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ChadK

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This was posted on BA Divers Yahoo group for Bay Area California divers by Ralph(Many of you might have already seen it there). It is concerning the two deaths in Monterey. I think it is a great post and merits a good reading as it could be remembered in the future by someone and could make them think twice about their dive, a dive that could have killed them:

__________________________________________________ _______________________
> Here's a comment I received from a physician buddy:

> ... "Negative Pressure Pulmonary Edema" ....

Find a new doctor.

What you describe (bleeding from the mouth without external trauma) is the
tragically common signature of a massive lung over expansion injury. It's
caused by holding your breath while ascending rapidly. Reread the first 20
pages of your PADI Open Water manual. They make this point about 6
different ways, yet nobody remembers when it really matters.... A panicked
diver will spit out their regulator and bolt for the surface. It's just what
they do. (If you are twice their size and right there in their face you
*might* be able to stop them, but a high school football player high on
adrenaline? Not a chance... he was dead as soon as his brain went into
neutral.)

Knowing how he died does little to explain why he died.

If you want to prevent it, you have to stop them from getting panicked in
the first place. Instead of adding a 7th way of explaining exactly how
underwater panic can kill you, PADI (et al) should teach people the fine art
of calling a dive while they are still alive.

Calling a dive is easy when it's obvious (I forgot my regulator, or there's
a tsunami coming) but the ones that could go either way are really tough.

Here are a few things that I've found make it a little easier:

1: Never tell yourself (or others) "I'm going diving tomorrow/next week/etc"
Instead just say "I'm going to try to dive..." A good diver is continuously
reassessing conditions to decide whether to continue with the dive plan or
modify it. (BTW your "prevailing conditions" include your assessment of
your buddy's skills/attitude and your ability to communicate with them under
water.) I imagine these kids from Reno had been planning and looking
forward to this trip for months. If there is too much build up and
anticipation, it becomes impossible to disappoint yourself, even if your
life depends on it.

2: Remember that the definition of "recreational diver" is anyone who dives
for the fun of it. When you need to make a judgment call, don't ask
yourself "Can I do this dive?" (That's red meat for your ego to jump up
and answer "Hell Yeah!") Instead ask yourself, "Does this look like fun?"
If you can replace a stressful hassle with a couple of relaxing hours on the
water by not diving, why on earth wouldn't you?

3: If you are heading to Point Lobos, chances are you are going to have a
fantastic dive, but pack walking shoes and some binoculars just in case. If
it doesn't work out, go tide pooling or bird watching on the west end.
There is always the aquarium. Your save-a-dive kit should include a Plan B
so you'll still have a good time even if the diving doesn't work out that
day.

4: If you are out on a boat, there is absolutely no shame in sitting out a
dive. You'll see the old salts scrambling to get in as soon as the anchor
drops, but they are just trying to be polite. (They are probably good on
air, or diving nitrox, and don't want to keep the captain waiting at the end
of the dive)

Newer divers tend to have slightly shorter dives, so they have no reason at
all to rush off the boat. Take your time and don't jump until you and your
buddy are good and ready! If it doesn't quite come together, just don't go.
None of the other customers will even know and the boat crew will be happy
to have someone to talk too. If you mention your reasons for not diving
with them, chances are their free advice will be at least as valuable as
your expensive C-card. Take some mental notes so you'll be ready next time.

Seriously, be prepared to have 10 people ask you "how was your dive" There
is no need to explain. Usually I just say 'it was very relaxing' but
sometimes I wet my hair and mess with them. "Oh man, we had a whale swim by
on our safety stop!" (I can usually get the boat crew to back me up :)
Really, it's okay. You are still a diver. You get to eat the cookies.

5: In 6 months you will not even remember the dives you called. But in 15
years of diving and nearly 1000 dives logged, there are two dives I will
always remember -- not in a good way -- because I wish I had called them,
but didn't.

Of course, I don't mean to jump to conclusions about the particular causes
of the most recent accidents. I understand one diver was completely out of
air and the other was nearly out. It could have been something as basic as
forgetting to swap tanks, or swapping one 'empty' tank for another. (those
remaining 500 PSI are just enough to get you into trouble!)

I make it a habit to check my SPG twice at the start of the dive. The last
thing I do before I jump is spritz a little air from each reg, my dry suit
and BC inflator then, look at my SPG. If it is still reading full, I know
my valve is open.

I check it again at the end of the descent. By then the tank has cooled.
If I'm surprised by the drop in pressure it means I've got a leak somewhere
or I was breathing hard on the descent. (due to current, anxiety, being
deeper than I thought or whatever) That's a good decision point. Check
yourself & check your buddy. You can either correct any small problems,
abort safely, or confidently head out on a nice relaxing dive.

If everything looks good there, I really don't look at my SPG again for 15 -
30 minutes, but newer divers should look more frequently.

You can play a game where you try to guess what the SPG is going to say
before you look at it. If you guessed low, that's okay you were just being
cautious. But if you guessed high, slap yourself on the wrist because you
just caught yourself taking on more risk than you realized.. Over time, you
will train your mind to just know how much air you have at all times, just
like you know how to walk or which way is up without thinking about it.

That can come in really handy when you are task loaded. I've been in
situations where I'm looking for the anchor line, watching the compass and
trying not to lose my buddy in poor visibility. Suddenly a little voice in
the back of my head says 'Screw the anchor. You are low on air. Go up.' The
nearest kelp stand makes a great substitute anchor line!

We'll never know exactly what happened in the most recent accidents.
Fortunately, we don't need to. If you add up the logged dives of everyone
on BAdivers, I'm sure it's over a million dives. None of those were
perfect, though a few (Like Ken's dolphin experience) came close. Every
imperfect dive is trying to teach us something about how to be better &
safer divers. We need to listen and share what we learn.

It's tricky because diving has a strong culture of individual
responsibility. There is a fine line between sharing what you know and
telling other people what to do. They have to live (or not) with the
consequences of their actions, so you can't take responsibility away from
them even if you wanted to.

It's okay to give them something to think about though. That's just a gift,
with no warranty implied.

Always have a Plan B.

Dive when it makes sense.

There are dolphins out there.

- Ralph
 
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Wonderful, wonderful essay. I love that, "Don't ask if you can do it, ask if it looks like FUN." It puts a whole new light on things.
 
Perfect. My only quibble is with the opening paragraphs and the neglected concept that panic resistance can be taught.
 
2: Remember that the definition of "recreational diver" is anyone who dives
for the fun of it. When you need to make a judgment call, don't ask
yourself "Can I do this dive?" (That's red meat for your ego to jump up
and answer "Hell Yeah!") Instead ask yourself, "Does this look like fun?"
If you can replace a stressful hassle with a couple of relaxing hours on the
water by not diving, why on earth wouldn't you?

My bride and I now live by rule 2, but it was a learned experience. Was a time when if we traveled there, then by God we were diving. We had many dives that were a lot more work and stress than they were worth. It is really nice now to just say "no". We have both heard "You guys are sitting out this dive" as we watch youngsters gearing up our gaze on the 5 -7 ft rollers and the dive ladder slamming up and down. Answer is always " The ocean will still be here tomorrow." So when they are back aboard after about 10 minutes, after getting tossed about on the surface, swimming against a strong surface current trying to catch a swinging boat, after battling the bucking bronco called a dive ladder, exhausted, I ask "So how was it?" answer is always the same "Good call on your part, it sucked" Ahh yes learning experiences.
 
That post was good, but I liked the "Listen to your inner chicken" one he did as well. I can't find it again or I'd repost it here.
 
Excellent essay. There's been more than a few times I've called the dive because the conditions sucked and a couple times where I should have called the dive and am thankful I'm still here.

#2 is precisely how me and Kathy dive now...if it's not going to be fun, why waste our time? Hell, one of the reasons we have an annual membership to the aquarium is so if the conditions look good, and we get down there and they suck, then no biggie...day at the aquarium and maybe lunch at Gianni's. :D
 
Wine tasting in Carmel Valley is always my opt out if PL is sucky...
 
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