The "divemaster rant" article in the April issue is quite
good. However, one comment about the diver who surfaced
with omitted decompression and the computer had gone into
"error" or "missed deco" warnings. This is, basically, inexcusable
by the diver. Even if the diver ran out of breathing gas,
he should have used the vessel's hang tank or sought out
another diver to complete the deco. Many computer models
will not tell you how much deco was omitted, leaving the
poor divemaster with no real idea of what the magnitude of
the omission really was. It could have been a couple of minutes,
or maybe much more. This then becomes problematic.
Personally, I would put the diver back in at a depth of
30 feet for 10 minutes, 20 feet for 20 minutes, and 10 feet for
30 minutes. That schedule would almost certainly clear any protocol for missed stops. Then I'd mask the diver with pure
oxygen by demand mask for one hour at the surface, while
running a neurological exam and observing for signs and
symptoms of decompression sickness. If none was present,
I'd sit him down for 24 hours and then let him resume diving
when his computer cleared.
If symptoms did manifest (and the diver should be
checked every hour for the next four to six hours), I'd
continue oxygen administration without interruption,
and evacuate to a chamber for evaluation and treatment.
If a remote site made evacuation a non-option, I'd use an
in-water recompression protocol as long as the diver was
conscious and responsive. You also need an in-water tender
throughout the process, but the tenders can trade off
during the treatment. Post-treatment would then require
another two hours of surface oxygen breathing and complete
diving shutdown, but no evacuation.
- - Bret Gilliam