BC, etc.) Panic is a scary thing, and it's been shown over and over to be a killer of divers. It's one of the few things that I'm really scared of underwater.
All of this is, of course, just speculation. I've been drawn to the case because the victim was only a year older than me, seems to have been an intelligent man and a trained, competent diver, was diving a site that I love to dive, and had an accident that cost him his life. A little too close to home...
Thanks for posting the accident report. I think that, for myself at least, analyzing the facts as they emerge and trying to make some sense of it all makes it a little easier to deal with the fact of this tragedy.
-Grier
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As Grier stated, "All of this is, of course, just speculation." We here search for the true circumstances and facts that lead to this tragic accident. Not to blame. So, that we can all dive safely and enjoy the sports that we all love...
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I lost a loved one at Molasses Reef about 30 years ago! I was out of town on a trip when it happened. The cause of death was officially drowning, which never satisfied all the why questions.
I dont think there will be real answers as to why this accident happened as well. If the official cause of death is drowning, that will not answer all the why questions?? The question will be why did this diver drowned? I hope there will be more of comprehensive analysis of dive accidents in the future. Closure is important. I am still dont have closure 30 years later. It still bothers me
The question that keeps coming to the surface with me is the safety of Nitrox, if a diver hyperventilates? I just finished the Nitrox course and I am not convinced as to the all the general accepted safety aspects of Nitrox.
The first safety issue that I would question about Nitrox is the possible potential for disaster, if a diver starts Hyperventilating on Nitrox caused by whatever reason which could be numerous. During the Nitrox course work there was no warning or cautioning about how to avoid hyperventilation when using Nitrox or the potential results there of. Has this potential danger been overlooked by the dive industry??
I have researched Hyperventilation and found an interesting related condition that could possibly exacerbate the on set of Hyperventilation in a stressed diver. The condition is
HYPOCAPNIA, it is a state in which the level of carbon dioxide in the blood is lower than normal.
Hypocapnia can result from deep or rapid breathing, known as hyperventilation. Can Nitrox lead to this condition, which might bring on a situation of the diver Hyperventiling?
Most divers are aware Hyperventilation can lead to impairment and unconsciousness. In my opinion, Hyperventilation, while diving is a bad situation when breather air. How much worse is it when breathing Nitrox?
I don't think this accident was caused by excessive ppO2 of Nitrox at depth leading to impairment by Oxygen Toxicity. However, has there been due consideration of Hyperventilating Nitrox at any depth??
I would think that an accident caused by Hyperventilation would be almost impossible to detect during an autopsy. I dont know if there is any latent chemical marks that are left behind. If anyone knows, please enlighten us.
Glenn
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Background Info
Hypocapnia
http://en.wikipedia.org/wiki/Hypocapnia
From Wikipedia, the free encyclopedia.
Hypocapnia, also sometimes known as acapnia, is a state in which the level of carbon dioxide in the blood is lower than normal. This can result from deep or rapid breathing, known as hyperventilation. Even when severe, hypocapnia is normally well tolerated.
However, hypocapnia causes cerebral vasoconstriction, leading to cerebral hypoxia and this can cause transient dizziness, visual disturbances, and anxiety. A low partial pressure of carbon dioxide in the blood also causes alkalosis (because CO2 is acidic in solution), leading to lowered plasma calcium ions and nerve and muscle excitability. This explains the other common symptoms - pins and needles, stiff muscles and tetany in the extremities, especially hands and feet.
Hypocapnia is sometimes induced in the treatment of certain medical emergencies, such as intracranial hypertension.
Hyperventilation
http://en.wikipedia.org/wiki/Hyperventilation
http://home.earthlink.net/~drbobshields/Hyperventilation.F.html
From Wikipedia, the free encyclopedia.
In medicine, hyperventilation, also known as tachypnea or hyperpnea, is the state of breathing faster or deeper than necessary, and thereby reducing the carbon dioxide concentration of the blood below normal. This causes various symptoms such as numbness or tingling in the hands, feet and lips, lightheadedness, dizziness headache, chest pain and sometimes fainting.
Causes
Stress or anxiety commonly cause hyperventilation; this is known as hyperventilation syndrome. Hyperventilation can be brought about voluntarily, by taking excessive deep breaths. It can also result from inflating numerous party balloons by mouth. Hyperventilation also occurs as a consequence of various lung diseases, head injury or stroke, or when the body lacks oxygen (hypoxia), for instance in high altitude or as a result of anaemia. Lastly, in the case of metabolic acidosis, the body uses hyperventilation to counter the increased acidity of the blood.
http://www.medterms.com/script/main/art.asp?articlekey=3853
Hyperventilation: Overbreathing. This can cause dizziness, lightheadedness, weakness, shortness of breath, a sense of unsteadiness, muscle spasms in the hands and feet, and tingling around the mouth and fingertips. All of these symptoms are the result of abnormally low levels of carbon dioxide in the blood caused by overbreathing.
Hyperventilation is often due to anxiety or panic.