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great white shark adventure - Midwest Scuba Diving Magazine

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Reverse<br />

Dive Profiles<br />

By Dan Orr, DAN<br />

President and<br />

Chief Executive Officer<br />

The ‘Well-Known Facts’<br />

DAN Discusses Repetitive<br />

<strong>Diving</strong> and the Twist On<br />

Reverse Dive Profiles<br />

On a recent dive trip, I overheard two divers talking about<br />

planning their second dive for the day. The first dive was a<br />

spectacular drift dive over a gently sloping wall in the warm,<br />

clear waters of the Caribbean. The divers had chosen to remain<br />

shallower than the rest of the group in order to photograph a pair<br />

of turtles doing their best to keep the local turtle population from<br />

becoming endangered.<br />

While moving to the next location, the divemaster announced that<br />

the second dive would take place at a similar location. Since their<br />

attention was focused elsewhere on the first dive, they wanted<br />

to see and enjoy the wall on the upcoming dive. This, however,<br />

created a dilemma. They had been taught, as most divers have,<br />

that the deepest dive always had to be made first. As one of the<br />

divers put it, “It is a well-known fact that you are likely to get<br />

bent if you don’t make the deepest dive first.”<br />

This well-known fact seems logical. A shallower second dive<br />

would appear to be a form of decompression following a<br />

relatively deep dive. This traditional wisdom was challenged in<br />

October 1999, when a workshop* funded by AAUS (American<br />

Academy of Underwater Sciences), DAN, DEMA (<strong>Diving</strong><br />

Equipment and Marketing Association), Dive Training magazine<br />

and the Smithsonian was held at the Smithsonian Institution to<br />

specifically address the issue of reverse dive profiles. Those<br />

present at the workshop represented the recreational, military,<br />

and research communities. The findings were as follows:<br />

• Historically, neither the U.S. Navy nor the commercial sector<br />

has prohibited reverse dive profiles.<br />

• Reverse dive profiles are being performed in recreational,<br />

scientific, commercial and military diving.<br />

• The prohibition of reverse dive profiles by recreational<br />

training organizations cannot be traced to any definite<br />

diving experience that indicates an increased risk of DCS<br />

(decompression sickness).<br />

• No convincing evidence was presented that reverse dive<br />

profiles within the no-decompression limits lead to a<br />

measurable increase in the risk of DCS.<br />

After reviewing and discussing all the evidence presented, these<br />

representatives of the diving industry came to the following<br />

conclusion:<br />

“We find no reason for the diving communities to prohibit reverse<br />

dive profiles for no-decompression dives less that 40 msw / 130<br />

fsw and depth differentials less than 12 msw / 40 fsw.”<br />

In the final analysis, however, it is up to you and your buddy to<br />

plan your dive in a manner that suits your objectives and gives<br />

you the <strong>great</strong>est level of confidence that the risk of injury will be<br />

minimal.<br />

Remember, dive tables or dive computers have no supernatural<br />

ability to protect you from injury due to DCS. I’ve heard Karl<br />

Huggins, co-inventor of the EDGE, the first electronic dive<br />

computer, say many times that there is no talisman, electronic or<br />

otherwise, that creates a magical shield that protects divers from<br />

DCS.<br />

Dive tables and computers are tools, not unlike your regulator or<br />

DIVING MEDICINE<br />

buoyancy compensation device. They are based on mathematical<br />

models, founded in theory, and designed to emulate body tissues,<br />

but those tools cannot take into account the wide range of body<br />

and tissue types, nor factors such as cold, fatigue and exertion,<br />

that may change the diver’s susceptibility during a dive. <strong>Diving</strong><br />

researchers do not completely understand the exact mechanisms<br />

of injury in regards to DCS. Even when divers use tables or<br />

computers correctly, there is always a risk of DCS.<br />

Divers can take the following steps to reduce the risk of DCS:<br />

• Dive conservatively. Don’t push the limits. Many experts<br />

believe that the closer one comes to the U.S. Navy nodecompression<br />

limits, the <strong>great</strong>er the risk of DCS.<br />

• Avoid minimum surface intervals. Surface intervals allow<br />

offgassing of residual nitrogen. Increasing your surface<br />

interval will reduce your nitrogen load and offer <strong>great</strong>er<br />

benefit to the slower tissue compartments.<br />

• Make slow ascents and make safety stops. Research has<br />

shown that slow ascents and safety stops help to reduce<br />

the size and quantity of gas bubbles in circulation. Many<br />

researchers believe there is a relationship between gas bubbles<br />

in circulation and the likelihood of DCS symptoms.<br />

• Manage additional risks. If the risks change during the dive,<br />

it may be wise for the diver to reduce bottom time or increase<br />

the safety stop or both.<br />

• Avoid cold and dehydration. By being properly hydrated<br />

and using appropriate exposure protection, you can help<br />

decrease DCS risks. Dehydration and cold may actually<br />

increase risk of DCS by affecting the body’s blood flow,<br />

which influences nitrogen exchange through respiration.<br />

• Maintain a high level of personal fitness. Exercise tolerance<br />

is essential to safe diving. Exhaustion may significantly<br />

increase risk.<br />

When it comes to your well-being and the safety of your diving<br />

partner, don’t take anything for granted. Well-known facts, once<br />

thought to be absolute, are regularly being challenged.<br />

Some of these “well-known facts” have been with us for quite<br />

some time, but I wouldn’t stake my life on them.<br />

* Vann RD, Denoble PJ, Pollock NW. Reverse Dives And<br />

Project Dive Exploration. Reverse Dive Profiles Workshop;<br />

1999 Oct 29-30 2000; 1999: 181-187.<br />

Snapshot: Dan Orr<br />

Dan Orr has been diving for 40-plus years and has held<br />

membership and leadership positions in many notable<br />

diving organizations such as NAUI, PADI, ACUC, YMCA,<br />

NASE, IAND, UHMS, NACD, AUAS, the Institute of <strong>Diving</strong><br />

and the Explorers Club. He is the recipient of numerous<br />

awards such as AUAS’s NOGI Award for Sports/<br />

Education, NAUI’s Leonard Greenstone Award for <strong>Diving</strong><br />

Safety, the Our World-Underwater Award and Beneath<br />

the Sea’s Diver of the Year. He was named Chairman of<br />

the Board of the Historical <strong>Diving</strong> Society for 2004 and<br />

currently serves on the DEMA board of directors.

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