Incident on 80m (avg) - 30 min BT dive

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beester

Contributor
Messages
941
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819
Location
Belgium / Italy
# of dives
1000 - 2499
First of all I'm not sure if this needs to be posted in the technical forums or needs to remain in incidents & accidents. It obviously is an incident that might be of some interest but I don't think it necessarily needs to be "peer reviewed" by recreational divers who might make wrong assumptions. So moderators, by all means move this post if it's not appropriate.

BACKGROUND: Last week I spend a holiday diving wrecks in the 50-90m range with a close friend. We both are GUE trained, he is an RB80 diver with considerable experience, I'm a T2 diver with less experience (about 80 trimix dives in T1 (normoxic) range and about 20 in T2+ (full tmx) range). The whole week we had been diving or on our own or joined by local GUE trained JJ/RB80 divers (all of which I know from previous years diving). On one of the earlier dives we were joined by a local OC diver (X) who we didn't know. The diveshop owner told us X was a GUE trained tech diver, and introduced us. He knew all the other divers and we did a light T1 dive with him, with everything going as planned, nothing out of the ordinary.

Fast forward a couple of days.

THE DIVE: On this particular dive we were planning a dive to a wreck which was torpedoed in coastal waters. We would dive with 5 divers, me (OC) and my RB80 buddy would be joined by X (OC), and 2 GUE trained JJ divers that we know well would join us as well. The JJ divers knew X well.

The wreck lies in 88m depth (bottom) and we planned for an avg of 80m (260ft) and 25-30' bottom time depending on how long our conservatively calculated minimum gas would last. . The whole team would use the same standard gases (JJ divers as bailout), 12/65 bottom, 21/35 1st deco/travel, 50% and 100%.

During the planning of the dive I noticed that diver X was writing down the plan a bit odd (he wrote down every minute of stop we would do, while we tend to not write everything down, but would say this depth range 1' stops, this depth range 2' stops, total time on 21/35, 50 and O²), but although I found it a bit strange I brushed it aside as being just a little odd. I mean everybody writes his plan down in his own way... as long as we agree to a plan all should be fine.

We started our descend and he was a bit slower so me and my buddy stopped our descend for him to catch up. When we reached the wreck we had a nice dive, our buddy X seemed a bit absent, not reacting immediately to signals, but nothing very very much out of the norm. At 25 minutes I asked him about min gas and he told me we could continue for 5 min. All 5 of us started our ascend at 30 minutes at 81m avg with us 3 facing about 2 hours of deco (40' on 50% and 55' on O²). The 2 JJ divers had stayed a bit shallower for the last part of the dive (later they told me about 75m).

FIRST HICKUP: Arriving at 57m I signal to my RB80 buddy to switch to 21/35 which he does after standard check from my side. I switch next, standard procedure... when I sign to our buddy X to switch I see that he already switched (no team check), so I swim next to him to double check that he's on the correct gas, we continue the ascend.

2ND HICKUP: At the end of the 24m stop I switch to backgas to prepare the switch to 50%. I signal to diver X to do the same and he gives me the question mark. I point to the reg in my mouth and the boltsnap hanging from it to show him I'm on backgas and he needs to switch... he realizes and switches. We ascend to 21m, I switch to 50% (my buddy watching) and vice versa and I point to him to switch. While trying to switch he starts decending again. I move with him (buddy in RB80 stays at 21m, because for him it's more difficult to suddenly change depth) and stop him from switching at 25m, we ascend and he switches at 21m. He seemed a bit alarmed by his drop of buoyancy at this stage because he kept closer to the ascend line.

3RD HICKUP and start of clusterfck: Up to this point I'm not alarmed yet, me and my RB80 buddy have already glanced eyes at eachother and exchanged signals to watch him more closely but no alarm.

RB80 buddy does a tank rotation at 21m, I do 1 at the 18m stop and we keep ascending. About halfway through our 9m stop I'm wondering when he is going to do a tank rotation to get his O² in front. I signal to him to rotate but he doesn't seem to realise to rotate tanks. I do the signal again pointing as well to my O² tank in front and he starts the rotation. It's a mess... I'm now alarmed. I signal my RB80 buddy to watch me and I keep close to X, while he is really taskloaded and descending. I'm about 1 m from him face to face and signal to him to stop and check his buoyancy. We reach 13m when I touch him and he snaps out of it, finally stopping the descend at 15m. I help him with the rotation and we move back up to 9m. We swim back closer to the ascend line. I tell him to switch to back gas which he does but he doesn't clean up his 50% reg which remains looped around his neck. I switch and we ascend to 6m. We all switch to O² (us 2 keeping a check on his switch) and my buddy asks him to clean up his 50% but he doesn't realise. We keep close to him and also signal the JJ divers who were already at 6m a bit longer (less avg depth). X seems more and more stressed.

2 min on O² he graps the ascend line... I ask what's the problem and he gives me the signal of cramps in his calves. I tell him to keep tight and I stretch his legs. He signals cramps are gone, but he keeps the line in his hand. About 10 min in O² deco my buddy is on Xs left side and sees that his 50% is almost empty and triggered by this checks his 7L O². Only 50b after 10 min of O², we signal one of the JJ divers and tell him that X has only 50b O² left. JJ diver moves down (was at 4m) and I and my buddy give him a bit of room. He signals to X to hand him the 50% while he prepares his O² bailout. This action triggers X to check his own O² manometer and he bolts... and realising he is almost out of O² wants to grab his backgas reg but takes the 50% reg (this I only saw from a bit more distance because I had made room for the JJ diver to assist).

They both start ascending... X gets floaty feet and me and my buddy move in to get his feet down but he gets entangled in the ascend line and in the end we have to let go. He floats up to the surface with the JJ diver assisting, me and my buddy stay descend back from about 4m to 6m. Missing about 40' of O² (JJ diver about 20').

The JJ diver assists X, gets his 50% off, gives him his O² and they start ascending again after about 4-5 min. We keep X sandwiched for another 35 minutes with him hanging on the rope, looking very depressed but without any visible DCS symptoms and a clear reaction to our regular checks. The 2 JJ divers go up after about 10 minutes leaving us with hime and we keep X down for another 25' after which we slowly ascend... Deciding against him doing an O² break (didn't want to taskload him any further... keep the rope in your hand and breath in and out camly).

On the surface X seems ok, the boat picks us up, JJ divers are ok, me and my buddy also ok. We ask if X needs O² but he says no, and after a check he seems to be ok (everybody monitored him during the boatride back and next 2 hours).

So what did we learn:

- Not to take a referral for granted when it comes to this kind of dives. The JJ divers told me he was GUE trained but apparently when asking he told us he had done fundies but had then continued doing TX training with another agency (ie not knowing all our procedures?). Not sure how to approach this in the future. The GUE JJ divers we both knew very well and we had done T2+ dives with them, we assumed because X knew them very well and was accepted on the dive by the JJ divers that he had the same training.We also had already done a T1 dive with him in the beginning of the holiday and he seemed very solid so this enforced this feeling even more. Better communication is needed or only diving these kind of dives with people we know very well.
- We missed some early pointers which could have clued us in on his experience or different style of training (the way he wrote down the planning), etc.
- We were slow as well on the first real clue (gasswitch on his own at 57m), and didn't realise as well when he started getting behind the curve.
- As a group we could have mabye done better managing the slow progression of issue after issue after issue. In the end we couldn't keep him down.
- In water recompression. Not really the case because he was asymptomatic when they descended again, I felt it was the right idea of the JJ diver to get him down again once X caught his breath and his tanks were rotated.

In the end these were incidents but could have become deadly. If this had happened deeper (for example in the 36m-21m range) and he had ascended from this depth it would have been very ugly.

B
 
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Holy bejezus that sounds like a busy ascent! It actually sounds like you guys spent the majority of the ascent trying to get X through it.

You said he has considerable experience. I've seen GUE divers with "considerable" experience and what you are describing does not fit the pattern I'm used to seeing. I would have made the same assumptions and probably the same mistake that you did by not doing a shakedown dive first.

My first question would be how much RB experience he had? Just thinking about myself, I've done hundreds of technical dives but if I switched to rebreather I would be back to square 1 in terms of certain skills and procedures. On the face of it it sounds like he might have been task loaded, which would indicate inexperience with some aspect of the procedures or equipment.

Did you debrief this with him? What did he say about it?

It sounds like there were indicators that it was getting off the rails, but it also sounds like your team was responding adequately to events as they were unfolding, even if you were surprised at the behaviour of X during the dive. A trainwreck happening in slow motion might be hard to recognise at first. I think the actions of your team after the **** hit the fan were quick, effective and adequate and may have saved him from having a serious DCS incident.

As for in-water recompression, I don't personally see fixing a "missed stop" as being the same as recompression after symptoms. There are established, albeit "hand waving" procedures for missed stops but in water recompression is a different animal. Your intuition, as it turns out, may have saved him from having a serious accident.

R..
 
Holy bejezus that sounds like a busy ascent! It actually sounds like you guys spent the majority of the ascent trying to get X through it.

You said he has considerable experience. I've seen GUE divers with "considerable" experience and what you are describing does not fit the pattern I'm used to seeing. I would have made the same assumptions and probably the same mistake that you did by not doing a shakedown dive first.
R..

Well, on the first day of our holiday (previous weekend) X was around as well and at that time the diveshop owner told us he was GUE trained and a technical diver. We did at that time a light T1 dive with him and he was on the ball and good in the water. After the almost accident dive, we found out that he only had a GUE Fundies and some other (non descript) trimix training with another agency. Shop owner was right of course... he WAS GUE trained, but only fundies :)

Not sure what to do about this in the future. I normally do big dives (for me.. the JJ and RB80 divers are project divers so their mileage may be a bit different) with people I know. But what if it's someone who is clearly known by divers I know very well? I have to assume that they will be on the ball. Just bluntly asking for certifications, diving history and expecting 5 check out dives doesn't always work like that in the real world :-(

My first question would be how much RB experience he had? Just thinking about myself, I've done hundreds of technical dives but if I switched to rebreather I would be back to square 1 in terms of certain skills and procedures. On the face of it it sounds like he might have been task loaded, which would indicate inexperience with some aspect of the procedures or equipment.
R..

I'm sorry maybe this was not clear... my buddy (very experienced) was an RB80 diver, X was on OC (just like me).

Did you debrief this with him? What did he say about it?
Well to be honest he didn't English very well so it was hard to get first hand information from him, the JJ divers who knew him did brief him and tried to soften the blow a bit. He understandibly was very shaken, but not hurt.
 
I'm sorry maybe this was not clear... my buddy (very experienced) was an RB80 diver, X was on OC (just like me).
My bad. it was clear if I had read more slowly.

OK now I think I get it..... Let me try summarizing to see if I have it right.

What you are telling us that a diver who you didn't know well (X) joined your group and someone you trusted vetted him. You made some minor dives with him and he seemed ok so you decided to invite him to make a big dive with you.

Before the dive you noticed him making detailed notes but didn't talk to him about it. During the descent he was a little slow but not enough to raise alarm bells. During the dive it slowly emerged that he was well out of his comfort/skill zone but at that point all you could do is try to get the genie back in the bottle. At this point you still assumed that he basically knew what he was doing but weren't sure why he was acting the way he was.

This escalated to the point that he made a buoyant ascent during a crucial phase of the dive. Your team dragged him back down to depth and sandwiched him so he could finish his deco stops with your help. He avoided a major DCS incident due to the experience and actions of the other team members and after the fact it turned out that he had only followed Fundies.

X was shaken but not stirred and you are now asking what you did wrong that you got caught out on this mistake...?

Am I understanding you?

R..
 
My only question is why the other team members are "being gentle with him". This is NOT the time to be gentle with him. Gentle allows him to rationalize the dive. Gentle could kill him.
 
The OP did not use the word "gentle". Can you explain you you deduced that? Can you elaborate on your thinking please?

R..
 
...
Well to be honest he didn't English very well so it was hard to get first hand information from him, the JJ divers who knew him did brief him and tried to soften the blow a bit. He understandibly was very shaken, but not hurt.

I took the words "soften the blow a bit" to imply gentle.
 
Yeah.... seriously mate... I'm looking at this as an instructor......

If someone makes a mistake -- even a big one -- then (a) they need to be thoroughly debriefed -- which I am not sure happened in this case -- and (b) hammering them with criticism and negative feedback is unlikely to improve their progress. In this case we are talking about a technical context, which is normally unforgiving, but even in that context if you want someone to progress then you still need to address them in a way that makes learning possible.

In this case you had someone who was still shaken from the experience. What are you going to do? Rip their head off and **** down their throat? It's already happened. Is this what you are suggesting with not being "soft"? That you "kill them" with words?

We obviously see this a lot in technical training. Being "direct" is MOST OFTEN confused with being aggressive or even rude, insensitive, blunt, crude and rough. Does any of that help the student? No. It helps the instructor feel macho but the student does not progress. This is the one BIGGEST problem in technical training!

If you want the student to progress, no matter the level, then you have to give them *feedback* not *criticism*.

R..
 
My bad. it was clear if I had read more slowly.

OK now I think I get it..... Let me try summarizing to see if I have it right.

What you are telling us that a diver who you didn't know well (X) joined your group and someone you trusted vetted him. You made some minor dives with him and he seemed ok so you decided to invite him to make a big dive with you.

Before the dive you noticed him making detailed notes but didn't talk to him about it. During the descent he was a little slow but not enough to raise alarm bells. During the dive it slowly emerged that he was well out of his comfort/skill zone but at that point all you could do is try to get the genie back in the bottle. At this point you still assumed that he basically knew what he was doing but weren't sure why he was acting the way he was.

This escalated to the point that he made a buoyant ascent during a crucial phase of the dive. Your team dragged him back down to depth and sandwiched him so he could finish his deco stops with your help. He avoided a major DCS incident due to the experience and actions of the other team members and after the fact it turned out that he had only followed Fundies.

X was shaken but not stirred and you are now asking what you did wrong that you got caught out on this mistake...?

Am I understanding you?

R..

Yes more or less. The group consisted of 2 local JJ divers who knew X, X and me and my RB80 friend. We didn't invite him but apparently the diveshop owner had phoned him telling that we were planning a bigger dive and he wanted to join. The GUE JJ divers who knew X were ok in him joining so me and my RB80 friend didn't think more about it. (specially since we had dived with him before and assumed (I know mother of all fck ups) that he was a T2 diver).

He had a Trimix ticket but from another agency (don't know which) and fundies, but no further GUE training. Everything else you described is spot on.

Yes I want to know what we could improve, from how to deal with "walk ons" that are referred by very strong divers you know, to how to maybe recognise earlier what is happening.

Finally tips on how to handle a task overloaded diver like this on big dives (easier said then done with 3,4 stages, scooters, big doubles, etc).
 
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