Death of a recreational diver after a fall on board MV Elaine

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Right, and as I said, I never say never about anything. Of course you can have a ruptured spleen from blunt trauma. However, in this case, we know, 100% for sure from the autopsy, that this diver did not have a ruptured spleen, liver or clinically significant intra-abdominal hemorrhage.

BTW, getting hit by a helmet during a tackle is a lot more force, and more directed over a smaller area, than in a fall. It's not the weight of the equipment, it's the force of impact. If you fall, the force is proportional to the acceleration from gravity over a distance of 2-3 feet. With a tackle, it's proportional to the force of the player running into your abdomen at full tilt. Not even close. That's why the medical literature has lots of cases of sports injuries causing internal trauma, but not a lot from falling down, even carrying heavy stuff. Interestingly, one of the sports with a relatively high fatality rate is baseball. A baseball, weighing a few ounces, can be accelerated fast enough from a bat to cause a fatal brain injury or a cardiac standstill.

---------- Post added December 18th, 2013 at 01:20 PM ----------

If I read the report correctly the two consultants both agreed that the cause of death wasn't the blunt trauma, but there was definitely blunt trauma present. I think it would be interesting if somebody with better physics mojo than I have could calculate the difference in energy (maybe torque?) between an unladen individual who falls and somebody who falls wearing 100-odd pounds of equipment. It would probably be significant.


The relevant number here is pressure, which is defined as force divided by area (p=F/A). This is why if you lie down on a single nail it will puncture you, but a bed of nails won't. Same force in both cases: f=MA, your weight = your mass x the acceleration of gravity). But if all 150 lbs of it is applied to a single nail, it will cause trauma that it won't when divided over hundreds of nails. This is also why you can kill someone with a bullet that only weigh a few grams by accelerating it fast enough, and by there being a small area over which that force is applied.

As far as some degree of blunt trauma being present, that's what I was talking about in an earlier post. Probably everyone who falls has some sort of soft tissue trauma, but only those people who get autopsies soon after have it documented! And it was described as not being enough to be a contributing cause of death, from what I recall.

Finally, to really answer your question, we would need to know how much force (or specifically, pressure) a human can stand before suffering a fatal injury. Even if you were wearing dive gear equal to your own weight, that would only double the amount of force (given the constant acceleration from gravity). Like I always say, there is a bell curve for everything, and I'm sure that there are case reports of all sorts of odd accidents, but it's unlikely that a species would have evolved where the LD50 for abdominal trauma was only twice what you might suffer from tripping on the sidewalk carrying nothing.
 
Awful way to die but as per british papers at the inquest the widow is now looking to sue the charter. This is the typical where there is an accident there has to be someone to blame culture that is now so great in the us and uk.
Having such an experienced diver die on a boat due to his fall alone is suspicious- it does state he has been on the boat before. Having such experience I would imagine he would know how to walk on the boat kitted.
As has been said in the UK the norm on most hard boats is to fully kit up and then waddle to the flatform and then in you go. The deck of the jean elaine is actually one of the better boats for this. Nice and roomy!
Hope the woman see's it was an accident!
 


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Has there been any update from this case?

Lex Warner drowns on diving trip hours after finding out he was going to be dad - Mirror Online

According to this, hours before he died, his wife called to inform him that she was pregnant. She lost the baby weeks later. Rest in Peace, father and baby...

Diver dies hours after wife calls to say 'I'm pregnant', then she loses her baby weeks later | Daily Mail Online

This article has inconsistencies with the report that was posted near the beginning of this thread.
 
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Is 95m considered 'recreational'?
 
Is 95m considered 'recreational'?
This has been discussed earlier in the thread. In the British report, "recreational" is defined as "not commercial". It has nothing to to with the "rec"/'tech" distinction used by various agencies.


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Typed on an on-screen keyboard with [-]autocorrupt[/-] autocorrect and sent from my Android device.
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A few thoughts from a purely recreational diver (in both senses of the word) after reading the report and the thread:


The cause of death is reported as “[FONT=Arial, Arial, sans-serif]drowning, following a traumatic injury ‘[/FONT][FONT=Arial, Arial, sans-serif]resulting from a fall on a dive boat’[/FONT][FONT=Arial, Arial, sans-serif]. [/FONT]” Maybe that's not complete, and the actual medical report gives a different emphasis? The writers of the report are certainly clear that they aren't trying or qualified to investigate the actual dive incident, and therefore only focused on how the fall may have contributed.



However, “[FONT=Arial, Arial, sans-serif]The second medical opinion concluded that the severity of the internal injury was such that, even if Lex had not dived, his condition would have developed into a surgical emergency.”[/FONT]


The report itself actually twice mentions the term 'technical' diver, and even defines (arguably incorrectly) its use within the diving community. “[FONT=Arial, Arial, sans-serif]Often referred to as ‘technical’ diving, the use of mixed gas rebreather diving equipment is a specialised form of the recreational sport and only a small (but increasing) number of divers graduate to this level.” [/FONT]



The diver entered the water 11 minutes after falling, and started his unplanned ascent 9 minutes later, 20 minutes after falling on deck. He surfaced 10 minutes after that “just under 19 minutes after entering the water. So he took about 10 minutes to pick himself up, dust off his gear, and decide he was still diving. He was still not the last diver into the water.



Trying to piece together the dive: He was seen as being fine and swimming well on his way down past 70m, then somewhat later began an unplanned ascent from 88m (where he was still breathing normally, according to his dive computer). He then had difficulty with breathing and buoyancy and, following an attempt by other divers to calm him down, a buoyant ascent from somewhere around 70m to 60m where he was caught up to by another diver. At that point, he clearly wasn't breathing, with neither the loop nor a reg in his mouth. It's not clear how long it took from the start of the incident to where he stopped breathing.

I have no idea what sort of incident this looks like. He had been in the water for 9 minutes after not diving for probably over 48 hours. He seemed to be fine until after beginning his ascent (though it seems reasonable to think he started the ascent because of the onset of whatever killed him, and that it was something that came on gradually enough for him to begin to respond to it). It wasn't a failure of the dive gear. So what kills you at depth in a couple of minutes, with maybe a few minutes' warning, and doesn't show up as a dive gear issue? I have nowhere near the knowledge to even guess. Is this something that severe abdominal trauma could actually cause?



Now for some unwarranted speculation: in the report, the diver was reported as “excited, but also nervous” by other divers on the boat and it was mentioned that this was one of his deepest ever planned dives (I should think!). Also, this happened on the third day of the expedition, and was only his second dive. He had missed the second of two shakedown dives (reason not given), the third dive because he was reportedly not ready in time and the other divers left him on the boat, and at least one more dive opportunity because of bad weather. Given the time of day, I think it's safe to say that he would have been left having done just the one shakedown dive after 3 days on the boat if he had called it. Sounds to me very much like a situation where a diver might push through a 'minor' medical problem to get into the water. This impression is strengthened by the report that he went down the line on his own, despite having entered the water with two other divers (who waited for the final diver before starting their descent).
 
The report itself actually twice mentions the term 'technical' diver, and even defines (arguably incorrectly) its use within the diving community. “[FONT=Arial, Arial, sans-serif]Often referred to as ‘technical’ diving, the use of mixed gas rebreather diving equipment is a specialised form of the recreational sport and only a small (but increasing) number of divers graduate to this level.” [/FONT]
The term "technical diver" is relatively well understood and agreed upon in the diving world. The term "commercial diver" is extremely well understood and agreed upon. In cotnrast, the kind of diving done by probably 90% of the world's divers does not have a clearly understood term. Some people call it "recreational diving," but others reserve that term for all diving, inclduing technical, that is not commercial. Others call it "sport diving," but in my experience, that term is not all that commonly used.


So what kills you at depth in a couple of minutes, with maybe a few minutes' warning, and doesn't show up as a dive gear issue? I have nowhere near the knowledge to even guess.
So what kills you the surface in a couple of minutes, with maybe a few minutes' warning, and doesn't show up as a gear issue of any kind? There are probably a thousand possibilities. My brother-in-law, a seemingly perfectly healthy middle-aged man, got a splitting headache. He went to the doctor, who could find nothing wrong and sent him home with a prescription for a pain killer. He lay down to rest on the sofa and died. It was a cyst in his brain, something he had had possibly had all his life before it decided to kill him. Many of us have time bombs inside us ready to go off at any moment, and sometimes they go off while we are diving. The top causes of death on scuba, by far, are cardiac problems.
 

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