CO Monitors - a carbon monoxide detector can save your life
May / June 1998 Issue, By: Robert N. Rossier
The local diving community recoiled in shock at the tragic death of a diver (Diver 1). He was a well-known and much-admired individual, in addition to being a seasoned diver. When the 60-year-old Diver 1 collapsed and disappeared in 18 feet / 5.5 meters of water during his third dive of the day last year, everyone was baffled.
Based on the initial autopsy, the medical examiner ruled the death an accidental drowning. Only later was the real cause of the problem determined. Prompted by a fellow diver, and others in the diving community, the air in Diver 1's tank was later tested and found to contain 537 parts per million (ppm) carbon monoxide (CO), more than 50 times the maximum limit specified by the Compressed Gas Association (CGA) for Grade-E air. This specification, which serves as the industry standard for air stations throughout the USA, limits CO to 10 ppm.
Diver 1's death brought the total number of CO-related scuba fatalities to two in 1997. Another diver (Diver 2), age 42, died of CO poisoning last year while diving with friends some 10 miles / 16 kilometers offshore.
Only a handful of CO-related scuba fatalities have been recorded in the past two decades. At first glance, the deaths appear to represent a statistically small problem in diving safety, but the circumstances surrounding Diver 1's death may in fact point to a larger problem.
Most states and municipalities do not require testing of a diver's air in the event of a fatality. The autopsy findings of a drowning victim are non-specific, and the presumed cause of death is often based on circumstantial evidence. Routine toxicological studies performed at autopsy do not include a measure of CO blood or tissue levels. Unless CO poisoning is suspected, usually no tests are made to determine levels in the body or the amount in the diver's breathing-gas cylinder. These facts point to the question of how many other diving fatalities might actually involve CO poisoning as a contributing factor. The Diver 2 fatality occurred in a state where the equipment used by diving fatality victims is always confiscated and more in-depth investigations are performed to determine the cause of death.