Noob returning to Diving after DCS

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I have some secondhand knowledge of this as I know someone who went through DCS after not doing anything wrong. He made the following changes: no more than 3 dives a day, always dive Nitrox when appropriate, dive Nitrox on air profile, never less than 75 minute surface intervals, 5 minute safety stops after slow ascents, and he is in good physical condition. I have been told if you get DCS once, you are more lilely than the average bear to get it again so keep this in mind and the fact that the DM expects you to be in charge of your safety.

Diving where there is a chamber is a real good idea. Getting stuck in some remote place where you have to be air evacuated out makes everything worse and my friend was treated the first time way later because a tropical storm came right after he got into trouble. You should be commended for realizing you were in DCS quickly and dealing with it sooner rather than later- many people don't want to beleive it is happening and delay getting treatment which could lead to serious problems.
 
I disagree with the recommendation to get a bottom timer and dive tables. This is just not going to be workable in a lot of places. Get a computer and study the manual -- learn what it is telling you, and what it will tell you to do if you violate your limits. And then don't violate them! Stay well within the NDL time the computer tells you. Don't "ride the computer", by getting very close to NDLs and then going up a little to buy yourself a few more minutes . . . that's high risk diving.

But most of all, control your ascents. 30 fpm into the region shallower than 30 feet, and then a good, long safety stop -- or staggered stops, like 2 minutes at 30, 2 at 20, and 3 at 10. It's good buoyancy control practice, anyway!
 
I disagree with the recommendation to get a bottom timer and dive tables. This is just not going to be workable in a lot of places. Get a computer and study the manual -- learn what it is telling you, and what it will tell you to do if you violate your limits. And then don't violate them! Stay well within the NDL time the computer tells you. Don't "ride the computer", by getting very close to NDLs and then going up a little to buy yourself a few more minutes . . . that's high risk diving.

But most of all, control your ascents. 30 fpm into the region shallower than 30 feet, and then a good, long safety stop -- or staggered stops, like 2 minutes at 30, 2 at 20, and 3 at 10. It's good buoyancy control practice, anyway!

And as someone else pointed out, learn to make use of the computer's planning features. Even my simple, entry-level computer has a planning mode; I'm sure almost all do. It can help you tell whether a plan's OK, if it need to be modified or if you're better off just sitting out a dive.

One other thing: there are loads of really good dives out there that can be done very conservatively. Shallow shore dives with gently sloping bottoms which allow very slow ascents to be done easily. With plenty of things to see.
 
It can also be helpful to download your dives from your Dive computer to a PC and review. I have caught myself doing faster ascents than intended that way, and taken action. Make sure your is downloadable and get the cable.
 
Staying shallow (above 30 fsw) will keep your nitrogen load low and remove most of your risk. The bends rates for those types of dives are very very low. Nitrox of course gives you a shallower equivalent depth which is helpful but staying shallow is the biggest factor. Slow, 30 feet per minute or less, ascents with pauses of a minute every ten feet are a good idea too. A lot of people pop to the surface from 15 feet. Don't do that take at least a couple minutes for that last bit. That may require a more weight so you can hang comfortablely at 5 or 10 feet.
 
I second TS&M, get a computer and RTFM, you can also visit DiveNav for additional training. As far as a backup computer is concerned, buying the same brand is not necessary, as long as both use the same algorithm. You might consider an Oceanic b.u.d. as backup.
Knowing your depth, keeping an eye on the NDL and controlling your ascent rate are critical, extending your safety stops a good idea.
 
I have only a little to add to what I think is a very good discussion. The phrase "dive conservatively" is used in a few posts. I don't think the returning diver needs to dive conservatively as such, but he does need to plan safe no decompression dives, and dive his plan. He needs to do some remedial work on dive planning, and if he hasn't learned to use dive tables, should. They build in "conservative" profiles. I also thin the refresher is a good idea, whether a formal class or some one on one time with a dive pro to go over some very basic and essential safe diving rules: dive planning, off gassing, safety stops, slow ascent rates, gas management and the like. Our original poster was foolish, unprepared, and most of all, lucky. Live and learn. dive safe.
DivemasterDennis
 
Can anyone amplify whether the OP is at greater risk of being bent due to the previous hit? There is plenty of great dive advice in this discussion but only one mention so far of possible increased risk.
 
Whaylon.....I found a great Chat with one of the Dive Doctors on SB...and they said studies have shown there is no greater risk. Sorry that I can't find that chat, I've looked for the last 45 minutes without success.

Medical studies, though, are not always conclusive and they may not always be right. Me, I'm going to assume I have a greater risk (if only because I have forgotten the basics) and dive more conservatively, and smartly, than I did before! I found an old thread that talked about the importance of safety stops..which I am certainly going to integrate....cliff notes of the recommendations are below.

'I found a relevant DAN article at DAN Divers Alert Network - you may have to be a member to access it (not sure). A few quotes from the article are http:/news/Article.aspx?newsid=514

What is interesting, and not necessarily intuitive, is that an in-water stop with a relatively rapid ascent rate appears to be more effective at eliminating inert gas than a very slow ascent rate. As can be seen from Table 2, a five-minute in-water stop is much more effective than simply slowing the ascent rate, even though the total ascent time is not much different (6.6 minutes vs. five minutes). That total ascent time also remains very short. We know the spinal cord has a 12.5-minute halftime. Thus, 6.6 minutes is an insufficient total ascent time for the spinal cord which is, by then, virtually fully saturated (as seen in Table 1).

At 30 feet per minute (which is the ascent rate more commonly used today with a five-minute safety stop at 20 feet), the time to surface from 100 feet will be some eight minutes. This is better, but still a lot shorter than the 12.5-minute halftime of the spinal cord (not considering that gas elimination is slower than uptake). A plausible alternative might therefore be to ascend at 30 feet per minute but to add an additional "Haldanian" stop at about half the depth (remember, the depth is 100 feet / 15 meters) at 50 feet for five minutes. This gives 13.3 minutes of total ascent time2.


With respect to deep stops:

International DAN research studies have recently clearly confirmed these hypotheses: 15 divers were enrolled in a study and each given eight possible combinations of ascent rates, and either a shallow stop, or a deep and a shallow stop. The repetitive dives were to 80 feet (25 meters) for 25 minutes; the surface interval was three hours, 30 minutes; and the final dive was to 80 feet for 20 minutes. Ascent rates were 60, 30 and 10 feet per minute. The matrix is shown in Table 3 and the results of 181 dives are shown in Table 4.

Clearly, the best decompression schedule is Profile 6 (see highlights in both tables). With an ascent rate of 33 feet (10 meters) per minute, and two stops at 45 feet (13.5 meters) and 9 feet (2.7 meters) respectively, this profile had the lowest bubble score of 1.76.'

Full post here: http://www.scubaboard.com/forums/as...ed-dcs-first-time-terrified-dive-again-6.html

---------- Post added January 26th, 2013 at 10:01 AM ----------

Also, I was reading another post that helped me understand how little I know...
http://www.scubaboard.com/forums/ba...s-psychology-diving-beyond-ones-training.html

And a very relevant point was made by Jim:
"No one has told them that that this is an extreme sport and people die doing it. The agencies try to insure that instructors make this all about fun, sun, safe, easy to do, anyone can do it, and put nothing in the materials that illustrate just how dangerous certain aspects of it are and what the actual outcomes can be."

The more I read, the more I realize this is a dangerous sport and I have to be very prepared and very cautious. So thank to everyone who is helping me do just that!
 
All of the other things you can do are great, but don't forget to bring up your concerns with your dive operator. They can be your new best friend when it comes to having a good set of dives.
 

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