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As we pointed out in the spring 2013 edition of the Alert Diver, even being a dive buddy has potential legal implications. So, to bump this up a notch, what about the diver training organisations themselves? Where do they stand? How do they relate to South African law? Are they all considered the same under our legal system in spite of the differences in organisational structures and training programmes? How does this affect their respective instructors and trainee divers from a legal perspective? These are not exactly simple questions. It is certainly true that the respective training organisations differ in a number of ways. However, this does not imply that there are necessarily differential legal implications for each of them. In fact, under South African law, the legal principles are common in all matters. Therefore, if you suffer a loss and you (or your estate in the case of a fatality) wish to recover damages, the legal principles would be applied commonly; whether you are driving or diving. Although not a frequent occurrence, there have been quite a number of law suits associated with diving injuries and damages in South Africa. This is not surprising, as the occurrence of law suits is really a function of “numbers”. As training increases, so do the chances of injuries and, with it, the chances of legal recourse. So, it remains wise to insure yourself, your equipment or your business in a proper and effective way. But before getting back to the potential differences amongst the training agencies, let’s first explore the foundational legal principles on which any civil claim would be adjudicated: inherent risk, negligence and duty to take care.

As we pointed out in the spring 2013 edition of the Alert Diver, even being a dive buddy has potential legal implications. So, to bump this up a notch, what about the diver training organisations themselves? Where do they stand? How do they relate to South African law? Are they all considered the same under our legal system in spite of the differences in organisational structures and training programmes? How does this affect their respective instructors and trainee divers from a legal perspective? These are not exactly simple questions.
It is certainly true that the respective training organisations differ in a number of ways. However, this does not imply that there are necessarily differential legal implications for each of them. In fact, under South African law, the legal principles are common in all matters. Therefore, if you suffer a loss and you (or your estate in the case of a fatality) wish to recover damages, the legal principles would be applied commonly; whether you are driving or diving.
Although not a frequent occurrence, there have been quite a number of law suits associated with diving injuries and damages in South Africa. This is not surprising, as the occurrence of law suits is really a function of “numbers”. As training increases, so do the chances of injuries and, with it, the chances of legal recourse.
So, it remains wise to insure yourself, your equipment or your business in a proper and effective way. But before getting back to the potential differences amongst the training agencies, let’s first explore the foundational legal principles on which any civil claim would be adjudicated: inherent risk, negligence and duty to take care.

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THE MAGAZINE OF DIVERS ALERT NETWORK SPRING <strong>2016</strong><br />

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THE MAGAZINE OF DIVERS ALERT NETWORK SPRING <strong>2016</strong><br />

Publisher<br />

Editorial Director<br />

Managing Editor<br />

Director of Manufacturing and Design<br />

Art Director<br />

Graphic Designers<br />

Editor, AlertDiver.com<br />

Editorial Assistant<br />

DAN Executive Team<br />

Stephen Frink<br />

Brian Harper<br />

Diana Robinson<br />

Barry Rouxel-Berg<br />

Kenny Boyer<br />

Rick Melvin, Diana Robinson<br />

Diana Robinson<br />

Ani Govjian<br />

William M. Ziefle, President and CEO<br />

Panchabi Vaithiyanathan, COO and CIO<br />

Rachelle Deal, Vice President, Marketing<br />

Petar Denoble, Vice President, Mission<br />

VISION<br />

Striving to make every dive accident- and<br />

injury-free. DAN‘s vision is to be the most<br />

recognized and trusted organization worldwide<br />

in the fields of diver safety and emergency<br />

services, health, research and education by<br />

its members, instructors, supporters and the<br />

recreational diving community at large.<br />

Volume 32, No. 2<br />

FOR SUBSCRIPTION OR MEMBERSHIP ASSISTANCE, PLEASE CALL +1-800-446-2671,<br />

OR EMAIL member@dan.org<br />

FOR <strong>AD</strong>VERTISING SALES, PLEASE CONTACT:<br />

Stephen Frink, National Sales Director, sfrink@alertdiver.com, +1-305-451-3737<br />

Diana Robinson, Ad Services Manager, drobinson@dan.org, +1-919-684-2948<br />

Alert Diver (ISSN 1084-2985) is<br />

published quarterly (four times yearly)<br />

by DAN, Inc., 6 West Colony Place,<br />

Durham, NC 27705 USA.<br />

Alert Diver is a DAN membership<br />

benefit; memberships begin at $35 per<br />

year. Periodicals rates are paid in<br />

Durham, N.C., and other mailing offices.<br />

POSTMASTER:<br />

Send address changes to Alert Diver,<br />

Address Change, 6 West Colony Place,<br />

Durham, NC 27705 USA.<br />

CAN<strong>AD</strong>A POST<br />

Publication Mail Product (Canadian<br />

Distribution) Sales Agreement<br />

No. 40030231<br />

DAN Department Managers<br />

Board of Directors<br />

Research, Education and Medicine<br />

Contributors This Issue<br />

Insurance: Robin Doles<br />

Medical Services: Dan Nord<br />

Member Services: Jeff Johnson<br />

Training: Patty Seery<br />

Inquiries or letters may be edited for<br />

clarity and length. All letters will be<br />

considered for publication.<br />

Letters may be sent to letters@dan.<br />

org or Editor, Alert Diver, 6 West Colony<br />

Place, Durham, NC 27705 USA.<br />

Text, illustrations or photographs in<br />

Alert Diver may not be reproduced or<br />

reprinted without the expressed<br />

consent of DAN, Inc., and its authors,<br />

artists and photographers.<br />

Alert Diver is printed in the USA.<br />

Alert Diver magazine’s printer is<br />

FSC ® certified, utilizing wellmanaged<br />

forestry and wastemanagement<br />

practices while using<br />

soy-based inks.<br />

Bill Anlyan, Sylvia Earle, Michael Lang,<br />

Wayne Massey, Joe Poe,<br />

Harry Rodgers, Lee Selisky,<br />

Doug Stracener, Kathy Weydig<br />

Peter Buzzacott, MPH, Ph.D.<br />

James M. Chimiak, M.D.<br />

Petar Denoble, M.D., D.Sc.<br />

Marty McCafferty, EMT-P, DMT<br />

Matías Nochetto, M.D.<br />

Neal Pollock, Ph.D.<br />

Frances Smith, EMT-P, DMT<br />

Scott Smith, EMT-P<br />

DAN is a NC nonprofit corporation.<br />

The DAN Foundation is a 501(c)(3)<br />

tax-exempt nonprofit corporation.<br />

ID#56-1696689<br />

MISSION<br />

DAN helps divers in need of medical<br />

emergency assistance and promotes dive<br />

safety through research, education, products<br />

and services.<br />

Divers Alert Network ® (DAN ® ), a nonprofit<br />

organization, exists to provide expert medical<br />

information for the benefit of the diving<br />

public.<br />

DAN’s historical and primary function is to<br />

provide timely information and assistance for<br />

underwater diving injuries, to work to prevent<br />

injuries and to promote dive safety.<br />

Second, DAN promotes and supports<br />

underwater dive research and education,<br />

particularly as it relates to the improvement of<br />

dive safety, medical treatment and first aid.<br />

Third, DAN strives to provide the most<br />

accurate, up-to-date and unbiased<br />

information on issues of common concern<br />

to the diving public, primarily — but not<br />

exclusively — for dive safety.<br />

ALERT DIVER’S PHILOSOPHY<br />

Alert Diver ® is a forum for ideas and<br />

information relative to dive safety, education<br />

and practice. Any material relating to dive<br />

safety or dive medicine is considered for<br />

publication. Ideas, comments and support are<br />

encouraged and appreciated.<br />

The views expressed by contributors are<br />

not necessarily those advocated by Divers<br />

Alert Network. DAN is a neutral public service<br />

organization that attempts to interact with all<br />

diving-related organizations or persons with<br />

equal deference.<br />

Alert Diver is published for the use of the<br />

diving public, and it is not a medical journal.<br />

The use and dosage of any medication by a<br />

diver should be under the supervision of his<br />

or her physician.<br />

DAN does not sell, lease or trade its mailing<br />

lists. The appearance of an advertisement<br />

in Alert Diver does not imply endorsement<br />

by DAN of any product or service shown.<br />

Individuals who reply to advertisements<br />

in Alert Diver understand that they are<br />

volunteering their information to the<br />

advertisers and are, therefore, subject to that<br />

company‘s mailing policies.<br />

4 | SPRING <strong>2016</strong>


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The Dive Accident Insurance is underwritten by The United States Life Insurance Company in the City of New York. Policies are issued by The United States<br />

Life Insurance Company in the City of New York (all states). The United States Life Insurance Company in the City of New York is responsible for the financial<br />

obligations of insurance products it issues and is a member of American International Group, Inc. (AIG) Coverage may vary or may not be available in all states.<br />

For residents of New York, please contact DAN member services. In Canada, this plan is underwritten by AIG Insurance Company of Canada.


CONTENTS<br />

Spring <strong>2016</strong><br />

Features<br />

64 THE MALDIVES<br />

A NEW LOOK AT AN<br />

OLD FAVORITE<br />

Text and photos by<br />

Stephen Frink<br />

The 1,200 islands of<br />

the Maldives are<br />

spread over 35,000<br />

square miles of<br />

Indian Ocean. This<br />

vast wilderness of<br />

reefs and atolls<br />

features a stunning<br />

variety of reef<br />

dwellers and<br />

pelagics both great<br />

and small.<br />

72 FINDING<br />

TREASURE<br />

IN THE BVI<br />

Text and photos<br />

by Tanya G. Burnett<br />

Steeped in pirate lore<br />

and warmed by<br />

tropical breezes, the<br />

British Virgin Islands<br />

are a playground for<br />

sailors and divers.<br />

The wrecks and reefs<br />

of “nature’s little<br />

secrets” teem with<br />

color and life.<br />

78 GIANTS<br />

OF THE<br />

UNDE<strong>AD</strong> MED<br />

By Doug Perrine<br />

Far from being dead,<br />

the Mediterranean<br />

Sea is home to<br />

abundant marine<br />

mammals and other<br />

wildlife, including<br />

fin whales, sperm<br />

whales, pilot whales,<br />

many species of<br />

dolphins and more.<br />

ON THE COVER:<br />

PILOT WHALES<br />

Nice, France<br />

By Greg Lecoeur<br />

7th<br />

Place<br />

While sailing in the Mediterranean with<br />

friends, we spotted several big dorsal fins<br />

on the horizon. No sooner had we changed<br />

course to approach them than they came<br />

to us. We stopped the boat, and I put on my mask and fins,<br />

grabbed my camera and eased into the water for one of the<br />

best underwater encounters I’ve ever had. These whales were<br />

very interested in me and swam around me for five long minutes.<br />

Nikon D7000, Tokina 10-17mm f/3.5-4.5 lens, 1/160 sec @ f/9, ISO 320,<br />

Nauticam natural light housing; www.greglecoeur.com<br />

82 DIETARY<br />

SUPPLEMENTS<br />

AND HEALTHY<br />

FOODS FOR<br />

DIVERS<br />

By Petar Denoble,<br />

M.D., D.Sc.<br />

Might certain foods<br />

and vitamins provide<br />

some measure of<br />

protection for divers?<br />

Petar Denoble<br />

explores the potential<br />

benefits of a variety<br />

of healthy foods and<br />

dietary supplements.<br />

86 OCEAN VIEWS<br />

<strong>2016</strong>: CHANGE<br />

THE WORLD<br />

The entrants in this<br />

year’s Ocean Views<br />

photo contest are<br />

truly ambassadors<br />

for our ocean world.<br />

As photographer<br />

Brian Skerry states<br />

in his introduction<br />

to the contest<br />

gallery, “The images<br />

we produce bear<br />

witness to the fact<br />

that this stunning<br />

realm exists.”<br />

A polar bear mother and cubs take a break from hunting seals in Svalbard,<br />

a Norwegian archipelago in the Arctic Ocean. Photo by Amos Nachoum<br />

6 | SPRING <strong>2016</strong>


FEATURING<br />

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CONTENTS<br />

Spring <strong>2016</strong><br />

Wire-coral gobies such as this one in Fiji are<br />

widely distributed throughout the Indo-Pacific and<br />

the Red Sea, often found in pairs on the same<br />

branch of wire coral. Photo by Jan Andrews<br />

Departments<br />

10 From the Safety Stop<br />

16 Dive Slate<br />

30 Encounters<br />

32 Dive Fitness<br />

34 Local Diving<br />

38 Life Aquatic<br />

41 Research, Education and Medicine<br />

42 DAN Was There for Me<br />

44 Advanced Diving<br />

48 Expert Opinions<br />

52 Safety 101<br />

54 From the Medical Line<br />

58 Skills in Action<br />

60 Incident Insight<br />

104 Water Planet<br />

106 Member to Member<br />

108 Gear<br />

112 Parting Shot<br />

8 | SPRING <strong>2016</strong>


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FROM THE<br />

SAFETY STOP<br />

PERSPECTIVES<br />

SOMETHING FOR<br />

EVERYONE<br />

By Bill Ziefle<br />

For 35 years DAN® has been providing<br />

support to divers in need regardless of<br />

location, time of day, type of diving or<br />

nature of the problem. DAN is always<br />

available with expertise and resources<br />

to handle a wide variety of water-related<br />

emergencies. Whether a recreational diver shows signs<br />

of decompression sickness or a public safety diver<br />

sustains an injury during a rescue, DAN will help that<br />

diver get the medical care he or she needs. The body of<br />

knowledge and experience DAN has cultivated over the<br />

years is available to support the full spectrum of divers,<br />

including recreational, technical, breath-hold, scientific,<br />

public safety and even commercial and military divers.<br />

Divers today are going further than ever before.<br />

Recreational divers, empowered by new technologies<br />

and advanced training, are venturing into the world<br />

of technical diving. The population of technical divers<br />

is small but growing. These divers often experience<br />

extreme environmental conditions, diving beyond<br />

recreational boundaries and often outside welltested<br />

limits. Although these practices are becoming<br />

normalized with time, these divers face many questions<br />

that are not fully answered by current diving research.<br />

Recently, researchers and divers presented on known<br />

safety issues at Rebreather Forum 3, a meeting DAN<br />

co-sponsored. Recreational, professional and military<br />

rebreather divers discussed the latest developments and<br />

evolving best practices. Safety was the key theme, and<br />

participants learned about the most common causes of<br />

rebreather incidents and fatalities in hopes of reducing<br />

their future occurrence. Educational seminars explored<br />

incidents, forensics, equipment design and testing,<br />

advances in medicine and physiology, training and<br />

operations. Future workshops will continue to explore<br />

these issues.<br />

A resurgence of interest in freediving, both recreationally<br />

and competitively, can be seen in the astounding increases<br />

in diving depths and breath-hold times achieved. These<br />

changes in performance have far-reaching implications for<br />

human physiology and safety. DAN continues to monitor<br />

incidents and fatalities associated with breath-hold diving<br />

and has organized research studies to deal with the<br />

specialized nature of the sport.<br />

Scientific divers are another important segment of<br />

the diving community. Many scientific diving programs<br />

rely on DAN’s suite of first aid courses to train their<br />

divers. Developed by physicians and subject experts,<br />

DAN’s Diving Emergency Management Provider<br />

course provides training in first aid, CPR, neurological<br />

assessment, emergency oxygen administration and<br />

hazardous marine life injuries.<br />

Most recently, DAN has begun to explore ways to<br />

support the police officers, firefighters, emergency<br />

services personnel and volunteers who are our public<br />

safety divers. This diverse group of individuals handles<br />

emergencies in some of the most hostile conditions<br />

encountered by divers: inclement weather, zero<br />

visibility, high-velocity currents and waters polluted<br />

by chemicals and biohazards. While their emergencies<br />

may be different from those of recreational divers, they<br />

too suffer short-term and long-term effects from their<br />

diving activities. DAN is now collecting data from public<br />

safety diving incidents and using it to develop new<br />

initiatives to minimize health risks to those divers.<br />

Regardless of the type of diver you are, DAN is working<br />

to make the diving you do safer. Through innovative<br />

research designed to improve our understanding of diving<br />

injuries, improved dive-accident management protocols<br />

and enhanced insurance products to cover the cost of<br />

injuries, DAN is here for all divers.<br />

Last year alone DAN’s medical services department<br />

received 15,793 inquiries and managed 3,460 medical<br />

cases for injured divers. DAN is available to members<br />

and nonmembers alike. More than half the queries<br />

received via the DAN Emergency Hotline come from<br />

nonmembers, so if you know divers who are not DAN<br />

members, encourage them to join. <strong>AD</strong><br />

10 | SPRING <strong>2016</strong>


Be Ready To Respond.<br />

DAN’s First-Aid Kits come fully stocked with an assortment of supplies, compartments and additional storage that<br />

makes them ideal for dive operators, active divers and travelers on the go.<br />

TRAUMA KIT<br />

DAN’s Trauma Kit is designed to handle major traumas and emergencies in remote locations.<br />

This kit includes a wide assortment of dressings, bandages, pads and other commonly used<br />

first-aid supplies. The waterproof Pelican 1500 case keeps the first-aid supplies<br />

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Accessories such as a blood pressure cuff or stethoscope<br />

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for professional use.<br />

631-2800 DAN Trauma Kit $350.00<br />

FIRST-AID BACKPACK<br />

The First-Aid Backpack is fully stocked with an assortment of first-aid essentials to handle<br />

a range of emergencies. Common medications, stop-bleeding wraps, wound-care<br />

bandages, fracture/sprain splints and burn-care supplies are included. Features ample<br />

storage compartments for all first-aid components as well as an open storage area for<br />

additional supplies. This durable First-Aid Backpack is designed for dive operators and<br />

other active individuals.<br />

631-3000 First-Aid Backpack — Complete with Supplies $145.00<br />

CPR AND LIFE SUPPORT<br />

TRAINING<br />

Basic Life Support: CPR and First Aid Course<br />

Includes a waterproof cover stored in<br />

bottom compartment of pack<br />

In this course, divers will learn life-saving skills<br />

such as how to perform CPR, use an automated<br />

external defibrillator (AED), recognize the signs<br />

and symptoms of heart attacks and other medical<br />

emergencies, manage shock, control bleeding<br />

and more.<br />

Learn more at DAN.org/TRAINING<br />

American Camp Association (ACA) Approved<br />

DAN.org/STORE


FROM THE SAFETY STOP<br />

PUBLISHER’S NOTE<br />

Capt. Spencer Slate feeds a barracuda with a<br />

ballyhoo clenched in his teeth (photographed in<br />

the early 1990s). Emulating this behavior has<br />

sent several divers to the emergency room over<br />

the years. Just because you see it in a photograph<br />

doesn’t mean it’s a good idea to try it.<br />

DON’T TRY THIS AT HOME<br />

By Stephen Frink<br />

STEPHEN FRINK<br />

Some images take on a life of their own.<br />

That’s my thought each time I see a<br />

Facebook post by Capt. Spencer Slate,<br />

because his profile picture is a shot I<br />

took of him decades ago. Back in those<br />

days he did a “Creature Feature” each<br />

week in which he introduced divers to the critters and<br />

fed ballyhoo to the resident marine life on Key Largo’s<br />

City of Washington shipwreck — usually with the bait<br />

clenched between his teeth. This was an odd thing<br />

to do, even given the tenor of the times in the dive<br />

industry, but fish feeding at this particular site was the<br />

continuation of a long tradition begun by Steve Klem,<br />

celebrated as the “Pied Piper of Pennekamp Park” in a<br />

long-ago Skin Diver magazine feature.<br />

I took that photo when I was shooting for Skin Diver,<br />

and it was one of those crappy days when the wind had<br />

been blowing for a week and the visibility was less than<br />

30 feet. The only way I could get the shot was by using<br />

an extreme wide-angle lens and getting so close to the<br />

action that there was only a foot of that turbid water<br />

between us. Slate and I were so close together that<br />

there was only a very narrow channel for the barracuda<br />

to race through to get the bait. It took a dozen<br />

attempts, but I finally nailed the shot: a frozen moment<br />

in which the barracuda’s mouth was wide open just<br />

nanoseconds from consuming the ballyhoo and made<br />

all the more impressive with close-focus perspective<br />

distortion. The shot made the cover of Skin Diver,<br />

and then it went beyond. I’ve seen it as a postcard for<br />

diving the Red Sea and the Turks and Caicos and on<br />

Ripley’s Believe It or Not as well as in other, mostly<br />

unauthorized, uses.<br />

Carlos Jaile related via Facebook a similar experience he<br />

witnessed while diving the City of Washington some years<br />

after the photo was published. “I remember this picture<br />

well.… I also remember back in the mid-1980s seeing a<br />

photographer and a diver trying to do something similar,<br />

feeding this barracuda or another damn big one and the<br />

guy losing two fingers in the process.”<br />

I can see how that could happen. Given this image’s<br />

wide distribution, it’s not surprising that other<br />

12 | SPRING <strong>2016</strong>


photographers would try to replicate the shot. I<br />

tried it again myself with a more beautiful model<br />

(no offense, Slate): My wife, Barbara, was modeling<br />

for me in one of my photo classes in Key Largo, and<br />

she fed the barracuda. Happily, she did so by hand<br />

— even at the height of our youthful risk tolerance<br />

she figured it was not a great idea to put dead fish<br />

in her mouth in hopes that a barracuda might come<br />

by to snatch it away. I was shooting video at the<br />

time, which was unusual for me and bad for Barbara<br />

because it meant I was detached from the action,<br />

seeing the world only through a tiny electronic<br />

viewfinder. Had I been fully engaged I might have<br />

realized the pace was too frenetic and tried to calm<br />

things down a bit. When I played the tape back,<br />

what happened was obvious: The barracuda grabbed<br />

a piece of bait and then hung in the water behind<br />

and to the right of Barbara’s head, just outside her<br />

peripheral vision. She turned her head right and left,<br />

searching for but never seeing the barracuda. She<br />

took another piece of bait from the bag, and faster<br />

than we could comprehend — let alone react — the<br />

barracuda hit. It didn’t bite down (if it had, she would<br />

have lost her fingers as well), but its teeth slid along<br />

her fingers like twin scalpels, shredding them to the<br />

bone. It was a terrible injury, the scars from which<br />

she would carry for life. We left the fish feeding to<br />

the pros after that.<br />

This sort of thing is bound to happen when<br />

photographers and magazines conspire to publish<br />

dangerous in-water activities. There’s a fine line to<br />

walk because no one wants to sanitize all the fun<br />

out of scuba diving. But an enlightened publication<br />

shouldn’t sensationalize reckless behavior or suggest<br />

that it’s something its readers might wish to do on a<br />

dive. Words matter, and so do photos.<br />

I think about that these days when I choose<br />

which shark photos to publish. Shark populations<br />

are being decimated by unconscionable finning<br />

operations, and I don’t want to perpetuate the myth<br />

that sharks are mindless predators eager to devour<br />

all the humans in the ocean. Divers know better than<br />

that, but the general public remains susceptible to<br />

misunderstanding, and sharks can lose big as a result.<br />

For the same reason we shouldn’t take photos of divers<br />

touching coral or puffing pufferfish or riding turtles,<br />

we shouldn’t overhype the hazardous marine life angle.<br />

There are those who, unlike us, haven’t experienced<br />

the world through a face mask. If their only view of<br />

our world is through our lenses, we should carefully<br />

consider their perception of our reality. <strong>AD</strong><br />

CLAUDIO CONTRERAS KOOB<br />

CAS DOBBIN<br />

WHAT’S NEW ON<br />

ALERTDIVER.COM<br />

MARVELOUS<br />

MALDIVES<br />

Manta rays, sharks, turtles<br />

and friendly fish — marvel<br />

at the imagery in the<br />

Maldives on Page 64,<br />

then continue the journey<br />

in Stephen Frink’s online<br />

photo gallery.<br />

ART AND DIVING<br />

Discover how the aquatics<br />

team supports the artists<br />

in Cirque du Soleil’s O<br />

(Page 44), then go online<br />

to catch a behind-thescenes<br />

video of how it all<br />

comes together.<br />

CHANGING THE<br />

WORLD<br />

Photography can change the way<br />

people look at the world, and<br />

the winning images of the <strong>2016</strong><br />

Ocean Views photo contest<br />

(Page 86) are proof. Let the<br />

images in the bonus online<br />

gallery continue to amaze you.<br />

REDISCOVERING<br />

A MINE<br />

Travel with Jill Heinerth<br />

to Bell Island on<br />

Page 16, and see more<br />

of her discoveries in the<br />

bonus online gallery.<br />

ALL THIS AND MUCH MORE AWAIT<br />

AT ALERTDIVER.COM<br />

STEPHEN FRINK<br />

COURTESY CIRQUE DU SOLEIL<br />

ALERTDIVER.COM | 13


FROM THE SAFETY STOP<br />

LETTERS FROM MEMBERS<br />

JENNIFER IDOL<br />

CHEERS<br />

Alert Diver has a captive audience<br />

worldwide because of its<br />

storyboard, design, imagery and<br />

attention to detail. Your Winter<br />

<strong>2016</strong> feature by photographer<br />

Jennifer Idol, “My Journey to<br />

Dive All 50 States,” was a perfect<br />

example. Thank you for years and<br />

years of promoting awareness of<br />

our ocean planet and engaging the<br />

next generation to create a brilliant<br />

future for diving.<br />

— Ernie Brooks, Lacey, Wash.<br />

My congratulations to Dr. Petar<br />

Denoble on the Winter <strong>2016</strong> article<br />

“The Future of Dive Medicine.”<br />

It is a very clear explanation of<br />

genetic effects in medicine and<br />

a straightforward explication of<br />

molecular mechanisms in genetics.<br />

He is to be applauded. I would like<br />

to see more articles like this.<br />

— Michael Shwayder, M.D.,<br />

via email<br />

SUNSCREEN SOUNDING BOARD<br />

In reply to your Winter <strong>2016</strong><br />

article “Sunscreen Pollution,” I<br />

am saddened to hear that I have<br />

been polluting the environment,<br />

especially coral reefs. I am a<br />

Boy Scout as well as a diver,<br />

and we pride ourselves on being<br />

ambassadors for the environment.<br />

To find out that what we use to<br />

protect ourselves is hurting the<br />

underwater world makes me feel<br />

like I am not doing my part.<br />

I am glad to share that information<br />

with my fellow scout divers, and I<br />

have limited our polluting with the<br />

use of clothing that blocks ultraviolet<br />

(UV) radiation. I will talk with my<br />

dive shop to see if they carry a<br />

marine-safe sunscreen. I will also try<br />

to persuade my fellow divers to use<br />

clothing to cut down on pollution. I<br />

think this will help protect our own<br />

local dive environment, the fresh<br />

waters of the Midwest.<br />

— Robert Fagan, via email<br />

I recently returned from dive trips<br />

to Roatán and the Mayan Riviera.<br />

Increased education and awareness<br />

about sun exposure and its effects<br />

would go a long way to reducing<br />

pollution in our waters.<br />

I think aerosol sunscreens<br />

should be eliminated. I routinely<br />

saw sunburned people spraying<br />

themselves in gusty winds.<br />

14 | SPRING <strong>2016</strong>


Their reddish skin suggested the<br />

ineffectiveness of their technique<br />

(or the product), and much of the<br />

sunscreen blew onto other people<br />

or directly into the ocean.<br />

Having had some early warning<br />

signs of skin cancer I have taken<br />

some simple steps to reduce<br />

further effects of the sun, including<br />

the use of UV-protective clothing<br />

such as rash guards, hats and face<br />

buffs. When snorkeling, a full UV<br />

suit with a hoodie lets me play in<br />

the water without worrying about<br />

reapplying messy lotions, which,<br />

as mentioned in your article,<br />

are absorbed into the body with<br />

potentially negative side effects. In<br />

addition to being more effective,<br />

UV-protective clothing is also<br />

more cost effective.<br />

Just taking a close look at the<br />

scum on the surface of resort<br />

swimming pools will give you<br />

some idea what we are doing to<br />

our waters.<br />

— Scott Bodnarchuk,<br />

Beausejour, Manitoba, Canada<br />

My first reaction to Dr. Craig<br />

Downs’ article on sunscreen<br />

pollution on coral reefs was:<br />

“Give it a rest!” Recalling my own<br />

experience diving and snorkeling<br />

in Hawaii while wearing a skin suit,<br />

however, I remembered the futility<br />

of using sunscreen in the water at<br />

all. With my skin suit I was able to<br />

stay in the water for hours with no<br />

WRITE US<br />

Tell us what’s on your mind<br />

by writing to us at:<br />

MAIL<br />

Alert Diver<br />

6 West Colony Place<br />

Durham, NC 27705<br />

ONLINE<br />

Send email to:<br />

letters@dan.org<br />

All letters included in this<br />

column are subject to editing<br />

for length and content.<br />

sunburn. These suits are available<br />

for around $35 online.<br />

— Mark Bergendahl, via email<br />

U.S. COAST GUARD NATIONAL<br />

STRIKE FORCE DIVE TEAM<br />

David Helvarg’s article “Always<br />

Ready: The U.S. Coast Guard<br />

Diving Program” (Winter <strong>2016</strong>)<br />

states, “They had a rescue<br />

swimmer program that grew out<br />

of a helicopter rescue tragedy in<br />

1983, but no dive program.” This<br />

is incorrect. I was one of the divers<br />

assigned to the U.S. Coast Guard<br />

National Strike Force Atlantic<br />

Strike Team in Elizabeth City,<br />

N.C., in the 1980s after having<br />

completed the U.S. Navy Second<br />

Class Dive School at the U.S. Navy<br />

base in Coronado, Calif.<br />

The U.S. Coast Guard National<br />

Strike Force dive team consisted<br />

of a 13-member dive team that<br />

had two diving officers and a mix<br />

of U.S. Navy-trained First Class<br />

and Second Class surface-supplied<br />

divers. As a dive team, we traveled<br />

and performed various diving<br />

operations such as safety diving<br />

at the dunker in Norfolk, Va.,<br />

conducting emergency hazardous<br />

material diving training with other<br />

agencies and participating in<br />

the recovery of the space shuttle<br />

Challenger in 1986. The U.S. Coast<br />

Guard National Strike Force dive<br />

team ended in 1986, when the<br />

dive team was disbanded due to<br />

budget cuts.<br />

— Linda Moroz, via email<br />

I really enjoyed the article “Always<br />

Ready” about the U.S. Coast Guard<br />

diving program. It’s good to hear<br />

about collaboration between the<br />

recreational dive community and<br />

our armed forces.<br />

— Wes, Parsippany, N.J.<br />

EYE ALERT<br />

While diving I developed eye<br />

irritation that was so painful I<br />

visited my local emergency room.<br />

The medical staff said it looked<br />

like a chemical burn and irrigated<br />

my eye. After speaking with the<br />

doctor, it seemed that the most<br />

likely cause was the mask defogger<br />

I used. My eye is fine now and back<br />

to normal. In thinking about the<br />

injury, I believe the problem was<br />

that the defogger had gelled when<br />

I used it (it was cold [45-50°F] and<br />

windy). Thus, instead of applying a<br />

couple of drops, I applied a couple<br />

of globs. In all my dive and first aid<br />

training, I have never heard this<br />

mentioned as a hazard. If you use<br />

mask defogger, read the label, and<br />

take care when applying it.<br />

— Darrell Barabash, via email<br />

GOING STRONG<br />

I am extremely grateful to be<br />

able to continue diving at age 90.<br />

My comfort and confidence in<br />

the water are as good today as<br />

they were when I was certified 45<br />

years ago. Of course, I am more<br />

selective about the areas and<br />

conditions in which I dive now. To<br />

minimize accidents, I believe the<br />

certification agencies should try<br />

to ensure everyone who dives is,<br />

first, psychologically capable and,<br />

second, a member of DAN®. I am<br />

certain my physical condition is a<br />

major factor as well — I go to the<br />

gym seven mornings a week for a<br />

vigorous hourlong workout. <strong>AD</strong><br />

— James Monaco, via email<br />

RYAN CARPENTER<br />

ALERTDIVER.COM | 15


DIVE SLATE<br />

Cas Dobbin approaches the<br />

anchor hanging from the<br />

bow of the wreck PLM 27.<br />

JILL HEINERTH<br />

16 | SPRING <strong>2016</strong>


16 EXPLORING THE HEART OF BELL ISLAND | 20 LIONFISH<br />

23 ELEVATING THE STANDARD OF CARE | 26 DAN MEMBER PROFILE<br />

28 PUBLIC SAFETY ANNOUNCEMENT | 29 TRAVEL SMARTER, EDUCATION SPOTLIGHT<br />

EXPLORING THE HEART<br />

OF BELL ISLAND<br />

By Jill Heinerth<br />

My heart skips a beat as I descend<br />

into the chocolate-brown water<br />

at the entrance to the Bell<br />

Island mines in Conception Bay,<br />

Newfoundland. A freak winter<br />

gale has washed more than 3<br />

feet of brown runoff into the mines during the night.<br />

Our floating dock is stuck to the ceiling, and the diver<br />

prep area is submerged beneath an inflowing river of<br />

melted snow. It’s bone-chillingly cold, the visibility is<br />

low, and I am lugging a large camera, lights and strobes<br />

to capture images in water that I hope will be clear a<br />

few hundred feet into the submerged passages.<br />

The Royal Canadian Geographical Society has honored<br />

our project as its <strong>2016</strong> Expedition of the Year, recognizing<br />

our efforts to reveal the unseen depths of Canadian<br />

geography. The Explorers Club has granted Flag #80 to<br />

our mission, likewise acknowledging the importance of<br />

sharing the secret, submerged assets of Bell Island.<br />

Few people know that Bell Island was attacked during<br />

World War II. In 1942 German U-boats blitzed the<br />

island twice in attempts to disrupt the flow of the highgrade<br />

iron ore being extracted from the mines. Raiding<br />

U-boats sunk the SS Saganaga, the SS Lord Strathcona,<br />

the SS Rose Castle and the Free French vessel PLM 27,<br />

and they blew up the loading wharf on Bell Island. In all,<br />

70 men were killed, and the region’s inhabitants were<br />

awakened to their precarious position on the front lines<br />

of the Battle of the Atlantic.<br />

The goals of our project are ambitious. We are<br />

establishing a visual archive of the history that was<br />

submerged when the first mine closed in 1949 and<br />

the last mine closed in 1966. With no inventory of<br />

mine assets, we’ll be the first to reveal the cultural<br />

history that was abandoned when it became too<br />

expensive to continue the extraction of ore. In addition<br />

to documenting the mechanical and engineering<br />

history of the mine, we will be collecting biological<br />

samples from ferrous oxidizing bacterial colonies and<br />

hydrogen sulfide pools for DNA analysis. For me the<br />

greatest revelations of all will come from physiological<br />

examinations conducted by a team of scientists led by<br />

DAN® research director Neal Pollock, Ph.D.<br />

INNER SPACE<br />

After each dive we rush to stow our gear as quickly as<br />

possible and move up the 650-foot slope to the public<br />

museum area of Mine #2. Pollock and Stefanie Martina<br />

have set up a makeshift lab where they are poised to poke,<br />

prod and query our bodies and minds. I peel off a sweaty<br />

heated drysuit undergarment and lay prone on a mattress<br />

while Martina preps a cold ultrasound probe to place<br />

onto my ribcage. She gently rotates the device to find her<br />

landmark, and a miraculous image appears on the screen.<br />

I watch my beating heart, the valves of which look like a<br />

downward-swimming mermaid in a black void. Martina<br />

doesn’t have to tell me that my mermaid is navigating<br />

a field of bubbles on the right side of the heart. My<br />

decompression stress is clearly visible as rogue white dots<br />

that bounce off the walls and move upward on the screen.<br />

The first time I see it I am slightly alarmed. I feel great,<br />

but Martina informs me I am showing grade IIIb on the<br />

scale of bubbles (0, I, II, IIIa, IIIb, IVa, IVb, IVc and V,<br />

with 0 being no visible bubbles and V being a whiteout).<br />

I assure her that I am an open book and am ready to<br />

publicly share every detail of my results. The questions<br />

begin pouring out of me: Have I been bubbling for my<br />

last 7,000 dives? Is this happening after most or all of my<br />

dives, or is it particular to these cold, physical dives? How<br />

closely correlated are these bubbles with decompression<br />

sickness (DCS)? Pollock is generous with his educational<br />

offerings but careful to explain that these investigations are<br />

anecdotal. We’re all guinea pigs in this world of technical<br />

diving, trying to apply mathematical probabilities to an<br />

infinite set of parameters encompassing bodies, plans and<br />

diving history. We can’t conclude which of the myriad<br />

factors were most important in leading to my bubbles<br />

after so few dives — or even know if the bubbles might<br />

cause long-term issues — but we can certainly try to<br />

reduce stress in future dives in many ways.<br />

ALERTDIVER.COM | 17


DIVE SLATE<br />

BELL ISLAND MINE<br />

Neal Pollock examines expedition diver Steve Lewis using 3-D ultrasound. Jill Heinerth swims<br />

down a mine tunnel, documenting artifacts. Cas Dobbin photographs the SS Saganaga.<br />

JILL HEINERTH<br />

CAS DOBBIN<br />

JILL HEINERTH<br />

Pollock tells me about research that was done on<br />

commercial divers in the 1960s and 1970s, when<br />

many occupational divers were experiencing dysbaric<br />

osteonecrosis. This condition involves lesions of dead<br />

tissue in long bones such as the humerus (upper arm)<br />

and femur (thigh). An extensive monitoring program<br />

of North Sea divers led to changes in diving protocols<br />

that resulted in a reduction in the frequency of cases.<br />

Three factors were identified as important risk factors<br />

at the time: a history of repeated dives below 165 feet,<br />

a history of DCS and a pattern of diving profiles that<br />

could be considered experimental. That sounds much<br />

like technical diving today, which is the reason Pollock<br />

started this study. We tech divers are an odd lot,<br />

participating in an edgy aquatic experiment with our<br />

bodies over time.<br />

The battery of tests, which lasts for two hours<br />

after each dive, includes collection of blood for<br />

microparticle analysis (cell fragments in the blood that<br />

could show signs of decompression stress), collection<br />

of DNA samples for epigenetic study (analysis of how<br />

stress factors can reprogram gene expression) and<br />

testing of lung function.<br />

The tests also include questionnaires about our<br />

dives. Were we comfortable? Were we using active or<br />

passive heating? Was our exertion level high or low?<br />

For me, the questions bring insight and revelations<br />

about my personal diving protocols. I have always<br />

assumed that a warm and cozy diver would be a safe<br />

diver, yet my active heating efforts could be promoting<br />

increased ongassing of inert gas during the deepest<br />

portions of my dives. As I chill during decompression,<br />

relatively still in the cold meltwater, I might not be<br />

offgassing as effectively as I thought. Or perhaps my<br />

additional exertion when taking photographs means<br />

added decompression stress. Diving with me is like<br />

walking a dog. I swim laps around my subjects to<br />

get a shot, shifting my vertical position in the water<br />

column while panting and handling heavy camera gear.<br />

I suppose it’s no surprise that my hardest photo and<br />

video dives netted the highest bubble scores.<br />

One might ask how Pollock’s research could ever<br />

result in valid conclusions if every dive is such an<br />

uncontrolled mess of variables. It might be tough<br />

to publish, but the value of his mission goes far<br />

beyond a published article in a scientific journal. His<br />

most important work may be to reveal to the diving<br />

community that even if we feel great and follow what<br />

we believe to be a conservative algorithm, we may<br />

still face risks now or later in life. His questions and<br />

careful observations create a framework for education<br />

and discussions in the technical diving community.<br />

We really don’t know a lot about our experimental<br />

technical dives, but if we can push for more research<br />

in this field, we should be able to improve our<br />

understanding and safety in the future.<br />

I’ve emerged from the heart of Bell Island with an<br />

indelible image in my mind. My downward-facing<br />

heart-valve mermaid is strong, but I don’t want to<br />

see her navigating a field of bubbling blood again. I<br />

know I need to make some changes that can reduce<br />

my decompression stress. I’m going to re-evaluate<br />

how or whether I choose to use active heating on<br />

cold-water dives. I’m going to add more light exercise<br />

to my decompression hangs and lengthen my last<br />

decompression stop. I hope that with more of this<br />

cutting-edge research we’ll acquire better data to<br />

enlighten our community and usher in a set of<br />

safer protocols.<br />

INTO THE MURKY DEPTHS<br />

The chocolate-brown water yields to a wispy veil of<br />

vaporous white. A dive light casts a warm glow in the<br />

distance, and I emerge into clear water that reveals a<br />

17-foot-high tunnel with squared-off walls. A pair of<br />

rusting metal pipes covered in gelatinous silt lures us<br />

deeper down the shaft, and a hulk of gears and wheels<br />

takes form in the dark room ahead of us. We find a<br />

large pump system and a junction of broken pipes<br />

and gear. Cas Dobbin, an engineer in the oil and gas<br />

industry, looks around at the equipment, noting the<br />

broken valves and severed connections. He files away<br />

18 | SPRING <strong>2016</strong>


the information for later, trying<br />

to create a picture of how<br />

steam pipes and dewatering<br />

equipment allowed this mine<br />

to function.<br />

We note a caricature and<br />

name on the wall. Apparently<br />

James Bennett had an idle<br />

moment while working in the<br />

mines and painted his own<br />

pipe-smoking visage on the wall<br />

in lamp black. I photograph our<br />

targets and begin the inventory<br />

of the abandoned mine that<br />

was vacated so quickly that<br />

nobody bothered to take stock<br />

before allowing it to flood.<br />

Around another corner, a small<br />

white cross on the wall gives<br />

us pause. A miner died here,<br />

perhaps from a rock fall or<br />

from being run over by an ore<br />

cart that plunged down the<br />

slope on the tracks below us,<br />

now buried under silt.<br />

The first phase of our project<br />

concludes; we remove the<br />

safety tanks from the mine and<br />

sum up our successes. We’ve<br />

laid the essential guidelines<br />

that will be necessary for<br />

future visiting divers. We have<br />

begun the enormous task of<br />

documenting the submerged<br />

industrial artifacts and will now<br />

begin to share our findings with<br />

the world. The tiny community<br />

of Bell Island will once again<br />

become widely known. The<br />

descendants of the miners<br />

generously recount the folklore<br />

of the region, welcoming a<br />

new wave of curious visitors to<br />

explore the mines and wrecks,<br />

diving through time to touch<br />

the face of history. <strong>AD</strong><br />

LEARN MORE<br />

For more information, visit<br />

www.IntoThePlanet.com/<br />

Newfoundland or<br />

www.BellIslandMines.com.<br />

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ALERTDIVER.COM | 19


DIVE SLATE<br />

LIONFISH<br />

COURTESY STUART COVE’S<br />

LIONFISH<br />

MANAGING THE INVASION<br />

By Lad Akins<br />

Why in the world would<br />

someone catch an invasive<br />

lionfish only to let it go again?<br />

First documented along<br />

the east coast of Florida in<br />

1985, most likely as a result<br />

of aquarium releases, Indo-Pacific lionfish have quickly<br />

spread throughout the Western Atlantic, Caribbean and<br />

Gulf of Mexico. The invasion is likely to continue well<br />

into South America through Brazil. Much is now known<br />

about the invasive fish, including their distribution,<br />

reproduction, predation impacts and genetics, which<br />

have all been subject to rigorous scientific study.<br />

Divers and the dive industry have been very<br />

effective at controlling lionfish populations in some<br />

locations through regular, ongoing removals, but<br />

eradication is not possible at this time. One-day<br />

fishing events, such as lionfish derbies, have been<br />

shown to remove large percentages of lionfish across<br />

a wide range, but recolonization can occur within<br />

months. Lionfish removals have been incentivized<br />

A new method of tagging lionfish at depth<br />

eliminates problems associated with barotrauma,<br />

anesthesia and displacement, improving the<br />

data researchers collect about site fidelity,<br />

movement patterns and growth.<br />

by the establishment of lionfish as a highly regarded<br />

food fish, but removal efforts to date have amounted<br />

to “weeding the garden,” with no long-term solution<br />

in sight. Much work is now focused on researching<br />

more effective control tools and techniques, including<br />

lionfish-specific traps, attractants and other hightech<br />

approaches such as deep-sea rovers, undersea<br />

vacuums and more. More information about lionfish<br />

is still needed, however, to better inform control<br />

efforts and design new removal tools, which leads us<br />

to letting lionfish go.<br />

Essential information about any invasive species<br />

includes when, why and how much they move. When an<br />

area is culled, lionfish recolonize it through both juvenile<br />

recruitment and adult fish moving into the territory.<br />

Knowing how much lionfish move is one of the keys to<br />

designing effective diver removal programs, and one of<br />

the best ways to determine movement is through a markand-recapture<br />

study. But marking lionfish can be tricky.<br />

Handling a venomous fish is always a challenge,<br />

but poking, prodding and piercing one with a tag can<br />

20 | SPRING <strong>2016</strong>


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be downright dangerous. Most traditional tagging methods involve the<br />

collection of fish using a trap or net followed by a lengthy, slow ascent to<br />

minimize swim bladder expansion and the associated barotrauma. Once on<br />

the surface, the fish are sedated using a specific type of anesthesia. Then the<br />

tag is applied and the fish kept for recovery, which can sometimes involve a<br />

lengthy holding period. (The U.S. Food and Drug Administration requires<br />

a 28-day holding period for potentially edible fish that have been subject<br />

to anesthesia.) When the fish are finally released, there can be significant<br />

displacement as well as behavioral changes due to their long absence.<br />

In 2008 researchers at the Reef Environmental Education Foundation<br />

(REEF) along with National Oceanic and Atmospheric Administration<br />

(NOAA) scientists and aquarium professionals began pioneering a<br />

new lionfish tagging method to eliminate barotrauma, anesthesia and<br />

displacement. A 2014 article in Ecology and Evolution describes the<br />

methodology and utility of the new technique, including step-by-step<br />

images and video (http://onlinelibrary.wiley.com/doi/10.1002/ece3.1171/<br />

full). The article describes a REEF-led study demonstrating that this new<br />

tagging method has significant promise in helping to answer key questions<br />

related to fish movement.<br />

In the study, divers collected lionfish using hand nets in three different<br />

areas in the Bahamas. They applied visual Floy streamer tags (thin strips of<br />

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ALERTDIVER.COM | 21


DIVE SLATE<br />

LIONFISH<br />

plastic with serial numbers and contact information) using the underwater<br />

protocol described in the article. The tagging procedure took approximately<br />

three minutes per fish, and the tagged fish were released back to their<br />

original capture locations within minutes. The lionfish handled the tagging<br />

procedure extremely well; no post-tagging mortality or unusual behavior was<br />

documented in any of the fish.<br />

Opportunistic sightings of lionfish by divers visiting the tagging area and<br />

nearby reefs provided an indication of the success of the tagging work. Of<br />

the 161 lionfish tagged, 24 percent were resighted or recovered between 29<br />

and 188 days after tagging. Of those, 90 percent were found at the same site<br />

where they were initially tagged. Of the fish that were documented to have<br />

moved, movement was primarily between patch reef sites in shallow water.<br />

While 24 percent is an extremely high return rate for a mark-andrecapture<br />

study, one may wonder what happened to the other 76 percent<br />

of the tagged lionfish. Some may have died or been eaten, some may have<br />

moved far beyond the survey area, and others may have migrated deep down<br />

the wall beyond recreational diving limits. For the fish tagged in this initial<br />

study, we’ll never know.<br />

To help mitigate this uncertainty, some researchers are now using surgically<br />

implanted acoustic transmitting tags and remotely deployed receivers that<br />

monitor lionfish positions 24 hours a day. The surgical procedures used in<br />

the acoustic tagging closely follow the visual tagging method and are proving<br />

to be very successful in initial trials. The primary differences between the two<br />

tagging methods are that the surgical procedure requires suturing the tagged<br />

fish following insertion of the tag, which is about the size of an AAA battery,<br />

and also involves a slightly longer procedure time — approximately five to<br />

six minutes per fish. A more detailed study using an acoustic receiving array<br />

is planned for this summer and will provide continual movement data to a<br />

resolution of approximately 1 meter.<br />

In science as in life, the more we learn, the more questions we have. As<br />

the lionfish invasion progresses, the need for information about new tools<br />

and technologies for management and removal continues to increase.<br />

Combining the efforts of divers with the knowledge gained through research<br />

projects enhances our ability to combat the invasion more effectively and<br />

protect our native marine life from a fish that doesn’t belong in this part of<br />

the world. <strong>AD</strong><br />

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LIONFISH QUICK FACTS<br />

Distribution: North Carolina to Venezuela;<br />

shallows to 1,000 feet deep<br />

Density: more than 200 per acre (up to<br />

1,200 per acre in some locations)<br />

Reproduction: 12,000 to 40,000 eggs<br />

as often as every two days, year round in<br />

warmer waters<br />

Maximum Size: 18.77 inches (official<br />

measurement); 20.47 inches (unofficial<br />

measurement)<br />

Age of 18.77-inch specimen: 4 years,<br />

9 months<br />

Maximum age: up to 15 years (One<br />

specimen in an aquarium lived for 30 years.)<br />

Genetic makeup: only 9 haplotypes in the<br />

entire invaded territory<br />

Removal success: Two divers removed<br />

815 lionfish in a single-day derby event in<br />

Jacksonville, Fla., in 2015. Derbies have<br />

been shown to reduce lionfish populations<br />

by about 70 percent across 58 square<br />

miles in the Bahamas.<br />

For more information, visit REEF.org/<br />

lionfish or facebook.com/REEFLionfish.<br />

22 | SPRING <strong>2016</strong>


In late 2015, as part of<br />

DAN’s Recompression<br />

Chamber Assistance Program<br />

(RCAP), DAN sent staff<br />

to Saba to help improve<br />

medical care for divers.<br />

ELEVATING THE STANDARD OF CARE<br />

By Nicole Berland<br />

MATÍAS NOCHETTO<br />

Saba is a small island, with fewer than<br />

2,000 residents in its 5 square miles<br />

of steep forested mountains. Lovingly<br />

referred to by its inhabitants as the<br />

“Unspoiled Queen of the Caribbean,” the<br />

diminutive Dutch municipality attracts<br />

tens of thousands of tourists to its scenic vistas and<br />

pristine waters each year. Most visitors to Saba return<br />

home with stories about the volcanoes they climbed,<br />

the reefs they explored and the locals they met. Most<br />

will not have had any reason to use the island’s medical<br />

facilities. But the unfortunate few who do become sick<br />

or injured on Saba will find themselves in good hands.<br />

Such was the case during last winter’s Saba Day —<br />

an annual islandwide celebration of local culture —<br />

when a local dive operation activated emergency<br />

medical services (EMS) to investigate a possible case<br />

of decompression sickness (DCS) on one of its boats.<br />

The diver had recently surfaced after a moderately<br />

aggressive dive when symptoms began. By the time<br />

the dive boat arrived at the pier, medical personnel<br />

were waiting to assess the patient’s symptoms<br />

and administer oxygen. The patient demonstrated<br />

signs and symptoms that suggested a mild case of<br />

neurological DCS.<br />

While there’s no such thing as a good day to get the<br />

bends, this was as close to that as possible: Three DAN®<br />

representatives were in Saba, and for the first day in<br />

years a fully staffed and operational hyperbaric chamber<br />

was only meters away. If the incident had occurred any<br />

earlier, the diver would have needed to be evacuated to a<br />

neighboring island, but this was the day the staff at Saba’s<br />

Fort Bay chamber had completed their formal training<br />

through DAN’s Recompression Chamber Assistance<br />

Program (RCAP) and was prepared to receive patients.<br />

The process of reopening the chamber began when<br />

Kai Wulf, parks manager for the Saba Conservation<br />

Foundation and longtime DAN supporter, applied for<br />

a DAN RCAP grant. RCAP is an International DAN<br />

(IDAN) initiative designed to provide assistance to<br />

recompression chambers in need and, through the<br />

international DAN organizations, has served more than<br />

120 underfunded chambers around the world since its<br />

inception. Typically these chambers are on small islands<br />

in remote locations and are sustained by whatever<br />

money they make treating patients or by charging<br />

nominal fees through local dive operations. DAN<br />

provides RCAP grant beneficiaries with the training,<br />

equipment and emergency support they need to deliver<br />

quality care to injured divers.<br />

Saba’s chamber is a perfect example of the type of<br />

operation poised to benefit from RCAP. Donated by<br />

the Netherlands to Saba in 1991, the decommissioned<br />

naval chamber is humble but well maintained and<br />

ALERTDIVER.COM | 23


DIVE SLATE<br />

DAN OUTREACH<br />

in good operational condition.<br />

Because of Saba’s small<br />

population, however, the island<br />

has only two practicing doctors<br />

and not much collective clinical<br />

experience treating divers. The<br />

Fort Bay chamber and its staff<br />

required training and support.<br />

To provide this support, DAN<br />

sent Matías Nochetto, M.D.,<br />

Marty McCafferty, EMT-P, DMT,<br />

and Eric Schinazi, CHT, to Saba<br />

for a weeklong site visit. Nochetto,<br />

DAN’s director of medical<br />

programs, runs DAN America’s<br />

regional RCAP program out of<br />

DAN headquarters in Durham,<br />

N.C. As a DAN medic for the<br />

past 13 years, McCafferty is<br />

frequently a main point of contact<br />

in dive medical emergencies.<br />

Schinazi, a certified hyperbaric<br />

technician (CHT) at Duke<br />

University Medical Center, often<br />

works with DAN because of his<br />

vast expertise with hyperbaric<br />

chamber operations.<br />

The RCAP outreach project<br />

in Saba had three primary goals:<br />

Perform a risk assessment,<br />

conduct training for chamber<br />

operators and attendants, and<br />

establish relationships with the<br />

local physicians and chamber<br />

staff. Risk assessments are tailored<br />

to each facility and allow DAN<br />

to make safety recommendations<br />

and create a customized plan<br />

to help each chamber conduct<br />

its own future inspections and<br />

basic maintenance. During the<br />

Fort Bay inspection, for example,<br />

Schinazi discovered that the<br />

chamber’s fire extinguisher was<br />

out of service — a level-one risk<br />

that would prohibit the chamber<br />

from reopening. The team was<br />

able to service it and leave it<br />

in operational condition with<br />

instructions for preventative<br />

maintenance.<br />

24 | SPRING <strong>2016</strong>


MATÍAS NOCHETTO<br />

Saba Health Care Foundation’s<br />

A.M. Edwards Medical Center<br />

Right: The Saba Conservation<br />

Foundation’s hyperbaric<br />

chamber at Fort Bay<br />

MATÍAS NOCHETTO<br />

silver<br />

The team conducted training<br />

modules, introducing, reviewing and<br />

practicing essential skills with the<br />

chamber operators and attendants.<br />

Nochetto also conducted a threehour<br />

session for three local doctors<br />

and 12 nurses that included lectures<br />

about recompression therapy,<br />

oxygen first aid for scuba diving<br />

injuries and a series of case reviews.<br />

According to Dr. Gijs Koot, one of<br />

Saba’s two practicing physicians, “I<br />

learned more in those three hours<br />

than I learned in a week the last<br />

time I underwent training.”<br />

Establishing relationships with<br />

remote chambers is one of the most<br />

mutually rewarding elements of the<br />

site visit, as it makes future emergency<br />

calls run more smoothly. “When you<br />

spend a few days with these people,<br />

share meals with them and get to<br />

know them, you bond with them,”<br />

Nochetto explained. “Then when<br />

they have a case it is easy for them<br />

to pick up the phone and call. That’s<br />

great for us because we won’t make<br />

blind referrals; it’s great for them<br />

because they know we won’t send<br />

them a patient they’re not equipped<br />

to handle; and last but not least, it’s<br />

great for divers because we will only<br />

send them where they can be treated<br />

effectively.” Koot reiterated Nochetto’s<br />

sentiment, saying that the visit “makes<br />

future calls for advice much smoother<br />

now that we know each other.”<br />

When the Fort Bay chamber<br />

received its new patient, the RCAP<br />

visit was nearing its end. Within<br />

15 minutes of being notified that<br />

the diver was demonstrating<br />

symptoms, Nochetto was at the<br />

pier with the attending physician,<br />

Gina Boorsma, M.D., and the EMS<br />

crew, McCafferty was in scrubs and<br />

ready to join the patient and other<br />

attendant in the chamber for the<br />

duration of treatment, and Schinazi<br />

was helping staff prepare the<br />

chamber. It was the first treatment<br />

conducted in that chamber in years,<br />

and for most of the staff it was their<br />

first time treating a patient.<br />

“Nobody likes to hear about a<br />

diver developing DCS,” Nochetto<br />

said, “but this ended up being an<br />

extraordinary opportunity. Not only<br />

did the staff have the opportunity to<br />

put their skills to use immediately<br />

after training, but they also<br />

demonstrated their commitment<br />

to providing exceptional treatment<br />

and did a wonderful job.” After<br />

a U.S. Navy Treatment Table 6<br />

recompression treatment with two<br />

extensions, the patient emerged<br />

almost completely free of symptoms.<br />

With its chamber now up and<br />

running and chamber staff properly<br />

trained, Saba can add recompression<br />

therapy to its repertoire of medical<br />

capabilities. By raising the level of its<br />

operation, the clinic serves not only<br />

the dive community, but also any<br />

members of the Saba community who<br />

may require hyperbaric treatment for<br />

other medical conditions.<br />

Overall, the visit was constructive<br />

for the Saba chamber team and the<br />

DAN team alike. “It was quite an<br />

experience,” McCafferty recounted.<br />

“Everything I saw showed me they<br />

really wanted to know how to take<br />

care of people when necessary. I<br />

would feel very confident if one of<br />

our members needed treatment in<br />

Saba.” Then he added, “And I can’t<br />

even remember the last time I ate<br />

fish that fresh.” <strong>AD</strong><br />

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ALERTDIVER.COM | 25


DIVE SLATE<br />

DAN MEMBER PROFILE<br />

STEPHANIE ARNE<br />

By Wendy McDowell<br />

Hometown: Pierre, S.D.<br />

Years Diving: 10<br />

Favorite Dive<br />

Destination: Ningaloo Reef,<br />

Western Australia<br />

Why I’m a DAN Member:<br />

Because accidents happen, and<br />

it’s good to know you have that<br />

extra protection just in case.<br />

Below, clockwise from top left: Preparing to film<br />

Caribbean reef sharks off Grand Bahama; swimming<br />

with porkfish in Key Largo; entering the water in<br />

Bimini, Bahamas, to film great hammerhead<br />

sharks; diving with manatees in Crystal River, Fla.<br />

Opposite: Planting corals with the Coral Restoration<br />

Foundation in Key Largo, Fla.<br />

Scubapro Deep Elite Ambassador and Wyland<br />

Foundation Ambassador for the Planet Stephanie Arne<br />

has the distinction of being the first female host of<br />

Mutual of Omaha’s Wild Kingdom. She considers diving<br />

a big part of how she came to have the job. Arne’s giant<br />

stride into the underwater world took place at Looe Key,<br />

Fla., in 2006 — only one year after she first set eyes on the ocean.<br />

How has diving changed your life and career path?<br />

Diving is a huge part of my life. I love working in the ocean, showing<br />

people amazing marine life and helping them learn how they can<br />

protect it and be more connected to it.<br />

I always knew I wanted to be a wildlife educator, but I didn’t know<br />

exactly where I would find my place. I’ve worked with zookeepers,<br />

animals, conservationists, ecologists, trainers and rescuers and loved<br />

it all. I also loved teaching at the zoo and in the classroom. In diving I<br />

MUTUAL OF OMAHA<br />

FRAZIER NIVENS<br />

MUTUAL OF OMAHA<br />

MUTUAL OF OMAHA<br />

found a perfect opportunity to educate, and I went to work as a dive<br />

guide and whale-shark spotter in Australia.<br />

Doing educational presentations on the boats was different because I<br />

could teach people about wildlife and then say, “OK, now let’s jump in<br />

and go see everything I just told you about.” I’m always thrilled to see<br />

people experience the feeling they inevitably get when the mysteries<br />

of the ocean world are unveiled to them. I just love watching people<br />

reach the surface and say, “I get it — I see what you were talking about<br />

— everything on the reef is connected, and now I understand how it’s<br />

like that on land, too.” [Stephanie breaks into a Disney song:] I can<br />

show you the world — I wanted to be people’s Aladdin!<br />

You were in your mid-20s at the time. It was just the beginning<br />

for you.<br />

Yeah! After Australia I went to the Honolulu Zoo Society. Even though<br />

26 | SPRING <strong>2016</strong>


MUTUAL OF OMAHA<br />

I was working with land animals again, I was on an<br />

island and still involved with the ocean. I collaborated<br />

with Sustainable Coastlines Hawaii, the National<br />

Oceanic and Atmospheric Administration (NOAA), the<br />

Hawaiian Islands Humpback Whale National Marine<br />

Sanctuary and the Hawaii Invasive Species Council. I<br />

began doing educational videos for the zoo and became<br />

a regular on the local news channels. Then Mutual<br />

of Omaha had a contest to find the next host of Wild<br />

Kingdom, and boom! When I won, I had the mindblowing<br />

realization that I likely wouldn’t have gotten the<br />

job if it weren’t for diving. The diving was critical for<br />

developing the experience and credibility that helped<br />

me land the job. And now, instead of being limited to<br />

the people in front of me on the boat or in the zoo, I<br />

can share messages about wildlife and conservation with<br />

countless people around the world.<br />

So what’s next?<br />

I started a company called the Creative Animal Inc.<br />

as a speaking platform to raise awareness about the<br />

interconnectedness of everything. Recently<br />

our team started a nonprofit outreach<br />

called the Creative Animal Foundation<br />

to develop a curriculum to take to<br />

corporations and schools all around the<br />

United States. This nationwide tour will<br />

connect people to the planet, empowering<br />

LEARN MORE<br />

www.stephaniearne.com<br />

www.wildkingdom.com<br />

www.creativeanimal.org<br />

them to engage their inner ceative animals and find<br />

ways to live, work and play more sustainably.<br />

Of course you see some really beautiful things while<br />

diving, but you also see the impact of pollution.<br />

What have you seen that has affected you the most?<br />

Ugh. The trash. It’s so bad. And most of it is plastic,<br />

which never disappears. It just breaks up into smaller<br />

and smaller pieces. Animals throughout the food chain<br />

ingest it and absorb the toxins. Take tuna, for example.<br />

Tuna are large predators that eat smaller fish, which<br />

are full of these chemicals, and this concentrates the<br />

toxins as they move up the food chain. When we eat<br />

tuna, we are ingesting the toxins, too.<br />

Then you see animals being strangled by or<br />

choking on trash. It’s heartwrenching to see an animal<br />

struggling with something that could very well have<br />

been yours. Witnessing these things really resonated<br />

with me, and that’s why I’m so incredibly determined<br />

to teach people about plastics and the ocean. Why, for<br />

example, are we even using straws?<br />

I think the key is to learn about how truly<br />

connected we all are — to the food web<br />

that sustains us and to that plastic. It<br />

doesn’t just affect wildlife, it ultimately<br />

affects humans as well because everything<br />

is connected. I think that’s the most<br />

important thing I can teach. <strong>AD</strong><br />

ALERTDIVER.COM | 27


DIVE SLATE<br />

DAN PSA, EDUCATION & TRAVEL<br />

PUBLIC SAFETY ANNOUNCEMENT<br />

ARE YOU RE<strong>AD</strong>Y FOR LOBSTER SEASON?<br />

If you’re planning to hunt lobsters this season, it’s<br />

never too early to prepare. Whether you will hunt “bugs”<br />

during the mini season or regular season, here are some<br />

tips to keep in mind.<br />

Evaluate your fitness to dive.<br />

One of the most common causes of diving injuries<br />

is underlying health problems, with cardiovascular<br />

issues leading the way. Participation in lobster hunting<br />

requires good physical fitness. Regular moderate<br />

exercise without vigorous exercise may not prepare you<br />

sufficiently for the physical challenges that can arise<br />

during lobster hunting. Be thorough and honest when<br />

assessing your health status.<br />

Refresh your skills, and check your equipment.<br />

Enroll in a refresher course if you have not used your<br />

dive skills recently. If you have limited experience<br />

hunting lobsters, learn how to do so safely. Review your<br />

gear, and make sure it is properly maintained and in<br />

good condition. Familiarize yourself with new equipment<br />

before using it while hunting lobsters. Most important,<br />

make sure your buoyancy and weighting systems<br />

are dialed in. Good buoyancy reduces your workload,<br />

minimizes stress on your cardiovascular system and<br />

improves the efficiency of your buoyancy compensator.<br />

Know the dive environment.<br />

If you plan to hunt for lobsters at night, be sure you are<br />

comfortable with and experienced in night diving. Boat<br />

traffic may increase during lobster season, so be alert at<br />

depth as well as on the surface. Be familiar with the dive<br />

site, and know if it poses specific safety hazards, such as<br />

entrapment or entanglement hazards or strong currents.<br />

Check your gauges.<br />

Don’t be so distracted by hunting that you ignore your<br />

instruments or your dive plan. The most common factors<br />

in dive accidents are rapid ascents, running out of gas<br />

and panicking. Avoid diving deeper than you otherwise<br />

would, and be continuously aware of your breathing<br />

gas consumption. Constantly monitor your gauges, and<br />

make sure you’ll have enough gas for a safety stop, a<br />

slow ascent and an emergency reserve.<br />

Are you<br />

RE<strong>AD</strong>Y<br />

On average, lobster mini season results in two dive fatalities each year.<br />

1<br />

State<br />

2 20<br />

Days<br />

Hunters<br />

Florida attracts<br />

Mini season lasts<br />

20 deaths<br />

thousands of hunters. for two days in July. in 10 years<br />

GREATER<br />

29%<br />

Completed 60+ Dives<br />

130x DEATH RATE OF<br />

HUNTER DIVERS<br />

IN MINI SEASON<br />

76 FT<br />

Fatal Dive Max Depth NORMAL DIVING DAYS TWO-DAY MINI SEASON<br />

Over 10 years Over the same<br />

there were 3,633 10 years there<br />

48 days outside of were 20 hunting<br />

Average Age<br />

mini season. In deaths out of 20<br />

Florida, 28 divers mini-season days.<br />

50% died while hunting.<br />

Married<br />

DEATHS<br />

28 vs.<br />

DEATHS<br />

2<br />

Average<br />

DAYS<br />

DAYS<br />

Body Type (BMI) 3,633<br />

2<br />

TWO TIPS FOR SAFER MINI-SEASON DIVING<br />

1<br />

MONITOR YOUR GAUGES.<br />

2<br />

Diving fatalities that<br />

TIP<br />

ran low on, or out of,<br />

TIP gas were twice as<br />

likely to be hunters<br />

for<br />

than nonhunters.<br />

THINK THIS CAN’T<br />

HAPPEN TO YOU?<br />

THINK AGAIN.<br />

Mini<br />

LESSON: Check your<br />

gauges often.<br />

REDUCE CARDIAC STRESS<br />

Hunting adds to the<br />

physical demands of<br />

diving. Navigate into<br />

a current to reduce<br />

effort getting back to<br />

the boat, and stay<br />

neutrally buoyant<br />

while diving.<br />

For more information, call DAN toll-free at (800) 446-2671. For emergencies, call our 24-hour emergency line: (919) 684-9111.<br />

28 | SPRING <strong>2016</strong>


Travel Smarter<br />

DIVE BOAT ETIQUETTE<br />

To many people, one of the most rewarding aspects of diving is the<br />

communities it brings together. You may find yourself on a dive boat<br />

halfway around the world with people you might never have met<br />

were it not for your shared enthusiasm for breathing underwater.<br />

In such situations you might discover that<br />

conventions can vary widely based on where<br />

you are, who you’re with and what type of boat<br />

you’re on. When this happens, remember that<br />

you can always return to a few basic guidelines<br />

that will help you share the deck with anyone, no<br />

matter where your travels take you.<br />

Don’t talk during the briefing. Learn<br />

what you need to know while also<br />

demonstrating courtesy to your divemaster<br />

and fellow divers.<br />

Mind your gear. Keep your equipment neat<br />

and in designated areas, and avoid putting<br />

heavy objects on elevated surfaces.<br />

Respect the designated dry area. Don’t walk through it<br />

while wet or place wet gear there.<br />

Ask before you click. Not everyone likes showing up on<br />

social media.<br />

Keep your photo equipment tidy. Your dive gear isn’t the only<br />

equipment that takes up in-demand space.<br />

Review hand signals with everyone in your group. Not all divers<br />

are trained by the same agency or speak the same language.<br />

Don’t brag. Diving isn’t a competition, and there are lots of<br />

reasons other divers might use more breathing gas than you.<br />

Manage your time. Show up on time, and<br />

pack/unpack efficiently. (Practice at home if<br />

you need to.)<br />

Know your skill level. If you’re having trouble<br />

perfecting any of your skills, tell a divemaster<br />

or guide.<br />

Use the correct rinse bucket. No one wants to<br />

rinse his/her regulator with your wetsuit.<br />

Be supportive. If another diver seems anxious,<br />

ask how he is doing, and remind him it’s always<br />

OK to call off a dive.<br />

Be respectful and helpful. If another diver is<br />

struggling with something on deck, don’t ignore<br />

it, but always ask before you help out.<br />

STEPHEN FRINK<br />

One of the great benefits of honing your dive boat etiquette is<br />

that there is considerable overlap between courteous and safe.<br />

Sometimes the most basic things are the most overlooked.<br />

Engage smarter: Visit DAN.org for more information on dive<br />

etiquette and many other topics.<br />

Education Spotlight<br />

eLEARNING<br />

DAN ® has recently enhanced and expanded its eLearning platform to include<br />

all DAN first-aid courses. The platform, which can be used with all desktop and<br />

mobile devices, complements the practical portions of each course by allowing<br />

students to review crucial first-aid training material on their own schedules.<br />

“We’re excited to provide this option to our students and instructors,” DAN<br />

Chief Operating Officer Panchabi Vaithiyanathan said. “Not only does it permit<br />

more flexibility, it also frees up more time for hands-on instruction during the<br />

interactive portion of the courses.”<br />

The online learning platform, which DAN will share with allied training<br />

agencies, facilitates the circulation of DAN course materials to broader audiences.<br />

It also has the potential to promote development of new courses.<br />

DAN’s mission is and has always been about safety, and in expanding its reach,<br />

the organization hopes that more people will acquire important first-aid training.<br />

PHOTO CREDIT<br />

ALERTDIVER.COM | 29


ENCOUNTERS<br />

ON ANOTHER PLANET<br />

JAPAN: PART2<br />

Text and photos by Ned and Anna DeLoach<br />

shouldn’t be a diver if<br />

you’re not willing to be blown<br />

out from time to time.” That’s<br />

the advice I’ve been spouting<br />

for years, which has come<br />

“You<br />

back to haunt me as our<br />

traveling troop of five divers stuffs gear into a van doubleparked<br />

in downtown Tokyo. It has been less than two<br />

days since a typhoon chased us off the southern island<br />

of Hachijo. And here we go again, running ahead of the<br />

weather, this time leaving a prepaid apartment two days<br />

early in an attempt to beat a second storm marauding its<br />

Below: Koke-ginpo (blenny),<br />

Neoclinus bryope<br />

Opposite, clockwise from left:<br />

Cocktail wrasse, Pteragogus<br />

flagellifer; juvenile John dory,<br />

Zeus faber; Japanese searobin,<br />

Lepidotrigla japonica; pinecone<br />

fish, Monocentris japonica<br />

way toward our next destination, Japan’s Izu Peninsula.<br />

Did I mention it’s not yet dawn and it’s beginning to rain?<br />

Four hours later Shingo Suzuki, our dive guide and<br />

driver, pulls onto an overlook of Suruga Bay with iconic<br />

Mt. Fuji rising in the distance. Shingo points below to the<br />

inner bay at Osezaki — the most visited dive park on Izu.<br />

Much of the site’s popularity is due to Cape Ose, a long<br />

finger of land sheltering a beach-lined basin a quarter mile<br />

across. In fair weather, experienced divers prefer the rocky<br />

slope on the outside of the cape, but with the seas still<br />

unsettled from last week’s storm, the inner bay is our best<br />

bet for getting into the water. Ten minutes later the van<br />

30 | SPRING <strong>2016</strong>


disappears inside a warren of multistory hotels, restaurants<br />

and dive shops crisscrossed by a maze of walkways, paths<br />

and blind alleys cluttered with indecipherable signage.<br />

Without Shingo we would have been totally lost; instead<br />

he has us underwater within an hour.<br />

As expected, much of the bay is a mess. We are 20<br />

feet down the sand slope before the visibility breaks in<br />

our favor. By 40 feet it has improved enough for us to<br />

concentrate on the animals. Unlike Hachijo’s volcanic<br />

shoreline that has plenty of hiding holes to attract sea<br />

life, open sand bottoms offer few safe havens. But as<br />

always, life adapts. Over the ages a thriving community<br />

of crustaceans, mollusks and worms has evolved to<br />

live beneath the surface. To combat all the burying and<br />

burrowing, predators came up with some nifty tricks<br />

of their own. The pair of searobins we encounter at<br />

70 feet are a prime example. The delicate rays of their<br />

ventral fins have transformed into claws for raking<br />

animals out of the bottom, and their pectoral fins have<br />

grown into wings flared to exaggerate their size.<br />

While swimming back up the slope we run into<br />

an assortment of boat hulls and other nautical trash<br />

sunk over decades as fish attractors. They have done<br />

their job well. Through 10 feet of haze we see fish<br />

everywhere inside the sanctuaries. It’s a kaleidoscope<br />

of species different from the Caribbean or Indonesia or<br />

even from the fish we discovered at Hachijo earlier this<br />

week. Diving, like Paris, is truly a moveable feast.<br />

The next morning the weather is worse, but Shingo<br />

is upbeat. He has been checking around and believes<br />

he has the bearing on a juvenile John dory, a species<br />

we have to look up in a field guide to know what he’s<br />

talking about. In the world of Japanese fish watchers,<br />

this is a trophy — a piece of pop art with spines like<br />

spears and a big bullseye tattooed on its side. We<br />

eventually find our fish at 50 feet. But afterward<br />

everyone agrees it’s time to move on.<br />

Futo, the only other dive park open, is a two-hour<br />

drive east across the mountainous peninsula. On the<br />

way, Shingo keeps our minds off the bad weather with<br />

tales of pinecone fish and the possibility of finding a<br />

baby horn shark. When we arrive, fishermen are hauling<br />

boats onto shore, and the few divers around are heading<br />

back up the slope. A motorized cart takes us to a staging<br />

area where a guide rope leading down a concrete ramp<br />

disappears into chest-high rollers. We are able to sneak<br />

in three dives before the growing storm surge forces us<br />

out of the water the following afternoon.<br />

By nature we are a happy bunch, but that evening<br />

while sitting around a table in our hotel restaurant<br />

enjoying a third tokkuri of sake, we’re all feeling<br />

especially good. Even though the edge of the typhoon<br />

howls outside, for the first time in two weeks no one<br />

feels obliged to check on or even mention the weather.<br />

It’s as if all the fretting and anxiety from our dashing<br />

about for two weeks went up in smoke with the stroke<br />

of a magician’s wand. Only good memories remain.<br />

After two more days in Tokyo, I head home with a<br />

tailwind and a new adage to spout, à la Yogi Berra: “A<br />

trip doesn’t have to be perfect to be perfect.” <strong>AD</strong><br />

ALERTDIVER.COM | 31


DIVE<br />

FITNESS<br />

The DAN Guide to Healthier Diving<br />

LOWER-BACK<br />

PAIN PREVENTION<br />

GET THE MOST OUT OF<br />

EVERY DIVE VACATION<br />

By Jessica B. Adams, Ph.D.<br />

Photos by Stephen Frink<br />

You have planned financially for<br />

your dive vacation. Isn’t it time<br />

to implement a health and fitness<br />

plan to ensure you feel your<br />

best and can make the most of<br />

your trip? Chronic back pain is<br />

a major health challenge that limits comfortable<br />

participation in many physical activities such as<br />

scuba diving. Prevention is generally much more<br />

practical and effective than treatment. Regular<br />

exercise is a great way to free yourself from lowerback<br />

pain. Getting into the habit of doing exercises<br />

such as the ones in this article is a great way to<br />

promote good spine health.<br />

These stretches are frequently prescribed to<br />

people with lower-back pain for rehabilitation, but<br />

if you currently have lower-back pain, be sure to<br />

consult with your physician or physical therapist<br />

prior to doing these exercises.<br />

Complete these stretches five to 10 times. You<br />

can (and should) perform these exercises daily.<br />

One of the most important areas to stretch for<br />

prevention of lower-back pain is your hamstrings.<br />

Your hamstrings run down the backs of your<br />

legs from your sitting bones (ischium) to just<br />

below your knees, crossing both your hip and<br />

knee joints. Tight hamstrings place unnecessary<br />

pressure on your lower back, which can lead to<br />

pain and musculoskeletal imbalances.<br />

LYING HAMSTRING STRETCH<br />

This stretch is done near a door or wall. The position places minimal stress<br />

on the lower back, allowing you to relax and move deeper into the stretch.<br />

1. Lie on your back with one leg near the vertical surface.<br />

2. Place the opposite leg on the floor.<br />

3. Work the first leg up the wall toward perpendicular, and hold for<br />

20-30 seconds.<br />

4. Lower the raised leg back toward the starting position.<br />

5. Slide your butt closer to the wall, and repeat on the opposite side,<br />

holding for 20-30 seconds.<br />

Tip: Remember to breathe while holding the stretch.<br />

SCISSOR HAMSTRING STRETCH<br />

This stretch allows you to engage both hamstrings simultaneously.<br />

1. Step your right foot in front of your left, about a foot apart.<br />

2. Place your hands on your hips.<br />

3. Keep your hips and shoulders facing forward (the hip of the leading<br />

leg will move forward, make a conscious effort to bring it back).<br />

4. Keep your chest up and your head in a neutral position.<br />

5. Squeeze your shoulder blades together and down.<br />

6. Flex at your hips toward your front leg as far as you can without<br />

bending your knee.<br />

7. Hold for 20-30 seconds while breathing.<br />

8. Repeat on the opposite side.<br />

Tip: Keep both legs straight, but be careful not to hyperextend your knees.<br />

You can avoid locking your knee by maintaining an imperceptible bend in<br />

your front knee.<br />

32 | SPRING <strong>2016</strong>


BENT-KNEE SCISSOR HAMSTRING STRETCH<br />

You will feel this stretch higher in the hamstring of your front leg.<br />

1. Step your right foot further forward than in the last stretch.<br />

2. Place your hands on your hips.<br />

3. Bend your right knee.<br />

4. Make sure your weight is in your heel, not your toe.<br />

5. Keep your chest up and shoulder blades down and back.<br />

6. Flex forward, folding at your hips as far as you can.<br />

7. Hold for 20 seconds.<br />

8. Repeat on the opposite side.<br />

Tip: Be sure to have your front foot far enough forward to keep your<br />

knee behind your toe. You can hold onto a secure surface such as a<br />

chair or wall for balance.<br />

PIRIFORMIS STRETCH<br />

The piriformis muscle runs through the gluteal region. A tight<br />

piriformis can place pressure on the sciatic nerve, causing lowerback<br />

and leg pain. This stretch affects both the lower-back and<br />

piriformis muscles.<br />

1. Lie on your back with your knees bent.<br />

2. Place your right ankle on your left thigh.<br />

3. Pull your left knee toward your left shoulder.<br />

4. Hold for 20 seconds, and repeat on the opposite side.<br />

Tip: Make sure you are pulling your knee to your shoulder on the same<br />

side. Try to resist the tendency of the knee to drift toward center.<br />

DEEP PIRIFORMIS/HIP STRETCH<br />

1. Start on your hands and knees with your hands under your<br />

shoulders and your knees under your hips.<br />

2. Keeping your knees in place, swing both ankles to the right.<br />

3. Extend your right leg and step it over your left.<br />

4. Move your hips backward, sliding your right foot back and<br />

bringing your right shoulder toward your left knee.<br />

Tip: Try to keep your left foot from falling behind you. <strong>AD</strong><br />

NOTE: To avoid an increased risk of decompression sickness, DAN ® recommends that divers avoid strenuous exercise for 24 hours after making a dive.<br />

During your annual physical exam or following any changes in your health status, consult your physician to ensure you have medical clearance to dive.<br />

ALERTDIVER.COM | 33


LOCAL<br />

DIVING<br />

KEYSTONE JETTY, WASHINGTON<br />

Text and photos by Brandon Cole<br />

Washington state has a wealth of great local dive<br />

sites, and among the standouts is Keystone Jetty<br />

in Fort Casey State Park. After a short ferry<br />

ride from Seattle to Whidbey Island and a<br />

10-yard stroll down a cobble beach, you’re<br />

in the water and surrounded by critters.<br />

When I first dived here more than 25 years ago, I was skeptical. Shore<br />

dives, foreign and domestic, rarely seemed to deliver the abundance<br />

of interesting marine life that has always been my primary<br />

motivator for submersion. But Keystone was an exception and<br />

still pleasantly surprises today. From obscure little species that<br />

will light up the eyes of fish geeks to the big-name Pacific<br />

Northwest celebrity with eight tentacles, it’s extraordinary<br />

what you might bump into.<br />

There are two different dive sites here. The most<br />

frequently explored is “the jetty” — a 75-yard-long<br />

sloping boulder pile stretching from the waterline<br />

out to 60 feet deep that is a manmade breakwater<br />

for the Coupeville (Keystone)–Port Townsend<br />

ferry terminal in the harbor to the west.<br />

Scuba divers should stay on the east side<br />

of the rocks, well away from the<br />

ferry’s pathway. About 250<br />

yards to the east of the<br />

dive site: an abandoned<br />

jetty is the second<br />

wharf 10 yards offshore with<br />

a jungle gym of pier pilings.<br />

We begin our creature quest<br />

in the lee of the jetty in just a few feet<br />

of water. I’m in hot pursuit of pencil-sized<br />

gunnels — eellike beasties in red or camo green that<br />

slither among iridescent algae — when I stumble upon<br />

a decorated warbonnet sporting a spikey hairdo and pouty lips.<br />

It’s definitely one of the coolest characters in this emerald sea. I manage<br />

to get a portrait before it disappears. I could gladly devote an entire dive to this<br />

species, but my buddy shakes her head and points toward deeper water. I obey. I guess<br />

some people feel an hourlong dive in 5 feet of water is not an impressive logbook entry.<br />

The tumbling boulders at 20 to 30 feet are painted pink by coralline algae and orange by<br />

colonies of tunicates. Sculpins, greenlings and surfperch flit about like scaled tropical birds. We<br />

find opalescent nudibranchs, a clown dorid and a lovely alabaster sea slug. The nooks and crannies<br />

are absolutely crawling with crabs — sharpnose, decorators and hermits along with juvenile Puget<br />

Sound kings, kelps and even cryptic hairy heart crabs. Dozens of scallops lie about, smiling at us,<br />

until I move too close for a shot and launch them into a swimming fit. Clapping madly to jerkily jet<br />

in random directions like maniacal sets of flying false teeth, the scallops are a hilarious sight.<br />

34 | SPRING <strong>2016</strong>


A northern kelp crab balances<br />

nimbly on a stalk of bull kelp.<br />

Opposite: A smallish giant<br />

Pacific octopus jets through<br />

inky blackness on a night<br />

dive on the jetty.<br />

ALERTDIVER.COM | 35


LOCAL DIVING<br />

WASHINGTON<br />

From top: An old male wolf-eel chomps<br />

a crab; a drysuited diver explores the<br />

maze of pilings underneath the wharf; an<br />

18-inch-long juvenile wolf-eel sports much<br />

brighter colors than its parents.<br />

Lingcod are everywhere. Some valiantly guard clutches of eggs that<br />

look like balls of Styrofoam. At 40 feet deep, I see nestled in a forest of<br />

ghostly white plumose anemones a 4-foot-long monster big enough<br />

to make one’s blood run cold. Rare on many Northwest reefs thanks<br />

to overfishing, lingcod numbers (and epic sizes) here are proof that<br />

protection works. All marine life in this underwater park is protected, so<br />

the rockfish, starfish and cabezon — along with the big brutish lingcod<br />

with his bullying stare — should be here in the future, fat and happy.<br />

With fingers intact we continue deeper, acting on a friend’s tip that<br />

a wolf-eel was recently seen hanging out at 55 feet. I’ve seen both<br />

juveniles and adults at Keystone and never tire of their Muppet faces.<br />

But a pile of crab carapaces and scallop shells catches my eye, and I<br />

forget all about Anarrhichthys ocellatus. The messy midden of a well-fed<br />

giant Pacific octopus (GPO in local diver-speak) is a lure I cannot resist.<br />

Flattening myself on the sand like a halibut, I shine my light into the<br />

shadow under the large rock beside the garbage heap. Sure enough, I spy<br />

a tangle of tentacles with suckers the size of silver dollars. It appears to<br />

be a good-sized specimen at 7 or 8 feet across, perhaps.<br />

For the next 10 minutes we wait, wiggle our fingers, mutter curses<br />

and say prayers; we even offer up tasty-looking bits of already devoured<br />

shellfish, all in hopes of coaxing the wily devilfish from its den. But<br />

there’s no luck today. This octo is more patient than we are, and<br />

probably smarter, too. The current, barely noticeable for the first half of<br />

our dive, is now steadily building, bending the plumose anemones and<br />

trying to tug us toward the jetty end and out into Admiralty Inlet. It’s<br />

time to go. We retrace our fin kicks and return to shore.<br />

Current is the lifeblood of the Pacific Northwest marine ecosystem,<br />

critical for moving the nutrient-rich waters that nourish life large<br />

and small. And things can really get moving at the deeper end of the<br />

breakwater during large tidal exchanges. To safely and enjoyably dive<br />

Keystone, schedule your dives for slack water, the period of minimal<br />

water movement that occurs between changes in current direction. On<br />

days with small exchanges, slack may last 90 minutes or more. On days<br />

with large exchanges, you may have only a few minutes of true slack, but<br />

there is usually enough time for a dive.<br />

Keystone’s second dive site should also be timed for slack tide. The<br />

subsea scenery here provides a nice contrast to the jetty’s jumbled<br />

rocks. While weaving between the wharf’s wooden pilings between<br />

10 and 35 feet, we move slowly to allow close examination of the<br />

encrusting invertebrates. Bouquets of giant feather-duster worms<br />

extend deep purple feeding plumes into the water to snag passing<br />

plankton. Brightly striped painted anemones bloom in green, red,<br />

yellow and mauve — it’s easy to see why they’re nicknamed dahlia<br />

anemones. Sponges and the ubiquitous Metridium anemones carpet<br />

the vertical supports, while leather stars and blood stars use tube feet<br />

to march across the cobbled bottom.<br />

Up pilings, around, down and back up again, we search the matrix<br />

with masks pressed close to the many layers of life. A male buffalo<br />

sculpin is parked on lime-green eggs, while jellyfish drift by. Snails lay<br />

whirls of eggs as the usual crustacean contingent of shrimps and crabs<br />

go about their scuttling business. These pilings are high-rise condos<br />

forming a city in the sea.<br />

36 | SPRING <strong>2016</strong>


HOW TO DIVE IT<br />

Getting There<br />

To get to Keystone Jetty, take the<br />

Mukilteo Ferry (25 miles north of<br />

Seattle) to Clinton on Whidbey<br />

Island. Then drive 22 miles north on<br />

state Highway 525, turn left to the<br />

Port Townsend Ferry and Fort Casey<br />

State Park, and drive the remaining<br />

3.5 miles to Keystone. Park facilities<br />

include bathrooms, hot showers,<br />

cold freshwater showers for gear<br />

rinsing, picnic tables, barbecue pits<br />

and plenty of parking. A one-day<br />

pass costs $10, or an annual pass costs $30. For night diving, contact<br />

the park office. Hotels, a campground and restaurants are nearby.<br />

Conditions<br />

Diving at Keystone Jetty is possible year-round. Sea temperatures range from 45°F to<br />

52°F, and visibility ranges from 10 to 50 feet. In general, fall and winter deliver the best<br />

visibility, and summer and fall have the best topside weather. Current is almost always a<br />

factor here; it can be quite strong during large exchanges, so be sure to plan your dives for<br />

slack. Check current tables (use Admiralty Inlet, subtracting 31 minutes for slack before<br />

flood, and adding 1 minute for slack before ebb), and consult the local dive shop. Usually<br />

you’ll want to enter the water about 30 minutes before the predicted time for slack current.<br />

Don’t dive Keystone during a strong south or southeast wind, because the wind chop and<br />

surf break can be formidable.<br />

The abandoned wharf provides<br />

yet more habitat for critters.<br />

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My better half with her better eyes spots a pipsqueak of an octopus no<br />

bigger than my fist. It’s going to take many a meal before this little guy<br />

resembles the bruiser we glimpsed earlier. I find a larger GPO tucked<br />

inside a rotted-out piling stump. Then we spot another recluse well down<br />

into a hollow metal pipe lying on the bottom. If only it were nighttime, I<br />

muse, the octo army would likely be out and about, prowling for dinner.<br />

My mind drifts back to an 11 p.m. dive here years ago under a full<br />

moon, when we encountered a big, bold octopus on the sand just beyond<br />

the pilings. What a fantastic dive that was — GPOs, sailfin sculpins, a<br />

wolf-eel, warbonnets….<br />

Oh well, we’ll just have to try again tomorrow or the next day. Great<br />

diving at Keystone is as easy as falling out of the car and rolling down the<br />

beach. So we’ll be back. Keeping it local is hard to beat. <strong>AD</strong><br />

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ALERTDIVER.COM | 37


LIFE<br />

AQUATIC<br />

IN THE COMPANY OF POLAR BEARS<br />

ABOVE AND BELOW THE SURFACE<br />

Text and photos by Amos Nachoum<br />

My life began in Israel, far from<br />

the polar latitudes. But in the<br />

sweltering days of my youth<br />

I dreamed of the polar bears,<br />

icebergs and Inuit of the high<br />

Arctic. I became obsessed with<br />

the vision, and I made it my life’s mission to observe,<br />

study and understand Ursus maritimus — the polar bear.<br />

A half century later I am in Svalbard, hoping to<br />

document female polar bears nursing their cubs and<br />

hunting. Late spring is when to find mothers with cubs;<br />

having recently given birth, the mothers will be wandering<br />

about the shrinking pack ice hunting for sustenance.<br />

Polar bears’ range is largely<br />

within the Arctic Circle, which<br />

encompasses the Arctic Ocean, its<br />

sea ice and its surrounding seas<br />

and land masses. Although polar<br />

bears are typically born on land,<br />

they spend most of their time on<br />

sea ice. They hunt at the ice edge<br />

and live primarily off their fat<br />

reserves when no sea ice is present.<br />

These bears have evolved to<br />

occupy a narrow ecological niche:<br />

They are highly adapted to the<br />

cold and capable of covering great<br />

distances over snow, ice and open water. They’re also<br />

very adept at hunting seals, which make up most of their<br />

diet. Because of expected habitat loss in the changing<br />

global climate, the International Union for Conservation<br />

of Nature and Natural Resources (IUCN) has classified<br />

polar bears as “vulnerable,” and at least three of the 19<br />

polar bear subpopulations are currently in decline.<br />

Each day we set out on snowmobiles with camera<br />

gear and enough food and clothing for 12 to 14 hours.<br />

We synchronized our days to optimal light and the<br />

bears’ hunting patterns. There are no words to describe<br />

the experience of driving fast through totally white<br />

hills, moving from one fjord to the next and stopping<br />

every so often to take in the amazing landscape before<br />

us — it engendered a profound feeling of being alive.<br />

On the third day our guide, Einar, spotted movement<br />

about two miles away. Through his balaclava he<br />

whispered, “Mother and cub.” I looked through my<br />

binoculars and beheld the remarkable vision of a bear<br />

moving slowly along the ice with two cubs strolling<br />

behind her. They sniffed the air and the ground, trying<br />

to find a seal hole. Our guide calculated the wind<br />

direction and set about determining our best position<br />

with regard to light and proximity.<br />

For the next three hours we shadowed the family.<br />

Before long the mother bear stopped to sit. She exposed a<br />

black nipple to nourish the cubs with her milk. We closed<br />

the distance to 100 yards, and I quietly set up a tripod on<br />

the ice and mounted my camera’s 600mm lens to capture<br />

this tender moment among apex predators (see Page 6).<br />

The feeding lasted for about 15<br />

minutes, and then the family fell<br />

asleep on the ice right in front of<br />

us. We had no choice but to stay<br />

put until the two rambunctious<br />

cubs began chasing each other and<br />

the somnambulant mother moved<br />

them on their way again. Only then<br />

could we move as well.<br />

The mother had to hunt. She<br />

would not have eaten during<br />

her pregnancy, and nursing two<br />

demanding young ones meant she<br />

needed food for them all. I saw her<br />

place her head close to the ice, sniffing, and then raise<br />

her head, close her eyes and sniff again. Einar informed<br />

us she was seeking a seal somewhere nearby.<br />

Stopping his snowmobile, Einar went totally silent,<br />

picked up his binoculars and with a hand signal<br />

demanded we be still. The mother bear had positioned<br />

herself with her hindquarters in the air and her nose<br />

nearly touching the ice. Einar whispered to us that she<br />

was on high alert and that this was a good hunting hole.<br />

We would have to be extremely quiet as any sound above<br />

the ice would be amplified greatly beneath it. We could<br />

scare the seal away from the hole and cause the bear to<br />

lose her opportunity. Slowly and with great care we set up<br />

our cameras and tripods. For once I was wishing for those<br />

hot sunny days in Israel — I was freezing my butt off.<br />

We had been there for almost two hours when<br />

suddenly the bear stood up tall and with lightning speed<br />

38 | SPRING <strong>2016</strong>


Photographing polar<br />

bears has been a<br />

lifelong obsession<br />

for Amos Nachoum.<br />

Staging expeditions to<br />

the Arctic specifically<br />

to encounter them has<br />

been rewarding and,<br />

at times, harrowing.<br />

For more information,<br />

visit BigAnimals.com.<br />

ALERTDIVER.COM | 39


LIFE AQUATIC<br />

POLAR BEARS<br />

straightened her front legs and used them like a hammer<br />

to smash through the thick ice. Her rear legs went up<br />

in the air as her body plunged through the ice. Seconds<br />

later she was buoyed up in a big gush of water, holding<br />

a seal tightly in her powerful jaws. The circle of life was<br />

complete. The seal would provide the nutrition for the<br />

bear and her cubs, and, thanks to Einar, we<br />

were there as silent witnesses.<br />

My obsession with polar bears likewise led<br />

me to the water. Eleven years ago I went in<br />

search of a diving adventure in the High Arctic,<br />

eager for an opportunity to dive with a polar<br />

bear. Upon spotting a bear, I planned to hang<br />

motionless in the frigid water at 30 feet, along<br />

with a safety diver, and wait for the bear to<br />

come toward us. At least that’s how I thought it<br />

might work out.<br />

Instead, I entered the water to find the bear was already<br />

making its way toward me. Looking behind me for my<br />

safety diver, I discovered he was not there. Smart of him!<br />

When I turned back, the bear was only 10 feet away from<br />

me. At that point, my best move seemed to be to descend,<br />

but every time I looked up, the bear paws above my head<br />

loomed nearer. Cold fear entered my mind, but with each<br />

breath I took comfort in knowing I still lived.<br />

We dived together, the bear and me, in a deadly race<br />

to the depths. I equalized as well as I could and purged<br />

all the air from my drysuit. A quick glance at my gauge<br />

told me I was at 80 feet, and that’s when the bear finally<br />

leveled off and began to ascend. I would survive to try to<br />

photograph a polar bear underwater another day, but the<br />

experience was terrifying. Back on the boat I discovered<br />

my safety diver had an equipment malfunction and had to<br />

abort. Would the polar bear have been so aggressive with<br />

two divers in the water? I’ll never know.<br />

In August 2015 I finally had a chance to redeem<br />

myself with another attempt at the underwater polar<br />

bear encounter of my fantasies.<br />

As luck would have it, a brilliant photographer and<br />

filmmaker from Israel, Yonatan Nir, had decided to<br />

produce a movie about my life and career in the company<br />

of ocean giants. He was aware of how important it was to<br />

me to get that underwater polar bear photo, for there are<br />

few such images in the world, and I had yet to get mine.<br />

We trekked back to the High Arctic accompanied by<br />

remarkably talented Arctic filmmaker and longtime friend<br />

Adam Ravetch and his team of Inuit guides.<br />

We were finally able to set out to sea on the third<br />

day of our expedition; the first two days had been<br />

far too windy to safely be out in our boat. Our quest<br />

was to document a mother and her cubs swimming.<br />

We saw a single bear at first, but I passed on that<br />

There is very<br />

little conventional<br />

wisdom about how<br />

polar bears will<br />

interact with scuba<br />

divers because few<br />

have actually dived<br />

with them.Based<br />

on at least one<br />

of the encounters<br />

Nachoum has<br />

had, considerable<br />

caution is prudent.<br />

option, thinking of my<br />

previous misadventure.<br />

A few hours later we<br />

spotted a female and<br />

her two one-year-old<br />

cubs climbing onto<br />

a small island. Our<br />

guides expected them<br />

to traverse the island<br />

and swim to the mainland. By the time we motored<br />

around the island, the family of three was already in<br />

the water.<br />

We moved along slowly, 300 yards from the bears,<br />

trying to determine what direction they were headed.<br />

When it appeared their course was firmly set, Adam<br />

and I dressed for an in-water encounter, waiting until<br />

the last minute to splash to be sure we were in the<br />

bears’ path.<br />

We stayed in place, treading water on the surface. As<br />

long as we could see the bears and they could see us,<br />

all was well. We remained where we were, and the trio<br />

continued swimming in our direction. So far, so good.<br />

When the bear family got within 25 feet of us, we<br />

exchanged a thumbs-down signal and started our<br />

descent to 20 feet. We had 50-foot visibility and 40°F<br />

water (pretty good conditions, all things considered).<br />

During my slow descent I kept my eyes on the<br />

approaching bears, preparing to dive to safety if needed<br />

but hopeful to capture iconic images instead. Happily,<br />

the bear family swam peacefully over our heads. While<br />

Adam filmed and I photographed the passing bears,<br />

one of the cubs couldn’t resist diving down toward me<br />

for a closer look. It came within 3 feet, looked at me<br />

and left me in its wake to follow its mom and brother.<br />

I hovered in the water, transfixed by the realization<br />

of what had just, finally, happened to me. The pursuit<br />

of this image had been more about the quest than the<br />

photo. My sense of what an in-water encounter with<br />

polar bears could be had been recalibrated. My personal<br />

mythology of the polar bear had a new dimension. I<br />

found myself considering our mutual vulnerability and<br />

envisioned a world in which the future of polar bears,<br />

Inuit culture and the pristine wilderness of the High<br />

Arctic could survive — even flourish. <strong>AD</strong><br />

40 | SPRING <strong>2016</strong>


RESEARCH<br />

EDUCATION<br />

MEDICINE<br />

A pod of beluga whales gathers in<br />

the relatively warm, shallow waters<br />

of Hudson Bay near Churchill,<br />

Manitoba, to give birth, molt and<br />

feed on capelin before heading<br />

back to the Arctic.<br />

ELLEN CUYLAERTS<br />

42 DAN WAS THERE FOR ME / 44 <strong>AD</strong>VANCED DIVING / 48 EXPERT OPINIONS<br />

52 SAFETY 101 / 54 FROM THE MEDICAL LINE<br />

58 SKILLS IN ACTION / 60 INCIDENT INSIGHT<br />

ALERTDIVER.COM | 41


RESEARCH, EDUCATION & MEDICINE<br />

DAN WAS THERE FOR ME<br />

An Unusual<br />

Diagnosis<br />

By Marty Snyderman<br />

The expedition<br />

began in<br />

confused<br />

seas with a<br />

37-hour-long<br />

crossing that<br />

should have taken 10 hours.<br />

Following that delightful opening<br />

act, during my safety stop at the<br />

end of our first dive I watched<br />

an expedition member ascend so fast from 80 feet that the<br />

upper half of his body launched out of the water.<br />

I surfaced and signaled for help. By the time we got<br />

the diver aboard the boat, he was showing signs of<br />

decompression sickness (DCS). The divemasters tended<br />

to him, and I contacted DAN® to arrange an evacuation.<br />

That event, which took place in the early 1990s, was the<br />

first time DAN’s emergency medical support team was<br />

there for me. To ensure I was prepared for that sort of<br />

scenario is exactly why I became a DAN member in 1988.<br />

I never imagined how DAN would help me the<br />

most recent time I called on them. I was at a party one<br />

evening during the Diving Equipment and Marketing<br />

Association (DEMA) annual trade show. One minute I<br />

felt fine, and the next I felt really strange. I was spatially<br />

disoriented and had difficulty keeping my balance.<br />

I fought the symptoms for a few minutes, but I<br />

couldn’t will them away. I needed help getting back to<br />

my hotel room, and that journey took several hours,<br />

during which I had to sit down, put my head on a table<br />

and close my eyes. When I tried to walk I was told I<br />

was walking in a straight line, but I couldn’t tell. My<br />

world felt surreal.<br />

I went straight to bed and felt much better when I<br />

got up the next morning. After eating breakfast, I went<br />

to the convention center. I felt normal for a couple<br />

of hours, but then my body betrayed me again. Once<br />

again I needed help.<br />

I flew home to see my doctor as soon as I could.<br />

Based on my report and his exam, he sent me to a<br />

neurologist, an audiologist, a seizure specialist and an<br />

ophthalmologist. All were looking for tumors or other<br />

significant problems in my brain and my auditory and<br />

visual systems. This was serious stuff.<br />

As I went from specialist to specialist several times a<br />

week for almost two months, I heard statements such as,<br />

“If we see things we don’t like today, we will take away<br />

your driver’s license” and “This could end your diving<br />

career.” I was scared — about my health and my future.<br />

I was also frustrated. When I tried to describe my<br />

symptoms, I felt there was a serious disconnect between<br />

what I was saying and what the doctors were willing<br />

to hear. I am not suggesting that the tests I had were<br />

unnecessary — of course we had to consider the possibility<br />

of a tumor or similar problem. But long before that night<br />

at the DEMA show I had experienced some things while<br />

diving that I thought might be relevant, and I wanted the<br />

doctors to listen. Every time I tried to discuss the issue<br />

with the specialists, however, I was told that my diving<br />

history was not relevant. I wasn’t so sure about that.<br />

So I called DAN and spoke with Jim Chimiak, M.D.,<br />

who advised me to continue with the medical tests and<br />

keep him posted.<br />

Nothing notable showed up on any of the tests, but<br />

I experienced a few more minor episodes that were<br />

similar to what I experienced at the DEMA show.<br />

During a long and thorough follow-up call a few<br />

weeks later, I told Dr. Chimiak that the sensations I<br />

experienced at DEMA reminded me of how I felt when I<br />

had a very serious bout of ciguatera. I had the foodborne<br />

illness almost 20 years earlier after I ate some grouper<br />

or snapper in the Bahamas. The symptoms also were<br />

reminiscent of how I felt after experiencing carbon<br />

monoxide poisoning during a dive four years earlier.<br />

KAREN VAN HOESEN<br />

42 | SPRING <strong>2016</strong>


MARTY SNYDERMAN MARTY SNYDERMAN<br />

MARTY SNYDERMAN<br />

Clockwise from top: Great white shark at Guadalupe Island,<br />

Mexico; California sea lion in the Gulf of California; spinner<br />

dolphin in Hawaii<br />

Note from Snyderman: “These photos were taken after I was cleared to<br />

return to diving. I would not have enjoyed any of these encounters or<br />

captured these images without DAN’s help.”<br />

Opposite: Ian Grover, M.D., examines Snyderman at the<br />

UCSD dive medicine clinic.<br />

While Dr. Chimiak found this information<br />

interesting, he couldn’t say there was a direct link,<br />

but he told me that a statistical correlation exists<br />

between people who have had ciguatera and/or carbon<br />

monoxide poisoning and those people experiencing<br />

severe optical migraines later in life. These migraines<br />

can manifest in some very strange ways.<br />

The DAN team referred me to the dive medicine<br />

clinic at the University of California, San Diego, for a<br />

follow-up exam. This clinic is staffed by doctors who are<br />

board certified in undersea and hyperbaric medicine. At<br />

the clinic I had a comprehensive interview that covered<br />

my medical and diving history, and during this fourhour<br />

evaluation I shared my experiences with ciguatera<br />

and carbon monoxide poisoning.<br />

Ian Grover, M.D., the attending physician, spoke<br />

with Dr. Chimiak several times during my<br />

appointment, and they concluded that I was very<br />

likely experiencing some unusual — and unpleasant —<br />

optical migraines. They agreed that I could dive as long<br />

as I could manage these events. That meant I could<br />

continue my career as an underwater photographer<br />

and keep doing what I love in life.<br />

The doctors I saw previously were on the verge of<br />

telling me I should end my diving career. But the DAN<br />

team listened to me, considered unusual possibilities,<br />

discovered the root of my problem and referred me to<br />

a physician trained in dive medicine, who evaluated me<br />

and cleared me to dive.<br />

In yet another follow-up call, Dr. Chimiak suggested<br />

that I wear sunglasses in places with unusual or<br />

unpleasant lighting, which can trigger the type of<br />

migraines I experienced. On several occasions I have<br />

felt a migraine event coming on, and in every instance<br />

so far my symptoms<br />

have subsided within<br />

minutes after I put on<br />

my sunglasses — and<br />

I look cool.<br />

I am truly grateful<br />

that DAN was there<br />

for me. <strong>AD</strong><br />

SHARE<br />

YOUR STORY<br />

Has DAN been there for you?<br />

Tell us about it at<br />

ThereForMe@dan.org.<br />

ALERTDIVER.COM | 43


RESEARCH, EDUCATION & MEDICINE<br />

<strong>AD</strong>VANCED DIVING<br />

Empowering a Spectacle<br />

By Robert Soncini<br />

Cirque du Soleil’s O is a<br />

performance like no other.<br />

Its stage is a 25-foot-deep<br />

pool, and its artists require<br />

carefully choreographed<br />

assistance from a team of 14<br />

divers throughout the show.<br />

It is 6:30 p.m. in Las Vegas, Nev. In a small<br />

office at the Bellagio Resort and Casino, the<br />

dive plan is called into action: “… Jorge as<br />

Philemon, Anja as Aurora, Benedict as Le<br />

Vieux … duo trapeze with the Alimovas … 15<br />

artists in Barge ….” This is not a typical dive<br />

plan. At this briefing, members of the aquatics team are<br />

discussing the lineup for tonight’s performances of O<br />

by Cirque du Soleil. Meanwhile, 1,800 guests are filing<br />

into the theatre to witness the spectacle.<br />

For more than 8,000 shows, the team of divers,<br />

known as artist handlers, has functioned as the show’s<br />

safety divers, trained its staff<br />

and given support behind the<br />

scenes and beneath the surface<br />

of “the stage” The stage is a<br />

1.5-million-gallon, 25-foot-deep<br />

pool that is heated to 87°F and<br />

equipped with seven hydraulic<br />

lifts that allow the performance<br />

to take place anywhere from 18<br />

inches above the surface to 17<br />

feet below.<br />

During each show 14 divers<br />

work in perfect synchronization<br />

— according to their own<br />

choreography — with what is<br />

happening on stage. They rely<br />

on guidance from “the crow’s nest,” a console 45 feet<br />

above the stage, in which a member of the aquatics team<br />

monitors six carpenter divers and two rigger divers.<br />

These divers are responsible for prop manipulation and<br />

scene set up and teardown, all of which they do while on<br />

scuba. Four other members of the aquatics team focus<br />

on supporting the artists by providing them air and<br />

swimming them to and from various places in the pool,<br />

which is integral to the theatre magic.<br />

Two aquatics team members wear full-face masks<br />

and function as “divecomms.” These divers are in<br />

direct contact with the crow’s nest via hardwired<br />

communications — they observe firsthand what<br />

is occurring underwater and report any delays or<br />

maintenance needs to the crow’s nest. In the crow’s<br />

nest, the operator monitors seven closed-circuit<br />

television screens that show different views of the<br />

stage both above and below the water. The crow’s nest<br />

monitors the status of the pool and communicates with<br />

stage management about when it is safe to take the<br />

next cue to keep the show moving forward. Between<br />

artists and technicians, it takes nearly 200 people to<br />

put on the production that is O.<br />

Though the name of the show is simple (O is the<br />

phonetic pronunciation of the French word for water,<br />

eau), the production is anything but. Before the show’s<br />

creation in 1997, there was no precedent for such a<br />

performance. The creators literally wrote the book that<br />

laid the foundation for this sort of production, and other<br />

shows around the world have since been modeled after<br />

O. The technical team is well<br />

versed in stagecraft, having<br />

worked on other shows in Las<br />

Vegas and around the world, but<br />

the aquatics team is unique to O.<br />

The aquatics team, which<br />

is made up of divemasters<br />

and instructors with diverse<br />

experiences and backgrounds,<br />

includes recreational scuba<br />

professionals, engineers,<br />

commercial divers, search and<br />

rescue divers, boat captains and<br />

cruise ship workers.<br />

The artist handlers’ job is<br />

quite different from that of a<br />

traditional stagehand. First and foremost, these divers<br />

focus on safety. The entire production team is proud<br />

of the show’s safety record. Aquatics team members<br />

frequently rehearse rescue procedures, emergency<br />

responses and contingency plans. Each team member<br />

completes a custom lifeguard training program as<br />

well as an American Red Cross Emergency Medical<br />

Response course. Aquatics team members also provide<br />

scuba training for their colleagues when the show<br />

requires it, training technicians as rescue divers and<br />

artists as basic confined-water divers. They also train<br />

the technicians in DAN’s Emergency Oxygen for Scuba<br />

Diving Injuries course.<br />

The artist handlers’ diving rig is truly unique. Each<br />

diver has four second stages attached to the first stage:<br />

one for him or her and three to hand to artists as needed.<br />

In the pool, an additional 35 regulators are connected to a<br />

hookah system that artists can swim to and breathe from<br />

COURTESY CIRQUE DU SOLEIL<br />

44 | SPRING <strong>2016</strong>


COURTESY CIRQUE DU SOLEIL<br />

ALERTDIVER.COM | 45


RESEARCH, EDUCATION & MEDICINE<br />

<strong>AD</strong>VANCED DIVING<br />

at any time. At one point during the show each artist<br />

handler has to support six synchronized swimmers<br />

while preparing to establish a platform for other<br />

artists. The artist handlers hand off two regulators<br />

from their rigs and carry small pony bottles with<br />

four more regulators for the artists to use.<br />

Following the preshow briefing, divers conduct a<br />

series of in-water checks. The opening act is known<br />

as “Pied Deux,” which translates to two feet. The lifts<br />

are positioned 15 feet underwater, and a large red<br />

floating curtain lies on the surface. The aquatics team<br />

spreads out and places a matrix of 15 regulators,<br />

which are connected to a hookah system. Artists<br />

enter the water approximately three minutes before<br />

the show begins. As they swim to the center of the<br />

pool they receive regulators from the divers and<br />

are hidden from the audience until the show starts<br />

and the curtain opens. Once the artists are in position, the<br />

divecomms hit the cue lights to indicate that everyone is in<br />

position and the show can begin.<br />

When the show starts, the lighting in the pool<br />

fades to black. Relying on ambient light, the divers<br />

watch the artists as they invert to begin Pied Deux<br />

and then drop the regulators from their mouths.<br />

When all the regulators are clear, the divers strike the<br />

hookah lines from the stage and stow them for their<br />

next use. This kind of sequence plays out many times.<br />

Each artist handler is responsible for his or her own<br />

“cue track,” a predetermined sequence of actions that<br />

take place during the show. Each cue track proceeds<br />

independently of the other cue tracks but is completely<br />

reliant upon the execution of the others. The aquatics<br />

department is responsible for six in-water cue tracks.<br />

Built into each cue track is a series of “catches,” which<br />

are some of the most difficult elements of a cue track.<br />

During a catch, an artist enters the water from<br />

above, usually from an elevated platform. The<br />

crow’s nest watches and calls out the action over the<br />

underwater speakers. When the artist enters the water<br />

he holds his hands out and waits for the handler to give<br />

him a regulator. The artist then places the regulator in<br />

his mouth, purges it and swims with the diver to the<br />

next position or exit. At this point in the performance<br />

the diver and artist exhibit significant mutual trust.<br />

This trust is cultivated from the time a new artist or<br />

artist handler joins the show.<br />

Cirque du Soleil artists are world-class athletes;<br />

some are Olympians with gold medals. They regularly<br />

perform feats such as a six-minute trapeze routine<br />

followed by a drop from 40 feet in the air into a pool<br />

where they await a regulator so they can take their next<br />

breath. The divers must be dynamic in the way they<br />

The aquatics team, artists<br />

and technicians are a<br />

close-knit group; together<br />

they put on 475 shows<br />

in 2015.<br />

work underwater, responding quickly to unforeseen<br />

situations with artists.<br />

O is a melting pot of talents, backgrounds and<br />

cultures, which brings challenges as well as rewards.<br />

Currently 20 countries are represented in the show,<br />

and the many native languages — not to mention<br />

regional scuba jargon and hand signals — often present<br />

communication challenges. Translators assist as<br />

needed to ensure information is clear and understood.<br />

The O cast and crew are proud of their heritage<br />

and nationalities. A few times a year the entire team<br />

gathers for an international food day during which<br />

they bring a dish from their home countries. There is<br />

also a green room in which the artists and technicians<br />

gather for holiday parties, potlucks and sporting<br />

events. American football games are always popular,<br />

but international sporting competitions such as the<br />

FIFA World Cup or the Olympics bring particular<br />

excitement to the green room as everyone roots for his<br />

or her home country.<br />

Due to the nature of show business, O team<br />

members often work on holidays and always perform<br />

on Saturdays and Sundays. The full schedule — there<br />

were 475 shows in 2015 — means cast and crew<br />

members must often miss birthdays, anniversaries<br />

and holidays with family. The O cast has become a<br />

second family for many team members, who celebrate<br />

holidays, births and marriages together.<br />

As spectators exit the theatre, they leave with a<br />

vision that allows them to create their own story of<br />

O based on how it affected them. Ask cast members<br />

why they like working at O, and they often will say it is<br />

because of the people. While the aquatics team is just<br />

a small part of the show’s success, its role is vital for<br />

creating the spectacle that is O. <strong>AD</strong><br />

ALL PHOTOS COURTESY CIRQUE DU SOLEIL<br />

46 | SPRING <strong>2016</strong>


Smarter Diving<br />

Begins Before Your Dive.<br />

Dive Smarter With DAN’s Online Resources.<br />

Before getting into the water, smart divers learn how to identify and effectively manage the risks of<br />

diving. With DAN’s Online Case Summaries, divers can read about real diving incidents with expert<br />

commentary on how to prevent similar scenarios. With topics ranging from out-of-air emergencies<br />

to hazardous marine life encounters, every diver can enhance their dive safety knowledge. To prepare<br />

smarter for your next dive or to report a diving incident, explore DAN.org/DIVING-INCIDENTS.<br />

DAN.org/DIVING-INCIDENTS


RESEARCH, EDUCATION & MEDICINE<br />

EXPERT OPINIONS<br />

Physical Fitness for Diving<br />

By Neal W. Pollock, Ph.D.<br />

The physical fitness requirements<br />

for diving depend on a number of<br />

factors. While this makes establishing<br />

a single standard challenging, it can<br />

also lead to interesting discussion.<br />

At the most basic level, divers need<br />

to be able to easily meet the normal demands of diving<br />

with a fitness reserve sufficient to meet the additional<br />

demands of emergency situations. Environmental<br />

conditions dramatically influence “normal demands.” Calm,<br />

warm tropical waters are generally much less taxing than<br />

colder water. The demands increase as equipment, sea<br />

state, and entry and exit conditions intensify.<br />

Diver skill also plays an important role in determining<br />

the demands of a dive. A diver with excellent buoyancy<br />

control wearing minimum ballast weight will work far less<br />

than a diver fighting improper weighting or having less<br />

refined buoyancy control.<br />

Similar issues exist in<br />

establishing reasonable<br />

physical fitness buffers to<br />

handle emergency demands. Open-Water Testing Scenario*<br />

Environmental conditions, 219-yard (200 m) surface swim in<br />

equipment worn, proximity full gear<br />

to a safe exit, available<br />

109-yard (100 m) rescue tow (both in<br />

surface support and even full gear)<br />

the buddy’s physical fitness, Beach/dock/boat removal of victim<br />

size and skill have influence.<br />

While the highest level of<br />

physical fitness is desired, Basic life-support simulation<br />

a practical approach<br />

35 (male) / 25 (female) military-style<br />

is to consider minimal<br />

push-ups<br />

competencies.<br />

HOW TO EVALUATE<br />

PHYSICAL FITNESS<br />

A review of health history may be sufficient for healthy,<br />

active individuals. Functional fitness tests help ensure<br />

that a person is fit for diving. These can often be<br />

conducted in a pool or in open water. Lab-based tests<br />

of physical capacity may be appropriate in the case of a<br />

poor history of physical activity, concerns about safety<br />

during performance tests, or the presence of potential<br />

medical issues.<br />

FUNCTIONAL FITNESS TESTING<br />

Functional fitness testing has natural relevance to<br />

real-world activity. One simple series was proposed to<br />

evaluate recreational divers. 1 Divers would demonstrate<br />

the following capabilities: 1) lift and carry individual<br />

items of diving equipment on land; 2) stand from sitting<br />

and walk 100 feet in standard scuba equipment; 3)<br />

ascend a 5-foot vertical ladder from the water wearing<br />

standard scuba equipment; and 4) swim underwater at<br />

0.5 knot for 30 minutes and at 1.2 knots for 3 minutes<br />

wearing standard scuba gear.<br />

Another approach was proposed for scientific divers,<br />

focusing on rescue capabilities. 2 Evaluations followed<br />

a normal dive to start with typical fatigue levels. Since<br />

open-water environments are not available year-round<br />

in all places, a pool modification was also provided.<br />

The details can be seen in Table 1.<br />

Table 1. Proposed physical fitness test for scientific divers to be completed<br />

in continuous sequence<br />

* immediately following a working dive<br />

** immediately following underwater skill drills<br />

Pool Modifications**<br />

328-yard (300 m) surface swim (full gear,<br />

no suit)<br />

220-yard (200 m) rescue tow (full gear,<br />

no suit)<br />

Poolside removal of victim with both victim<br />

and rescuer wearing 15-pound (7 kg)<br />

weight belts<br />

Same<br />

Same<br />

CORKY WAGNER<br />

48 | SPRING <strong>2016</strong>


TRANSLATING FUNCTIONAL FITNESS<br />

TEST RESULTS<br />

Aerobic capacity (VO 2 max ) is defined as the maximum<br />

amount of oxygen that can be consumed per unit of<br />

time. This is classically determined with a continuous,<br />

progressive exercise test to exhaustion. While too involved<br />

for general use, VO 2 max is a standard for referencing<br />

overall fitness. The complicated units of milliliters of<br />

oxygen consumed per kilogram body mass per minute<br />

(mL/[kg·min -1 ]) can be simplified by converting VO 2 max<br />

values into metabolic equivalents (METs). MET max<br />

is determined by indexing VO 2 max to resting oxygen<br />

consumption (assumed to be 3.5 mL·kg -1·min -1 , or 1 MET).<br />

The higher the MET score, the higher the aerobic fitness.<br />

An example of the conversion follows:<br />

MET capacity (MET max ) = VO 2 max (in mL·kg -1·min -1 ) ÷ 3.5<br />

e.g., 49 mL·kg -1·min -1 (VO 2 max ) ÷ 3.5 = 14 METs<br />

GETTING FIT FOR DIVING<br />

The key to being physically fit to dive is to find a way to<br />

stay active. The goal is to build or maintain reserves to<br />

delay the point at which activity patterns have to decline.<br />

Optimally, divers will be significantly physically active<br />

daily and bolster this with 30-60 minutes of trainingquality<br />

activity three to four times per week. A mix of<br />

activities is generally best to reduce the risk of injury and<br />

boredom. (For suggested exercises, read our Dive Fitness<br />

articles in each issue or online at AlertDiver.com.)<br />

Physical training should target three key elements:<br />

strength, aerobic capacity and flexibility. Low-impact<br />

activities reduce the risk of injury, and activities that<br />

involve water provide the added benefit of improving<br />

comfort in the diving medium.<br />

FIELD MEASURES OF PHYSICAL FITNESS<br />

We conduct field evaluations of diver physical fitness as<br />

part of many of our research studies. We record a variety<br />

of measures to provide a snapshot for participants, often<br />

motivating them to improve their numbers.<br />

BODY MASS INDEX (BMI)<br />

Body mass index (BMI) is not a measure of body<br />

composition; it is simply a ratio of weight to height (weight<br />

in kilograms divided by squared height in meters). Despite<br />

this, BMI is used to predict body composition since it is<br />

more common for an increase to reflect an accumulation<br />

of fat than lean tissue. While convenient, BMI can provide<br />

a poor estimate on an individual basis, requiring common<br />

sense for interpretation. With this caution in mind, those<br />

with BMI values outside the desirable range should have<br />

their body composition evaluated further. If a high BMI is<br />

the result of excess fat, lifestyle changes that incorporate<br />

additional exercise and dietary changes are recommended.<br />

Table 2. BMI measurement classifications<br />

NEAL POLLOCK<br />

A diver with good buoyancy control should work little<br />

during a typical dive. A skilled diver swimming at<br />

no more than 0.5 knot could be working at around 3<br />

METs. A diver maintaining a pace of 1.2 knots could<br />

be working in the 10-12 MET range. We inferred<br />

workrate from open-circuit gas consumption during<br />

959 recreational dives and conservatively estimated a<br />

mean workrate of 5 METs. 3<br />

Classification BMI (kg·m -2 )<br />

Underweight


RESEARCH, EDUCATION & MEDICINE<br />

EXPERT OPINIONS<br />

age-dependent (see Table 3). Ratios<br />

(and health risk) can generally be<br />

improved by modifying exercise and<br />

dietary patterns.<br />

BODY FAT<br />

A certain amount of body fat is required<br />

to maintain health. Too much fat,<br />

however, puts a strain on the heart and<br />

other systems. A slow upward creep in<br />

body fat with age is common and can<br />

be problematic. The best way to reduce<br />

excess body fat is to combine diet and<br />

exercise efforts. Dieting alone will<br />

cause the loss of muscle tissue<br />

and a reduction in metabolic<br />

rate that will ultimately make<br />

excess weight come back faster.<br />

Numerous formulas can predict<br />

percentage of body fat using<br />

different skinfold measures.<br />

PUSH-UP CAPACITY<br />

Push-up capacity is a convenient<br />

measure of strength. The<br />

normative data require a military<br />

push-up through the range of<br />

motion from full extension of<br />

the arm to the elbow bent at 90<br />

degrees. Starting from the upright<br />

position with the elbows fully<br />

extended, the push-ups are done<br />

at a steady pace until they can no longer be continued.<br />

Performance can be markedly improved with training.<br />

SIT-UP CAPACITY<br />

Sit-up capacity is another convenient measure of<br />

strength, but it is important to note that the norms are<br />

based on a style of sit-up that should be used only for<br />

testing. Anchoring the feet flat on the floor allows a<br />

strong hip flexor (psoas major) to power the movement<br />

instead of the abdominal muscles, potentially<br />

increasing back discomfort that sit-ups are also used<br />

to reduce (because the psoas major pulls the lumbar<br />

spine forward). Sit-ups (or “crunches”) are more<br />

appropriately done from a starting position with the<br />

thighs perpendicular to the floor and the calves lying<br />

unanchored across a chair or similar surface to make<br />

the movement reliant on the abdominal muscles.<br />

Table 3. Waist-to-hip ratios and risk of heart disease<br />

Age (years)<br />

Classification 20-29 30-39 40-49 50-59 60-69<br />

Men<br />

Low Risk


JENNA WILEY<br />

GRIP STRENGTH<br />

Grip strength is a simple measure of strength. The<br />

dominant hand will often score 10 percent higher<br />

than the nondominant hand. As with many of the<br />

tests we use, comparison of an individual’s pre- and<br />

posttraining period performance can be useful.<br />

Table 6. Grip strength scores by gender<br />

Classification Males (kg) Females (kg)<br />

Excellent >64 >38<br />

Very Good 56-64 34-38<br />

Above Average 52-55 30-33<br />

Average 48-51 26-29<br />

Below Average 44-47 22-25<br />

Poor 40-43 20-21<br />

Very Poor


RESEARCH, EDUCATION & MEDICINE<br />

SAFETY 101<br />

Hypoxia in Breath-<br />

Hold Diving<br />

By Marty McCafferty, EMT-P, DMT<br />

There is an appeal to being able to<br />

venture underwater using a minimum<br />

of equipment. The desire to explore<br />

unencumbered has led to increasing<br />

interest in breath-hold (apnea) diving,<br />

also called freediving. There are,<br />

however, potential hazards associated with this activity that<br />

should be reviewed. Understanding the basic components<br />

of the human respiratory drive can help reduce the<br />

potential for life-threatening or life-ending complications.<br />

Human respiration is primarily an autonomic function,<br />

requiring no conscious effort. We can exercise control<br />

over our breathing, but only for short periods. Most of us,<br />

at some time in our lives, have attempted to determine<br />

how long we can hold our breath. Regardless of the length<br />

of time or circumstance, there is a point at which the urge<br />

to breathe is overpowering, and we end the breath-hold.<br />

With practice and observation we may have discovered<br />

techniques for increasing our breath-hold time.<br />

One common technique is taking multiple breaths in<br />

rapid succession just before holding the last inspiration.<br />

This is known as hyperventilation: effectively,<br />

ventilation in excess of metabolic need. Some think that<br />

the multiple breaths increase the level of oxygen (O₂) in<br />

the blood, but the increase is actually fairly trivial.<br />

With the exception of a few chronic medical<br />

conditions (which are generally disqualifying for diving),<br />

respiration is driven by the increase of carbon dioxide<br />

(CO₂) in the blood. The concentration of CO 2 in the<br />

blood is not maintained at the same concentration<br />

as air but at much higher levels to provide proper<br />

acid-base balance. The normal concentration of CO 2<br />

is 140-160 times greater than that of air. Because of<br />

this, hyperventilation can create drastic drops in blood<br />

CO 2 levels. The reduced CO 2 present at the start of<br />

breath-hold prolongs the breath-hold time necessary to<br />

accumulate enough CO₂ to trigger the urge to breathe.<br />

While the urge to breathe is delayed, the trivial<br />

increase in O₂ content means that O 2 levels can fall too<br />

low to maintain consciousness before there is an urge<br />

to breathe (see the figure on the next page). Reduced<br />

O₂ is known as hypoxia, and excessive hyperventilation<br />

alone is sufficient to cause blackout. When combined<br />

with a vertical dive, the decrease in ambient pressure<br />

With proper training and<br />

dedicated one-on-one<br />

supervision, breath-hold<br />

diving can be an enjoyable<br />

pursuit.<br />

Opposite: Hyperventilating<br />

before breath-holding<br />

increases the risk of loss of<br />

consciousness by delaying<br />

the urge to breathe.<br />

during ascent further hastens the drop in O 2 , increasing<br />

the risk of loss of consciousness.<br />

This latter phenomenon is commonly known as<br />

“shallow-water blackout,” since loss of consciousness<br />

is most likely to occur during the final stage of ascent,<br />

where the decline in relative pressure is greatest, or after<br />

surfacing before the freshly inspired oxygen reaches<br />

the brain. Taking a maximum of two full ventilatory<br />

exchanges prior to breath-hold is probably a reasonably<br />

safe level of hyperventilation, but great caution is<br />

required since hyperventilation works by compromising,<br />

if not obliterating, our natural protections.<br />

Some advocates will claim to not rely on<br />

hyperventilation but to instead employ “work-up<br />

breathing” or “cleansing breaths” prior to breath-hold.<br />

These are just different names for hyperventilation and<br />

thus must be employed thoughtfully and cautiously.<br />

The risk remains, regardless of what it is called.<br />

Physical activity during breath-hold will increase O₂<br />

consumption. Expected “safe” breath-hold times can<br />

easily be overestimated.<br />

STEPHEN FRINK<br />

52 | SPRING <strong>2016</strong>


Competitive or extreme breath-hold diving is a<br />

serious undertaking. These dives encompass a host<br />

of logistical challenges and require rigorous safety<br />

planning to conduct properly. Spearfishing and<br />

recreational apnea diving are far more common<br />

but do not have the same safeguards as organized<br />

events. The buddy system, typically using a one-upone-down<br />

protocol, can offer some protection for<br />

simple shallow activity in good visibility and water<br />

conditions and with great diligence on the part of<br />

the safety diver, but it can easily break down as<br />

complexity increases. Dedicated one-on-one supervision<br />

is critical even for swimmers doing laps underwater in a<br />

pool — the presence of a lifeguard is not sufficient.<br />

It is important to remember that close supervision<br />

is required even after an apnea diver returns to the<br />

surface. This attention should continue for no less<br />

than 30 seconds to ensure that delayed impairment<br />

of consciousness does not occur. Beyond breath-hold<br />

physiology issues, the use of dive flags and floats and<br />

selection of a dive site away from boat traffic can<br />

increase safety.<br />

Breath-hold diving can be safely enjoyed with a<br />

minimum of equipment. Manage the risk by seeking<br />

proper and professional training before undertaking<br />

apnea diving. Multiple training agencies are dedicated<br />

to freediving and freediving safety. For additional<br />

background, download the proceedings of the 2006<br />

breath-hold diving workshop 1 at DAN.org. <strong>AD</strong><br />

REFERENCE<br />

1. Lindholm P, Pollock NW, Lundgren CEG, eds. Breath-hold diving. Proceedings of the Undersea and Hyperbaric<br />

Medical Society/Divers Alert Network 2006 June 20-21 Workshop. Durham, NC: Divers Alert Network; 2006.<br />

• Includes all meals, beverages and transfers<br />

• Free Nitrox<br />

• Tech diving available<br />

• Nine spacious suites<br />

ALERTDIVER.COM | 53


RESEARCH, EDUCATION & MEDICINE<br />

FROM THE MEDICAL LINE<br />

Aging and Diving<br />

DAN MEDICS AND RESEARCHERS<br />

ANSWER YOUR QUESTIONS<br />

ABOUT DIVE MEDICINE.<br />

Q:I am 79 years old and healthy. I have not<br />

been diving in several years and would<br />

like to get back into it. Are there any<br />

recommendations, prohibitions or limitations for a<br />

diver my age?<br />

note that DAN® is not a regulatory<br />

agency and does not set standards or<br />

A:Please<br />

guidelines for participation in diving. Any<br />

age or fitness limitations you encounter would<br />

come from training agencies or dive operations, not<br />

DAN. The responsibility for the decision of whether<br />

or not to dive is generally that of the individual<br />

and his or her physician. This decision, however,<br />

should be based on the most current diving medical<br />

information available.<br />

Many people in their 70s and 80s continue to dive,<br />

although their diving style may change over time.<br />

The key to safe diving is physical fitness, not age. Or<br />

as some people glibly state, “It’s not the age but the<br />

mileage that counts.” An athletic, physically fit senior<br />

citizen may be a better candidate for diving than a<br />

25-year-old in poor physical condition. But that same<br />

person will never match the physical capabilities of an<br />

athletic 25-year-old. All tissues — blood vessels, heart,<br />

lungs, muscles, etc. — age.<br />

A thorough cardiac workup and stress test are<br />

prudent and probably the first priorities. Many<br />

cardiologists familiar with dive medicine recommend<br />

a cardiac stress test targeting a score of 13 metabolic<br />

equivalents (METs), while others recommend a<br />

minimum of 10 METs. Either level is rigorous exercise.<br />

While most diving is relaxing, a strong current, a<br />

long surface swim or rescuing a buddy (or oneself) all<br />

require a high level of exercise tolerance.<br />

Awareness of underlying medical issues is of<br />

practical use. The basic aches of arthritis could be<br />

confused with decompression sickness, so conservative<br />

profiles are recommended for anyone who deals with<br />

this issue. Also, diving in locations with reasonable<br />

access to medical care is prudent. Anyone can have a<br />

medical or diving emergency, and age makes medical<br />

emergencies more likely. A minor issue that occurs<br />

within reasonable access to medical care can be<br />

STEPHEN FRINK<br />

STEPHEN FRINK<br />

handled easily. The same issue can be much more<br />

problematic on a remote island or liveaboard hours or<br />

days from medical care.<br />

— Frances Smith, EMT-P, DMT<br />

Q:<br />

I know nitrogen is not metabolized by the<br />

body, and I’ve read that tech divers are facing<br />

issues with helium bends. Is the size of the<br />

molecules relevant? Helium molecules are smaller<br />

and lighter than oxygen molecules, while nitrogen<br />

molecules are larger. Some people are filling their<br />

car tires with nitrogen<br />

because it supposedly<br />

leaks out of the tire<br />

more slowly than air.<br />

A:<br />

There are times<br />

when size<br />

matters and<br />

times when it is a red<br />

herring. This is one<br />

of those cases where<br />

it’s a little bit of both.<br />

Nitrogen is a slightly<br />

larger molecule than<br />

54 | SPRING <strong>2016</strong>


oxygen (by about 2 percent), but that does not have<br />

anything to do with its reactivity in the body. A<br />

better analogy would be how wood and steel<br />

interact with a magnet. The steel reacts, while the<br />

wood does not.<br />

A helium molecule, on the other hand, is one-third<br />

the size of a nitrogen molecule. Molecule size can<br />

make a difference in passing through some barriers,<br />

but it is almost certainly not the only factor in uptake<br />

and elimination or its nonnarcotic nature relative to<br />

nitrogen. Interestingly, while helium is considered a<br />

fast gas in terms of exchange, it can cause challenges<br />

in decompression, resulting in the need for more<br />

buffering of limits based on expectations of exchange<br />

speed. You may be hearing more about decompression<br />

related to helium in large part because of its increased<br />

use by recreational technical divers. Broadening the<br />

use sometimes brings out new issues not discovered in<br />

more limited traditional use.<br />

As I like to say, physiology does not equal math.<br />

Physiology is much more dynamic. Seemingly logical<br />

ideas, such as size being a critical factor, can be attractive<br />

but do not answer the question. Asking questions,<br />

though, and having a lifelong interest in learning are<br />

critical in getting closer to the elusive truth.<br />

By the way, it is not worth paying to fill your tires<br />

with nitrogen.<br />

— Neal W. Pollock, Ph.D.<br />

Q:<br />

Why does it seem like the answers I<br />

read in Alert Diver or on DAN.org are<br />

so conservative? You advise caution for<br />

medical issues I would never give a second thought<br />

to when participating in other activities such as<br />

skiing, tennis, basketball or exercising at the gym.<br />

It seems like your organization is afraid for anyone<br />

but the healthiest people to dive.<br />

A:<br />

Many divers have medical conditions and/<br />

or take medications and enjoy diving without<br />

any problems. DAN’s role is to provide<br />

information based on the available literature and<br />

prevailing expert opinions in diving medicine, not to<br />

decide who is allowed or prohibited from diving. We<br />

advise divers (and potential divers) and their doctors<br />

so they can make thoughtful and informed decisions<br />

about diving. Sometimes DAN recommends that<br />

divers or potential divers be evaluated by a physician<br />

who has special training in diving medicine.<br />

Hazards exist in the diving environment that are<br />

not present in most other recreational activities. If<br />

someone playing basketball gets dizzy or short of<br />

breath, he or she can easily stop the activity and rest.<br />

If a medical emergency arises, emergency medical<br />

services are readily available. The underwater world,<br />

however, is unforgiving, and problems can increase<br />

the risk of drowning. Shortness of breath, for example,<br />

does not always resolve with rest while underwater<br />

because of the increased resistance involved in<br />

breathing through a regulator. It is important to<br />

remember that when scuba diving we are using lifesupport<br />

equipment to explore an environment not<br />

conducive to human survival.<br />

— Scott Smith, EMT-P<br />

Q:I recently returned home from a two-week<br />

liveaboard dive trip. After experiencing<br />

some initial motion sickness while adapting<br />

to the motion of the boat, I had a wonderful trip. At<br />

the end of the trip, however, I felt like the dock was<br />

rocking when we disembarked. I was queasy and<br />

almost vomited. This feeling continued for nearly a<br />

week before resolving. Why did this happen?<br />

A:<br />

While we cannot say with certainty what caused<br />

your symptoms, you may have been suffering<br />

from condition that’s known by various names<br />

COLIN FIELD/ISTOCKPHOTO.COM<br />

ALERTDIVER.COM | 55


RESEARCH, EDUCATION & MEDICINE<br />

FROM THE MEDICAL LINE<br />

including land sickness, disembarkment syndrome<br />

and mal de debarquement syndrome (MdDS). This<br />

syndrome occurs when the brain, having adjusted to<br />

the constant movement of the ship, has essentially<br />

forgotten how to handle a solid surface beneath the<br />

feet. The body finds the sensations of being on firm<br />

ground unfamiliar and abnormal. The vestibular<br />

system, which controls the body’s balance, is disrupted<br />

and typically takes a few hours to a few days to readjust<br />

to being on a nonmoving surface. Some individuals,<br />

however, report a much longer time for resolution.<br />

No test can definitively diagnose disembarkment<br />

syndrome; diagnosis is based on the exclusion of<br />

reasonable alternatives.<br />

While the main symptoms are a persistent rocking<br />

sensation and a sense of imbalance, other symptoms<br />

may include dizziness, fatigue, migraines, depression,<br />

nausea, difficulty concentrating and confusion. Typically,<br />

the condition is more pronounced when the person<br />

is sitting or lying down. Unlike motion sickness, the<br />

symptoms of disembarkment syndrome may improve<br />

with motion such as walking or riding in a vehicle.<br />

It is impossible to predict whether an individual will<br />

suffer from disembarkment syndrome after a cruise<br />

or voyage. Those who readily adjust to the motion of<br />

the sea seem to be more susceptible. Disembarkment<br />

syndrome is more common in women than men, but<br />

a specific hormonal tie has not been detected. To<br />

decrease the likelihood of disembarkment syndrome,<br />

start seasickness-prevention measures a few days<br />

before boarding a ship and continue them for a few<br />

days after returning to land.<br />

According to the MdDS Balance Disorder<br />

Foundation, there is no treatment for the condition<br />

since it typically subsides on its own. Motion-sickness<br />

YURLS/ISTOCKPHOTO.COM<br />

DAN<br />

Cares<br />

Together,<br />

we save lives.<br />

Whether it is assistance provided<br />

over DAN’s 24/7 diving emergency<br />

hotline, an important discovery through<br />

our continued research, or application<br />

of emergency first aid — all of these<br />

elements directly impact diver safety.<br />

With your help, we continue to invest<br />

in these initiatives because we care.<br />

Together, we make a difference.<br />

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All contributions are tax deductible and benefit the DAN Foundation, a 501(c)(3) organization, Tax ID # 56-1696689.<br />

56 | SPRING <strong>2016</strong>


medications such as meclizine<br />

or scopolamine are not effective<br />

with MdDS. Instead, clonazepam,<br />

benzodiazepines or amitriptyline<br />

may be beneficial. Additionally,<br />

light physical activity such as<br />

walking or yoga, taking naps,<br />

and possibly acupuncture may<br />

help strengthen the vestibular<br />

system.<br />

Resources for additional<br />

information include the National<br />

Institutes of Health, the National<br />

Organization for Rare Disorders<br />

and the MdDs Balance Disorder<br />

Foundation.<br />

— Frances Smith, EMT-P, DMT<br />

a recent DAN<br />

article about exercise<br />

Q:In<br />

and diving, I read<br />

the following:<br />

Intense physical activity —<br />

generally with substantial<br />

muscular forces and joint<br />

loading (the application of<br />

forces on joints) — is believed to<br />

transiently increase micronuclei<br />

activity, the presumed agent of<br />

bubble formation.<br />

Are these micronuclei<br />

preexisting? Where do<br />

micronuclei come from, and how<br />

are they formed or created?<br />

A:<br />

The source point for<br />

bubble formation is one<br />

of the great mysteries in<br />

diving science. We know that<br />

bubbles form at relatively low<br />

gas supersaturations, suggesting<br />

some biological facilitation of the<br />

process, but we do not yet have<br />

the imaging tools to see the initial<br />

formation. This technology will<br />

come, but it’s not available yet.<br />

Other methods to identify the<br />

sites of formation also continue.<br />

Micronuclei may comprise<br />

multiple structures. Whatever<br />

they are, they are preexisting, and<br />

their activity of facilitating bubble<br />

formation can be influenced<br />

by acute events (most notably<br />

recent pressure excursions that<br />

act as preconditioning to alter<br />

the responsiveness). Altered<br />

responsiveness appears to be<br />

transient, indicating a dynamic<br />

state or ongoing replacement. If<br />

you want to see micronuclei in<br />

action, look at a glass of beer. You<br />

can often see streams of bubbles<br />

originating from apparently<br />

singular points on the side of<br />

the glass. These points are often<br />

associated with defects in the glass,<br />

effectively small cracks within<br />

which micronuclei formation<br />

points exist. It is thought that<br />

the micronuclei are lodged in the<br />

cracks and act to crank out bubble<br />

after bubble. Even if this cannot<br />

provide all the answers, it can<br />

make for a pleasant interlude if<br />

you enjoy beer.<br />

Ultimately, we can see bubbles<br />

best in the vascular system, and<br />

we have a good idea when they<br />

develop and what effects they can<br />

have. When we are vague on the<br />

specifics of the actual formation,<br />

it is an honest acknowledgment of<br />

understanding yet to come. <strong>AD</strong><br />

— Neal W. Pollock, Ph.D.<br />

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ALERTDIVER.COM | 57


RESEARCH, EDUCATION & MEDICINE<br />

SKILLS IN ACTION<br />

Teamwork and Training<br />

By Curtis Snaper<br />

DENNIS LIBERSON<br />

The day started like any other June day. It<br />

was warm, a little windy and perfect for<br />

diving one of our favorite training sites:<br />

Lake Mohave, Ariz. Our instructor<br />

team was teaching three classes that<br />

morning — Open Water Diver, Peak<br />

Performance Buoyancy and Underwater Navigator —<br />

and we had a productive morning of dive training. After<br />

successfully completing the certification dives, a group<br />

of nine of us decided to delay packing up our gear and<br />

instead celebrate with a dive for fun. We headed to the<br />

site of a sunken cabin cruiser two coves over.<br />

After a short hike in full gear over a couple of small<br />

rises in the desert, we arrived at the entry point. As soon<br />

as we got there we heard yelling — a woman floating<br />

in an inner tube a short distance offshore was clearly in<br />

some kind of distress. A member of our group swam<br />

over to assess the situation and learned that someone<br />

had gone underwater and had not come back up.<br />

Our training kicked in. One member of our group<br />

returned to our base camp to phone for emergency<br />

assistance, two swam to assist the woman and get<br />

a better understanding of what had happened, and<br />

the rest descended to conduct a search pattern. Five<br />

minutes into our search I discovered an unresponsive<br />

man on the bottom in approximately 40 feet of water.<br />

As I approached him I formulated what I would do<br />

when I surfaced with him, mentally running through<br />

the countless scenarios that have unfolded in the<br />

Rescue Diver courses I’ve taught.<br />

When I reached the man I grasped him, brought<br />

him to the surface, held his head in a way that would<br />

ensure his airway was open and began to administer<br />

rescue breaths as I swam with him to the closest point<br />

on shore. The rest of the team helped move him onto a<br />

flat part of the rocky ground. One instructor deployed<br />

a pocket mask that he always carries in his BCD, and<br />

we immediately began CPR. Every couple of cycles we<br />

shifted responsibility for compressions and ventilations<br />

among the rescuers — it’s exhausting to keep up<br />

effective CPR as the adrenaline begins to run low. We<br />

continued performing CPR for 20 minutes while we<br />

waited for the arrival of emergency medical services.<br />

The National Park Service had dispatched a couple of<br />

boats, and we placed the patient aboard one of them so<br />

he could be moved back across the cove to where the fire<br />

department paramedics could take over care. They placed<br />

him into a helicopter for transport to the hospital.<br />

By the time the ordeal was mostly over, one of our<br />

divers started having some breathing issues due to<br />

58 | SPRING <strong>2016</strong>


the combination of swimming,<br />

moving the unresponsive victim<br />

and enduring the general stress<br />

of it all. We deployed our DAN®<br />

oxygen unit to help him recover.<br />

Later we learned the victim,<br />

who was the boyfriend of the<br />

woman in the inner tube, had<br />

swum across the cove in pursuit<br />

of a small raft that the wind was<br />

blowing across the water. He<br />

failed to reach the raft, became<br />

exhausted and submerged about<br />

20 feet away from the far shore.<br />

The man unfortunately never<br />

regained consciousness and was<br />

later pronounced dead.<br />

Looking back on the incident I<br />

think about what we as individuals<br />

carrying rescue gear such as<br />

pocket masks with you — they<br />

are extremely effective for giving<br />

rescue breaths and shielding<br />

you from bodily fluids and<br />

possible disease transmission.<br />

The instructor who had one<br />

with him always keeps it in an<br />

add-on trim pocket secured under<br />

his dive-knife grommets. Now<br />

each member of our instructor<br />

team includes this as part of our<br />

normal kit.<br />

We always keep a DAN<br />

Rescue Pack oxygen unit with<br />

us whenever we are at a remote<br />

dive site. We have an emergency<br />

action plan that acknowledges<br />

that cell phone reception is often<br />

“Our training kicked in. One member of<br />

our group returned to our base camp<br />

to phone for emergency assistance,<br />

two swam to assist the woman and<br />

get a better understanding of what<br />

had happened, and the rest descended<br />

to conduct a search pattern. Five<br />

minutes into our search I discovered<br />

an unresponsive man on the bottom in<br />

approximately 40 feet of water.”<br />

and as a team did right and what<br />

we will do better if we ever find<br />

ourselves in such a situation again.<br />

After this experience, I cannot<br />

overstate the importance of being<br />

prepared. I believe all divers<br />

should learn and stay current in<br />

CPR skills and emergency oxygen<br />

administration. I also advocate<br />

bad at our local dive sites and that<br />

multiple agencies may be involved<br />

in an emergency.<br />

I was proud of our team’s<br />

response and how closely it<br />

followed what we teach in our<br />

Rescue Diver program. I believe<br />

we gave the victim the very best<br />

chance possible. <strong>AD</strong><br />

ALERTDIVER.COM | 59


RESEARCH, EDUCATION & MEDICINE<br />

INCIDENT INSIGHT<br />

We should not forget one of the first lessons<br />

we were taught as new divers: Don’t force it<br />

— if it’s hard to equalize, end the dive.<br />

If You Can’t Equalize, Abort<br />

SINUS BAROTRAUMA CAN BE VERY UNPLEASANT.<br />

By Matías Nochetto, M.D.<br />

THE DIVER<br />

The diver was a 26-year-old woman with approximately<br />

200 lifetime dives.<br />

THE DIVE<br />

She did a single, morning dive to a maximum depth of<br />

88 feet. She reported no troubles equalizing or other<br />

complications during her descent. Approaching her safety<br />

stop near the end of the ascent, however, she was struck<br />

by a sudden massive headache, nausea and vomiting.<br />

She skipped the safety stop and ascended directly to<br />

the surface. The headache and vomiting continued on<br />

the boat, and she also experienced an onset of what she<br />

called dizziness. The crew helped her remove her gear<br />

and administered oxygen. After a few minutes with no<br />

improvement, the crew recalled the rest of the divers and<br />

called emergency medical services (EMS) and the DAN®<br />

Emergency Hotline.<br />

ANALYSIS<br />

Further discussion revealed that the dizziness the diver<br />

reported was likely true vertigo. Vertigo is characterized<br />

by a spinning sensation and is usually accompanied by<br />

nausea and vomiting, while dizziness is a sensation of loss<br />

of balance.<br />

In a diving context, a sudden onset of vertigo during<br />

ascent or descent is suggestive of ear barotrauma, with<br />

inner-ear barotrauma (IEBT) being most concerning. Ear<br />

pain may or may not be present. Vertigo is also common<br />

in cases of inner-ear decompression sickness (IEDCS).<br />

Symptom onset for IEDCS is usually not so sudden and<br />

dramatic, and the dive profile did not seem to be aggressive<br />

enough to immediately suggest IEDCS.Nevertheless, such a<br />

diagnosis could not be completely ruled out.<br />

Distinguishing between IEDCS and IEBT can<br />

pose a significant diagnostic challenge, but doing so<br />

is critical because the two conditions require very<br />

STEPHEN FRINK<br />

60 | SPRING <strong>2016</strong>


different therapeutic approaches, and misdiagnosis and<br />

mistreatment could be harmful.<br />

Headaches are a common postdive complaint, often the<br />

result of a sinus barotrauma.<br />

Although much rarer, another possible diagnosis was<br />

a very bad sinus barotrauma with gas leaking into the<br />

cranial cavity (pneumocephalus). The sudden onset of a<br />

massive headache associated with a significant drop in<br />

barometric pressure accompanied by nausea, vomiting and<br />

vertigo was suggestive of such a rare diagnosis. The diver<br />

did report some difficulties equalizing and what seemed<br />

to have been some sinus pain during descent as well as a<br />

sensation of pressure later during ascent. The diver’s recent<br />

history of a cold increased the likelihood of a very bad<br />

sinus barotrauma. Pneumocephalus is usually diagnosed<br />

using imaging, but small amounts of gas can be reabsorbed<br />

in a short time. Because of the relatively small window<br />

for a positive diagnostic image and the harmful — even<br />

fatal — nature of pneumocephalus, ruling it out should be<br />

a priority.<br />

The mechanism of injury is assumed to be a reverse<br />

block of the sinuses. The presence of mucus and<br />

inflammation of mucous membranes are the most<br />

common causes of transient sinus blockage. These<br />

generally pose no greater risk than inflammation in<br />

the mucous membranes of the sinuses, but with the<br />

ambient pressure changes involved in diving, a partial<br />

or intermittent blockage may act as a valve that impairs<br />

normal gas flow in the sinuses.<br />

Gas expansion from a reverse block can be significant<br />

enough to disrupt the thin bone walls separating the<br />

sinuses from each other and from the cranial cavity.<br />

When a sinus cavity suddenly relieves its pressure into<br />

another one, this usually manifests as pain, a headache<br />

and possibly a nose bleed. Gas leaking into the cranial<br />

cavity (pneumocephalus), on the other hand, can result in<br />

anything from headaches to life-threatening neurological<br />

deficits.<br />

Potential consequences will depend on the amount of<br />

gas and the degree of displacement of normal anatomical<br />

structures. This sort of injury can initially manifest as a<br />

moderate or severe headache or, in severe cases, result in<br />

seizures or even death. Most cases of pneumocephalus<br />

resolve spontaneously without surgical intervention.<br />

Management involves breathing oxygen, keeping the head<br />

of the bed elevated, taking antibiotics (especially when<br />

traumatic injury is involved), managing pain and performing<br />

frequent neurologic checks and repeated CT scans.<br />

EVALUATION AND TREATMENT<br />

The diver’s X-rays revealed subtle signs that could indicate<br />

pneumocephalus, which warranted admission to the<br />

hospital. These findings, however, could not be reproduced<br />

during a CT scan several hours later. These diagnostic<br />

discrepancies prompted some discussions, but based on<br />

the case history, symptom presentation and initial imaging,<br />

the diagnosis was still thought to be pneumocephalus<br />

following sinus barotrauma. The patient had been<br />

breathing pure oxygen since surfacing, including during<br />

transportation, evaluation and hospital admission, which<br />

could have sped up the reabsorption of the gas.<br />

In the absence of concrete evidence of pneumocephalus,<br />

the treatment plan was for the patient to continue to<br />

breathe oxygen, begin a course of antibiotics, undergo<br />

repeat CT scans and be observed for no less than 48 hours.<br />

A six-month follow-up appointment revealed the diver<br />

had a very good outcome and had no complications during<br />

or after her hospital stay. She has not resumed diving.<br />

DISCUSSION<br />

One of the first rules we learn as student divers is<br />

to discontinue diving when we experience difficulty<br />

equalizing. This is probably the first rule we all break.<br />

Questions about the use of decongestants are among the<br />

most common asked on the DAN Medical Information<br />

Line. (Learn more about decongestants and diving at DAN.<br />

org/medical/FAQ.)<br />

With regard to barotrauma risk, the most critical<br />

phases of a dive are the descent and ascent, during which<br />

massive barometric changes take place. When divers have<br />

difficulty equalizing during descent, dive leaders often go<br />

to excessive lengths to avoid aborting a dive, encouraging<br />

divers to try different equalization techniques and<br />

instructing them to alternate between ascending a few feet<br />

and trying again to descend. It is also not uncommon to<br />

see divers pinching their nose and blowing during ascent,<br />

presumably because they are experiencing equalization<br />

difficulties while ascending. Both of these practices are<br />

counterproductive and significantly increase the risk of<br />

middle-ear, sinus and inner-ear barotrauma.<br />

Problems with sinus inflammation and congestion may<br />

be amplified by the sinuses’ natural responses to cold<br />

temperature. Exposure to cold triggers a reflex to limit heat<br />

that manifests as increased mucus production and swelling<br />

of mucous membranes. This is known as “cold-induced<br />

rhinitis.” Sea water can also have an irritating effect on<br />

mucous membranes, further stimulating mucus production.<br />

Normally this has no negative consequences other than<br />

copious amounts of clear mucous when we surface, but<br />

be careful when diving: If you are recovering from a cold<br />

or have other predisposing factors such as active allergies,<br />

gas movement between sinuses may be significantly more<br />

difficult. If you experience mild difficulty equalizing at<br />

the beginning of a dive, chances are the increased mucus<br />

production and swelling of mucous membrane may make<br />

equalizing even more difficult near the end of the dive.<br />

Remember you can always abort a descent; aborting an<br />

ascent is a lot more problematic. <strong>AD</strong><br />

ALERTDIVER.COM | 61


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THE<br />

Maldives<br />

A NEW LOOK AT AN OLD FAVORITE<br />

[<br />

TEXT AND PHOTOS BY STEPHEN FRINK<br />

[<br />

The last time I went to the<br />

Maldives was in 2010.<br />

Although it was a wonderful<br />

trip, I felt a nagging bit of<br />

guilt about it. At the south<br />

end of Ari Atoll is a place<br />

where whale sharks come to<br />

feed on plankton. It’s also the<br />

site of a resort development, and a gaggle of tourists<br />

can be found there at any given time. The masses<br />

of snorkelers flocking to the few whale sharks in the<br />

vicinity create a bit of a melee. When I was there I<br />

swam down to take an upward-angled photo, and<br />

when it was time to ascend I struggled to find a spot<br />

on the surface free of human bodies or whale shark. It<br />

wasn’t lost on me that I was part of the problem — as<br />

culpable and frenzied as the rest. In the end I felt bad<br />

for the whale shark, which had to deal with so much<br />

interference while simply trying to feed.<br />

Reliable whale-shark encounters are one of the<br />

Maldives’ iconic attractions, but that day I decided<br />

that the next time I visited I would find an itinerary<br />

that was outside of the mainstream. Fortunately, in<br />

an archipelago of 1,192 islands in 26 atolls, there are<br />

plenty of options.<br />

Regardless of where you intend to go in the<br />

Maldives, your first stop will be the international<br />

airport in Malé. From there you’ll transfer to a<br />

liveaboard or an island-based resort. With 35,000<br />

square miles of sovereign nation but less than 115<br />

square miles of land, a boat or seaplane will be<br />

necessary to get you where you want to go.<br />

This trip was a hybrid of new (to me) areas to the<br />

north and familiar dive opportunities in the south<br />

that are simply too good to ignore. Even though we<br />

boarded our liveaboard in the early afternoon and<br />

could have done our checkout dive that same day, we<br />

opted to motor north, steaming overnight while we<br />

checked into our cabins, assembled our cameras and<br />

had our first (of many) dive briefings. This was good,<br />

because it allowed us to be better educated about how<br />

the geographic diversity of these islands gave rise to<br />

distinct and unique reef structures and to learn about<br />

the challenges and opportunities each might present.<br />

The channel, or “kandu,” is a deep cleft in the rim of<br />

an atoll that connects the inner lagoon with the open<br />

ocean. These channels feature swift currents at times, as<br />

the tides move massive amounts of water through these<br />

relatively narrow openings. They are best dived during<br />

incoming tides when clear water streams into the lagoon<br />

(and if a diver is swept beyond the intended pickup,<br />

it will be into the shelter of the lagoon rather than<br />

the open ocean). Our group of dedicated underwater<br />

photographers groaned audibly when presented with<br />

the possibility of diving in heavy currents, as they<br />

make composition difficult, but not all divers share this<br />

concern, and diving in the current can be a rush.<br />

A “faru” is a circular reef that rises from the ocean<br />

floor within a channel. Featuring ledges and overhangs<br />

where marine life congregates, farus tend to attract<br />

pelagic life because of their exposure to currents.<br />

A “thila” is a shallow reef within an atoll — like<br />

a small seamount that rises from a 20- or 30-foot<br />

seafloor. Because of the influence of tidal currents,<br />

significant coral and fish life may be found on thilas.<br />

Thilas and farus are relatively easy dives, mostly free<br />

of current and easily well suited to multilevel diving or<br />

prolonged ascents.<br />

64 | SPRING <strong>2016</strong>


The Maldives anemonefish is<br />

endemic to Sri Lanka and the<br />

Maldives. The Maldives are<br />

known for abundant small and<br />

medium-sized tropical reef<br />

fish as well as larger pelagic<br />

creatures such as whale<br />

sharks and manta rays.<br />

ALERTDIVER.COM | 65


At certain times of the year mantas can be seen throughout<br />

the Maldives. In the winter they tend to congregate at<br />

cleaning stations in the southern atolls, areas well known to<br />

dive operators.<br />

Below: Redtail butterflyfish are fairly common in the<br />

Maldives, but seeing large schools of them is a special treat.<br />

66 | SPRING <strong>2016</strong>


THE DIVES<br />

Our first dives were at Lhaviyani Atoll. We descended<br />

on Fushifaru Kandu at slack tide, which gave us the<br />

opportunity to effortlessly navigate the shallow reef,<br />

but the water clarity was worse than it would have<br />

been in an incoming tide. No matter, the attraction<br />

here was schools of reef tropicals so massive they<br />

obscured the water.<br />

I was initially surprised to find such a large<br />

congregation of redtail butterflyfish (Chaetodon<br />

collare), as I’d forgotten how common they are in<br />

the Maldives. We found them pretty consistently<br />

throughout the cruising range, mostly as singles or in<br />

pairs, but on this reef they were present by the dozen.<br />

We also saw bluestripe snappers in large schools at<br />

several bommies throughout the trip; here they were<br />

comingled with schoolmaster snappers.<br />

Turtle Cave was a site that came by its name<br />

honestly. The crew briefed us to expect green sea<br />

turtles throughout this dive, but they really undersold<br />

it. The site seemed fairly underwhelming at first —<br />

just a sloping reef populated by the usual Indo-Pacific<br />

suspects. But then we drifted into a portion of the wall<br />

with small pockets and overhangs that must be highly<br />

attractive for resting turtles, because they were literally<br />

everywhere. I don’t know if I saw 24 turtles or the same<br />

dozen twice, but it was incredible how abundant and<br />

mellow they were. If I never took another turtle shot<br />

the whole trip (though I did, of course), I would have<br />

been happily satiated after this dive. Once we drifted<br />

out of that portion of the reef, things got pretty tame<br />

again. But in that spot, Turtle Cave was world-class by<br />

any standard.<br />

Our next stop was Shaviyani Atoll. At Danbu Thila<br />

the most compelling feature was a large congregation<br />

of extraordinarily friendly batfish. We dropped into<br />

the water upcurrent of the reef structure, and the first<br />

thing we saw were batfish swimming right up to us in<br />

crystalline visibility. I think most of us maxed out our<br />

bottom time at 80 feet working with the batfish only to<br />

have them follow us into the shallows at 30 feet. Their<br />

behavior was the same throughout the dive, but the<br />

attractive reef backgrounds in the shallows made for<br />

even better images. If I never took another batfish shot<br />

the whole trip (though, again, I did), I would have been<br />

happily satiated after this dive, too.<br />

Up until we dived Eriyadhoo Beyru we hadn’t seen<br />

much soft coral on the northern reefs — I was actually<br />

surprised by how low-profile the decoration on the<br />

walls was. The soft coral was dense, and it made for<br />

wonderful backgrounds for fish photos, but I had the<br />

thought that if I were to photograph a diver against<br />

these soft corals and wanted to make the corals appear<br />

impressively large then I’d need to book Ant-Man as<br />

the model. That didn’t diminish my appreciation of the<br />

thoroughly beautiful and productive dive, but it was<br />

one of those random thoughts that passed though my<br />

mind during the safety stop. Later I searched online<br />

for “soft coral in the Maldives” and found plenty of<br />

contemporary photos and videos of reefs draped in<br />

soft coral, so I won’t project my experience on this<br />

reef to the broader Maldives underwater experience.<br />

Nor is the soft coral the only attraction here: The hard<br />

corals, particularly the staghorn variety, were vast and<br />

pristine. The contrast of the orange anthias amid the<br />

golden branching corals was particularly inspiring.<br />

At Noonu Atoll’s Raafushi Cave, my most significant<br />

photo opportunity was with a giant moray at a cleaning<br />

station. A school of orange anthias swam close to the eel<br />

— perilously close, perhaps, but I suppose such a large<br />

eel might be pretty ponderous in pursuit of a nimble<br />

anthia. Anyway, I saw no evidence of any fish being<br />

alarmed to swim near the cavernous eel maw.<br />

The next day at Raa Atoll I saw Nemo City on<br />

the briefing board. Having dived many sites called<br />

“Anemone City” or something similar, I am rather<br />

desensitized to such names. In fact, I’d forgotten the<br />

name of the reef until I began seeing lots of anemone<br />

clusters, many of which were curled up with their<br />

crimson or lavender mantles exposed and the resident<br />

endemic Maldives clownfish within. It was really quite<br />

beautiful, and once again I felt the dive was more<br />

significant than I had expected.<br />

Baa Atoll is most famous for the large aggregations<br />

of manta rays and whale sharks that frequent Hanifaru<br />

Bay between July and November each year. Being there<br />

on Valentine’s Day I realized I wasn’t likely to get much<br />

manta love, but I found other things of interest. The<br />

dive that most resonated with me was Horubadhoo<br />

Thila — the fish were especially friendly there.<br />

There are 32 marine protected areas in the Maldives.<br />

The expanses of reef they cover are not necessarily<br />

large, but the dive sites within them are especially<br />

vibrant. These are total no-take zones, and because the<br />

dive operators are there so often, they are self-policed.<br />

Here I saw surgeonfish calmly being cleaned and<br />

emperor angelfish boldly swimming toward my dome<br />

port. Had I not already been told about the protected<br />

status of this reef, I would have known based on the<br />

behavior of the marine life.<br />

With five days of diving under our weight belts, we<br />

headed southward to some of the most iconic dives in<br />

ALERTDIVER.COM | 67


With anthias in the background<br />

at Noonu Atoll, a giant moray<br />

eel gapes.<br />

Insets, from top: While it is possible<br />

to enjoy a solitary encounter with a<br />

whale shark in the Maldives, in some<br />

areas their predictability attracts<br />

groups of snorkelers. Colorful<br />

schooling fish are a hallmark of the<br />

Maldives, as seen here in photos<br />

of bigeye and bluestripe snapper.<br />

At Turtle Cave dozens of green sea<br />

turtles can be encountered on a<br />

single dive.<br />

68 | SPRING <strong>2016</strong>


ALERTDIVER.COM | 69


HOW TO DIVE IT<br />

TEMPERATURE<br />

Expect air temperatures<br />

of 79-86°F and water<br />

temperatures of 82-85°F<br />

year round. A 3mm wetsuit is<br />

generally sufficient, even for<br />

four dives per day.<br />

CURRENCY<br />

Get just enough Maldivian<br />

rufiyaa (MVR) for island tipping<br />

and pocket change. Most<br />

restaurants, hotels, car-rental<br />

companies and shops accept<br />

major credit cards. Banks<br />

accept 2004 or newer U.S.<br />

dollars and euros with no tears,<br />

rips or markings.<br />

SEASONS<br />

The prime diving season<br />

is from November to April,<br />

although dive tourism is now a<br />

year-round attraction.<br />

DHONI DIVING<br />

Most liveaboards operate in<br />

tandem with a traditional<br />

dhoni, typically a 50- to<br />

60-foot yacht with diesel<br />

engines that houses the<br />

compressors for air and<br />

nitrox fills as well as most<br />

Raa<br />

Atoll<br />

Baa<br />

Atoll<br />

Rasdhoo<br />

Atoll<br />

North Ari<br />

Atoll<br />

South Ari<br />

Atoll<br />

Shaviyani<br />

Atoll<br />

of the dive gear (though not<br />

cameras). Guests step from<br />

the mother ship to the stable<br />

and spacious dhoni (usually<br />

in calm water) for transport to<br />

the nearby dive site.<br />

CURRENTS<br />

Each diver should carry and<br />

know how to deploy a surface<br />

marker buoy. Also recommended<br />

are a personal air horn, mini<br />

strobe light and a radio or GPS<br />

locator. Most divers carry a reef<br />

hook as well.<br />

ALCOHOL<br />

Alcohol is generally prohibited<br />

in the Republic of Maldives.<br />

There are no liquor stores<br />

or bars where it can be sold<br />

or consumed, and tourists<br />

may not bring alcohol into<br />

the country with them. All<br />

incoming luggage (including<br />

carry-on bags) are X-rayed,<br />

and authorities will confiscate<br />

any liquor found. There is a<br />

specific exception for licensed<br />

tourist operations catering to<br />

international clientele.<br />

DEPTH<br />

By federal law, scuba divers<br />

may not dive deeper than 30<br />

meters (98 feet).<br />

This tends not<br />

to be a problem<br />

because the<br />

seafloor at<br />

most dive sites<br />

Noonu<br />

Atoll<br />

Lhaviyani<br />

Atoll<br />

North Malé<br />

Atoll<br />

is around that<br />

depth.<br />

the region. The first was at North Ari Atoll<br />

among the sharks of Rasdhoo Ridge. Here<br />

we dropped onto the ridge, which topped<br />

out at about 60 feet, spread out and waited<br />

for the gray reef sharks swimming in the<br />

blue to approach us. We were advised to<br />

not swim toward the sharks, as this tends<br />

to keep them away; gratefully, everyone<br />

rigidly adhered to the directive. The result<br />

was sharks that came within 6 feet of us and<br />

occasionally as close as 4 feet. There was no<br />

bait in the water, just a calm interaction with<br />

a beautiful species of shark.<br />

The day began with a high-voltage shark<br />

dive and ended with a mellow night dive at<br />

Maaya Thila. Rising to a depth of 22 feet, this<br />

thila was small enough to circumnavigate a<br />

couple of times in the course of a 60-minute<br />

dive. The most significant photo ops were<br />

sleeping turtles, marbled rays, free-swimming<br />

morays and lionfish.<br />

Fish Head is another marine reserve, also<br />

on North Ari Atoll. The site was named<br />

during an era when local fishermen were<br />

likely to bring nothing but a fish head<br />

onboard, so ravenous and plentiful were<br />

the sharks. While the area may not be as<br />

shark infested as in days of yore, we were<br />

still able to perch atop a rocky knoll at 60<br />

feet and watch a half dozen gray reef sharks<br />

pass to and fro, edging ever closer as we<br />

remained motionless. A massive school of<br />

bluestripe snapper was at 90 feet, and were<br />

I not reluctant to have my bubbles disrupt<br />

the shark action, I would’ve loved to drop<br />

into their midst. But it was just as well — at<br />

the top of the reef in only 30 feet of water<br />

was another school. Once I’d filled the frame<br />

with 100 fish, it didn’t really matter that<br />

there were 500 somewhere else.<br />

We had come southward specifically for<br />

manta rays. At certain times of the year<br />

mantas are abundant in the north as well,<br />

but this was February, and the dive staff<br />

knew that for us to interact with mantas we<br />

would do well at the manta cleaning stations<br />

at North Ari Atoll. The first we tried was<br />

Himendhoo Rock. The plan was to swim<br />

to a small coral bommie that hosted the<br />

cleaner wrasses that drew in the mantas.<br />

We saw one manta on a flyby, but despite<br />

70 | SPRING <strong>2016</strong>


the frequency of success others have enjoyed<br />

at this site, lovely reef tropicals were all that<br />

populated my image download. It was the same<br />

story on our second dive at Moofushi Rock:<br />

The visibility was marginal, and the manta<br />

action was sparse.<br />

That changed the next day at South Ari<br />

Atoll on Rangali Madivaru (“madivaru”<br />

means “ray” in the local language, appropriately<br />

enough). We swam along a shallow sloping<br />

reef that featured incredible manta activity —<br />

in terms of both the number encountered and<br />

the ease of proximity. Everyone in the water<br />

had wonderful close encounters with the rays<br />

and captured images with two or three in the<br />

frame. As if to underscore how special this dive<br />

was, our second dive on the site three hours<br />

later featured a few encounters but nothing<br />

at all like the rich rewards of the morning.<br />

Whether the tide or the current or karma was<br />

the differentiator, the lightning in the bottle on<br />

that morning dive had escaped by noon.<br />

Maldives reprised was a great success. We<br />

hit our marks. We found the iconic mantas in<br />

the south and enjoyed our time in the north as<br />

the only liveaboard on the horizon. We didn’t<br />

get a whale shark encounter, but on balance<br />

that was fine with us. I doubt the whale sharks<br />

missed us very much either. <strong>AD</strong><br />

Clockwise from<br />

above: Batfish<br />

are resident at<br />

Danbu Thila. At<br />

some point in<br />

the cruise most<br />

liveaboards put on<br />

a beach barbecue,<br />

complete with<br />

sand sculptures.<br />

The gray reef<br />

sharks at Fish<br />

Head benefit from<br />

the location’s<br />

protected status.<br />

Giant squirrelfish<br />

swim at<br />

Himendhoo Rock.<br />

Emperor angelfish<br />

traverse the reef at<br />

Horubadhoo Thila.<br />

ALERTDIVER.COM | 71


Finding Treasure in the BVI<br />

TEXT AND PHOTOS BY TANYA G. BURNETT<br />

I<br />

have fond memories of snorkeling<br />

crystalline shallows beneath the lush<br />

hillsides of the British Virgin Islands<br />

(BVI) as a youth in the early 1970s. Back<br />

then, our friend’s sailboat navigated many<br />

a zigzag course across the Sir Francis<br />

Drake Channel to the islands’ various<br />

anchorages, each steeped in pirate folklore.<br />

Some 300 years ago the golden age of<br />

piracy was alive and well in these waters.<br />

That history of piracy, both real and fabricated, is still<br />

vividly prominent throughout these islands in bars,<br />

restaurants and location names. But as a kid I didn’t know<br />

I was frolicking amid the inspiration for the enchanting<br />

pages of Robert Louis Stevenson’s Treasure Island — it<br />

was the islands’ underwater world that enchanted me.<br />

Now, after more than 30 years of diving around the<br />

globe, I am again suspended over that radiant blue water,<br />

geared up on the stern deck of a dive boat moored off of<br />

Salt Island. We are floating above one of the BVI’s most<br />

famous dive sites: the wreck of the RMS Rhone. I pierce<br />

the placid surface and waste no time heading down toward<br />

the swirls of color that glide and surge around the wreck.<br />

As I swim past the mast and the sponge-encrusted crow’s<br />

nest I find it hard to imagine the last hours aboard the<br />

310-foot Royal Mail Ship. A hurricane in 1867 shoved the<br />

Rhone unrelentingly into Black Rock Point and sealed her<br />

fate. As I fin past shadowy recesses I see shimmers and<br />

flashes — a huge school of baitfish has taken up residence<br />

and darts about to avoid my strobe flashes. A pair of<br />

coney groupers lies on a rusty section of hull, awaiting<br />

the right moment to lunge and snatch a single silverside<br />

from the mercurial mass. It is little wonder that these<br />

vibrant remains are such a captivating and sought-after<br />

underwater backdrop for photographers and filmmakers.<br />

FIFTY ISLES IN EASY REACH<br />

The BVI comprise a double strand of 50-plus rocks,<br />

cays, islets and islands spread along the northeastern<br />

perimeter of the Caribbean, just east of Puerto Rico and<br />

[<br />

the U.S. Virgin Islands. Affectionately referred to as<br />

“Nature’s Little Secrets,” the islands are gilded in tropical<br />

greens and range in size from Tortola at 21 square miles<br />

to tiny Sandy Cay, just big enough for a picnic with a few<br />

friends. Sixteen of these islands are inhabited, and most<br />

of the islands’ 28,000 residents live on Tortola, Virgin<br />

Gorda, Anegada or Jost Van Dyke.<br />

My home for the first few days of the trip was on Peter<br />

Island, which boasts five white-sand beaches and many<br />

remarkable vistas of the rest of the BVI. My bungalow<br />

featured a stunning view of Deadman’s Beach and, a<br />

mile out to sea, the distinct shape of Dead Chest Island.<br />

I soon learned that the island was alleged to be the place<br />

Blackbeard marooned 15 of his men, each equipped with<br />

a cutlass and a bottle of rum. They take their pirate lore<br />

seriously in these parts, so I felt it was best to embrace it<br />

all as fact and hope to uncover a doubloon somewhere<br />

along the way.<br />

WHERE THE TREASURE REALLY LIES<br />

At least 40 moored sites dot the waters of the BVI,<br />

marking an array of pinnacles, walls, tunnels, caves and<br />

shipwrecks. The shallows in the BVI are also some of the<br />

Caribbean’s finest, and many sites are ideally suited to<br />

multilevel profiles. The aforementioned wreck of the RMS<br />

Rhone, for instance, can be explored at several levels, and it<br />

takes at least two dives to experience it. Almost every dive<br />

on this unique site brings new discoveries; many artifacts<br />

remain, and large sections of the structure are remarkably<br />

intact, including a “lucky porthole” (rub it for good luck).<br />

Nearly every solid surface we swam past was<br />

splashed in gold, orange, crimson and indigo from<br />

decades of rampant coral, sponge and tunicate growth.<br />

The bow rests on its starboard side at 90 feet at its<br />

deepest point. My favorite area is the midsection; it<br />

features upright columnar framing at 60 feet, which<br />

allows huge “windows” for life to meander through<br />

against a blue background. The stern sits in less than<br />

30 feet and offers an enormous bronze propeller that<br />

can be admired while offgassing at the end of a dive.<br />

[<br />

72 | SPRING <strong>2016</strong>


A diver begins his<br />

descent onto the<br />

wreck of the RMS<br />

Rhone off Black Rock<br />

Point, Salt Island.<br />

[<br />

ALERTDIVER.COM | 73


On one Rhone excursion, the divemaster helped<br />

me find a coral-encrusted spoon on the wreck that<br />

is rumored to be the captain’s silver teaspoon. The<br />

divemaster had set the stage for this discovery in<br />

elaborate fashion during his briefing. I had to admit it<br />

looked authentic — maybe too authentic, but I felt no<br />

inclination to argue about it — legends seem to grow<br />

like coral in these waters.<br />

Another must-dive site was Blonde Rock, located in<br />

mid-channel not far from the Rhone. During our descent<br />

we could see that every square inch of ocean-floor real<br />

estate was covered with sea fans, large sea rods, pillar<br />

corals and a garden of gently dancing soft corals. The<br />

labyrinthine topography features a striking ledge with<br />

deep overhangs filled with schooling jacks, snappers,<br />

chubs and a colorful riot of crustaceans, including<br />

lobsters, huge channel clinging crabs and banded coral<br />

shrimp. A sleeping nurse shark almost ran into me as I<br />

peered deeper under one ledge. Just as I started my ascent<br />

I could see dense schools of yellow wrasse gathered in the<br />

shallows for their late-afternoon spawning ritual. They<br />

collectively rose from the bottom and then exploded like<br />

yellow confetti away from the spawn event.<br />

The next place I dived was an open-ocean site not<br />

far from Peter Island called Shark Point. This is an<br />

unusual dive site that ranges in depth from 20 to 80<br />

feet. The underwater terrain consists of a series of rocky<br />

pinnacles, some rising to within a few fin-kicks of the<br />

surface. Much to my delight, larger pelagics such as<br />

eagle rays and reef sharks tend to keep things exciting<br />

here, so you learn to keep one eye on the blue. Three<br />

Caribbean reef sharks made pass after pass, while a large<br />

school of silvery bar jacks swarmed around us.<br />

An easy boat ride away, Painted Walls made for a<br />

great second dive after Shark Point. Here the converging<br />

walls and valleys are a canvas for marine life to work its<br />

Jackson Pollock-style artistry. We made our way through<br />

the meandering vertical faces draped with tropical<br />

shades of mango, passionfruit, lime, turmeric and<br />

cinnamon. Our divemaster had wisely recommended<br />

bringing a light to reveal the true intensity of the vibrant<br />

hues and to explore the shadows for hidden surprises.<br />

From my second BVI home on Scrub Island I set out<br />

on a sojourn to The Chimney, which is named after<br />

surface rocks that submerge just enough to create a<br />

swim-through. The seas were a bit bumpy on the way<br />

out, but the water to the north of Great Dog Island was<br />

calm and provided unreal visibility. The fairly shallow<br />

site (45 feet) offered some great photo opportunities.<br />

In one of its many canyons, the coral-laden walls<br />

eventually led to a picturesque archway where the<br />

chimney rocks came to a meeting point. My focus<br />

light illuminated brilliant scarlet sponge growth and<br />

tangerine-colored cup coral lining the walls of the arch.<br />

As the week progressed, we ventured to the aptly<br />

named Wreck Alley off of Cooper Island. The site<br />

consists of the Beata and Pat tugboats and the Marie L<br />

cargo boat, all intentionally sunk to create marine<br />

habitat. This site is a magnet for larger pelagics and<br />

southern rays. The wrecks are small enough for easy<br />

circumnavigation, and encrusting growth is overtaking<br />

the structures. During our dive we had very little<br />

current and an incursion of incalculable numbers of<br />

moon jellies. What started out as a somewhat eerie<br />

experience transformed into a surreal and mesmerizing<br />

through-the-looking-glass dive as we gently pushed<br />

aside the harmless pulsing blobs of translucence and<br />

finned as carefully as progress allowed. The wrecks were<br />

virtually draped in jellies, whose constant motion made<br />

the structures appear strangely amorphous and alive.<br />

Back on the surface I was babbling like a mad woman<br />

about how it was better than many of the more famous<br />

“jellyfish lakes” I had seen. But our divemaster insisted<br />

this was the only time she had ever seen anything like it.<br />

I didn’t reach Anegada on this trip, though from<br />

past experience I know its reefs are stunning and its<br />

allure is substantial on many levels. The 10-mile-long<br />

island is the only nonvolcanic island in the chain, and<br />

it features spectacular 18-mile-long Horseshoe Reef.<br />

With so many shallow reefs, the snorkeling and diving<br />

are superb, but Anegada’s reefs have proven treacherous<br />

as well. They’ve claimed more than 300 ships, and a<br />

number of the remaining wreck sites are dive-worthy<br />

and fascinating. Those pirates who learned the reefs well<br />

often used the mazelike waters to their advantage. Of<br />

course there are plenty of legends about pirate treasure<br />

in Anegada’s environs.<br />

On my last day I woke determined to get to one<br />

more famous and very special location: The Baths on<br />

Virgin Gorda. I was still on Scrub Island, but it’s easy to<br />

get around in the BVI. After a quick ferry ride to Beef<br />

Island followed by another to Virgin Gorda, I rented<br />

a car and set off. I was on the hunt for treasure, and I<br />

would not be denied. Gold doubloons would be nice,<br />

[Opposite, clockwise from top left: Moon jellies on the Beata,<br />

a tugboat that’s part of Wreck Alley off Cooper Island; sponge<br />

growth on the Rhone; a dive boat secured to one of the BVI’s<br />

many mooring buoys; silversides in the Rhone’s bow section;<br />

a reef shark; The Baths, Virgin Gorda; wreckage of the Rhone;<br />

nurse shark with remoras at Painted Walls<br />

74 | SPRING <strong>2016</strong>


[<br />

“WHAT STARTED OUT AS A SOMEWHAT EERIE EXPERIENCE TRANSFORMED INTO A<br />

SURREAL AND MESMERIZING THROUGH-THE-LOOKING-GLASS DIVE AS WE GENTLY<br />

PUSHED ASIDE THE HARMLESS PULSING BLOBS OF TRANSLUCENCE....”<br />

[<br />

ALERTDIVER.COM | 75


HOW TO DIVE IT<br />

CONDITIONS<br />

Diving can be done year round; the water<br />

temperature averages 78°F in winter and 82°F<br />

in summer. I recommend a dive skin or a 3mm<br />

wetsuit during the summer and a 3mm-5mm<br />

wetsuit in the winter.<br />

All diving is by boat. There are numerous<br />

sheltered dive sites throughout the year, but<br />

more are typically available in the summer when<br />

the trade winds are lighter and the Atlantic swells<br />

are smaller. Diving depths range from 10 feet to<br />

120 feet, with visibility ranging from 30 feet to<br />

more than 100 feet. In the summer, occasional<br />

plankton blooms can reduce visibility. Currents<br />

can range from nonexistent to strong, depending<br />

on the site.<br />

Jost Van<br />

Dyke<br />

Norman<br />

Island<br />

Tortola<br />

Peter<br />

Island<br />

Salt<br />

Island<br />

6<br />

2<br />

1<br />

4<br />

3<br />

5<br />

Dog<br />

Islands<br />

Cooper<br />

Island<br />

7<br />

Virgin<br />

Gorda<br />

1. RMS Rhone<br />

2. Blonde Rock<br />

3. Shark Point<br />

4. Painted Walls<br />

5. Chimney Rock<br />

6. Wreck Alley<br />

7. The Baths<br />

GETTING THERE<br />

The BVI are about 60 miles east of Puerto Rico and<br />

are easy to reach via Puerto Rico or St. Thomas, U.S.<br />

Virgin Islands. Fly directly to Beef Island, Tortola<br />

(EIS), or fly to St. Thomas (STT) and then take an<br />

hourlong ferry ride to Tortola. Remember to bring<br />

your passport. From Tortola, the other islands can be<br />

accessed via ferry or charter flight, which adds an<br />

island-hopping charm to the adventure.<br />

TOPSIDE ACTIVITIES<br />

Sailing among the islands is the BVI’s No. 1<br />

attraction. Charter a sailboat, or head out on a day<br />

sailing adventure.<br />

Island hop by ferry, and discover the islands<br />

by rental car or tour bus. Discovering the islands’<br />

countless scenic overlooks is its own adventure<br />

— you will be rewarded by stunning vistas of the<br />

other islands and the endless sea.<br />

Take a ferry to Virgin Gorda, and rent a car or<br />

catch a taxi to The Baths. Go later in the afternoon<br />

to avoid the masses of cruise ship guests. Enjoy<br />

the light hiking and wading through water; it’s<br />

beautiful every step of the way.<br />

Take a day trip to the BVI’s only coral island,<br />

Anegada, and enjoy its stunning beaches and<br />

delicious grilled lobster.<br />

For more information, go to bvitourism.com.<br />

[<br />

Below:<br />

Deadman’s<br />

Beach, Peter<br />

Island<br />

Opposite:<br />

Squirrelfish,<br />

French grunts<br />

and goatfishes<br />

hide from the<br />

currents on<br />

the Rhone.<br />

76 | SPRING <strong>2016</strong>


[<br />

[<br />

“THE CONVERGING WALLS AND VALLEYS<br />

ARE A CANVAS FOR MARINE LIFE TO WORK<br />

ITS JACKSON POLLOCK-STYLE ARTISTRY.”<br />

but I had come to realize the immeasurable wealth that<br />

surrounded me every day in these islands.<br />

The skies were postcard perfect; the roads were friendly<br />

and easy to drive. Locals smiled and waved. I spotted<br />

other tourists I had met during the week, and we shouted<br />

greetings. I stopped in the middle of the road for an<br />

iguana crossing. The Caribbean breeze blew fragrances<br />

both familiar and exotic through my open windows.<br />

And then I arrived. It’s a spot so iconic that it<br />

has graced the pages of a hundred magazines and<br />

thousands of postcards. The Baths were still every bit<br />

as breathtaking and alluring as I remembered. Massive,<br />

smooth granite boulders framed the water’s edge, and<br />

powder-white coral sand stuck to my bare feet. Suddenly<br />

I was 9 years old again and exploring the wonderful play<br />

of light and water around the boulders, this time with a<br />

camera in hand. Paradise was briefly mine alone.<br />

Then the cacophony of approaching tourists from<br />

a cruise ship ended my reverie, but I had found<br />

treasure. The BVI had once again shared their wealth<br />

in countless little ways. I could leave enriched and<br />

committed to return soon for more. <strong>AD</strong><br />

ALERTDIVER.COM | 77


Strapped into the bow of a<br />

small inflatable boat, holding<br />

a crossbow and scanning<br />

the water intently, Simone<br />

Panigada, Ph.D., was patrolling<br />

the coast of Lampedusa, a<br />

small Italian island. A sudden<br />

flash of reflected sunlight<br />

alerted him to something on<br />

the surface just ahead. He<br />

signaled Giancarlo Lauriano at the helm, and the boat<br />

lurched forward, racing at full speed. Panigada raised his<br />

crossbow and fired.<br />

The projectile arced across the water, striking its<br />

target with two sharpened points that buried into flesh,<br />

securing a barnacle-sized packet of electronics to the<br />

dorsal fin of a fin whale. The Low Impact Minimally<br />

Percutaneous Electronic Transmitter (LIMPET) tag<br />

would attempt to contact an Argos satellite every time<br />

the whale surfaced, transmitting the animal’s position<br />

for the next six weeks.<br />

Almost simultaneously, Nino Pierantonio, Panigada’s<br />

colleague at the Milan-based Tethys Research Institute,<br />

fired another crossbow, which launched a hollowtipped<br />

arrow at the whale’s flank. The arrow struck the<br />

whale and then fell into the water, cradling a small plug<br />

of skin and blubber for analysis of DNA and toxins.<br />

The whale reacted to both insults with a small twitch,<br />

as if stung by a mosquito, and returned to its business.<br />

That business was the ingestion of massive<br />

quantities of krill, which were swarming in sufficient<br />

density to stain the blue surface water a startling pink.<br />

The krill, normally found hundreds of feet deep, were<br />

feeding at the surface due to massive upwellings that<br />

bring cold nutrient-rich water to the surface around<br />

Lampedusa during the first few months of each year.<br />

The upwellings result from the interaction of deep<br />

currents with dramatic bottom topography.<br />

Fin whales have been known to inhabit the northern<br />

Mediterranean during the summer since ancient times<br />

— Romans referred to Italy’s Ligurian (northwestern)<br />

coast as the “coast of whales”— but rumors of winter<br />

feeding aggregations around Lampedusa (in the<br />

southern Mediterranean) were not confirmed until 2004.<br />

Researchers found that the whales not only were feeding<br />

out of season but were doing so right at the surface and<br />

78 | SPRING <strong>2016</strong>


This image is a digital<br />

composite of several photos<br />

taken of a fin whale in<br />

the Pelagos Sanctuary<br />

for Mediterranean Marine<br />

Mammals. Stringy white<br />

copepod parasites can be seen<br />

attached to the whale.<br />

[<br />

BY DOUG PERRINE<br />

DOUG PERRINE<br />

[<br />

throughout the day. Fin whales in the Ligurian Sea (the<br />

area of the Mediterranean south of Italy’s Liguria region<br />

and north of the island of Corsica) feed mostly at night<br />

and at depth. Around Lampedusa, the whales were also<br />

feeding in groups, possibly collaborating to herd prey<br />

— a behavior not previously recorded in Mediterranean<br />

fin whales. The question that most bedeviled Tethys<br />

founder Giuseppe Notarbartolo di Sciara was if these<br />

whales belonged to a separate southern Mediterranean<br />

population or if they were the same whales his<br />

organization was studying during the summer in the<br />

Ligurian Sea near the border of France and Italy.<br />

The fin whale is one of the most mysterious and<br />

elusive large animals on the planet and is in many<br />

ways an oddity of the animal kingdom. In nearly all<br />

vertebrates the left side of the body is a mirror image of<br />

the right. Fin whales are an exception. The lower jaw on<br />

the left side is a typical whale gray, while on the right it’s<br />

a brilliant white. The right dorsal surface has swirling<br />

patterns known as “blaze and chevron” that are unique<br />

to each individual and allow the Tethys researchers to<br />

photoidentify each whale. Scientists speculate that the<br />

reflectivity of the white lower jaw may be used to startle<br />

and herd prey, but any functional advantage of the blaze<br />

and chevron is harder to conjecture.<br />

Fin whales push the extremes of the animal kingdom<br />

in speed, size and feeding ecology. They are one of<br />

the largest creatures on the planet and one of the<br />

fastest swimmers in the ocean. Calculations predict<br />

a theoretical maximum speed of around 30 miles per<br />

hour, and Pierantonio believes he has seen one swim<br />

at least that fast. (Faster estimated speeds by marlin,<br />

sailfish and dolphins are based on the animals jumping<br />

above water or riding in boat wakes.) Fin whales,<br />

which are thought to plunge to nearly 2,000 feet in<br />

the Mediterranean in search of krill, may also have the<br />

deepest feeding dives of any baleen whale.<br />

Fin whales do not simply swim along with their mouths<br />

agape to filter plankton (as right whales do); instead<br />

they capture their prey of krill or small fish by lunging<br />

repeatedly at high speed, engulfing volumes of water<br />

that may actually be larger than the size of the whale’s<br />

body before it opened its mouth. Each lunge requires<br />

rapid acceleration and an enormous expenditure of<br />

energy. Researchers at the University of British Columbia<br />

described this process as “one of the most extreme<br />

ALERTDIVER.COM | 79


feeding methods among aquatic vertebrates.” To fuel<br />

the intense energetic demand of maintaining and<br />

operating a huge body at high speed, fin whales must<br />

consume more than a ton of krill every day.<br />

Fin whales can maintain high speeds over large<br />

distances when traveling between areas with<br />

large concentrations of prey. A whale Panigada<br />

tagged in March 2015 swam from Lampedusa<br />

to the northern tip of Corsica, traversing the<br />

Mediterranean from south to north in five days.<br />

It averaged more than 100 miles per day while<br />

crossing some of the world’s busiest shipping<br />

lanes. A second whale tagged the same day made a<br />

similar migration, confirming that the same whales<br />

feed seasonally on both sides of the Mediterranean.<br />

“The fog surrounding our understanding of finwhale<br />

movements in the Mediterranean seems to be<br />

lifting to some extent,” Notarbartolo di Sciara said.<br />

The dramatic results were more cause for concern<br />

than celebration, however. Ship strikes are the<br />

leading known cause of death in fin whales, and these<br />

whales swim close to the surface and come up to<br />

breathe regularly while migrating. The confirmation<br />

of the Lampedusa area as an important feeding<br />

ground is also of concern due to the “exponential<br />

growth of fishing effort” in the region, according to<br />

the report Panigada and his colleagues submitted to<br />

the International Whaling Commission.<br />

Fin whales are classified as endangered worldwide.<br />

Commercial whaling has never targeted the<br />

Mediterranean fin-whale population, but ship<br />

strikes, fishery interactions, chemical pollution,<br />

sound pollution and disturbance by whalewatching<br />

operations are all significant threats. The<br />

Mediterranean fin whales constitute a genetically<br />

distinct subpopulation that has been isolated from<br />

the North Atlantic population for 200,000 years. The<br />

Mediterranean whales rarely leave the Mediterranean<br />

except for short forays into the Atlantic just beyond<br />

the Strait of Gibraltar. Researchers can distinguish<br />

Mediterranean and Atlantic whales by the unique<br />

characteristics of their calls.<br />

After a long campaign by the Tethys Research<br />

Institute, Italy, France and Monaco created the<br />

Pelagos Sanctuary for Mediterranean Marine<br />

Mammals in 2002, making it the world’s first<br />

marine protected area (MPA) that is international<br />

and the first that is mostly in pelagic waters. The<br />

sanctuary covers almost 34,000 square miles,<br />

stretching from just offshore of the French and<br />

Italian Riviera almost to the northern coast of<br />

DOUG PERRINE<br />

ALESSIA SCUDERI / TETHYS RESEARCH INSTITUTE<br />

SIMONE PANIG<strong>AD</strong>A / TETHYS RESEARCH INSTITUTE<br />

DOUG PERRINE<br />

DOUG PERRINE<br />

From top: Viridiana<br />

Jimenez-Moratalla Pelhate<br />

of the Tethys Research<br />

Institute and Capt.<br />

Roberto Raineri of the R/V<br />

Pelagos prepare to deploy<br />

a plankton sampling net<br />

in the Pelagos Sanctuary.<br />

Krill are the primary<br />

food for fin whales. A<br />

giant devil ray performs<br />

an aerial maneuver in<br />

the Pelagos Sanctuary.<br />

Longfin pilot whales swim<br />

in the Strait of Gibraltar.<br />

Nino Pierantonio of the<br />

Tethys Research Institute<br />

studies acoustic data from<br />

a towed hydrophone array<br />

aboard the R/V Pelagos<br />

during a research cruise.<br />

80 | SPRING <strong>2016</strong>


Corsica. It includes territorial waters of all three nations,<br />

but much of it is in international waters or areas beyond<br />

national jurisdiction (ABNJ). With the Pelagos Sanctuary<br />

as an example, the United Nations has created a process<br />

to establish additional MPAs in ABNJ, which cover 40<br />

percent of the earth’s surface.<br />

Marine mammals found within sanctuary waters<br />

include fin whales, sperm whales, Cuvier’s beaked<br />

whales, long-finned pilot whales, striped dolphins, shortbeaked<br />

common dolphins, common bottlenose dolphins<br />

and Risso’s dolphins. Fin whales and striped dolphins are<br />

the most abundant. Sperm whales in the Mediterranean,<br />

like fin whales, constitute a distinct subpopulation<br />

characterized by a unique vocal repertoire (and possibly<br />

a smaller body size). Unlike male Atlantic sperm whales,<br />

which make enormous migrations between highlatitude<br />

feeding areas and low-latitude breeding areas,<br />

Mediterranean sperm whales are believed to spend their<br />

lives within the Mediterranean.<br />

Scientists did not recognize the abundance of<br />

whales in this region until Notarbartolo di Sciara<br />

began studying cetaceans there in the late 1980s. Many<br />

divers, however, still believe “the Med is dead.”<br />

“That’s not true,” said Sylvan Oehen, a member of<br />

the Tethys Cetacean Sanctuary Research team. “The<br />

Mediterranean is overfished for some species, but the<br />

primary productivity is still there, and it supports a<br />

lot of life.”<br />

Photographer Danny Kessler was surprised and<br />

intrigued when he learned about the Tethys research<br />

while on a family vacation in Sardinia. He had assumed<br />

that the clear blue waters of the Mediterranean<br />

indicated a sterile environment, not realizing that<br />

ocean giants were diving deep to utilize food resources<br />

hundreds or thousands of feet below the surface. He<br />

was also amazed when Cetacean Sanctuary Research<br />

director Sabina Airoldi showed him maps of seasonal<br />

upwellings, and he learned that the fleet-finned fin<br />

whales could dash hundreds of miles to get from one<br />

temporarily productive area to another.<br />

Numbers of fin whales in the sanctuary have been<br />

declining in recent years, but this may simply reflect<br />

movement out of the Ligurian Sea into other parts of<br />

the Mediterranean. Sperm whale numbers, however,<br />

appear to be increasing within the sanctuary. Similarly,<br />

common dolphin numbers have crashed, but striped<br />

dolphins are abundant. Overfishing of the primary<br />

prey species of common dolphins is suspected in their<br />

decline. Striped dolphins eat a much wider variety<br />

of prey and are thus able to prosper. Risso’s dolphin<br />

populations have declined since 2005, with abundance<br />

estimates in 2012 and 2013 only half of the average.<br />

Risso’s dolphins and Cuvier’s beaked whales feed<br />

primarily on squid, but Tethys’ studies showed that the<br />

two species were using entirely different habitats.<br />

Almost nothing was known about Cuvier’s whales in<br />

the Mediterranean before Tethys began its research in<br />

1999, collaborating with other researchers to describe<br />

a resident population of about 100 of these rare<br />

animals feeding in a deep canyon region off Genoa.<br />

Long-finned pilot whales, once commonly found<br />

in large pods, are now rarely seen in the sanctuary.<br />

The researchers are particularly excited when they<br />

encounter a pod, not just for the opportunity to add<br />

points to the database, but also because these whales<br />

are much friendlier than most cetaceans in the area<br />

and than pilot whales in most other parts of the world.<br />

Tethys researchers have also been involved in research<br />

seeking to manage severe threats to bottlenose-dolphin<br />

populations in the nearby Adriatic and Ionian seas.<br />

While marine mammals continue to be its primary<br />

focus, Tethys is involved in research concerning a<br />

wide variety of species. A collaborative study with<br />

the University of Salento is looking at the increasing<br />

abundance of sea jellies in the Mediterranean<br />

and the resulting ecological, social and economic<br />

consequences. A study of giant devil rays (Mobula<br />

mobular) provided the first estimates of their<br />

abundance in the northwestern Mediterranean, and<br />

this work is continuing with Palestinian partners to<br />

show the effects of a fishery for the species off Gaza.<br />

These studies in collaboration with the Italian National<br />

Institute for Environmental Protection and Research<br />

and the International Whaling Commission are funded<br />

by the Italian Ministry of the Environment and use<br />

aerial surveys to census the rays and cetaceans as well<br />

as loggerhead turtles, bluefin tuna and swordfish.<br />

Marine animals here as elsewhere face a variety<br />

of threats, but the unique international structure<br />

of the sanctuary poses great challenges to enacting<br />

regulations to manage those threats. Thus, Tethys<br />

works with user groups such as ferry operators,<br />

whale-watching companies and fishermen to try to<br />

mitigate the threats.<br />

Most important, the<br />

organization continues<br />

its research to enhance<br />

our knowledge of these<br />

species’ biological needs<br />

and of how they are being<br />

affected by a changing<br />

marine environment. <strong>AD</strong><br />

GET INVOLVED<br />

Every summer Tethys opens<br />

research cruises to volunteers<br />

who both assist with the<br />

research and help cover the<br />

cost of the expeditions.<br />

For more information,<br />

see www.tethys.org.<br />

ALERTDIVER.COM | 81


[<br />

Dietary<br />

Supplements<br />

and Healthy<br />

Foods for<br />

Divers<br />

[<br />

BY PETAR DENOBLE, M.D., D.Sc .<br />

RONSTIK/ISTOCKPHOTO.COM<br />

Dietary supplements are<br />

popular among health- and<br />

fitness-conscious people,<br />

including recreational divers.<br />

Divers often ask about the<br />

possible benefits and adverse<br />

effects of supplements, used<br />

for either general wellness<br />

or protection from certain diving injuries. Dietary<br />

supplements are clearly helpful to people with a chronic<br />

deficit of specific nutrients such as vitamin C (scurvy) or<br />

vitamin D (rickets), but effects of supplements in healthy<br />

people who eat a balanced diet are less obvious. The large<br />

number of supplements available today far exceeds our<br />

cumulative scientific capacity to study them all, and so use<br />

of supplements grows beyond evidence of their benefits.<br />

OXIDATIVE DAMAGE<br />

Antioxidants are molecules found in cells throughout the<br />

body where they help control the free radicals that result<br />

from oxidative metabolism. Free radicals are reactive<br />

oxygen species (ROS): chemically reactive oxygencontaining<br />

molecules that may damage cells and tissues.<br />

Most ROS are successfully contained by antioxidants.<br />

Some oxidative damage to cells occurs all the time, but<br />

most is repaired. Sustained damage, however, may cause<br />

genetic changes, various diseases and faster aging.<br />

Breathing hyperoxic gas mixes — those containing<br />

more than 21 percent oxygen — for prolonged periods<br />

causes oxidative damage in divers. This can affect the<br />

eyes (causing myopia), the lungs (causing difficulty<br />

breathing) and/or the central nervous system (causing<br />

various symptoms, including convulsions). After<br />

decades of research we have not managed to prolong<br />

the time of symptom-free diving with hyperoxic<br />

breathing gases; instead we have learned there are<br />

limits on oxygen exposure that divers must obey.<br />

In addition to hyperoxic breathing gas, factors such<br />

as immersion, cold, hypoxia and exertion may increase<br />

oxidative stress. Accumulation of low-level oxidative<br />

damage over time may damage DNA and possibly<br />

reduce longevity.<br />

One manifestation of oxygen damage is loss of<br />

arteries’ self-regulatory capacity, also known as<br />

endothelial dysfunction. The endothelium, the inner<br />

layer of the arteries in contact with the blood, releases<br />

nitric oxide (NO), which relaxes the smooth muscles in<br />

the arterial walls to increase their diameter and change<br />

their tone. These mechanisms increase blood flow and/<br />

or reduce blood pressure.<br />

82 | SPRING <strong>2016</strong>


FLOW-MEDIATED DILATION<br />

A noninvasive test called flow-mediated dilatation<br />

(FMD) can evaluate endothelial function by measuring<br />

the increase in diameter of an artery after five minutes of<br />

occluded circulation. Normally the diameter of an artery<br />

increases when circulation is reestablished, but not so<br />

with endothelial dysfunction. Several factors, including<br />

exercise and eating various foods, can elicit transitory<br />

endothelial dysfunction. It is suspected that repeated<br />

endothelial injury may contribute to atherosclerosis and<br />

acute heart conditions.<br />

Using FMD, researchers found endothelial<br />

dysfunction in divers during open-water diving and<br />

in hyperbaric chambers. Studies showed that FMD<br />

reduction was more pronounced after nitrox dives<br />

but practically unchanged after successive dives and<br />

air dives. Variability of response was large, however,<br />

and there is no obvious link between FMD findings<br />

and cardiovascular disease in divers. Diminished<br />

endothelial function is a reality of aging, and diving has<br />

not been proven to exacerbate it.<br />

ANTIOXIDANTS<br />

Antioxidants include vitamins<br />

such as vitamin A and vitamin C as<br />

well as minerals such as selenium,<br />

plant products such as flavonoids<br />

and animal products such as<br />

melatonin and omega-3 fatty acids.<br />

Antioxidants are used in attempts<br />

to control oxidative stress and<br />

prevent related diseases. The big<br />

three are vitamin E, vitamin C<br />

and glutathione. Numerous other<br />

small molecules — including<br />

polyphenols, carotenoids, bilirubin<br />

and uric acid — function as<br />

antioxidants. These are contained<br />

in foods and drinks including meat, citrus, chocolate, tea<br />

and wine.<br />

In addition to supporting many bodily functions,<br />

vitamin E (tocopherol) is also an antioxidant, readily<br />

reacting with and inactivating ROS. Used vitamin E is<br />

recycled with the help of vitamin C. Natural sources of<br />

vitamin E are abundant, and normal nutrition provides<br />

enough to meet physiological needs. Larger doses of<br />

vitamin E have been used in efforts to treat various<br />

diseases such as hypertension, heart disease, cancer<br />

and more, but studies have not found any unequivocal<br />

proof of benefits. High doses of vitamin E can lead to<br />

hypervitaminosis E with possible vitamin K deficiency<br />

and increased risk of bleeding. Vitamin E was one<br />

of the first supplements used to try to prevent acute<br />

oxygen toxicity in humans, but it was unsuccessful.<br />

Vitamin C enhances wound healing. Animal studies<br />

have shown that vitamin C can prevent vasoconstriction<br />

of coronary arteries caused by hyperoxia. In human<br />

studies, vitamin C blocked hyperoxic vasoconstriction<br />

and maintained forearm bloodflow. Researchers studied<br />

possible protective effects of vitamin C and vitamin E<br />

in healthy divers. Divers who received a single dose of<br />

2,000 mg of vitamin C and 400<br />

IU of vitamin E two hours prior<br />

to diving had normal endothelial<br />

function, and those who received<br />

a placebo exhibited endothelial<br />

dysfunction. In another study,<br />

divers who received 1,000 mg of<br />

vitamin C and 400 IU of vitamin<br />

E daily for four weeks showed<br />

attenuated postdive decrease<br />

in FMD. In the same studies,<br />

vitamins prevented changes<br />

in other measurements of<br />

cardiovascular function that seem<br />

to occur regularly in diving.<br />

VANATCHANAN/SHUTTERSTOCK<br />

Oxidative Stress<br />

The energy necessary to sustain life is produced within cells by oxidative metabolism. This process breaks down complex molecules from<br />

micronutrients, freeing their chemical energy and storing it in ready-to-use packages called adenosine triphosphate (ATP). This can occur<br />

through several pathways, but the only sustainable process includes oxygen as a receiver of electrons freed from the energy-rich chemical<br />

bounds. In that process, various forms of very reactive oxygen-containing molecules arise. Called reactive oxygen species (ROS), or oxygen<br />

radicals, these molecules play important roles in health and disease.<br />

The amount of ROS increases with physical activity and intensity of metabolism. Exposure to hypoxia, hyperoxia and ionizing radiation may<br />

also increase production of ROS. White blood cells in contact with bacteria release huge amounts of ROS, which kills bacteria. Surplus ROS<br />

can be neutralized by various protective substances called antioxidants. Oxidative stress is a condition in which the amount of generated<br />

ROS exceeds existing antioxidant capacities. Mild oxygen stress can improve bodily functions (promoting muscle growth, for example), but<br />

excessive stress can cause various diseases and speed up aging. Efforts to prevent diseases and extend life include strategies to reduce<br />

oxidative stress and increase the availability of antioxidants in the body.<br />

ALERTDIVER.COM | 83


Despite a small number of subjects, these findings<br />

prompted discussion among divers about the use of<br />

vitamin C to protect them from possible adverse health<br />

effects of diving. Evidence-based justification is not yet<br />

available. It is not known what transitory endothelial<br />

dysfunction means for long-term health or if vitamin C<br />

can provide divers with any measurable health benefits.<br />

Regular intake of vitamin C is necessary for health<br />

maintenance, but the recommended dose is about 100<br />

mg per day, which can be obtained from one orange or<br />

a serving of green vegetables. The dose for treatment of<br />

scurvy is 400 to 1,000 mg per day for one week, and the<br />

maximum recommended dose is 2,000 mg. There is no<br />

evidence that higher doses of vitamin C improve health.<br />

CHOCOLATE<br />

Cocoa contains polyphenols, flavonoid compounds<br />

with antioxidant effects, blood-thinning properties<br />

and possibly other beneficial effects. The mechanisms<br />

involved in these effects include reduction of oxidative<br />

stress and increased production of endothelial NO,<br />

which supports normal endothelium-dependent<br />

vasodilation. This reportedly both lowers blood<br />

pressure and reduces risk of heart disease. The majority<br />

of studies claiming benefits of chocolate are small-scale<br />

studies sponsored or even conducted by chocolate<br />

manufacturers.<br />

Benefits of chocolate have been tested in both<br />

breath-hold and scuba divers. The scuba dive study was<br />

conducted in 91°F water at 108 feet (33 msw) for 20<br />

minutes with no decompression stop. Twenty-one divers<br />

ate 30g of dark chocolate (85 percent cocoa) 90 minutes<br />

before the dive, while 21 divers in the control group did<br />

not have chocolate. The breath-hold study had 10 divers<br />

in the chocolate group and 10 in the control group. Both<br />

studies found that dark chocolate reduced endothelial<br />

dysfunction. Further studies conducted by the same<br />

authors found that eating chocolate had no effect on the<br />

amount of postdive venous gas bubbles.<br />

WINE<br />

In vitro studies of resveratrol, a compound found in<br />

wine, showed antioxidant and other effects that may<br />

provide protection against aging, various diseases and<br />

death. Further animal studies appeared to confirm the<br />

beneficial effects.<br />

Among the benefits were effects on skeletal and<br />

cardiac muscle functions similar to the effects of<br />

endurance exercise training. It was also claimed that<br />

resveratrol improves perfusion of the brain and provides<br />

neuroprotection, both of which may be helpful in<br />

reducing the risk of decompression sickness (DCS).<br />

Because resveratrol is suspected to prevent endothelial<br />

cell dysfunction and platelet aggregation, some scientists<br />

assumed it may help prevent DCS. Recent resveratrol<br />

studies claimed several additional health benefits<br />

that could be appealing to divers, but the amount of<br />

resveratrol used in these studies would require drinking<br />

JUDITH FLACKE/ISTOCKPHOTO.COM<br />

84 | SPRING <strong>2016</strong>


OLGA KRIGER/ISTOCKPHOTO.COM<br />

50 to 3,000 liters of wine per day. In studies of whole<br />

wine, benefits could not be determined in light of the<br />

confounding effects of alcohol consumption.<br />

BEET JUICE<br />

Beets are a great source of nitrates, which the body<br />

can change into NO. Some studies have found that<br />

NO can promote improvement in FMD, lowered<br />

blood pressure, decreased oxygen needs for the same<br />

level of exercise and enhanced exercise performance.<br />

Mechanisms for such enhancements at the cellular and<br />

muscular tissue levels, however, were not found. Other<br />

studies contradict these findings and claim no effect of<br />

nitrate supplementation on exercise performance or<br />

other physiological functions.<br />

Researchers studied the use of NO supplements in<br />

divers with the rationale that NO may be involved in<br />

bubble formation and the endothelial damage caused<br />

by bubbles. In one study, nitroglycerin (an NO donor)<br />

was given<br />

intravenously<br />

to animals 30<br />

minutes before<br />

decompression<br />

from a threehour,<br />

130-foot<br />

(40-m) dive.<br />

The amount<br />

of venous gas bubbles after decompression was 10<br />

times less in experimental animals than in controls.<br />

Researchers also tested nitroglycerin in open-water scuba<br />

divers to 100 feet (30 m) for 30 minutes and in hyperbaric<br />

chamber dives to 60 feet (18 m) for 80 minutes. The<br />

same divers did each dive twice. Thirty minutes before<br />

the second dive in the same conditions, divers received<br />

nitroglycerine by oral spray. The postdive amount of<br />

venous gas bubbles detected in divers was smaller<br />

when they received nitroglycerine before the dive.<br />

These findings seemed promising at the time, but the<br />

evidence was not sufficient to consider recommendation<br />

of nitroglycerine to divers — the potential benefit<br />

was demonstrated in experiments involving extreme<br />

exposures not common in recreational diving.<br />

Since that study, no other research has reproduced<br />

these results or moved further toward a possible<br />

practical application. Nitroglycerin is a powerful drug<br />

that should not be used without a prescription. It can<br />

cause side effects when taken alone or in interaction<br />

with other drugs or supplements and thus should not<br />

be taken for diving.<br />

Supplements with L-arginine (another NO donor)<br />

may help to lower blood pressure, and people who<br />

take it should be aware of possible interactions with<br />

any medications they are using. Beet juice, on the<br />

other hand, may be added to your diet without much<br />

cause for concern. Just remember that neither of these<br />

products has been proven to offer specific protective<br />

effects for divers.<br />

TO SUPPLEMENT OR NOT TO SUPPLEMENT<br />

Consuming dietary supplements and certain foods<br />

may change the availability of substances such as NO<br />

that participate in basic physiological processes. It may<br />

even cause measurable but temporary changes in some<br />

functions such as FMD. In experimental settings it may<br />

affect the amount of venous gas bubbles present after<br />

dives. But these effects are not so pronounced as to<br />

suggest, for example, that an antioxidant will decrease<br />

the risk of DCS in real-life diving or that without<br />

these supplements diving would lead to long-term<br />

health problems.<br />

The U.S. Preventive Services Task Force, which regularly<br />

reviews evidence and provides recommendations, found<br />

that vitamin C, vitamin E and some other minerals and<br />

supplements<br />

studied provide<br />

no benefit to<br />

healthy subjects<br />

with regard to<br />

heart disease,<br />

cancer and<br />

mortality. 1 Many<br />

other supplements on the market make various health<br />

claims with little or no supporting evidence. A healthy<br />

and balanced diet will provide all the micronutrients<br />

you need. If you like chocolate, beware of excess sugar.<br />

If you drink wine, enjoy it in moderation, and do not<br />

drink before diving. Remember, your safety underwater<br />

depends on your dive behaviors and good judgment, not<br />

the foods you eat. <strong>AD</strong><br />

ISTOCKPHOTO.COM<br />

Reference<br />

1. Fortmann SP, Burda BU, Senger CA, Lin J, Beil T, O’Connor E, Whitlock EP. Vitamin, Mineral, and Multivitamin Supplements for the Primary<br />

Prevention of Cardiovascular Disease and Cancer: A Systematic Evidence Review for the U.S. Preventive Services Task Force. Evidence Report<br />

No. 108. AHRQ Publication No. 14-05199-EF-1. Rockville, Md.: Agency for Healthcare Research and Quality; 2013.<br />

ALERTDIVER.COM | 85


IMAGING<br />

OCEAN VIEWS <strong>2016</strong><br />

B Y B R I A N S K E R R Y<br />

C H A N G E<br />

Since the advent of photography, mankind<br />

has recorded nearly every important<br />

historical event through still frames.<br />

When we think of the U.S. Civil War,<br />

the Kennedy assassination or the moon<br />

landing, we visualize photographs. This is<br />

the way the human brain works — even<br />

when we think of motion pictures or video,<br />

we see individual still frames in our mind’s eye.<br />

Humans are visual creatures. Tens of thousands of years<br />

ago people painted pictures on cave walls to record the<br />

things they witnessed in their lives and the things that<br />

mattered to them. But photography captures a moment<br />

— a brief, fleeting scene that would otherwise vanish in an<br />

instant. And in the image that remains lies great power.<br />

Images have the power to educate, entertain, motivate and<br />

inspire. From a single still frame we can evoke emotion.<br />

With a solitary photograph we can change the world.<br />

Since the beginning, photography has been used to honor<br />

the natural world. Photographers working in far-off, exotic<br />

locales or in their own backyards share images in a collective<br />

celebration of our planet. They show us things we have never<br />

seen before and inspire us to see familiar things in new ways.<br />

This year, <strong>2016</strong>, marks the centennial of the National Park<br />

Service, caretakers and protectors of the U.S. national parks.<br />

Called “America’s best idea,” national parks were created in<br />

large part because a photographer named William Henry<br />

Jackson accompanied the Hayden Geological Survey to<br />

America’s West in 1871 and returned with stunning images<br />

of places many people had believed were only myths. When<br />

JELLYFISH WITH TREVALLY<br />

Alor Archipelago, Indonesia<br />

By Eric Madeja<br />

11th<br />

Place<br />

SURFING PYGMY DEVIL RAYS<br />

Ixtapa, Mexico<br />

By Carol Brooks Parker<br />

12th<br />

Place<br />

I came across this rarely seen jellyfish on a dusk dive in Indonesia’s Alor<br />

Archipelago. The trevally was very protective of its companion and bit me on<br />

the hand multiple times before retreating to hide within the jellyfish’s mantle.<br />

Rough seas made this split-level shot a challenge, but the overcast sky added a<br />

dramatic element to the image.<br />

Nikon D300, Tokina AT-X 107 AF DX 10-17mm fisheye lens @ 10mm, 1/125 sec<br />

@ f/18, ISO 400, Sea & Sea YS-250 strobes (2), Sea & Sea MDX-D300 housing;<br />

www.ericmadeja.com<br />

During a trip along Mexico’s Pacific coastline we stopped in Ixtapa, which possesses a<br />

beautiful curving beach. The surf rolled in, backlit by the early morning sun, and I was<br />

startled to see the rays gliding in the breaking waves. With the sun behind the clear<br />

aqua water, the rays appeared suspended as if behind the glass of an aquarium. I was<br />

shooting hand held, and I kicked up the shutter speed to freeze the action.<br />

Nikon D4S, Nikon AF VR Zoom-Nikkor 80-400mm f/4.5-5.6 ED zoom lens<br />

@ 400mm with a circular polarizing filter, 1/1000 sec @ f/5.6, ISO 400,<br />

hand held; www.cbparkerphoto.com<br />

86 | SPRING <strong>2016</strong>


T H E W O R L D<br />

Congress saw the images, they took action and created<br />

Yellowstone National Park in March 1872.<br />

Although we live on a water planet, the majority of the<br />

population is not divers. Thus underwater photography<br />

plays a vital role in sharing what we as divers know: Earth’s<br />

oceans are magnificent and must be protected. The images<br />

we produce bear witness to the fact that this stunning realm<br />

exists. Though few will ever experience it personally, what lies<br />

beneath the waves matters immensely to all who live on land.<br />

As underwater photographers, we are explorers and<br />

ambassadors. We travel to places with a camera in hand<br />

and return with images that enlighten. Underwater<br />

photographers reveal a netherworld to celebrate sharks<br />

and shrimp, dolphins and damselfish and so much more.<br />

Underwater photographs speak for those that have no voice<br />

and for places that<br />

might seem to be<br />

mythical.<br />

Photographers<br />

holding cameras have<br />

before them a limitless<br />

palette with which<br />

they create. They<br />

share through photography that which matters to them —<br />

the things about which they are passionate. And passion is<br />

contagious. Most of us begin making pictures for no other<br />

reason than our personal enjoyment, but inevitably the<br />

pictures reach others and effect change. Our friends, family<br />

and colleagues are educated, entertained, motivated and<br />

inspired. And with that, we change the world.<br />

MAURICIO HANDLER<br />

SPOTTED DOLPHINS<br />

Golfo Dulce, Costa Rica<br />

By Juan José Pucci<br />

Highly<br />

Honored<br />

JUVENILE ELEPHANT SEAL AND KING PENGUIN<br />

Gold Harbour, South Georgia Island<br />

By Jayanand Govindaraj<br />

Highly<br />

Honored<br />

I have traversed this gulf many times and always hoped to encounter the pods<br />

of spotted dolphins that come here to feed but had not had any luck. While<br />

traveling to a nearby hotel for a photography assignment, a pod of dolphins<br />

suddenly appeared and played around our boat just long enough for me to take<br />

a few shots. That brief moment was magical for me.<br />

Nikon D810, Nikon AF-S Nikkor 24-70mm f/2.8 lens, 1/1000 sec @ f/8,<br />

ISO 800, hand held; www.pucci.cr<br />

While I was on a trip to South Georgia Island in January 2014, Gold Harbour was<br />

full of juvenile male elephant seals lying in heaps, moulting and mock fighting.<br />

The weather that day was dreary, and a light snow was falling. Neither the seals<br />

nor the penguins were afraid of humans and would allow us to get quite close.<br />

Before I photographed this seal, I noticed the penguin coming, so I waited until it<br />

was in the frame to take the shot.<br />

Nikon D800E, Nikon AF-S Nikkor 70-200mm f/4G ED VR lens @ 200mm,<br />

1/800 sec @ f/8, ISO 640, hand held; gallery.leica-users.org/v/jayanand<br />

ALERTDIVER.COM | 87


GANNETS AND DOLPHINS<br />

Port St Johns, South Africa<br />

By Greg Lecoeur<br />

Grand<br />

Prize<br />

We spent hours looking for action during the sardine<br />

migration along the coast of South Africa. The gannets’<br />

frantic sounds became louder, and the birds seemed<br />

to accelerate as they shot straight down to pierce the<br />

surface of the sea. Before I got into the water I could<br />

not imagine the incredible spectacle that I would find<br />

below the surface.<br />

Nikon D7000, Tokina 10-17mm f/3.5-4.5 lens,<br />

1/200 sec @ f/9, ISO 200, Ikelite DS160 strobes (2),<br />

Nauticam housing; www.greglecoeur.com<br />

88 | SPRING <strong>2016</strong>


ALERTDIVER.COM | 89


SOFT CORAL GOBY<br />

Raja Ampat, West Papua, Indonesia<br />

By Adriano Morettin<br />

1st<br />

Place<br />

I was about to end my dive when my attention was<br />

drawn to something very small that moved and hid<br />

among the branches of a soft coral. I approached to<br />

find two tiny gobies jumping from branch to branch.<br />

I pointed my camera toward part of one branch that<br />

was not covered by polyps and waited patiently until<br />

one of the gobies stopped right in this spot.<br />

Nikon D800E, Nikon 60mm micro f/2.8 lens, 1/160 sec<br />

@ f/22, ISO 200, Seacam Seaflash 150 strobes (2),<br />

Seacam housing; www.facebook.com/adriano.morettin<br />

90 | SPRING <strong>2016</strong>


ALERTDIVER.COM | 91


POLAR BEAR CUB<br />

Olgastretet Pack Ice, Spitsbergen,<br />

Svalbard, Norway<br />

By Jayanand Govindaraj<br />

2nd<br />

Place<br />

We were following this frisky cub and its mother, and<br />

the cub would get distracted by everything around it.<br />

Suddenly it looked up and saw that its mother was<br />

some distance ahead, so it hurried to catch up with<br />

her. It took off in this graceful leap when going from<br />

one ice floe to another; as soon as I could see its full<br />

reflection in the water, I took the shot.<br />

Nikon D800E, Nikon AF-S Nikkor 200-400mm f/4<br />

ED-IF VR lens @ 400mm, 1/1600 sec @ f/13,<br />

ISO 800, Gitzo GT3542LS tripod with a Really Right<br />

Stuff BH-55 ballhead and Wimberley Sidekick;<br />

gallery.leica-users.org/v/jayanand<br />

92 | SPRING <strong>2016</strong>


ALERTDIVER.COM | 93


SOCKEYE SALMON<br />

Adams River, British Columbia,<br />

Canada<br />

By Todd Mintz<br />

3rd<br />

Place<br />

Sockeye salmon travel from Canada’s west coast more<br />

than 300 miles inland to spawn. The salmon surmount<br />

waterfalls and battle cold rushing rivers to reach their<br />

birthplace, attract a mate, spawn and die. I spent a<br />

week exploring this river, hiking and shooting in my drysuit<br />

for eight to 10 hours each day. After four straight<br />

hours in the river one morning, I was shivering and<br />

exhausted but was rewarded with this close approach.<br />

Canon EOS 50D, Tokina 10-17mm fisheye lens<br />

@ 10mm, 1/200 sec @ f/13, ISO 400, Inon Z-220<br />

strobes (2) on Aquatica arms and clamps, Aquatica<br />

50D housing; www.tmintz.ca<br />

94 | SPRING <strong>2016</strong>


ALERTDIVER.COM | 95


HUMPBACK WHALE CALF<br />

Tonga, South Pacific<br />

By Scott Portelli<br />

4th<br />

Place<br />

Each year between July and October, humpback whales<br />

return to the calm, warm waters of the Kingdom of<br />

Tonga to mate and give birth. The encounter in this<br />

image was special because of the obvious bond between<br />

the mother whale and her young calf. The mother would<br />

remain vertical for up to 40 minutes at a time, while the<br />

calf surfaced every three to five minutes to breathe.<br />

Canon EOS 5D Mark III, 15mm fisheye lens,<br />

1/320 sec @ f/8, ISO 320, Seacam housing;<br />

www.scottportelli.com<br />

96 | SPRING <strong>2016</strong>


GRAY SEAL<br />

Farne Islands, Northumberland, UK<br />

By Ellen Cuylaerts<br />

5th<br />

Place<br />

Though it was dark and rainy as we departed the village<br />

of Seahouses for the Farne Islands, we found ourselves<br />

in the middle of some very playful and curious seals from<br />

the moment we entered the water.<br />

The seals were not at all bothered<br />

by our presence, taking breaks from<br />

their natural behavior of courting each<br />

other and resting in the kelp to closely<br />

inspect our fins and cameras.<br />

Nikon D800, Nikon AF Fisheye-Nikkor<br />

16mm lens, 1/200 sec @ f/7.1,<br />

ISO 800, Light and Motion Sola Video<br />

3000 lights (2), Subal housing;<br />

www.ellencuylaerts.com<br />

RED OCTOPUS<br />

San Diego, Calif., USA<br />

By Allison Vitsky Sallmon<br />

6th<br />

Place<br />

I have adored red octopuses ever<br />

since I read about the one that<br />

went undetected in a well-known<br />

aquarium for a year, dining on<br />

crabs in its exhibit area until it was<br />

discovered crawling across the floor late one night. These creatures are not uncommon,<br />

but they can be small, quick and elusive. This tiny, colorful juvenile, however, was very<br />

interested in me, and I was able to photograph him in a variety of poses on the kelp.<br />

Canon EOS 7D, Canon EF-S 60mm f/2.8 lens, 1/200 sec @ f/18, ISO 320, Sea & Sea<br />

YS-D1 strobes (2), Sea & Sea housing; www.avitsky.com<br />

(ON THE COVER)<br />

7th Place<br />

PILOT WHALES<br />

Nice, France<br />

By Greg Lecoeur<br />

(FEATURED ON PAGE 112)<br />

8th Place<br />

LARVAL CUSK EEL<br />

Kailua-Kona,<br />

Hawaii, USA<br />

By Jeff Milisen<br />

ALERTDIVER.COM | 97


GIANT MANTA AT CLEANING STATION<br />

Revillagigedo Biosphere Reserve (Socorro Islands), Mexico<br />

By Claudio Contreras Koob<br />

9th<br />

Place<br />

This giant manta approached the island and slowed its pace near where I was waiting.<br />

Immediately a group of clarion angelfish left the security of the reef, approached the<br />

manta and, to my delight, began cleaning it in front of me. Mantas often travel great<br />

distances to reach cleaning sites like this one in the middle of the ocean, which is a<br />

testament to the importance of cleaning fishes in the health of the system.<br />

Canon EOS 5D Mark ll, Sigma 15mm f/2.8 EX DG fisheye lens, 1/80 sec @ f/11,<br />

ISO 160, Nikonos SB-105 strobes (2), Seacam housing; www.claudiocontreras.com<br />

EYE OF THE STORM WAVE<br />

Hapuna Beach, Big Island of Hawaii, USA<br />

By Nick Selway<br />

10th<br />

Place<br />

There is nothing more powerful than<br />

being in the water and experiencing<br />

huge waves crashing over your head in<br />

the Hawaiian Islands. On this particular<br />

morning I went to Hapuna Beach, and<br />

the waves were breaking with 6- to<br />

8-foot faces. This wave pitched up,<br />

sucking in all the sand and foam from<br />

the previous waves, and barreled right<br />

over me. At the end of the barrel a bit of<br />

light came in, giving the image a stormy<br />

mood.<br />

Canon EOS 5D Mark II, Canon 15mm<br />

fisheye lens, 1/1600 sec @ f/6.3,<br />

ISO 400, SPL Waterhousing;<br />

www.lavalightgalleries.com<br />

98 | SPRING <strong>2016</strong>


MENS<br />

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CARIBBEAN FLAMINGO FEEDING CHICK<br />

Ria Lagartos Biosphere Reserve, Yucatán Peninsula, Mexico<br />

By Claudio Contreras Koob<br />

Highly<br />

Honored<br />

Both Caribbean flamingo parents care for their chicks, which hatch about one<br />

month after the egg is laid. Covered with white down for their first week, the chicks<br />

are fed a blood-red secretion rich in hemoglobin, and they grow very fast. Flamingo<br />

colonies are highly sensitive to human presence, but I was able to get very close to<br />

the nests without disturbing the birds by hiding underneath a camouflage throwover<br />

blind and crawling on all fours.<br />

Canon EOS 5D Mark ll, Canon EF 300mm f/2.8L IS II USM lens with a Canon Extender<br />

EF 2x II, 1/500 sec @ f/11, ISO 200, ground pod; www.claudiocontreras.com<br />

ALERTDIVER.COM | 99


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100 | SPRING <strong>2016</strong>


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ALERTDIVER.COM | 101


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102 | SPRING <strong>2016</strong>


PHOTO RESOURCE GUIDE<br />

ALERTDIVER.COM | 103


WATER<br />

PLANET<br />

SYMPATHY<br />

FOR THE<br />

DEVIL<br />

EYES ON<br />

MANTAS<br />

AND<br />

MOBULAS<br />

By Rachel<br />

Graham and<br />

Sarah Fowler<br />

Mantas in<br />

Hanifaru Bay,<br />

a marine<br />

protected<br />

area in the<br />

Maldives and<br />

a core site in<br />

the recently<br />

established<br />

Baa Atoll<br />

UNESCO<br />

Biosphere<br />

Reserve<br />

Despite increasing public<br />

attention on the plight<br />

of sharks during the past<br />

decade, many people still<br />

forget the sharks’ cousins: the<br />

rays. Perhaps it’s no surprise<br />

that rays don’t garner as much media attention<br />

as sharks, but they likewise lag behind sharks<br />

as both subjects of scientific research and<br />

beneficiaries of legal protections.<br />

For divers, however, few sights are<br />

more breathtaking than the graceful and majestic<br />

underwater flight of the manta ray, which can<br />

reach the remarkable size of more than 20 feet<br />

across. This animal, which plies the world’s<br />

tropical seas on large muscular wings, has been<br />

poorly understood until recently. Much of what<br />

we know about manta rays has been discovered<br />

within the past decade, and today divers can<br />

predictably encounter mantas at an increasing<br />

number of dive sites.<br />

Devil rays (as they are commonly known due<br />

to the hornlike appearance of their cephalic fins)<br />

are under an ever brighter public and scientific<br />

spotlight. The three manta ray species and<br />

their nine lookalike cousins, the mobulas, are<br />

now highly sought after, both alive and dead.<br />

Wide-ranging Manta birostris is the largest of<br />

the mantas; Manta alfredi is a smaller, more<br />

coastal species that primarily occupies the Indo-<br />

Pacific and eastern Atlantic; the third (not yet<br />

fully described) species is found primarily in the<br />

Western Caribbean and Gulf of Mexico. These<br />

12 large and highly migratory rays all subsist on<br />

CLARK MILLER<br />

104 | SPRING <strong>2016</strong>


planktonic prey and share other common traits such as<br />

longevity, late maturation and low reproductive rates.<br />

These characteristics, combined with predictable<br />

surface-swimming behavior while feeding, have made<br />

rays particularly vulnerable to overexploitation. They<br />

generally produce a single pup after a 12-month<br />

gestation, and there may be up to five years between<br />

gestations in some species. Their brains are large<br />

relative to their body size (the largest of all sharks<br />

and rays), which implies that they are as smart as an<br />

intelligent and sociable bird, a fact that won’t surprise<br />

anyone who has had a protracted encounter with a<br />

manta. Their behavior is a key driver of the growing<br />

manta tourism industry, which generates an estimated<br />

$73 million in direct revenue annually.<br />

Differences in the habitat preferences and life cycles<br />

of these migratory rays expose them to different but<br />

overlapping threats. Coastal mantas (M. alfredi) and<br />

some mobulas are threatened by small-scale artisanal<br />

fisheries that use nets and harpoons in countries<br />

such as Indonesia and Mozambique; oceanic mantas<br />

(M. birostris) and other mobula species are further<br />

threatened by pelagic tuna purse-seine fisheries.<br />

Fisheries that target mantas intentionally seek not the<br />

animal’s meat but rather its breathing apparatus — the<br />

gill plates, which are dried and sold in Asia for their<br />

supposed medicinal properties.<br />

Studies estimate that the mortality of mobulas<br />

captured and released from tuna purse-seine nets is<br />

close to 100 percent. Reducing the threat of purseseine<br />

capture has been tackled by the Western and<br />

Central Pacific Fisheries Commission (WCPFC), which<br />

in 2015 proposed procedures for rapid and careful<br />

release of the animals from the nets. These measures<br />

have not yet been widely implemented, and the<br />

common practice of gaff-hooking rays caught in the<br />

nets further contributes to purse-seine mortality.<br />

Several countries, including Mexico, Indonesia, Peru,<br />

Australia, Ecuador, Maldives, Seychelles and Yap, have<br />

now enacted legislation to protect mantas, in light of<br />

dramatic declines in their numbers following the growth<br />

of fisheries that target them. Yet the gulf between<br />

legislation and actual implementation of protective<br />

measures is wide. Unsustainable fishing of mantas<br />

continues, even in countries that have protections in place.<br />

Additional measures to reduce threats from fisheries<br />

and trade have been recently implemented through two<br />

key international agreements: the Convention on the<br />

Conservation of Migratory Species of Wild Animals<br />

(CMS) and the Convention on International Trade in<br />

Endangered Species of Wild Fauna and Flora (CITES).<br />

CMS Appendix I requires parties to the treaty<br />

to protect CMS-listed species in their country,<br />

while the complementary Appendix II encourages<br />

range states — countries through which migratory<br />

species pass — to collaborate internationally for the<br />

conservation and management of species. An example<br />

of such collaboration is the 2010 Memorandum<br />

of Understanding (MOU) on the Conservation of<br />

Migratory Sharks, which originally listed a small number<br />

of shark species in its Annex 1. In 2011, the oceanic<br />

manta was listed in both CMS appendices. This listing<br />

was followed in 2014 by the addition of the coastal manta<br />

and all nine mobulas, partly in acknowledgement that<br />

the similar appearance of unprotected devil rays could<br />

thwart protection of the giant mantas. In February <strong>2016</strong>,<br />

participants at the Second Meeting of the Signatories<br />

to the MOU on the Conservation of Migratory Sharks<br />

added all species of mantas and mobulas (and some more<br />

sharks) to Annex 1 and adopted a revised conservation<br />

plan (Annex 3) for <strong>2016</strong>-18 that will improve our<br />

knowledge of both the species and the fisheries.<br />

CITES prohibits commercial trade in species listed<br />

in its Appendix I (most endangered), establishes<br />

processes for ensuring that trade in its Appendix II<br />

species is sustainable and has the capacity to impose<br />

sanctions if parties fail to comply. CITES listed all<br />

mantas in Appendix II in 2013, recognizing that<br />

fisheries driven by international demand for gill plates<br />

caused stock depletion. CITES Appendix II requires<br />

exporting countries to confirm that exports of listed<br />

species were obtained legally (e.g., not taken from<br />

protected areas or using illegal fishing gear) and that<br />

the harvest from the wild population was sustainable,<br />

among other things. In September <strong>2016</strong>, parties will<br />

debate adding all the mobulas to CITES Appendix II,<br />

partly because some species face the same threats and<br />

also because of “lookalike” issues, which can undermine<br />

the protection of the most threatened species if their<br />

products (i.e., gill plates) cannot be differentiated.<br />

These international conservation measures are timely,<br />

providing hope that it will be possible to reverse declines<br />

in several known manta/mobula fisheries and mitigate<br />

threats from other not-yet-fully-described fisheries.<br />

Furthermore, the International Union for Conservation of<br />

Nature (IUCN) Global Devil and Manta Ray Conservation<br />

Strategy, developed by manta experts in Durban, South<br />

Africa, in 2014, will soon be released to guide research<br />

and conservation priorities and drive future conservation<br />

and collaborative efforts for all devil rays.<br />

The considerable advances made worldwide in the<br />

research and conservation of mantas and mobulas are<br />

encouraging. It is clear that we are finally beginning to<br />

show much deserved sympathy to these devils of the<br />

sea. This is no time for resting on laurels, however; we<br />

need to move faster and more efficiently to mitigate<br />

the multiple threats to these magnificent marine icons<br />

so their populations may thrive once again. <strong>AD</strong><br />

ALERTDIVER.COM | 105


MEMBER<br />

TO MEMBER<br />

ALLISON SALLMON<br />

ANDY SALLMON<br />

ANDY SALLMON<br />

REEF RECHECK<br />

By Douglas Klug<br />

Many of us started diving to be<br />

explorers. We descend into the<br />

underwater world to seek out<br />

new places and new critters.<br />

Adventure is in our nature,<br />

which is why it’s not unusual<br />

for divers to be disappointed by repeated returns to<br />

the same dive site. Some divers think they won’t see<br />

anything new. After diving a site once, they believe they<br />

already know it and would rather go somewhere else.<br />

Ask the pros about this, and you’ll hear a different<br />

story. Divemasters and underwater photographers will<br />

tell you that you can’t possibly know a particular dive<br />

site after only one dive. Watching TV footage or leafing<br />

through a dive magazine you’ll see some spectacular<br />

coverage. This is rarely the product of a single dive;<br />

instead it probably represents countless hours spent<br />

on a site. Thirty seconds of footage might be the result<br />

of weeks of diving. And that image on the front page?<br />

Professional photographers may do numerous dives to<br />

learn about an area and its inhabitants before achieving<br />

just the right angle, lighting and subject.<br />

A well-known underwater photographer once said,<br />

“After you’ve done 50 dives on a site, you really get to<br />

know it — you learn all the inhabitants of that particular<br />

corner of the reef. You know where individual fish hang<br />

out and learn their routines, and you can even track their<br />

lives.” Sometimes we forget that our window into the<br />

underwater world is brief. It would be as if someone got<br />

a glimpse of your world while you were standing in line<br />

at the airport: They would have no idea where you came<br />

from or what adventures you were about to embark upon.<br />

I got my first sense of the “recheck” concept while<br />

teaching open-water scuba classes at the Channel<br />

Islands in the mid-1990s. A particular cove at Anacapa<br />

Island worked very well for certification dives, so I<br />

usually asked the captain to take us there. After a skills<br />

session in the shallow sand flats, I routinely took the<br />

students on a short tour of a nearby rock reef. Among<br />

the attractions was a pair of resident moray eels. For<br />

several summers I took groups near that pair of eels,<br />

stopping while the eels showed off their stuff, on an<br />

almost weekly basis.<br />

At another favorite Channel Islands spot I always<br />

encounter a very bold garibaldi. Even as the kelp forest<br />

and anemone bed wax and wane with the seasons, I<br />

can find a garibaldi. While I can’t be sure it’s the same<br />

fish, every time I visit that part of the reef a garibaldi is<br />

there flashing its bright orange body at me.<br />

Other reefs I return to hold their own special<br />

creatures. Octopuses, bluebanded gobies and island<br />

kelpfish all have their own routines and habits. They<br />

reside near features in the reef that don’t change with<br />

the seasons, and I find I can revisit these creatures<br />

whenever I do a reef recheck at a particular site.<br />

I invite you to take the recheck approach whenever<br />

you return to a particular dive site. As you gain<br />

familiarity with the site and its residents, you may<br />

discover that you are exploring a particular dive site at<br />

new levels and discovering new things. <strong>AD</strong><br />

SHARE YOUR STORY<br />

Diving a site repeatedly is a great way to<br />

really get to know its denizens. From left:<br />

garibaldi, moray eels, two-spot octopus<br />

Do you have tips, advice, travel strategies, dive techniques,<br />

lessons learned or other words of wisdom to share with your<br />

fellow divers? Alert Diver wants your story! Email it to M2M@<br />

dan.org, or mail it to “Member to Member,” c/o Alert Diver,<br />

6 W. Colony Place, Durham, NC 27705.<br />

106 | SPRING <strong>2016</strong>


Engage Smarter<br />

With DAN Educational Resources<br />

Your Go-To Resource for Dive Safety Information<br />

We believe a smarter diver is a safer diver, so we want to arm you with the information<br />

needed to stay safe both in and out of the water. Available online and in print, DAN’s<br />

Educational Resources address topics relevant to the new and experienced diver.<br />

Engage smarter, and join DAN in the goal of making every dive accident-free.<br />

n Health & Diving Reference Library<br />

n Online Incident Reporting and Case Summaries<br />

n Medical FAQs and Information Line<br />

n Social Media Channels<br />

n Webinars, Safety Quizzes and Online Seminars<br />

DAN.org


GEAR<br />

STEPHEN FRINK<br />

GEAR-RELATED<br />

INCIDENTS<br />

By Peter Buzzacott, MPH, Ph.D.<br />

The sun was out, and the visibility<br />

down at 30 feet was excellent. It was<br />

nearly time to ascend, so my buddy<br />

tapped her watch and then gave me<br />

the “OK” signal; I happily signaled<br />

back. This down time was just what I<br />

had needed after a busy week at work.<br />

Then, just when everything was going perfectly, I<br />

heard some bubbling. I removed my second stage from<br />

my mouth and held it with the mouthpiece facing<br />

downward. To my dismay, I saw bubbles coming out<br />

— my regulator was leaking. We were almost at our<br />

safety stop, so I put the regulator back in my mouth<br />

and double-checked that my buddy was within reach in<br />

case something unexpected happened. Thinking about<br />

it, I realized I hadn’t had my regulator serviced since<br />

last summer, so I resolved to drop it off at the dive<br />

shop later in the week. Better safe than sorry when it<br />

comes to having gas to breathe.<br />

When I got back to work at DAN®, my first task<br />

for the week was to look at the latest diving incident<br />

reports, which are submitted by divers who have had<br />

or have witnessed a near-miss. These are unexpected<br />

events that could have resulted in an injury. Curious,<br />

I counted how many of the incidents were the result<br />

of equipment malfunctions. Of the first 92 reports I<br />

reviewed, 16 incidents (17 percent) involved equipment<br />

issues. Based on other data, we know this number likely<br />

overrepresents the incidence of equipment problems,<br />

but this overrepresentation stands to reason because<br />

equipment failure is a matter of concern to many divers. I<br />

found it interesting that 13 of the 16 equipment problems<br />

reported (81 percent) related to air supply, and the other<br />

three reports (19 percent) related to buoyancy control.<br />

While studying the air-supply problems, I soon<br />

identified a common error: failure to watch the<br />

submersible pressure gauge (SPG) while test-breathing<br />

the regulator. Here is an excerpt from one of the<br />

incident reports:<br />

The group went out with four divers and two<br />

guides. The drop-in was a back roll, and I dropped<br />

in first. Prior to entry I checked all my gear and<br />

tested my regulator and inflator. I then dumped<br />

the air from my BCD [buoyancy control device]<br />

and moved into position. The deckhand checked<br />

all my equipment and made sure my tank valve<br />

was opened. I rolled in and dropped down 6-10<br />

feet and took my first breath: nothing. Now I was<br />

underwater, slightly negatively buoyant, with no air<br />

for breathing or inflation. I kicked for all I had and<br />

was able to reach the boat and grab ahold of the<br />

swim deck. The deckhand was then able to reach<br />

over and turn my air back on.<br />

Another incident report highlights a common error<br />

that’s reported to DAN every year: turning the valve<br />

the wrong way.<br />

While diving in Florida, I noticed that upon each<br />

inhalation the needle of my SPG fluctuated. It dipped<br />

down with each breath before returning to the correct<br />

pressure reading for my tank. I continued diving while<br />

keeping a close eye on the gauge, and upon reaching<br />

a depth of approximately 55 feet it suddenly became<br />

very difficult for me to breathe. I looked at my SPG<br />

mid-breath and saw the needle drop to 0 psi, and it<br />

did not readily move back up. I felt like there was no<br />

more air available to me even though I knew there<br />

108 | SPRING <strong>2016</strong>


STEPHEN FRINK<br />

STEPHEN FRINK<br />

Reduce your risk of a gear-related incident<br />

with a few simple steps: take two breaths<br />

from your regulator on the surface while<br />

watching your gauge, test your power inflator<br />

before entering the water, and make sure<br />

your tank valve is always either fully open or<br />

fully closed.<br />

was at least 1,200 psi in my tank. I signaled “out of<br />

air” to my buddy and used her alternate regulator.<br />

We made a controlled ascent to the surface, and I<br />

was not injured. Upon inspecting my gear I realized<br />

that instead of turning on my tank all the way and<br />

then half a turn back, I had turned it all the way off<br />

and half a turn on. Upon descending below 33 feet<br />

I experienced inadequate air-pressure delivery from<br />

my tank to my regulator because the tank was barely<br />

on and could not continue to deliver the same volume<br />

of air at the increased ambient pressure.<br />

Together these two incidents highlight how to avoid<br />

most gas-supply problems. First, make sure your valve<br />

is all the way open or all the way closed. The days<br />

when divers needed to turn the valve back a quarter<br />

turn are long behind us. Second, and this is essential<br />

for diving safety, every diver should look at his or her<br />

SPG while taking two breaths just before entering the<br />

water. If your tank is turned off or you are wearing an<br />

empty tank, then as long as your valve is all the way<br />

open or all the way closed you will be able to tell if you<br />

are good to go by taking a couple of test<br />

breaths. If the needle drops, then your valve<br />

is closed, but if it stays still in the full zone,<br />

then you should have adequate gas supply to<br />

enter the water.<br />

Buoyancy problems, although not reported to DAN<br />

as frequently as gas-supply problems, may still be<br />

common. Most are easily avoided by following these<br />

three simple tips:<br />

• Always test your power inflator before you enter<br />

the water. If it is going to stick, then this is when it<br />

is most likely to do so.<br />

• Always check that you can orally inflate your BCD<br />

before entering the water in case you need to do<br />

so in an emergency.<br />

• Look at your weight-removal system. If you are<br />

using unfamiliar equipment, make sure you know<br />

how to drop your weights, if needed. If you are<br />

shore diving on a calm day, consider a quick<br />

practice weight drop while floating on the<br />

surface in 4 feet of water.<br />

Keep in mind these few simple tips to prevent<br />

the equipment problems most commonly reported<br />

to DAN: Make sure your tank valve is fully open<br />

or closed, and familiarize yourself with your BCD<br />

and weight-removal system before<br />

For more tips and incidents<br />

reports, or to report a diving<br />

incident, visit DAN.org/<br />

diving-incidents.<br />

diving with them. By following these<br />

suggestions, you can avoid many rare<br />

but potentially serious equipment<br />

problems. <strong>AD</strong><br />

ALERTDIVER.COM | 109


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The Alert Diver archive is waiting for you<br />

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110 | SPRING <strong>2016</strong>


MARKETPLACE<br />

Aggressor Fleet.......................................2-3<br />

Anthony’s Key Resort................................ 53<br />

Aqua Cat Cruises..................................... 59<br />

Arenui.................................................... 101<br />

Backscatter........................................... 100<br />

Bahamas................................................. 59<br />

Bilikiki Cruises...................................... 110<br />

Blackbeard’s Cruises............................... 59<br />

Blancpain........................ Inside Front Cover<br />

Caradonna............................... 9, 19, 21, 37<br />

Dancer Fleet...........................................2-3<br />

DAN Cares............................................... 56<br />

DAN Dive Accident Insurance..................... 5<br />

DAN Educational Resources................... 107<br />

DAN Online Resources.............................. 47<br />

DAN Programs...............................11, 62-63<br />

<strong>AD</strong>VERTISERS INDEX<br />

<strong>Q2</strong> SPRING <strong>2016</strong><br />

Dive Provo................................................ 22<br />

Explorer Ventures................................... 103<br />

Fish ’n Fins.................................... 103, 111<br />

Florida Keys......................Inside Back Cover<br />

Henderson................................................. 7<br />

Ocean Views Photo Contest.................... 100<br />

Odyssey Adventures................................. 53<br />

Sam’s Tours........................................... 101<br />

Scubapro....................................Back Cover<br />

Seacam................................................... 25<br />

Spirit of Freedom................................... 110<br />

Stuart Cove’s Dive Bahamas............ 59, 102<br />

Sunset House......................................... 102<br />

UltraLight Systems................................ 110<br />

UNEXSO............................................. 57, 59<br />

Worldwide Dive and Sail........................... 24<br />

Connecting with DAN<br />

DAN Emergency Hotline: +1-919-684-9111 (collect calls accepted)<br />

DAN Medical Information Line: +1-919-684-2948<br />

DAN Toll-Free Numbers: Dial 1-800-446-2671 in the USA and<br />

Canada for Membership, Medicine, Education and Development<br />

programs. Dial 1-877-5DAN PRO for DAN Business Members.<br />

Moving? Go online to the Members section at DAN.org to change<br />

your address, or mail DAN your new address.<br />

DAN TravelAssist ® emergency assistance can be accessed<br />

through the DAN Emergency Hotline at +1-919-684-9111<br />

(call collect from anywhere in the world).<br />

DAN medical and membership calls are recorded but are<br />

not published or released without written permission of all parties.<br />

Other questions?<br />

For complete contact information, all other services and general<br />

inquiries, please visit DAN.org/contact.<br />

DAN.org<br />

ALERTDIVER.COM | 111


PARTING<br />

SHOT<br />

LARVAL CUSK EEL<br />

Kailua-Kona, Hawaii, USA<br />

By Jeff Milisen<br />

8th<br />

Place<br />

We spotted this larval cusk eel on<br />

a blackwater dive off Kona. These<br />

eels have many adaptations to<br />

help them survive to adulthood, including fin spines<br />

that increase their surface area to help keep them<br />

from sinking into the abyss, a transparent body that<br />

makes them harder to see and an external stomach to<br />

promote nutrient consumption and enable this little<br />

alien to grow as fast as possible. Eventually it will<br />

grow to about 18 inches long and live on the slope of<br />

the Big Island between 650 and 2,300 feet.<br />

Canon EOS Rebel T1i, Canon 60mm macro lens,<br />

1/160 sec @ f/10, ISO 200, Ikelite DS51 strobes (2),<br />

Light and Motion 2000 lumen video lights (2), Ikelite<br />

housing; MilisenPhotography.yolasite.com<br />

112 | SPRING <strong>2016</strong>


The Reef Explorer Challenge.<br />

Sound the trumpets.<br />

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diver, it never hurts to toot your own horn.<br />

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ISLAMOR<strong>AD</strong>A<br />

KEY LARGO<br />

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MARATHON<br />

Marina Del Mar Resort & Marina, Key Largo<br />

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Dive Key West, Inc.<br />

Keys’ Premiere Dive Center. Our 45th year.<br />

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Florida Keys Dive Center, Islamorada<br />

P<strong>AD</strong>I 5 star CDC. Diving REEFS & WRECKS<br />

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Key Largo Cottages @ Key Lime Sailing Club<br />

FREE kayaks, bicycles, sailing, fishing,<br />

snorkel, sunset sail with cottage $175 NT.<br />

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Hall’s Diving Center & Career Institute, Marathon<br />

Beautiful Wreck and Reef diving. Lessons for<br />

starters and Career Training for professionals.<br />

Great fun at Hall’s. Come see us.<br />

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Amy Slate’s Amoray Dive Resort, Key Largo<br />

Waterfront rooms, pool, beach, scuba, snorkel instr.<br />

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Key Largo Bay Marriott Beach Resort<br />

Escape to paradise featuring endless blue skies,<br />

fishing, diving and more!<br />

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