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Showing posts with label regulators. Show all posts
Showing posts with label regulators. Show all posts

Monday, November 4, 2013

Compressed Gas Tears Skin, Penetrates Body

Reprinted From Divers Alert Network for the Diving Community

A scuba diving high-pressure hose ruptures, causing air under pressure to inject into arm.

Reported Story

The boat driver was helping one of the divers. He held the first-stage regulator with his left hand and opened the tank valve with right hand. At that moment the high-pressure hose ruptured, and a jet of gas under pressure made a hole in the boat driver's left hand.

His hand started to bleed and appeared to be full of air. We stopped the bleeding by applying pressure, and we stopped the air from spreading further by applying a bandage at armpit area. We massaged his arm, pushing the trapped air to his hand. This helped a bit; we saw some bubbles coming out of his hand.

We called for an ambulance and administered oxygen during the time it took us to return to the harbor, approximately 20 minutes. The ambulance were there when we arrived.

I recommended that his boss to take him to the recompression chamber, but he told me the doctors would take care of him. I later asked about his state of health, and his boss told me he is OK and ready to go back to work.

Expert Comments

The injury described above is rare, especially outside of an industrial setting. Certain terms do need to be clarified for discussion purposes. In the diving vernacular any reference to high pressure (HP) is related to the compressed gas in the cylinder at 3,000 psi. Any reference to low pressure (LP) relates to the intermediate pressure that results from reduction of high pressure in the first stage. Typically this can range from 120 psi to 140 psi. Clinical references designate any pressure at and above 100 psi as HP. It has been established that pressure at a minimum of 100 psi can penetrate unbroken skin.1 These wounds require immediate medical treatment no matter how benign they might appear.

In the industrial setting the possible materials that can be injected at HP include but are not limited to compressed gas, oil, grease, solvents, paints and diesel fuel. There are, of course, greater concerns with the petroleum products and other chemicals due to their toxicity and potential tissue damage. The risk of an inflammatory reaction from surrounding tissues and infection is quite high.

In the diving environment compressed gas is obviously the most likely injectible. Industrial workers who sustain these injuries are generally inexperienced or unfamiliar with the devices they are using or servicing. With divers, familiarity may lead to a certain level of complacency. Despite fewer potential complications there is still a risk of secondary injuries that can result from any HP injection injury.

Common injection injury sites are the palm or fingers of the nondominant hand. Injection into a finger(s) can be particularly problematic. The fingers cannot accommodate a large volume of any material due to limited tissue compartment space. The immediate insufflation and swelling can cause vascular compression, which can severely compromise circulation. The palm of the hand or other similar sites can accommodate the same volume with less risk of circulatory issues. However, a larger volume can produce the same risk of vascular compromise.

While compressed gas poses less risk from toxicity or surrounding tissue damage compared with other possible injected substances, it is not benign. Along with the compressed gas, fragments of hose, brass fittings and bacteria from the skin or environment will be injected into the wound simultaneously. This is part of the mechanism for a high infection risk.

It is unknown if there was any previous problems or concerns with the HP hose on this regulator. It is also unknown if a visual inspection would have offered any suggestion of hose failure. It is still worthwhile to remember to inspect all hoses and consider periodic replacement. Please discuss these issues with a local certified repair technician.

Proper first aid should include bleeding control and urgent transport to the nearest medical facility. For a compressed-gas injection, surface oxygen is of little benefit as it would not expedite the absorption or elimination of the injected gas. Treatment in a hyperbaric chamber is not an appropriate first choice for treatment for this type of injury. The bystanders made an effort to express the gas through the injection site by massaging the arm. This is not recommended. They may have inadvertently forced the gas into other areas or into the fingers. Forcing the gas into the fingers could further complicate the injury, as explained previously. Some HP injection injuries may require surgical intervention to reduce pressure and to clean the wound. Thorough cleaning and disinfection is best left to the medical professionals.

This is a very rare injury, but diligence and forethought will likely reduce the occurrence. Do not underestimate the energy released with the rapid expansion of compressed gas. Cases like the above should not increase fear but rather remind us to be respectful of the potential consequences of inattention.

Thanks again to Divers Alert Network

Kathy Dowsett

www.kirkscubagear.com

Monday, October 7, 2013

Secrets to Saving Air

Do you consistently run through your gas supply faster than other divers on the boat? Do you frequently have to end the dive before the rest of the group? What's going on? And what can you do about it?

First, you can stop beating yourself up over it. People are different. Those with slower metabolisms will--other factors being equal--use less oxygen. Small divers have to use less energy than big ones to swim forward, so they also use less oxygen. Nature doesn't distribute her gifts equally, and you may never be the stingiest sipper of gas on the boat.

On the other hand, most of us can reduce our gas consumption and thereby extend our dives. We can be better, even if we can't be the best. Typically, divers waste air in one or more of these three ways:

By leaking it before it gets to their lungs, thanks to free-flowing octos and worn out O-rings.

By using more energy than necessary. Using energy means using air, because oxygen is necessary to burn the calories that make energy. Every bit of unnecessary exertion costs you psi.

By getting less than maximum benefit from each breath. When divers breathe inefficiently, they exchange less oxygen for carbon dioxide with each breath, so they need to take another breath sooner.

Here are 18 tank-stretchers to try, starting with the obvious first step.

Fix the Small Leaks


Even a tiny stream of bubbles from an O-ring or an inflator swivel adds up over 40 minutes, and may be a sign of more serious trouble ahead anyway. You don't think you have leaks? Do you have eyes in the back of your head? Ask your buddy to look behind you to be sure. A mask that doesn't seal is another kind of leak in that you have to constantly blow air into it to clear out the water. It's also a source of stress, which needlessly elevates your breathing rate and thereby reduces your breathing efficiency. Does your octo free-flow easily? That can dump a lot of air quickly. Detune it or mount it carefully so the mouthpiece points downward.

Dive More

Inexperienced divers are famous for burning through their air supply at a furious rate. The reason is anxiety. A new diver is understandably nervous, and his body's automatic response to danger is to raise his metabolism, his heart rate and his breathing rate. It's hard-wired, the body revving its engine to be ready for fight or flight, though the result is a lot of air cycled through his lungs but never used, just dumped into the ocean.

You may not be a new diver, but unless you dive almost every week it's still an unnatural activity, and your body isn't as happy as you are about putting its head under water. Dive more--your body will get used to the idea, and you'll breathe less.

Take a Class

Any class, almost, will reduce your gas consumption just by making you feel more accomplished and therefore more comfortable. But the best bet is probably a class to improve your weighting and buoyancy control. When you get that dialed in, you can control your altitude mostly with your lungs, so you're not squirting that valuable gas into your BC and then venting it to the ocean. Most important, you can now forget (nearly) about the mechanics of diving, drift like a fish, and relax.

Sleep More, Party Less

Be well rested on dive day. Fatigue is stress. If you start the dive already tired, your body has to work harder to overcome the extra burden, so you breathe harder. A hangover is stress too. You may think you're sober in the morning, but in fact alcohol and other drugs affect your physiology the next day. As SSI instructor Jim Bruning puts it, "Your body does what your mind tells it to. If you had a good night of sleep, your body and mind are going to be much more relaxed, much calmer."

Be Early


If you're late to the boat, running to get your gear on board, worried about the hard looks of divers who were on time, stuck with the least-convenient gear station and generally playing catch-up all day, you're giving yourself unnecessary fatigue and mental stress. You start the day breathing hard and never have a chance to calm down. On the other hand, if you're early to the boat, early to gear up and early to the dive briefing, you'll conserve your energy, feel confident and relaxed, and your breathing will remain slower.

Swim Slowly

The energy cost of speed is even more than you might think because it's an exponential function proportional to the square of the speed. So swimming twice as fast requires four times as much energy and air. But the reverse is true, too: Swim half as fast as you do now, and you'll use only one-fourth as much air.

Stay Shallow

It's physics again. Because your regulator has to deliver air at the same pressure as the water, a lungful at 33 feet (two atmospheres) takes twice as much out of your tank as does the same breath at the surface. At 99 feet (four atmospheres) it takes twice as much as at 33 feet.

There's absolutely nothing you can do about that except to avoid being deeper than you have to be. If you're making a transit over an uninteresting sand flat to get to the edge of the drop-off, do it at 15 feet instead of at 40 feet, and you'll save air.

Minimize the Lead

If you're overweighted, you have to put more air into your BC to float it and be neutral. The inflated BC is larger and requires more energy and oxygen to push it through the water.

An extra eight pounds of lead means your BC is one gallon bigger when inflated enough to make you neutral. Imagine the extra effort of having to push a gallon-sized water jug through the water.

Adjust Your Trim

If your body is horizontal in the water, when you swim forward, your legs and fins will pass through the "hole" in the water made by your head and shoulders. You'll disturb less water and expend less energy and air.

Many divers, however, swim with their feet lower than their torso and their head higher. Adjust your trim by moving some lead from your hips to your back--to trim pockets on your BC or to your tank.

Seek Neutral Buoyancy

Always being exactly neutral is the key. If you're not, if you're slightly heavy or light, you're constantly using fin power (and air) to maintain a constant depth. If you're not neutral, you can't glide between fin strokes and you can't hang effortlessly.

Streamline Your Gear

All fast-swimming fish have smooth skins with few or no protuberances. That minimizes drag so they can swim with the least energy and oxygen consumption. Divers, by contrast, have rough, convoluted surfaces with all sorts of attachments from scuba tanks to whistles. Anything disturbing the flow of water past your body creates drag and wastes air.

Do your best to imitate the fish. If you don't need a light on this dive, for example, don't take it. If you do need something, try to hide it in a pocket instead of dangling it from a D-ring. Take the snorkel off your mask and strap it to your leg or tuck it under your BC or get a folding snorkel that fits into a pocket. Shorten hoses that are too long. Clip your console close to your body. Suit your gear to conditions: You don't need the bulk of a BC with 40 pounds of lift in the tropics.

Streamline Your Movements

Keep your arms close to your body. Straighten your legs and keep them as close together as your fins will allow. Kick with short strokes so your fins stay within the slipstream of your body. Some fins do require a wider stroke so you have to compromise between efficient propulsion and streamlining. But usually you're better off finning faster instead of wider.

Breathe Deeply

Any oxygen taken from your tank but not absorbed into your bloodstream is wasted. That's the case when you take short, shallow breaths. A large part of the air you take in fills your throat and bronchia, but doesn't reach your lungs before it is expelled again. You have to take another shallow breath sooner because you didn't get much benefit from the first one, and a lot of air is wasted.

Instead, try to inhale deeply, filling your lungs completely with each breath. A deeper breath brings air to more of your lungs' tiny "air sacs" (the alveoli) where gas exchange takes place. It also adds more fresh air to the volume of "dead air" that remains in your lungs, throat and mouth from the previous breath, so the mix is richer. When more alveoli are more fully inflated with fresher air, gas exchange is more efficient: More oxygen is extracted from the incoming air and more carbon dioxide is released. Although each breath uses more air, you will take fewer breaths, and the net effect will be that less air is used. Short, shallow breaths are more frequent and less efficient.

Exhale fully too, so you expel as much carbon dioxide as possible. Anything not exhaled is carbon-dioxide-heavy "dead" air. On your next inhale, that dead air — instead of fresh air--partially fills your lungs. The urge to take the next breath is triggered not by lack of oxygen but by excess of carbon dioxide, so you find yourself inhaling again sooner. On the other hand, a deep exhale extends the time before you feel the need for another breath.

Breathe Slowly

You consume considerable energy just by breathing, by sucking the air in and pushing it out again. To inhale, you have to suck open a demand valve in your second stage and pull gas down your throat and into your lungs. Each inch along the way and each corner the gas stream turns mean friction and turbulence. Both increase the effort you put out in just breathing and decrease the amount of gas that actually gets to your lungs. Friction and turbulence are unavoidable, but the amount goes up dramatically when you try to breathe quickly--just as a faster-moving boat creates a bigger wake. The problem gets worse as you go deeper because the gas is thicker--it's like trying to suck a milkshake instead of water through a straw.

So don't force it. Try for a long, slow inhale until your lungs are full, then a long, slow exhale until they are empty. More air will get to your lungs, it will spend more time there exchanging "good" for "bad," and you will use less energy pushing the air back and forth.

Upgrade Your Gear

Overhaul your regulator on schedule and consider one with lower work of breathing, especially if you often dive deep. Scuba Lab tests have shown that the work of breathing demanded by some regs can be three times as much as others, even more. A "hard-breathing" reg not only demands more energy and therefore oxygen just to operate it, your difficulty breathing through it increases your anxiety level and elevates your breathing rate. So it wastes gas two ways.

Get in Shape

Two people climb a flight of stairs. At the top, one is huffing and puffing and the other is breathing normally. The heavy breather is getting more oxygen, but he's wasting a lot of what he inhales because he's breathing so rapidly there isn't much time for gas exchange. It's an adaptation that makes sense only on land where the air supply is unlimited.

Diving can be surprisingly strenuous because water is so much denser than air. Swimming into a current, it's not difficult to elevate your breathing to the very wasteful rate of huffing and puffing. But even much lower levels of exertion will cause your breathing rate to rise. How much it rises and how soon depend mostly on your aerobic conditioning. A diver in better condition will have less increase when the workload goes up, so he will use less air. The other part of getting in shape is to lose fat and achieve a more streamlined shape.

Stay Warm

Even warm water is cold when you're immersed in it, because if it's cooler than about 95 degrees, it takes heat out of your body at a surprising rate. Heat is energy that has to be replaced by metabolism, using oxygen to make it. Getting cold also creates mental stress which, often without your noticing it, increases your breathing rate.

And Just Chill Out

The competition over who uses less air can itself be a problem when divers associate low gas consumption with diving skill, virtue and the right to take up space on the boat. It's one of those self-fulfilling prophecies: You worry about using more air than your buddy, which causes stress, which elevates your breathing so you do, in fact, use more air.

In fact, a higher rate of air consumption can be caused by many things, some of them fixable and some not. In itself it means little or nothing and is nobody's business but yours and arguably your buddy's--who, we hope, is not out to ruin your day. So if you'd like to reduce your gas consumption, work gradually on reducing your lead, controlling your buoyancy, improving your shape and posture in the water, going slowly, breathing slowly and relaxing. Then forget about it. That alone will help.

Thanks to Sport Diver

Kathy Dowsett
www.kirkscubagear.com

Wednesday, November 28, 2012

5 Diving Tips for Saving Air

Diving Tips: Saving Air

Do you breathe your tank down faster than your buddy? Here are 5 diving tips to help conserve your oxygen and extend your bottom time.

1. Fix the small leaks

Even a tiny stream of bubbles from an O-ring or an inflator swivel adds up over 40 minutes, and may be a sign of more serious trouble ahead anyway. A mask that doesn't seal is another kind of leak in that you have to constantly blow air into it to clear out the water. It's also a source of stress, which needlessly elevates your breathing rate and thereby reduces your breathing efficiency. Does your octo free-flow easily? That can dump a lot of air quickly. Detune it or mount it carefully so the mouthpiece points downward.

2. Dive More


Inexperienced divers are famous for burning through their air supply at a furious rate, so one of the best diving tips for saving air is to simply dive more often. You may not be a new diver, but unless you dive almost every week it's still an unnatural activity. By diving more, your body will get used to the idea, and you'll breathe less.



3. Swim Slowly


The energy cost of speed is even more than you might think: Swim half as fast as you do now, and you'll use less air.

4. Stay Shallow

Because your regulator has to deliver air at the same pressure as the water, a lungful at 33 feet (two atmospheres) takes twice as much out of your tank as does the same breath at the surface. At 99 feet (four atmospheres) it takes twice as much as at 33 feet. There's absolutely nothing you can do about that except to avoid being deeper than you have to be. If you're making a transit over an uninteresting sand flat to get to the edge of the drop-off, do it at 15 feet instead of at 40 feet, and you'll save air.

5. Minimize the Lead

If you're overweighted, you have to put more air into your BC to float it and be neutral. The inflated BC is larger and requires more energy and oxygen to push it through the water. An extra eight pounds of lead means your BC is one gallon bigger when inflated enough to make you neutral.

Thanks to Scuba Diving----an informational scuba blog.

Kathy Dowsett

www.kirkscubagear.com

Sunday, May 6, 2012

Salt Water Aspiration and Scuba Diving

Thanks Natalie Gibb

As a scuba instructor, I tend to err on the side of over-caution. The dive equipment set-up and revision which I teach my students is very meticulous, and I insist that they perform these checks on every dive. One piece of equipment that I see many divers (and scuba instructors) overlook during their equipment set-up and inspection is the regulator mouthpiece. A mouthpiece's bite tabs may wear down or break off after many uses. Mouthpieces also tend to develop holes where the plastic tie-wrap holds them in to the regulator second stage. This is dangerous! Any mouthpiece developing holes must be replaced before diving. Holes in the mouthpiece can lead to salt water aspiration - a little-recognized syndrome that divers should know about.


Accidents happen. I observed an incidence of salt water aspiration (thankfully not on my dive!) at the beginning of my dive career. A diver ran low on air at the safety stop, and the instructor handed the diver his alternate air source regulator to allow the diver to breathe from his tank. All appeared well when the two surfaced and boarded the dive boat. The instructor had just launched into a lecture about the importance of carefully monitoring one's air supply underwater when the diver began to have difficulty breathing. He coughed, gasped for air, and felt weak. Suspecting decompression sickness, the instructor administered oxygen to the diver. When the boat reached the dock, and ambulance rushed the diver to the hyperbaric chamber.



The diver was not bent. He had inhaled a fine mist of salt water through a hole in the mouthpiece of the instructor's alternate air source regulator. The droplets of salt water were so fine that the diver didn't notice that he was inhaling anything other than air. When the dive gear was inspected, the hole discovered was so small that it was not visible unless the mouthpiece was pulled on and twisted. The diver, stressed from the low air situation, had pulled the hole open by looking around during the safety stop, and inhaled enough vaporized salt water to cause salt water aspiration syndrome. After treatment, the diver recovered and was perfectly fine.

What Is Salt Water Aspiration?:


Salt water aspiration may occur when a diver inhales tiny droplets of salt water due to an equipment malfunction or poor diving technique. Salt water aspiration may also occur in near drownings, or in any other scenario in which salt water is inhaled.

Salt water does all sorts of nasty things to a diver's lungs. One of the effects of inhaled salt water (without getting too technical) is that the high saltiness of the salt water in comparison to the relatively lower saltiness of the fluid in a diver's lung and body tissues causes body fluids to move through the walls of the divers' lungs (specifically the alveoli) and into his breathing spaces, making breathing difficult, if not impossible.

Symptoms of Salt Water Aspiration:


Salt water aspiration may be difficult to diagnose, because it mimics many of the symptoms of decompression illness. Some divers may have severe reactions to salt water aspiration (such as those with a history of asthma or hay fever) while others may have a much milder reaction. Symptoms are usually delayed from one to fifteen hours and may include the following:

difficulty breathing and chest pain
a cough that produces phlegm
flu-like symptoms including body aches, exhaustion, fever, nausea and headache
pale skin
shivering


What Is the Treatment for Salt Water Aspiration:

Most cases of salt water aspiration are mild, go undiagnosed, and resolve within a few hours. If a diver feels sick enough to suspect salt water aspiration, he should seek immediate emergency medical care. The symptoms of salt water aspiration mimic those of decompression sickness, and decompression sickness must be ruled out before salt water aspiration is diagnosed. Some of the treatments include administration of oxygen, rest, and administration of bronchial dilators. Treatment may also be required for infections caused by bacteria in the inhaled salt water. With treatment, even severe cases of salt water aspiration have a high chance of resolution.

How to Avoid Salt Water Aspiration When Scuba Diving:


Correct gear maintenance and diving procedures should prevent most cases of salt water aspiration. Check to make sure that your regulator mouthpieces have no holes. Be sure to stretch and pull the mouthpieces to ensure there are no hidden holes and check carefully around the margin of the mouthpiece where the tie-wrap holds it in place. Do this to both your primary and alternate air source.

More tips for safer diving:

• Why You Should Never Use the "Up" Button
• 8 Tips for Being a Safer, Better Buddy
• What Are No-Decompression Limits and Why Are They Important?

Check to make sure that the regulator's exhaust valves seal properly before diving. With the first stage dust cap in place, place the regulator in your mouth and inhale. If any air leaks in, the exhaust valve is not sealing properly, and will breathe "wet" when diving. Any regulator that leaks through the exhaust valve or breathes wet underwater requires maintenance.

Follow diving protocols that minimize the chance of water entering your mouth. Seal your lips well around the regulator mouthpiece, and be certain to block water from entering your mouth when using the regulator purge button. Exhale, or block the opening of the mouthpiece with your tongue when pushing the purge. Avoid removing the regulator underwater whenever possible, and refrain from flipping upside down or into unusual positions when diving. Most regulators will breathe a little wet when inverted.

The Take Home Message About Salt Water Aspiration and Scuba Diving:

Salt water aspiration is fairly uncommon in scuba divers, but it does occur. The condition may be difficult to diagnose because the symptoms mimic those of decompression illness. With this in mind, be sure to check your gear carefully before a dive (especially rental regulator mouthpieces), and follow procedures to prevent salt water from entering your regulator second stage.


Thanks to Natalie and About.com

Kathy Dowsett

www.kirkscubagear.com

Monday, July 6, 2009

Sea Hunt!!!!




I was a great fan of Sea Hunt, the television show which aired from 1958 to 1961 and stared Lloyd Bridges. This was called "skin diving". It peaked an interest in diving lessons for people who watched the show. There were no BCDS or gauges used --- just tank, mask, regulator, fins and dive watch. Your diving watch was your "life-line"on a dive. On the left hand side of the tank, poking out was a lever called a "j valve", long since obsolete. Once you ran out of air ( better keep an eye on your watch!!!) you would reach back and open the valve. There was 300 psi left in the tank, which would be enough to get you to the surface. Imagine the surprise, and panic of a diver if the switch had already been pulled!!!!

With todays equipment, training from a professional scuba instructor and following the diving rules, scuba is a a safe and enjoyable sport, and opens up a whole new world of fun!!!!

http://www.youtube.com/watch?v=r-1tkxmqJ3c Enjoy the video!!!!