A Practical Discussion of Nitrogen Narcosis for Deep Diving

A Practical Discussion of Nitrogen Narcosis for Deep Diving

By Bret C. Gilliam

A HISTORICAL PERSPECTIVE

Bret-GilliamThere have been numerous articles written on the subjects of inert gas narcosis and attendant depth limitations. Many have re-hashed old formulas relating the preposterous “Martini’s Law” etc. and sanctimonious admonitions against any sport diving below 130 fsw. The authors of these materials are motivated by the best of intentions: diving safety. The problem lies in the fact that sport divers are diving deeper than 130 fsw routinely and in ever-greater numbers each year. It is important for those of us professionally involved in the sport to accept the reality of such diving practices and disseminate accurate information that adequately conveys the relative hazards and operational disciplines necessary to undertake deeper diving within the proper boundaries of responsible physiological planning and reasonable assumptions of risk. It is not sufficient to adopt attitudes of condemnation when what is clearly called for is an enlightened attempt at proper education.

It’s worth noting here that technical, cave, rebreather, and other types of exploration diving all fall, by legal definition, into the “recreational” category of diving within the U.S. This is because OSHA only recognizes three types of diving: commercial, scientific, and recreational. It’s astounding that so many professionals still errantly make a distinction between “technical” and “recreational” diving. They are the same. Argue all you wish… that’s the law. Get used to it. (“Sport” and “recreational” are interchangeable terms that refer to the same category of diving.)
As one who has practiced deep diving professionally for over four decades, I am continually dismayed at the wealth of out-of-date or incorrect information offered about narcosis. Hopefully, with more expert participants writing on the subject based on actual diving experience, a more balanced view of the subject will be shared with sport divers that will discourage them from taking unnecessary risks with improper educational resources. For those of us who actively practice deep diving in various applications, there is nothing so terrifying as the lack of proper training and materials for sport divers beyond the current existing “deep diver” programs within the mainstream certification agencies that are woefully inadequate.

Within the context of air diving, the effects of inert gas narcosis are second only to acute CNS oxygen toxicity in hazard to the scuba diver. Commonly known as “nitrogen narcosis,” this condition was first described by Junod in 1835 when he discovered divers breathing compressed air: “the functions of the brain are activated, imagination is lively, thoughts have a peculiar charm and in some persons, symptoms of intoxication are present.” Early caisson workers were occasional victims of befuddlement on otherwise simple tasks and some were reported to spontaneously burst into singing popular songs of that period. Much of the mysteries of compressed air impairment remained speculative until Benke zeroed in on elevated partial pressures of nitrogen as the culprit. His observations were reported in 1935 and depicted narcosis as “euphoric retardment of the higher mental processes and impaired neuromuscular coordination”.

Other studies confirmed this phenomena and U.S. Navy divers reported narcosis a major factor in the salvage efforts on the sunken submarine Squalus in 1939. Working in depths of 240 fsw (72.7 m) in cold water, these divers reported loss of clear thought and reasoning. Several unusual entanglement scenarios resulted and in the normal work process at least one diver was reported to unexpectedly lose consciousness underwater on the wreck. Because of this, the Navy switched to then experimental Heliox mixtures marking the first major project with this gas. Bennett (1966) first related narcosis to the Greek word “nark,” meaning numbness. The Greeks used this in association with the human reactive process to opium that produces drowsiness, stupefaction and a general feeling of well-being and lassitude.

At any rate, the best explanation appears to be the Meyer-Overton hypothesis relating the narcotic effect of an inert gas to its solubility in the lipid phase or fat. This is postulated to act as a depressant to the nervous system proportional to the gas amount going into solution. Mount (1979) has expressed the narcotic effect as determined by multiplying the solubility by the partition coefficient. By examining tables of various inert gases compared by solubility and partition coefficient it becomes abundantly clear that nitrogen is one of the least desirable gases in a breathing mixture for divers at depth. The “relative narcotic potency” is expressed as a number value with the highest number reflecting the least narcotic effect. Argon is extremely narcotic with a value of .43; Nitrogen is rated at 1.0 with Helium one of the least narcotic at 4.26.

Table: Relative Narcotic Potencies

Helium (He) 4.26 (least narcotic)
Neon (Ne) 3.58
Hydrogen (H2) 1.83
Nitrogen (N2) 1.00
Argon (A) 0.43
Krypton (Kr) 0.14
Xenon (Xe) 0.039 (most narcotic)

As experienced divers more frequently dive to deeper depths in pursuit of wreck, cave exploration and photographic interests, the subject of inert gas narcosis becomes more ardently debated. Much practical discussion of narcosis “field” theory among scuba divers was originally taken on and conducted “underground” by a close-knit community of technical professional divers without a public forum of information exchange dating back to the 1970s. Narcosis was regarded as an occupational hazard that had to be dealt with in order to gain access to new cave systems, more remote wrecks, or the most spectacular drop-off walls.

Due to the controversial nature of deep diving within the traditional sport diving industry, an understandable reluctance to discuss actual diving practices was perpetuated. Little actual “field work” was published and a word of mouth grapevine developed to compare different diving techniques in widely diverse areas. In the late 1960s and early 1970s three distinctly different segments of emerging “technical” diving were conducting deep air dives. On the cave diving scene individuals such as Sheck Exley, Tom Mount, Frank Martz, Jim Lockwood, and Dr. George Benjamin pushed ever deeper with their explorations, while Bahamian and Caribbean groups led by Neil Watson and myself pushed beyond the 400 fsw (121.2 m) barrier for the first time in open water. Simultaneously, a whole new wreck diving cult with Peter Gimble, Al Giddings Bob Hollis, Hank Keatts and Steve Bielenda was coming out of the shadows in the northeast to assault previously unreachable sites such as the Andrea Doria.

Published accounts of narcosis experiences were largely limited to cave diving newsletters, although I presented a quasi “how-to” paper on deep air methods in 1974 (Extending the Working Capability and Depth of the Scuba Diver Breathing a Compressed Air Media). This presentation at The International Conference on Underwater Education in San Diego stimulated some limited exchange of information between the diverse communities, but also focused criticism from national training agencies at the time. The “underground” once again retreated from the harsh glare of sport diver scrutiny and new breakthroughs and techniques reverted to word of mouth communications. As one veteran deep wreck explorer put it, “You can always tell a pioneer by the arrows in his back!”

In 1990 for the first time, the “technical diver” began to come out of the closet and stay a while, and in-depth discussions of narcosis went public.

Some of the earlier accounts by Cousteau (1947) relate instances of near total incapacitation at depths of only 150 fsw (45.5 m) and cite the supposed “Martini’s Law” and the classic broad generalization of “Rapture of the Deep.” In reality, the severity of impairment is drastically reduced in well equipped and experienced/adapted divers at greater depth. Narcosis is certainly a factor to be dealt with responsibly by divers, but many texts suggest levels of impairment that are far exaggerated for seasoned practitioners.

LIMITS AND OPINIONS

Today’s diver has the advantage of extremely well engineered and high performance scuba gear that can markedly increase his performance. Design evolutions in buoyancy compensating devices (BCD’s), scuba regulators, instrumentation, diving computers, less restrictive and more efficient thermal suits etc., all contribute to his ability to work deeper safely.

Of course, the use of trimix essentially negates narcosis issues, since the mix can be adjusted to match any diver’s tolerance. Also, adjustment of the oxygen fraction and resulting PO2 eliminates any threat of CNS oxygen toxicity. But air and nitrox breathing gases still predominate… in some cases simply because helium is unavailable in remote areas or financially prohibitive. Rebreathers also have emerged as reliable deep diving systems, but require extensive training just on their own “unit specific” models. Still, this is by far the most efficacious method of extending depth ranges and times underwater. More on that in another article…

I would like to emphasize that deep air diving below 218 fsw (60.6 m) is generally not recommended, given the alternatives available in today’s industry. (This depth represents the outer limits of recommended oxygen exposures for most divers at 1.6 ATA of O2.) On high risk or particularly demanding dive scenarios this depth should be adjusted shallower. As noted previously, many veteran air divers now opt for mixed gas to virtually eliminate narcosis and oxygen toxicity problems. What is the cut-off depth on air? This is clearly subjective, and must be answered by the individual diver who considers his own narcosis susceptibility, his objective and his access and financial commitment to mixed gas equipment.
Wes Skiles (deceased in 2010), a highly experienced and respected cave diver, expressed his preference for mixed gas on any penetrations below 130 fsw (39.4 m) primarily because of his admitted low tolerance for narcosis. This was back in 1990. Members of the scientific diving community still practice air dives to 190 fsw (57.6 m) officially (with far deeper dives reported “unofficially”). Mount and I have long suggested practical air limits of between 250 and 275 fsw (75.7 and 83.3 m) for properly trained and adapted professionals… but it is necessary to understand that such depths exceed the typical “working depth” guidelines for oxygen and place the diver in the O2 exceptional exposure zone. (The reader is directed to references specifically on oxygen toxicity to better understand various O2 exposure theories and phenomena.) Mixed gas solves some problems for some people, but it adds several new problems and operational considerations to the equation: expense, heat loss, extended deco times, etc. For many experienced air practitioners, deep air diving remains a viable choice simply because, done with the proper disciplines and training, it is a reasonable exercise. That is to say it can be approached with an acceptable level of risk. But new divers venturing beyond traditional sport limits must be fully cognizant of the elements of risk and that deep diving will reduce the margin for error and the attendant increased chance for injury or death must be understood. Diving within one’s limitations should be etched firmly in the deep diver’s memory. Depths below 130 fsw (39.4 m) can be safely explored, but such diving cannot be taken lightly.

PREDISPOSING FACTORS

Factors contributing to narcosis onset and severity include:

  • Increased partial pressures of CO2 (hard work, heavy swimming etc.)
  • Cold
  • Alcohol use or “hangover” conditions
  • Fatigue
  • Work of breathing, e.g. inherent resistance within the breathing system on inhalation/exhalation cycles
  • Anxiety or apprehension, FEAR
  • Effects of motion sickness medications
  • Rate of descent (speed of compression)
  • Vertigo or spatial disorientation caused by no “up” reference such as in
  • Bottomless clear “blue water” or in severely restricted visibility
  • Task loading stress
  • Time pressure stress
  • Another lesser-known contributory factor is increased oxygen partial pressure

ADAPTATION

Narcosis can be controlled to varying degrees specific to individuals, but tolerances can change from day to day. Almost any experienced deep diver will tell you that “adaptation” to narcosis takes place. Bennett (1990) notes, “the novice diver may expect to be relatively seriously affected by nitrogen narcosis, but subjectively at least there will be improvement with experience. Frequency of exposure does seem to result in some level of adaptation.” The actual mechanics of adaptation are not clearly understood or proven but most deep divers agree that they will perform better with repeated progressively deeper penetrations on a cumulative basis.

During a series of experimental dives in 1990, I had no significant impairment at 452 fsw (137 m) for my brief exposure, approximately 4.5 minutes in the critical zone (especially for O2 tox) below 300 fsw (91 m). I was able to successfully complete a series of higher math and thought/reasoning problems while suspended at the deepest level. But this is probably the extreme end of adaptation; I dove every week for over a year, with never more than a six-day lay-off. My 627 dives during this period included 103 below 300 fsw (91 m).

For the diver who regularly faces deep exposures, a tolerance far in excess of the unadapted diver will be exhibited. A gradual work-up to increasing depths is the best recommendation. I refer to making each first dive of the day progressively deeper than the day before to build tolerances, i.e. Day 1: first dive to 150 fsw, Day 2: first dive to 175 fsw etc. Subsequent dives on Day 1 and Day 2 would be shallower than the first. This process should be over several days’ time if the diver has been away from deep diving for more than two weeks. Adaptation appears to be lost exponentially as acquired, so no immediate increased narcosis susceptibility will necessarily be evident but divers are cautioned to exercise great conservatism if any lay-off is necessitated.

THE DIVING REFLEX

Back in the mid-1800’s Paul Bert observed pronounced brachycardia (lowered heartbeat) in ducks while diving. Suk Ki Hong (1990) describes “a reflex phenomenon that is accompanied by an intense peripheral vasoconstriction, a drastic reduction in the cardiac output, and a significant reduction of 02 consumption”. Hickey and Lundgren (1984) further noted aspects of the mammalian diving reflex to include “muscular relaxation, astonishing levels of brachycardia, e.g., heart rates 13% of pre-dive levels in harbor seals… and depressed metabolism. All of these adaptations conserve the body’s energy stores.” Simply put, this reflex serves to apparently slow down most vital, internal functions such as heartbeat and shunt blood from the extremities enabling the diving seal or dolphin to more effectively utilize its single breath oxygen load while underwater.

Similar responses have been noted in human subjects. Several divers stumbled onto this in the late 1960s and began to effectively incorporate facial immersion breathing periods prior to diving. Exley and Watson practiced such techniques and I became a leading proponent of surface and ten-foot depth (3.03 m) level extended breathing with my diving mask and hood removed before dives below 300 fsw (91 m) in 1971. I have recorded dramatic reductions in my heart rate and respiration rate by following a protocol of ten minutes facial immersion breathing at the surface, then five minutes at ten to fifteen fsw (3.03 to 4.5 m) from a pony bottle. My pulse has been measured at twelve to fifteen beats per minute and respiration rate dropped to two a minute at deep depths (dive to 405 fsw/122.7 m 1977). Other divers have adopted varying uses of the diving reflex technique in conjunction with meditation disciplines with significant success. Of the divers using this technique, many report pronounced reduction of narcosis, reduced air consumption and better coordination at depth. Regardless of the scientific proof challenges, the technique is becoming more widespread and its subjective benefits certainly bear closer scrutiny.

EQUIPMENT

At depth, the air we breathe has far greater density and can be an operational problem if the scuba regulator is not carefully selected to comfortably deliver adequate volumes upon demand. Breathing resistance can markedly increase onset and progression of narcosis. Until the 1990s many so-called “professional” regulator models fell sadly short on performance below 200 fsw (60.6 m).

Exhalation resistance is a prime factor in breathing control, perhaps more so than inhalation ease. Studies have shown exhalation detriments to be the most significant fatigue element in underwater breathing tests. So how do you choose between the dozens of models offered? Some benchmark can be derived from perusal of U.S. Navy test reports but sometimes results can offer inconclusive appraisals. Back in the late 1980s, the Tekna 2100 series unit basically failed the Navy tests for high performance due to its unique second stage design, but was a popular regulator with many experienced deep divers since its introduction. I used it on my record setting 452 fsw (137 m) dive in Roatan (1990) and had complete satisfaction. But remember that the numbers of regulators that are genuinely suited for deep diving are contained on a very short list. (I personally use the superlative Titanium series from Atomic since 1996.)

Now is a good time to insure that you select comparable quality instruments compatible with the depths you anticipate exploring. Keep in mind that many depth gauges and dive computers have depth limitations that will render them useless much over normal sport diving ranges. Make certain that the information is displayed in an easily understood format. If you have a hard time deciphering what you are looking at on the surface, imagine the problem at 250 fsw (75.8 m) under the influence of narcosis.

ON THE DIVE

Wreck and drop-off wall divers should use descents undertaken with a negative glide to the desired operational depth and there BCD used to quickly attain neutral buoyancy. Do not waste energy and generate CO2 using leg kicking to maintain position in the water column. Slow, deep ventilations with minimal exertions will keep C02 down and reduces onset and severity of narcosis. Narcosis has been reported subjectively to be most strong when first arriving at depth. Allow yourself a stop-activity period to monitor your instruments and let the initial narcosis effects stabilize.

Diving deep properly is more a mental exercise than a physical one. The diver must constantly be aware of his own limitations to narcosis and not hesitate to abort a dive if impairment becomes unreasonable. If narcosis is severe on descent, slow the rate or stop completely until symptoms are controlled. If possible face an “up” reference at all times such as anchor line or face the drop-off to orient the wall perpendicularly to the surface. This affords more accurate references if you are sinking or rising. If necessary, hold on to the descent line or a drop-off wall outcropping to insure of control of depth while narcosis can be evaluated.

SYMPTOMS

In spite of the warnings of various academicians, it is unlikely that the diver will experience “rapture” or the uncontrollable desire to kiss a fish or dance with an imaginary mermaid. However, there is a wide range of individual susceptibility. Almost all divers will be impaired eventually. This will manifest in many ways.

Most divers are acquainted with traditional depictions of narcosis symptomatology (lightheadedness, slowed reflexes, euphoria, poor judgment, even numbness etc.). But many early symptoms are more classically subtle. Initially, divers will notice, in many cases, a reduced ability to read fine graduations in a depth gauge diving computer, or watch along with increased awareness of sensitivity to sound such as exhalation and inhalation noise. Perceptual narrowing may limit some divers to successful execution of only limited task loading. Short-term memory loss and perceptions of time can be affected. With experience, divers can learn to control these deficits to some extent. But these very real dangers cannot be underestimated. A diver unaware of his depth, bottom time or remaining air volume is about to become a statistic!

NARCOSIS SYMPTOMS

  • Lightheadedness
  • Euphoria
  • Drunkenness
  • Impaired neuromuscular coordination
  • Hearing sensitivity or hallucination
  • Slowed mental activity
  • Decreased problem solving capacity
  • Overconfidence
  • Short-term memory loss or distortions
  • Improper time perceptions
  • Fine work deterioration
  • Exaggerated movements
  • Numbness and tingling in lips, face and feet
  • Stupor
  • Sense of impending blackout
  • Levity or tendency to laughter
  • Depressive state
  • Visual hallucination or disturbances
  • Perceptual narrowing
  • Less tolerance to stress
  • Exaggerated (oversized) handwriting
  • Amnesia
  • Loss of consciousness
  • Retardation of higher mental processes
  • Retardation of task performances
  • Slurred speech
  • Poor judgment
  • Slowed reaction time and reflex ability
  • Loss of mechanical dexterity

UNDERWATER AWARENESS

Buddy teams need to be more aware of each other in deep dives. Just as frequent scanning of instruments is mandated, so is confirmation of your buddy’s status. Generally, you should look for him about every three breaths and observe him for any overt signs of impairment. Quick containment of a problem situation in its development is vital to prevent a stressful rescue event that may be difficult to perform at depth.

In 1972, I offered an effective underwater narcosis check between divers. We were frequently diving very deep with long working bottom times on this contract in the Virgin Islands. I had a secret dread of one of our team’s divers being overcome without our immediate knowledge. So I came up with a childishly simple hand signal response exercise for use at depth to detect narcosis. If one diver flashed a one-finger signal to another diver, it was expected that the diver would answer with a two-finger signal.

A two-fingered signal was answered with three-fingers; if you really wanted to screw a guy up you gave him all five fingers and then he had to use two hands to come up with a six-finger response. We reasoned that if a diver was not able to respond quickly and correctly to the signal given, then sufficient impairment was presumed to abort his dive. It worked great for us then and I still use it today. Over the years, scores of divers have reported using the “Gilliam narcosis signals” (also known as “The Finger”) with success.

Although narcosis effects are generally eliminated by ascent, it is important to understand that many divers will experience some degree of amnesia of their performance at depth. Commercial divers have reported successful completion of a work project to the diving supervisor upon ascent, only to learn later that the objective was not completed at all! Less experienced deep divers will typically not remember their greatest depth or bottom time unless disciplined to record it on a slate prior to ascent. Again, the experienced deep diver will sharply focus on his job objectives and constantly monitor his instruments. Modern devices such as dive computers greatly improve safety controls with maximum depth and time memories as well as decompression planning models.

THE MOUNT-MILNER TEST

In 1965, a research project was conducted by professional diver Tom Mount and psychiatrist Dr. Gilbert Milner to determine the effects of anticipated behavior modeling in diving students with respect to narcosis. Three control groups of four students with equal male/female ratios were trained in identical dive classes except:

Group One was taught that a diver will get narcosis at 130 fsw, and much emphasis was placed on the high probability of narcosis impairment with severe symptoms.

Group Two was taught of the existence of narcosis, the symptoms and depths of occurrence cited as beginning at 100 fsw, but were not as intimidated with narcosis manifestations.

Group Three was well educated on narcosis with three full hours of lecture on symptoms, risk, danger and known research. They were told that divers with strong will power as postulated by Miles (1961) could mentally prepare themselves and greatly reduce the effects.

Prior to the open water deep dives all students were given two dives to 30 fsw and two dives to 100 fsw to develop good breathing techniques.

Before the actual dives for testing purposes, the students were taken on a 50 fsw dive where the tests were performed so a mental/dexterity familiarity could be achieved with the format of the test problems. Changes were then made in the test so they could not be performed from memory. The tests consisted of handwriting evaluations, pegboard testing, math, and ball bearing placement in a long-necked narrow bottle etc.

In the initial test depth of 130 fsw, divers in Group One had minor-to-above-average narcosis problems while Group Two and three divers had little effect on test scores.

At the 180 fsw test depth, two Group One divers dropped from the exercise due to severe narcosis problems, and were removed from the dive. All Group Two divers were affected although still functioning at about 50% test levels. Group Three divers had minor impairment.

At the 200 fsw test depth, all divers in Group One and two from Group Two were dropped due to severe narcosis and apprehension. Group Three divers actually showed slight improvement in test scores.

At the 240 fsw test depth, one diver was dropped from Group Two and one from Group Three due to severe narcosis. The remaining Group Two diver and three Group Three divers showed levels of impairment, but again scores and performance showed improvement over the previous depth level. One diver, a female from Group Three, registered her highest scores on all tests at the 240 fsw level.

Concurrent testing of experienced deep divers showed seven out of ten divers with no decrease in performance or scores at the 200 fsw test level. The three divers with decreased performance finished the testing (two with perfect scores) but required additional time than was usual. At 240 fsw, five out of ten performed all tests with no decreased performance. One diver had problems with the ball bearing test but perfect scores on the pegboard, math and handwriting. The other two showed up to 42% deficits and had problems completing the tests.

The obvious conclusions include a subjective validation to both “adaptation” and the negative influence of “modeling” behavior in those groups of divers pre-conditioned that narcosis was inevitable and severe. The Group Three divers with little prior diving experience were satisfactorily still performing at the 200 fsw level and three divers continued to perform (with one showing improvement still) at the 240 fsw test level.

If we teach our children that all dogs will bite, we can safely assume that when presented with a specimen even as lowly as a toy poodle, we can expect a high fear index. Likewise, if we teach our dive students that narcosis is a finite, unyielding biophysical wall… then we can logically expect such conditioning to impair their performance beyond a more realistically educated diver lacking pre-conceived phobias and suggestions. Education is the key to performance and safety.

CONCLUSION

Depth limitation largely becomes a decision then based upon narcosis levels and gas supply (until the O2 toxicity range is entered). Most divers will be able to function well in excess of the so-called 130 fsw (39.4 m) limit with even a little practice.

Interestingly, the first edition of the NOAA Diving Manual published in the mid-1970s contained this notation on narcosis: “Experience, frequent exposure to deep diving, and a high degree of training may permit divers to dive on air as deep as 200 fsw (60.6 m) . . .” Although scientific diving programs and university based research groups generally advocated air diving to around this recommended limit, a significant proportion of dives were conducted in far deeper depths if necessary for observation or collection purposes, including dives beyond 300 fsw. The proliferation of “Do as I say, not as I do” mentalities still dominate all factions of the industry primarily for fear of critical condemnation by less realistic “experts”.

All divers should exercise prudence and reasonable caution in all aspects of deep diving but particularly so when it comes to narcosis. Experience is vital before attempting progressively deeper dives. Ideally, the diver should be seeking out the benefit of training by a competent, well-experienced deep diving instructor before a penetration below “entry level/open water” training diving depths. Don’t try to obtain field experience on your own or with another buddy. The historical record provides too many fatalities or near misses due to narcosis to warrant such a risk.

Many critics condemned even the discussion of practical operational narcosis planning and dismissed those of us who advocated more realistic guidelines as members of the “lunatic fringe”. Happily, most of that misguided ultra-conservatism has been withdrawn. I contend that by professionally addressing the questions of the real risks and real experiences associated with narcosis and deep diving, we will more responsibly serve today’s diver who, in many cases, is already undertaking dives beyond his ability, training and operational physiology because no proper advanced deep diver training is offered through the traditional national training agencies. Truth in education is critical to any learning process, and especially with diving. Let’s not shy away from our responsibilities as diving educators by holding fast to the naive belief that all sport diving stops at 130 fsw. For many divers, 130 fsw is a reasonable limit… but others will go deeper. They will be safer and more likely to observe a practical limit if we provide the training to better identify the real hazards and the required commitments to plan deeper diving.

Author Notes: Bret Gilliam has had a 42-year career in professional diving, logging over 18,000 dives in military, commercial, scientific, filming, and technical diving operations. He is one of the diving industry’s most successful entrepreneurs with investments in publishing, training agencies (TDI/SDI), manufacturing, resorts, dive vessels, cruise ships, and film production companies. The aggregate sale value of his multiple multi-national companies totaled over $80 million when he retired in 2005 at the age of 54.

Author of over nearly 1000 published articles, his photos have graced over 100 magazine covers, and he is principal author or contributor to over 50 books & manuals. His writing and photography has been published worldwide. He also has worked as location director, cameraman, and operations manager on scores of Hollywood movies, television series, documentaries (including National Geographic and the Cousteau series), and IMAX films.

He is a Fellow National of the elite Explorers Club and the ex-world record holder as the deepest scuba diver on conventional scuba equipment. He is also the recipient of numerous awards.

He continues a limited practice as a widely sought litigation consultant and expert witness for diving and maritime legal cases. After nearly 30 years living in the Caribbean and equatorial regions worldwide, he now lives in Maine where he divides his time between three homes and a motor yacht. He is still active in special film and publishing projects. His latest book, a large hardbound coffee table style volume, Diving Pioneers & Innovators: An In-Depth Series of Interviews, has been met with widespread enthusiasm by reviewers internationally.

He can be reached at:

Bret Gilliam
President
OCEAN TECH
54 Stonetree Rd.
Arrowsic, ME 04530
Phone: 207-442-0998
email: bretgilliam@gmail.com

Decompression Diving and the Technical Diver

By Steve Lewis

Decompression-DivingWhen the diving community attempts to set a definition for a technique, procedure or even a piece of kit… whoops, sorry I should say equipment… there is seldom complete agreement.

Our community is simply too diverse, too geographically dispersed, too individual to be easily categorized. And as the saying goes: ask a half-dozen divers to define technical diving and you’ll get 12 different answers.

You may have experienced this particular phenomenon for yourself. However, the chances are good that most, if not all, of those definitions will mention something about decompression diving. It is this that truly marks the boundary between sport diving and its young sibling: technical diving.

Somebody once wrote that decompression diving is the art of “staying down longer and coming up slower!” And for most of us, this serves as a workable cocktail party definition.

More precisely, decompression diving (or staged decompression diving since all dives really are decompression dives), exposes a diver to much greater risk than traditional sport dives carried out within the “No Decompression Limits” of his or her chosen Personal Dive Computer (or dive tables). Those increased risks include — in no particular order and not a definitive listing — decompression sickness, running out of gas, getting lost, getting separated from their buddy, getting cold, disorientation attributable to narcosis, lack of situational awareness due to task-loading, and loss of buoyancy control coupled with the potential for run-away ascents and possible embolism. We might also add, either Hypercapnia, Hypoxia, or Hyperoxia resulting in loss of consciousness and death.

Presented with that sobering list of party-poopers, is it any wonder that for the first thirty years of recreational dive instruction, staged decompression diving was not heavily promoted, and certainly was not part of the regular curriculum of any of the mainstream training agencies. If you conducted decompression dives, you were branded by most of the dive community as a foolhardy daredevil with a death-wish; or simply an idiot.

Ironically, when TDI began teaching its original decompression procedures program back in 1994, the concept was so outside the box that several of the long-established training agencies — which had built their reputations entirely on sport-diving certs and by totally ignoring gases other than air, solo diving, deep diving, and decompression diving — suggested that teaching divers deco diving would result in greater instances of DCS, and a rash of diver drownings. “It’s just too complicated'” they crowed.

The facts of course turned out to be somewhat different and according to DAN statistics, the incidents of decompression sickness per 1000 dives has dropped, not increased, since TDI (and a couple of other ground-breakers) started to share the basic skills that are needed to conduct staged decompression dives correctly. Coincidence? Perhaps, but we like to think that by presenting divers with a choice to complete structured training with a qualified and insured and experienced instructor — rather than winging it with advice from cyber-divers — we are making scuba diving a little safer.

Certainly the TDI course has evolved somewhat since it was first introduced. The skills have remained unchanged — with a couple of notable exceptions — but the way we deliver them and the data we have to back-up some of the suggested techniques and procedures have become, forgive the pun, deeper. The simple fact is that 20 years ago, decompression diving was totally behind the curtain, hidden, hardly mentioned; and now it’s mainstream and the experience we have to inform our curriculum and our suggestions is much broader and more comprehensive than it could possibly have been in 1994. Hence, the change and the need for TDI to have a constant process of updating materials (SEE LINK BELOW).

However, as much as TDI’s decompression program has evolved — and even split to include the use of helitrox (light trimix) — many of the basic skills have remained the same.

In some regard, and bringing us full circle, the skills required to conduct staged decompression dives, truly define technical diving and technical divers.

So let’s look briefly at them and let’s find out what benefits they deliver to us as technical divers.

Number one is risk management. This breaks down into risk identification: what can happen; risk assessment: how likely is it to happen; risk analysis: if it happens, what will the consequences be; risk avoidance: how can I arrange things to mitigate or avoid those risks. During this process, we get a pretty clear sense of our personal limits and the limits of our equipment, our experience and our training. This is often a rather humbling exercise, but is always informative. Different instructors use different techniques to teach this set of skills… but it is usually fun!

Second comes an upgrade on the basic skills that we learned as divers from day one: buoyancy, propulsion techniques, and staying in contact with and communications with our buddy or buddies. The obvious fallout from this is that we expend minimum effort moving through the water and don’t waste time and burn ourselves out worrying where the heck our buddy has got to. Bottom line: more fun!

The third set of skills sees us taking a careful look at our kit and selecting the right gear for the job. Taking what’s needed no more, and knowing how to use what we do have with us. At this stage, we also develop some good habits such as pre-dive inspections, critical analysis of kit performance and limits and a bunch of related techniques that help make our diving — I think you may recognize a pattern developing — less stressful and more fun.

Lastly, we begin the practice of real gas management. OOA is no longer an option. We learn to plan the gas volume we need AND we begin to plan to use the right gas for the job. Although gas management is a very simple skill with guidelines that anyone can grasp after a few minutes instruction, it’s amazing to watch the light bulb go on above the heads of even very experienced sport divers who realize that they have been pushing the limit on most of their dives! Now, that’s fun to see!

All tied together in a neat package, the real take-home skills for a technical diving learning staged decompression diving is better dive planning skills and more fun and less stress executing those dives.

Of course, the real story is more involved than all this and for the complete low-down, you should contact your local TDI decompression instructor and get his or her advice and mentoring via a full TDI technical diving program.

Decompression Procedures Diver >

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TDI Hollis Prism 2 Rebreather Course on Heron Island in the Great Barrier Reef

Great-Barrier-ReefIt sounded like the perfect place to run a CCR Course. A tropical island, clear visibility, warm waters and calm seas. An instructors dream teaching location. However, for the guys who completed their TDI Hollis Prism 2 CCR Course on Heron Island in Queensland, it was far from the exotic postcard destination for which we all crave.

Heron Island was the location for this year’s Oceanic Scuba Centres Conference. Over 80 Oceanic dealers from all over Australia traveled to this remote island in the Great Barrier Reef for the momentous event. As always, Oceanic put together a great conference, with some very informative presentations and, of course, the launch of their new products for the upcoming year.

One of the star attractions at the conference was the official launch of the Hollis Prism 2 Rebreather. It has been a long time coming, but well worth the wait. The guys at Hollis have certainly produced a good unit worthy of its place in the CCR market. Having kept true to their word, Hollis has improved on the older Prism Topaz by keeping all the great features of the original reliable work horse, and adding some more up to date features to make the Hollis Prism 2 an attractive and user friendly CCR.

With lots of talk and excitement about the unit, Matthew Addison (TDI Hollis Prism 2 Instructor & AUP Training Director) and myself ran a few trial dives on the unit in the resort pool. The feedback from all who participated was very positive. It was a great opportunity to promote a product which was very foreign to most of these experienced dive store owners. It was also a great opportunity to enlighten these dealers on the prospects they may be able to foster in their own stores in starting a CCR culture amongst their customer base.

On completion of the conference, Matt and I would stay on the island for a further 5 days to run the first TDI Hollis Prism 2 Air Diluent Course for 8 dealers who had committed to purchasing units, and complete the course on the island.

Oceanic Australia had organized the delivery of 9 units to the island. I had organized the rest of the logistics to ensure the course would run as smoothly as possible in such a remote area. Sorb, oxygen, bailout rigging, tanks and a booster all had to be shipped in, as none of these were available on the island.

The first day was spent going over the online theory and then the familiarization of all the components of the unit. The class then assembled the units for the first time and completed all the checks necessary to get the unit ready to dive. We were privileged to have Chauncey Chapman with us at the conference. Chauncey, who works for AUP designed, built and tested the new Prism 2, was invaluable with his knowledge of the unit and it’s workings. His input and advice throughout the course was certainly appreciated by instructors and students alike.

The next morning, it was time to dive the units for the first time. After a detailed briefing, all the students jumped in the pool with their units for the confined water session. It was a great opportunity to get trim and buoyancy under control. Also for those who had never dived a CCR before, it was the perfect time to acclimatize to a new way of diving. The pool was salt water, so it made it easy to weight ourselves correctly before the open water dives. After a week of looking at the unit and talking about it, the happy faces in the pool told the story. Some very impressed divers.

That afternoon, it was time for the first Open Water Dive. At this point, the sun decided to take a holiday somewhere else and the wind started to pick up. We were doing a shore dive first up, so this was not really a problem. However, after we descended and started heading out the small channel, which is used by the ferry to drop off customers to the island, we also had to contend with some impaired visibility. It was only when we got out of the channel into some open water that the visibility cleared up. Luckily, Matt and I kept the group nice and tight and after an hour and a half of swimming and skills, we were back at the pier with dive one completed.

Day 2 and 3 of diving consisted of more skills and more complex diving on the unit. Manual operation of the unit was introduced and all the students continued to build on their skills and knowledge as each dive was completed.

The weather was getting worse as each day passed with the rain getting heavier and nonstop and the wind increasing in its intensity.

Some late nights were had filling tanks and preparing for each day. Matt and I were lucky to have had the assistance of two instructor candidates and Jason Blackwell and Brian Mecklem got an eye opening experience into running a CCR course in a remote destination. Their help and assistance was invaluable and Matt and I certainly appreciated their input through the course.

On the second last dive of the course, we thought we might have caught a break from the weather. It seemed like the wind had dropped a bit and the boat skipper decided to take us to a nice dive site that we could get a bit of depth on. When we got there it all looked good, we got ready and began to jump into the water. Then we realized that maybe this was not an appropriate dive site for CCR training! As soon as we hit the water, we were subjected to very strong currents. It was not evident on the surface. We had talked to the students on previous debriefs about the importance of not over breathing the unit and not overworking whist on the loop. Luckily, only half the class had jumped in the water before we realized what was happening. I was very pleased with the way the students handled themselves, especially the ones that bailed out as soon as they realized they were in a strong current, and calmly ascended. Quite obviously, I was not impressed with the situation however, relieved once everyone was back on board the boat. A lesson learned, and the skipper then took us to a calmer location where after the experience of the first attempt, we proceeded with much more caution..

The last day and last dive was a welcoming and encouraging dive for Matt and I as instructors. It was a big group we were dealing with and some weather that was borderline at times. However, we were particularly impressed with not only the students skill level and awareness, but more so the enthusiasm and genuine excitement that they had despite the below par conditions.

The last dive was a breeze. All the students looked like CCR divers: nice trim, good buoyancy control and good awareness of how to fly their units.

Back on the boat after the dive, understandably, Matt and I were relieved that the course was completed, and quietly satisfied that we had produced some responsible and competent rebreather divers.

Of course, as soon as we finished, the sun came out and the winds dropped.Go figure!!

A special thanks to Matt Addison whom I enjoyed team teaching with and learnt a lot from. Chauncey Chapman’s input through the course was awesome.The two instructor trainees Jason and Brian, whom I’m sure got a lot out of the course, thanks guys for your help. Also a big thanks to Michelle and Troy Stephenson, our SDI/TDI representatives who were at the conference and were invaluable in ensuring the course ran smoothly and that everyone had all the materials they needed. Lastly, thank you to the team at Oceanic Australia for having the initiative to run a course on the island and ensure all the logistics came together.

The Hollis Prism 2 has the potential to be a very popular unit and from the response of people on the island and the students completing the course, I think you will hear a lot of talk about this unit over the coming months.

About the author:

Rubens Monaco is an active SDI and TDI Instructor Trainer in the South East of Australia and owns and operates a very successful dive center, IDC Scuba.

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What is Deep Diving?

What-Is-Deep-DivingWhat does it mean to be a diver: explorer, lover of the outdoors, adventure seeker? Perhaps it is all of these combined and summed up by saying, someone who is passionate about diving and sharing that passion with anyone that will listen. Just like any other passion, it needs to be fed and once a diver becomes comfortable at a certain level, they need a new challenge. For divers, that challenge normally means diving deeper.

For the SDI Openwater Scuba Diver, the maximum depth is 20 metres / 60 feet, so anything beyond that requires additional training. This is true for most other agency’s certifications as well. For a lot of divers, this first certification is all they will ever need or want. In this depth of water you get the maximum amount of sunlight, more marine life than a lifetime would allow you to see and, in some locations, you will be able to stay above the thermocline. But for those divers who wish to see a wreck, to go a little deeper on a wall, or to photograph that fish that will not come into shallower water there is the SDI Deep Diver course.

It is often asked ‘why do I need additional training?’ – and it is easy to see why people would ask that question; after all, it is the same water, same equipment, even the same dive site in some cases. But as we go deeper there is a lot more to consider. Let’s take a step back and review some of the things learned in the SDI Openwater Scuba Diver course: safety procedures, dive planning, air management, buoyancy skills and a long list of in water skills. What was covered in the open water diver course is the foundation that all future courses build on. Also, there is so much knowledge and so many skills built into the open water course that rarely is there enough time to cover the additional information and skills need to conduct dives below 20 metres / 60 feet, not to mention the additional task load that would be placed on the diver.

The SDI Deep course goes further into the subjects of: Nitrogen Narcosis, air management, safe buddy practices for deep diving and staying within the no decompression limits. All of these are key to enjoyable deep dive because, after all, getting to the depth is not the challenge, it’s getting back to the surface safely. Your SDI Instructor will cover the knowledge needed and take you on dives that guide you through safe procedures for carrying out deep, no decompression dives.

So what are you waiting on? Want to see that wreck, illusive fish or enjoy the deep vertical wall? Contact your local SDI Dive Center or sign up for online for our SDI DEEP DIVER COURSE.

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The Benefits of Deep Diving

Deep-DivingSometimes, the best things to see underwater are at deeper depths. For example, the coral “walls” of the Caribbean are a riot of color. The coral walls that ring many of the islands rise vertically from the bottom out of thousands of feet of water. As you drift over the edge of the wall, the water turns a darker, deeper mysterious blue. Sometimes it looks almost purple. Open ocean fish, known as “pelagics,” swim along the face of the wall, giving you a glimpse of sharks, eagle rays, and other seldom seen creatures. Swimming along a vertical coral wall, with no bottom in sight, is a sensation very much like flying.

In the far Pacific, there is an island called “Chuuk” (formerly known as Truk), that was the site of a major battle during World War II. In 1944, American planes ambushed 50 Japanese ships that have remained on the bottom there since that time. Now, covered with soft corals, the slowly deteriorating remains of these wrecks lie at depths ranging from a few feet below the surface to over 200 feet down. Scattered along the decks and passages of these ships are dishes and cookware, lamps, navigation instruments, and even the skeletons of crew members. Many divers consider Chuuk to be one of the true “pinnacles” of the diving world.

There is something about deep diving that is irresistible to many people. There is an intensity to this type of diving that isn’t found on shallower dives, where the light rays flicker over white sandy bottoms. As you look up at the hull of the boat, more than 100 feet above you, you get a perspective on your depth that can’t be achieved in shallower water. Your regulator sounds different and the exhaust bubbles chime in tones that only a deep diver hears.

Why do people engage in deep diving?

As we can imagine, there are many reasons to dive deep. You may want to see a particular reef or to photograph a special wreck. A marine biologist may want to dive deep to observe a particularly rare species of fish, while a cave diver may want to explore a previously unknown cave.

Deep diving by itself has no purpose. Divers use deep diving skills to take them to unique and unusual dive sites, and to have experiences that they cannot accomplish in shallower waters.

Some divers are under the mistaken impression that by participating in deep diving they will “prove” themselves and their capabilities. Nothing could be further from the truth. If you are considering participating in deep diving to feed your ego, you should look for another activity. Reckless deep diving endangers yourself, your dive partner, and other divers who may need to come to your rescue in the event that something goes wrong during your dive. You must have the proper “mind-set” to participate in deep diving.

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Planning a Deep Dive

Planning-Deep-DiveIn diving, as in your personal life, planning for future events always takes place in different stages. Some portions of the plan are quite long range, while others are more immediate and take place just prior to the dive itself. For example, if you are planning a dive trip on a local boat, you probably already have a good idea about local conditions and gear requirements. However, if you are planning a diving vacation outside of the country, you will probably need to spend more time researching what gear you will need to take with you.

What’s Your Objective?

To properly plan for a deep dive you need to give some thought to what you want to accomplish during the dive. Are you going to take photographs, or explore or map a wreck? Do you want to look for shells or are you planning to observe fish behavior? Whatever it is that you plan to do will dictate many aspects of your plan.

Deciding your objective can be a part of long-range planning or can be more immediate. For example, if you’ve planned a vacation to shoot underwater photos of the wrecks off Bermuda, you may realize that you need to have your underwater camera serviced prior to the trip. You also know that you’ll probably want to take a spare o-ring kit for your camera, and that you’ll want to buy batteries and film before you depart the U.S. You might also decide that you want a wide-angle lens to get the best photos of the wrecks. These actions are all part of your long-range dive plan.

Changing environmental conditions can frequently make you change your dive objectives. Even though you planned to shoot photos of the deep wrecks, what would you do if you got out to the dive site and discovered there were dolphins cruising on the surface over the wreck? If you’re like most photographers, you would probably change your dive plan to take the opportunity to shoot photos of these fascinating creatures.

It’s okay to change your objective as long as you and your partner both agree upon the change before the dive and revise your plan accordingly.

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Preparing Your Equipment for a Deep Dive

Preparing-EquipmentEvery deep dive should have a purpose, a reason for making the dive other than just to “go deep.” Deep diving requires additional training, equipment, and preparation, so this is an activity that should not be taken lightly. Planning for deep diving is not complex, but it does require a bit of thought.

Preparing Your Equipment

If it’s only been a few days since your last dive, and you know all of your equipment is working properly, then you only need to inspect it briefly before packing it in your gear bag the night before the dive. However, if it has been some time since your last dive, you’ll want to pull your dry suit out of the bag and inspect the zipper and seals, and test the valves, connect your regulator, check your mask and fin straps, and any other equipment that you intend to use. This type of detailed inspection should be done several days before the dive so that you have the time to repair any items that may need work.

If you have special equipment that you are carrying with you on the dive, you need to spend some time thinking about how it will be used, and any special rigging it may require. For example, if you are using a reel, you need to consider how you will fasten it to your buoyancy compensator, how difficult it will be to release it when you are ready to use it, and any special precautions you need to take to prevent it from snagging or unreeling before you are ready to deploy it.

You will probably find that “retractors” will make it easier to handle and rig many pieces of gear. Retractors are small, spring-loaded reels that will connect to your equipment and hold it close to your body when you aren’t using it, unwind when the gear is in use, and wind it back in when released. You can use retractors to hold your gauges in position, as well as to connect larger reels, lift bags, and other accessories.

If you use a wrist mounted dive computer and you will be wearing a wetsuit, keep in mind that your suit will compress tremendously and your computer will slide around on your wrist if it is not sufficiently tight. Computers with rubberized straps will tend to stay on your wrist more securely, provided you tighten the strap enough prior to the dive.

If you are using an alternate second stage (octopus rig) with an extra long hose, you may want to fasten the extra hose and the second stage to your tank with a length of surgical tubing that’s stretched around the tank. You must ensure that the hose is looped in such a manner that it can easily be pulled free with a quick tug. In addition, you should also be able to reach the unit yourself in the event that another diver grabs your primary regulator in a panic situation. Your instructor will advise you on what techniques are used locally.

Any special equipment preparations should be made well in advance of the dive in order to give you you the time to carefully evaluate how it will work. Whenever possible, you should test any new pieces of equipment and practice using them on shallow dives before you attempt to use them on a deep dive. If you wait until the day of the dive to think about your equipment, you’re asking for problems.

Smart divers use a checklist when packing their gear for a dive, especially one that involves extra or unusual equipment. Using a checklist will help ensure you have all the items you need to make the dive.

Are you ready to expand your diving? Go deeper with our DEEP DIVER COURSE.

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