Eagle's nest accident report

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cdiver2

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Safety Harbor (West central) GB xpat
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By Rick Gershman from the St petersburg times

Weeki Wachee___Deep below an algae coverd pond. Eagles Nest is considered one of the most breathtaking underwater cave systems in the world. Its intricacies have alternately been described as challenging and dangerous.
Judi Bedard never made it to the dangerous part.
Bedard, 48 a registered nurse at Tampa Genral Hospital, was pulled lifeless from the waters at Eagle's Nest on Sep 11. She was resuscitated and remains in critical condition at Gainesville hospitle.
The state and wild life conservation commission on Wednesday reeased its findings on what happened when Bedard and boyfriend Rudy Banks of Williston, both experienced cave divers, entered the water.
It was a standard recreational dive on a quiet Sunday afternoon.

Shortly after 4:30 pm they began a fairly normal descent, said the 52 year old Banks.
Divers must breathe different mixtures of gas at different depths, so Bedard breathed from a tank of pure oxygen untill she had descended abot 30 feet. Then she switched to nitrox, a combination of oxygen and nitrogen.
About 130 feet down she switched to her primary tanks, which were supposed to contain a blend of oxygen, nitrogen and helium appropriate for that depth.
They didn't.
Banks realized something was wrong with Bedard, who switched back to her nitrox tank. The two began there ascent, according to witnesses statements to the commission.
This is supposed to be a gradual procces, since ascending too fast can cause decompression sickness, also known as the bends. It also can cause a gas embolism, the presence of bubbles in the blood stream that obstruct circulation.
But they diden"t have that kind of time. An error in Bedards tank mixtures left her breathing almost all helium and almost no oxygen.
At 100 feet, she was unconscious.
At 60 feet, she"d stopped breathing.
According to Bedard"s friend and neighbor, Tom Lenfestey,
Banks was left with a terrible choice: If he ascended rapidly, the trauma to Bedard"s oxygen starved body could be enormous. If he diden"t she certainly would die from a lack of oxygen during the gradual ascent.
Banks, too risked decompression illness with an immediate ascent.
He brought her right up anyway.
He knew (he might get) the bends, which is very painful, but you can deal with it, Lenfestey said. "he had to do that".
Unfortunately, "it was the ascent that began a kaleidoscope of challenges, and injuries under which she now struggles," which included arterial gas embolisms, diving expert Gregg Stanton, who had just completed a dive with abuddy at Eagles Nest, said in a statment to the commission.
On the surface, Bedard had no pulse. Her eyes were open, blood and foam poured from her mouth.
Banks got the attention of Stanton, formerly Florida State Universitys diving saftey officer, and his diving buddy, James Garey, who serves, on the university of South Florida"s diving control board.
Garey flagged down Dan Pelland, a Spring Hill resident who happened to pull up to Eagles Nest to shoot photographs, Garey used Pelland"s phone to call 911, and Pelland helped Banks perform CPR on Bedard.
Stanton and Garey lauded Bank"s actions to resuscitate Bedard, but Stanton noted that Eagles Nest remote location and unpaved entrance made any potential recovery far more problematic.
"That the victim was brought back to self-breathing condition is a tribute to MR Banks, Stanton wrote. "His cool perseverance working with everyone brought results beyond expectations."
However, the medical response " hampered by limited supplies and transport options Stanton said.
Taking the victim in on a backboard in (a sport utility vechicle) with no iv drip was surprising, but necessary, while the ambulance and helicopter waited at the edge of the forest. A good 30 minutes- probably more- could have been saved and better EMS care could have been available had a recovery plan been in place for the Eagles Nest dive site.

Fish and Wildlife investigator Stephen Farmer agreed with Stanton and Garey that three elements contributed toBedard becoming injured that day at Eagles Nest dive site.
The gas was not properly mixed in her tri-mix tanks.
The tanks were not properly analyzed to ensure the right proportions of gasses.
The isolation valve-an attachment to the manifold that connects the two tanks-was incorrectly left closed and never checked to ensure it was open.
Banks who declined to speak with the Times, told investigators he mixed Bedard"s tanks.
However the experts said, that doe"s not absolve Bedard of responsibility for her equipment.
"At the site -before the dive- I do not believe Ms Bedard checked the contents of her breathing gas. UUltimately it is the responsibility of all divers to test there own breathing gases." Staton wrote.
Had she tested the isolation valve, she would have caught that the tanks were not evenly pressured.. and probably would have looked for further problems, leading to her canceling the dive... I conclude that she did not complete the saftey drills as per the proper protocols"
Banks remains disconsolate after the accident. Lenfestey said, spending almost all of his time at the hospital, Shands at the university of Florida.
Doctors were supprised Bedard rurvived the first 24 hours following the dive, Lenfestey said. Her kidneys failed and her heart stopped several times following her removal from a hyperbaric chamber to treat the embolisms.
It's a tough reality for friends and fellow divers who know Bedard as full of life.
She's high entertainment, just great to be with, Lenfestey said. She's full of well everything
 
By Rick Gershman from the St petersburg times

Weeki Wachee___Deep below an algae coverd pond. Eagles Nest is considered one of the most breathtaking underwater cave systems in the world. Its intricacies have alternately been described as challenging and dangerous.
Judi Bedard never made it to the dangerous part.
Bedard, 48 a registered nurse at Tampa Genral Hospital, was pulled lifeless from the waters at Eagle's Nest on Sep 11. She was resuscitated and remains in critical condition at Gainesville hospitle.
The state and wild life conservation commission on Wednesday reeased its findings on what happened when Bedard and boyfriend Rudy Banks of Williston, both experienced cave divers, entered the water.
It was a standard recreational dive on a quiet Sunday afternoon.

Shortly after 4:30 pm they began a fairly normal descent, said the 52 year old Banks.
Divers must breathe different mixtures of gas at different depths, so Bedard breathed from a tank of pure oxygen untill she had descended abot 30 feet. Then she switched to nitrox, a combination of oxygen and nitrogen.
About 130 feet down she switched to her primary tanks, which were supposed to contain a blend of oxygen, nitrogen and helium appropriate for that depth.
They didn't.
Banks realized something was wrong with Bedard, who switched back to her nitrox tank. The two began there ascent, according to witnesses statements to the commission.
This is supposed to be a gradual procces, since ascending too fast can cause decompression sickness, also known as the bends. It also can cause a gas embolism, the presence of bubbles in the blood stream that obstruct circulation.
But they diden"t have that kind of time. An error in Bedards tank mixtures left her breathing almost all helium and almost no oxygen.
At 100 feet, she was unconscious.
At 60 feet, she"d stopped breathing.
According to Bedard"s friend and neighbor, Tom Lenfestey,
Banks was left with a terrible choice: If he ascended rapidly, the trauma to Bedard"s oxygen starved body could be enormous. If he diden"t she certainly would die from a lack of oxygen during the gradual ascent.
Banks, too risked decompression illness with an immediate ascent.
He brought her right up anyway.
He knew (he might get) the bends, which is very painful, but you can deal with it, Lenfestey said. "he had to do that".
Unfortunately, "it was the ascent that began a kaleidoscope of challenges, and injuries under which she now struggles," which included arterial gas embolisms, diving expert Gregg Stanton, who had just completed a dive with abuddy at Eagles Nest, said in a statment to the commission.
On the surface, Bedard had no pulse. Her eyes were open, blood and foam poured from her mouth.
Banks got the attention of Stanton, formerly Florida State Universitys diving saftey officer, and his diving buddy, James Garey, who serves, on the university of South Florida"s diving control board.
Garey flagged down Dan Pelland, a Spring Hill resident who happened to pull up to Eagles Nest to shoot photographs, Garey used Pelland"s phone to call 911, and Pelland helped Banks perform CPR on Bedard.
Stanton and Garey lauded Bank"s actions to resuscitate Bedard, but Stanton noted that Eagles Nest remote location and unpaved entrance made any potential recovery far more problematic.
"That the victim was brought back to self-breathing condition is a tribute to MR Banks, Stanton wrote. "His cool perseverance working with everyone brought results beyond expectations."
However, the medical response " hampered by limited supplies and transport options Stanton said.
Taking the victim in on a backboard in (a sport utility vechicle) with no iv drip was surprising, but necessary, while the ambulance and helicopter waited at the edge of the forest. A good 30 minutes- probably more- could have been saved and better EMS care could have been available had a recovery plan been in place for the Eagles Nest dive site.

Fish and Wildlife investigator Stephen Farmer agreed with Stanton and Garey that three elements contributed toBedard becoming injured that day at Eagles Nest dive site.
The gas was not properly mixed in her tri-mix tanks.
The tanks were not properly analyzed to ensure the right proportions of gasses.
The isolation valve-an attachment to the manifold that connects the two tanks-was incorrectly left closed and never checked to ensure it was open.
Banks who declined to speak with the Times, told investigators he mixed Bedard"s tanks.
However the experts said, that doe"s not absolve Bedard of responsibility for her equipment.
"At the site -before the dive- I do not believe Ms Bedard checked the contents of her breathing gas. UUltimately it is the responsibility of all divers to test there own breathing gases." Staton wrote.
Had she tested the isolation valve, she would have caught that the tanks were not evenly pressured.. and probably would have looked for further problems, leading to her canceling the dive... I conclude that she did not complete the saftey drills as per the proper protocols"
Banks remains disconsolate after the accident. Lenfestey said, spending almost all of his time at the hospital, Shands at the university of Florida.
Doctors were supprised Bedard rurvived the first 24 hours following the dive, Lenfestey said. Her kidneys failed and her heart stopped several times following her removal from a hyperbaric chamber to treat the embolisms.
It's a tough reality for friends and fellow divers who know Bedard as full of life.
She's high entertainment, just great to be with, Lenfestey said. She's full of well everything
Interesting. I wish the story described what was in the cylinders and what the sequence was that led to the mistake. I would find that interesting. Part of the process that is hard to understand is closing the isolator and then adding different gases through different valves. Since partial pressure blending requires you to add a specific amount of gas to what is in there already, you should immediately notice when adding the new gas that the existing gas pressure is not what was expected.

As is too often true, the failure to analyze gases prior to the dive is the real problem. I myself had something like this happen to me, although it did not involve a closed isolator. We were blending gases out of the back of a van at night, after which we would top off with air. Our planned depth was only about 150 feet, so our planned mix was very much normoxic. I was not doing the blending.

I of course checked my gas the next morning, and I discovered then that my O2 percentage was about 8%. My guess was that my cylinders had pure helium topped off with air. How did that happen? Beats me, but I would guess I got two blasts of helium rather than helium and oxygen. A normal process of analyzing gas showed the problem, though. With the number of times such a thing has happened, I am always amazed when I hear stories of people not analysing their mixes prior to the dive.
 
Part of the process that is hard to understand is closing the isolator and then adding different gases through different valves. Since partial pressure blending requires you to add a specific amount of gas to what is in there already, you should immediately notice when adding the new gas that the existing gas pressure is not what was expected.
What process involves closing the isolater ever? There is no part of blending that ever involves that.
I hate it when divers close the damned isolator and drop tanks off for fills. Outside of checking the valve, there is no way the blender would ever know the valve is closed, the pressures react the same in a single tank vs doubles. Nobody in the diving world is blending by weight, it is all done by pressure.
I screwed up and blended a set of doubles for a guy about 8 years ago. He had closed his isolator and I didn't check it. He drove 9 hours to the dive site and realized only one side was full. I felt bad, and he was angry, but it happened and it was too late at that point. He had to call the dive and drive back.
These days I check that valve probably 3-4 times while filling.
Point being, never close the isolator, there is zero reason to ever close it on the surface, there really isn't much reason to ever close it underwater.
 
What process involves closing the isolater ever? There is no part of blending that ever involves that.
I hate it when divers close the damned isolator and drop tanks off for fills. Outside of checking the valve, there is no way the blender would ever know the valve is closed, the pressures react the same in a single tank vs doubles. Nobody in the diving world is blending by weight, it is all done by pressure.
I screwed up and blended a set of doubles for a guy about 8 years ago. He had closed his isolator and I didn't check it. He drove 9 hours to the dive site and realized only one side was full. I felt bad, and he was angry, but it happened and it was too late at that point. He had to call the dive and drive back.
These days I check that valve probably 3-4 times while filling.
Point being, never close the isolator, there is zero reason to ever close it on the surface, there really isn't much reason to ever close it underwater.
I just want to be clear that I am not advocating closing the isolator at any time. I just trying to figure out how people diving different mixes on different sides of the cylinder happen. In the case cited, even if it started with an isolator improperly closed, I think there had to be other problems in addition.
 
What process involves closing the isolater ever? There is no part of blending that ever involves that.
I hate it when divers close the damned isolator and drop tanks off for fills. Outside of checking the valve, there is no way the blender would ever know the valve is closed, the pressures react the same in a single tank vs doubles. Nobody in the diving world is blending by weight, it is all done by pressure.
I screwed up and blended a set of doubles for a guy about 8 years ago. He had closed his isolator and I didn't check it. He drove 9 hours to the dive site and realized only one side was full. I felt bad, and he was angry, but it happened and it was too late at that point. He had to call the dive and drive back.
These days I check that valve probably 3-4 times while filling.
Point being, never close the isolator, there is zero reason to ever close it on the surface, there really isn't much reason to ever close it underwater.

Unless you’re using gue ccr. My isolator is closed at home and also at the filling station…
 
This is a thread from 2005, you just formulated your thoughts about the incident?
 
This is a thread from 2005, you just formulated your thoughts about the incident?
It was linked from another thread that is current. I did not realize that and put my comments here instead of the current thread.
 
It was linked from another thread that is current. I did not realize that and put my comments here instead of the current thread.
I was just teasing you 😃
 
This is a thread from 2005, you just formulated your thoughts about the incident?
Also because someone posted a youtube video about it a couple of weeks ago.
 
Unless you’re using gue ccr. My isolator is closed at home and also at the filling station…
That is only because the manifold leaks, not because it is a good idea.
 
https://www.shearwater.com/products/swift/

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