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The first step to becoming a scuba diver and earning your certification card is to find a dive and ask them about signing up for a course. The beginner course needed for certification is an Open Water scuba diving course.The World Number 1 Agency is Padi . The quality of your course greatly depends on the attitude and ability /experience of your instructor.It typically takes 3 to 4 days to complete the Open Water course. Of course, this is also dependent on your personal schedule. Some people choose to do weekend courses, so it will take a few weeks to complete it.
When looking at dive centers to do your open water diver course, there are some considerations to take into account in order to find the place that fits your needs best.Check the review dive shop and if they has on the past diving incidents .Check if the shop is clean and have good conditions .Also ask about insurrance and safety procedures .Like it happens when learning other activities, you want to find good and easy conditions when diving for the first time. Places with calm seas and warm waters like the Caribbean or South East Asia are probably the easiest ones for beginners.Find out HOW MANY STUDENTS will be at the course with you. Most of the diving organizations limit the ratio instructor to student to 1:4, but the less people in your group, the more personalized attention you will receive.if you need private instructor ask for it.
Have a look at the CONDITION OF THE DIVING GEAR you will be using during the course. Is it new or well maintained equipment, or you can see clear marks of heavy use on it?Find out what’s the EXPECTED DURATION of the course. Is it going to be a relaxed pace or is the instructor going to try to squeeze everything in as fast as possible?
TALK TO THE INSTRUCTOR that will teach the course. Does he or she speak English properly? Is he or she approachable and listens to your questions and concerns? Would you feel confident with him or her underwater?What kind of experience she/he have? How many years working as dive instructor ? Check his/her dive insurance avalaible .Find out HOW MANY STUDENTS will be at the course with you. Most of the diving organizations limit the ratio instructor to student to 1:4 but the less people in your group, the more personalized attention you will receive.Check the gear you will use during the course .Your way to learn diving ,will affect your underwater experience ,it is really important to have the full information about the course you will get .
There are 4 different parts in every open water diver course: theory, water skill assessment, confined sessions and open water dives.The THEORY includes reading the chapters of the student manual, watching videos about each of them and taking an exam.There might be some WATER SKILLS ASSESSMENT to pass (depending on the agency) like a 200 meters swim or a 10 minute floating test.Five CONFINED SESSIONS will take you through all the skills and exercises you need to know when diving in the open ocean. These are normally performed in a swimming pool or in a shallow area of a beach.You will get a MINIMUM OF 4 OPEN WATER dives where you will have the chance to experience what real diving is about. These dives normally include some skills exercises as well.
The quality of your course greatly depends on the attitude and ability /experience of your instructor.It typically takes 3 to 4 days to complete the Open Water course. Of course, this is also dependent on your personal schedule. Some people choose to do weekend courses, so it will take a few weeks to complete it. Here it is need severals exercises and exam to pass ,be sure you are confident with the exercises and get a good score to the write exam .Learn in good way the theory and practice corectly the exercises , will help you after the certification ,on the real dive.
Never be afraid to ask your guide or instructor questions, no matter how silly they might seem. Remember, everyone started as a beginner once, and it’s better to dive with confidence instead of confusion. Many diving accidents are preventable caused solely by panic. With a level head, you can work your way out of any diving issue. Practice self-calming methods like meditation and breathing techniques to help you cope with any diving challenges that may arise. Visualization is a great practice for walking through possible challenges and thinking through how you can overcome them. The most important thing to remember is, always keep breathing. Never, ever hold your breath.Keep your skills fresh! Try to dive at least every few months. Practice, practice, practice. The more often you go, the better diver you will become.
When looking at dive centers to do your open water diver course, there are some considerations to take into account in order to find the place that fits your needs best.Check the review dive shop and if they has on the past diving incidents .Check if the shop is clean and have good conditions .Also ask about insurrance and safety procedures .Like it happens when learning other activities, you want to find good and easy conditions when diving for the first time. Places with calm seas and warm waters like the Caribbean or South East Asia are probably the easiest ones for beginners.Find out HOW MANY STUDENTS will be at the course with you. Most of the diving organizations limit the ratio instructor to student to 1:4, but the less people in your group, the more personalized attention you will receive.if you need private instructor ask for it.
Have a look at the CONDITION OF THE DIVING GEAR you will be using during the course. Is it new or well maintained equipment, or you can see clear marks of heavy use on it?Find out what’s the EXPECTED DURATION of the course. Is it going to be a relaxed pace or is the instructor going to try to squeeze everything in as fast as possible?
There’s nothing more comforting than a snug wetsuit that conforms to your body. It’s worth it to invest in a wetsuit for the water temperature that you’ll be diving in the most.When choosing a mask, tilt your head down, place the mask against your face, and inhale. Then, let go of the mask with your hands. If the mask stays on your face, then it’s a good fit. Before diving, sweep your hair away from your face (including facial hair) and rub in sunscreen to prevent leaks.Different scuba diving brands tend to fit different body types better. To see what works for you, rent or borrow equipment before buying.Take care of your equipment by rinsing it with fresh water after a dive, hanging it to dry, and keeping it out of the sun. Salt, sand, and sun are harsh elements that can deform equipment if left unchecked.You might not always wear the same amount of weights depending on your wetsuit thickness and even water temperature. If you’re not sure how many to wear, consult a guide before you go. A good guide will keep an eye on your buoyancy and can add or take weight away.
Humans were not built to be underwater for extended periods of time. It’s crucial to have a basic understanding of what happens to your body during a dive if you want to keep safe. You learned the basics of diving physiology in your open water scuba course.Understanding what happens to your body underwater will help you make better decisions. It will also increase your safety and comfort during a dive.Dive sites vary in difficulty and conditions which means they can change from one day to the next. It’s important to know the best diving conditions for your desired dive site. Before you go out on a dive make sure to do the following:
Use Windguru to check the weather. Know the tidal conditions, currents and surface conditions of the dive site.
Inform yourself on local dive laws. Do you need to dive with a dive flag or not?
If diving on your own and not with a certified dive shop, make sure you know all the local emergency numbers. Where is the closest hyperbaric chamber? Ensure that you have your dive insurance policy number, medical information and emergency contact information ready.
If diving with a guide, make sure you listen to everything he or she says, no matter how experienced you are. Make sure to follow the dive briefing and stay on route. Be aware of things you need to watch out for.
Always be aware of your surroundings and what’s happening during a dive. Check your pressure gauge every few minutes and always be aware of where your guide and buddy are.
Never attempt to dive in an environment that is beyond your training and qualifications. Know your limits. Penetration wreck dives, cave dives and deep dives all require advanced training.
This knowledge of diving physiology is crucial in helping diagnose dive-related injuries and sicknesses. Being able to recognize early signs of Decompression Illness and knowing the basics of how to treat it, can mean life and death in some situations.
Scuba diving is accessible in just about any part of the world that is close to oceans, lakes and rivers.The underwater world is very peaceful making diving a relaxing and calming experience. There are no phones to answer, cars honking or air pollution. The only thing you will hear is yourself breathing.Keep diving under your limits and practice the skills did you learn in your diving course .
Understanding what happens to your body underwater will help you make better decisions. It will also increase your safety and comfort during a dive.This knowledge of diving physiology is crucial in helping diagnose dive-related injuries and sicknesses. Being able to recognize early signs of Decompression Illness and knowing the basics of how to treat it, can mean life and death in some situations. If you can’t look after yourself, how can your buddy? Be sure to check your air often and your no decompression time often.Make sure you can always see your buddy and are close enough to get your buddy’s attention.If your buddy is less experienced than you, don’t shame or pressure them into doing dives that they’re not comfortable with.Every ten kicks or so, look at your buddy. Ask your buddy if he or she is okay by making the OK sign (or circling your flashlight while night diving).
Don’t deviate from the plan you’ve made without communicating with your buddy. If your plan was to dive to the edge of the reef and back, don’t go further without your buddy just because you see a shiny object or animal in the distance.Communication is key no matter if you’re diving with your best buddy, or paired up for a one dive stand. Before your dive, you need to decide how long you’ll be down, the depth, what route you’ll take, how close together you’ll be, whether you’re having a side-by-side dive or lead-follow dive, and review what to do if you get separated.
If you’re on a guided dive, double check that you both understand the dive briefing .Before each dive, check your buddy’s diving equipment to make sure that everything is working and strapped on securely.
Panic is one of the greatest risks to diving. Panic, fear, and anxiety causes us to breathe more air and make irrational decisions. According to an article on how to deal with a panicking diver from Scuba Diving Magazine, panic accounts for 20 percent of all diver deaths. One wrong move, like bolting straight to the top out of fear, can be deadly.
If you notice your buddy is panicking, remember that diving is generally a safe spot and there are procedures for nearly every situation. You can often calm your buddy down with these simple actions.
1. Make eye contact with your buddy. Make the peace sign with your fingers and bring them to your mask, signaling for them to look up and at you.
2. Remind your buddy to breathe deeply and regularly. Take your hand and put it to your mouth. Bring your hand nearer and further away in sync with your slow, deep breaths.
3. Once your buddy calms down, ask if they are okay to keep going or if they would like to end the dive. If your buddy wants to ascend, do not pressure them to continue diving.
It is crucial that divers perform other physical activities to keep fit. Neal W. Pollock, a research director at DAN, recommends divers to keep active daily. The goal is to be fit enough to dive and the extra physical demands needed to deal with an emergency situation.Swimming is a great way to build up cardiovascular endurance, leg muscle and comfort in the water. According to DAN, 15% of all dive fatalities are equipment related. These accidents occur because divers don’t know how to properly use their equipment. You should be comfortable with using every component of your equipment. “Plan your dive and dive your plan” is a mantra used by divers all around the world. It is crucial to plan a dive before jumping into the water. You need to know your depth and time limits if you want to stay safe.During your scuba course, you will have likely used dive tables. These are notorious for causing confusion and technical difficulties. The good news is a variety of electronic dive planning equipment is available. An eRDPML – an electronic dive table makes dive planning easy. A dive computer tells you for how long can you stay at your depth level during a dive. Computers are a good tool to use in conjunction with traditional dive tables.To be cautious, plan your dive a few meters shallower than your maximum depth. This allows for some contingency room. It is crucial to stick to your dive plan once you have created it.
We reccomend you Dan Insurrance for your safety .It´s cover any time of situations ,all over the world .Never go diving without insurrance .
Its really important to just accept you are a newbie and to try your best to make a good first impression and to be as flexible as you can, you can do your firsts certifications helping another experienced dive instructor .Working with people every day will give you the experience you will need to be a very good dive instructor .The real life it is very different at the Idc Course you just did .Become a good scuba dive instructor .
If you are a visitor to any of the many message boards or groups that focus on scuba diving, you will likely come across numerous threads concerning instructors quality. There is a perception that the quality of instruction is not consistent and there are many scuba diving instructors that are a danger to themselves and their students. Given that the scuba diving industry is self-regulated and many instructors are freelanced, the structure to identify and remove or retrain substandard instructors is weak to nonexistent.Teaching is as much art as it is science. The instructor development course will present to your teaching methods. In a classroom setting where you are the student learning these “skills”, it easy to act out your role. However, in real life, your students are not going to be operating from a script. They will be learning at their rate and in the perception of their own past knowledge and experiences. As an instructor, you are the one that has to adapt. Do you have that flexibility?
Think back to when you were in high school or college. Was there a teacher or professor who you felt had no right to teach? They might be an expert in their field but could not relate to the students or present the material in a manner where the knowledge could be transferred.The question for you, are you flexible enough in how you relate to people to teach that 10-year-old as well as the 70-year-old? Can you deal with the teenager who thinks they know it all because they did the online training?Yes, you do get to scuba dive very often. I have to ask, what is it about scuba diving that you love? When you are an instructor, your focus has to be 100% on your students. Taking your eyes off from them even for a minute, so you can watch the life on the reef, might allow your student to do something that leads to a serious injury or even more. Yes, I am being a bit dramatic but sadly it happens. When you have students in your care, the focus of your dive is entirely different. When you are diving with a certified buddy, both of you have an understanding of the risk and the training to minimize them. Your attention does not need to be on your buddy all the time. That is not the situation with a student.Many a Gap Year traveler have found becoming a scuba diving instructor is a great way to work and support themselves while traveling. Okay, I fully agree, with some limitations. The Zero to Hero style programs that will take you from a non-diver to instructor in seven months can really accelerate the process. After you get to have your Divemaster certification, many of the programs will have you do an internship with them. Look at the overall program carefully. Many of the internship programs are just a step away from slavery. You will be working hard and often paying them for the privilege. Not all of the work will be underwater leading groups or be assisting an instructor.After completing the training, you might be able to stay on with the dive center that trained you. If not, you are out on your own looking. This is likely one that you never heard mention in the advertisement encouraging you to become an instructor. Are You Willing and Capable To Take Responsibility for Someone’s Life? As a diver, we do take on a degree of responsibility for another diver each time we dive as part of a buddy team. That responsibility, however, it tempered with the fact that the other diver as some understanding of the risk and has received training to deal with them.What about the student having their first experience underwater? It is a different world for them, exciting and scary at the same time. Sadly, we frequently read news stories where someone has died while undergoing scuba diving training. Think about the responsibility you would take on having a discover scuba student. Whether the student really understands it or not, they are depending on you to keep them safe. Recently, a story was played up in the news where a discover diving student drowned when he felled back into the water while still wearing his weight belt. Divers responded quickly to reach him but were not fast enough. I do not know if the instructor did anything wrong, maybe he told the diver to remove the belt first. That is not the point. The point is that the instructor will have to live with the fact that someone under his care died.A final similar point, are you comfortable always diving solo? Every time you are diving with a student that is not a certified diver, you are for all intents and purposes diving solo. You can not really rely on them in an emergency. Worst, you can not even focus 100% on your own recovery in case of an emergency as you can not leave your student behind.
As you learned in your open water scuba course, divers must be neutrally buoyant. This means, while you’re diving, you don’t float up to the surface and you don’t sink down to the bottom. Here are some reasons to have a good buoyancy :
Protects both you and the marine environment. If you don’t have control over your buoyancy, you could crash into delicate corals or land on a sea urchin.Improves your air consumption and reduces fatigue. When you’re neutrally buoyant, you don’t have to work so hard to maintain your position in the water.Helps you control your ascent and decent rates which will decrease your risk of decompression sickness.Increases your confidence in the water and massively improves your overall diving experience.If you have ambitions to become a wreck or cave diver, mastering your buoyancy is a top priorityTo master any skill, you need to know the fundamental principles. In the water your body displaces the surrounding liquid, exactly like when you sink in a bath and the water level goes up. Your body is pushed up by a force equal to the weight of the water your body is displacing. Neutral buoyancy is the point where the weight of your body and all its equipment pushing you down is equal to the weight of the water your body has displaced, it’s a fine balancing act.
There are four keys to perfecting buoyancy: trim, weighting, breathing, and BCD use. Master all four and you too will become a master of buoyancy.Trim is a flat and steady position in the water, also known as the prone position. To achieve this, you need to be in the most efficient position in the water: body completely flat, with the knees bent at 90 degrees, and your fins pointing backwards. This position is ideal since you present the least surface area, which leads to the most streamlined position. When combined with proper frog kicks, this position allows you to simply kick and glide with all the power from your kick strokes being directed backwards.Proper weighting is the second key to perfect buoyancy. Many novice divers are too heavy underwater. All the extra weight they are carrying means they must compensate for it by putting air into their BCD. It is much better to drop those extra pounds and dive with the correct weight.
To find out if you are weighted correctly, follow this simple check. On the surface, you should float at eye level with a totally empty BCD. When you inhale, you should rise out of the water, and when you exhale deeply, you should sink until your eyes are submerged. Adjust your weights and perform weight checks until you are perfectly weighted.Using your lungs, you can make minor buoyancy changes without the need to inflate or deflate your BCD.When you breathe in and out, you are effectively adding or taking air out of your overall buoyancy balance. If you want to drop a little in the water, just exhale a little more than normal. On the other hand, if you want to rise in the water column, then inhale a little more deeply than usual. In either case, once you’ve executed the manoeuvre before returning to normal breathing, you’ll maintain your new position in the water column.Divers should be aware they can’t keep repeating this process endlessly, eventually they’ll have to adjust the buoyancy in their BCD by either inflating or deflating. Never hold your breath! Remember to breathe continuously.
Learning to use your BCD perfectly does take some time, until you develop a ‘feel’ for it. The most important aspect to using a BCD is not to confuse the inflate and deflate buttons for up and down button respectively. It might sound counterintuitive to beginners, but they are the opposite! You add air as you descend to maintain neutral or slightly negative buoyancy, and you release air when ascending to maintain depth control and stay neutrally buoyant.The second mistake inexperienced divers make is pressing the buttons for too long. You should only use short presses of both the inflate and deflate buttons. Try for no more than about half a second of inflation and about a second of deflation. You can always repeat the press until you hit the point you want.Long applications in either direction will regularly take you past your neutral point, resulting in yo-yo diving, and force you to take corrective action. Also make some holes in your boots can help to the buoyancy ( the air get trap on the boots ,especially if are thick boots )
Is your scuba diving equipment blowing bubbles or making a hissing noise? Then you might be losing more air than you think. Small leaks are normal and rarely amount to more than one breath per hour, but a larger leak could be dangerous or drain your tank at a quick rate.If you’re rushed before your dive, you’ll likely carry that franticness underwater meaning you’ll breath heavier than normal. Keep your cool by arriving to the dive site with enough time to check in for your dive briefing and arrange your equipment.Do you really need that dive light, selfie stick, and spare snorkel for this dive? Remember, too many lead weights mean an overinflated BCD which of course leads to more drag.Test and purchase a pair of fins that will allow you to kick further with less effort. When we’re nervous or afraid, we tend take shorter, inefficient breaths, this uses more air. One way to practice breathing techniques is to meditate. You can do this by spending just a few minutes a day by sitting in silence and focusing on your breath or by practicing yoga. When we’re fit, our bodies are capable of handling physical activity more efficiently, allowing us to take deep, oxygen-rich breaths. Run, swim, dance, or do whatever activity is fun for you work out with at least thirty minutes per day.Whether you’re waiting for your buddies or swimming to an anchor line, there’s likely to be a lot of time spent at the surface where you’ll want to breathe through your regulator. Use your snorkel instead.Cold bodies need more energy to stay warm. The more energy you need, the more oxygen you use. Invest in the right wetsuit for your dive to keep your precious energy from being wasted.
Novice divers might assume that frequent, shallow breaths are better for diving. After all, it’s like taking little bites of a pie instead of feasting on it, right? Wrong. Long, deep breathes allow more oxygen to get to your lungs and therefore bloodstream. Shallow breathes also create fatigue, meaning that you’ll eventually breathe more to catch up.
The faster you swim, the more air you’ll use. Interestingly, the Elements of Physical Oceanography notes that someone swimming twice as fast have four times as much drag and use up to eight times more energy! Slow down by minimizing movements, going with currents, and remaining calm.Neutral buoyancy is key to using less air. When we’re too heavy or too light, we often fiddle with our BCDs, kick, and flail around to get under control. Getting to neutral buoyancy should be a priority for every dive. The more you focus on it, the better you’ll become. Remember all those physics facts you learned during your open water course? The deeper you dive, the more air you use. Though this isn’t always possible to control depending on your dive site, if you have a sloping reef, stay towards the shallower end to use less air.
When swimming, use your fins rather than your arms. This makes sense when we look at how small our hands are in comparison to our fins. Which has more surface volume and power? Kicking gets you further, using less energy. When kicking, pull your hands to your torso instead of letting them dangle behind or out to the side.
The best way to reduce air consumption while diving is by diving frequently. Experienced divers are generally calmer, more confident, and are more skilled at staying neutrally buoyant. Take an advanced course or make a pact with a dive buddy to go on a regular basis. The more practice you have, the less air you’ll use.
Having a clear understanding of what nitrogen narcosis is is an important thing divers can do for their own safety.Nitrogen narcosis is an alteration in consciousness that occurs while diving a depth.
Narcosis is a Greek word that is derived from narke, which means temporary decline or loss of senses and movement, numbness. Divers commonly refer to the experience of this altered state of mind as “getting narked” or “feeling narked.”
Nitrogen Narcosis is caused by dissolved gas in the body. Breathing nitrogen at a high partial pressure seems to be the main contributor. Partial pressures of the gases we breathe increase with depth, so remember that as you descend deeper and deeper on a dive, the partial pressure of the nitrogen you are breathing is increasing more and more.
Though nitrogen narcosis is an ever-present factor for scuba divers, it is most common for divers to begin to feel some effects beginning around 100 feet/30 meters. This is why it tends to be a larger consideration in planning for deeper dives, or dives past 66 feet/20 meters.
Divers do seem to have varying susceptibility to nitrogen narcosis, however, and it can be experienced at shallower depths, so it is always important to pay attention to your actions underwater, as well as your buddy’s.However, cases of noticeable nitrogen narcosis are extremely rare on shallow dives or dives less than 60 feet/20 meters. Remembering that partial pressure is directly proportional to depth, staying shallow is your best strategy on how to easily prevent feeling the effects of nitrogen narcosis.
Luckily, the effects of nitrogen narcosis do not get worse after about two minutes at a given depth. Narcosis can be safely handled underwater and having it does not necessarily mean that your dive needs to end.
Same symptoms are :
Poor coordination
Loss of decision making ability
Slow reaction to signals
Holding regulator in mouth
Taking regulator out of mouth
Loss of dexterity
Anxiety
Foolish behavior
Over confident – disregard for safety
Feeling drunk/ giddy
Feeling euphoric
Loss of balance
Forgetfulness
Fixation on thoughts
Tunnel vision
The effects of nitrogen narcosis are not life threatening if caught early on and managed. The real danger of this altered state of mind comes from poor decision making.
Like we said earlier, the symptoms are close to those of being drunk. You may loose coordination, your ability to focus or short-term memory. Some divers feel sleepy. None of these effects are safe for being over 100 feet under the sea.
The good news is nitrogen narcosis is easily reversible. If you experience “the rapture of the deep” or notice it in your buddy follow these steps to make sure you stay safe while scuba diving.
You should do :
Let your buddy know. What’s the hand signal for I’m narked? It’s the same as the crazy sign. Move your index finger in circles at the side of your head. Slowly ascend to a shallower depth with your buddy.Stay at your new depth and wait for the effects to subside. Stay calm, it’s very normal. Often, divers feeling nitrogen narcosis symptoms find their heads clear if they ascend as little as 10 feet/3 meters. Patience and communication with your buddy will be key at this stage.
be confident and determine your limits -get extra training
descend slowly -plan your dive & dive your plan-dive safety
One of the most important rules in scuba diving is to breathe continuously and never hold your breath.In basic scuba training, you are taught that you must avoid holding your breath underwater and trapping air in your lungs. If you ascend while holding your breath, your lungs could expand ("explode") as the air expands. This is known as a pulmonary barotrauma.Just explaining this is often enough to frighten students into following the rule, but the details of what happens to a diver's lungs when they over-expand are usually glossed over. For example, did you know that other conditions and actions besides holding your breath can cause lung over-expansion?
Barotrauma refers to a pressure-related injury. The word pulmonary refers to your lungs. A pulmonary barotrauma may also be called: lung over-expansion, burst lungs, or exploded lungs.
May Occur on a Small Scale
The term "exploded lungs" makes a pulmonary barotrauma sound like a very dramatic injury, but it isn't very likely your lungs are actually going to explode. The alternate names for pulmonary barotraumas make the condition seem catastrophic, but pulmonary barotraumas more often occur on a nearly microscopic level.
At depth, air is caught in the tiny air sacs (called alveoli) where gas exchange takes place in a diver's lungs. These air sacs are made of extremely thin and fragile tissue. If air is trapped in the sacs as a diver ascends, it will expand from the change in pressure and burst the sacs like many tiny balloons. This air escapes from the lungs and causes various types of damage depending upon where it travels.
Pressure Change
Very small changes in pressure can cause a pulmonary barotrauma. Because the lungs' air sacs are so tiny and thin, even the pressure that occurs over a few feet can cause injury if air is trapped in the lungs. Divers should remember that the greatest pressure change underwater is near the surface, so all divers, regardless of depth, are at risk. Pulmonary barotraumas have even been documented in swimming pools.
Who Is at Risk
All divers are at risk. Pulmonary barotraumas are caused by expanding air trapped in the lungs and are not related to depth, dive time, or the amount of nitrogen a diver has absorbed underwater.
Actions and Conditions That Cause a Pulmonary Barotrauma
There are three main causes of pulmonary barotrauma:
-Breath Holding
If a diver holds his breath and ascends as little as 3-5 feet, he is at risk for a pulmonary barotrauma. While most divers know they the shouldn't hold their breath underwater, panic, out-of-air situations, sneezing, and even coughing can cause a diver to inadvertently hold his breath underwater. Remember that underwater, the simple act of holding your breath will frequently cause you to become positively buoyant and ascend, so it is best to avoid breath-holding while scuba diving.
-Rapid Ascents
The faster a diver ascends, the more rapidly the air in his lungs will expand. At a certain point, the air will expand rapidly enough that it can not efficiently exit a diver's lungs, and some of the expanding air will become trapped in his lungs.
-Pre-Existing Lung Conditions
Any condition that can block and trap air in the lungs can lead to pulmonary barotrauma. Even conditions such as asthma, which only partially obstructs air from exiting the lungs can prevent expanding air from exiting the lungs efficiently on ascent. This includes temporary conditions, such as bronchitis or a cold, and permanent conditions such as scars, fibrosis, and tuberculosis. Aspiring divers with a history of lung problems should undergo a full medical exam by a doctor knowledgeable in diving medicine before undertaking scuba diving.
Scroll down for a more complete list of medical conditions that predispose divers to pulmonary barotrauma.
Main Types
Pulmonary barotrauma can manifest in several different ways.
-Arterial Gas Embolism (AGE)
If the thin wall of the lungs' air sacs rupture, air can escape into the small blood vessels in the lungs' tissues. From there, the tiny air bubble travels to the heart, where it is pumped to any of several places, such as the arteries of the heart and brain. As the diver continues to ascend, the tiny bubble of air will continue to expand until it becomes too big to fit through an artery and is trapped. An air bubble trapped in an artery blocks blood flow, cutting off the oxygen supply to organs and tissues. In extreme cases, an air bubble in the heart's arteries can cause cardiac arrest, and an air bubble in the brain's arteries can mimic the symptoms of a stroke.
-Emphysema
A burst air sac can also force expanding air into the tissues surrounding the lungs. There are two main kinds of emphysema caused by pulmonary barotrauma:
Mediastinal emphysema - Air is forced into the tissues surrounding the heart and trachea. Characterized by pain under the sternum, in the chest, and shortness of breath.
Subcutaneous emphysema - Air is forced into the space under the skin around the neck and collarbone. There is a characterized "crunchiness" under the skin around the neck and collarbone.
Pneumothorax
Pneumothorax is perhaps the most dramatic of all the manifestations of pulmonary barotrauma. In pneumothorax, air from the burst lung expands into the pleural cavity, or the area between the lungs and chest walls. As the expanding air pushes against the lungs' thin tissues, it exerts pressure which collapses the ruptured lung. X-rays of pneumothorax show the area once occupied by the lung almost completely filled with air, with the deflated lung compressed to a fraction of its original size. In extreme cases, expanding air on one side of the lung cavity can exert pressure on the heart, trachea, and other lung, causing a tension pneumothorax. This pressure can be so extreme that it visibly distorts the trachea, stops the heart, or collapses the second lung.
Medical Conditions That Predispose a Diver
Both temporary and permanent conditions can predispose divers to pulmonary barotrauma by completely or partially obstructing expanding air from exiting the lungs. Here are some examples of conditions that can cause barotrauma.
Temporary conditions - Bronchitis, respiratory tract infections, congestion from allergies, active asthma
Permanent conditions - Scarred lung tissue, fibrosis, sarcoidosis, tuberculosis, lung abscesses, damage from severe pneumonia, chronic bronchitis, persistent asthma, tumors, calcified glands, mucous obstructions from heavy smoking
BLEBS - Research indicates that BLEBs, balloon-like extensions of the lungs air sacs, BLEBs are believed to reduce the lungs' elasticity. They release air more slowly during exhalation than the lungs' air sacs. As a diver with BLEBs ascends, expanding air may not be able to exit the BLEBs rapidly enough, and some expanding air may become trapped in the BLEB, causing it to burst. BLEBs are normally found in chronic smokers but have been observed in non-smokers as well. Divers may be tested for BLEBs using breathing tests, x-rays, and CT scans.
Can Be Distinguished From Other Decompression Illness
While many symptoms of pulmonary barotrauma are similar to those of decompression sickness, pulmonary barotrauma can be distinguished from other dive-related injuries because its effects are immediate, which is not the case with the majority of decompression sickness incidents. According to scuba-doc.com,
"Out of 24 cases of pulmonary barotrauma in United States Navy divers, symptoms of pulmonary barotrauma appeared in 9 cases while the diver was still ascending underwater, in 11 cases within one minute of the diver reaching the surface, and in 4 cases within 3-10 minutes of the diver reaching the surface."
This seems to indicate that if a diver surfaces with chest pain, stroke-like symptoms, immediately falls unconscious, or manifests other symptoms within a minute or two of surfacing, pulmonary barotrauma should be suspected.
Prevention
Never hold your breath underwater.
Ascend slowly. Most training organizations recommend an ascent rate of less than 30 feet per minute.
Don't dive with pre-existing medical conditions that are known to cause pulmonary barotrauma. If you are unsure whether you are fit to dive, get a diving fitness exam from a qualified physician.
Don't dive if you are likely to panic underwater. This frequently leads to inadvertent breath holding and rapid ascents.
Follow good diving practices such as monitoring your air supply to avoid out-of-air and low-on-air situations; practice good buoyancy and properly weight yourself to avoid uncontrolled ascents; use well-maintained gear; and dive with a good buddy who can assist you in case of an equipment failure or other emergency.
By now, you have probably heard the acronym DCS used in conversations quite a bit and remember that it is often referred to as “the bends.” DCS happens if you go up too fast from a dive ,but there’s a lot more to it. Reacquainting yourself with the specifics of decompression sickness (DCS) is always a good idea before a dive trip because, if recognized quickly, it can be treatable.Decompression Sickness is a disorder caused by nitrogen bubbles forming in body tissues and the bloodstream. DCS occurs when you ascend from deeper water to shallower water in too short of a period of time. As you dive on an air tank, you breathe compressed air made up of about 79% nitrogen and 21% oxygen. Your body uses the air, but stores the nitrogen in your tissue and blood. As you ascend, the nitrogen begins to come out of solution.If you follow your dive table/dive computer’s limits and make a slow ascent, this process is usually harmless. However, diving past your limits by staying at depth longer than your No-Decompression Limit, ascending faster than 30 feet per minute or skipping required safety stops can cause nitrogen to leave your blood and tissues too quickly, forming nitrogen bubbles and causing DCS.Decompression sickness can have a variety of results. Depending on where the nitrogen bubbles move to and what area of the body is affected, DCS damage can range from everything from fatigue to minor joint or muscle pain – referred to as “the bends”- to unconsciousness and death. Here are the most common signs and symptoms of DCS
Pain, particularly near the joint
Numbness or paresthesia
Constitutional concerns such as headache, lightheadedness, unexplained fatigue, malaise, nausea and/or vomiting, or anorexia
Dizziness or vertigo
Motor weakness
Cutaneous, or skin, problems such as an itch, rash, or mottling (“cutis marmorata”)
Muscle discomfort
Impaired mental status
Pulmonary problems such as breathing difficulties (“the chokes”)
Impaired coordination
Reduced level of consciousness
Auditory symptoms such as hearing sounds that are not there or having a hard time hearing
Lymphatic concerns such as regional swelling
Bladder or bowel dysfunction such as retention of urine
Compromised cardiovascular function
If you or your dive buddy think you may be predisposed to DCS or you are diving on the edge of the recommended limits, keep an eye out for these decompression sickness symptoms and report them to your dive company and/or boat captain as soon as you notice them! here are some factors and situations that put certain people more at risk for decompression sickness than others.
Some factors that may contribute to DCS are:
-Cold Water: Circulation to extremities reduces as a diver gets cooler during a dive, slowing nitrogen elimination from those areas.
- Dehydration: Being dehydrated reduces blood circulation, making nitrogen elimination slower.
-Injuries/Illness: These may alter or restrict circulation leading to localized areas where nitrogen isn’t eliminated as rapidly.
-Excess Fat Cells: Nitrogen is released from fat more slowly than muscle.
-Age: As you get older, the circulatory system can slow down, making gas get exchanged at a slower rate.
-Alcohol: Drinking before or after diving alters circulation patterns, dilates capillaries and promotes dehydration, all of which can alter nitrogen elimination and bubble formation.
- Excess Carbon Dioxide: Skip breathing may raise carbon dioxide levels altering circulation and gas exchange.
- Heavy Exercise: Diving can accelerate circulation so more nitrogen than normal dissolves into body. After a dive, exercise accelerates circulation altering nitrogen elimination.
-Altitude/Flying: Dive tables/computers are based on surfacing at sea level, thus exposure to lower pressure increases the tissue pressure gradient and may cause large bubbles to form – returning to sea level doesn’t usually alleviate the bubbles once formed. The good news is that decompression sickness is usually treatable. The sooner you get medical attention, the less likely there will be permanent effects from the DCS. The bad news is that besides minor cases of cutaneous DCS, or “skin bends,” you will probably land in a hyperbaric chamber.
The first aid and first level of care for any DCS is the same and should always be treated seriously. The affected person needs to lie down on their left side, head supported. You can grab a boat seat cushion or have another diver sit cross legged supporting the victim’s head & neck. The person needs to be put on 100% O2 and rest. The patient should NOT sit up or move around, even if they feel better. Emergency services should be contacted right away.
For most cases, the patient will be taken to a hyperbaric chamber. In this chamber, the patient will be put back under pressure in a specialized room and given pure oxygen to breath. This pressure allows the nitrogen to be reabsorbed into the tissue and slowly released. It is the only way to treat severe DCS.
Under NO circumstances should you try to reverse the effects of DCS by re-submerging under water! Even if you use 100% oxygen, the recompression process can take hours. Going back to depth in an attempt to reverse the DCS can make matters worse and make it impossible for medical professionals to treat you.The dive limits you learned in your open water course were created to make scuba diving as safe as possible. Following those initial guidelines on how to prevent decompression sickness on EVERY DIVE is the key to having a safe diving experience.
Things to Remember on Every Dive:
-Deep diving allows for less time at depth. Plan your dives before you get in the water and stay well within recreational dive limits.
-Ascend very slowly, making sure to go up slower than 30 feet/5 meters per minute. Ensure buoyancy control by releasing some air from your BCD before you begin ascent.
-Safety stops are created for you to off-gas nitrogen. It’s best to take a safety stop at 15 feet/5 meters EVERY dive. Even if you aren’t required to stop, it’s always a good idea to take one.
-Begin your ascent with MORE than enough air in your tank for your safety stop. Be a great diver by planning to have enough air to donate to another diver if they need it in to complete their safety stop too!
-Take extra time on safety stops after repeat, deep, strenuous, or cold water dives, and make sure all ascents are slow and controlled.
-If available, hold onto a descent line or hang bar to ensure you stay at proper depth for your safety stop. Since your scuba tank will have less air at the end of the dive, it gets lighter, making it harder to stay neutrally buoyant during your safety stop.
-If you are feel you are floating away towards the surface during your safety stop, make sure you deflate your BCD completely. Air can get stuck in the corners of your BCD, so situate yourself upright, and don’t forget to learn about and use your dump valves.
-Be sure to avoid strenuous exercise directly before or after any dive.
-Learn about your dive computer before you use it.
-Abstain from alcohol around dive times.
- Be honest with yourself about your health. Shallow diving is best if you feel you may be at risk for DCS.
Major dive organizations such as PADI and the Divers Alert Network (DAN) suggest a fixed time for flying after diving. If you have done several recreational no-decompression dives in a row, you should wait 18 hours until you fly. This is from the time when you exit the water until the time when you board the plane.
Give yourself plenty of time to off-gas the nitrogen build-up in your body. This is especially important if you have done repeated dives over several days, like on a liveaboard dive trip.
If you’ve only done one no-decompression dive, wait at least 12 hours until you fly.The main concern with scuba diving and flying is decompression sickness. It was one of the first things you learned in your Open Water course. By scuba diving and flying soon after, increase your risk of Decompression Sickness (DCS) or “the bends” due to decreased ambient pressure on the plane.
Decompression Sickness is caused nitrogen bubbles forming in the bloodstream and tissues of the body. When you go scuba diving, you descend below the surface of the ocean, where there’s an increase in the pressure around you. During your dive, nitrogen is absorbed into your body tissues and bloodstream from the air you are breathing in proportion to the pressure surrounding you.
If you stay at pressure, the nitrogen in your body tissues is not an issue. As you ascend, the built up nitrogen becomes tiny bubbles and leaves your body. If you are diving within recreational dive limits, this should happen at a safe rate with low risk of injury.
However, if the pressure around you is reduced too fast, the nitrogen comes out of solution and creates bubbles in the bloodstream and tissues. Divers get decompression sickness from having large nitrogen bubbles in the bloodstream which can cause major injuries. If you fly directly after diving, the decreased ambient pressure in the plane has the same effect as ascending too quickly from a dive. It can cause residual nitrogen in your blood to come out of solution too rapidly, creating large nitrogen bubbles in your blood stream.Scuba diving and flying soon after is not always going to cause serious injuries. That being said, the risk you take by not waiting the suggested amount of time is a big one with decompression sickness symptoms ranging from pain in the joints all the way to an untimely death.
As the ambient pressure decreases on your flight, the nitrogen begins to dissipate quicker. This causes the nitrogen bubbles to get bigger and bigger. They then become trapped in your body and can travel through your blood system. This leads to blocking of vital functions.
Injuries such as numbness, paralysis, circulatory shock and disorders of higher cerebral function have been documented due to Decompression Sickness.
Remember, you can’t just call for help and get taken to a doctor or chamber facility if you start to experience symptoms of “the bends” mid-flight. You’ll have to wait to get medical attention until you land. This will make the injuries more severe over time.Asking yourself if you are fit enough to scuba dive is one of the first things divers should do for their own safety. Being out of shape or having pre-existing health issues can increase your risk of DCS. This is true not with just scuba diving and flying, but diving in general. Diving when you are tired, dehydrated, or stressed out can make it harder for your body to expel nitrogen.
All modern dive computers take into account a recommended no-fly time. If you use a dive computer, it will calculate a conservative surface interval for you. Before you go on your holiday, read the manual of your dive computer, and make adjustments if necessary.
You may also want to bring/download the manual for questions that come up while you are on your trip. While you’ve got the manual out, make sure you are fresh on the rate of ascent indicator and no-decompression limit time, which will help you follow a safe dive plan.
Alcohol can have effects on the body up to 24 hours after consumption and can negatively impact your ability to dissipate nitrogen, especially if you begin drinking right after your last dive.
The deeper you dive and the closer you come to your No-Decompression Limits (NDL), the greater your risk of DCS. Do so, you’re accumulating more nitrogen on each dive than if you were to dive more conservatively.
These dives can be safe and fun, just try to organize them towards the beginning of your dive vacation. Deeper dives or longer dives should be scheduled for when you first arrive. Leave your shallower and easier dives for the last day or two of your trip.
SAFE ASCENT AND DESCENT WHILE SCUBA DIVING
EQUALIZING INNER EAR PRESSURE WHILE SCUBA DIVING
ALL YOU NEED TO KNOW ABOUT THE SCUBA DIVING BUDDY
Dive buddies are also important for safety reasons. If you get lost, injured, anxious, or have a diving accident, your dive buddy will be first on the frontline to help.
Dive buddy relationships have the capability of making or breaking the quality of the dive. With that in mind, here is everything you need to know about the dive buddy system.When you join a guided dive, your divemaster will likely set you up with another diver with a similar experience level to be your buddy.
However, growing and refining your skills as a diver is best done with a regular dive buddy that you can trust and dive with frequently. With a regular buddy, you’ll be able to learn each other’s strengths and weaknesses as divers and focus your time on diving rather than getting to know one another.The good news is that it’s easy to be a great dive buddy as long as you follow these simple principles.
If you can’t look after yourself, how can your buddy? Be sure to check your air often and your no decompression time often. Check out our article on personal diving safety to know if you’re okay to dive.
Make sure you can always see your buddy and are close enough to get your buddy’s attention.
If your buddy is less experienced than you, don’t shame or pressure them into doing dives that they’re not comfortable with.
Every ten kicks or so, look at your buddy. Ask your buddy if he or she is okay by making the OK sign (or circling your flashlight while night diving).
Don’t deviate from the plan you’ve made without communicating with your buddy. If your plan was to dive to the edge of the reef and back, don’t go further without your buddy just because you see a shiny object or animal in the distance.
Communication is key no matter if you’re diving with your best buddy, or paired up for a one dive stand. Before your dive, you need to decide how long you’ll be down, the depth, what route you’ll take, how close together you’ll be, whether you’re having a side-by-side dive or lead-follow dive, and review what to do if you get separated.
If you’re on a guided dive, double check that you both understand the dive briefing.
Before each dive, check your buddy’s diving equipment to make sure that everything is working and strapped on securely.Have your buddy inflate and deflate the BCD through the button as well as the mouth piece. Check that the weight belt is securely fastened and able to be quickly released.
Check, clip, and tug on any restraints, zippers, or buckles on your buddy’s dive gear.
Smell and take a breath through your buddy’s octopus while watching the air gauge. The air should not have a taste or smell and the gauge’s needle should be stable while you inhale and exhale. Listen for any hissing that could indicate that there’s a hole somewhere.Do a once-over of your buddy’s equipment. Is their mask sitting on the top of their head? Are their fins on? Are they feeling okay?Buddy systems usually have divers dive side by side, or as leaders and followers. Both methods have their pros and cons.
Side-by-side diving makes sense when you two are comfortable with one another, have ample space, and have a solid plan of what to do and where to go during the dive. Side by side diving likely isn’t the best choice if there are narrow passages to swim through or if you aren’t very familiar with the dive site.Leading and following, where one diver swims slightly ahead of the other and leads the dive works best in narrow conditions, with strong dive buddy relationships, and with divers of different skill levels.
However, contrary to what you might think, it’s usually better for the least skilled diver to lead the dive. This way the more experienced diver can easily keep an eye on the less experienced diver in case there is a problem. This also keeps the more experienced diver from finning too fast. If you’re at similar skill levels, you might want to take turns leading and following so that both buddies have a chance to move at their preferred paceYou know to turn right at the end of the reef, but does your buddy? Buddies often lose each other when changing directions. When it comes time to turn, make sure your buddy is close.
Low visibility makes it easy to lose your buddy for obvious reasons, so stay extra close together and bring tank bangers whenever it gets difficult to see more than a few meters ahead. If you’re often in murky waters, this article on Dive Training Magazine offers techniques for low-vis diving.
Likewise, clear visibility often makes divers over-confident that they’ll always be able to see their buddy, so they’re likely to dive further apart. Keep this bias in mind when diving and stay close.
Distractions like playing around with underwater cameras, dive computers, or looking for hard-to-see creatures make divers less interested in keeping a watchful eye on their buddy. If your buddy is distracted, dive behind them to make sure you don’t get separated. Minimize your own distractions to make sure that your attention is fully focused on the dive.
Panic is one of the greatest risks to diving. Panic, fear, and anxiety causes us to breathe more air and make irrational decisions. According to an article on how to deal with a panicking diver from Scuba Diving Magazine, panic accounts for 20 percent of all diver deaths. One wrong move, like bolting straight to the top out of fear, can be deadly.
If you notice your buddy is panicking, remember that diving is generally a safe spot and there are procedures for nearly every situation. You can often calm your buddy down with these simple actions.
Make eye contact with your buddy. Make the peace sign with your fingers and bring them to your mask, signaling for them to look up and at you.
Remind your buddy to breathe deeply and regularly. Take your hand and put it to your mouth. Bring your hand nearer and further away in sync with your slow, deep breaths.
Once your buddy calms down, ask if they are okay to keep going or if they would like to end the dive. If your buddy wants to ascend, do not pressure them to continue diving.
If your buddy signals that he or she is out of gas, then you will need to calmly hand your secondary mouthpiece to begin buddy breathing. It’s important to stay calm and try your best to keep your buddy calm, who might be panicked or afraid. If you are out of air, signal to your buddy that you are out of gas and need to share air. Then take the secondary mouthpiece.
If you do not have a secondary regulator, do not attempt to share air out of one regulator unless you have practiced it together. If you or your buddy only has one mouthpiece, practice buddy breathing in a pool or while both partners have ample gas.
Like basic training says, if you get separated from your dive buddy, search for one minute underwater before surfacing. If you still can’t find your buddy, immediately report your missing buddy and make sure that there is a rescue procedure.
When searching underwater, we’re likely to search too quickly. Don’t spin or fin too quickly because you might miss seeing your buddy’s bubbles, that will only come out when they exhale.Stay in touch with your dive buddy and make an effort to go out together as much as possible.
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