Particular Problems Associated With Deep Dives
Deep diving has more consequences and dangers than basic open water diving. Nitrogen narcosis, the “narks” or “rapture of the deep”, starts with feelings of euphoria and over-confidence but then leads to numbness and memory impairment similar to alcohol intoxication. Decompression sickness, or the “bends”, can happen if a diver ascends too fast, when excess inert gas leaves solution in the blood and tissues and forms bubbles. These bubbles produce mechanical and biochemical effects that lead to the condition. The effects tend to be delayed until reaching the surface. Bone degeneration (dysbaric osteonecrosis) is caused by the bubbles forming inside the bones; most commonly the upper arm and the thighs. Air embolism causes loss of consciousness and speech and visual problems. This tends to be life threatening, and requires a recompression chamber for treatment. Deep diving involves a much greater danger of all of these, and presents the additional risk of oxygen toxicity, which may lead to a convulsion underwater. Very deep diving using a helium–oxygen mixture (heliox) carries a risk of high pressure nervous syndrome. Coping with the physical and physiological stresses of deep diving requires good physical conditioning.
Using normal scuba equipment, breathing gas consumption is proportional to ambient pressure - so at 50 metres (160 ft), where the pressure is 6 bar, a diver breathes 6 times as much as on the surface (1 bar). Heavy physical exertion causes even more gas to be breathed, and gas becomes denser requiring increased effort to breathe with depth, leading to increasing risk of hypercapnia, an excess of carbon dioxide in the blood. The need to do decompression stops increases with depth. A diver at 6 metres (20 ft) may be able to dive for many hours without needing to do decompression stops. At depths greater than 40 metres (130 ft), a diver may have only a few minutes at the deepest part of the dive before decompression stops are needed. In the event of an emergency the diver cannot make an immediate ascent to the surface without risking decompression sickness. All of these considerations result in the amount of breathing gas required for deep diving being much greater than for shallow open water diving. The diver needs a disciplined approach to planning and conducting dives to minimise these additional risks.
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