Seizure in Recompression chamber

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adjuster-jd

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Location
Northeast Ohio
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I recently had occasion to visit a local chamber due to being able to rule out DCS. While after the fact, it appears that I really was not bent, my chamber experience turned out to be quite the experience.

Background:
Dive Profiles: Saturday - night dive to max 45 feet approx 60 minutes.
Sunday morning - Dive 1 - 77 feet approx 24 minutes (total dive time) - EAN36
1 hr 46 min SI, Dive 2, 109 feet - 24 minutes (total dive time) - air
2 hr 7 min SI, Dive 3, 94 feet, 45 minutes - air
All dives were well within computer limits (Oceanic ProPlus2).
All dives were at Gilboa Quarry which at depth was about 42-44 degrees. During the last dive my hands were very cold. After the dives and all the way home my hands ached badly. Also the next day I had some very mild pain in my elbow and my hands still ached the next day.
Knowing that I had done 3 deep dives and that extremity pain is a symptom of possible DCS, I called DAN. Although they thought I was probably not bent (my guess was that the cold just left some residual irritation and the elbow pain was from lugging tanks and gear around all weekend), DAN still wanted me to be checked out by a local Doc and referred me to my local hospital. After talking to the dive medicine expert there and learning that his chamber was not in operation, he referred me to chamber in another city. He provided my history to the doctor there and I was told to report to the chamber for a Table 5 dive the next day.
I left my house the next morning and told my wife I would be back in the afternoon.

I got to the chamber (glass coffin style - single place chamber) and was descended to 60 feet on pure O2 with no problem. After 20 minutes or so I was told to take an air break by breathing regular air from a mask. When I attempted to breathe from the mask, it didnt seem to be delivering any air (kinda like the feeling of sucking on a regulator underwater when the air has been turned off). I told the tech it was really hard to breathe from the mask and she told me to try it again. This time I tried to suck really hard from the mask but still wasnt getting any air from it. Then the lights went out... I had a grand mal seizure in the chamber.

The next thing I remember is the chaplain standing over me telling me I had a seizure. Apparently I became combative when coming out of the seizure and the gave me a large dose of ativan.. They kept me over night for observation, did a CAT scan and EEG both of which were normal and I was sent home the next day with no problems.

I never saw the chamber tech again to discuss whether there was a problem with the air regulator or not.

I know from enriched air diving that O2 can cause seizures at PO2 of 1.4 and above so the siezure didnt seem like a big deal to me, but I'd sure hate to go through that again should I ever need a chamber (which hopefully I won't)...

By the way, all my symptons went away - my hands stopped aching, etc by the next day and I am completely fine.

I don't know anything about how recompression chambers work but it seems that something wasnt right with the air regulator and that may have contributed to the seizure.

Any thoughts.
 
good luck holding on to your drivers license. that is kinda weird though...have you ever had seizures before?
 
Jorbar1551:
good luck holding on to your drivers license. that is kinda weird though...have you ever had seizures before?
Jobar,

You might want to read this: LINK
 
i read some of it...any specific part you would like me to read? the reason i said "good luck keeping your license" is because most of the time, if you have a seizure during the daytime, not while you are sleeping, the dmv might take your license away for a period of time. if they do...go to court saying that the reason that you had your seizure was because of the chamber, and that it has never happened before.
 
Jorbar1551:
i read some of it...any specific part you would like me to read? the reason i said "good luck keeping your license" is because most of the time, if you have a seizure during the daytime, not while you are sleeping, the dmv might take your license away for a period of time. if they do...go to court saying that the reason that you had your seizure was because of the chamber, and that it has never happened before.
First, when exposed to 2.8 ppO2 for that long, I would be suprised if you didn't have a siezure.

Second, the seizure occured as a direct result of medical treatment under a MD. It's not like the siezure was an unpredictable event, like with epiliepsy.

Third, how would the DMV find out? Unless there is a DVM inspector who happens to be on this board, who knows Adjuster-jd, or he were to run into a local office and confess "I had a seizure!"

If I were him, I would be more concerned that I got bent while staying in the limits of my computer, than losing my drivers license.
 
When I talked to the local chamber guy last year, he mentioned that 20 minutes at 3 atmospheres (60') on 100% O2 is the cutoff point for O2 toxicity. That's why they have you do the 5 minute air breaks every 20 minutes. He said that people who take daily doses of aspirin or vitamin C will predictably tox right at the end of a Table 6 treatment...
 
Jorbar1551:
i read some of it...any specific part you would like me to read? the reason i said "good luck keeping your license" is because most of the time, if you have a seizure during the daytime, not while you are sleeping, the dmv might take your license away for a period of time. if they do...go to court saying that the reason that you had your seizure was because of the chamber, and that it has never happened before.

Jorbar1551, not to be arguementative, but a single isolated seizure incident when O2 tox is suspected as the culprit hardly qualifies as someone being an epileptic. Furthermore, how are the "DMV Police" going to find out about this seizure? Afterall, it's confidential medical information that is unrelated to any sort of traffic incident.
 
I'm not worried about the DMV since the seizure was clearly caused by O2 tox and I can certainly handle myself should court be necessary (thus the "-JD" in my username).
Tienuts - it doesnt appear that I was bent since the symptoms seemed to go away on their own and were probably due to just the very cold water on my hands for the long dive. I wasnt in the chamber long enough for the treatment to be effective..

Any chamber operators out there have any idea about why the air regulator would not have been delivering air to me? Misadjusted/turned off?? I don't know what controls there are for the various parts of the chamber..
 
i get some repetetive motion stress issues in my arms due to all the typing on the computer that i do all day, and i've noticed that long, cold diving exposures will sometimes make it worse, particularly when scootering... i tried 100% O2 after one dive for about 15 minutes with no effect at all one time -- and it goes away in < 24h for me when it happens...
 
adjuster-jd:
Tienuts - it doesnt appear that I was bent since the symptoms seemed to go away on their own and were probably due to just the very cold water on my hands for the long dive. I wasnt in the chamber long enough for the treatment to be effective..
My bad, I missed that "not" in there.
 
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