Uncontrolled ascent

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Aegir

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Hi Dr Deco

Recently i was involved in a rapid uncontrolled ascent from 17 metres because i had to grab my buddies fin to try to stop him from ascending too fast. Unfortuanately i just couldnt dump all my air in time so we ascended to the surface pretty quickly :( . Since that time i have had sensations like pins and needles allover my body. It is more like just the odd pinprick here and there but sometimes it is fairly intense in comparison to pins and needles. Will the micronuclei/bubbles work there way out of my system in time ? , if indeed i actually have any such bubbles in my body.

I am looking forward to your reply :)
 
Call DAN.
NOW!
1-919-684-4326
Just do it.
Rick
 
As Rick said , call DAN ASAP. And if you have a chamber near by -- get there, tell them what happened. I'm sure, they'll be popping you in for a stay.

Pins and needles a sure sign of DCS level 1.

Take care,
 
Hi Aegir,

What an unfortunate event. On the bright side, at least neither of you sustained AGE or pulmonary barotrauma.

Couple things you can pretty much figure on: 1) The skin sensations you are experiencing were precipitated by gas bubbles. This type of paraesthesia is a classic sign of Type I DCS; 2) These bubbles are no longer around as they absorb/degrade relatively quickly.

Signs & symptoms of DCS continue after the disappearance of bubbles due to a cascade of inflammatory responses, obstructions of circulation, compressions of nerves, & other troublesome reactions of the body. Depending on the nature, location & duration of these reactions, the effects can be permanent.

As Rick & DivingGal have indicated, you should promptly be evaluated by a hyperbaric medicine specialist.

This is educational only and does not constitute or imply a doctor-patient relationship. It is not medical advice to you or any other individual, and should not be construed as such.

Best of luck.

DocVikingo
 
For Aegir in the UK he needs to call

DDRC (Diving diseases research centre)
01752 261 910

For the Americans - Dan is great for the US, and the US sphere of influence. DAN europe is best described as a bit of a joke.

I had real problems when I tried calling them speaking to anyone (in either english or french) - they only spoke german!!!

Jon T
 
Hi

Before writing the above mail i first e-mailed DAN Europe and they told me to get intouch with a physician who is experienced in diving medicine. So off i went and started phoning around for a diving physician. I rang the local Doctors ( NHS Service) and they couldnt help me, which i thought was crazy. Then i rang the local hospital who rang the the Royal Navy who then rang the nearest Bupa (who are private) medical centre which luckily happened to be only 8 miles from my house and has one of the best Hyperbaric chambres and emergency DCS eqiupment in Britian ( so I was informed).

I was seen immediately by the diving specialist physician and he had no reservation in getting me into the recommpression chambre immediately after a checkup. His examination revealed that i couldnt infact walk heel to toe in a straight line , much to my amazement. So i was placed in the chambre at 18 metres for approximaely 5 hours (The Royal Navy,Table 6). I was then kept in overnight for observation and i was put in the chambre once again for 2 hours in the morning. I came home last night but then had the pins and needles reoccured so i contacted the hyperbaric team at the hospital again. Again I was commited to the chambre thismorning for another 2 hours. Let me stress though...my initial symptoms and those thereafter were very very mild pins and needles. I can imagine that alot of people would just ignore them, thats how subtle they were. I am still experiencing pins and needles( more like sharp stabbing pains)in my legs, feet , back , neck , scalp and hands even now(every 3-30 mins). My first symptoms occured immediately on exiting the water...pins and needles in my feet only for about 10 minutes. After those symptoms (Sunday) I felt nothing again until monday night. It was infact Tuesday afternoon when i phoned for help. I am told that the pins and needles will either go in a few days - a few weeks or they may actually be permanent.

My dive profiles are as follows:- ( times are time of descending to time of surfacing) All dives were on Air. Temp was recorded at deepest part of each dive.

Friday:

Dive 1
10:46 to 16.2m, out at 11:23 (37mins)(temp 8C), Had uncontrolled ascent from approx 12 metres to surface..was slowed by 2 divers holding my fins. It was later found that my cuff dump on my dry suit was infact partly blocked with talc powder which made me unable to dump air quick enough on ascent.
Dive 2
13:53 to 30m (multi level dive), out at 14:32 (39 mins)(temp 7C)
Dive 3
15:40 to 6m, out at 16:18 (38 mins)(temp 8C)

Saturday:

Dive1
10:34 to 19m out at 11:01 (27mins) temp 8C
Dive2
13:29 to 6m out at 14:00 (31 mins) temp 8C
Dive3
15:48 to 19m out at 16:13 (25mins) temp 8C

Sunday:

Dive1
9:26 to 21m out at 9:55 (29mins) temp 8C
Dive2
11:48 to 21m out at 12:20 (32 mins) temp 7C
Dive3
14:02 to 21.6m out at 14:27 (25 mins) temp 7C , Buddy started ascending uncontrollably from approx 10 metres, whereby i grabbed his fin to slow him down...we managed to stop at 4 metres. A 3-5 minute safety stop was attempted although with no frame of reference (open water-no lines) and with 2 other inexperienced divers grabbing onto me to stabelize themselves the stop was abandoned. 200 yard surface swim to shore. Symptoms (pins and needles) began immediately in both feet.

I must add this probably critical point..we were drinking alcohol on friday and saturday night. I personally had 2-3 pints of water before going to sleep to keep dehydration at bay. In the morning i had another 2 pints of water and continued to drink another 2-4 pints of water throughout the day. Throughout the days of diving above i was with several very qualified divers including my Instructor since i was taking my wreck and search and recovery certs. The last dive on Sunday was done with 2 very inexperienced divers both of the age 16. I was nervous diving with these young lads since they were so inexperienced. We abandoned the initial dive plan once at depth since the viz was only 1ft-1metre and there was no way i was going to swim 20 metres out (at 20metres depth) to a wreck through 1ft viz with these guys.








 
Hi Aegir,

I'm interested in how your condition responds to any further treatment & the passage of time.

Keep me posted, eh?

Cheers,

DocVikingo

 
Will do Doc :)

Other symptoms i have been exeriencing are a feeling of being "spaced out". In other words iv been in a extremely relaxed/carefree mood since monday/tuesday. I am definately experiencing less tingeling sensations, so thats a great sign. Last night though i had some fairly painfull stabbing pains in the end of my index finger. My left side is definately showing more signs (or at least it was) of pins and needles/stabbing sensations than my right side. Further, i have experienced 3 headaches since monday...each lasting only approximately 5-10 seconds. Simerlarly i had stomach ache for about 30 seconds and but it disapeared as quickly as it came.

PS: Let me add also that before diving (friday to sunday above) i hadnt been diving for 2 months prior.

Hope this helps a bit Doc, ill be intouch.
 
I'm very glad to hear that you had don the right thing by seeking help for those "minor - easy to ignore" symptoms.
Take of yourself, and don't ignore anything. I think you had a close call, and I'm very glad to have you still around to tell us about it.

Dive safe....
 

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