Deep Stops in Recreational Diving
This article that I published a while ago summarizes the evolving thinking on deep stops in decompression diving. The quick summary is that several decades ago, several people published theories and even created decompression algorithms (like RGBM and VPM) that favored decompression stops that were much, much deeper than the ones in use by the accepted algorithms of the time, including Buhlmann. This practice became all the rage and was almost universally accepted by the technical diving community, despite the fact that it had never been tested. As it began to be tested, though, doubts were raised, because the testing was not supporting the practice. The testing suggested that those stops were too deep and were contributing to a detrimental loading of nitrogen in slower tissues. Today, the trend is very much away from those very deep first stops, with stops that are still a little deeper than the older models but nowhere near as deep as the practice in the heyday of deep decompression stops.
When deep decompression stops were all the rage in decompression diving, people wondered if they should be incorporated into recreational diving as well. A couple studies in the early 2000's suggested a benefit, but those studies are not well-regarded today. As an agency, NAUI adopted the practice, probably due to the strong influence of Bruce Wienke, who was a key member of the NAUI Technical Training Division’s Technical Advisory Group from its inception. Wienke devised the RGBM algorithm that strongly favored deep decompression stops, software that was adopted for Suunto recreational computers and some others. To the best of my knowledge, Wienke was still a deep stop advocate until his death earlier this year.
Deep stops in recreational dives are controversial. DAN America does not not endorse them, and it chief publication on the issue is a discussion of 4 experts, with three of the 4 saying not to do them. The one who said they might be OK is one of the authors of one of the studies mentioned above that are not now highly regarded. DAN Europe endorses deep stops for recreational diving, but the last time I checked they cited no studies in support of that endorsement. DAN Europe also seems to favor deep stops in decompression diving as well, despite the fact that there is no real supporting evidence. They recently published an article with a title promising fresh new evidence supporting deep stops in decompression diving, but although the article did say those deep stops were good, the only evidence cited was two 15+ year old discredited articles on
recreational deep stops. I know of no studies whatsoever supporting the use of deep stops in decompression diving.
In writing the article above on deep stops in recreational diving, I got significant help from Dr. Simon Mitchell. I then wanted to write another article on deep stops in recreational diving, but Dr. Mitchell declined to participate, saying there was not enough evidence upon which to draw a conclusion, and he therefore did not have an opinion. I forged ahead on my own, looking at all the evidence I could find, and I concluded that there was not enough evidence upon which to draw a conclusion, and I therefore do not have an opinion. What I concluded was that there is a major difference between ascents in a decompression dive and ascents in a non-decompression dive. In a decompression dive, if you linger on the ascent, it clearly has a detrimental effect that must be dealt with via stop time later in the ascent. In a non-decompression, recreational dive, lingering on an ascent does not seem to have that same issue; you can take your time on the way up and still only need to do at most a typical safety stop. Is there a benefit to lingering at some depth along the way? I don't know. I do know it will be hard to explain the difference between a 2-minute deep stop at half your maximum depth and a 20-minute extension of your dive time at half your maximum depth while doing a multi-level dive.