NOAA Diving Manual : For Science And Technology Dive 1991

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Diving

manual

DIVING FOR SCIENCE

AND

TECHNOLOGY

U.S.

DEPARTMENT OF COMMERCE

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Digitized by the Internet Archive
in

2012 with funding from

LYRASIS Members and Sloan Foundation

http://archive.org/details/noaadivingmanualOOunit

NOAA DIVING
MANUAL
DIVING

FOR SCIENCE AND TECHNOLOGY

October 1991

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U.S.

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DEPARTMENT OF COMMERCE
Robert A. Mosbacher, Secretary

National Oceanic and Atmospheric Administration
John

A. Knauss,

Under Secretary

Oceanic and Atmospheric Research
Ned

A. Ostenso, Assistant Administrator

Office of

Undersea Research

David B. Duane, Director

Mention of a commercial company or
product does not constitute an endorsement
by NOAA. Use for publicity or advertising
purposes of information from this publication concerning proprietary products or
the use of such products is not authorized.

No photograph appearing in this publication
may be reproduced in any fashion without
prior written permission from NOAA.

Information contained in this
May 1990.

Manual was

current as of

Library of Congress Cataloging in Publication Data

United States. National Oceanic and Atmospheric
Administration. Office of Undersea Research.

NOAA

diving manual.

Bibliography: p.
Includes index.
1.
I.

A

Diving, Scientific.

publication

Changes
cally;

2.

Hyperbaric Physiology.

Title.

is

of value only

if it is

check your original source for

Updates

kept up to date.

to this publication will be issued periodi-

will also

all

updates.

be available through the Superin-

tendent of Documents.

TABLE OF CONTENTS
V
vii

ix

xiii

xxi

SECTION 1
SECTION 2
SECTION 3
SECTION 4

SECTION

5

SECTION 6

FOREWORD
PREFACE

CONTRIBUTORS
LIST OF FIGURES
LIST OF TABLES
HISTORY OF DIVING
PHYSICS OF DIVING
DIVING PHYSIOLOGY

COMPRESSED AIR AND
SUPPORT EQUIPMENT
DIVER AND DIVING
EQUIPMENT
HYPERBARIC CHAMBERS
AND SUPPORT EQUIPMENT

SECTION

7

SECTION

8

SECTION

9

AND SUPPORT
PERSONNEL TRAINING
WORKING DIVE
PROCEDURES
PROCEDURES FOR

SECTION

10

SCIENTIFIC DIVES
DIVING UNDER SPECIAL

SECTION
SECTION

11

SECTION
SECTION

13
14

SECTION

15

DIVER

CONDITIONS
12

POLLUTED-WATER DIVING
HAZARDOUS AQUATIC
ANIMALS

WOMEN AND

DIVING

AND
DECOMPRESSION
MIXED GAS AND OXYGEN

AIR DIVING

DIVING

SECTION
SECTION

16
17

SECTION
SECTION

18
19

SATURATION DIVING

SECTION 20

UNDERWATER SUPPORT
PLATFORMS
EMERGENCY MEDICAL CARE
ACCIDENT MANAGEMENT
AND EMERGENCY
PROCEDURES
DIAGNOSIS AND TREATMENT

APPENDIX A

OF DIVING CASUALTIES
DIVING WITH
DISABILITIES
111

APPENDIX B
APPENDIX C

NAVY AIR
DECOMPRESSION TABLES
TREATMENT FLOWCHART
AND RECOMPRESSION
TREATMENT TABLES
U.S.

APPENDIX D

NOAA NITROX DIVING
AND DECOMPRESSION

APPENDIX E

GLOSSARY

I

TABLES

REFERENCES
INDEX

IV

FOREWORD
NOAA,

the largest

component of the Department of Commerce,

an agency with a broad mission

is

mental monitoring, prediction, and understanding of the oceans and the atmosphere.
systems agency" because

studies the relationship between the natural

it

important duties we perform

is

I

components of our

call

NOAA

planet.

in

environ-

the "earth

Among

the most

the monitoring of the oceans and Laurentide Great Lakes.

NOAA

operates a variety of sensors and platforms that permit observation and measurement of change in the
and
Great
Lakes. We operate satellites, ships, and submersibles, as well as the world's only underwater
seas
habitat. To add a uniquely human dimension to ocean research and marine services, NOAA conducts wet diving
operations throughout the Great Lakes, the territorial sea, the U.S. Exclusive Economic Zone, and wherever the
agency is involved in marine operations and research.

NOAA

—

more than 250 men
and technicians who dive under the
auspices of NOAA-sponsored research grants, a factor that significantly increases that number.) As befits the
variety of their missions, NOAA's divers are scientists, engineers, technicians, and officers in the NOAA Corps,
and all have volunteered to be divers.
numbers among

its

staff the largest diving

and women. (This number does not include those

Because the tasks

NOAA
NOAA

complement

of any civil Federal agency

civilian scientists, engineers,

divers carry out are as varied as those of any group of underwater workers in the world,

—

—

Diving Manual greatly expanded and revised contains instructions, recommendaand general guidance on the broadest possible range of underwater living conditions and dive situations.
Thus, while the Manual is directed toward NOAA, it will be useful, as were previous editions, to working divers
who have other affiliations and to those who dive for pleasure only.
this

version of the

tions,

Under authority delegated by the Secretary of Commerce, NOAA takes seriously the mandate under Section
21(e) of the Outer Continental Shelf Lands Act Amendments of 1978 to "conduct studies of underwater diving
."
techniques and equipment suitable for protection of human safety and improvement in diver performance
.

NOAA

is

proud of

its

record of safe diving and the assistance

it

.

.

has provided to the diving community.

To continue that record, the Manual has been revised to incorporate recommendations and information obtained
from the entire diving community. The various issues addressed and the procedures recommended reflect the
wisdom, experience, and specialized skills of working and recreational divers, equipment manufacturers, medical
and scientific authorities, and many others.
Under ordinary circumstances, the guidance

in this

mission and a failure. In an extreme situation, however,

those

who contributed

assistance in

making

to this revision,

this revision of the

I

Manual could mean the difference between a
it could make the difference between life and

express, on behalf of

Manual

a truly useful

all

document

of

NOAA, my

deep appreciation

for all divers.

John A. Knauss

Under Secretary of Commerce
for Oceans and Atmosphere

successful
death.

To

for their

1

PREFACE
This

Manual

NOAA

has been developed for use by

divers.

are shallower than 250 feet (76 m), the depth range in which

focuses principally on diving to depths that

It

NOAA

divers generally operate. Other sources should

be referred to for information on deep-water mixed-gas diving procedures.
this

Manual

Manual

contains

been used liberally to keep
This version of the

to a

manageable

As

in previous versions, references

many changes from

the first and second editions. Immediately noticeable

the loose-leaf format, which will greatly facilitate revision and additions. This format will permit the

updated no matter how large or small the section needing revision,

Manual

This edition of the

7 are largely

Manual

to

is

be

e.g., a section,

a paragraph, or a single table.

Of

these units, 6 are new, 12 have

has 25 distinct parts: 20 sections and 5 appendixes.

undergone major revision, and

have

size.

unchanged, as noted below:

New:
Section

1

Section

1

History of Diving

Polluted-Water Diving

Section 13

Women

Appendix A
Appendix C
Appendix E

Diving With Disabilities

and Diving

Treatment Flowchart and Recompression Treatment Tables
Glossary

Substantially revised:

Section 7

Compressed Air and Support Equipment
Diver and Diving Equipment
Hyperbaric Chambers and Support Equipment
Diver and Support Personnel Training

Section 9

Procedures for Scientific Dives

Section 4

Section

5

Section 6

Section 10

Diving Under Special Conditions

Section 14

Air Diving and Decompression

Section 15

Section 19

Mixed Gas and Oxygen Diving
Emergency Medical Care
Accident Management and Emergency Procedures

Section 20

Diagnosis and Treatment of Diving Casualties

Section 18

Appendix

NOAA

D

Nitrox

I

Diving and Decompression Tables

Largely unchanged:
Physics of Diving

Section 2
Section

Diving Physiology

3

Section 12

Working Dive Procedures
Hazardous Aquatic Animals

Section 16

Saturation Diving

Section 17

Underwater Support Platforms
U.S. Navy Air Decompression Tables

Section 8

Appendix B

Although the recommendations and guidelines contained in this Manual are based on the best information
judgment and expert opinion or to restrict the application of science and
technology that may become available in the future. NOAA also recognizes that some procedures may have to be
modified under controlled experimental conditions to permit the advance of science. Because the information in
this Manual reflects the thinking and experience of many specialists in the field of diving, procedural variations
available, they are not intended to replace

should be

As

made

only on the basis of expert advice.

stated above, this

responsibilities are the

Manual

has been developed for

NOAA's

divers,

whose missions are varied but whose chief

conduct of oceanic and Great Lakes research and the support of such research

activities.

vn

NOAA

also recognizes that this

Manual

will

be useful for others who dive because

The information

it

contains a wealth of

Manual, however, should not be
taken to reflect any endorsement or approbation on the part of NOAA or its Undersea Research Program for any
products illustrated, nor can either accept any liability for damage resulting from the use of incorrect or incomplete
information on applied diving techniques and technology.

in this

information.

The multidisciplinary nature

of underwater exploration and research

is

such that the assistance of numerous

experts in diving-related specialties was essential to the preparation of this Manual.

number

of individuals involved in the task, the reader

is

referred to the

list

To gain an appreciation

of the

of contributors and reviewers for this

and previous editions. Special thanks go to all of these contributors and reviewers, but particular gratitude is
extended to: the NOAA Diving Safety Board for its review and comments; Dr. Morgan Wells for his very thorough
editing, including checking of tables and example problem calculations throughout; Dr. James W. Miller for
numerous helpful suggestions, but especially for accepting the task of producing the Glossary; Marthe Kent, whose
persistence, knowledge, and attention to detail drove the entire process; and Marcia Collie, who had to translate
everyone's handwritten notes to intelligible and intelligent prose, cross-check every draft through to galley and the
final page proofs, and in general to see to production.

Comments on

this

Manual

are welcome.

They should be directed

to:

Director

NOAA's Undersea

Research Program,

1335 East-West Highway,
Silver Spring,

R/OR2

Room 5262

Maryland 20910
David

B.

Director

Vlll

Duane,

CONTRIBUTORS
AND REVIEWERS
Bachrach, Arthur

J.,

Breese, Dennison

Ph.D.

New Mexico

Taos,

Sea-Air-Land-Services
Southport, North Carolina

Bangasser, Susan, Ph.D.

Redlands, California

Busby, Frank

Busby Associates

Barsky, Steven

Arlington, Virginia

Diving Systems International

Santa Barbara, California

Butler,

Glenn

Underwater Contractors,
New York

International

Bassett, Bruce, Ph.D.

Human Underwater Biology,
San Antonio, Texas

City Island,

Inc.

Clark,

James

Inc.

M.D., Ph.D.

D.,

Environmental Medicine
University of Pennsylvania Medical Center
Philadelphia, Pennsylvania

Bauer, Judy

Institute for

Hyperbaric Medicine Program
University of Florida
Gainesville, Florida

Clarke, Richard E.,

George C, Lt. Col., M.C., USAF
Lackland Air Force Base, Texas

Bell,

Bell,

M.D.

Department of Hyperbaric Medicine
Richland Memorial Hospital
Columbia, South Carolina

Richard, Ph.D.

Department of Chemical Engineering

Clifton, H.

Edward, Ph.D.

University of California

Geological Survey

Davis, California

United States Department of the Interior

Bennett, Peter, Ph.D.

Menlo Park, California

Duke Medical Center
Durham, North Carolina
Berey, Richard

Cobb, William F.
Northwest and Alaska Fisheries Center
National Oceanic and Atmospheric Administration
Pasco, Washington

W.

Fairleigh Dickinson University

National Undersea Research Center
National Oceanic and Atmospheric Administration
St. Croix,

Corry, James A.

U. S. Virgin Islands

Technical Security Division

Department of Treasury

Black, Stan

Naval
Port

Civil Engineering

Washington, D.C.

Laboratory

Hueneme, California

Crosson, Dudley

Bornmann, Robert, M.D.
Limetree Medical Consultants

J.,

Ph.D.

Harbor Branch Oceanographic

Institution, Inc.

Fort Pierce, Florida

Reston, Virginia

Daugherty, C. Gordon, M.D.
Bove, Alfred, M.D.

Austin, Texas

Temple University
Davis, Jefferson

Philadelphia, Pennsylvania

C, M.D.

Hyperbaric Medicine
Affiliations, titles,

and academic degrees are as they were
was made.

the time contribution

at

Southwest Texas Methodist Hospital

San Antonio, Texas
IX

Contributors and Reviewers

Desautels, David

Halstead, Bruce

Hyperbaric Medicine Program

World

University of Florida

Colton, California

W.

Life Research Institute

Gainesville, Florida

Dingier, John R.

Hamner, William M., Ph.D.
Department of Biology

Geological Survey

University of California

U.S. Department of the Interior

Los Angeles, California

Menlo Park, California
Hamilton, R.W., Ph.D.

Dinsmore, David A.

Hamilton Research Ltd.

University of North Carolina at Wilmington

Tarrytown,

New York

National Undersea Research Center
National Oceanic and Atmospheric Administration

Heine, John N.

Wilmington, North Carolina

Moss Landing Marine Laboratory
California State University

Eckenhoff, Roderic G., M.D.

Moss Landing, California

Wallingford, Pennsylvania

Hendrick, Walter,
Edel, Peter

Sea Space Research Co.,
Harvey, Louisiana

Inc.

Department of Kinesiology
Los Angeles, California

Emmerman, Michael
Lifeguard Systems, Inc.

York,

New York
C,

Farmer, Joseph

New

York,

New York

Hennessy, T. R., Ph.D.

Egstrom, Glen, Ph.D.

New

Jr.

Lifeguard Systems, Inc.

London, U.K.
High, William L.
Western Administrative Support Center
National Marine Fisheries Services
National Oceanic and Atmospheric Administration
Seattle, Washington

M.D.

Jr.,

Edmund

Division of Otolaryngology

Hobson,

Duke University Medical Center
Durham, North Carolina

Tiburon Laboratory

Southwest Fisheries Center
National Oceanic and Atmospheric Administration

Feldman, Bruce A., M. D.

Tiburon, California

Washington, D.C.
Hollien, Harry, Ph.D.
Fife,

William, Ph.D.

A&

Texas

M University

College Station, Texas
Flynn,

Edward

T.,

Advanced Study
Communication Processes

Institute for

Hyperbaric Laboratory

of

University of Florida
Gainesville, Florida

M.D.,

Hubbard, Dennis, Ph.D.

Capt., Medical Corps

West

USN

Fairleigh Dickinson University

Diving Medicine Department

Naval Medical Research Institute

Indies Laboratory

St. Croix,

Virgin Islands

National Naval Medical Center

Hussey, Nancy R.

Bethesda, Maryland

Washington, D.C.
Francis, Art, Lt.

(j-g-),

NOAA

NOAA Diving Office
Rockville,

Maryland

Jenkins, Wallace T.

Naval Coastal Systems Laboratory

Panama

City, Florida

Graver, Dennis

National Association of Underwater Instructors

Kent, Marthe B.

Montclair, California

Kensington, Maryland

Contributors and Reviewers

Ann

Kinney, Jo
Surry,

S.,

Newell, Cliff

Ph.D.

Maine

Chief, Diving Operations

National Oceanic and Atmospheric Administration

Lambertsen, Christian
Institute for

M.D.

J.,

Seattle,

Washington

Environmental Medicine
Norquist, David S.

University of Pennsylvania

University of Hawaii

Philadelphia, Pennsylvania

National Undersea Research Center
Lanphier,

Edward

H., Ph.D.

National Oceanic and Atmospheric Administration

BIOTRON

Waimanalo, Hawaii

University of Wisconsin

Orr,

Madison, Wisconsin

Dan

Academic Diving Program

Lewbel, George, Ph.D.

Florida State University

LGL

Tallahassee, Florida

Ecological Research Associates

Bryan, Texas

Pegnato, Paul, Lt. Cdr.,

NOAA

Loewenherz, James W., M.D.

National Oceanic and Atmospheric Administration

Miami, Florida
Long, Richard

NOAA

Diving Program

Maryland

Rockville,

W.

Pelissier,

Michael

Diving Unlimited International, Inc.

Ocean Technology Systems

San Diego, California

Santa Ana, California

NOAA

Macintyre, Ian G., Ph.D.

Peterson, David H., Lt. Cdr.,

Department of Paleobiology

National Oceanic and Atmospheric Administration

Museum

National

of Natural History

Maryland

Rockville,

Smithsonian Institution

Peterson, Russell, Ph.D.

Washington, D.C.

Westchester, Pennsylvania

Mathewson, R. Duncan,

Summerland Key,

III,

Ph.D.

Phoel, William

C,

Ph.D.

Sandy Hook Laboratory

Florida

Northeast Fisheries Center

Mayers, Douglas, M.D., MC,
Naval Medical Command

Naval Medical Research
Bethesda, Maryland

USN

Institute

National Marine Fisheries Service
National Oceanic and Atmospheric Administration

Highlands,

New

Jersey

Reimers, Steve, P.E.

McCarthy, James

Reimers Engineering

Navy Experimental Diving Unit
Panama City, Florida

Alexandria, Virginia

Miller,

James W., Ph.D.

Big Pine Key, Florida

Robinson,
Jill

Jill

Robinson

&

Associates

Arlington, Virginia

Rogers, Wayne, M.D.
Miller,

John N., M.D.

University of South

Mobile,

Big Pine Key, Florida

Alabama

Alabama

Roman, Charles M.
Office of

NOAA Corps Operations

Murray, Rusty

National Oceanic and Atmospheric Administration

Moray Wheels

Rockville,

Maryland

Nahant, Massachusetts
Rounds, Richard

Murru, Frank
Curator of Fishes
Sea World

West

Orlando, Florida

St. Croix,

Indies Laboratory

Fairleigh Dickinson University

National Undersea Research Center

U. S. Virgin Islands
XI

Contributors and Reviewers

Rutkowski, Richard L.

Hyperbarics International

Thompson, Terry
Ocean Images, Inc.

Miami, Florida

Berkeley, California

Schroeder, William W., Ph.D.

Thornton,

Marine Science Program

Texas Research

University of

Alabama
Dauphin Island, Alabama

Austin, Texas

Schane, William, M. D.

Geological Survey

J.

Scott, Ph.D.
Institute, Inc.

Valentine, Page, Ph.D.

West

Indies Laboratory

Fairleigh Dickinson University

United States Department of the Interior

Woods

Hole, Massachusetts

National Undersea Research Center
St. Croix,

U. S. Virgin Islands

Vorosmarti, James,
Rockville,

Jr.,

M.D.

Maryland

Somers, Lee, Ph.D.

Department of Atmospheric and Oceanic Sciences
University of Michigan
Ann Arbor, Michigan

Walsh, Michael, Ph.D.
National Institute on Drug Abuse
U.S. Public Health Service
Rockville,

Maryland

Spaur, William, M.D.
Norfolk, Virginia

Waterman, Stanton A.
East/West Film Productions,

Staehle, Michael

Lawrenceville,

New

Inc.

Jersey

Staehle Marine Services, Inc.

North Palm Beach, Florida

Webb

Stanley, Chet

NOAA Diving Safety Officer
Rockville,

Webb,

Maryland

Paul,

M.D.

Associates

Yellow Springs, Ohio
Wells, Morgan, Ph.D.

Stewart, James R., Ph.D.

NOAA Diving Program
Maryland

Scripps Institution of Oceanography

Rockville,

La

Wicklund, Robert

Jolla, California

Stewart, Joan, Ph.D.

Scripps Institution of Oceanography

La

I.

National Undersea Research Center

Jolla, California

Caribbean Marine Research Center
Lee Stocking Island, Bahamas

Stone, Richard B.

Wilkie, Donald W., Ph.D.

National Marine Fisheries Service

Scripps Institution of Oceanography

National Oceanic and Atmospheric Administration

University of California

Silver Spring,

Maryland

Strauss, Michael B.,

M.D.

Memorial Medical Center of Long Beach
Long Beach, California
Swan, George
Northwest and Alaska Fisheries Center
National Marine Fisheries Service
National Oceanic and Atmospheric Administration
Pasco, Washington

xn

La

Jolla, California

Williscroft, Robert, Ph.D.

Williscroft Manuscripts

Dayton, Washington

Workman,

Ian

Southeast Fisheries Center

Pascagoula Facility
National Oceanic and Atmospheric Administration
Pascagoula, Mississippi

1

1

LIST

OF FIGURES

SECTION 1
HISTORY OF DIVING

Page

l-l

Breath-Hold Pearl Divers

1-2

Alexander the Great's Descent Into The Sea

1-3

Halley's Diving Bell, 1690

1-3

1-4

Triton Diving Apparatus

1-4

1-5

Rouquayrol-Denayrouse Semi-Self-

1-2
...

Contained Diving Suit
1-6

1-5

Fernez-Le Prieur Self-Contained Diving

Apparatus
1-7

1-3

World War

II

1-5

Military

Swimmer Dressed

in

Lambertsen Amphibious Respiratory Unit

1-6

SECTION 2
PHYSICS OF DIVING
2-1

Equivalent Pressures, Altitudes, and Depths

2-2

Effects of Hydrostatic Pressure

2-3

Boyle's

2-4

Gas Laws
Objects Under Water Appear Closer

2-5

....

2-4
2-5

Law

2-9

2-12
2-13

SECTION 3
DIVING PHYSIOLOGY
3-1

3-2
3-3

3-4

The Process of Respiration
The Circulatory System
Oxygen Consumption and Respiratory Minute
Volume as a Function of Work Rate
Relation of Physiological Effects to Carbon

3-1

3-3

3-4

Dioxide Concentration and Exposure
Period
3-5

3-6

Effects of Hydrostatic Pressure on Location
of Breathing Bags Within a Closed-Circuit

Scuba

3-9

3-6

Principal Parts of the Ear

3-1

3-7

Location of Sinus Cavities

3-12

3-8

Lung Volume
Complications From Expansion of Air

3-13

3-9

Pressure Effects on

in

the

Lungs During Ascent

3-15

3-10

Isobaric Counterdiffusion

3-19

3-1

Effect of Exposure Duration on Psychomotor

Task Performance

in

Cold Water

3-26
xiii

—

A

List of Figures

Page

SECTION 4

COMPRESSED AIR AND SUPPORT EQUIPMENT
4-1

Production of Diver's Breathing Air

4-6

4-2

Steel Cylinder Markings

4-7

4-3

Aluminum Cylinder Markings

4-8

4-4

Valve Assemblies

4-11

4-5

Gauges

4-12

SECTION

5

DIVER AND DIVING EQUIPMENT
5-1

Open-Circuit Scuba Equipment

5-1

5-2

First-Stage Regulators

5-3

5-3

Breathing Hoses

5-4

5-4

5-5

5-5

Mouthpieces
Check and Exhaust Valves

5-6

Lightweight Helmet

5-8

5-7

Face Masks

5-12

5-8

Flotation Devices

5-13

5-9

Swim

5-14

5-10

5-15

5-13

Neoprene Wet Suit
Effects of Water Temperature
Cold- Water Mitt, Liner Included
Open-Circuit Hot-Water Suit

5-14

Snorkels

5-19

5-15

Dive Timer

5-20

5-16

5-20

5-17

Depth Gauges
Pressure Gauges

5-18

Diving Lights

5-23

5-19

Signal Devices

5-23

5-20

Shark Darts
Shark Screen in Use
Diver Communication System
Schematics of Diver Communication Systems
Modulated Acoustic Communication System...

5-25

5-11

5-12

5-21

5-22
5-23

5-24

5-6

Fins

5-16
5-17
5-18

5-22

.

5-25

5-26
5-26
5-27

SECTION 6
HYPERBARIC CHAMBERS AND
SUPPORT EQUIPMENT

6-2

Double-Lock Hyperbaric Chamber
Exterior View
Double-Lock Hyperbaric Chamber
Interior View
Mask Breathing System for Use in Hyperbaric

6-3

Transportable Chambers

6-4

Certification Plate for Hyperbaric

6-5

Burning Rates of Filter Paper Strips
Angle of 45° in N -0 Mixtures

6-1

6- IB

6-1

6-2

Chamber

6-3

2

xiv

2

6-4

Chamber
at

....

6-4

an
6-15

List of

Figures

Page

Combustion in N->-Ot Mixtures Showing the
Zone of No Combustion

6-6

SECTION

6-16

7

DIVER AND SUPPORT PERSONNEL TRAINING
No

Figures

SECTION

8

WORKING DIVE PROCEDURES
Deep-Sea Dress

8-1

Surface-Supplied Diver

8-2

Predive Environmental Checklist

8-3

Lightweight Surface-Supplied

8-4

Surface-Supplied Diver In Lightweight

8-5

8-6

in

8-2
8-3

Mask

8-4

Mask

and Wet Suit
Major Components of a Low-Pressure
Compressor-Equipped Air Supply System
Typical High-Pressure Cylinder Bank Air
Supply System

8-5

....

8-10

8-10
8-12

8-7

Circular Search Pattern

8-8

Circular Search Pattern for

8-9

Circular Search Pattern Through Ice

8-14

8-10

Arc

8-15

8-11

Jackstay Search Pattern

8-12

Searching Using a

8-13

8-17

8-15

Diver-Held Sonar
Using a Compass for Navigation
Underwater Hydraulic Tools

8-16

Explosive Hole Punch

8-22

8-17

8-22

8-21

Oxy-Arc Torch
Salvaging an Anchor With Lift Bags
Aquaplane for Towing Divers
Underwater Cameras
Basic Equipment for Closeup and Macro

8-22

Diurnal Variation of Light Under Water

8-23

Selective Color Absorption of Light as a

8-24

Lighting

8-25

8-26

Video Recording Systems
Commercial Underwater Video System

SECTION

9

Two

Diver/Searchers

8-14

8-18

8-19

8-20

(Fishtail)

8-12

Search Pattern

Tow Bar

Photography

8-16

8-18
8-21

8-26
8-30
8-33

8-34

Function of Depth

Arms and

8-16

in

Clear Ocean Water

8-35

8-36

Brackets for Strobe

Systems

8-40
8-45

8-46

PROCEDURES FOR SCIENTIFIC DIVES
Tape

9-3

9-1

Fiberglass Measuring

9-2

Bottom Survey in High-Relief Terrain
High-Frequency Sonic Profiler

9-3

9-3

9-4

Multipurpose Slate

9-6

9-5

xv

List of Figures

Page

9-5

Counting Square for Determining Sand Dollar
9-8

Density
9-6

Diver-Operated Fishrake

9-8

9-7

Underwater Magnification System
Hensen Egg Nets Mounted on a Single Diver

9-9

9-8

9-9

Propulsion Vehicle
9-9

A Circle Template

for

Determining Benthic
9-10

Population Density

9-1

Coring Device With Widemouth Container
Infauna Sampling Box

9-12

Use of a Hand-Held Container

9-13

Use of

9-10

9-10
9-1

to Collect

Zooplankton

9-12

a Plexiglas Reference

Frame

for

Estimating Population Densities
in

Midwater

9-13

9-14

Benthic Environment of the American

9-15

Diver With Electroshock Grid

9-15

9-16

Tagging a Spiny Lobster on the Surface
Tagging a Spiny Lobster in Situ
Elkhorn Coral Implanted on Rocky Outcrop
Algal Cover of Rock Substrate
Diver in Giant Brown Kelp (Macrocystis) Bed
Fish Using Tires as Habitat
An Artificial Reef Complex
Underwater Geological Compass
Box Cores (Senckenberg) for Determining

9-15

9-14

Lobster

9-17
9-18
9-19

9-20
9-21

9-22
9-23

9-24

Internal Structure in

Sand

9-17

....

9-19

9-18

9-21
9-21

9-23

9-25

9-34

Greased Comb for Ripple Profiling
Diver Using Scaled Rod and Underwater
Noteboard
Aerial Photograph and Composite Map
Dip and Strike of Rock Bed
Geologist Measuring Dip (Inclination) of
Rock Outcrop
Coring in a Deep Reef Environment With a
Hydraulic Drill
Pneumatic Hand Drill
Diver Taking Vane Shear Measurement
Undersea Instrument Chamber
Dye-Tagged Water Being Moved by Bottom

9-35

Diver Using Water Sample Bottle

9-36

Water Sample

9-37

Diver Recovering Indian Artifacts

9-37

9-38

Archeologist Exploring the Golden Horn

9-38

9-39

Heavy Overburden Air Lift
Prop Wash System Used for Archeological

9-39

9-40
9-41

Fish Trap

9-42

9-42

Diver Checking Fish Trawl

9-43

9-43

Slurp

9-25

9-26

9-27
9-28
9-29

9-30

9-31

9-32
9-33

9-26

9-26
9-27

9-28

9-28

9-28
9-29
9-31

9-32

9-35

Current
Bottle

Backpack

Gun Used

9-36
9-36

9-41

Excavation

xvi

9-16
....

to Collect

Small Fish

9-45

1

List of

Figures

Page

SECTION
DIVING

10

UNDER SPECIAL CONDITIONS

lO-l

Schematic Diagram of Waves

in

the Breaker

Zone

10-8

10-2

Near-shore Current System

10-3

Shore Types and Currents

10-4

Entering the Water Using the Roll-In

10-5

10-7

Transom-Mounted Diver Platform
Side-Mounted Diver Platform
Down-line Array for Open-Ocean Diving

10-8

Three Multiple Tether Systems (Trapezes)

10-9

Safety Reel Used

10-6

Used

10-10
lO-l

Method

10-1

Open-Ocean Diving
in Cave Diving
Water Temperature Protection Chart
Diver Tender and Standby Diver in Surface

10-12

Cross Section of a Typical Hydroelectric

10-10

for

Shelter

Dam

in the

Northwestern United States

Diver Protected by Cage and Ready to be

10-14

A

10-16

10-12
10-13
10-15

10-16
10-18
10-20

10-21

10-13

10-15

l

10-12

Lowered into Dam Gatewell
Fish Ladder at a Hydroelectric Dam in
the Northwest
Creeper A Device Used to Move Across
Rocky Substrates in Strong Currents

10-29

10-30

10-30

—

10-32

Support Ship, Trawl, Diver Sled, and
Support Boat

10-35

SECTION 11
POLLUTED-WATER DIVING
ll-l

Diver Working

in

Contaminated Water

Dry Suit

1

1-2

Diver

1

1-3

NOAA-Developed Suit-Under-Suit (SUS)

1

1-4

Dressing a Diver for Contaminated-Water

in

System
Diving
11-5

Decontamination

SECTION

12

Team

at

Work

11-2
1

1-4

1

1-5

1

1-5

11-6

HAZARDOUS AQUATIC ANIMALS

12-2

Sea Urchin Echinothrix diadema on
Hawaiian Reef
Stinging Hydroid

12-3

Stinging or Fire Coral

12-2

12-4

Portuguese Man-of-War

12-3

12-5

Large Jellyfish of Genus Cyanea
Bristleworm

12-3

12-4

12-8

Cone Shell
Anatomy of

12-9

Rare Australian Blue-Ring Octopus

l

2-1

12-6
12-7

a

Cone

Shell

a
12-1

12-2

12-4

12-5
12-5

xvn

1

1

List of Figures

Page

12-10

Dasyatid Stingray

12-6

12-1

Myliobatid Stingray

12-6

12-12

Lionfish

12-7

12-13

Surgeonfish

12-7

12-14

12-8

12-16

Sea Snake
Great White Shark
Gray Reef Shark

12-17

Moray Eel

12-10

12-18

Barracuda

12-11

12-19

12-12

12-20

Torpedo Ray
Examples of Pufferfish

SECTION

13

12-15

12-8
12-9

12-12

WOMEN AND DIVING
13-1

SECTION

Scientist on Research Mission

13-5

14

AIR DIVING

AND DECOMPRESSION

14-1

Sea States

14-2A

Hand

14-2B

Additional

14-3

Deliverable Volumes at Various

14-4

Typical High Pressure Cylinder Bank Air

14-5

Repetitive Dive Flowchart

14-25

14-6

Repetitive Dive Worksheet

14-26

14-5

14-10

Signals

Hand

Signals

14-1

Gauge
14-16

Pressures

Supply

14-18

SECTION 15
MIXED GAS AND OXYGEN DIVING
15-1

Minimum

Safe Inspired Gas Temperature
15-5

Limits
15-2

Percentage of Oxygen
as a Function of

in

Breathing Mixtures

Depth and Oxygen

Partial

Pressure Relative to Ranges for Hypoxia

and

CNS Toxicity

15-3

Closed-Circuit Mixed-Gas Scuba

15-4

Closed-Circuit

(Rebreather)

15-1

15-5

Oxygen Scuba (Rebreather)
Air Analysis Kit for On-Site Use

15-14

15-6

Direct-Reading Colorimetric Air Sampler

15-15

SECTION 16
SATURATION DIVING
No
xviii

15-6

Figures

15-1

List of

Figures

Page

SECTION

17

UNDERWATER SUPPORT PLATFORMS
Complex

17-1

Saturation Diving

17-2

Open Diving

17-3

17-4

17-9

System
Open Bell Showing Control Lines
Open Bell Emergency Flow-Chart
Cutaway Showing Mating Position With
Deck Decompression Chamber
Undersea Habitat Specifications and
Operational Data
Edalhab
Hydrolab

17-10

Tektite

17-14

17-11

La Chalupa

17-15

17-12

Aegir

17-16

17-13

17-17

17-15A

Underwater Classroom
Aquarius
Sublimnos

17-15B

Subigloo

17-19

17-15C

17-19

17-15D

Lake Lab
Undersea Instrument Chamber

17-16

Diver Propulsion Vehicle

17-20

17-17

JIM System

17-21

17-18

17-19

WASP System
ROV System Components

17-22

17-20

Mitsui Engineering and Shipbuilding

17-21

Examples of

SECTION

18

17-4
17-5
17-6

17-7

17-8

17-14

Bell

17-2

on Deck of Seahawk

Bell

17-3

17-5

17-6

17-7

17-8

17-12
17-13

17-17
17-18

17-19

17-21

RTV-100

17-23

ROV

David Work Tasks

17-23

EMERGENCY MEDICAL CARE
18-1

Life-Support Decision Tree

18-2

Jaw-Lift

18-3

Bag-Valve-Mask Resuscitator

18-2

Method

18-4
18-6

SECTION 19
ACCIDENT MANAGEMENT AND

EMERGENCY PROCEDURES
19-1

Buddy Breathing
Mask

19-2

Clearing a Face

19-3

Do-Si-Do Position

for

19-6
19-8

Administering

In-Water Mouth-to-Mouth

Artificial

Resuscitation

19-1

19-4

Mouth-to-Mouth In-Water

19-5

Mouth-to-Snorkel Artificial Resuscitation

19-6

Towing

Artificial

Resuscitation

Position for Mouth-to-Snorkel

Artificial Resuscitation

19-7

19-12
19-13

Tank-Tow Method

19-14
19-18
xix

List of Figures

Page

(DAN)

19-8

Divers Alert Network

19-9

19-24

19-10

Modified Trendelenberg Position
Diving Accident Management Flow Chart

19-11

Evacuation by Helicopter

19-27

19-22

19-25

SECTION 20
DIAGNOSIS AND TREATMENT OF DIVING
CASUALTIES
20-1

Structure of External, Middle, and Inner Ear

20-2

Summary

20-3

20-4
20-5

xx

20-8

of Decompression Sickness and

Gas Embolism Symptoms and Signs
Decompression Sickness Treatment From
Diving or Altitude Exposures
Treatment of Arterial Gas Embolism
Treatment of Symptom Recurrence

20-10
20-12

20-14
20-16

1

LIST

OF TABLES

SECTION 1
HISTORY OF DIVING
No

p age

Tables

SECTION 2
PHYSICS OF DIVING
2-1

Conversion Factors, Metric

2-2

Conversion Table for Barometric Pressure

2-3

Colors That Give Best Visibility Against a

to English Units....

2-2

2-3

Units

Water Background

2-16

SECTION 3
DIVING PHYSIOLOGY
Carboxyhemoglobin

3-1

as a Function of

Smoking

3-8

Narcotic Effects of Compressed Air Diving

3-2

SECTION

4

COMPRESSED

AIR

AND SUPPORT EQUIPMENT

Composition of Air

4-1

SECTION

3-22

in its

Natural State

4-1

5

DIVER AND DIVING EQUIPMENT
No

Tables

SECTION 6
HYPERBARIC CHAMBERS AND
SUPPORT EQUIPMENT
6-1

Hyperbaric Chamber Predive Checkout
6-5

Procedures
6-2

Ventilation Rates and Total Air

Requirements

for

Two

Patients and

One Tender Undergoing Recompression
Treatment

6-8

6-3

Chamber

6-4

Pressure Test Procedures for

Post-Dive Maintenance Checklist

NOAA

Chambers
6-5

Standard

NOAA

6-9

6-1

Recompression Chamber

Air Pressure and Leak Test

6-12
xxi

List of

Tables

Page

SECTION

7

DIVER AND SUPPORT PERSONNEL TRAINING
No

Tables

SECTION

8

WORKING DIVE PROCEDURES
8-1

Wind Speed and Current

8-2

Diver Power Tools

8-3

Selection Guide for Discharge Pipe and

8-4

Characteristics of Principal U.S. Explosives

8-5

Color Correction Filters

8-6

Manual and Through-the-Lens (TTL)

8-7

Through-the-Lens (TTL) Mini Strobes for

Automatic and Manual Exposure
Exposure Compensation for Underwater

8-38

8-8

Photography
Underwater Photographic Light Sources
Still Films Suited for Underwater Use
Processing Adjustments for Different
Speeds
Motion Picture Films Suited for Underwater
Use

8-38

Estimations

Air Line

Used

for Demolition Purposes

Strobes for Closeup Photography

8-9

8-10
8-1

8-12

SECTION

8-11

8-19

8-28

8-32
8-36

8-37

8-39
8-41

8-42

8-43

9

PROCEDURES FOR SCIENTIFIC DIVES
9-1

Micro-Oceanographic Techniques

9-33

9-2

Levels of Anesthesia for Fish

9-44

9-3

Fish Anesthetics

9-47

SECTION
DIVING
10-1

10-2

10-3

10

UNDER SPECIAL CONDITIONS
Comparison of Differences in Time Limits
(in Minutes of Bottom Time) for
No-Decompression Dives
Theoretical Ocean Depth (TOD) (in fsw) at
Altitude for a Given Measured Diving Depth

10-25

Pressure Variations with Altitude

10-27

SECTION 11
POLLUTED-WATER DIVING
No
xxii

Tables

10-26

List of

Tables

Page

SECTION

12

HAZARDOUS AQUATIC ANIMALS
No Tables

SECTION

13

WOMEN AND DIVING
No

Tables

SECTION

14

AIR DIVING

AND DECOMPRESSION

14-1

Sea State Chart

14-6

14-2

Signal Flags, Shapes, and Lights

14-9

14-3

Hand

14-12

14-4

Line Pull Signals for Surface-to-Diver

14-5

Respiratory Minute

14-6

Air Utilization Table at Depth

14-15

14-7

Cylinder Constants

14-16

14-8

Scuba Cylinder Pressure Data

Signals

Communication
Different

1

4-9

14-13

Volume (RMV)

at

Work Rates

14-14

Estimated Duration of 7 1 .2

ft

3

14-17
Steel

14-17

Cylinder
14-10

Flow-Rate Requirements for SurfaceSupplied Equipment

14-19

14-1

No-Decompression Limits and Repetitive
Group Designation Table for NoDecompression Air Dives

14-21

1

14-12

Residual Nitrogen Timetable for Repetitive

14-13

Optional Oxygen-Breathing Times Before

Air Dives

14-22

Flying After Diving

14-31

SECTION 15
MIXED GAS AND OXYGEN DIVING
15-1

Oxygen

Partial Pressure

and Exposure Time

Limits for Nitrogen-Oxygen Mixed Gas
15-2

1

5-3

15-4

Working Dives
Depth-Time Limits for Breathing Pure
Oxygen During Working Dives
NOAA NITROX-I (68% N 2 32% 2 ) No-

15-3

15-7

,

Decompression Limits and Repetitive
Group Designation Table for NoDecompression Dives
Equivalent Air Depths (EAD) and Maximum
Oxygen Exposure for Open-Circuit Scuba

15-8

68%
32% Oxygen (NOAA

Using a Breathing Mixture of
Nitrogen and
Nitrox-I)
15-5

Air Purity Standards

15-9
15-11
xxiii

List of

Tables

Page

SECTION 16
SATURATION DIVING
Summary

16-1

of Air and Nitrogen-Oxygen

Saturation Exposures
16-2

Characteristics of Three

16-2

Carbon Dioxide

Absorbents
1

6-3

Hazardous Materials

SECTION

16-10
for Habitat Operations

16-14

17

UNDERWATER SUPPORT PLATFORMS
17-1

Desirable Features of Underwater Habitats

SECTION

17-1

18

EMERGENCY MEDICAL CARE
No

Tables

SECTION 19
ACCIDENT MANAGEMENT AND

EMERGENCY PROCEDURES
19-1

Summary

of Probable Causes of

Non-

Occupational Diving Fatalities

from 1976-1984

19-5

19-2

Sources of Emergency Assistance

19-21

19-3

Ground-to-Air Visual Signal Code

19-23

19-4

Diving Casualty Examination Checklist

19-26

SECTION 20
DIAGNOSIS AND TREATMENT OF
DIVING CASUALTIES
20-1

Characteristics of Inner Ear Barotrauma and

20-2

List of U.S.

20-3

Tables
General Patient Handling Procedures

Inner Ear Decompression Sickness

xxiv

20-5

Navy Recompression Treatment
20-1

20-15

Page

SECTION 1
HISTORY OF

1.0

General

1.1

Free (Breath-Hold) Diving

1-1

DIVING

1.2

Diving Bells

1-1

1.3

1-2

1.4

Helmet (Hard-Hat) Diving
Scuba Diving

1.5

Saturation Diving

1-6

1.6

1-1

1-3

1.5.1

Saturation Diving Systems

1-6

1.5.2

Habitats

1-7

1.5.3

Lockout Submersibles

1-7

Summary

1-7

(

(

HISTORY

OF DIVING
1.0

GENERAL

the bar of a weighted line to plunge to this depth and

Divers have penetrated the oceans through the centuries for

held his breath for 3 minutes and 39 seconds.

The obvious advantage

purposes identical to those of modern diving: to

acquire food, search for treasure, carry out military

of free diving as a work

(and as a recreational method)

is

operations, perform scientific research and explora-

freedom of the breath-hold diver

and enjoy the aquatic environment. In a brief
history of diving, Bachrach (1982) identified five
principal periods in the history of diving, from free (or

obvious disadvantage

tion,

breath-hold) diving, to bell diving, surface support or

helmet (hard hat) diving, scuba diving, and, finally,
saturation diving. (Atmospheric diving, another div-

mode, is discussed in Section 17.5.) All of these
diving modes are still currently in use.
ing

limited to the

maintain

FREE (BREATH-HOLD) DIVING

Free diving, or breath-hold diving,
diving techniques, and

it

snorkel

book,

all

in

The Hae-Nyu and

Korea and Japan (Figure

pearl divers of

among

1-1) are

the better-known breath-hold divers. In his

Half Mile Down, Beebe (1934)

is

an aid

reports finding

in

it fills

necessarily

is

can take

air the diver

and

in

breath or can obtain by means of a

The modern

breath-hold diving but

is

not used

because on descent

to provide a continuous supply of air,

with water that must then be exhaled on surfacing.

DIVING BELLS

The second

the earliest of

has played an historic role

the search for food and treasure.

Ama

is

amount of

in a single

maneuver; the

to

that the air supply

snorkel-type reed or tube to the surface.

1.2
1.1

is

method

mobility and the

its

diving.

One

principal historical

mode

of diving

bell

is

of the earliest reports of the use of a device

some

that enabled a diver to enter the water with

degree of protection and a supply of air involved the

Colimpha used in Alexander the Great's
approximately 330 B.C., depicted by an
Indian artist in a 1575 miniature (Figure 1-2). An

diving bell

descent

in

several mother-of-pearl inlays in the course of con-

account of

ducting an archeological dig at a Mesopotamia site

manuscript, The True History of Alexander. In his
Problemata, Aristotle described diving systems in use

that dated

back

to

4500 B.C.; these

shells

must have

been gathered by divers and then fashioned into inlays

in

by artisans of the period. Beebe also describes the
extensive use of pearl shells among people from other

divers,

ancient cultures.

The Emperor

of China, for example,

this dive

his time:

appeared

"they contrive a means of respiration for

by means of

a container sent

naturally the container

which constantly

received an oyster pearl tribute around 2250 B.C. Free

In the

Greek historian Thucydides

that

in

According

to

an Athenian attack

which the Athenian divers cut through
underwater barriers that the Syracusans had built to

on Syracuse

in

obstruct and

damage

Greek

Rome
on

his shoulders

hold divers sometimes used hollow reeds as breathing

by

slings.

remain submerged for
type of primitive snorkel was use-

tubes, which allowed

longer periods; this
ful in military

them

to

operations (Larson 1959).

Free diving continues to be a major diving method.
set in 1969 by a U.S. Navy diver,
Robert Croft, who made a breath-hold dive to 247 feet

World records were

(75 meters), a record broken in 1976 by a French diver,

Jacques Mayol, who

set

the current world's breath-

hold dive record at 325 feet (99 meters).

October 1991

— NOAA

Diving Manual

Mayol grasped

was not

bell.

a

until

device that can

Davis (1962)

about an hour

1535
of a

tells

in a lake

near

using de Lorena's diving apparatus, which rested

ships. Free or breath-

the

for

air,

few

this period, very

Guglielmo de Lorena developed

who worked

them;

to

submerged man."

in diving. It

be considered a true diving
diver

down

not filled with water, but

1000 years following

developments occurred

reports.

is

assists the

divers were also used in military operations, as the

Thucydides, divers participated

13th century French

in the

De

and had much of

its

weight supported

Lorena's "bell" thus provided a

finite

but

reliable air supply.

In

1691, the British astronomer Sir

Edmund

Halley

(who was then Secretary of the Royal Society) built
and patented a forerunner of the modern diving bell,
which he later described in a report to the Society. As
Sir Edmund described it, the bell was made of wood
coated with lead, was approximately 60 cubic feet
(1.7 cubic meters) in volume, and had glass at the
top to allow light to enter; there was also a valve to
1-1

Section

1

Figure 1-1

Breath-Hold Pearl Divers

Photos courtesy Suk

1.3

(Figure 1-3). In his history of diving, Davis (1962)
suggests that Halley undoubtedly knew of a develop-

Although these early diving

to provide air

from the surface

to a diving bell

pressure. Papin proposed to use force
to

pumps

under

or bellows

provide air and to maintain a constant pressure
bell. Davis speculates that Halley's choice

within the

of the barrel rather than forced air method of replenishment may have reflected Halley's concern that Papin
(who was also a Fellow of the Royal Society) would
accuse him of stealing his concept. Halley's method
was used for over a century until Smeaton introduced
a successful forcing pump in 1788. In 1799, Smeaton
dived with his "diving chests," which used a forcing

pump

to replenish the air supply

Diving bells continue to be used today as part of

modern diving systems, providing a method of transporting divers to their work sites while under pressure
and, once at the

site,

of supplying breathing gas while

the diver works. Both modern-day open (or "wet")

and

bells

provided some

protection and an air supply, they limited the mobility

and 18th centuries, a number of
of leather) were developed to
provide air to divers and to afford greater mobility.
However, most of these devices were not successful,
because they relied on long tubes from the surface to
provide air to the diver and thus did not deal with the
problem of equalizing pressure at depth.
The first real step toward the development of a surfacesupported diving technique occurred when the French
scientist Freminet devised a system in which air was
of the diver. In the I7th

devices (usually

pumped from

made

the surface with a bellows, allowing a

constant flow of air to pass through a hose to the diver
in the water.

(Larson 1959).

Hong

HELMET (HARD-HAT) DIVING

vent the air and a barrel to provide replenished air

ment reported by the French physicist Denis Papin,
who in 1689 had proposed a plan (apparently the first)

Ki

the

first

This system

is

considered by

many

to

be

true helmet-hose diving apparatus. Freminet

has been credited with diving in 1774 with this device
to a

depth of 50 feet (15 meters), where he remained

for a period of

The

first

1

hour.

major breakthrough

in

surface-support

closed bells are clearly the successors of these ancient

diving systems occurred with Augustus Siebe's inven-

systems.

tion of the diving dress in 1819.

1-2

NOAA

Around the same

Diving Manual

time,

— October 1991

History of Diving

Figure 1-2

Figure 1-3
Halley's Diving

Alexander the Great's Descent Into The Sea

Courtesy National

Academy

of

suit that

would

allow firefighters to work in a burning building. They

received a patent for this system in 1823, and later
modified

it

to

1690

Sciences

Deane Brothers, John and Charles, were working

the

on a design for a "smoke apparatus," a

Bell,

"Deane's Patent Diving Dress," consisting

Courtesy National

particular helium-oxygen, were developed.

Sciences

The

first

the

USS

Squalus,

in

The breathing

1939.

of mixed

gases such as helium-oxygen permitted divers to dive

depths for longer periods than had been

to greater

with ports and hose connections for surface-supplied

possible with air mixtures.

Siebe's diving dress consisted of a waist-length

of

major open-sea use of helium and oxygen as a breathing mixture occurred in the salvage of the submarine,

of a protective suit equipped with a separate helmet

air.

Academy

supported diving technique

is

The hard-hat surfaceprobably

still

the most

received air under pressure from the surface by force

widely used commercial diving method; the use of
heliox mixtures and the development of improved decom-

pump;

pression tables have extended the diver's capability to

jacket with a metal helmet sealed to the collar. Divers

the air subsequently escaped freely at the diver's

waist. In

1837, Siebe modified this open dress, which

work

in this

diving dress at depth. Although surface-

allowed the air to escape, into the closed type of dress.

supported diving has several advantages

The closed

stability, air supply,

suit retained the

attached helmet but, by

venting the air via a valve, provided the diver with a
full-body air-tight suit. This suit served as the basis
for

modern hard-hat diving

was tested and found

to

gear. Siebe's diving suit

be successful

in

1839 when

the British started the salvage of the ship
George, which had sunk

in

1782

to a

until

— NOAA

contained underwater breathing apparatus (scuba).

depth of 65 feet

major developments occurred in hard-hat gear
the 20th century, when mixed breathing gases, in

October 1991

certain dive situations by the development of self-

Royal

(19.8 meters) (Larson 1959).

No

in terms of
and length of work period, a major
problem with hard-hat gear is that it severely limits
the diver's mobility. This limitation has been overcome in

Diving Manual

1.4

SCUBA DIVING

The development

of self-contained underwater breathing

apparatus provided the free moving diver with a portable

1-3

Section

1

Figure 1-4
Triton Diving Apparatus
supply which, although finite

air

in

comparison with

the unlimited air supply available to the helmet diver,

allowed for mobility. Scuba diving
quently used

ous forms,

work

mode

is

is

the most fre-

in recreational diving and, in vari-

perform underwater
and commercial purposes.

also widely used to

for military, scientific,

There were many steps
cessful self-contained

in the

development of a suc-

underwater system. In 1808,

Freiderich von Drieberg invented a bellows-in-a-box
device (Figure 1-4) that was worn on the diver's back

from the surface. This
work but it did
serve to suggest that compressed air could be used in
diving, an idea initially conceived of by Halley in
1716. In 1865, two French inventors, Rouquayrol and
Denayrouse, developed a suit (Figure 1-5) that they
described as "self-contained." In fact, their suit was
not self contained but consisted of a helmet-using
surface-supported system that had an air reservoir
that was carried on the diver's back and was sufficient
to provide one breathing cycle on demand. The demand
valve regulator was used with surface supply largely
and delivered compressed
device,

named

air

Triton, did not actually

because tanks of adequate strength were not then available to handle air at high pressure. This system's

demand

which was automatically controlled, represented a
major breakthrough because it permitted the diver to
valve,

air when needed in an emergency. The
Rouquayrol and Denayrouse apparatus was described
with remarkable accuracy in Jules Verne's classic,
Twenty Thousand Leagues Under The Sea, which was
written in 1869, only 4 years after the inventors had

have a breath of

made

their device public (Larson 1959).

The demand valve played

a critical part in the later

development of one form of scuba apparatus. However,

since divers using scuba gear exhaled directly into

the surrounding water,

much

air

was wasted. One

solution

problem was advanced by Henry Fleuss, an
English merchant seaman who invented a closed-circuit
breathing apparatus in 1879 that used pure oxygen
compressed to 450 psig for the breathing gas supply
to this

and caustic potash

to purify the exhaled oxygen. Fleuss'

"closed circuit oxygen-rebreather

when

SCUBA"

passed a

was used successfully in 1880 by
the English diver Alexander Lambert to enter a flooded
tunnel beneath the Severn River to secure an iron door
that had jammed open and to make needed repairs in
the tunnel. Although Fleuss' rebreather was successful
in this limited application, the depth limitations
associated with the use of pure oxygen directed most
attention to compressed air as a breathing mixture.
crucial test

it

In the 1920's, a French naval officer, Captain Yves

Le

Prieur,

1-4

began work on a self-contained

air diving

Courtesy National

Academy

of

Sciences

apparatus that resulted in 1926 in the award of a
patent, shared with his countryman Fernez. This device
(Figure 1-6) was a steel cylinder containing compressed
air that was worn on the diver's back and had an air
hose connected to a mouthpiece; the diver wore a nose
clip and air-tight goggles that undoubtedly were
protective and an aid to vision but did not permit
pressure equalization. The cylinder on the first FernezLe Prieur model contained around 2000 psi of air and
permitted the wearer to remain less than 15 minutes in
the water. Improved models later supplied sufficient
air to permit the diver to remain for 30 minutes at
23 feet (7 meters) or 10 minutes at 40 feet (12 meters).
The major problem with Le Prieur's apparatus was the
lack of a demand valve, which necessitated a continuous flow (and thus waste) of gas. In 1943, almost
20 years after Fernez and Le Prieur patented their
apparatus, two other French inventors, Emile Gagnan
and Captain Jacques-Yves Cousteau, demonstrated their
"Aqua Lung." This apparatus used a demand intake
valve drawing from two or three cylinders, each
containing over 2500 psig. Thus it was that the demand
regulator, invented over 70 years earlier by Rouquayrol
and Denayrouse and extensively used in aviation, came
into use in a self-contained breathing apparatus that
did not emit a wasteful flow of air during inhalation

NOAA

Diving Manual

— October 1991

History of Diving

Figure 1-5

Rouquayrol-Denayrouse Semi-Self-Contained

Figure 1-6

Diving Suit

Fernez-Le Prieur Self-Contained Diving Apparatus

Courtesy National

Academy

Sciences

of

Equivalent self-contained apparatus was used by the
military forces of Italy, the United States, and Great

World War II and continues in active
The rebreathing principle, which avoids

Britain during

use today.

waste of gas supply, has been extended to include
forms of scuba that allow the use of mixed gas (nitrogen or
helium-oxygen mixtures)
tion

depth and dura-

to increase

beyond the practical

oxygen

limits of air or pure

breathing (Larson 1959).

A

major development

occurred

in

in

regard to mobility

France during the 1930's:

Carlieu developed a set of swim
Courtesy National

(although

it

Academy

Sciences

of

continued to lose exhaled gas into the
made possible the develop-

water). This application

ment of modern open-circuit

air

scuba gear (Larson

In 1939, Dr. Christian Lambertsen began the devel-

opment of

a series of three patented forms of

oxygen

rebreathing equipment for neutral buoyancy underwater

swimming, which became the

first

self-contained under-

water breathing apparatus successfully used by a large

number

of divers.

piratory Unit

The Lambertsen Amphibious Res-

(LARU)

(Figure 1-7) formed the basis

for the establishment of U.S. military self-contained

diving (Larson 1959).

This apparatus was designated scuba (for
contained underwater breathing apparatus) by

October 1991

— NOAA

Diving Manual

its

selfusers.

diving

de

the first to be

produced since Borelli designed a pair of claw-like
fins in 1680. When used with Le Prieur's tanks, goggles, and nose clip, de Carlieu's fins enabled divers to
move horizontally through the water like true swimmers,
instead of being lowered vertically in a diving bell or in

hard-hat gear.

1959).

fins,

in

Commander

The

later use of a single-lens face

which allowed better

visibility as well

zation, also increased the

mask,

as pressure equali-

comfort and depth range of

diving equipment.

Thus

the development of scuba

added a major work-

ing tool to the systems available to divers; the

mode allowed

new

freedom of movement and
access to greater depths for extended times and required
much less burdensome support equipment. Scuba also
enriched the world of sport diving by permitting
recreational divers to go beyond goggles and breathhold diving to more extended dives at greater depths.
divers greater

1-5

Section

1

Figure 1-7

World War Military Swimmer Dressed in
Lambertsen Amphibious Respiratory Unit
II

decompression obligation in the course of such
The initial development of saturation diving by
the U.S. Navy in the late 1950's and its extension by
naval, civilian government, university, and commertial

dives.

cial

laboratories revolutionized scientific, commercial,

and military diving by providing a method that permits
divers to remain at pressures equivalent to depths of

up
2000 feet (610 meters) for periods of weeks or
months without incurring a proportional decompres-

to

sion obligation.

Saturation diving takes advantage of the fact that a
diver's tissues

become saturated once they have absorbed

the nitrogen or other inert gas they can hold at that

all

particular depth; that
tional gas.

Once

is,

they cannot absorb any addi-

a diver's tissues are saturated, the

diver can remain at the saturation depth (or a depth

within an allowable excursion range up or

down from

the saturation depth) as long as necessary without
proportionately increasing the

amount of time required

for decompression.

mode work

Divers operating in the saturation

out of

a pressurized facility, such as a diving bell, seafloor

habitat, or diver lockout submersible.
facilities

These subsea

are maintained at the pressure of the depth at

which the diver

be working; this depth

will

termed

is

the saturation or storage depth.

The

historical

development of saturation diving

depended both on technological and

scientific advances.

Engineers developed the technology essential to support the saturated diver,

and physiologists and other

scientists defined the respiratory

capabilities

and

limits of this

and other physiological

mode.

Many

researchers

played essential roles in the development of the saturation

Navy team working at
Submarine Medical Research Laboratory

concept, but the U.S.

London, Connecticut,

is

the U.S.
in

generally given credit for

New

making

team
was led by two Navy diving medical officers, George
Bond and Robert Workman, who, in the period from
the mid-1 950's to 1962, supervised the painstaking
animal tests and volunteer human dives that provided

the major initial breakthroughs in this field. This

the scientific evidence necessary to confirm the valid-

Courtesy C.

J.

Lambertsen

ity of

the saturation concept (Lambertsen 1967).

1.5.1

Saturation Diving Systems

The
1.5

SATURATION DIVING

Although the development of surface-supplied diving
permitted divers to spend a considerable amount of

earliest saturation dive

performed

in the

open

sea was conducted by the Link group and involved the

use of a diving bell for diving and for decompression.
Initial

Navy

efforts involved placing a saturation hab-

working time under water, divers using surface-supplied

on the seafloor. In 1964, Edwin Link, Christian
Lambertsen, and James Lawrie developed the first

systems for deep and/or long dives incurred a substan-

deck decompression chamber, which allowed divers

1-6

itat

NOAA

Diving Manual

in

— October 1991

History of Diving

a sealed bell to be locked into a pressurized environ-

ment

at the surface for the

slow decompression from

The first commercial application of this
form of saturation diving took place on the Smith
Mountain Dam project in 1965 and involved the use of
a personnel transfer capsule. The techniques pioneered at
Smith Mountain have since become standard in comsaturation.

mercial diving operations: saturated divers
pressure, in the deck decompression

live,

a surface vessel and are then transferred to the under-

water worksite

in

a pressurized personnel transfer cham-

ber (also called a surface decompression chamber)

(Lambertsen 1967). Although saturation diving systems are the most widely used saturation systems in
commercial diving today, two other diving technologies
also take advantage of the principle of saturation: habitats

technologically advanced habitat system, has replaced
the

Hydrolab

and lockout submersibles.

as

NOAA's

principal seafloor research

1.5.3

Lockout Submersibles

Lockout submersibles provide an alternative method
for diver/scientists to gain access to the underwater
environment. Lockout submersibles are dual-purpose
vehicles that permit the submersible's pilot/driver

crew to remain at surface pressure
1

at

which saturated diver-scientists live and work under
pressure for extended periods of time. Habitat divers
dive from the surface and enter the habitat, or they
may be compressed in a pressure vessel on the surface
to the pressure of the habitat's storage depth and then
be transferred to the habitat. Decompression may take
place on the seafloor or in a surface decompression
chamber after the completion of the divers' work. The
most famous and widely used habitat was NOAA's
Hydrolab, which was based in the Bahamas and Caribbean from 1972 to 1985 and provided a base for more
than 600 researchers from 9 countries during that
time. In 1985, the Hydrolab was retired from service
and now resides permanently in the Smithsonian Insti-

— NOAA

and

at a pressure of
is

pressurized

separate compartment to the pressure of the depth

which he or she

will

be working. The lockout com-

in effect as a

personnel transfer

and from the

seafloor.

The Johnson Sea-Link, which can be pressurized

Habitats are seafloor laboratory/living quarters in

October 1991

(i.e.,

atmosphere), while the diver-scientist

in a

capsule, transporting the diver to

Habitats

discus-

sion of habitat-based in-situ research programs.)

partment thus serves
1.5.2

more detailed

laboratory. (See Section 17 for a

under

chamber on board

Museum of Natural History in WashThe Aquarius, a more flexible and

tution's National

ington, D.C.

Diving Manual

2000 fsw (610 msw), has played a central

role in

undersea research program for years, particularly
pollution

1.6

and

to

NOAA's
in

fisheries research off the Atlantic coast.

SUMMARY

Humans have

explored the ocean depths at least since

the fifth millennium B.C., and the development of the

diving techniques and systems described in this section reflects

mankind's drive for mastery over

The search

all

aspects

methods that will
allow humans to live comfortably in the marine biosphere for long periods of time continues today, as
engineers and scientists work together to make access
to the sea safer, easier, and more economical.

of the environment.

for

1-7

(

(

1

Page

SECTION 2
PHYSICS
OF

2.0

General

2-1

2.1

Definitions

2-1

DIVING

2.2

2.3
2.4

2.1.1

Pressure

2-1

2.1.2

Temperature

2-1

2.1.3

Density

2-1

2.1.4

Specific Gravity

2-1

2.1.5

Seawater

2-1

2-2

Pressure
2.2.1

Atmospheric Pressure

2-2

2.2.2

Hydrostatic Pressure

2-2

2.2.3

Absolute Pressure

2-2

2.2.4

Gauge Pressure

2-3

2.2.5

Partial Pressure

2-3

Buoyancy
Gases Used

2-3
in

2-6

Diving

2.4.1

Air

2-6

2.4.2

Oxygen

2-6

2.4.3

Nitrogen

2-6

Helium
2.4.5
Carbon Dioxide
2.4.6
Carbon Monoxide
2.4.7
Argon, Neon, Hydrogen
Gas Laws

2-6

2.4.4

2.5

2-7

2-7

2-8

2.5.4

Law
Law
Charles' Law
Henry's Law

2-7

Boyle's

2.5.5

The General Gas Law

2-11

2.5.2
2.5.3

2.6

Gas Flow

(Viscosity)

2.7

Moisture

in

2-10
2-1

2-12

Breathing Gas

2.7.1

Condensation

2.7.2

Fogging of the

in

2-12

Breathing Tubes or

Mask

Mask

The Physics

of Light

Consequences

2-13

2-13

Light and Vision Under Water
2.8.1

2.9

2-6

Dalton's

2.5.1

2.8

2-6

Under Water and

for Vision

2-13
the

2-13

2.8.1.1

Refraction

2-13

2.8.1.2

Scatter

2-14

2.8.1.3

Absorption

2-14

2.8.1.4

Insufficient Light

2-15

Acoustics

2-16

(

(

(

F

PHYSICS

OF
DIVING
2.0

GENERAL

Rankine (R)

This section describes the laws of physics as they affect

humans

the water.

in

A

thorough understanding of the

physical principles set forth in the following paragraphs

is

Temperatures measured
to

=

°F
2.1

to

may

centigrade

in

X X) +

(1.8

Temperatures measured

DEFINITIONS

plus 273.15

°F plus 459.67
be converted

Fahrenheit using the following formula:

and effective diving performance.

essential to safe

X

=
=

Kelvin (K)

32

may

Fahrenheit

in

be converted

centigrade using the following formula:

This paragraph defines the basic principles necessary
to

an understanding of the underwater environment.

The most important

2.1.1

(°F

-

C

of these are listed below.

32)

Pressure

Pressure

is

force acting on a unit area. Expressed

2.1.3

Density

Density

mathematically:

mass per unit volume. Expressed mathe-

is

matically:

Pressure

=

Force

P

or

=

Area

Density (D)

=

Mass

Volume
Pressure
(psi) or

usually expressed in pounds per square inch

is

Density

kilograms per square centimeter (kg/cm 2 ).

meter (gm/cm 3 )

Temperature

form of energy that increases the temperawhich it is added and
decreases the temperature of the matter from which it
is removed, providing that the matter does not change
state during the process. Quantities of heat are measured

Heat

is

in the

in

grams per cubic

centi-

metric system.

a

ture of the substance or matter to

in calories or British

The temperature
Temperature

is

thermal units (Btu).
of a

body

is

measure of

a

thermometer and expressed
or Fahrenheit (°F).

in

it

is

its

heat.

measured by a

degrees centigrade (°C)

The quantity

equal to the total kinetic energy of

of heat in the
all

of

its

Temperature values must be converted

body

is

Specific gravity

is

the ratio of the density of a sub-

stance to the density of fresh water at 39.2 °F (4°C).

Fresh water has a specific gravity of 1.0 at 39.2°
cific gravities

greater than 1.0, and substances lighter

than fresh water have specific gravities

human body
1.0,

less

than

1.0.

The

has a specific gravity of approximately

although this varies slightly from one person

to

another.

molecules.
to absolute

values for use with the Gas Laws. Both the Kelvin and
Rankine scales are absolute temperature scales. Absois

2.1.4 Specific Gravity

(4°C); substances heavier than fresh water have spe-

produced by the average kinetic energy or

speed of the body's molecules, and

lute zero

usually stated in pounds per cubic foot (lb/ft 3 )

English system and

in the

2.1.2

is

the hypothetical temperature characterized

2.1.5

Seawater

Seawater

is

known

that occur in nature.

to contain at least 75

The

elements

four most abundant elements in

by the complete absence of heat; it is equivalent to
approximately -273 °C or -460 'F. Conversion to the
Kelvin or Rankine scales is done by adding 273 units to
the temperature value expressed in centigrade or 460

seawater are oxygen, hydrogen, chlorine, and sodium.

units to the temperature value expressed in Fahrenheit,

ture of seawater varies

respectively.

30°C).

October 1991

— NOAA

Diving Manual

Seawater

is

always slightly alkaline because

it

con-

tains several alkaline earth minerals, principally sodi-

um, calcium, magnesium, and potassium. The temperafrom 30.2T

to

86.0°F

(-IX

to

2-1

Section 2

Table 2-1
Conversion Factors, Metric to English Units

The

specific gravity of seawater

is

affected both by

and temperature, and these effects are interrelated. For example, water with a high enough
salt content to sink toward the bottom will float at the
surface if the water is sufficiently warm. Conversely,
salinity

water with a relatively low

salt

content will sink

if it is

Seawater also is an excellent electrical conductor, an interaction that causes corrosion
problems when equipment is used in or near the ocean.

To Convert
From
Metric Units

To

English Units

Multiply

By

PRESSURE

sufficiently chilled.

gm/cm 2

inch of fresh water

pounds/square inch

1

kg/cm 2
kg/cm 2
kg/cm 2
cm Hg
cm Hg
cm Hg
cm Hg

1

cm

1
1

The

viscosity of seawater varies inversely with tem-

perature and
as at 89.6

nearly twice as great at 33.8 °F (1°C)

is

°F (32 °C). The impact of

be seen when the same sailboat
higher speeds in warm water than in

many

In

1

able to achieve

1
1

cold.

parts of the world the metric system of

measurement
still

is

1

property can

this

is

1

of fresh water

feet of fresh

0.394

water

inches of mercury

14.22

(psi)

(ffw)

Hg)

(in.

32.8

28.96

pound/square inch

0.193

foot of fresh water

0.447

foot of seawater (fsw)

0.434

inch of mercury

0.394

inch of fresh water

0.394

used rather than the English system

widely used in the United States. Table 2-1 pres-

VOLUME AND CAPACITY

ents factors for converting metric to English units.

2.2

PRESSURE

The pressure on
forces: the

a diver under water

is

the result of two

weight of the water over him or her and the

weight of the atmosphere over the water. Table 2-2

1

cc or ml

cubic inch (cu

1

m3

cubic feet (cu

1

liter

cubic inches

1

liter

cubic foot

1

liter

fluid

1

liter

quarts (qt)

ounces

0.061

in.)

35.31

ft)

61.02

0.035
(fl

33.81

oz)

1.057

provides factors for converting various barometric pressure units into other pressure units.

The

various types

WEIGHT

of pressure experienced by divers are discussed in the
following sections.

ounce (oz)
ounces
pounds (lb)

gram
1kg
1kg
1

2.2.1

Atmospheric Pressure

Atmospheric pressure acts on all bodies and strucatmosphere and is produced by the weight
of atmospheric gases. Atmospheric pressure acts in all
directions at any specific point. Since it is equal in all

0.035
35.27
2.205

LENGTH

tures in the

directions,

its

effects are usually neutralized.

At sea

atmospheric pressure is equal to 14.7 psi or
1.03 kg/cm 2 At higher elevations, this value decreases.
Pressures above 14.7 psi (1.03 kg/cm 2 ) are often
level,

1

cm

inch

1

meter

inches

1

meter

feet

3.28

1

km

mile

0.621

0.394
39.37

.

AREA

expressed in atmospheres. For example, one atmosphere

equal to 14.7 psi, 10 atmospheres is equal to 147 psi,
and 100 atmospheres is equal to 1470 psi. Figure 2-1
shows equivalent pressures in the most commonly used
units for measuring pressure at both altitude and depth.
is

1

cm 2

square inch

1

m2

square feet

1

km 2

square mile

0.155
10.76

0.386

Adapted from

2.2.2

produced by the weight of
and acts on all bodies and struc-

water (or any fluid)

immersed

in the

is

water (or

pressure, hydrostatic pressure
at a specific depth.

sure to divers

is

is

fluid).

Like atmospheric

equal

hydrostatic pressure.

descent in seawater and 0.432 psi per foot

(1

kg/cm 2

per 10 meters) of descent in fresh water. This relationship

is

shown graphically

in

Figure 2-2.

in all directions

The most important form

rate of 0.445 psi per foot (1

2-2

(1979)

Hydrostatic Pressure

Hydrostatic pressure
tures

NOAA

It

kg/cm 2 per

of pres-

increases at a

9.75 meters) of

2.2.3

Absolute Pressure

Absolute pressure

is

the

sum

of the atmospheric

pressure and the hydrostatic pressure exerted on a

NOAA

Diving Manual

— October 1991

Physics of Diving

Table 2-2
Conversion Table for Barometric Pressure Units

N/m 2

atmosphere

1

Newton (N)/m 2 or

2

Hg

lb/in

("Hg)

(psi)

760

29.92

14.70

.0102

.0075

2953X10" 3

.1451X10" 3

Pa

bars

mb

kg/cm 2

(cm H 2 0)

1

1.013X10 5

1.013

1013

1.033

1033

.01

1.02X10' 5

=

1

gm/cm 2

or

atm

in.

mm

Hg

Pascal (Pa)

=

9869X10" 5

1

bar

=

.9869

10 5

1

1000

1.02

1020

750.1

29.53

14.51

1

millibar

(mb)

=

9869X10" 3

100

.001

1

.00102

1.02

.7501

.02953

.01451

1

kg/cm 2

=

.9681

9807X10 5

.9807

980.7

1

1000

735

28.94

14.22

1

gm/cm 2

=

968.1

98.07

9807X10' 3

.9807

.001

1

.735

.02894

.01422

=

.001316

133.3

.001333

1.333

.00136

1.36

1

.03937

.01934

.0334

3386

.03386

33.86

.03453

34.53

25.4

1

.4910

.06804

6895

.06895

68.95

.0703

70.3

51.70

2.035

1

(1

1

cm H 2 0)

mm

Hg

1

in.

Hg

=

1

2
lb/in

=

(psi)

10

1

5

Adapted from

submerged body. Absolute pressure

is

measured

in

pounds per square inch absolute (psia) or kilograms
per square centimeter absolute (kg/cm 2 absolute).

submerged body can be calculated by

subtracting the weight of the submerged body from the

ment, that

Gauge Pressure

Gauge pressure
pressure

and

a

being

pressure

specific

measured.

Pressures are usually measured with gauges that are

balanced to read zero
to the air.

at sea level

Gauge pressure

is

reads in

when they

are open

therefore converted to

absolute pressure by adding 14.7
psi or 1.03 if the dial

is,

the dial reads in

if

kg/cm 2

.

that of the displaced liquid, the

and the body

Pressure

density, that

In a mixture of gases, the proportion of the total

pressure contributed by a single gas in the mixture
called the partial pressure.

tributed by a single gas

is

buoyancy will be positive and the body will float or be
buoyed upward. If the weight of the body is equal to
that of the displaced liquid, the buoyancy will be neutral and the body will remain suspended in the liquid.
If the weight of the submerged body is greater than

is

The

is

partial pressure con-

in direct

proportion to

its

percentage of the total volume of the mixture (see
Section 2.5.1).

buoyancy

will

be negative

will sink.

The buoyant
2.2.5 Partial

If the total displace-

the weight of the displaced liquid,

greater than the weight of the submerged body, the

the difference between absolute

is

(1979)

Using Archimedes' Principle, the buoyancy or buoyant
force of a

weight of the displaced liquid.
2.2.4

NOAA

is,

force of a liquid
its

is

dependent on

its

weight per unit volume. Fresh water

has a density of 62.4 pounds per cubic foot (28.3 kg/

m3

). Seawater is heavier, having a density of 64.0
pounds per cubic foot (29 kg/0.03 m 3 ). Therefore, a
body in seawater will be buoyed up by a greater force
than a body in fresh water, which accounts for the fact
that it is easier to float in the ocean than in a fresh

0.03

water lake.

2.3

BUOYANCY

Archimedes' Principle explains the nature of buoyancy.

A

body immersed in a liquid, either wholly
is buoyed up by a force equal
the weight of the liquid displaced by

or partially,
to

the body.

October 1991

Lung capacity can have a significant effect on the
buoyancy of a submerged person. A diver with full
lungs displaces a greater volume of water and therefore is more buoyant than a diver with deflated lungs.
Other individual differences that may affect buoyancy
include bone structure, bone weight, and relative amount
of body fat. These differences help to explain why
certain individuals float easily

— NOAA

Diving Manual

and others do

not.

2-3

m
nn

i

Section 2

Figure 2-1
Equivalent Pressures, Altitudes, and Depths

Atmospheres (atm)
I

1

1

.0

1

1

1

1

1

.2

.1

Pounds Per Square Inch

1

1

.3

1

.4

1

1

.5

1

1

.6

1

1

.7

1

1

1

.8

1

1.0

.9

— — — — — — — — — — — — — — — — — — — — — — — — — — — — —i—
I

I

I

I

I

(psi)

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

2

4

Inches of Mercury

(in

i

i

i

i

12

14

14.7

Hg)
i

i

i

i

i

5

i

i

i

i

i

10

i

i

i

i

i

i

i

i

i

20

15

i

i

i

i

i

25

29.92

— — — — — — —(mm
———————————————————————

Millimeters of Mercury
i

i

i

10

——————————————————————————————
i

i

8

6

i

i

i

Hg)

i

i

i

i

i

i

200

100

i

i

i

i

i

i

i

i

i

400

300

i

i

i

i

500

i

i

i

i

i

700

600

760

+
Millibars (mb)
1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

P

1

I

200

100

400

300

600

500

700

800

900

0123456789
Newtons Per Square Meter x104 (n/m 2 x10

4

I

1

1

1

1

1

1

1

1

i

i i

i

i

60

100

30

m

i

i

i

i

i

i

i

i

15

i

i

i

8

I

1

1

1

I

I

1

I

I

P

1

1

i

i

i

I

10

5

2
I

of Feet

i

i

10

I

1

10.13

—n— — — —
i

i

3

I

I

1

Thousands

1

6

I

1

i

i

i

20

10

Ll_l

1

i

30

40

1

1

i

i

i

50

20

)

———————

Pressure Altitude

1

1013.2

I

I

I

I

I

Thousands of Meters

0123456789
Atmospheres Absolute (ATA)

I

1

Depth

1

in

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

10

Seawater
I

Meters
1

1

1

1

1

1

40

20

I

I

200

150
I

I

I

1

I

I

I

1

80

60

100

50

1

250

300
I

I

Feet

Adapted from National Aeronautics and Space Administration (1973)

2-4

NOAA

Diving Manual

— October 1991

'

Physics of Diving

Figure 2-2
Effects of Hydrostatic Pressure

>

At the Surface
Atmosphere Absolute, 14.7 psi
The flotation device is fully expanded.

in
At 33 Feet
{Vi

2 Atmospheres Absolute, 29.4 psi
Surface Volume) Because of hydrosta tic
pressure, the same volume of air in the
flotation device is reduced to only Vi its
surface lifting capacity

At 1 32 Feet
5 Atmospheres Absolute, 73.5 psi
A Surface Volume) Because of hydrostatic
X

pressure, the

same volume

flotation device

surface

lifting

is

of air

in

reduced to only

the

Vi

its

capacity.

Adapted from

October 1991

— NOAA

Diving Manual

NOAA

(1979)

2-5

Section 2

Divers wearing wet suits usually must add diving

some other diving

the diver should adjust his or her

gases. For example, when nitrogen is
breathed at increased partial pressures, it has a distinct anesthetic effect called "nitrogen narcosis," a
condition characterized by loss of judgment and

neutral state so that

disorientation (see Section 3.2.3.5).

weights to their weight belts to provide the negative

buoyancy that allows normal descent. At working depth,

buoyancy to achieve a
work can be accomplished without

the additional physical effort of counteracting positive

(upward) or negative (downward) buoyancy.
2.4.4

Helium

Helium
2.4

GASES USED

IN

DIVING

While under water, a diver

is

amounts.

totally

dependent on a

Two methods of providing
used. The diver may be supplied

is

It

breathing gases can be

diluent for

or he or she

may

The second method

gas supply.

Many

air

is

in

and

is

is

color-

used extensively as a

deep diving gas mixtures. Helium

has some disadvantages but none as serious as those
associated with nitrogen. For example, breathing helium-

called scuba, an

is

combinations of breathing gases are used

Compressed

tasteless

oxygen mixtures causes a temporary distortion of speech
(producing a Donald Duck-like voice), which hinders

Apparatus."
diving.

the atmosphere only in trace

carry the breathing

Underwater Breathing

initialism for "Self-Contained

and
oxygen

odorless,

less,

merged source,

in

substance, -452.02°F (-268. 9°C). Helium

supply of breathing gas.

with gas via an umbilical from the surface or a sub-

found

has the lowest boiling point of any known

the most

common, but

use of other mixtures for special diving situations

The following paragraphs describe
most commonly found in diving operations.
increasing.

in

the
is

the gases

communication. Helium also has high thermal conductivity, which causes rapid loss of body heat in divers
breathing a helium mixture. Helium is used in breathing mixtures at depth because of its lower density and
lack of narcotic effect. However, helium should never
be used

in diving or

standing of

its

treatment without a

full

under-

physiological implications.

2.4.1 Air

Air

is

a mixture of gases (and vapors) containing

nitrogen (78.084%), oxygen (20.946%), argon (0.934%),

carbon dioxide (0.033%), and other gases (0.003%).
Compressed air is the most commonly used breathing
gas for diving (see Section

2.4.2

is

is

4).

a colorless, odorless, and tasteless gas that

only slightly soluble in water.

It

can be liquefied at

-297. 4°F (-183°C) at atmospheric pressure

when cooled

T

and

will

Oxygen
is the only gas used by the human body, and it is
essential to life. The other gases breathed from the
solidify

to -361.1

atmosphere or breathed by divers
serve only as vehicles and diluents

oxygen

is

(-218.4°C).

in their

gas mixtures

for oxygen.

However,

dangerous when excessive amounts are

breathed under pressure; this harmful effect

oxygen poisoning (see Section

is

is

and fermentation. It is colorless, odorless, and
Although carbon dioxide generally is not
considered poisonous, in excessive amounts it is harmful to divers and can even cause convulsions. Breathing
C0 2 at increased partial pressure may cause unconsciousness (see Sections 3.1.3.2 and 20.4.1). For example,
a person should not breathe air containing more than
0.10 percent C0 2 by volume (see Table 15-3); divers
must therefore be concerned with the partial pressure
tion,

of the carbon dioxide in their

systems,

point

is

is

and

tasteless gas. It

incapable of supporting

life.

-320. 8°F (-196°C). Nitrogen

is

oxygen in diving gas
mixtures but has several disadvantages compared with

2-6

the removal of the excess

the diver's breathing
(see Sections 15.5.1.2

and

C0 2

generated by

essential to diving safety

is

15.5.1.3).

3.3).

a colorless, odorless,

commonly used

breathing gases. In the

case of closed- and semi-closed-circuit breathing

Carbon Monoxide

Carbon monoxide (CO) is a poisonous gas. It is colorand tasteless and therefore difficult to
detect. Carbon monoxide is produced by the incomplete combustion of hydrocarbons, which occurs in the
exhaust systems of internal combustion engines. Carbon monoxide may also be produced by over-heated
less, odorless,

chemically inert and

Its boiling

produced by various

called

Nitrogen

Nitrogen
is

a gas

is

natural processes such as animal metabolism, combus-

2.4.6
2.4.3

Carbon Dioxide

Carbon dioxide (C0 2 )

tasteless.

Oxygen

Oxygen

2.4.5

as a diluent for

oil-lubricated compressors.

NOAA

A

level of

Diving Manual

20 parts per

— October 1991

Physics of Diving

CO

million of

should not be exceeded

breathing systems (see Table 15-3).

in

When

pressurized

scuba

cyl-

container were filled with oxygen alone, the partial
pressure of the oxygen would be

atmosphere.

l

If

the

inders are filled, care should be taken not to introduce

same container were

CO

sures of each of the gases comprising air would con-

from the exhaust system of the

compressor into

air

the breathing gases. Proper precautions

must be taken

where cylinders are filled are
adequately ventilated. The compressor's air intake must
draw from an area where the atmosphere is free of
to ensure that all areas

with

filled

tribute to the total pressure, as

shown

in

the following

tabulation:

Percent of

Component x

=

contamination, such as automobile exhaust fumes.

Total Pressure (Absolute)

Partial

Pressure

Atmospheres

Percent of

Argon, Neon, Hydrogen

2.4.7

the partial pres-

air,

component

Gas

partial

pressure

Argon, neon, and hydrogen have been used experimentally as diluents for oxygen

in

breathing gas mix-

although these gases are not used routinely

tures,

in

diving operations. However, the results of recent research

N2

78.08

0.7808

o2

20.95

.2095

co 2

.03

.0003

Other

.94

.0094

100.00

1.0000

suggest that hydrogen-oxygen and helium-hydrogen-

oxygen breathing mixtures may be used within the
next decade in deep diving operations (Peter Edel,

Total

personal communication).

2.5

Example

GAS LAWS

The behavior

If the

of

gases

all

is

affected by three factors:

the temperature of the gas, the pressure of the gas,
the

volume of the

gas.

The

among

relationships

and

these

what are called the
Gas Laws. Five of these, Dalton's Law, Boyle's Law,
Charles' Law, Henry's Law, and the General Gas Law,
three factors have been defined in

are of special importance to the diver.

were

Dalton's

Law

Dalton's

The
that
if

it

total

is

for

example a scuba cylinder,

with air to 2000

psi,

the following steps

table.

Step

1

— Dalton's Law
X

Percent of component gas

Law

=

total pressure (abso-

partial pressure

Percent of

com ponents:

states:

total pressure

gases

same container,

filled

would be necessary to calculate the partial pressures
(in ATA's) of the same components listed in the above

lute)

2.5.1

1

exerted by a mixture of

equal to the

sum

78.08%

N2

.7808

of the pressures

N2

100

would be exerted by each of the gases
alone were present and occupied the

20.95%

o2

volume.

.2095

2

100

In a gas mixture, the portion of the total pressure

contributed by a single gas

is

called the partial pres-

P Total

=

PPl

+

PP2

+

PPn

C0 2

00.94%
.0094 Other

Other
100

=

total pressure of that

Ppi

=

partial pressure of gas

Pp 2

=

partial pressure of gas

Pp n

=

partial pressure of other gas

P Tola

An

.0003

100

where

at

00.03%

co 2

sure of that gas. Stated mathematically:

gas

l

component

Step

2

l

— Convert

2000

psi to

atmospheres absolute

(ATA)

easily understood

example

atmospheric pressure, 14.7

October 1991

— NOAA

component

2

components.

(2000

psi)

+

1

= ATA

14.7 psi
is

psi

that of a container
(l

kg/cm 2 ).

Diving Manual

If the

136

+

1

=

137

ATA
2-7

Section 2

Step

3

—

ATA

Partial pressure of constituents at 137

Pp N

=

0.7808

X

137

=

106.97

Pp

=

0.2095

X

137

=

28.70

Pp co

=

0.0003

X

137

=

0.04

ATA

p P0ther

= 00094 X

137

=

1.29

ATA

Step 2

— Boyle's Law

ATA

C0 2

nents of the gas, particularly

,

33 feet of water):

=K

P2 V 2
P2

ATA

Step

3

=

pressure at 33 feet in

V2 =

volume

K =

constant.

— Equating

increased significantly

higher pressures, although they were fairly low at

ATA

at 33 feet in ft 3

the constant, K, at the surface and

at 33 feet,

we have
P.V,

Observe that the partial pressures of some compoat

(
(at

the following equation:

=

p2v2

Transposing to determine the volume at 33

atmospheric pressure. As these examples show, the
implications of Dalton's Law are important and should
be understood by all divers.

feet:

P.V,

where

Law

2.5.2 Boyle's
Boyle's

Law

P

1

=

states:

At constant temperature, the volume of

V,

a

gas varies inversely with absolute pressure,

=

v2 =

1

atmosphere (ATA)

2

ATA

24
1

while the density of a gas varies directly

V2 =

with absolute pressure (Figure 2-3).

For any gas at a constant temperature, Boyle's

Law

ft

3

ATA X 24
2 ATA

12

ft

3

ft

3
.

(

is:

Note that the volume of air in the open bell has been
compressed from 24 to 12 cubic feet in the first 33

PV = K

feet of seawater.

where

=

P

Law

Boyle's

changes

in the

absolute pressure

V =

volume

K=

constant.

Step 4

— Using

the

mine the

method illustrated above
volume at 66 feet:

to deter-

air

P]V,
is

important to divers because

volume of a gas

to

changes

it

relates

in pressure

(depth) and defines the relationship between pressure

and volume in breathing gas supplies. The following
example illustrates Boyle's Law.

Example

1

An open

(Boyle's

where
P,

Law)

v3 -

diving bell with a volume of 24 cubic feet

is

V3 =

be lowered into the sea from a surface support ship.
No air is supplied to or lost from the bell, and the
to

is

the

same

volume of the

air

space

temperature
66-foot,

Step

1

at all depths. Calculate the
in

Step

the bell at the 33-foot,

5

— For

1

ATA
ATA X 24
3 ATA

8

ft

3

ft

3

3
.

method illusvolume would be:

a 99-foot depth, using the

trated previously, the air

and 99-foot depths.

— Boyle's Law
=
V, =
K =
P

v4 =

(at surface):

P,V,

2-8

=

=K

pressure at surface in

(

volume

ATA

3
at surface in ft

constant.

PlV,

where

p4
V,

NOAA

<

= 4 ATA
= 6 ft 3
.

Diving Manual

— October 1991

>

Physics of Diving

Figure 2-3
Boyle's Law

Adapted from

October 1991

— NOAA

Diving Manual

NOAA

(1979)

2-9

Section 2

As depth increased from the surface
volume of

open

air in the

24 cubic feet to 6 cubic
In this

bell

to

99

Because the volume of the closed

feet, the

was compressed from

surface as

at

it is

99

feet, the

bell is the

decrease

in the

same

at the

pressure

is

a result of the change in temperature. Therefore, using

feet.

example of Boyle's Law, the temperature of

Charles' Law:

the gas was considered a constant value. However,

temperature significantly affects the pressure and volume
of a gas;

is

it

therefore essential to have a

method of

(volume constant)

including this effect in calculations of pressure and

volume.
is

To

because the temperature of the water deep

oceans or

in the

knowing the effect of temperature

a diver,

essential,

in lakes

is

from the temperature of the

where

often significantly different
air at the surface.

The gas

=
=
T7 =

law that describes the physical effects of temperature

on pressure and volume

At

Law

Charles' Law.

14.7 psia (atmospheric pressure)

T,

80°F
33 °F

+
+

460°F
460° F

=
=

540 Rankine
493 Rankine.

Transposing:

Law

2.5.3 Charles'
Charles'

is

Pj

states:

a constant pressure, the

P2

volume of a

=

P.T 2
T,

gas varies directly with absolute temperature. For any gas at a constant volume,

the pressure of a gas varies directly with

P,
r
2

absolute temperature.

_
—

X

14.7

493

540

Stated mathematically:

P2
(volume constant)

=

13.42 psia.

Note that the

final pressure

is

below atmospheric

pressure (14.7 psia) because of the drop in temperature.

—=—
V,

T,

Example 3

(pressure constant)

To

(Charles'

Law)

illustrate Charles'

Law

further, consider the fol-

lowing example:

where

An

=
P2 =
Tj =
T2 =
V, =
V2 =
P(

To

initial

initial

final

one given for Boyle's

A

(Charles'

is

45 ° F.

What

is

is

feet.

At the

80 °F; at depth, the temper-

the volume of the gas in the bell at

99 feet?

Law, we know
compressed
to 6 cubic
that the volume of the gas was
level.
99-foot
feet when the bell was lowered to the

From Example

volume

volume.

Law, an example similar

Law

lowered into the ocean to a depth of 99

ature

pressure (absolute)

final pressure (absolute)
initial

having a capacity of 24 cubic feet

bell

surface, the temperature

final pressure (absolute)

illustrate Charles'

Example 2

is

pressure (absolute)

open diving

to the

can be used.

1

illustrating Boyle's

Applying Charles' Law then illustrates the additional
reduction in volume caused by temperature effects:

Law)

closed diving bell at atmospheric pressure and

having a capacity of 24 cubic feet

is

lowered from the

surface to a depth of 99 feet in the ocean. At the
surface, the temperature

perature

when
33°F.

2-10

it

is
is

is

80 °F;

at

99

feet,

33 °F. Calculate the pressure on the bell
at the 99-foot level

where

the tem-

and the temperature

is

=
=
T2 =
Vj

volume

T,

80 °F
45 °F

at depth, 6 ft 3

+
+

NOAA

460 °F
460 °F

=
=

540 Rankine
505 Rankine.

Diving Manual

— October 1991

Physics of Diving

Transposing:

2.5.5

The General Gas Law
comGeneral Gas Law,

Boyle's and Charles' laws can be conveniently

Vv 2 —

V,T 2

bined into what

X

6

as the

expressed mathematically as follows:

T,

V —

known

is

P,V,

P.V,

505

540

=

V,

5.61 ft 3

T|

P2

=

V,

Law

Henry's

=
=
=

P,

Law

Henry's

2.5.4

where

.

states:

The amount

of any given gas

that

initial

pressure (absolute)

initial

volume

initial

temperature (absolute)

will

dissolve in a liquid at a given temperature

and

a function of the partial pressure of the

is

gas that

is

contact with the liquid and the

in

coefficient

solubility

gas

the

of

in

the

particular liquid.

final pressure (absolute)

V2 =

final

volume

=

final

temperature (absolute).

Tt

This law simply states that, because a large percentage
of the

human body

is

more gas

water,

will dissolve into

Example 4 (General Gas Law)

the blood and body tissues as depth increases, until
the point of saturation
gas, saturation takes

long as the pressure

reached. Depending on the

is

from
is

24 hours or longer. As

8 to

maintained, and regardless of

the quantity of gas that has dissolved into the diver's
tissues, the

A

gas will remain

way

in

99 feet

which Henry's Law

works can be seen when a bottle of carbonated soda
suddenly, causing the gases in solution to

happens
rate

is

form bubbles. This

in a diver's tissues if the

is

developed fully

is

VG

for

=

Henry's

come out

The General Gas Law

states:

p2v 2

P,V,

of

T,

prescribed ascent

in the discussion of

decom-

where

=
V, =
T, =
P2 =
T2 =
P,

Law

Determine the volume of

similar to what

pression (see Section 3.2.3.2).

The formula

being lowered to

is

exceeded. The significance of this phenomenon

for divers

is

seawater from a surface temperature of 80 °F to

a depth temperature of 45 °F.

opened. Opening the container releases the pressure
solution and to

in

the gas in the bell at depth.

in solution.

simple example of the

Let us again consider an open diving bell having a

capacity of 24 cubic feet that

is:

aP,

VL

14.7 psia

24

3

ft

80°F

+

460°F

=

540 Rankine

460 °F

=

505 Rankine.

58.8 psia

45 °F

+

Transposing:

where

VG =

volume of gas dissolved at STP
(standard temperature and pressure)

V,

=

PiV.T 2
T,P,

VL =
a

=

volume of the
Bunson

liquid

solubility coefficient at specified

(14.7X24X505)

V,

temperatures

(540)(58.8)
P|

=

partial pressure in

atmospheres of that

gas above the liquid.

October 1991

— NOAA

Diving Manual

V,

=

5.61

ft

3
.

2-11

3

Section 2

Figure 2-4

Gas Laws

(

same answer as that derived from a combination of Example 1 and Example 3, which were used
This

to

is

the

demonstrate Boyle's and Charles' Laws. Figure 2-4

among

illustrates the interrelationships

Charles' Law, and the General

Boyle's Law,

Gas Law.
Note: Effects of gravity

2.6

and water vapor are

GAS FLOW (VISCOSITY)

considered

There are occasions when it is desirable to determine
the rate at which gas flows through orifices, hoses, and
other limiting enclosures. This can be approximated

by employing Poiseuille's equation
expressed mathematically as:

for a given gas

gases,

which

V =

is

for

in

not

the illustration

because they are so sma

I

ATM 80°F

40°F

60°F

3

2

l

APr 4 7r
8Lt7

where

20-0

V

=

AP =

gas flow, in

cm 3 sec

2

1

•

ATM
4

•

6

cm-2

r

=

radius of tube, in

cm

L

=

length of tube, in

cm

t]

=

viscosity, in poise.

(

r

This equation can be used only in relatively simple

3

9.6

10.0

9.3

ATM
7

systems that involve laminar flow and do not include a

9

8

of valves or restrictions. For practical applica-

tions, the diver

should note that, as resistance increases,

flow decreases in direct proportion. Therefore,

length of a line

if

the

increased, the pressure must be

is

increased to maintain the

same

flow.

Nomograms

for

flow resistance through diving hoses can be found in

Volume

5

pressure gradient between 2 ends of
tube, in dynes

number

18.5

19.

2 of the

US Navy

Diving

Manual

6.6

6.4

(1987).

1

r

6.2

Instructions:

2.7

MOISTURE

IN

(1)

BREATHING GAS

Breathing gas must have sufficient moisture to be comfortable for the diver to breathe.

Too much moisture in
and pro-

a system can increase breathing resistance

duce congestion; too

little

(2)

can cause an uncomfortable

sensation of dehydration in the diver's mouth, throat,

nasal passages,

and sinus

cavities (U.S.

Navy

1988).

(3)

Air or other breathing gases supplied from surface
compressors or tanks can be assumed to be dry. This
dryness can be reduced by removing the mouthpiece

and rinsing the mouth with water or by having the
diver introduce a small amount of water into his or her
throat inside a full face mask. The use of gum or candy

2-12

(4)

A

uniform bore sealed-end tube with 20 divisions is inverted in a container of water at 80 degrees F and
one atmosphere pressure. The conditions of
temperature and pressure are then changed as illustrated to explain the three gas laws.
Steps 1,2,3; 4,5,6; 7,8,9 (horizontally) illustrate Charles'
Law, i.e., the reduction of volume with reduction in
temperature at a constant pressure.
Steps 1,4,7; 2,5,8; 3,6,9 (vertically) illustrate Boyle's Law,
i.e., at a constant temperature the volume is inversely
related to the pressure.
Steps 1,5,9; 3,5,7 (diagonally) illustrate the General
Gas Law i.e., a combination of Charles's and Boyle's
Laws.

Adapted from

NOAA

Diving Manual

NO A A

(1979)

— October 1991

(

Physics of Diving

Figure 2-5
Objects Under Water Appear Closer
can be dangerous, because

to reduce dryness while diving

these items

may become

The mouthpiece should

may

lodged

not be

be polluted (see Section

Condensation

2.7.1

in

1

in the diver's throat.

removed

in

water that

1).

Breathing Tubes or

Expired gas contains moisture that

Mask

may condense

the breathing tubes or mask. This water

is

easily

in

blown

out through the exhaust valve and generally presents
no problem. However,

may

freeze;

if

in

very cold water the condensate

this freezing

becomes serious enough

to

block the regulator mechanism, the dive should be
aborted.

2.7.2

Fogging of the Mask

Condensation of expired moisture or evaporation
from the skin may cause fogging of the face mask glass.
Moistening the glass with saliva, liquid soap, or
commercially available anti-fog compounds will reduce
or prevent this difficulty. However, it should be noted
that some of the ingredients in chemical defogging
agents can cause keratitis (inflammation of the cornea) if improperly used. Wright (1982) has described
two such cases; symptoms included severe burning,
photophobia, tearing, and loss of vision, which Wright
attributed to the use of excessive quantities of the

Rays passing from water

into air are retracted

normal, since the refractive index of water

The

is

away from

the

1.33 times that of

system of the eye (omitted for simplicity) forms a
image on the retina, corresponding to that of an
object at about three-quarters of its physical distance from the
air-water interface. The angle subtended by the image is thus 4/3
air.

real

lens

inverted

larger than

Source:

in air.

NOAA

(1979)

defogging solution and inadequate rinsing of the mask.

2.8

LIGHT

AND VISION UNDER WATER

diving, the refraction occurs at the interface

mask and the water. The
image of an underwater object (see Figure 2-5) is
magnified, appears larger than the real image, and
the air in the diver's

2.8.1

The Physics of Light Under Water and
the Consequences for Vision

To function

effectively under water, divers

understand the changes that occur
ception under water.

Many

simply by the fact that

must

in their visual per-

of these changes are caused

light, the stimulus for vision,

travels through water rather than air; consequently

it

between
refracted

seems

to be positioned at a point three-fourths of the

actual distance between the object and the diver's
faceplate.

This displacement of the optical image might be
expected to cause objects to appear closer to the diver

than they actually are and, under some conditions,

and scattered differently than
Refraction, absorption, and scatter all follow

objects do indeed appear to be located at a point three-

physical laws and their effects on light can be predicted;

fourths of their actual distance from the diver. This

is

refracted, absorbed,

in air.

changed physical stimulus can in turn have pronounced effects on our perception of the underwater
world. Both the physical changes and their effects on
vision are described in detail in Kinney (1985) and are
only summarized here.

this

distortion interferes with hand-eye coordination

and

accounts for the difficulty often experienced by novice

At
phenomenon may reverse
objects appearing farther away than

divers attempting to grasp objects under water.
greater distances, however, this
itself,

with distant

they actually are.

The

clarity of the

water has a pro-

found influence on judgments of depth: the more tur2.8.1.1

Refraction

bid the water, the shorter the distance at which the

In refraction, the light rays are bent as they pass

from one medium

October 1991

to

another of different density. In

— NOAA

Diving Manual

reversal

from underestimation

to overestimation

occurs

(Ferris 1972). For example, in highly turbid water, the

2-13

Section 2

distance of objects at 3 or 4 feet (0.9 or 1.2

m) may be

overestimated; in moderately turbid water, the change

might occur

20 to 25 feet

at

away

clear water, objects as far

22.9

(6.1 to 7.6

m); and in very

as 50 to 75 feet (15.2 to

m) might be wmferestimated.

It

is

20/200) on the surface (Luria and Kinney 1969). While

myopes (near-sighted

much

as

loss in

individuals with

individuals) do not suffer quite

acuity

if

their face

masks are

lost as

20/20
myopes and normals, were found

vision do, the average acuities

of the two groups,

important for the diver to realize that judgments

of depth and distance are probably inaccurate.

As a
more

be 20/2372 and 20/4396, respectively,

in

to

one study of

underwater acuity without a mask (Cramer 1975).

rough rule of thumb, the closer the object, the
likely it will appear too close, and the more turbid the
water, the greater the tendency to see

it

as too far away.

Scatter occurs

Training to overcome inaccurate distance judgments

can be effective, but

it

is

important that

it

be carried

out in water similar to that of the proposed dive or
in a variety of different

In addition, training

types of water

(Ferris 1973).

must be repeated periodically

to

in the optical

image

result in a

number

other distortions in visual perception. Mistakes in

of

esti-

mates of size and shape occur. In general, objects
under water appear to be larger by about 33 percent
than they actually are. This often

pointment

to sport divers,

who

is

a cause of disap-

find, after bringing

catches to the surface, that they are smaller than they

appeared under water. Since refraction effects are greater
for objects off to the side of the field of view, distortion

perceived shape of objects

is

in air,

light

an object appears to cross the

distortions; if

view,

its

speed

will

apparent distance

These errors

it

be increased because of the greater
travels (Ross

in visual

and Rejman 1972).

perception and misinterpreta-

refraction can be overcome, to

and speed caused by
some extent, with experi-

ence and training. In general, experienced divers
fewer errors

diffused and scattered by the water molecules

is

all

divers are influ-

to

respond more accurately have met

organisms. Normally, scatter interferes with vision
and underwater photography because it reduces the
contrast between the object and its background. This

these undesirable effects, air itself
if

the face

in water,

mask

is

is

essential for vision.

lost,

the diver's eyes

which has about the same refrac-

Consequently, no normal focusand the diver's vision is impaired
immensely. The major deterioration is in visual acuity;
other visual functions such as the perception of size
and distance are not degraded as long as the object can
be seen (Luria and Kinney 1974). The loss of acuity,
however, is dramatic, and acuity may fall to a level
that would be classified as legally blind (generally

tive index as the eyes.

ing of light occurs

2-14

major reason why vision

loss of contrast is the

much more

is

so

restricted in water than in air (Duntley

1963, Jerlov 1976); it also accounts for the fact that
even large objects can be invisible at short viewing
distances. In addition, acuity or perception of small

much

generally

is

poorer in water than in

air,

despite the fact that the optical image of an object

The

magnified by refraction (Baddeley 1968).

is

deterioration increases greatly with the distance

the light travels through the water, largely because the

image-forming light is further interfered with as it
passes through the nearly transparent bodies of the
biomass, which is composed of organisms ranging from
bacteria to jellyfish (Duntley 1976).

2.8.1.3

Absorption

Light

much
tral

Although the refraction that occurs between the
water and the air in the diver's face mask produces

immersed

kinds of particulate matter held in

make

with some, but not complete, success.

For example,

all

suspension in the water, and by transparent biological

enced to some extent by the optical image, and attempts

them

greater concern under water because

judging the underwater world than do

in

novice divers. However, almost

are

much

of

under water
field of

tions of size, distance, shape,

to train

is

it

frequent. Similarly,

the perception of speed can be influenced by these

Although scattering also occurs

particles in the water.

details
in the

when individual photons of light are
when they encounter suspended

deflected or diverted

themselves, by

be effective

Changes

Scatter

2.8.1.2

to

of

is
it

absorbed as
is

lost in

components of

it

passes through the water, and

the process. In addition, the spec-

light, the

wavelengths that give

rise

our perception of color, are differentially absorbed.

Transmission of light through air does not appreciably

change its spectral composition, but transmitting light
through water, even through the clearest water, does,
and this can change the resulting color appearance
beyond recognition. In clearest water, long wavelength
or red light is lost first, being absorbed at relatively
shallow depths. Orange

is

filtered out next, followed

by yellow, green, and then blue. Other waters, particusilt, decomposing plant
and animal material, and plankton and a variety of
possible pollutants, which add their specific absorp-

larly coastal waters, contain

tions to that of the water. Plankton, for

NOAA

Diving Manual

example, absorb

—October 1991

Physics of Diving

violets

and blues, the colors transmitted best by clear
of material suspended in some harbor

ous under water because fluorescent materials convert

frequently sufficient to alter the transmission

are rarely present under water, which increases the

water.

The amount

water

is

curve completely; not only
ted, but the long

is

wavelengths

very

may

little

light transmit-

in clear

water (Jerlov 1976, Kinney

et al.

1967, Mertens

1970).

Color vision under water, whether for the
of colors, color appearances, or legibility,

more complicated than

is

visibility

thus

much

Accurate underwater
know the colors involved,

in air.

color vision requires that divers

understand the sensitivity of the eye to different col-

know

ors,

color contrast.

be transmitted bet-

than the short, a complete reversal of the situation

ter

short wavelength light into long wavelength colors that

the depth and underwater viewing distance,

The use

of color coding under water

by these changes

in

they are equally bright, but

equally visible

the characteristics of the specific waters involved. Infor-

turbid harbor waters, red

mation is available from several investigations about
which colors can be seen best and which will be invisi-

green

under water (Kinney

et al.

is

a

summary

in

the appearance of colors under

water. For example, red objects frequently appear black

under water. This

is

readily understandable

when one

considers that red objects appear red on the surface
because of reflected red

light.

in

Since clear water absorbs

the red light preferentially, at depth no red light reaches

best for peripheral or off-center viewing.

Attenuation and scatter dramatically reduce the

amount of

natural light available under water, restricting

natural daylight vision to a few hundred feet under the

and to
to 2 feet (0.30 to 0.61 m) or
under the worst or highly turbid conditions. If
there is not enough light (without an auxiliary dive
best of conditions

l

less

light) for daylight vision,

we take

many

visual capabilities that

for granted in air will be greatly different; this

includes good acuity, color vision, and good central or

the object to be reflected, and therefore the object

direct vision. In a low-light situation, acuity

appears unlighted or black. In the same way, a blue

poor and the diver

object in yellowish-green water near the coast could

appear black. Substances that have more than one
peak in their reflectance curve may appear quite different on land and in the sea. Blood is a good example;

maximum in the green is
a much larger one in the
red. At depth, the water may absorb the long wavelength light and blood may appear green. The ghostly
at the surface a reflectance

not noticeable because there

appearance of divers
clear water

is

in

20 to 30

feet (6.1 to 9.1

and

less color

is

m)

of

loss of red light.

perceived as the

depth and viewing distance under water are increased,

and

all

objects tend to look as though they are the

color (the color that
ular

is

same

best transmitted by that partic-

body of water). Objects must then be distinguished

by their relative brightness or darkness. In Table

many

2-3,

of the most visible colors are light, bright colors

that give good brightness contrast with the dark water
If the background were different (for examwere white sand), darker colors would have
increased visibility. Fluorescent colors are conspicuit

October 1991

— NOAA

Diving Manual

is

very

be unable to read; he or she will

have no clear vision, because

objects will appear

all

center to see rather than looking directly at an object.

Moreover,

in

order to see at

all,

the diver must dark-

adapt.
In air, an individual

can gradually adapt to night-

time light levels during twilight and probably not notice

may go directly
from bright sunlight on the boat into a dark underwater world and be completely blind. To function effectively,

the change in vision; however, a diver

the diver's eyes

light.

must adjust

30 minutes

as long as

Some

if

to the

dim illumination

he or she has been

for

in bright

adaptation will take place while the diver

descends, but the rate of descent cannot be slow enough to

make

this a practical solution,

are required. This
in

is

and other techniques

especially important during dives

which the bottom time

is

short

and

visual observa-

tion important.

The most

background.
ple, if

will

white, gray, or black; the diver will have to look off-

is

another example of the

In general, less

highly

best for direct viewing and

is

2.8.1.4 Insufficient Light

of the results of these experi-

ments and shows the colors that were most visible when
viewed by a diver against a water background.

Changes occur too

is

if

1967, 1969; Kinney and

Miller 1974; Luria and Kinney 1974; Kinney 1985).

Table 2-3

complicated

colors can be employed without risk of confusion. Green
and orange are good choices, since they are not confused in any type of water. Another practical question
concerns the most legible color for viewing instruments
under water; the answer depends on many conditions,
which are specified in Human Engineering Guidelines
for Underwater Applications (Vaughan and Kinney
1980, 1981). In clear ocean water, most colors are

and are familiar with the general nature of water and

ble

is

color appearance, and only a few

to

remain

dive.

in

effective

way

to

become dark-adapted

is

the dark for 15 to 30 minutes before the

If this is impossible,

red goggles are recommended.

2-15

Section 2

Table 2-3
Colors That Give Best Visibility
Against a Water Background

Water Condition

Murky, turbid water of low
(rivers,

visibility

Natural Illumination

Incandescent Illumination

Fluorescent yellow, orange,

Yellow, orange, red, white

(no advantage

and red

harbors,

in

Mercury Light

Fluorescent

fluorescent

yellow-orange

paint)

etc.)

yellow-green and

Regular yellow, orange, and

Regular yellow, white

white

Moderately turbid water

Any fluorescence

(sounds, bays, coastal

yellows, oranges, or reds

the

in

Any fluorescence

Fluorescent

the

in

yellows, oranges, or reds

yellow-green or

yellow-orange

water)

Clear water (Southern
water,

deep water

Regular paint of yellow,

Regular paint of yellow,

orange, white

orange, white

Fluorescent paint

Fluorescent paint

Regular yellow, white

Fluorescent paint

offshore,

etc.)

Note: With any type of illumination, fluorescent paints are superior.
a.

With long viewing distances, fluorescent green and yellow-green are excellent.

b.

With short viewing distances, fluorescent orange

is

also excellent

Adapted from

The

night vision system of the eye

is

relatively insensi-

tive to red light; consequently, if a red filter

is

worn

colder a layer of water, the greater

its

that a sound heard 164 feet (50 meters)

light

day vision system to continue to function. The
red filter should be worn for 10 to 15 minutes and must
be removed before the dive. Because high visual sensitivity is reached sooner when this procedure is used,
visual underwater tasks can be performed at the beginning of the dive instead of 20 to 30 minutes later. If it is
necessary to return to the surface even momentarily,
the red filter should be put on again, because exposure
for the

to bright light quickly destroys the

dark-adapted state

of the eye.

is

within one layer

source

if

may

the diver

is

in

is

a periodic motion of pressure change transmitted
(air),

Since liquid

a denser

required

is

to

a liquid (water), or a solid (rock).

medium than

disturb

its

gas,

equilibrium.

more energy

Once

this

disturbance takes place, sound travels farther and faster
in the

denser medium. Several aspects of underwater

sound are of interest

to the

working diver.

may be two or more
water at different tem-

During diving operations, there
distinct contiguous layers of

peratures; these layers are

2-16

source
its

In shallow water or in enclosed spaces, reflections
and reverberations from the air/water and object/water

interfaces will produce anomalies in the sound field,
i.e.,
is

echoes, dead spots, and sound nodes.

swimming

shallow water,

in

among

When

a diver

coral heads, or in

enclosed spaces, periodic losses in acoustic communication signals and disruption of signals from acoustic

The problem

as the frequency of the

signal increases.

through a gas

is

its

another layer.

navigation beacons are to be expected.

ACOUSTICS

Sound

from

be inaudible a few meters from

becomes more pronounced
2.9

density; as the

transmitted between them. This means

sound energy

adapt and at the same time there

be enough

(1979)

difference in density between layers increases, less

over the face plate before diving, the eyes will partially
will

NOAA

known

as thermoclines.

The

The use

of open-circuit scuba affects sound recep-

by producing high noise levels at the diver's head
and by creating a screen of bubbles that reduces the
effective sound pressure level (SPL). If several divers
are working in the same area, the noise and bubbles
tion

communication signals more for some divers
than for others, depending on the position of the divers
in relation to the communicator and to each other.
will affect

A

suit is an effective barrier to sound
above 1000 Hz, and it becomes more of

neoprene wet

at frequencies

NOAA

Diving Manual

—October 1991

Physics of Diving

a barrier as frequency increases. This problem can be
overcome by exposing a small area of the head cither
by cutting holes 0.79 to 1.18 in. (2 to 3 cm) at the
temples or above the ears of the hood.
The human ear is an extremely sensitive pressure
detector in air, but it is less efficient in water. A sound
must therefore be more intense in water ( + 20 dB to
60 dB, SPL) to be heard. Hearing under water is very

to localize

and navigate

conditions.

In general,

similar to trying to hear with a conductive hearing loss

correspondingly high intensity pressure waves.

under surface conditions: a smaller

may

shift in pressure

is

to

sound beacons under

all

successful sound localization

and navigation depend on clearly audible pulsed signals of short duration that have frequency components
below 1500 Hz and above 35,000 Hz and are pulsed
with a fast rise/decay time.

Sound

is

transmitted through water as a series of

pressure waves. High intensity sound

is

transmitted by

A

diver

be affected by a high intensity pressure wave that

transmitted from the surrounding water to the open

required to hear sounds at the extreme high and low

is

frequencies, because the ear

The preswave may create increased pressure within these
open spaces, which could result in injury.
The sources of high intensity sound or pressure waves
include underwater explosions and, in some cases, sonar.
Low intensity sonars such as depth finders and fish
finders do not produce pressure waves of an intensity
dangerous to a diver. However, some military antisubmarine sonar-equipped ships do pulse high intensity pressure waves dangerous to a diver. It is prudent

frequencies.

is

not as sensitive at these

The SPL necessary

nication and navigation

for effective

a function of the

is

commu-

maximum
dB SPL

distance between the diver and the source (-3
for every doubling of the distance

and the measurement

point), the

between the source

frequency of the signal,

the ambient noise level and frequency spectrum, type of

head covering, experience with diver-communication
equipment, and the diver's stress level.
The use of sound as a navigation aid or as a means of
locating an object in the environment depends primarily

on the difference

in

the time of arrival of the sound

two ears as a function of the azimuth of the
source. Recent experiments have shown that auditory
at the

localization cues are sufficient to allow relatively pre-

sound localization under water. Moreover, it has
been demonstrated that under controlled conditions

cise

divers are able to localize

and navigate

to

sound bea-

cons (Hollien and Hicks 1983). This research and practical experience

have shown that not every diver

October 1991

— NOAA

Diving Manual

is

able

spaces within the body (ears, sinuses, lungs).
sure

to

suspend diving operations

transponder

is

being operated

a diver-held pinger system,

it

if

a high-powered sonar

in the area.
is

When

using

advisable for the diver

wear the standard 1/4-inch (0.64-cm) neoprene
for ear protection. Experiments have shown that
such a hood offers adequate protection when the ultrasonic pulses are of 4-ms duration, are repeated once
per second for acoustic source levels up to 100 watts,
to

hood

and are

at head-to-source distances as short as

4 inches

(10 cm).

2-17

(

(

(

Page

SECTION

3

DIVING

3.0

General

3-1

3.1

Circulation and Respiration

3-1

PHYSIOLOGY

3.1.1

Circulatory System

3-1

3.1.2

Mechanism

3-2

3.1.3

3.1.2.1

Pulmonary Ventilation

3-2

3.1.2.2

Blood Transport of Oxygen and Carbon Dioxide

3-2

3.1.2.3

Gas Exchange

3-4

3.1.2.4

Tissue

3.1.2.5

Summary

Need

in the

for

Tissues

Oxygen

of Respiration Process

Respiratory Problems

3.1.3.4

Smoking

3-7

3.1.3.5

Excessive Resistance to Breathing

3.1.3.6

Excessive

3.1.3.7

Hyperventilation and Breath-holding

Dead Space

3.2.1.2
3.2.1.3
3 2.1.4

The
The
The
The

3-5

3-6

3-8

3-8
3-8

3-10

Direct Effects of Pressure During Descent
3.2.1.1

3.2.3

3-5

3.1.3.3

Effects of Pressure

3.2.2

3-4

3-5

3.1.3.2

3.2.1

3-4

Hypoxia
Carbon Dioxide Excess (Hypercapnia)
Carbon Monoxide Poisoning

3.1.3.1

3.2

of Respiration

3-10

Ears

3-10

Sinuses

3-12

Lungs

3-13

Teeth

3-14

Direct Effects of Pressure During Ascent

3-14

3.2.2.1

Pneumothorax

3-14

3.2.2.2

3-14

3.2.2.3

Emphysema
Subcutaneous Emphysema

3.2.2.4

Gas Embolism

3-15

3.2.2.5

Overexpansion of the Stomach and Intestine

3-16

3.2.2.6

Bubble Formation and Contact Lenses

Mediastinal

Indirect Effects of Pressure

3-15

3-16

3-16

3.2.3.2

Gas Absorption and Elimination
Decompression Sickness

3.2.3.3

Counterdiffusion

3-19

3.2.3.4

Aseptic Bone Necrosis (Dysbaric Osteonecrosis)

3-20

3.2.3.5

Inert

3.2.3.6

High Pressure Nervous Syndrome (HPNS)

Inert

3.2.3.1

Gas Narcosis

3.3

Oxygen Poisoning

3.4

Effects of Cold (Hypothermia)

3-16
3-17

3-20
3-22

3-22
3-24
3-25

3.4.3

Thermal Protection
Symptoms of Hypothermia
Survival in Cold Water

3.4.4

Rewarming

3-27

3.4.1

3.4.2

3-25

3-26

3.5

Effects of Heat (Hyperthermia)

3-27

3.6

Drugs and Diving

3-28

3.6.1

3.6.2

Prescription Drugs

3-28

Drugs

3-28

Illicit

(

(

<

DIVING

PHYSIOLOGY
3.0

GENERAL

Figure 3-1

This section provides divers with basic information
about how the body reacts to physiological stresses
that are

imposed by diving and how

to

compensate

The Process

of Respiration

for

these stresses and other physical limitations. Divers
Conchae

should become familiar with the terminology used in
this

Sphenoidal Sinus

chapter to understand and be able to describe any

symptoms or physical problems they
Commonly used diving medical terms are

diving-related
experience.

Septum

Adenoid
(Naso-Pharyngeal Tonsil)

defined in the glossary of this manual (Appendix E).

3.1

The

CIRCULATION AND RESPIRATION
each

activity of

cell

Hairs

Soft Palate

Hard Palate

Tonsil

Tongue

of the body involves several

delicate reactions that can take place only under well-

defined chemical and physiological conditions.
chief function of the circulatory system

is

to

conditions around the cells at the level that
for their functioning.

The

Esophagus (Food Tube)

The
Larynx (Voice Box)

maintain

is

Trachea (Windpipe)

optimal

regulation of cardiac output

and the distribution of the blood are central

Alveoli

is

Lung

Bronchus

to the

Pulmonary
Vein

the process by which gases, oxygen,

Pulmonary

and carbon dioxide are interchanged among the tissues
and the atmosphere. During respiration, air enters the
lungs via the nose or

Right

Bronchial

physiology of circulation.

Respiration

Pharynx

mouth and then

Artery

Cut Edge
of Pleura

traverses the

(Hilus)

Bronchiole

pharynx, larynx, trachea, and bronchi. Air being exhaled

follows this path in reverse.

The bronchi enter the

lungs and divide and re-divide into a branching net-

Pulmonary
Venule

Cut Edge of
Diaphragm

work, ending in the terminal air sacs (alveoli), which
are

approximately one ten-thousandth of an inch

(0.003 millimeter) in diameter.

The

Pulmonary
Arteriole

Stomach

alveoli are sur-

rounded by a thin membrane, and the interchange of
membrane, where the blood

gases takes place across this

Source:

NOAA

(1979)

pulmonary capillaries takes up oxygen and
gives off carbon dioxide. This process is shown schein the tiny

Before discussing diving physiology, a basic understanding of circulation, respiration, and certain prob-

lems associated with the air-containing compartments
of the

body

is

necessary. These topics are discussed in

the following paragraphs.

3.1.1

Circulatory

The heart
sides,

is

System

divided vertically into the right and

left

each consisting of two communicating chambers,

October 1991

— NOAA

is pumped by the
pulmonary artery, through the
pulmonary capillaries, and back to the left side of the
heart through the pulmonary veins. The left ventricle
pumps the blood into the aorta, which distributes it to
the body. This distribution is accomplished by a continual branching of arteries, which become smaller
until they become capillaries. The capillaries have a
thin wall through which gases and other substances are
interchanged between the blood and the tissues. Blood
from the capillaries flows into the venules, the veins,

the auricles and ventricles. Blood

matically in Figure 3-1.

Diving Manual

right ventricle into the

3-1

Section 3

is returned to the heart. In this way,
carbon dioxide produced in the tissues is removed,
transported to the lungs, and discharged. This process
is shown schematically in Figure 3-2.
During exercise, there is an increase in the frequency
and force of the heart beat as well as a constriction of
the vessels of the skin, alimentary canal, and quiescent
muscle. Peripheral resistance is increased and arterial
pressure rises. Blood is expelled from the spleen, liver,
skin, and other organs, which increases circulatory
blood volume. The net result of this process is an increase
in the rate of blood flow to the body organs having a
high demand for oxygen
the brain, the heart, and any

and, finally,

—

adequately to a demand for increased ventilation during exercise. Because diving often requires strenuous
exercise, cardiovascular or respiratory disorders

participating in this activity.

3.1.2.1

Pulmonary Ventilation

Air drawn into the lungs
passages until

air

it

is

distributed through smaller

reaches the honeycomb-like alveoli or

through which the exchange of respiratory
The rates at which

air sacs

gases takes place (see Figure 3-1).

oxygen

active muscles.

may

from actively

seriously limit or prevent an individual

is

supplied and carbon dioxide removed from

the lungs depend on several factors: (1) the composi-

and volume of the

tion

3.1.2

Mechanism

The

of Respiration
is

and relaxation of
muscles. This thoracic cavity contains the lungs, which
are connected with the outside environment through
the bronchi, the trachea, and the upper respiratory
passages and the heart and great vessels. When the
volume of the thoracic cavity changes, a decrease or
altered by the rhythmic contraction

increase in pressure occurs within the internal

cham-

bers and passages of the lungs. This change causes air

passageways
is

until the pressure

through the respiratory

everywhere

in

the lungs

equalized with the external pressure. Respiratory

ventilation consists of rhythmic changes of this sort.

Respiration is affected by the muscular action of the
diaphragm and chest wall and is under the control of
the nervous system, which itself
in

is

through the

res-

gases in the blood; and (3) the duration for which a

chest wall encloses a cavity, the volume of which

to flow into or out of the lungs

air supplied

piratory passages; (2) the partial pressures of respiratory

responding to changes

blood oxygen and carbon dioxide levels. The normal

respiratory rate at rest varies from about 12 to 16

given volume of blood

is

exposed to alveolar

air.

In a

good physical condition, other facinfluencing respiratory exchange are not likely to

normal person
tors

in

be significant.
liter of oxygen is used by the
During exercise, an exchange of
about 3.5 liters or more of oxygen per minute may take
place. This flexibility is accomplished by increased

At

rest,

about 0.3

tissues per minute.

frequency of breathing, increased heart action propelling blood

through the pulmonary capillaries, and

increased differences in the partial pressures of oxy-

gen and carbon dioxide during exercise. Figure 3-3
depicts oxygen consumption as a function of work rate.
Normally, despite wide differences in the rates of gaseous exchange in the resting and heavy exercise condiblood leaving the lungs is almost completely
saturated with oxygen and in equilibrium with the
tions, the

alveolar carbon dioxide pressure.

breaths a minute. During and after heavy exertion, this
rate increases severalfold.

In the chest wall's normal resting position, that

is,

at

the end of natural expiration, the lungs contain about

Even when one voluntarily expels all
the air possible, there still remain about 1.5 liters of
residual air. The volume of air that is inspired and
expired during rest is referred to as tidal air and averages about 0.5 liter per cycle. The additional volume
2.5 liters of air.

3.1.2.2

Blood Transport of Oxygen and

Carbon Dioxide
Blood can take up a much

from the resting expiratory position of 2.5 liters that
can be taken in during a maximal inspiration varies

greater quantity of oxygen
and carbon dioxide than can be carried in simple solution. Hemoglobin, which is the principal constituent in
red blood cells and gives the red color to blood, has a
chemical property of combining with oxygen and with
carbon dioxide and carbon monoxide. The normal hemo-

greatly from individual to individual, ranging from

globin content of the blood increases the blood's oxygen-

about 2 to 6

liters.

The

total

breathable volume of

air,

carrying capacity by about 50 times.

The reaction

governed primarily

called the vital capacity, depends on the size, develop-

between oxygen and hemoglobin

ment, age, and physical condition of the individual.

by the partial pressure of oxygen. At sea level, where
there is normally an inspired oxygen partial pressure

Vital capacity

is

defined as the maximal volume that

can be expired after maximal inspiration.
in vital

3-2

A

reduction

capacity limits the ability of a person to respond

is

of 150 millimeters of mercury, the alveolar hemoglobin

becomes about 98 percent saturated

NOAA

Diving Manual

in

terms of

its

—October 1991

Diving Physiology

Figure 3-2

The Circulatory System

Right
auricle

Lung

capillaries

Tricuspid -f^lt
valve

Bicuspid valve

Veins
Arteries

Body

capillaries

Source:

capacity to form oxy-hemoglobin. In the tissues, where

the partial pressure of oxygen

normally about
20 millimeters of mercury, between one-third and
one-half of this oxygen is given up by hemoglobin and

made

available to the tissues.

It

is

is

apparent that the

blood of persons lacking a sufficiency of hemoglobin,
i.e.,

anemic persons,

to carry oxygen.

generally less

fit

As

will

be deficient

a consequence,

in its

anemic people are

for diving than people

anemic.

October 1991

capacity

who

are not

The blood contains
in

Shilling.

a small

Werts. and Schandelmeier (1976)

amount of carbon dioxide

simple solution, but a greater amount

is

found

in

chemical combinations such as carbonic acid, bicarbonate, or bound to hemoglobin. All the forms of carbon dioxide tend toward chemical equilibrium with
each other. The taking up of oxygen by the hemoglobin
in the lung capillaries favors the unloading of carbon
dioxide at the

same time

dioxide into the blood

in

that the absorption of carbon

the tissues favors the release

of oxygen.

— NOAA

Diving Manual

3-3

Section 3
Figure 3-3

Oxygen Consumption and
Respiratory Minute Volume
as a Function of

Work Rate
S

Sitting

S.

Rest

Light

Moderate

Work

Work

Heavy Work

Severe Work

Quietly!*

Swim,

0.71

I

(Slow)H^

0.5 Knot

(20)

.E

E
Swim, 0.85 Knot (Average
"5

^

= c

1.4

I

(40)

8

SpeeoV^^
Swim,

1

Knot

»s
E *

2

°

il

Swim,

2.1

1.2

Knots^^

\^

(60)

o

0)

\^

2.8

cc

(80)

"\
\

I

I

I

I

i

I

I

Oxygen Consumption, standard

i

liters/min
Derived from

Gas Exchange

3.1.2.3

in

the Tissues

3.1.2.4

NOAA

(1979)

Tissue Need for Oxygen

of oxygen and carbon dioxide between

All living tissues need oxygen, but tissues that are

the blood and body cells occurs in opposite directions.

especially active during exertion, such as skeletal muscle,

Oxygen, which

need greater amounts of oxygen. The brain, however,

The exchange

is

continuously used in the tissues,

exists there at a lower partial pressure than in the

made up

is

of tissue that has an extraordinarily high and

produced inside the tissue

nearly steady requirement for oxygen. Although the

which increases its concentration relative to that
of the blood reaching the tissues. Therefore, blood
supplied by the arteries gives up oxygen and receives

nervous system represents only about 2 percent of the

Carbon dioxide

blood.

is

cells,

transit through the tissue
exchange of these respiratory
amount of gas movement depend on

carbon dioxide during
capillaries.

The

its

rate of

gases and the total

their respective partial pressure differences, since the

exposure time of blood

in the tissue capillaries is

ade-

body weight,

it

requires about 20 percent of the total

circulation and 20 percent of the total oxygen used by

the body per minute at work or at rest. If circulation

completely cut

off,

consciousness

may be

one-quarter of a minute and irreparable

higher centers of the brain
5

minutes (see Section

is

lost in

about

damage

to the

may occur

within

3

to

3.1.3.1).

quate for nearly complete equilibration to be achieved.

When

more active, the need for oxygen is
The increased oxygen is supplied not from an

tissues are

greater.

increase in the oxygen content of the arterial blood but

by the larger volume of blood that flows through the
tissues and by a more complete release of oxygen from
a given volume of the blood. There can be as

much

ninefold increase in the rate at which oxygen
plied to active tissues.

3-4

is

as a

3.1.2.5

Summary

The process

of Respiration Process

of respiration includes six important

phases:
(1)
(2)

sup-

Breathing or ventilation of the lungs;

Exchange of gases between blood and

air in the

lungs;
(3)

The

transport of gases carried by the blood;

NOAA

Diving Manual

— October 1991

Diving Physiology

(4)

(5)

Exchange of gases between blood and body tissues;
Exchange of gases between the tissue fluids and

and
Use and production of gases by the

cells.

Each phase of this process is important to the life of the
and the process must be maintained constantly
by the respiratory and circulatory systems.

cells,

so that spontaneous breathing will resume.
cult to

know when

It

is

diffi-

the heart action has stopped com-

pletely, so efforts at resuscitation
until

3.1.3

will

If breathing has stopped but heart action continues,
cardiopulmonary resuscitation may enable oxygen to
reach the brain and revive the breathing control center

cells;

(6)

promptly before breathing stops, the diver usually

regain consciousness shortly and recover completely.

must be continued

medical attendants pronounce a victim dead.

Respiratory Problems

Although most physiological problems associated

WARNING

with diving are related to the breathing of gases at the

high pressures encountered under water, respiratory
problems may occur at the surface as well. These problems are generally related to the inadequate transport

Is

Onset

of oxygen to the cells and to the inadequate removal of

Some

carbon dioxide.

of the

common

respiratory prob-

3.1.3.2

An

lems are hypoxia, hypercapnia, and carbon monoxide

Each of these

poisoning.

is

discussed in the following

if

Natural Warning That Tells a Diver
of

Hypoxia

Carbon Dioxide Excess (Hypercapnia)

excess of carbon dioxide in the tissues can occur

the process of carbon dioxide transport and elimina-

tion

paragraphs.

No

There
of the

is

interrupted or modified. In diving, carbon diox-

because there is too much
carbon dioxide in the diver's breathing medium or
because the carbon dioxide that is produced is not
eliminated properly. The diver's own metabolic processes
are generally the source of any excess carbon dioxide.
The proper carbon dioxide level is maintained in the
body by respiration rapid enough to exhale the carbon
ide excess occurs either

Hypoxia
The term hypoxia, or oxygen shortage, is used to
mean any situation in which tissue cells fail to receive
or are unable to obtain enough oxygen to maintain
3.1.3.1

their

normal functioning. Hypoxia can occur as a result of

interference with any phase of the oxygen transport

dioxide produced and delivered to the lungs. For breath-

process.

ing to be effective, the air inhaled

Hypoxia stops the normal function of
tissue cells are the

most susceptible of

all

Brain

cells.

body

cells to

minimum

must contain

a

mask
mouthpiece or

of carbon dioxide. Inadequate helmet or

ventilation, too large a

dead space

in

hypoxia; unconsciousness and death can occur before

tubing, or failure of the carbon dioxide absorption

the effects of hypoxia are apparent on other cells.

system of closed- or semi-closed-circuit breathing
systems may produce an excess of carbon dioxide in

Hypoxia may cause sudden unconsciousness
is

gradual,

may

or,

if

onset

decrease the ability to think clearly,

orient oneself, or to perform certain tasks. Confusion

and difficulty

standing, walking, and maintaining

in

may

the gas breathed.
All tissues are affected by an excess of carbon dioxide,

but the brain

the most susceptible organ to

is

be

hypercapnia. Figure 3-4 shows the physiological effects

unaware of impending trouble even though they become

of different concentrations of carbon dioxide for vari-

coordination often follow. Victims of hypoxia

drowsy and weak.
that as

A

particular danger of hypoxia

progresses,

it

may

being that

it

is

causes a false sense of well-

prevent the diver from taking correc-

ous exposure periods. At the concentrations and durations represented

effects have

by Zone

I,

no perceptible physiological

been observed. In Zone

II,

small threshold

severe and sud-

hearing losses have been found and there

den, unconsciousness develops almost at once; un-

ble doubling in the depth of respiration.

tive action soon

enough.

If

consciousness usually occurs
pressure of oxygen
lent to the

falls

hypoxia

when

to 0.10

is

the inspired partial

atmosphere,

i.e.,

oxygen pressure prevailing when

equiva-

a person

breathes a 10 percent oxygen mixture at atmospheric
pressure.

Below

this level,

permanent brain damage

and death occur quickly (US Navy 1985).
If a diver suffering from severe hypoxia

not res-

October 1991

— NOAA

If

will

given fresh air

Diving Manual

a percepti-

Zone
symptoms
In

III,

are

mental depression, headache, dizziness, nausea, 'air
hunger,' and a decrease in visual discrimination. Zone
IV represents marked physical distress associated with
dizziness and stupor, which is accompanied by an inability to take steps for self-preservation.

is

cued quickly, the interference with brain function
cause failure of breathing control.

the zone of distracting discomfort, the

is

stage of the

Zone IV

state

CO., partial pressure

is

The

final

Above a
of 0.15 ATA, muscle

unconsciousness.

(PCOJ

spasms, rigidity, and death can occur.

If

an excess of

3-5

Section 3

Figure 3-4
Relation of Physiological Effects to Carbon
Dioxide Concentration and Exposure Period

<
<

10

10

\

Zone

IV Dizziness, stupor,

unconsciousness

o
0.08

0.06

\

Zone

III

8

<
5

6

.£

Distracting discomfort

c

A

0.04

^^^^

Zone

II

Zone

I

No

3

o
CM
O
O

2

.o

"""""""——««»,

Minor perceptible changes

0.02

o
«
c
•
c
o

effect

0.5
I

0.00

I

I

I

I

I

30

40

50

60

70

I

20

10

PC0 2 ATA

40 Days

Exposure Time, minutes

Derived from

NOAA

(1979)

carbon dioxide causes a diver to lose consciousness, he

differences in individual responses to increases in car-

or she can be revived quickly

bon dioxide. The amount of work, the depth, and the

with fresh

air.

The

if

the lungs are ventilated

aftereffects of hypercapnia include

headache, nausea, dizziness, and sore chest muscles.

The bar graph

at the right of

Figure 3-4 extends the

period of exposure shown to 40 days.
for exposures of

It

illustrates that,

40 days, concentrations of carbon

dioxide in air of less than 0.5 percent (0.005

ATA

breathing

medium

are factors that will also alter the

effect of an increase in carbon dioxide on breathing.

Deliberately reducing one's breathing rate will cause a

carbon dioxide buildup; maintaining an adequate ventilation rate

necessary to remove carbon dioxide

is

from the lungs

effectively.

Other conditions that increase

(Zone A) cause no biochemical or

the likelihood of carbon dioxide poisoning include severe

other effects; concentrations between 0.5 and 3.0 per-

exertion, high partial pressures of oxygen, high gas

partial pressure)

cent (0.005-0.03

ATA

partial pressure)

adaptive biochemical changes, which

(Zone B) cause

may

be consid-

and the use of breathing apparatus that has
excessive dead space or high breathing resistance.
density,

ered a mild physiological strain; and concentrations

above 3.0 percent (0.03 ATA partial pressure) (Zone
C) cause pathological changes in basic physiological
functions. For normal diving operations, ventilation
rates should be
tial

maintained so that carbon dioxide par-

pressures are maintained in Zones

short-term exposures and in Zones

A

I and II for
and B for long-

WARNING
Skip-Breathing Is Not a Safe Procedure
Because Carbon Dioxide Buildup Can Occur
With Little or No Warning

term exposures.
Increased carbon dioxide

in the

breathing-mixture

stimulates the respiratory center to increase the breathing
rate.

Carbon dioxide

at a partial pressure of 0.02

the carbon dioxide level reaches a partial

pressure of 0.05 atmosphere, an uncomfortable sensation of shortness of breath occurs.

3-6

There are large

Carbon Monoxide Poisoning

Inspired carbon monoxide

atmo-

sphere generally increases breathing noticeably.

When

3.1.3.3

(CO) combines with hemothem incapable

globin in the red blood cells, rendering
of carrying oxygen to the tissues.

bound

When

carbon monoxide

hemoglobin, a person experiences tissue
hypoxia (oxygen deficiency in the tissues) even though

is

to

NOAA

Diving Manual

— October 1991

Diving Physiology

the air being breathed has sufficient oxygen. This con-

CO

monoxide (40,000 ppm). The average carbon monoxide

Hemoglobin combines with carbon monoxide about 210 times more

concentration inhaled during the smoking of one cigarette

readily than with oxygen, so very small concentrations

7.0 percent

dition

known

is

as

poisoning.

monoxide can be dangerous to life (US Navy
The hemoglobin-carbon monoxide combination is

400-500 ppm, which produces anywhere from 3.8 to
carboxyhemoglobin (HbCO) in the blood;

is

of carbon

in

1985).

cent.

red in color and

may

cause an unnatural redness of the

However, since this redness may not
occur, carbon monoxide poisoning cannot be ruled out

lips

and

skin.

non-smokers, the

The percentage

HbCO level is generally 0.5
of HbCO blood levels after

per-

con-

tinuous exposure to carbon monoxide for 12 hours or
after reaching equilibrium are

summarized

in the table

below.

simply because a person has normal coloring. In addition to

its

oxidase a

>

monoxide
enzyme (cytochrome

effects on hemoglobin, carbon

combines with the

final respiratory

Continuous Exposure

as well.

level

Because carbon monoxide poisoning

feres with the delivery of

symptoms
oxia.

to

is

50
40

may

8.4
6.7

30
20

high

cause rapid poisoning without the diver's

awareness, he or she

Blood

inter-

are identical to those of other types of hyp-

monoxide

in

%

ppm

CO,

to the tissues, the

the concentration of carbon

If

enough
If

oxygen

HbCO

Level of

causing hypoxia at the tissue

in the tissues,

f

5.0
3.3

10

1.7

—

lose consciousness suddenly.

0.5 (non-smoker)

monoxide poisoning is more gradual in
pounding headache, nausea, and vomiting may

the carbon

onset,

Source:

NOAA

(1979)

occur.

A

diver's breathing gas can be

carbon monoxide

if

contaminated by

the compressor supplying the breath-

draws from an area where the

ing gas

air

is

contami-

nated by the exhaust from a gasoline or diesel engine or
if

vapor from the

oil

used to lubricate the compressor

gets into the air supply.

It

is

essential that the air

intakes on compressors be protected to avoid this source

of carbon monoxide contamination and that

appropriate flash point

is

used

in

oil

with an

any oil-lubricated

compressor that supplies divers' breathing

air (see Sec-

a diver loses consciousness,

it

is

routine to

administer recompression treatment because of fear
that either decompression sickness or an arterial gas
embolism has caused the loss of consciousness. Occasionally, carbon monoxide poisoning is the cause of
unconsciousness, and recompression treatment, using
either USN Treatment Table 5 (Oxygen Treatment of
Type I Decompression Sickness; US Navy 1985) or a
hyperbaric oxygen treatment table designed specifically to treat carbon monoxide poisoning, is the treatment of choice in these cases as well. Carbon monoxide
poisoning victims who resume breathing and regain
consciousness quickly have a good chance of complete

recovery.

3.1.3.4

Smoking

Smoking

20

ppm

directly affects the oxygen-carrying capabil-

ity of the red

blood

cells.

The smoke

of a typical

American cigarette contains about 4 percent carbon

October 1991

— NOAA

Diving Manual

carbon monoxide for 12 hours (equivalent

to the

maximum

carbon monoxide level allowed in divers'
breathing air by the U.S. Navy (see Table 15-6)).
Considering that it takes a heavy smoker approximately
8

hours to eliminate 75 percent of the carbon monoxide

inhaled,

it

is

clear that the

HbCO

level (0.95 percent)

smoker diving 8 hours after the last
cigarette is almost twice that of a non-smoker
(0.50 percent). The carboxyhemoglobin blood level of
a passive smoker (i.e., a person who does not smoke but
who is exposed to the smoke of others) can rise to
even for

tion 4.2.2).

When

Table 3-1 shows the relationship between smoking
and HbCO blood levels. This table shows that the
HbCO level in the blood of divers who smoke is higher
than it would be if the divers had been exposed to

5

a light

percent after exposure to a smoke-filled environment

(Surgeon General 1986).

The dose
smoking

is

of carbon
toxic;

psychomotor

it

test

monoxide

a

causes changes
results,

smoker receives from
in

neurologic reflexes,

sensory discrimination, and

electrocardiograms, as well as fatigue, headache,

irri-

and disturbed sleep. Other shortterm effects of smoking may also adversely affect the
diver. For example, in addition to accelerating the
atherosclerotic changes in blood vessels, cigarette smoke
also raises blood pressure and increases heart rate.
Smokers have trouble eliminating respiratory tract
secretions, and the accumulation of these secretions
can make equalizing pressure in the ears and sinuses
difficult (Shilling, Carlston, and Mathias 1984). The
irritants in inhaled tobacco smoke can cause an increase
tability, dizziness,

3-7

Section 3

Table 3-1

Carboxyhemoglobin as a
Function of Smoking
ence the amount of breathing resistance encountered
Median

HbCO
Smoking Habits

Level,

Expired

%

CO, ppm

by a diver using the equipment. Gases moving through
tubes of optimal design will flow 'in line' or in laminar
flow until restrictions in or the dimensions of the tube

Light

smoker

cause the air molecules to begin moving

pack/

(less than Vz

day)

3.8

Moderate smoker (more than Vz
pack/day and less than 2
packs/day)
Heavy smoker (2 packs or more/

17.1

fashion {turbulent flow).

5.9

27.5

laminar flow

6.9

32.4

required to

day)

Source:

NOAA

(1979)

move gas
is

that

in a

The increase
in

is

disordered

in the effort

turbulent rather than

significant: the resistance increases in

relation to the square of the increased flow rate; that

is,

doubling the flow rate causes a fourfold increase

in

resistance (see Section 2.6). This

may

be a problem

with small-bore snorkels, small-diameter exhaust valves,

mucus and a chronic inflammatory change in
Over a prolonged period, these
conditions may result in structural weakness of the
lung, such as emphysematous bullae, alveoli enlarged
in bronchial

the bronchial lining.

with

air,

Lung

or obstructive lung disease.

cysts can

enlarge because of gas trapped by bronchial obstruc-

and may then rupture. The resulting tears can
open into pulmonary veins, permitting gas embolism.
Furthermore, nicotine and carbon monoxide increase
tion

the 'stickiness' of blood platelets, causing a clumping
that can interfere with the flow of blood in the small
vessels; this condition
tibility to

Navy

may

increase a person's suscep-

decompression sickness. In

divers, cigarette

a study of 93

smoking was found

to

be

associated with lung function decrement and to have

an important and adverse effect on divers' health
(Dembert et al. 1984). Other Navy research reported
by Dembert and co-authors suggests that there is an
association between smoking and the risk of decompression sickness.

The

or inadequate breathing tubes and mouthpieces. Thus,
snorkels should have diameters approximately 3/4 inch
(1.9 centimeters) with

no unnecessary bends, corruga-

tions, or obstructions,

and exhaust valves should be

enough

large

to

keep the exhalation resistance as low

as possible (see Sections 5.1.1.4

The

position of the

demand

and

relation to the internal pressure in the lungs
in closed-circuit

spiratory system clearly indicate that divers should

smoking altoavoid smoking for several

(Figure 3-5).

As the work-of-breathing

level in the tissues

(US Navy

1985).

Excessive Dead Space
Dead space in a diving system

3.1.3.6

residual exhaled air remains.

some

A

is

A

A

of

well-designed system has

work-of-breathing
in

(i.e.,

ume by

the

amount

breathing) to some extent. If the

breathing resistance of the apparatus
difficult to breathe

is

high,

it

will

be

adequately even during ordinary

exertion and breathing will

become impossible during

hard work. Resistance to the flow of breathing gas

is

caused by demand regulators, valves, hoses, and other

appurtenances of a life-support system. Well-designed

equipment minimizes the amount of resistance
flow of breathing gas (see Section

The

5.

1

.

1

.

determining how

must

this ineffective vol-

much exhaled

gas

is

actually

rebreathed.

Full-face

dead space;
breath

masks may add as much as 0.5 liter of
this excess must be ventilated with each

(US Navy

1985). Because of carbon dioxide

buildup, the excess can seriously limit a diver's ability
to do work. Free-flow helmets do not have this dead
space problem. The use of oral-nasal masks inside
full-face masks is effective in reducing the amount of

dead space (see Section

5.2.1).

to the

3.1.3.7 Hyperventilation

1 ).

characteristics of the breathing gases flowing

through tubes of various sizes and configurations

3-8

minimum dead

not reveal dead space volume; special equipment

breathing apparatus used by a diver under water

work involved

mask may return
amount

casual examination of diving equipment will

be used to measure the extent of

Excessive Resistance to Breathing

which

returned depends on the dead space volume within the

space.

Any

that space in

diver exhaling into a

of this exhaled gas to the lungs; the

gether, they should at least

will increase the

increases, the

body reaches a point where it will accept increased
carbon dioxide rather than perform the respiratory
work required to maintain a normal carbon dioxide

system.

3.1.3.5

critical

pressure causing an increase in breathing resistance

not smoke. If divers are not able to stop

hours before diving.

is

scuba to avoid unbalanced hydrostatic

snorkel, mouthpiece, or full-face

deleterious effects of smoking on the cardiore-

5.6.1).

valve or breathing bag in

influ-

The

(C0

)
2

and Breath-holding

respiratory system utilizes both carbon dioxide

and oxygen (0 2 ) tensions

NOAA

(partial pressures) in

Diving Manual

— October 1991

Diving Physiology

Figure 3-5

on Location
Bags Within a Closed-Circuit Scuba

Effects of Hydrostatic Pressure
of Breathing

Breathing bag
subject to

is

more

deeper than the lungs.

It

is

hydrostatic pressure,

increasing breathing resistance on

exhalation.

Breathing bag is at the same level as the
lungs. Breathing resistance is the same as
on the surface.

Breathing bag is shallower than the lungs.
It is subject to less hydrostatic pressure,
increasing breathing resistance on
inhalation.

Source:

the body to regulate the process of breathing. Rising

CO,

tension and falling O, tension are monitored by

biological sensors in the body,

the breathing response

when

which normally trigger

the appropriate levels are

reached. Hyperventilation (rapid, unusually deep breath-

ing in excess of the necessary rate for the level of

normal operation of the
mechanism. Hyperventilation lowers the CO, level in body tissues to levels below normal, a condition known as hypocapnia, which initially
causes a feeling of lightheadedness and may cause
weakness, faintness, headache, and blurring of vision
activity) interferes with the

respiratory control

over a longer period.

Hyperventilation

in

distance

underwater swimming or breath-holding competitions,

is

or

spasm occurs

Some

unconsciousness before the

CO,

fall

may drown.

tion.

Divers

who

notice that they are hyperventilating

should take immediate steps to slow their breathing

ly.

and,

if

feasible,

ascend prompt-

After reaching the surface, they should inflate their

buoyancy compensators. Hyperventilating divers should
because they

hyperventilation, oxygen levels can

water, the diver

more susceptible to hyperventilation-induced hypocapnia than others; however, sufficiently prolonged hyperventilation induces unconsciousness or muscle spasms in most individuals.
Both scuba and surface-supplied divers should be
aware of the problems associated with hyperventila-

dioxide level without significantly increasing the oxy-

in

in the

individuals are

not attempt to

breath-holding after

and may cause uncon-

sciousness or muscle spasms. If either unconsciousness

a dangerous practice. Hyperventilation lowers the carbon

When

(1979)

often initiated by anxiety or physi-

cal stress or outright panic

rate, notify their buddies,

Voluntary hyperventilation, which occurs

gen level of the blood.

is

NOAA

swim

may

to a

boat or the shore unaided

lose consciousness in the attempt.

During surface-supplied diving, the tender should

to levels resulting

continuously monitor the diver's breathing for signs of

high enough

hyperventilation. Divers starting to hyperventilate should

level

is

As a consequence, competiunderwater breath-holding events should be discouraged (Bove 1985).

Once on

to stimulate respiration.

be asked to stop work and

tive

ing the breath for short periods will aid in replenishing

October 1991

— NOAA

Diving Manual

low

CO,

levels

rest.

the surface, hold-

and may avert further complications.

3-9

Section 3

3.2

EFFECTS OF PRESSURE

The

effects of pressure on divers

may

be divided into

two principal categories: (1) those that are direct and
mechanical; and (2) those that come about because of

changes

in

With

the partial pressure of inspired gases.

each 2-foot (0.61 meter) increase

depth of sea-

in the

water, the pressure increases by almost

Each

psi.

1

The many changes in pressure regularly involved in
diving make a pressure-sensitive middle ear a liability
for a diver.

The

immersion on the human ear causes it
under water than it does in air.

effect of

to function differently

Normally, sound

is

compressed)

high-amplitude

in a

transmitted in air (which

(HA) low

is

easily

force mode.

33 feet (10 meters) of descent in seawater increases the

In liquid (which

pressure by an additional atmosphere (14.7

transmitted in a low-amplitude (LA) high force mode.

The lungs and

psi).

respiratory passages contain air at

times. In addition to the major air channels,

all

which

include the nose, mouth, throat, larynx, and trachea,
there are a

number

of side compartments issuing from

The human ear

difficult to compress),

is

designed to convert

is

HA

of sound in the external

and middle

however, sound arrives at the ear

the upper respiratory passages that are important in

back

When

occur

the

exposed to pressure changes, such as those that

is

in diving, air

contained

in these cavities

compression because the pressure of the

undergoes

to

LA

is

As

not efficient.

ear.

In water,

LA mode,
LA to HA

and
and

a result, the external/

middle ear mechanisms are functionally bypassed under
water and hearing

primarily achieved by bone (skull)

is

conduction.

When

air delivered

by the breathing supply must be equilibrated with the
pressure of the surrounding environment. The pressure

LA

energy to

in the

diving physiology. These include the eustachian tubes,

body

is

energy (see Figure 3-6) by the mechanical processing

the process of converting sound from

the middle ear, and the paranasal sinuses.

sound

divers experience extreme changes in ambient

may

pressure, the ears

be injured unless the pressure

of air breathed into and out of the lungs and respiratory

between the air-containing cavity and the ambient
atmosphere is equalized. Barotitis media (middle ear

accordance with changes

squeeze) resulting from inadequate pressure equaliza-

passages thus also changes

in

the surrounding hydrostatic pressure.

in

between the middle ear and the ambient pressure
common problem among divers. Although
occasionally disabling, it is usually reversible. Because
more people are diving to deeper depths, there have
tion
is

3.2.1

Direct Effects of Pressure During Descent

Humans can

tolerate increased pressures

if

they are

uniformly distributed throughout the body. However,

when

the outside pressure

is

different

from that inside

the body's air spaces, this difference in pressure

shape of the involved

distort the

This

ry.

is

may

causing inju-

tissues,

in

been more serious and disabling problems involving
the inner ear.
In terrestrial environments, balance

and

such spaces as the sinuses and the

middle ear must be equalized on descent, or pressure

spatial ori-

entation depend on input to the central nervous system

from the

visual, proprioceptive (sense of touch),

vestibular (sense of balance) systems.

called barotrauma.

The pressure

a fairly

work beneath the

sea, visual

When

and

people

and proprioceptive cues

are frequently distorted; thus, spatial orientation and

differences will develop across the walls of these spaces.

balance become more dependent on information received

Once

from the vestibular system. Vestibular system dysfunc-

it

the pressure at a given depth has been equalized,

must be allowed

to

decrease

if

decreases, as occurs during ascent.

the external pressure

The

effects of pressure

on various parts of the body are discussed

in

the following

paragraphs.

tion

may occur

in

many phases

of diving, and the

subsequent vertigo, nausea (and, occasionally, vomiting)

can be

life

threatening.

The middle ear space (Figure
cell

systems

in the skull

3-6) connects with air

bone containing the

ear.

With

an intact eardrum membrane, the only communication
3.2.1.1

The Ears

between

this

system and the ambient atmosphere

is

The air-containing external and middle ear gives
humans a device that efficiently transforms airborne

through the eustachian tube. This tube

sound energy

leads from the middle ear to the nasopharynx (or upper

this

energy

is

to the fluid-containing inner ear,

where

transduced into electrical signals. Proper

functioning of this

mechanism requires

that both the

external ear canal and the middle ear contain air and
that differences in pressure be avoided

between these

structures and the ambient atmosphere or inner ear.

3-10

1.4 to 1.5 inches (3.5 to 3.8

cm) long

is

approximately

in the

adult and

expanded portion of the throat) behind the nasal caviThe nasopharyngeal opening normally is closed
by positive middle ear pressure, or, when opened during swallowing, by muscular action on the surrounding

ties.

cartilage.

NOAA

Diving Manual

— October 1991

Diving Physiology

Figure 3-6
Principal Parts
of the Ear

drum
Semicircular canals

or inner ear

may occur

with as

as 3 pounds
and they may

little

(1.3 kilograms) of pressure differential,

happen anywhere

in

the water column.

WARNING
Because Of The Danger Of Round Window
Rupture,

A

Maneuver Should

Forceful Valsalva

Not Be Performed During Descent

The inner ear consists of a system of fluid-filled
bony channels within the temporal bone (Figure 3-6).
Membranous

structures that are divided into two parts,

the vestibular system containing the semi-circular canals

and the auditory system, are located

in

these channels.

These two systems are interconnected and have a

common

blood supply. Changes in cerebrospinal fluid pressure

EAR

can be transmitted directly to the inner ear compartments, and therefore any maneuver such as straining,
The

air-containing external auditory canal, middle ear,

chian tube are noted. The
the perilymphatic

fluid-filled

inner ear

and eusta-

subdivided into

is

and endolymphatic spaces, which connect

to

the subarachnoid space by the cochlear duct and endolymphatic
duct, respectively.

Source: Bennett and Elliott (1982) with the
permission of Bailliere Tindall, Ltd.

or trying to clear the ears against closed nasal

lifting,

passages can cause increased pressure in the ear's fluidfilled

compartments. Marked pressure changes may

cause ruptures between the inner and middle ear, leading

.

to vertigo

and hearing

loss;

this

may happen even

in

shallow exposures.

The eustachian tube

In general,
is

lined by epithelium that

similar to the lining of the nose, sinuses,

ynx.

Abnormal

is

and nasophar-

nasal function can be caused by acute

or chronic inflammatory diseases, allergy, chronic

irrita-

from excessive smoking or prolonged use of nose
drops, or chronic obstruction from internal or external

tion

nasal deformities or lesions. Nasal dysfunction

may

contribute to inadequate eustachian tube function, which

may

cause middle or inner ear barotrauma

in divers

(Sections 20.3.2 and 20.3.3).

Descent usually causes greater difficulty

in

equalizing

the ear than ascent because the air passes from the

middle ear more easily than into the middle ear from
As descent or compression proceeds,

the nasopharynx.

middle ear pressure must be equalized constantly to
prevent middle ear barotrauma with possible eardrum

rupture or inner ear injury caused by rupture of the

round window (see Figure 20-1). Successful methods
of equalizing middle ear pressure are swallowing,

yawning, or gently blowing against a closed mouth and
nostrils. Forceful blowing (valsalva maneuver) should
never be done because, if the middle ear pressure is
already negative, forceful blowing, which causes an

any individual who has difficulty with

middle ear ventilation at the surface should not dive.

Furthermore, individuals who have chronic nasal
obstruction or a history of frequent upper respiratory

infections, nasal allergies, mastoid or ear disease,

or chronic sinus trouble should have a

complete

otolaryngological evaluation before diving. Also, individuals

who have an upper

respiratory infection of any

kind should not dive until the infection has cleared.

Systemic and topical drugs may improve nasal function
and sinus and middle ear ventilation. However, divers
should use such agents cautiously because the rebound
phenomenon that occurs after the drug, and especially
topical nose drops, wears off may lead to greater nasal
congestion and even greater equalization problems in
the ears and sinuses. Prolonged use of topical nasal

medications can cause chronic nasal

irritation.

For safe diving, equalization problems must be
avoided. For example,

if

a diver cannot clear his or her

ears on the surface, he or she should not dive.

Some

steps to be followed during descent are:
•

Descend

feet first, preferably

line or a

drop

line.

It

is

down

the anchor

easier to equalize middle

increase in cerebrospinal fluid and inner ear pressure,

ear pressure in the upright position because drain-

may

age

rupture the round window. Injuries to the ear-

October 1991

— NOAA

Diving Manual

is

more

effective in this orientation.

3-11

Section 3

Figure 3-7
Location of
Sinus Cavities
•

Clear the middle ear early, actively, and conscientiously during descent. Clearing by forceful
blowing against a closed mouth and nose should be

•

Stop the descent

avoided,

if

(

possible.
if

ear blockage or fullness devel-

symptoms

ops; the diver should ascend until these

have cleared, even

if

return to the surface

Descent should not be continued

is

required.

until ear pain

develops.

Inner-ear decompression sickness (also called vestibular decompression sickness) has occurred with no

symptoms other than

vertigo, ringing in the ears, or

nausea (Farmer 1976). Vestibular decompression sickness

commonly

seen more

is

after

deep helium-oxygen

dives, particularly after a switch to air in the later

stages of decompression, although

shallower air diving.

in

Any

also has occurred

it

diver with such

symptoms
Orbit Of Eye

during descent or compression should be considered as

having inner ear barotrauma, including possible rupture of the oval and round windows,

and should not be

recompressed. Recompression would again subject the
diver to unequal middle ear pressures. However, even
if

Maxillary
Sinus

these precautions are heeded, hearing impairment

can develop as a result of diving. For

this reason, divers

should have annual audiometric examinations.

(

NOTE
Any

diver with ringing or roaring in the ears,
loss of hearing, vertigo or dizziness, or nausea or vomiting during or shortly after decompression from a dive should be treated as
having inner-ear decompression sickness.

The Sinuses

3.2.1.2

The

sinus cavities are

shown

in

Figure 3-7. Although

paranasal sinus barotrauma occurs only rarely in divers,

inflammation and congestion of the nose, nasal deformities,

or masses can cause blockage of the sinus opening.

This blockage leads to a series of changes within the
cavities, consisting of absorption of pre-existing gas,

vacuum formation,

Maxillary
Sinus

swelling, engorgement, inflamma-

tion of the sinus lining, or collection of fluid in the
sinus cavity.

When

such blockage occurs during descent

in diving or flying, the intra-sinus

vacuum becomes

greater and the resulting pathological changes are
severe; there
in

some

may

more

Opening To

Pharynx

Eustachian

Tube

be actual hemorrhage into the sinus

instances.

Paranasal sinus barotrauma also occurs during ascent;
the

mechanism of

this

trauma appears

to be a

blockage

(

of a one-way valve of the sinus by inflamed mucosa,
cysts, or polyps,

3-12

which permits pressure equalization

Source:

NOAA

Diving Manual

NOAA

(1979)

—October 1991

Diving Physiology

Figure 3-8

Pressure Effects

on Lung Volume
during descent but impairs it during ascent. The symptoms and management of paranasal sinus barotrauma
are discussed in Sections 20.2.1 and 20.3.

The Lungs
As long as normal breathing takes place and

the

ample, the lungs and airways

will

3.2.1.3

breathing supply

is

equalize pressure without difficulty. If divers hold
their breath during a pressure increase, no difficulty
arises until the total

compressed

to less

volume of

air in the lungs

is

than the residual volume. Once the

in the lungs becomes less than the residual
volume, pulmonary congestion, swelling, and hemor-

volume

rhage of the lung tissue occurs; this condition is called
thoracic squeeze. Figure 3-8 graphically illustrates
the effects of pressure on lung volume.
In breath-hold diving, no high-pressure air

able to the lungs. Pressure compresses

and

Law

(P

fall in

lung volume,

the effects of Boyle's

i.e.,

V =P,VJ. Lung volume

tolerable compression.
will

avail-

diaphragm; pressure equalization results

raises the

from the

is

the diver's chest

Descending

limits the extent of

to

33 feet (10 meters)

reduce lung volume by one-half. Compression down

volume (the amount of air in the lungs after
forceful expiration) can be tolerated; however, when
chest compression exceeds this limit, tissue trauma
occurs. Fluid from the capillaries and tissues then
enters the alveoli and the air passageways and may
to residual

At the surface

Atmosphere Absolute, 4.7 psi. The lungs are
expanded with a full breath of air.
1

1

fully

cause gross hemorrhaging. Mild lung barotrauma causes

only pain and a slight exudation, which

reabsorbed, but

is

the lungs

quickly

may

be
damaged. This form of trauma generally responds well
in serious cases,

to conservative treatment consisting of general supportive

care, prevention of infection,

and intermittent

positive-

pressure inhalation therapy. Spraying with bronchodilators

may

and aerosols and inducing gravitational drainage
prove beneficial

if

hemorrhage

or bruising has

been severe.

The use of

a breathing

inspiratory resistance

apparatus that has a high

may cause pulmonary edema

(increased fluid in the tissues of the lungs). In an effort
to

maintain adequate lung ventilation during moder-

ate activity, the small veins of the lungs

aged, fluid

may

may

be dam-

seep through the membranes, and the

may rupture. In addition, gas exchange can be
hampered, which increases the risk of decompression
sickness. Coughing and shortness of breath are symptoms of this condition, and x rays of the chest may show
patchy pulmonary infiltration, which usually clears
alveoli

At 33 Feet
2

Atmospheres Absolute. 29.4

hydrostatic pressure, the

lungs

is

reduced

to only

Vi

psi.

Because

same volume
its

of

of air in the

surface volume.

within 24 hours without specific therapy.

The lungs can be traumatized during the compression phase of a dive or treatment

October 1991

— NOAA

if

an individual stops

Diving Manual

Source:

NOAA

(1979)

3-13

Section 3

may

breathing, either voluntarily by breath-holding or invol-

overexpansion and overpressurization of the lungs

untarily because of windpipe or tracheal obstruction

cause progressive distension of the alveoli. This over-

or convulsions.

distension

may be

general, which occurs with breath-

holding or insufficient exhalation, or localized, which
3.2.1.4

happens with partial or complete bronchial obstruc-

The Teeth

tion

Pain

in the teeth (harodontalgia)

can occur

in diving

and may be caused either by referred pain from the
paranasal sinuses or by tooth squeeze. This latter condition, athough uncommon, is caused by a variety of
dental conditions, such as

new

lesions or a lesion that

has developed around the edge of an old

filling (recur-

(Rottman 1982). Tooth squeeze is not caused
trapped in a filling. Other causes of tooth squeeze

rent decay)

by

air

include recent extractions,

gum

infections that have

formed periodontal pockets, large areas of decay where
is infected, and recent fillings. Tooth squeeze

the pulp

can also occur

if

is

mucus,

of any type. Problems of lung overinflation can occur

during ascent from depths as shallow as 4-6 feet
(1.2-1.8 meters)

if

the breath

is

held. Several of the

most commonly encountered physiological

difficulties

associated with pressure during ascent are described

paragraphs; each may be prevented by
breathing normally during ascent, providing there is
no localized airway obstruction. Figure 3-9 shows the
in the following

possible consequences of overinflation of the lungs.

to

dry and seal the canal between treatments with a material
is

lesions,

a person dives while undergoing root

canal therapy. Part of the root canal procedure

that

caused by the presence of bronchial

bronchospasm. For this reason, individuals with
bronchial asthma should not do compressed gas diving

or

WARNING

designed to be adequate at a pressure of one

atmosphere. Exposure to higher pressures, however,
can produce small leaks

in this

Do Not Hold Breath While Ascending

material that are not

able to release air fast enough during subsequent ascent.

Like other squeezes, tooth squeeze usually subsides

3.2.2.1

Pneumothorax

Distended alveoli or

(emphysematous

sphere. This

when the ambient pressure is reduced to one atmomechanism also may be the explanation

blebs)

for tooth explosion (Rottman 1982). Gas that has accumulated slowly during a saturation dive can cause

is

tooth explosion during or after decompression.

gas expands as the diver surfaces, causing increased

may

(pleura),

air-filled blisters

membrane lining of the chest
causing pneumothorax. Under pressure, this
rupture the

extremely dangerous because trapped intrapleural

pressure in the chest cavity.

The lungs may be

lapsed by this pressure, and the heart
3.2.2 Direct Effects of

Pressure During Ascent

is

if

the breath

is

held or there

a localized airway obstruction, the expanding air

retained, causing overinflation

col-

be pushed

its normal position. Symptoms and signs include
sudden severe pain, reduction of breathing capability,
and, rarely, coughing of frothy blood.
The rapid onset of pneumothorax can cause sudden

out of

During a pressure decrease (e.g., during ascent), the
air in the body cavities expands. Normally, this air
vents freely and there are no difficulties. If breathing
is normal during ascent, the expanding lung air is
exhaled freely. However,

may

is

and overpressurization

of the lungs. For example, the air in the lungs at a

depth of 66 feet (20.1 meters) gradually expands to

respiratory and circulatory difficulty, impaired car-

diac function, or death from shock. Early diagnosis

and prompt treatment with thoracentesis (chest puncture) are essential. If recompression is required for
concomitant conditions, the pneumothorax must be
vented or released by a chest tube or other device
before ascent

is

accomplished.

WARNING
3.2.2.2

A

Who Has

Experienced Blowup (or an
Overpressure Accident) Must Immediately
Be Examined by a Physician
Diver

Mediastinal

Emphysema

Mediastinal emphysema

is

the result of air being

forced into the tissues about the heart, the major blood
vessels,

and the trachea (windpipe)

in the

middle of the

Gas trapped in the spaces between tissues may
expand rapidly with continuing decompression, causing impaired venous return. The symptoms of mediastinal emphysema are pain under the sternum (breastbone) and, in extreme cases, shortness of breath or
chest.

volume during ascent to the surface (see
air volume can expand safely to the
point of maximum inspiration, assuming there is no
three times

Figure 3-8).

its

The

airway obstruction.

3-14

If the

pressure decreases further,

NOAA

Diving Manual

— October 1991

Diving Physiology

Figure 3-9
Complications From Expansion
of Air in the Lungs During Ascent
fainting caused by circulatory interference resulting
vessels. The
emphysema is

from direct pressure on the heart and large
treatment for mild cases of mediastinal

symptomatic. In more severe cases, oxygen inhalation

may aid resolution of the trapped gas. For severe,
massive mediastinal emphysema, recompression is

Cerebral Gas Embolism

required.

Air Passes Via

Carotid Arteries
To Brain

Subcutaneous Emphysema
may be associated
mediastinal emphysema, is caused by air being

3.2.2.3

Subcutaneous emphysema, which
with

Mediastinal

forced into the tissues beneath the skin of the neck

Emphysema

extending along the facial planes from the mediasti-

num. Unless

it

is

extreme (characterized by a crack-

ling of the skin to the touch), the only

symptoms of

subcutaneous emphysema are a feeling of fullness

in

the neck and, perhaps, a change in the sound of the
voice.

Having the victim breathe oxygen

will

acceler-

ate the absorption of this subcutaneous air.

Gas Embolism

3.2.2.4

The most
tion

serious result of

nary venous system. This gas

Air Passes Along

Air Enters-

Bronchi To

Pleural Cavity

Mediastinum

(Pneumothorax)

Air Enters

Blood Vessel

pulmonary overpressuriza-

the dispersion of alveolar gas into the pulmo-

is

is

carried to the heart and

then into the arterial systemic circulation, causing gas

emboli (gas bubbles)

in the

coronary, cerebral, and

other systemic arterioles. These gas bubbles continue

expand as the pressure decreases, which in turn
makes the clinical signs more severe. (Section 20.4.2
describes the symptoms of arterial gas embolism in
to

detail.)

The
Alveoli

lism

Expanded

clinical features of

may

traumatic arterial gas embo-

occur suddenly or be preceded by dizziness,

headache, or a feeling of great anxiety. Unconsciousness,

and convulsions follow quickly. Motor
and in
different combinations. Death is caused by coronary

cyanosis, shock,

and sensory

deficits occur in various degrees

or cerebral occlusion with cardiac arrhythmia, respiratory failure, circulatory collapse,

examination of a person with

and shock. Physical

a gas

embolism may

reveal: (1) focal or generalized convulsions; (2) other

neurological abnormalities; (3) marbling of the skin;
Alveoli

Normal

bubbles

(4) air

j^

in the retinal vessels of the eye;

(5) hemoptysis; or (6) Liebermeister's sign (a sharply

defined area of pallor in the tongue). Temporary obstruction of

an air passage, which can occur with a cold or

bronchitis, increases the risk of gas embolism,

and

diving with a respiratory infection should therefore be

avoided.

A

person with bronchial asthma has hyper-

reactive small airways in the lung. Breathing dry

compressed
Source:

October 1991

— NOAA

Diving Manual

NOAA

(1979)

air,

aspiring salt water or cold water,

exercising, or being anxious can all cause a

bronchospasm

3-15

Section 3

under water. Ascent with local

air

trapped

in the alveoli

could cause a pressure imbalance and rupture, resulting
in

gas embolism. For this reason, bronchial asthma

is

a

contraindication for compressed gas diving,
regardless of how well the asthma is controlled by
medication. Coughing or sneezing while in a recom-

strict

pression

chamber

or while ascending during a dive can

embolism. Divers should stop their
they feel a cough or a sneeze coming on, and

ascent to expel gas by belching or passing

An

tum.

may

during ascent

cause marked discomfort and vaso-

foods before diving is not recommended. If a diver
swallows enough air, he or she may have difficulty

may

breathing and

then panic. Accordingly, activities

that cause air swallowing, such as

ascents

avoided during diving.

chamber operators should stop the chamber ascent
they are notified that an occupant of the chamber

The only

effective treatment for gas

A

is

patient should be kept in the

which may help

to

keep bubbles

embolism

Bubble Formation and Contact Lenses
The use of contact lenses by divers has increased

3.2.2.6

is

significantly in recent years. For this reason, studies

position,

in the circulation

reaching the brain. Placing the patient on the
helps to maintain cardiac output, which

may

from

left side

be impaired

because the gas bubbles have decreased the efficiency
of the

pumping action

of the heart (see Figure 19-9).

In non-fatal cases, residual paralysis, myocardial necrosis,

may occur

recomnot carried out immediately and may even

and other ischemic

injuries

pression

is

occur

adequately treated patients

in

in

initiating therapy.

if

there

if

is

a delay

Hyperbaric chambers that can-

not be pressurized to 6

ATA

chewing, should be

if

merely symptomatic.

head-down

gum

is

about to cough or sneeze.
recompression; other treatment

per rec-

vagal effects. Eating large amounts of gas-producing

also cause a gas
if

it

excess of gas in the stomach or intestine

are not as effective for

embolism treatment as those with this capacity, but
recompression to 2 or 3 ATA is far better for the
embolism patient than no recompression.

have been done to determine the inherent dangers of
using them, especially during decompression (Simon
and Bradley 1981). Three types of contact lenses were

compared, membrane (soft) lenses and two types of
polymethylmethacrylate (hard) lenses. One type of
hard lens (fenestrated) had a 0.016 inch (0.4 millimeter)
hole in the center, while the other type (non-fenestrated)

was
sions

solid throughout.

from 149

During controlled decompres-

feet (45.5 meters) in a hyperbaric

cham-

wearing the non-fenestrated hard lenses

ber, subjects

developed small bubbles in the precorneal tear film
under the contact lens. These bubbles, first observed at
70 feet (21.3 meters), increased both in number and

decompression progressed. The divers wearing

size as

these hard lenses experienced soreness, decreased vis-

ual acuity, and reported seeing halos

when viewing

These symptoms were noted at the time of bubble formation and persisted for about 2 hours after
return to sea level (Simon and Bradley 1981). No bubbles were noted under the same decompression conditions when the divers wore the fenestrated hard lens,
lights.

WARNING
Central Nervous System Decompression
Sickness Is Clinically Similar to Gas Embolism and the Treatment of Either Requires a
Recompression Chamber

membrane lens, or no lens at all.
The authors of this study concluded that

the soft

the bubble

formation was caused by the lack of permeability of
the hard non-fenestrated lens (Simon and Bradley
In cases of gas embolism, administering

oxygen and

positioning the body (head-down at a 15 degree angle)

are only partially effective; drugs and fluids also

be helpful. These measures should be used
val before the patient reaches a

may

It is recommended, therefore, that divers electing
wear contact lenses use either soft membrane lenses

1981).
to

or hard fenestrated lenses.

in the inter-

recompression cham-

3.2.3 Indirect Effects of

ber (see Section 20.4.2).

The

in the partial

3.2.2.5

Overexpansion of the Stomach and Intestine

The stomach and

large intestine ordinarily contain

1.06 quarts (1 liter) or

more

of entrapped gas. Since

Pressure

indirect effects of pressure are caused

by changes

pressures of the gases in the breathing

medium. These

effects include saturation

and desat-

uration of body tissues with dissolved gas and changes
in

body functions caused by abnormal gas

tensions.

the intestines are surrounded by soft tissues, the com-

pression and re-expansion of these air bubbles are
ordinarily neither hazardous nor noticeable. If one

swallows air while diving,

3-16

it

may

be necessary during

3.2.3.1 Inert

Gas Absorption and Elimination

While breathing

air at sea level,

body

tissues are

equilibrated with dissolved nitrogen at a pressure equal to

NOAA

Diving Manual

— October 1991

Diving Physiology

the partial pressure of nitrogen in the lungs. During

and thus causes

exposures to altitude (low pressure) or

tissues;

in

diving (high

inert gas to be eliminated

after a sufficient time,

enough gas

from body
will have

pressure), the partial pressure of nitrogen in the lungs

been eliminated

to

change and the tissues will either lose or gain
nitrogen to reach a new equilibrium with the nitrogen
pressure in the lungs. The taking up of nitrogen by the
tissues is called absorption or uptake; giving up nitrogen from the tissues is termed elimination. In air diving, nitrogen absorption occurs when a diver is exposed
to an increased nitrogen partial pressure, and elimination occurs when pressure decreases. This process occurs
when any inert gas is breathed.

This process

continued until the diver reaches the

will

Absorption consists of several phases, including the
transfer of inert gas

from the lungs

and

to the blood

then from the blood to the various tissues through

which

The gradient

flows.

it

for gas transfer

partial pressure difference of the gas

is

the

between the lungs

and blood and the blood and the tissues. The volume of
blood flowing through the tissues is usually small com-

is

surface safely.

permit the diver to ascend further.

On

surfacing, the diver's body

contains inert gas in supersaturated solution
tissues,

but this

is

normally safe

if

kept within proper

decompression limits and if further pressure reduction, such as ascent to altitude, does not occur (see
Section 14.8).

The basic principles
same for any

are the

of absorption and elimination
inert gas breathed.

However,

there are differences in the solubility and rates of gas
diffusion in water
in tissues

and

fat.

Helium

than nitrogen and diffuses

equilibration occurs
the case for nitrogen.

is

much

less soluble

Thus, helium

faster.

somewhat more rapidly than is
The advantages in using helium-

oxygen rather than nitrogen-oxygen mixtures are

pared to the mass of the tissue, but over a period of

dom from narcosis and a decrease in breathing
To develop mathematical models of gas

time the gas delivered to the tissue will cause

tissues,

physiological theory postulates that the

body

composed of

it

to

become equilibrated with that carried in solution by
the blood. The rate of equilibration with the blood gas
depends on the volume of blood flow and the respective
capacities of blood and tissues to absorb the dissolved

still

some

in

is

free-

resistance.

solubility in

human

several 'tissue compartments,' each

having a different 'half time.' For example, a compartment with a half time of 10 minutes is one in which
the tissues are 50 percent saturated with gas after

For example, fatty tissues hold significantly more

exposure to pressure for 10 minutes, while a 20-minute

gas than watery tissues and will thus take longer than

compartment would be 50 percent saturated in 20 minutes, and so on. Various characteristics of these theoretical compartments, such as their relative fattiness,

gas.

watery tissues to saturate or desaturate excess inert
gas.

The process
tion.

of elimination

is

the reverse of absorp-

During ascent and after surfacing, the

tissues lose

are believed to account for these differences in tissue
half times.

excess inert gas to the circulating blood by diffusion,
the gradient being the difference
partial pressure in

between the

inert gas

of inert gas that can be

Decompression Sickness
Decompression sickness (DCS) refers to the illness
that may occur after a reduction in barometric pres-

limited, so the tissue inert gas

sure; such a reduction in pressure can occur either

each tissue and that

in the

blood

after the blood has equilibrated to the pressure of the

gas in the lungs.

taken up

in the

The amount

blood

is

tension falls gradually.

As

blood flow, the difference

amount

in

absorption, the rate of

in partial

and the
and blood

pressures,

of inert gas dissolved in the tissues

determine the rate of elimination. After decompressing to
the surface or ascending to a shallower level, equilibration

new level may require 24 hours or more.
is assumed that, during decompression,

at the
It

and

tissues

can to some degree hold gas

solution without bubbles being formed.

to

the blood

in

supersaturated

A

supersaturated

is

become supersaturated

when returning from

the depth of a dive to the atmo-

sphere at sea level or when going from the atmosphere
at sea level to the

atmosphere

decompression sickness

from solution

in

is

for short periods of time, a

bubbles are the cause of

DCS

October 1991

— NOAA

Diving Manual

borne out by the facts

DCS (as well
DCS symptoms

incidents of

as during decompressions in

occurred), and (2) no other

explanation accounts so well for the success of

re-

compression therapy as a treatment for DCS.

These bubbles can cause the symptoms and signs of
through various mechanisms: Intracellular bub-

bles can disrupt the cells

without bubble

establishes an outward gradient

is

which no

depth and duration of

his or her dive,

of

that (1) bubbles have been seen and recorded during

DCS

The ascent

The cause

the tissues and blood of the body and

diver can ascend a certain distance, depending on the

formation.

at altitude.

the release of dissolved gas

the consequent formation of bubbles in the body. That

one that holds more gas than would be
possible at equilibrium at the same temperature and
pressure. Because of the ability of the blood and tissue

solution

3.2.3.2

and cause

loss of function;

intravascular bubbles can act as emboli and block

3-17

Section 3

many

circulation either to a few or

tissues,

The most common symptom

depending

DCS

of

is

which

pain,

is

on where these bubbles lodge; and extravascular bubbles can cause compression and stretching of the blood

usually localized at a joint. Pain

and nerves. In addition, the blood-bubble interface acts as a foreign surface and activates the early
phases of blood coagulation and the release of vasoactive

often described as a dull, throbbing pain deep in the
joint or tissue.

substances from the cells lining the blood vessels.

the pain as being related to

vessels

The causes

of

DCS

include inadequate decompres-

decompression table used was

sion (either because the

inadequate or was not followed properly), individual
physiological differences, or environmental factors.
Inadequate decompression

is

an obvious cause of

DCS,

70

to

DCS

75 percent of

The

reported to occur in

is

cases.

The pain

onset of this pain

and, in the early stages, the diver

DCS

of

is

usually gradual

is

may

not recognize

DCS. However,

the pain

more intense and, in some cases, it may
become severe enough to interfere with the strength of

slowly becomes

the limb. In divers, the upper limbs are affected about

three times as often as the lower limbs. Before

decided that the case involves Type

DCS

I

it

is

only, the

symptoms occur even when the decom-

diver should be given a careful examination for any

obviously inadequate. In addition, decom-

as obesity, fatigue, age, poor physical condition, being

may be masking
symptoms. However, if pain is truly the
only symptom, the case falls into the Type I category
and should be treated as such.
Although pain is reported as a symptom in 30 percent of cases of Type II DCS, this form of DCS includes
all cases that have respiratory problems, hypovolemic
shock, or more serious symptoms or signs of central or
peripheral nervous system involvement. Because of the

dehydrated, or having an illness that affects the lung

involvement of the nervous system, Type

or circulatory efficiency. Environmental factors that

be associated with

but frequently no

pression

is

may occur even

pression sickness

tables used are adequate

Moreover,

it

common

is

if

the decompression

and are
assume

strictly observed.

to

that

DCS

cannot

occur on a 'no-decompression' dive; however, although
is

uncommon

dives,

it

DCS

for

to

it

occur on no-decompression

can happen. Differences

in individual physi-

DCS

include factors such

ology that

may

predispose to

have been implicated

in the

DCS

development of

cold water, heavy work, rough sea conditions,

are

and the

Decompression sickness (colloquially termed 'the
may be divided into two general categories,
Type I and Type II. Type I DCS includes those cases in
which pain, skin itching or marbling, or lymphatic
involvement are the only symptoms. The mildest cases
bends')

DCS

are those involving the skin or the lymphatics.

Skin bends are characterized by itching of the skin and
a burning sensation,

which may also be accompanied

by the appearance of a mottled rash or marbling of the
skin. Lymphatic involvement is usually signaled by

many

These usually have their
after a dive but, as

is

II

DCS may

and symptoms.
onset during or immediately

different signs

Type

the case with

I

DCS, may

experts also consider the

and excessive fatigue that

DCS.

may

common

site for

Type

II

DCS

common symptoms

in spinal

cord trauma; these include paralysis, loss of

are similar to those seen

sensation, muscular weakness, loss of sphincter control,

and girdle pain of the trunk. Often the symptoms

or signs of either spinal cord

DCS

or peripheral nerve

DCS

do not follow a typical nerve distribution, and
care must be taken not to dismiss strange neurological
complaints or findings as hysterical

may

toms

be unstable

in position

is

uncommon.

early stage of spinal or peripheral

of anorexia

symptoms

follow a dive manifes-

the spinal cord, and

is

the most

symptoms

painless swelling, but such involvement

Some

serious

occur as long as 36 hours after surfacing. The most

use of heated suits.

of

neurological signs, because the pain

more

is

matic nerve

different

in origin.

Symp-

and type during the

DCS;

this shifting in

from the usual history of

trau-

injuries.

which are

Cerebral decompression sickness can be manifested

mild pains that begin to resolve within 10 minutes of

form of almost any symptom. Common ones are
headaches or visual disturbances, and others include
dizziness, tunnel vision, confusion, disorientation,
psychotic symptoms, and unconsciousness. The combination of nausea, vomiting, vertigo, and nystagmus
is characteristic of labyrinthine DCS, which is known
as the 'staggers' because its victims have difficulty

tations of

Type

I

onset, are considered

mild cases of Type

In addition, 'niggles,'

symptoms
I

involvement, or niggles)

DCS

of

Type

I

DCS. These

(skin bends, lymphatic

do not require treatment other

than breathing pure oxygen at
of time, and often even this

1

is

ATA

for a short period

not required. However,

any diver with niggles, skin bends, or lymphatic
involvement should be watched closely, because these
symptoms may presage the onset of more serious problems that

will require

recompression.

ply be assumed that these symptoms
to more severe ones.

3-18

It

should not sim-

in the

walking or maintaining their balance. Tinnitus and
partial deafness may also occur as part of this complex
of symptoms.

Pulmonary

will not progress
It

is

DCS

is

commonly known

as the 'chokes.'

characterized by substernal distress on inhala-

NOAA

Diving Manual

— October 1991

Diving Physiology

Figure 3-10
Isobaric Counterdiffusion
tion,

coughing that can become paroxysmal, and severe

respiratory distress that can end in death. This form of

DCS has been
DCS cases.

reported to occur

(A) Steady

(

about 2 percent of

in

if

°

o

Hypovolemic shock may occur as the sole symptom
of Type II DCS, but it is more commonly associated
with other symptoms. The symptoms of rapid pulse
rate, postural hypotension, etc., are no different from
those found in hypovolemic shock occurring for other
reasons and should be treated in the same manner, that
Rehydration should be performed
is, by rehydration.
orally

o

o

o

all

the patient

conscious

is

intravenously. Mild hypovolemia

or, if

may

State-

o

1

°

o

o

o
°n\°
o
^-^

o

£Jftt&CQ

°y^M
\.
r

o

r

/•JZWv

o
o

O
•

o

•V

Gas

1

Gas

2

o

V

mpJTSt\\

o

o

)

I

o \

o

&&**•*
•*

°

0-**°

o

unconscious,

be more com(B) Transient

mon

in

diving than

is

generally realized because of the

'•

while dressed in a diving

suit,

/No
\

limited access to fluids,

*f

symptoms of

more complete discussion

DCS may

be found

in Elliott

1

I

always be identified and treated, because the treatment of DCS is less effective if the shock condition has

A

•

•

pressure or cold diuresis, etc. Hypovolemic shock should

not been corrected.

•

•

increased heat load that results from working hard

'W°
•y Rx\.

*
•

of the

and Kindwall

Jfe
L-^O/fcr^

•

(1982).

!•

Q¥sV\

•

•

•
•

1

•
cs*r°*

Source: Bennett and Elliott 1982) with the
permission of Bailliere Tmdall, Ltd.
(

3.2.3.3

Counterdiffusion

Experiments dating back

.

1962 have demonstrated

to

that the sequential use of different breathing gases in a

particular order, determined by their physical properties,

could increase dive time at depth without increas-

During some of
was discovered that a
diver breathing one gas mixture while surrounded by
ing a diver's decompression obligation.

these experiments, however,

it

another could develop serious gas lesions even when
the ambient pressure
level

was maintained at a constant
(D'Aoust and Lambertsen 1982).

For example, experimental subjects breathing neon

at the skin,

where a gradient sloping to the exterior
approaches satu-

exists; note that the superficial skin

ration with gas

1

(°),

except for a gradient

ies.

The process depicted

deep

counterdiffusion occurs
is

in

Figure 3-1

tissue isobaric gas exchange.

suddenly changed

to

if

environment developed skin lesions, severe nausea,
vomiting, and vestibular derangement. Because this
phenomenon involves the passage of gases at the same
ambient pressure through tissue fluids in opposing

skin,

has been termed isobaric counterdiffusion or

isobaric counterexchange.

saturation or subsaturation) can occur in the skin or

between internal

tissues

and

their capillaries. This

can

lead not only to serious lesions but also to the formation of gas

constant.

emboli even when ambient pressures are

The process

is

shown

in

situation depicted in Figure 3-1

'steady state' and occurs

when

0A

Figure 3-10. The
is

referred to as

the superficial tissues

of the subject approach saturation with gas 2

October 1991

is

— NOAA

Diving Manual

(•)

except

OB occurs

different

and gas

2 (•) will be

initially

in

from the
1

c
(

)

will

through the

taken up again via the

lungs and through the skin. Unlike the situation

in

Figure 3-1 0A, this latter process must be considered
transient, since gas
to a negligible level

1

(°) eventually will be

and gas 2

(•)

will

the subject at a final pressure that

Depending on circumstances, counterdiffusion (super-

that

1

Deep-tissue isobaric

one being breathed. In such a situation, gas

be eliminated via the lungs and

it

gas

the gas surrounding a diver

one that

or nitrogen mixtures while surrounded by a helium

directions,

in

slopes from the exterior to the interior blood capillar-

reduced

eventually saturate
is

no greater than

ambient (D'Aoust and Lambertsen 1982).

Depending on depth and the breathing gases being
used, the total gas tensions produced during the transient

can reach levels sufficiently high

to

formation and decompression sickness.

cause bubble

Work

in this

complex field is continuing and should lead to the use
of improved gas sequences and improvement in the
efficiency of deep diving and the development of safer
decompression procedures.

3-19

Section 3

3.2.3.4

Aseptic Bone Necrosis
(Dysbaric Osteonecrosis)

Exposure
pressure

is

to

compressed

which may have been a factor in the destrucBone lesions may not become
apparent on x rays for 4 months to 5 years after the
crystals,

tion of the joint surface.

air at elevated

atmospheric

sometimes associated with the death of

necrosis

This condition

(1982).

is

referred to as avascular necrosis of

bone, caisson disease of bone, or aseptic or dysbaric

bone necrosis. These changes are not of infectious

ori-

A

initiating insult.

portions of the long bones of the exposed individual.

A

detailed review of aseptic bone

may be found

McCallum and Harrison

in

3-year survey of 350 full-time divers in the British

Navy showed

bone
had shown no

a 5-percent incidence of aseptic

and they have been seen in patients suffering from
many conditions, such as chronic alcoholism, pancreatitis, and sickle-cell anemia, in patients using sys-

evidence of having experienced decompression sick-

temic steroids, and

survey of 934 U.S.

gin,

in caisson

(compressed

air tunnel)

workers and divers. The development of changes

in the

accompabreakdown,

necrosis; half of the affected divers

ness

(Workman, personal communication).

Navy

divers,

aseptic bone necrosis were found by standard radio-

hip and shoulder joints of caisson workers,

graphic techniques; another

nied by crippling effects caused by joint

as doubtful (Hunter et

was

first

noted

in

1888, but the disease has not been

who

In a recent

16 positive cases of

1.71

al.

1 1

cases were interpreted

1978).

The data revealed

a

percent incidence overall and a 6.7 percent inci-

more conservative decompression procedures than com-

dence for divers over the age of 35. Although the
relationship between aseptic bone necrosis and decom-

pressed air tunnel workers do.

pression sickness

particularly prevalent in divers,

generally observe

is

not clear, the incidence of oste-

of aseptic bone necrosis occur in the

onecrosis in the subjects of this study was found to be

head of such bones as the femur (long leg bone) or
humerus (bone of the upper arm), the weakened underlying bone that supports the cartilage covering the bone
will collapse under weight-bearing and activity, causing the joint surface to break down and become irregular. Pain occurs with movement of these joints and is
accompanied by muscle spasms around the joint and
the inability to use the joint in a normal manner. Since
the lesions often are bilateral and symmetrical, both

and number of months of diving.
Navy, the
long-bone radiographs of a group of 177 non-diving
enlisted men were compared to the long-bone radiographs of 93 enlisted divers 35 years of age or over
(Hunter and Biersner 1982). It was found that diving,
as practiced by the U.S. Navy, contributes independently
to the development of aseptic bone necrosis and bone

If the lesions

may collapse,
Lesions may also occur

femoral heads

causing severe disability.
in

the shafts of the long

bones, but these almost never cause
bility;

symptoms

or disa-

however, bony scars that indicate increased density

may appear on

x ray after

elbows, wrists,

new bone

Bone necrosis

is

deposited during

seldom seen in the
or ankles of divers or caisson workers

the healing process.

is

(Kindwall 1972).

Factors that

may

be related to the likelihood of

developing bone lesions are frequency of exposure to
pressure,

number

of cases of bends,

adequacy and

promptness of recompression treatment, and the

total

amount of exposure to pressure. According to McCallum
and Harrison (1982), "The whole process from the
first radiographic appearance of the lesions to loss of
continuity in the joint surface may take only from 3 or
4 months to 2 or 3 years or perhaps longer."
The cause of aseptic bone necrosis has still not been
demonstrated beyond doubt. There is some evidence
that fat emboli may occlude circulation in the blood
vessels in bone and other tissues and thus may be a
factor in the development of hip lesions in the chronic
alcoholic with a fatty liver. In patients with gout,
lesions of the hip joints have contained sodium urate

3-20

related both to age

In another study conducted by the U.S.

cysts, as

evidenced among divers

in the tested group.

This conclusion was qualified by the statement that
the results must be viewed with caution 'because of the
larger

number

group

than for the diver group, the small

of doubtful films found for the nondiver

number

of

and doubtful cases found in either group, the
age of the samples used (35 years of age or older), and
the substantial degree of unreliability demonstrated in
the classification of the films' (Hunter and Biersner
1982). A subsequent study, also by the U.S. Navy,
concluded that the prevalence of bone cysts among
Navy divers is probably related to one or more of
several conditions, including hyperbaric exposure,
positive

genetic predisposition, and increased exposure to adverse

environmental or hazardous conditions (Biersner and

Hunter 1983).

3.2.3.5 Inert

Gas Narcosis

Inert gas narcosis is caused by the raised partial
pressure of the inert gas in compressed air (see
Section 20.1.6). In diving, the most common type of
inert gas narcosis

and other

is

nitrogen narcosis. Although nitrogen

inert gases are physiologically inert

mal conditions, they are able

NOAA

to

under nor-

induce signs and symp-

Diving Manual

— October 1991

Diving Physiology

toms of narcosis or anesthesia at sufficiently raised
pressures. Other inert gases, such as those in the noble
gas series, range

narcotic potency from helium through

in

neon, nitrogen, argon, and krypton to the surgical anesthetic xenon.

Recent analyses have demonstrated that

the qualitative behavioral effects are equivalent regardless of the specific
al.

Neon

1985).

gas causing the narcosis (Fowler et

has been used satisfactorily for exper-

imental diving procedures but

Helium

is

not used in diving

widely used

The onset of narcosis is rapid. The condition is often
when a diver first reaches depth and may there-

severe

Recovery

after stabilize.

equally rapid and

is

accom-

is

plished by ascending to a shallower depth so that the
narcotic effect of the inert gas

who
remember

reduced. Divers

is

may

have experienced narcosis on a dive

not

events occurring at depth.

High alveolar pressures of
in their effects

N

and CO, are additive

on performance, but

CO,

has no signif-

diving as a

icant effect on nitrogen narcosis (Hesser, Adolfson,

substitute for nitrogen and to prevent narcosis (see

and Fagraeus 1971). Factors that can increase the

such a weak narcotic that

susceptibility to narcosis include alcohol or the after-

today.

is

a gas

Section 15.1.3). Helium

is

in

helium narcosis has not been demonstrated.

that

is

it

caused by the physiochemical interaction of

the inert gas with the nerve cell

A

body.
rect

is

membranes

of the

theory widely held that has been proved incorthat the signs and

symptoms

of narcosis are

caused by carbon dioxide retention resulting from
respiratory embarrassment occasioned by the breathing of dense inert gas mixtures at raised pressures.

signs and symptoms of narcosis are noticed first
approximately 100 feet (30.5 meters) during com-

The
at

pressed air breathing and are similar to those of alcoholic intoxication or the early stages of hypoxia; there
is

a wide variation in individual susceptibility. However,

depths the majority of compressed air divers

at greater

show impairment of thought, time perception, judgment, reasoning, memory, ability to perform mental or
motor

tasks,

and increased reaction time (see Table

Many measures

3-2).

have been used to assess the perform-

ance decrement resulting from inert gas narcosis.
Cognitive tests are more sensitive measures of narcotic
effects than manual dexterity tests (Fowler et al. 1985).
Intellectual capacities such as short-term

memory

are

affected to a greater extent than manual dexterity. If

become

where they are

dives

air

depths

to

symptoms

of nar-

et al. 1960).

greater

100

than

feet

(30.5 meters), special precautions should be taken;

only experienced,

many

be used. As

fit,

and well-trained divers should

decisions as possible should be

made

before the dive, including length of bottom time, duration of ascent,

and actions

to be taken in

an emergency.

Experience, frequent exposure to deep diving, and a
high degree of training

may

permit divers to dive as

deep as 180-200 feet (54.9-61 meters) on

air,

but

novices or susceptible individuals are advised to remain
at shallower depths.

At depths greater than 180

feet

(54.9 meters), the performance or efficiency of divers

breathing compressed air will be impaired. At 300 feet
(91.5 meters) or deeper, the signs and
narcosis are severe and there

is

symptoms

of

the possibility of hallu-

cinations, bizarre behavior, or loss of consciousness.

Furthermore, because of the associated increased oxygen
partial pressure at such depths,

may

oxygen convulsions

occur.

oxygen tend

may have

feel-

and well-being (euphoria) and a sense
accompanied by

of detachment from the environment,

dangerous overconfidence, an uncontrollable desire

and

a tingling

gums, and

correct

For

Frankenhaeuser

Experimental work has suggested that divers satu-

ings of elation

lips,

pressure increase the signs and

cosis (Hesser 1963;

rated on compressed air or a mixture of nitrogen and

Divers experiencing nitrogen narcosis

to laugh,

nitrogen partial pressure, increases in the oxygen partial

likely

tasks well before diving.

a

motion sickness remedies and sedatives. At a constant

narcotic, they should practice anticipated

divers expect to dive in situations
to

and the effects of

effects of alcohol, fatigue, anxiety, cold,

Although many theories have been developed to
explain the mechanism of inert gas narcosis, it is clear

legs.

and vague numbness of the

There may be an

and rapid decisions or

on a task. Errors

may

be

inability to

make

to concentrate effectively

made

in

recording or compil-

some

to adjust to

of the narcotic effects of

nitrogen, thus permitting deeper air breathing excur-

made (Hamilton

et al. 1973, Schmidt et al.
and Hamilton 1975, Miller 1976).
However, divers must have demonstrated their ability

sions to be

1974,

Langley

to adjust to elevated partial pressures of nitrogen before

procedures relying on

it

can be used without taking

extra care and providing additional supervision (Bennett

1976, 1982). Various efforts have been

made

to use

ing data or computations. Novices, especially, may-

drugs and other methods to reduce the effects of nar-

develop terror rather than euphoria. Narcosis

cosis.

nificant

danger

to divers

because

it

is

a sig-

increases the risk

of an accident and simultaneously diminishes their
ability to

cope with an emergency.

October 1991

— NOAA

Diving Manual

In general, 'the

weight of evidence favors the

conclusion that ethanol (alcohol) exacerbates narcosis

and amphetamine ameliorates

it.

This

with the view that narcosis depresses the

is

consistent

CNS

(central

3-21

Section 3

Table 3-2
Narcotic Effects of
Air Diving

Compressed

Depth

Feet

Meters

Effect

30-100

9.1-30.5

Mild impairment of performance on unpracticed tasks
Mild euphoria

100

Reasoning and immediate memory affected more than motor coordination and

30.5

choice reactions. Delayed response to visual and auditory stimuli

100-165

Laughter and loquacity

30.5-50.3

may be overcome by

self control

Idea fixation and overconfidence
Calculation errors

165

50.3

Sleepiness, hallucinations, impaired judgment

165-230

50.3-70.1

Convivial group atmosphere.

May be

terror reaction in

some

Talkative. Dizziness reported occasionally

Uncontrolled laughter approaching hysteria

230

70.1

Severe impairment

230-300

70.1-91.5

Gross delay

in

of intellectual

response to

some

performance. Manual dexterity less affected

stimuli.

Diminished concentration

Mental confusion. Increased auditory

300

in

sensitivity,

i.e.,

sounds seem louder

Stupefaction. Severe impairment of practical activity and judgment

91.5

Mental abnormalities and

memory

defects. Deterioration

in

handwriting,

euphoria, hyperexcitability

Almost

300

total loss of intellectual

and perceptive

faculties

Hallucinations (similar to those caused by hallucinogenic drugs rather than alcohol)

91.5

Derived from Edmonds, Lowry, and Pennefather (1976)

nervous system)' (Fowler et

al.

1985). (Readers are

referred to Bennett (1982) and Fowler et

more complete discussions of

3.2.3.6

al.

(1985) for

High Pressure Nervous Syndrome (HPNS)

At diving depths greater than 600 fsw (183 msw),
signs and symptoms of a condition known as the high
pressure nervous syndrome (HPNS) appear and become
worse the faster the rate of compression used and the
acterized in
postural

humans by

compresemploying

exponential compression rates, adding other inert gases

inert gas narcosis.)

greater the depth or pressure attained.

rate of compression to depth, using a stage
sion with long pauses at selected intervals,

HPNS

is

such as nitrogen to helium/oxygen mixtures, and
selecting personnel carefully. At present, the data suggest
that adding 10 percent nitrogen to a helium/oxygen
mixture, combined with the use of a proper compression rate, ameliorates

HPNS

many

of the serious

symptoms of

(Bennett 1982).

char-

dizziness, nausea, vomiting,

and intention tremors, fatigue and somnolence,

3.3

OXYGEN POISONING

in intel-

Prolonged exposure to higher than normal oxygen

and psychomotor performance, poor sleep with
nightmares, and increased slow wave and decreased
fast wave activity of the brain as measured by an

manifestations are referred to collectively as oxygen

myoclonic jerking, stomach cramps, decrements
lectual

electroencephalogram (Bennett et
First noted in the
initially as

1960's,

al.

was referred

to

helium tremors. Since that time, numerous

studies have been conducted that were designed to

determine the causes of
of preventing

ameliorating

3-22

it

HPNS

and

to develop

means

(Bennett 1982). Methods of preventing or

HPNS

poisoning.

include using a slow and steady

It

is

now believed most

likely that

whose

oxygen

by increased rates of formation
of superoxide, peroxide, and other oxidizing free radicals that ultimately cause critical enzyme inactivation, lipid peroxidation, and impairment of cell mempoisoning

1986).

HPNS

partial pressures causes a variety of toxic effects

is

initiated

brane function, with resultant disruption of intracellular
metabolism. These adverse effects of oxidant species
are opposed by anti-oxidant protective

NOAA

Diving Manual

mechanisms

— October 1991

Diving Physiology

the defenses are

until

overwhelmed by the magnitude

continuous oxygen exposure. Other symptoms or signs

CNS

and duration of oxidant stress. Thus, the onset time,

of

nature, and severity of overt manifestations of oxygen

irregularities in breathing pattern,

determined by the inspired oxygen presduration
of exposure, as well as by unique
and
sure
characteristics of enzyme function and external mani-

spasms, muscular incoordination, fatigue, confusion,
and anxiety. Extreme bradycardia to a degree suffi-

toxicity are

festations of specific disruptions of intracellular

Since oxygen toxicity

lism.

non

in all

phenome-

a generalized

that affects all living cells,

ultimately expressed
tions

is

metabo-

its

(Lambertsen 1978).

in

the ears,

diaphragmatic

cient to cause cerebral ischemia with transient loss of

consciousness

sure at 3.0

may

occur during prolonged oxygen expo-

atmospheres (Pisarello

et al. 1987).

Oxygen effects on organs other than the lungs and

adverse effects are

organ systems and func-

oxygen poisoning include ringing

CNS

undoubtedly occur

to

some degree during expopulmonary

sures that produce overt manifestations of

Pulmonary oxygen poisoning

occur during

will

prolonged exposure to any oxygen partial pressure above
0.5 atmosphere.

At the lower end of

ble degrees of

pulmonary intoxication would occur

this range, detecta-

1983, Lambertsen

or neurologic oxygen poisoning (Clark

1978). These effects go unnoticed because they are not

associated with chest pain, convulsions, or other obvious indications of oxygen poisoning. Although the nature

weeks of saturation exposure
(Clark and Lambertsen 1971a). During continuous
administration of 100 percent oxygen, pulmonary symp-

and degree of such effects are not now known,

toms have been observed within 12 to 24 hours at
1.0 atmosphere (Comroe et al. 1945), 8 to 14 hours

in

many days

only after

at

1.5

atmosphere (Clark

2.0 atmospheres (Clark
3

to

hours

3.0

at

onset of

et al.

1987), 3 to 6 hours at

and Lambertsen 1971b), and

atmospheres (Clark

symptoms

is

et al.

then more rapidly until each inspiration

it

to

The

1987).

usually characterized by mild

substernal irritation that intensifies slowly at

Coughing

1

first

is

and

painful.

also progressively increases in severity until

cannot be suppressed after deep inspiration. Short-

and hematopoietic

tissues.

In addition, a regular increase

myopia (near-sightedness) has been noted

patients

who

in

some

receive daily hyperbaric treatments (Lyne

Farmer 1978). Individuals exposed
oxygen in saturation
diving conditions also have been found to experience
potent visual effects (Kinney 1985).
1978, Anderson and

to elevated partial pressures of

In the

absence of definitive information regarding

the subtle effects of oxygen toxicity,

it

is

important

to

remain aware that organ systems and functions external to the lungs

and

CNS may

be adversely affected by

may

either prolonged and continuous or repeated and

severe exposures, presumably because of
vital capacity, which can occur before symp-

ness of breath during exertion, or even at rest,

occur

likely

target sites include the liver, kidney, endocrine organs,

intermittent oxygen exposures.

poisoning cul-

It is likely that such
would be most evident either near the end of a
continuous oxygen exposure or within several hours
after exposure termination. During a series of inter-

generalized convulsions followed by un-

mittent oxygen exposures, the probability of detection

dominant manifestation of oxygen
intoxication during exposures to oxygen partial pressures above 2.0 atmospheres. Convulsions may also
occur while breathing oxygen at lower partial pres-

of subtle adverse effects will increase directly with the

in

decreased

toms are obvious.
Central nervous system

minating

in

consciousness

is

(CNS) oxygen

a

sures during periods of exertion, particularly

when

combined with underwater immersion, during periods
of carbon dioxide accumulation with concurrent incre-

ments

in

cerebral blood flow and brain oxygen tension,

unusually susceptible individuals. Muscular
twitching, especially of the face and lips, or hands,

and

in

may precede
does occur,

the onset of convulsions.

it

When

this sign

should serve as a warning to reduce the

effects

number and duration of exposures.
In humans, recovery from oxygen poisoning after
oxygen pressure-exposure duration combinations that
do not produce overt intoxication appears to be sufficiently complete to allow appropriately spaced,
repeated exposures without fear of cumulative or residual
effects

(Lambertsen 1978).

Full recovery

reactivation of critical

enzymes and

alterations in cellular function.
tions of

When

reversal of early

overt manifesta-

oxygen poisoning are produced, however, recov-

inspired oxygen pressure or to terminate the oxygen

ery probably requires a

exposure immediately,

reversal of tissue inflammatory reactions

In a

if

possible.

group of 18 normal resting men breathing oxy-

gen for up

to 3.5 hours at 3.0

atmospheres

in a

hyperbaric

chamber, constriction of peripheral vision always
occurred prior to convulsions (Lambertsen

et al.

1987).

Nausea and dizziness may occur intermittently during

October 1991

— NOAA

Diving Manual

from such

conditions probably requires relatively limited and rapid

more extensive and lengthy
and repair of

cellular metabolic or structural defects.

Rates of recovery from the symptomatic and functional effects of

effects

of most

oxygen

and different

toxicity are variable for different

individuals.

The complete

symptoms associated with

CNS

resolution

oxygen poisoning

3-23

Section 3

occurs within minutes after the inspired oxygen pressure

is

reduced

to

normal

levels.

Even

after an

oxygen

convulsion, recovery can occur within 30 minutes, but

may

require an hour or

more

some

low oxygen pressures. Possible causes of
carbon dioxide retention include faulty CO absorpat unusually

tion in closed-circuit breathing

equipment, inadequate

Chest pain and cough associated with oxygen-induced

pulmonary ventilation while exercising under conditions of excessive external resistance to breathing, and

tracheobronchitis usually resolve within 2 to 4 hours

intentional hypoventilation to conserve air. Cerebral

it

in

individuals.

after exposure termination, but unusual fatigue

mild dyspnea on exertion

may

and

occasionally persist for

few weeks after exposure. Although

vasodilation,

which occurs

ide retention,

is

in

response to carbon diox-

responsible for the prominent eleva-

nary diffusing capacity for carbon monoxide often
requires 1 to 2 weeks or more (Clark et al. 1987).
Hyperoxic exposures for diving and decompression

tion of brain oxygen tension during oxygen breathing
and accounts for most, if not all, of the associated
decrement in CNS oxygen tolerance.
Extending human oxygen tolerance by means of drugs
that have been shown to delay one or more manifestations of oxygen toxicity has not to date been shown to
be practical. Since such an agent ideally would have to
be distributed throughout all body tissues and oppose

applications should be planned to remain well within

toxic effects on a variety of

known oxygen tolerance limits. They should also be
appropriately spaced to ensure complete recovery

likely that

than a limited potential for practical application (Clark

between exposures. This approach will both avoid the
cumulative, residual effects of oxygen poisoning and

useful procedure for extending

several days or even a

there

is

a wide range in individual variability, oxygen-

induced deficits in vital capacity and forced expiraand inspiratory flow rates typically reverse within
1
to 3 days after exposure, while recovery of pulmo-

tory

the

enzymatic targets, it is not
any drug now available will ever have more

1983, Lambertsen 1978).

At the present time, the most
human oxygen toler-

maintain a reserve of oxygen tolerance in case hyperis required for decompression sick-

ance employs systematic alternation of hyperoxic and

complex

tolerable duration of exposure to a selected level of

oxygenation therapy

ness or gas embolism. If (as might occur in a

treatment) oxygen therapy makes
a significant degree of

it

necessary to cause

pulmonary intoxication

in a

normoxic exposure intervals

to increase greatly the

hyperoxia. This procedure takes practical advantage
of the empirical observation that

many

early, subclini-

effects of oxygen toxicity are reversed more rapidly

patient, subsequent operational exposures to hyperoxia

cal

should be delayed for at least several weeks to allow

than they develop. Interrupted exposure as a means of

complete recovery.

oxygen tolerance extension was initially studied in animals (Clark 1983, Lambertsen 1978), and its effectiveness was later demonstrated directly in man (Hendricks

A

variety of conditions, procedures, and drugs can

be used to modify the oxygen tolerance of humans
(Clark and Lambertsen 1971a). These factors may

et al.

affect the time of onset, rate of progression, or severity

exposure has been a component of the U.S.

of one or more of the diverse manifestations of oxygen
poisoning. Of all the factors known to hasten the development of oxygen poisoning, the effects of exercise and

1977). Although periodic interruption of oxygen

gen treatment tables
its

potential for

(US Navy

1985) for

Navy oxymany years,

oxygen tolerance extension has been

only minimally exploited to date.

carbon dioxide accumulation are most relevant to diving operations.

By mechanisms

that are not well understood (apart

3.4

EFFECTS OF COLD (HYPOTHERMIA)
a condition in which the deep tissue or

from the possible influence of concurrent carbon diox-

Hypothermia

ide retention), physical exertion itself exacerbates the

core temperature of the body

development of
in

CNS

CNS

oxygen poisoning. This reduction
oxygen tolerance is expressed both by the

earlier onset of convulsions at

oxygen pressures above

which

is

is

falls

below 95 °F (35 °C),

the temperature at which malfunctions in

normal physiology begin to occur.

If the core

tempera-

ture drops below 96.8 °F (36 °C), diving operations

and by the occurrence of convulsions

should be terminated because the consequences of con-

during exposure to oxygen pressures at which oxygen-

tinuing are serious. If the core temperature falls to

in

induced seizures would otherwise almost never occur
normal, resting individuals. The adverse effects of

emergency rewarming and medical treatment are

exercise on pulmonary or other non-neurologic mani-

Between 86° and 89.6 °F (30° and 32 °C),
cardiac irregularities commence and unconsciousness

2.0 atmospheres

festations of

oxygen intoxication have not been de-

Elevated arterial carbon dioxide pressure will also

3-24

required.

may

monstrated.
hasten the onset of convulsions or cause

93.2°F (34°C), temporary amnesia may occur and

them

to

occur

result.

Because water has a specific heat approximately
1000 times greater than that of air and a thermal

NOAA

Diving Manual

— October 1991

Diving Physiology

conductivity 24 times greater than that of air, the
body loses heat much faster in water than in air of the

During swimming, the increase
resulting from exercise

is

energy production

in

counterbalanced by the increase

same temperature. Fortunately, the thermoregulatory
system of the body is highly sensitive to stimulation

in

from the hands and feet, so that the body's heat generating systems are activated before the core temperature is affected seriously. The fact that the hands and

the core to the periphery, and this heat

feet get cold first

is

thus, in this sense, an advantage.

muscle blood flow resulting in greater heat transfer.
Thus swimming promotes faster transfer of heat from
the water (Nadel 1984). This

immersed

in

why

is

in

is

turn lost to

persons suddenly

cold water or divers becoming cold are

better off remaining

than trying to swim. Rapid

still

and with core temperatures below
96.8° F (36°C), the defense mechanisms of the body
are activated. These mechanisms consist of shivering,
which can increase basal body heat production by up to
five times, and vasoconstriction, which reduces blood
flow to the periphery and thus reduces heat loss.
Unfortunately, these mechanisms rarely achieve heat

heat loss provokes strong shivering, so that the diver

balance, so that the diver continues to lose heat.

long slow cooling and undetected hypothermia even in

body heat by conductive loss
from the skin, a significant loss (10 to 20 percent of
total body heat loss) occurs by evaporation from the
lungs. The percentage is dependent on the humidity of

tropical water. This affects

With cold

skin

In addition to losing

the inspired

since the drier the air the greater the

air,

evaporative heat

Further, as divers go deeper and

loss.

heat loss increases.

becomes more dense, convective
Breathing gas heating is needed

beyond depths of 400

feet

their breathing gas

warned. Gradual heat

not cause shivering, yet the accumulated cooling and

apparently adequate thermal protection

in

dives, or repeated dives over several days,

may produce

memory and

a diver's effectiveness

and possibly endangering him

may

thermal protection

lead to an unwillingness to

dive again or to disabling fatigue

known

Symptoms

of

and diminished usefulness.

On

Because of large individual difmust determine
the most suitable protection on an individual basis. A

uals are poor judges of their

ferences in cold tolerance, every diver

body heat

available, ranging

suits

and dry

from standard

suits to specially

heated suits (for detailed descriptions of these

suits,

of protective equipment, however, creates a

complication because the body's defense mechanism

is

modified by the thermal barrier of the clothing. This
complication is only just being recognized as impor-

and divers should be aware that the faster the rate
of heat loss, the smaller the drop in core temperature
tant,

for a given quantity of heat loss.

rate of

body heat

(3) the

body

size.

loss; (2)

fer

is

the

amount

of

body

fat;

and

Larger, fatter people are less affected by

a given cold exposure

amount

Furthermore, whether

strongly influenced by: (l) the

is

is

1985).

is

lost,

tal

in

and

less

affected by a given

of heat loss. For example, because heat trans-

about 100 to 200 times faster

water than

in

the heat that reaches the skin surface

is

in air,

rapidly trans-

own thermal

state.

As

the body approaches hypothermia;

recognizing hypothermia in

problem

the other hand, loss of

extremely difficult to recognize. Individ-

diving.

its

early stages

at this stage, a diver

is

a serious

Deep hypothermia, meaning

temperature of 95 °F (35 °C) or lower,

may become

is

a rec-

dangerous;

helpless.

enough to threaten life,
will produce loss of dexterity and sense of touch in the
hands, making it difficult for a diver to do useful work
or even to control diving equipment such as weight
Chilling, even

10.8).

or not a person shivers

(Webb

easy to recognize that hands and feet are cold by

protective clothing.

The use

now

states that are

Hypothermia

body heat

and

—

be associated with being cold

to

the familiar sensations of discomfort, numbness, pain,

Obviously, a diver exposed to cold water or even
warm water for long periods must wear

see Sections 5.4

the speed of

or her. In addition, repeated diving with inadequate

moderately

foamed neoprene wet

prolonged

reasoning and other cognitive functions, thus reducing

It is

is

greater,

with the likely result of impaired performance. Use of

(122 meters).

Thermal Protection

variety of diving suits

may be even

the likelihood of hypothermia

3.4.2
3.4.1

is

over a long time often will

loss

belts

if

not severe

and buoyancy compensators. Shivering causes a

lack of coordination and

may make

it

difficult

diver to hold the mouthpiece in place.

By

for a

the time

shivering becomes uncontrollable, oxygen consumption

has increased significantly. Before

this,

however, the

dive should have been terminated and rewarming started.

The

ability to think clearly

also

may

and short-term memory

be affected seriously by cold. Figure

3-1

1

shows the effect of cold water on psychomotor
performance when a diver is wearing a 1/4-inch
(0.63 centimeter) wet suit, with hood, gloves, and

ferred to the water. Generally, the thicker the layer of

booties.

subcutaneous

and the execution of a simple assembly task are affected

fat,

October 1991

the greater the insulation.

— NOAA

Diving Manual

For example, both fine digital manipulation

3-25

Section 3
Figure 3-11

Exposure Duration on
Psychomotor Task Performance
in Cold Water
Effect of

(

Or-

20

-

o
E
o
.c
o
>.
CO

Q-

c
o

li
E
CD
O

40

-

I

CD

Q
CD

O
c
E
o

Proper Decrement Curve

CO

Type Task

Water Temperature
60

50

40

1

3

6

7

1

2

4

6

1

2

2

3

70

60

"[

Fine Digital

Manipulation

Simple

Assembly
Gross Body &
Power Move.

<
80

,OStang& Wiener (1970)
* Bowen (1968)
O Weltman & Egstrom Et Al (1970)
'

D Weltman & Egstrom Et Al (1971)
30

20

10

50

40

Time(Min)

Source: Egstrom (1974)

seriously at 50 °F

(10°C) and 40 °F

tures, respectively, as

have shown that

also

air

much as 29 percent when
andHayford 1981).

When
diver
•

(4.5 °C) temperaFigure 3-11. Studies

•

consumption can go up by as

•

shown

in

•
it

is

essential for the

•

Wear thermal
Note the

first

Be aware that even when properly dressed, hypothermia

may

Watch

the

behavioral

develop without shivering

buddy diver and take heed of any
changes that may indicate existing or

protection appropriate for the water

signs of cold hands

3.4.3 Survival in

and

feet

and

loss

If ship

Cold Water

abandonment

is

necessary, there are proce-

of dexterity and grip strength

dures that can significantly increase the chances of

Note

survival, even in extremely cold water.

difficulty in performing routine tasks, con-

fusion, or a
•

any of the above symptoms are

approaching hypothermia.

to:

temperature (see Figure 5-17)
•

if

present

diving in cold water (Dunford

diving in cold water,

Terminate a dive

Note

tendency to repeat tasks or procedures

Records show

that ship sinkings, even in the worst cases, usually

feelings of being chilled followed by inter-

require at least 15 to 30 minutes. This affords valuable

mittent shivering, even though routine tasks can

time for preparation. The following procedures should

still

3-26

be performed

be carried out (U.S. Coast Guard 1975):

NOAA

Diving Manual

— October 1991

(

Diving Physiology

Locate and don a personal flotation device as quickly

tion.

as possible.

body heat

Try

to enter the

water

avoid

in a lifeboat or raft to

it

Several hours

the loss of

Wear

is

Even

air provides insulation.

in

the water, the extra

layers of clothing will reduce the rate of

body heat

be required to restore
is

all

the

not beneficial, because

increases circulation of blood to the skin and speeds

wetting insulating clothing and losing body heat.
several layers of clothing because the trapped

may

Drinking alcohol

lost.

body heat

or lethargic should be

is

diver

who

helpless, irrational,

rewarmed more

a hot bath should be used, but

ally,

A

cold surroundings.

in

so hypothermic that he or she

if

vigorously. Ide-

none

is

available,

loss.

a hot water suit, electric blanket, or inhalation rewarming

Especially protect the head, neck, groin, and the

are suitable methods.

sides of the chest, because these are areas of rapid

less,

heat

loss.

cal attention

If

is

it

necessary to enter the water, do so slowly to

minimize the likelihood of increasing breathing
swallowing water, shock, and death. If jumping
is necessary, pinch the nose and hold the breath.

A

hypothermic diver who

irrational, lethargic, or

help-

is

unconscious needs medi-

and immediate and vigorous rewarming,

by any of the prescribed techniques (see Section 18.8.3
for further discussion of

rewarming).

rate,

Once

in

the water, orient yourself with respect to

lifeboats, floating objects, etc.

WARNING

Also button up and

Who Have Been

turn on signal lights as quickly as possible before

Divers

manual dexterity

sion Dives (or Dives Near the Decompression Limit) Should Not Take Very Hot Baths
or Showers Because These May Stimulate

Do

is lost.

not attempt to

swim except

to a

pump

out the

nearby

warmed water between

will

the body and

Unlike hypothermia, hyperthermia rarely
is

to hold

the knees against the chest in a doubled-up fash-

arms

around the side of the
chest. If others are nearby, huddle together and
maintain maximum body contact.

Keep
make

EFFECTS OF HEAT (HYPERTHERMIA)

3.5

Keep the head and neck out of the water.
The best position to conserve body heat

Board a

Bubble Formation

to the extremities, thus increasing

the

ion with the

life raft

tight

or floating object as soon as possible.

a positive attitude, because a will to live does
a difference.

by immersion

in water.

and bathe
rewarming

dive, a cold diver should be

soup or coffee, dry off

rewarmed.

in a

warm

place,

in

warm

in

104° F (40°C) water reestablishes nor-

water. Studies have

mal body temperature 67 percent

shown

faster than

that

rewarming

100°F (38°C) air (Strauss and Vaughan 1981).
Cold divers should not make a second dive on the same
day, because it is difficult to know when body heat has
in

been restored. However,
it

is

if

a second dive

is

necessary,

advisable to overdo the rewarming until sweating

occurs, which indicates that

body heat has been

Exercising to generate internal heat

little

cannot be transferred to the water.

produced

or no difference

If

heavy exercise

is

performed under such conditions, there can be serious
overheating problems (Bove 1984).

Hyperthermia

is

encountered more commonly durwhere a

wet

one encased

diver, especially

suit in the hot sun,

can overheat.

is

restored.

also helpful to

of dizziness, disorientation, rapid pulse, hyperventilation,

and potential

loss of consciousness.

ous result of hyperthermia

more

seri-

An

important factor
is

dehydration,

which can develop quickly as a result of excessive
sweating and lack of fluid replacement. Because it
reduces the volume of blood available for circulation
to the skin,

dehydration increases the chances of divers

becoming hyperthermic. Dehydration

also increases

the likelihood of decompression sickness as a result of

inadequate blood flow to the muscles and

and juices are recommended
hol

make matters

worse. Divers

should be put

in a

Diving Manual

A

heat stroke, which can

that increases the risk of hyperthermia

change into warm, dry clothing and continue some
mild exercise to improve heat production and circula-

— NOAA

is

cause death (see Section 18.1.8).

speed up the rewarming process. The diver should then

October 1991

is

is

the water temperature

The symptoms of hyperthermia include heat exhaustion (see Section 18.8.1), with accompanying feelings

This can be accomplished by having the diver drink hot
liquids such as

if

temperature between the skin and water and heat

in

ing dive preparation

Rewarming

At the end of a

However,

reaches 85 °F (29.4 °C), there

for a long time in a

3.4.4

Decompres-

move from

clothing layers and cause the blood to

body core
body heat loss.

craft,

Swimming

fellow survivor, or floating object.

Chilled on

and other

for ingestion

fluids act as diuretics,

tissues.

Water

because alco-

which

will only

who develop hyperthermia

cool place, given fluids, and cooled

3-27

Section 3

While taking medication, therefore, careful consid-

with water poured over the skin until the body temperature returns to normal.

eration should be given to the following elements before

diving:

DRUGS AND DIVING

3.6

•

Why

are the drugs being used, and are there underly-

ing medical conditions that

The use

of prescribed or over-the-counter medications

is a complex issue. There are no simple
answers to questions about which drugs are best for
which conditions in a hyperbaric environment. Indi-

while diving

use should the

associated risks of diving to an unacceptable level?

Prescription Drugs
re-

its

Will the side effects of the drug increase the

•

all

Drug-induced physiological and psychological

the half-life of the drug, and for what

diver not be exposed to a high-pressure environment?

macologically active agents are used.

3.6.1

is

period of time before or after

and the mental and physical requirements of
must be taken into account before phar-

ditions,

be relatively or

1976)?

What

•

vidual variability, existing medical and physical con-

diving

may

absolutely contraindicated for divers (Kindwall

A

•

Will the drug interfere with physical performance?

•

Will the drug impair exercise tolerance?

•

Does the drug produce rebound phenomena?
conscientious diver will discuss these questions with

sponses often are altered in a hyperbaric environment.

his/her physician before diving while taking prescribed

The normal metabolic and excretion patterns of drugs
taken at one atmosphere may be significantly and
pathologically altered once the diver becomes pressur-

or over-the-counter medications.

An

ized.

understanding of the types of changes that

occur, the implications of these changes, and the relationships between

and among drugs, the environment,

and the diver are

critical

to

if

therapeutic accidents are

The manner
olized,

in which the drug is absorbed, metaband excreted by the body in a hyperbaric

environment;
•

The

physical impact of the type of breathing gas,

increased density of the gases, water temperature,

and other environmental
diver exertion

all

factors,

It

obvious that cognitive and motor performance

is

can be impaired by the abuse of psychoactive agents.
Alcohol and marijuana (and other cannabis products)

and the degree of

contribute to the total effect of a

drowsiness from
antihistamines, may be tolerated on the surface.

Acceptable side effects,

like

In the hyperbaric environment, however, such side
effects

may become

unacceptable, leading

in

cates that their use

some

cases to serious morbidity or even death. Impairment

of cognitive function, neuromuscular strength and

coordination, or integration of thought and action

can have catastrophic results while diving.
In addition to the antihistamines, drugs

may

central nervous system

is

addictive and in

some cases

potentiate other central nervous system depressants.

For example,

in

addition to being a depressant and

having other subjective effects, alcohol can cause reduced

blood glucose levels, which can lead in turn to weakness and confusion. Alcohol also causes blood vessel
dilation,

which can interfere with proper maintenance

of body temperature while diving (see Section 3.4).

Because of

its

diuretic action, alcohol can contribute

body dehydration, especially in the
where divers may combine alcohol with the

significantly to

consumption of caffeine-containing drinks such as
coffee,

and

There are reports that the use of marijuana preceding cold water dives can reduce a diver's cold tolerance

commonly

adversely affect diver safety and per-

and breath-holding capability, cause general discomfort, unexplainable apprehension, and a desire to ter-

formance include: motion sickness remedies, amphet-

minate a dive prematurely (Tzimoulis 1982).
tant to note that the effects of

and decongestants, some of which have been found

last for

to

induce impaired coordination, cardiovascular effects,

up

Cocaine

to
is

It is

nervous system stimulant.

noteworthy that the effects of some of these drugs

may

belies the hazard

to

have worn off on the surface, only to return

the diver

3-28

becomes pressurized (Anonymous 1986).

It

is

impor-

smoking marijuana can

24 hours (Anonymous 1986).

commonly abused

central

Its relatively short

action

currently the most

addiction, and inflammation of the lower airways.

when

tea,

colas.

amines, tranquilizers, sedatives, hypertensive drugs,

appear

(e.g.,

with concurrent administration of barbiturates) can

tropics,

used that

commonly abused

depressants in the world today. Research clearly indi-

medication;
•

Drugs

Illicit

are the most

be avoided. Specific concerns include the following:
•

3.6.2

it

poses to the diver. The hyper-

metabolic state that occurs during the use of cocaine
(it is

rarely used alone

NOAA

and

is

often used with alcohol or

Diving Manual

— October 1991

Diving Physiology

marijuana)

may

place the diver at risk of subsequent

discouraged from using medications before diving. The

sharing of medications

among

and the inability
to respond promptly to life-threatening emergencies.
It also increases the likelihood of an oxygen seizure
and can disturb the normal rhythm of the heart (Anon-

drug

ymous

Conservative and safe practices are required for the

fatigue, mental depression, acidosis,

1986).

Divers and their physicians have an obligation to

communicate with one another. The

clinician has the

responsibility to explain the nature of his or her treat-

ment

to the diver,

and the diver has the responsibility

discouraged.

A

diving exposure

divers also should be
is

nity for either a clinician or a diver to
will

not a good opportu-

determine whether a

be safe and efficacious for a given individual.

well-being and survival of the diver. Abstinence from
diving

may

be the most conservative approach for an

individual requiring systemic medication (Walsh and

Ginzburg 1984). (For

a

comprehensive review of the

of indicating to the treating clinician that a diving

effects of drugs in a hyperbaric environment, the reader

exposure

referred to

is

anticipated. In general, divers should be

October 1991

— NOAA

Diving Manual

is

Walsh 1980.)

3-29

t

<

Page

SECTION

4

COMPRESSED
AIR AND
SUPPORT

4.0

General

4-1

4.1

Compressed Air

4-1

4.1.1

4.2

EQUIPMENT
4.3

General Safety Precautions for Compressed Air

Air Compressors and Filtering Systems

4-1

4-2

4.2.1

Maintenance

4-5

4.2.2

Lubricants

4-5

Compressed Gas Cylinders
4.3.1
Cylinder Markings

4-5
4-5

4.3.2

Cylinder Inspection and Maintenance

4-7

4.3.3

Cylinder Valve and Manifold Assembly

4-10

4.3.4

Low-Pressure Air Warning/Reserve Air Mechanism

4-1

4.3.5

Submersible Cylinder Pressure Gauge

4-1

c

«

<

COMPRESSED AIR
AND SUPPORT
EQUIPMENT
4.0

GENERAL

This section describes the composition and characterof compressed

istics

air,

the most

commonly used

Table 4-1
Composition of Air

in its

Natural State

breathPercent

and the precautions that must
be taken when compressed air is used as a breathing
ing mixture for diving,

medium
used

for divers.
air diving,

in

and

ders,

It

also discusses the

COMPRESSED

4.1

by volume

equipment

including compressors and cylin-

maintenance and inspection.

its

Gas

Nitrogen

78.084

Oxygen
Argon
Carbon dioxide

20.946
.934
.033
.033

Rare gases

AIR

Compressed air is the most frequently used diver's
breathing medium. In its natural state at sea level

Source:

NOAA

(1979)

pressure, compressed air consists of nitrogen, oxygen,

argon, carbon dioxide, and trace amounts of other

shows the natural composition of

gases. Table 4-1

All

ambient

air

air.

coolers,

does not meet the standards of purity

necessary for use as a diver's breathing medium. For

example,

urban areas the carbon monoxide concen-

in

tration in the air

may

be high, and

in

some cases

it

may

reach a concentration of 50-100 parts per million (ppm).

Ambient

air

may

also contain dust, sulfur, oxides,

cooling water circulation, or, in the case of air radiator

and

sources and automotive exhausts and must be

avoided

breathing air supplied to a diver.

in the

Scuba cylinders should
air source

when an

is

in effect.

The

Environmental Protection Agency (EPA) monitors ozone

and other oxidants

EPA
is

in

flow caused by trash, dirt,

Potential contaminants include engine or venti-

nants.

lation exhaust;
fuel, or paint;

No

fumes or vapors from stored chemicals,

and excess moisture.

compressor should be allowed to operate with

its

intake or first-stage suction blocked, because this will

produce a vacuum within the cylinders that can rap-

not be filled from an ambient

air pollution alert

loss of cooling air

The free air intake of the compressor must be located to
draw air from an area where there are no contami-

other impurities. These contaminants derive from industrial

by

or lint getting into the radiator fins.

metropolitan areas, and the local

idly

draw lubricating

oil

or

oil

vapor from the compressor

crankcase into the air system.

Some

effective

methods

of preventing the intake of contaminated air are discussed

below.

office should be consulted before a diving operation

undertaken

in

pollutant levels.

an area suspected of having high
potential hazard presented by

The

breathing air obtained from ambient sources

is

4.1.1

General Safety Precautions for

Compressed

under-

Air

in

There are three primary safety concerns associated

the United States were unable to achieve compliance with

with the use of compressed air or any compressed gas.

Federal limits for carbon monoxide by the end of 1987.

These

lined by the fact that at least

In addition

to airborne

70 metropolitan areas

pollutants, the air

compressor
•

machinery and storage system themselves may introduce contaminants, including lubricating oil and its

medium. Additionally, the

temperature of the gas being compressed can be high
•

enough

each successive stage to cause pyrolytic
decomposition of any hydrocarbon compounds pres-

ent.

This

That the gas be sufficiently pure and appropriate
for

•

vapor, into the breathing

are:

its

intended use;

That compressed gas cylinders or storage cylinders be properly labeled and handled;
That cylinders be protected from fire and other

at

is

particularly true

if

hazards.

Compressed

the compressor's interstage

air

is

available from

produced

many

sources.

Most
and

coolers are not functioning properly. Intercooler mal-

of

it,

function can be caused by excessive condensate, impaired

is

therefore not of the purity necessary for use as a

October 1991

— NOAA

Diving Manual

however,

is

for industrial purposes

4-1

Section 4

medium. When compressed

essential that the

any attempt is made to repair the leak. Leaks can
sometimes be detected by painting a 20 percent deter-

gas be certified by the manufacturer to be of high

gent soap solution (called a snoop) over the external

and suitable for breathing. Compressed air suspected of being contaminated
should not be used for diving until tested and found

obvious because they will cause a froth of bubbles to

diver's breathing

purchased from a manufacturer,

is

it

air

is

purity, free of oil contaminants,

parts of the valve with a brush.

Proper identification and careful handling of com-

Compressed

pressed gas cylinders are essential to safety.

leaks will be

form. After the leak has been repaired, the soap solution used for leak detection

safe.

Even small

must be removed completely

with fresh water and the valve dried carefully before
reassembly.

gas cylinders used to transport gas under pressure are

Scuba cylinders generally are not color-coded or

Department of Transportation (DOT) regulations. These regulations include design, material,
inspection, and marking requirements (see Section 4.3).
Compressed gas cylinders can be extremely hazardous
if mishandled and should be stored securely in a rack,

labeled as to type of gas contained; however, large gas

subject to

preferably in the upright position.

When

in transit, cylinders

allowing

it

to roll

may be

color-coded and labeled.

The

label

should be used to identify the contents of a gas cylinder, because color-coding

is

not standardized.

WARNING

should be secured against

Standing an unsecured cylinder on end or

rolling.

cylinders

unsecured could result

in the explo-

sive rupture of the cylinder. Cylinders can

become

deadly projectiles capable of penetrating a wall, and

Because Colors Vary Among Manufacturers,
the Content of Large Cylinders Should Always
Identified By Label— Do Not Rely on Cylinder Color

Be

they can propel themselves at great speeds over long
distances.

Scuba cylinders are often

fitted with a

plastic boot that has holes in

it

to

rubber or

permit draining.

Several special safety precautions to be observed

when using compressed gas

are noted on the label of

These boots fit over the base of the cylinder and help to
keep the cylinder in an upright position. However,
cylinders equipped with such boots should not be left
unsecured in an upright position, because the boot

gas cylinders. In general, these precautions concern

alone does not provide sufficient protection against

fore not be used or stored in an area

falling.

hot work, or flammable gases are present.

NOTE

4.2

Cylinder boots should be removed periodically and the cylinder checked for evidence

Air compressors are the most

the flammability of the gas and

combustion. Although not

ing

Compressed gas cylinders are protected against excesby a rupture disk on the valve. Because

sive overpressure

regulators or gauges

opened

to

may

fail

when

a cylinder valve

check the cylinder pressure,

it

is

is

important

to stand to the side rather than in the line of discharge
to avoid the blast effect in case of failure.

the Line of Discharge
Opening a High-Pressure Cylinder
in

If a cylinder valve

seal leak,

4-2

it

is

flammable, com-

where open flames,

COMPRESSORS AND
FILTERING SYSTEMS
AIR

is

air.

common

The compressor used

source of diver's

for umbilical div-

generally backed up by a bank of high-pressure

gas storage cylinders to reduce the possibility of
interrupting the diver's breathing gas supply because
of loss of power or compressor malfunction.

There are two main types of compressors: highpressure, low-volume, for use in filling scuba cylin-

and low-pressure, high-volume, used for umbiliA compressor is rated at the pressure at
which it will unload or at which the unloading switches
will activate. A compressor must have the output volume to provide sufficient breathing medium and to
provide pressure above the range equivalent to the
ambient pressure the diver will experience at depth.
When evaluating compressor capacity, the different
overbottom pressure and volume requirements of different types of underwater breathing apparatus and/or
ders;

cal diving.

WARNING
Do Not Stand

ability to support

pressed air does support combustion and should there-

breathing

of corrosion.

its

in itself

When

suspected of having a thread or

should be completely discharged before

NOAA

Diving Manual

— October 1991

Compressed

Air

and Support Equipment

helmets must be taken into consideration, as well as
umbilical length and diameter.

Any

air

compressor used for a diver's surface-supplied

system must have an accumulator (volume cylinder) as
an integral part of the system. The accumulator will
provide a limited emergency supply of air
pressor

As

if

the

com-

fails.

number

the

of scientific, educational, and sport

divers increases, there

is

a concomitant rise in the

num-

ber and variety of air compressors being used to supply

breathing

air.

Operators should become thoroughly

familiar with the requirements associated with the
production of breathing

air.

To ensure proper mainte-

nance and care, organizations using compressors should
assign the responsibility for the operation of compres-

Air compressors are generally rated by two paramethe

maximum

ient access to a

pressure (measured in pounds per

when

there

is

conven-

high-pressure compressor for recharging.

Using cylinders as the gas source reduces the chance of

volume of
compressed and stored before
the dive. Most lockout submersibles carry the diver's
losing the primary supply, since the entire

gas needed for a dive
gas supply

in

is

high-pressure cylinders incorporated into

Compressed gas cylinders are also generally mounted on the exteriors of underwater habitats,
submersibles, and diving bells to provide a backup gas

the system.

supply

case of emergency, and divers using the habitat

in

as a base can refill their

mounted

scuba cylinders from these

cylinders.

Many

types of compressors are available: centrifu-

gal, rotary screw, axial flow,

sors to a specific individual.

ters:

Large, high-pressure cylinders are advantageous to
use as a source of breathing gas

most commonly used type

and reciprocating. The

in the

diving industry

is

the

reciprocating, or piston-in-cylinder, type. These

square inch gauge, or psig) they can deliver and the

compressors are further classified as "oil-lubricated"

output volume (measured jn standard cubic feet per

or "non-oil-lubricated," depending on whether or not

minute, or scfm) that can be delivered at that pressure.

they require lubrication of their compression cylinders.

To be

volume and pressure
or exceed the requirements of the

effective, both the output

must be equal

to

system they supply.
Air compressors
breathing air

may

In an oil-lubricated compressor, the oil in the crank-

case assembly also lubricates the pistons and cylinder
walls.

commonly used

be classified

in

to provide divers'

the following groups:

As

a result,

some of

the

oil

may come

contact with the air being compressed.

used

in

machines that provide breathing

into direct

The
air

lubricants

must be of

the quality specified for breathing air and be so desig-

• High-Volume, Low-Pressure Air Compressors.
These compressors are most often used to support

should not be substituted for another unless the manu-

surface-supplied operations or to supply hyperbaric

facturer's directions so specify. Chlorinated lubricants,

chambers. They are generally found

where
large-scale diving operations are being conducted
or aboard surface platforms fitted out for diving.
Units commonly used have output volumes of
between 50 and 200 scfm at maximum discharge
pressures of between 150 and 300 psig. These units
may be either permanently installed or portable.

synthetics, or phosphate esters (either pure or in a

Portable units are generally built into a skid assem-

facturers describe their machines as oil-free, even

bly along with a

power source

line engine, or electric
filter

air,

at sites

(diesel engine, gaso-

motor), volume cylinder,

assembly, distribution manifold for divers'

and a rack

for storing divers' umbilical as-

semblies.

One

lubricant

mixture) should never be used. Oil-free compressors
usually

employ

a standard oil-lubricated crankcase

assembly similar

to that of oil-lubricated

however, the pumping chambers

in

oil-free

machines;

machines

are designed to run either with water lubrication or
with no lubrication at

all.

For this reason, some manu-

though the breakdown of such compressors could still
result in oily breathing air. The mechanical connections

between the pumping chambers and the crank-

case on oil-free machines are carefully designed to
oil into the pumpThe all-purpose crankcase lubricant

prevent the migration of crankcase

• Low-Volume, High-Pressure Air Compressors.
These compressors are used for filling scuba cylinders and high-pressure air storage systems that
provide support for surface-supplied diving and
hyperbaric chambers. Portable units used for filling scuba cylinders are

commonly

available with a

volumetric capacity of 2 to 5 scfm at a discharge
pressure adequate to fully charge the cylinders

(2250 or 3000

psig,

depending on the type of

cylinder).

October 1991

nated by the equipment manufacturer.

ing chambers.

recommended by

the manufacturer can usually be used

for oil-free compressors.

The compressors used

but these machines are

still

not widely used in opera-

tional diving.

The production of compressed air is a complex procThe process begins as the piston in the first/second
stage head strokes upward in its cylinder. At that
ess.

point, the intake valve to the first stage closes

— NOAA

Diving Manual

to pro-

vide breathing air in hospitals are of the oil-free type,

and the

4-3

Section 4

intake valve to the second stage opens.

maximum

stage opens and compressed air
first-stage

At the

is

admitted

condense and collect as the

air passes

air/liquid separator at the discharge

The separator

cooler.

first

to the

Intercoolers cool the air before

intercooler.

further recompression and cause water and
to

point of

compression, the exit valve from the

oil

vapors

through the

end of the

inter-

fitted with a drain valve that

is

them

to

inert

and virtually unchanged physically during the

adhere to

its

purification process.

surface, the sieve itself remains

With appropriate periodic

re-

generation processes, most molecular sieves are capa-

removing a wide range of contaminants, includ-

ble of

ing nitrogen dioxide and most odors.

However, the
remove hydrocarbons and odors
with the use of activated carbon, which acts

most effective way
still

is

much

to

must be opened periodically to drain off accumulated
liquids. Each intercooler assembly is also fitted with a
relief valve that opens if the pressure rises above a safe

Another popular filtration system involves the following components, which are used in the sequence

level.

shown:

The second stage
downstroke of the

which the secondvalve closes and the air is further com-

stage inlet

At

pressed.

of compression takes place on the

exit valve to the

of

maximum

coalescing section to remove

•

dessicant section to remove water vapor, nitrogen

second stage opens and compressed

activated charcoal section for removal of resid-

taken

and

from ambient pressure

to approximately

2250

psi.

Commay

tastes;

The Hopcalite®

bon dioxide. Hopcalite®

Each succeeding cylinder

tion

is

proportionately smaller in

is lost because of the volume of the
and residual cylinder volumes; this factor

and

process.

the catalytic action

intercoolers

insignificant.

Air leaving a compressor must be cooled and passed
through an air/liquid separator to remove any condensed water and oil vapors before storage or immedi-

from an oil-free compressor does not genany further treatment unless the applica-

erally require

tion requires that

it

be further dried or there

is

concern

about possible contamination of the intake air. Air
from an oil-lubricated compressor must be carefully
filtered to

remove any possible

mist, oil vapors,

oil

from oil oxidation in the compressor (predominantly carbon monoxide), or odors. Sevpossible byproducts

eral types of filtration

most

filtration

them

in

this,

is

so small as to be physiologically

The amount

of oxygen used up

is

approxi-

mately 0.5 part of oxygen per million parts of carbon

called volumetric efficiency.

ate use. Air

to car-

a true catalyst in this reac-

is

is neither consumed nor exhausted in the
The amount of carbon dioxide produced by

mately 10 percent)

is

monoxide

oxidizes the carbon

vary with different makes and models of compressors.

volume than the previous one. Some efficiency (approxi-

and

Hopcalite® section for carbon monoxide removal.

•

pressors typically use a ratio of 6:1, although this

re-

air

ual odors
is

mist;

movable by adsorption;

admitted to the second-stage intercooler.
In a typical three-stage compressor, the air

oil

and other contaminants

dioxide, hydrocarbons,

compression, the
•

is

molecular sieve.

•

piston, during

moment

the

like a

systems are available. To use

agents properly,

it

is

necessary to place

the filtration system in a specific order.

To do

the direction of the air flow through the filter

monoxide, which has no appreciable effect on the

air

produced. The lifetime of this system is usually
determined by the lifetime of the dessicant, since
Hopcalite®

is

quickly "poisoned" and rendered ineffective

An

by excessive water vapor.
that

is

not widely understood

is

aspect of this process

that the carbon

monoxide

oxidation process releases substantial quantities of heat.

Hopcalite®

If a

becomes extremely hot or shows

filter

signs of discoloration, the compressor output air should be

checked for elevated carbon monoxide

levels.

In addition to Hopcalite®, the use of activated alu-

mina

No

in

combination with Multi-sorb®

matter what technique

is

is

also widespread.

employed, the location of

the compressor intake with respect to possible sources

of contamination

is

an important factor

in

ensuring

it

satisfactory air quality. Compressors should not be

should be checked. Like other high-pressure compo-

operated near the exhausts of internal combustion

system must be known, and,

if

there

is

any doubt,

nents, filter canisters should be inspected visually for

engines, sewer manholes, sandblasting or painting opera-

damage (High 1987). An
can be helpful when performing

inspection protocol

tions, electric arcs, or

filter canister

tainers of volatile liquids

corrosion

in-

For purposes of dehydration and adsorption, sub-

known

molecular sieve

as molecular sieves are often used.
is

4-4

it

A

a material having an extremely large

surface area to enhance

Since

can give off fumes even when

they are tightly closed. Intakes must be provided with

spections.

stances

sources of smoke. Plastic con-

its

capacity for adsorption.

removes harmful contaminants by causing

filters for

removing dust and other

orientation to wind direction

up

air

The

is

particles.

Proper

also critical in setting

compressor systems.
final step in the

filling station,

production of pure air

is

the

usually located in a dive shop, on board

NOAA

Diving Manual

— October 1991

Compressed

Air

and Support Equipment

ship, or near a diving installation.

It

is

important for

the diver to inspect the filling station to ensure that

proper safety precautions are being observed and that
Federal, state, and local regulations are being followed.

Figure 4-1

a schematic of the processing of air from

is

the intake to the scuba cylinder. (Note that the system

depicted

Figure 4-1 includes a high-pressure booster

in

pump, which can increase the efficiency of cylinder
filling

operations by providing air at the filling station

at a pressure

above that of the

air storage cylinder.)

For some diving operations,
manufacturer

in

air

is

supplied by the

banks of high-pressure cylinders. These

some
This

of this

oil

mixes with the

air

being compressed.

by the compressor's filtering
system. Because an improperly functioning filter can
oil

temperatures sufficiently to decompose or ignite

raise

the

filtered out

is

oil,

it

is

important to select

oil

to be

used as a

lubricant carefully.

The

oil's flashpoint (the temperature of the liquid oil
which sufficient vapors are given off to produce a
flash when a flame is applied) and auto-ignition point
(the temperature at which the oil, when mixed with air,

at

burn without an ignition source) are both impor-

will

tant considerations.

The most desirable compressor

cylinder banks are fitted with valves and manifolds

lubricants have higher-than-average flashpoints and

and may be used

low

provide breathing air in surface-

to

supplied diving operations and for

filling

The

volatility.

recommended by

oils

most efficient lubricants
4.2.1

for this

and

equipment.

Maintenance

Both the compressor and filter system must be
maintained properly. When running, the compressor
must be cooled adequately, because the primary factor
causing the breakdown of lubricants and contamination of the compressed air is high temperature in the

may be cooled by
blowers or water spray systems or by cooling sys-

compressor cylinder. Cylinder heads
air

the manufac-

turer of the compressor are generally the safest

scuba cylinders.

tems integral

to the

compressor machinery.

head temperature controller

is

valuable

in

A

cylinder

eliminating

the possibility of excessive cylinder temperatures.

Partic-

4.3

COMPRESSED GAS CYLINDERS

The scuba cylinder

or cylinders are secured to the
back by an adjustable harness or form-fitting
backpack assembly equipped with a clamping mechanism. Regardless of which model is employed, all straps
diver's

securing the apparatus should be equipped with corrosion-resistant, quick-release buckles to permit rapid
opening under emergency conditions.

Scuba cylinders contain the compressed breathing
gas (usually air) to be used by a diver. Most cylinders

ular attention should be paid to draining the interstage

for diving are of steel or

and final-stage separators. Compressors and

specially designed

filters

aluminum

alloy construction,

and manufactured

to contain

com-

are usually given routine maintenance on an hours-of-

pressed air safely at service pressures from 2250 to

operation basis. Filters should be examined and replaced

3000 psig (158

accordance with the manufacturer's specifications.
The compressor lubricant and mechanical parts should be
replaced on a rigorous schedule, based on the manu-

to 21

1

kg/cm

2

)

or greater.

in

facturer's
analysis.

recommendations or the

results of

an

air

Analysis of the output air from oil-lubricated

compressor systems should be performed on a periodic
basis. Oil mist analyses are difficult to

perform and

4.3.1

Cylinder Markings

Regardless of cylinder type, data describing the cylinder must be clearly stamped into the shoulder of the
cylinder,

which must be manufactured

require careful collection techniques as well as quali-

state

Commerce Commission (ICC)

fied laboratory analysis of the samples.

However, carthe most important, can

after

by the

bon monoxide analyses, by far
easily be performed in the field using colorimetric

inders as

tubes. (See Section

15.4 for information on contami-

nant analysis.)

A

log should be kept for

should record

all

time

each compressor. The log

in service,

maintenance, and

air

analysis information.

CTC/DOT,

on the interior of the cylinder's walls, and

October 1991

— NOAA

recently reflected on cylwhich indicates equivalency with

DOT (or ICC). 3AA
pressure of 2250 psig

cylinders carry the code

kg/cm

2

)

and

a service

or higher on the

first line.

These marks are

followed by the serial number, cylinder manufactur-

Oil-lubricated compressors always have a small
oil

1970), there-

(High 1986a).
Regulatory changes in the more than 35 years since
scuba cylinders entered service in the United States
have produced a variety of code markings. Typically,

(158

amount of

(until

requirements of the Canadian Transport Commission

steel

Lubricants

accordance

DOT, and most

(steel type),

4.2.2

in

with the precise specifications provided by the Inter-

Diving Manual

symbol (before 1982, the symbol of the user or
equipment distributor), the original hydrostatic test
er's

4-5

Section 4

Figure 4-1

Production of Diver's Breathing Air

<
Priority

Back Pressure
Valve

Pressure

Gauge

%-M

Auto Air Distribution Panel

Isolation

Relief Valve

Valve

%
Magnetic Starter

High Pressure Air Booster

Check Valve

Final Moisture Separator

& Hour Meter

a
Pressure Switch

FT-i

i

.

.

!

i

Bleed
Valve
i

:

Chemical

Filters

X

!_

Check Valve
Auto Air

— Moisture Separator

Fill

Panel

fS>-Auto Condensate Dump
*

'

i

i

i

i

Low Oil

"Compressor

i_

Level Switch
Fill

»

Hoses

High Pressure Lines
Electrical Lines

Air Storage Cylinders

Courtesy Skin Diver Magazine

date with testor's symbol, and a plus
indicates that a 10 percent
is

fill

(

+

)

mark, which

over-service-pressure

allowed for the 5-year period of the original hydro-

indicated in

Additional hydrostatic test dates, with the testors'

some code markings

(

+

)

to

3000

psi

cylinders. Currently,

5-year or shorter intervals. However, since hydrostatic

and

scuba cylinders appropri-

ately to permit inclusion of the plus

mark

(

+

)

for

few steel cylinders are
filled in excess of the designated service pressure
after the initial period. (Figure 4-2 shows steel scuba
cylinder markings.) Current practice allows a cylinder
submitted for the plus ( + ), that is the 10 percent
overfill, to fail the elastic expansion test and to be
reevaluated at the lower service pressure on the basis
of the permanent expansion test (High 1986b).
Aluminum alloy scuba cylinders entered U.S. commercial service in 1971 and are code-marked in a
somewhat different manner than steel cylinders. Initially, DOT issued special permits or exemptions for
continued 10 percent

4-6

overfill,

as

(174 to 211

or overfill allowance

codes, will be added on successful retest at required

test facilities rarely retest

cylinders. These are

SP6498

or E6498,

followed by the service pressure, which typically ranges

from 2475

static test.

aluminum

the manufacture of

CTC

that the cylinder
in

2

).

No

plus

used with aluminum alloy

aluminum cylinders reflect DOT
new material designation (3AL),
and a mark indicating volume and

equivalency, a

the service pressure,

shown

is

kg/cm

is

intended for scuba service (S80), as

Figure 4-3.

NOTE
Aluminum
filled in

alloy cylinders should never be
excess of marked service pressure,

steel cylinders without a plus ( + ) after
the current hydrostatic test date should also
not be filled over their marked service pres-

and

sures.

NOAA

Diving Manual

— October 1991

i

Compressed

Air

and Support Equipment

Figure 4-2
Steel Cylinder Markings

Steel Alloy Specification

Manufacturer
Initial

Test

Hydrostatic

£ 073440

Company

PST
(DACOR)

Distributor

4-83 +
Number

Serial

NOTE

There are four major manufacturers

of

scuba cylinders

in

(he United States

names and symbols are shown below

Their

Manufacturer's

Symbol

Manufacturer

Name

Inspector's
Official

Mark

A

Luxfer

Pressed Steel

or

Authorized Testing

G

PST
(k)

Walter Kidde

WK
WK&Co
of

Norns Industries



of

Inspection Service

Cochrane Laboratory

T. H.

& ®

Arrowhead Industrial Service
or Hunt Inspection

C

T H Cochrane Laboratory

Derived from

The

volume of

internal

physical dimensions and

a cylinder

may

inches or cubic feet.

Of more

the cylinder, which

is

a function of

is

be expressed

interest

in

the capacity of

is

the quantity of gas at surface

The capacity usually

standard cubic feet or standard

liters

is

expressed

:
,

or 153 atm) and contain

64.7 standard cubic feet (1848 standard liters) of gas.

Cylinders with capacities from 26 standard cubic feet

(742 standard

liters)

(2857 standard

liters)

October 1991

— NOAA

to over

100 standard cubic feet

are used for scuba diving.

Diving Manual

Do Not

Fill

Cylinders Beyond Their Service

Pressure

in

of gas. Cylinders

scuba cylinders generally have a rated working pres-

kg/cm

WARNING

its

of various capacities are commercially available. Steel

sure of 2250 psig (158

(1979)

cubic

pressure that can be compressed into the cylinder at

rated pressure.

its

NOAA

4.3.2

The

Cylinder Inspection and Maintenance
exteriors of most steel cylinders are protected

against corrosion by galvanized metal (zinc), epoxy

The zinc bonds to the
from air and water. Galvanized exteriors are recommended for protection against
corrosion; however, epoxy paint or plastic is unsatispaint, or vinyl-plastic coating.

cylinder and protects

it

factory for use over bare steel cylinders, because even

4-7

Section 4

Figure 4-3

Aluminum Cylinder Markings

Aluminum

Alloy

Specification

Service Pressure

Scuba Service

Agency Responsible
for

Standard

3000 S8oAr(OmittedA

CTC/DOT 3AL
/

(DOT)
Serial

Number

\

SP6498
E6498
,

\

)

Cylinder

\

Hydrostatic

First

^prest
2 A85 "*\Test
2/^v85

P71841^Luxfer

Volume

and Company

ark

(A5081)<^

(Distributor)

Test

Initial

Manufacturer-

NOTE

There are four major manufacturers of scuba cylinders
Their names and symbols are shown below
Manufacturer's

Symbol

Manufacturer

Luxfer

Pressed Steel

PST

G

WK

WK&Co.

or

Norns Industries

or

<8>

Name

&

Mark, With
Manufacturer's
Mark Separating

of

Inspection Service

Mark

Official

A

(k)

the United States

Inspector's

o

Walter Kidde

in

Showing Testor's

Test Month
and Year.

Authorized Testing

T. H.

Cochrane Laboratory

Arrowhead

£>

Industrial Service

or Hunt Inspection

C

T. H.

Cochrane Laboratory

Courtesy William

minor abrasions

may

penetrate these two coatings and

expose the underlying metal, allowing oxidation (rusting)
to begin

immediately. Epoxy paint or plastic

able, however, over zinc-galvanized surfaces
it

accept-

is

because

reduces electrolytic corrosion of the zinc by

salt

L.

High

or assessed. Also, the lining tended to loosen and, in

some

cases, the resulting flakes clogged the valve or

the regulator.

A
ally

Damaged

linings

must be removed.

corrosion-inhibiting epoxy-polyester finish usuis

aluminum

applied to the exterior of

cylinders

water and imparts an attractive appearance. With proper

both to protect them and to give them an attractive

preventive maintenance, electrolytic corrosion

color. If this coating scrapes off,

tively insignificant

is

rela-

on bare zinc coating.

Since internal rusting

is

a problem,

manufacturers

formerly applied protective linings on the interiors of
cylinders.

The use

an oxide layer forms

that tends to protect the cylinder

of internal coatings has only been

sion.

Often the

interiors of

from further corrocylinders have a

aluminum

protective layer over the base metal, such as Alrock® or
Irridite®,

which

is

applied during the fabrication process.

lining allows moisture in the cylinder to penetrate to

Air cylinders and high-pressure manifolds should
be rinsed thoroughly with fresh water after each use to

bare metal. Corrosion under the lining cannot be seen

remove traces of

relatively successful,

4-8

because even a small flaw

in the

salt

NOAA

and other deposits. The exterior
Diving Manual

— October 1991

Compressed

and Support Equipment

Air

The

of the cylinder should be visually inspected for abra-

and corrosion.

sion, dents,

abrasions or dents,

If

the cylinder has deep

should be tested hydrostatically

it

before refilling; external corrosion should be removed
a protective coating applied to prevent further

and

Care

deterioration of the cylinder wall.

When

a cylinder

is

may

pared to standards

is

(1) cuts, gouges, corrosion (general, pitting, line),

completely drained

and

stress lines;

(2) dents or bulges;

damage;

(3) signs of heat

if

depressed, allowing the second-

(4) general abuse;

stage valve to open. Cylinders used under water as a

(5) condition of plating;

source of air for power tools or for

(6) current hydrostatic test date.

bags often
become contaminated by moisture returning through
the valve. Cylinders should be stored with about
100

psi of air

remaining

in

lift

Interior cylinder evaluations to standards should assess:

assembly

is

(2)

(3) thread integrity;

attached, because small

amounts of water may be trapped in the valve orifice
and injected into the cylinder. Moisture in a cylinder
often can be detected by (1) the presence of a whitish
mist when the valve is opened; (2) the sound of sloshing
water when the cylinder is tipped back and forth; or
(3) a

damp

Water

in

in

if

the

first

steel

stage or in the hose prior to the second-

sion,

and the water jacket method. The most common
is the water jacket method, which involves

method
filling

and aluminum cylinders should be inspected

frequently,

they are used

filled

the cylinder with water, placing

cylinder with a hydraulic

amount

and perhaps as often as every

displacement. The pressure

in

3 months,

a tropical climate or aboard ship, or

A

special rod-

regulations, a

more of the
is

is

total

expansion indicates that the cylinder

unsafe for use and should be condemned.

short periods of time.

High (1987).

to store cylinders over longer periods with
to

forms of inspection are used, depending on the

interval since the previous inspection or the nature of

An

the suspected problem.

informal inspection

is

a

cursory look at a scuba cylinder's exterior and interior
to

determine

A

formal inspection
in which

if

there

is

standards,

a

dence of the inspection

form of a sticker that
ity

for continued use.

a reason to

is

a

it

further.

complete evaluation against

judgment
is

examine

is

reached and

evi-

affixed to the cylinder in the

ensure that the valve

There

is

is

low pressure

not inadvertently opened.

a potential for moist ambient air to pass through

the open valve into the cylinder as air temperatures

change.

If there is

moisture

in the cylinder, air at the

higher pressure (higher partial pressure of oxygen)
accelerates corrosion.

However, a greater danger

aluminum

exists

when

partially filled

cylinders are exposed to heat, as might occur

The metal can

attests to the cylinder's suitabil-

during a building

The

temperature-raised pressure reaches that necessary to

sticker should indicate the

fire.

An

soften before the

standard used, the date of inspection, and the facility

burst the frangible safety disk.

conducting the inspection.

well below the cylinder service pressure.

October 1991

DOT

permanent expansion of 10 percent or

Two

in

column

increased to five-thirds

Scuba cylinders may be stored at full pressure for
However, it has been traditional

Standards and procedures for the visual inspecin detail

pump, and measuring the

the rated pressure of the cylinder. According to

type low-voltage light that illuminates the entire inside of

compressed gas cylinders are discussed

a water-

of cylinder expansion in terms of water

the cylinder should be used for internal visual inspec-

tion of

in

it

pressure chamber, raising the pressure inside the

corrosion. Cylinders should be inspected

they receive especially hard service.

tion.

and
neck cracks.

There are several methods of hydrostatic testing of

damage and

if

any);

(if

(7) internal

cylinders, including direct expansion, pressure reces-

internally by a trained technician at least once a year

more

presence of manufacturer's re-call items

(6)

cold water diving, because ice can

in

interrupted.

for

(5) sign(s) of substantial material removal;

or metallic odor to the air in the cylinder.

stage valve, causing the flow of air to the diver to be

Both

(4) defects in interior coating (if any);

a cylinder can create a particularly danger-

ous condition
form

and amount of cylinder contents (if any);
magnitude of general, pit, or line corrosion;

(1) type

Cylinders should never be submerged completely
filler

and

the cylinder to keep water from

entering the cylinder.

before the

should be com-

for:

must be

also

enter the cylinder through the regulator

the purge button

neither

is

should be performed

In general, the cylinder exterior

tools.

of air while being used with a single-hose regulator,

water

it

only by persons properly trained and using appropriate

taken to prevent moisture accumulation inside highpressure cylinders.

visual cylinder inspection procedure

complex nor time consuming, but

— NOAA

Diving Manual

explosion

may

occur

4-9

Section 4

Rules for the use of scuba cylinders are:
(1)

Do

not

fill

high-pressure cylinders

if

the date of

the last hydrostatic test has expired (5 years for

and aluminum cylinders) or

steel

year has passed since the

1

last

if

more than

formal visual

Charge cylinder

at a slow rate to prevent exces-

sive heat buildup.
(3)

valve of the double-

hose regulator rides at the back of the diver's neck. The

demand

valve of the single-hose regulator

positioned at

is

the diver's mouth, regardless of cylinder orientation.

The demand

valves of both types

must be kept

Never exceed the maximum allowable pressure
any particular cylinder.
Never perform maintenance or repairs on a

in close

minimum

proximity to the diver's lungs to ensure a

inspection.
(2)

demand

this configuration, the

hydrostatic pressure differential between demand valve
and respiratory organs, regardless of diver orientation.
If this is not achieved, the diver's respiratory system

must work harder than necessary

to

overcome

this

for

(4)

cylinder valve while the cylinder
(5)

is

charged.

Handle charged cylinders carefully. Handling
by the valve or body is preferred. Handling by
straps or backpack may allow the cylinder to

on orientation). Thus, the position of the cylinders on
the diver's back

hose regulator

If diver's air

especially important

is

charged cylinders

an upright position

in

shady place to prevent overheating.
Secure cylinders properly to prevent falling or

in a cool,

(7)

when

a double-

employed.

is

to

is

be supplied by two or more cylin-

ders simultaneously, a manifold assembly

slip or drop.

(6) Store

depending

differential during inhalation (or exhalation,

to join the cylinders

and provide a

employed

is

common

outlet.

The

manifold consists of sections of high-pressure piping

and appropriate

fittings specially configured

and

threaded to incorporate two or more cylinders, a valve,

rolling.

(8) Internal inspections, hydrostatic tests,

and repair

work should be performed only by those formally

and frangible burst disks into a single functional
In addition,

Have

cylinders visually inspected for interior

deterioration annually (or

depending on

more frequently,

use).

(10) Inspect cylinders externally before and after

each dive for signs of general pitting or
rosion, dents, cracks, or other

line cor-

damage. Never use

a welded, fire-damaged, uninspected, gouged,
or scarred cylinder.

(11)

Remove

cylinder boot periodically to inspect

for corrosion

and

rusting. Boots that inhibit rapid

draining and drying should not be used because

they allow water to remain in contact with the
cylinder, forming corrosion.

(12)

Do

not completely drain the cylinder of air

during dives. This prevents moisture from enter-

may

unit.

also contain a reserve valve.

The cylinder valve assembly

trained to do so.
(9)

it

is

a simple, manually

operated, multiple-turn valve that controls the flow of

high-pressure gas from the scuba cylinder.

the point of attachment for the

demand

It also is

regulator.

After the regulator has been clamped to the cylinder
valve and just before using the apparatus, the valve is
opened fully and then backed off one-fourth of a turn.
It remains open throughout the dive. On completion of
the dive, the cylinder valve is closed and should be bled

atmospheric pressure, which prevents the O-ring
from blowing out while the regulator is removed.

to

When

a single cylinder supplies diver's air, the cyl-

inder valve unit

is

generally sealed directly into the

neck of the cylinder by a straight-threaded male connection containing a neoprene O-ring on the valve body.

Most cylinders placed
fitted with a valve

ing the cylinder.

without O-rings.

in service

before 1960 were

having a 0.5-inch tapered thread

When

a single cylinder

is

utilized, the

cylinder valve assembly houses a high-pressure burst

WARNING

disk as a safety feature to prevent cylinder pressure

Aluminum Cylinders Should Not Be Heated
Above 350° F (177° C) Because This Reduces

conditions of elevated temperature. Old-style lead-filled

from reaching a

the Strength of the Cylinder

and Could Cause

Rupture

critical level

during charging or under

blowout plugs must be replaced with modern frangible
disk assemblies. When a pair of cylinders is employed,

two burst disks are installed in the manifold assembly.
Valve manufacturers use burst disks designed to rupture at between 125 and 166 percent of the cylinder
service pressure. The rating may be stamped on the

Cylinder Valve and Manifold Assembly

face of the burst disk assembly to prevent confusion,

Open-circuit scuba cylinders are normally worn on

and disks of different pressure ratings must not be used
interchangeably. Valves are not interchangeable between

4.3.3

a diver's

4-10

back with the manifold/valve assembly up. In

NOAA

Diving Manual

— October 1991

Compressed

and Support Equipment

Air

Figure 4-4
Valve Assemblies
cylinders having different service pressures unless their

respective burst disk assemblies are also interchanged.

NOTE
The standard cylinder valve assembly described above is known as a K-valve. A
cylinder valve that incorporates a low-air
warning/reserve air mechanism is known as a
J-valve.

4.3.4

Low-Pressure Air Warning/Reserve

A. Cylinder Valve

B.

Reserve Valve

Mechanism

Air

Source:

NOAA

(1979)

then

made

Several mechanisms are used in open-circuit scuba

perform the important function of warning divers
that the air supply is approaching a critically low level.
to

Some

300 or 500

psi (23 or

30 kg/cm

2

of air

)

is

available to the diver.

of these devices also provide a reserve air supply

Divers should be aware that the availability and

that allows the diver to proceed safely to the surface.

duration of the reserve air supplied through a reserve

Such

valve are dependent on the

a device

generally one of the following: J-valve,

is

submersible cylinder pressure gauge, or auditory warning

mechanisms may be incorporated into
valve/manifold
assembly or into the demand
the cylinder
devices
regulator. These
and their limitations are

device. These

discussed

in

the following paragraphs.

number of cylinders carried
The 300 psi (23 kg/cm )
2

as well as the depth

of the dive.

reserve available

at actual cylinder pressure;

is

it

is

not

above ambient pressure. Thus, at a depth of
100 feet (ambient pressure of approximately 50 psi),

300

psi

only 250 psi (17

kg/cm

starts to ascend.

Also, the reserve valve

2

is

)

available until the diver

mechanism

retains a reserve air supply only in one cylinder of a

Reserve Valve

twin set of cylinders; the other cylinder or cylinders

The
in

reserve valve (also called a J-valve), illustrated

Figure 4-4,

is

a

spring-loaded check valve that

begins to close as the cylinder pressure approaches a

300 or 500 psi (23 or
30 kg/cm ). Until this pressure is approached, the
reserve valve permits an unrestricted flow of air to the
regulator throughout the dive. At the predetermined
pressure, a spring forces a flow check against the port
orifice and restricts the air flow, causing increased
predetermined

level, generally

when the reserve valve trips.
mechanism is activated, the reserve

are at a lower pressure

When

the reserve

air distributes itself proportionately

For

this reason, the reserve valve

in

cylinders.

all

mechanism employed

:

breathing resistance. This
tion of air flow

The remaining

if

is

followed by total obstruc-

the reserve air

is

not manually released.

with twin cylinders must be set to provide a 500-psi
reserve. Unfortunately,

reserve valve

though generally

mechanism

is

or mechanical failure and,

1/4",

may

reliable, the

subject to physical
if

moved

as

little

be tripped inadvertently early

which allows the reserve

air to

damage

as 1/8" to

in

the dive,

be exhausted without

the diver's knowledge.

or reserve air can be released by manually

overriding the spring-loaded check valve.

NOTE
NOTE

Reserve valves should be inspected annually
defects or whenever a malfunction is
suspected.

for

The reserve valve
position

when

lever

must be

in

the

down

charging cylinders.
4.3.5

When

a diver depresses the cylinder valve/manifold-

mounted reserve

lever, a

plunger pin within the reserve

valve advances, forcing the flow check to back off the
orifice against the action of the spring.

October 1991

— NOAA

Diving Manual

The remaining

Submersible Cylinder Pressure Gauge

Use of
ure 4-5)

is

a submersible cylinder pressure

a requirement in nearly

scientific diving.

all

gauge (Fig-

recreational and

These gauges have largely replaced

constant reserve valves and audio systems.

When

reading

4-11

Section 4

Figure 4-5

Gauges
be positioned carefully as a result; the high-pressure
hose can be run inside the waist strap on the back pack
so that the gauges are located on the thigh in a read-

When worn

able position.

improperly, a submersible

pressure gauge positioned at the end of a 2- to 3-foot
(0.7 to

1

m)

length of high-pressure hose can increase

the chance that a diver will foul on bottom debris

.or

become entangled with equipment. The gauge supply
hose muSt be connected to a high-pressure port with
compatible threads or be used with an adapter.

The high-pressure hose normally has brass

fittings

with a restricting orifice. Should the high-pressure
hose rupture, this orifice prevents rapid loss of cylinder air and allows the diver time to abort the dive and
surface.

Care must be taken

to

keep water from getting

into the first stage of the regulator before the cylinder

valve

opened, because otherwise water could be blown

is

into the submersible pressure

gauge and other regula-

tor parts. Divers also should never

scuba cylinders when the valve

is

off

submerge
and there

their
is

no

pressure in the attached regulator.

Gauge readings

much

that err by as

as 300 psi

more may occur because gauge accuracy
declines with use, especially if small amounts of water
have entered the mechanism. Divers should therefore

kg/cm

(23

compare
Courtesy William

L.

High

ularly;

2

)

or

their

gauges to known cylinder pressures reg-

gauges should be checked at various pressures.

Professional dive facilities often use gauges in their

high-pressure air systems that are accurate to
a

gauge

is

difficult, as is the case in low-visibility

conditions, a constant reserve valve can be carried as
well.

In addition, dial faces that glow in the dark

increase gauge readability under marginal light conditions.

the

Some newer gauges

amount

are able to provide data on

make

cylinders with

known

1

sures available to their customers for comparison.

NOAA

all

or

pres-

At

diving units, pressure gauge testing devices

are available that can be used for gauge calibration

and

to assess erratic needle

movement.

of time remaining for the dive at the cur-

rent breathing gas

consumption

rate.

This feature cal-

culates the pressure drop in the cylinder over time and

predicts the

2 percent so they can

amount of

air

time remaining, assuming a

continued constant rate of use. However, divers should

be aware that changing their respiration rates can
dramatically alter the amount of time remaining at

WARNING
Do Not Look Directly At the Face of Any Pressure Gauge When Turning on the Cylinder
Because of the Possibility of Blowout

low cylinder pressures.

to

The use of
be added

increased the

when

Because the accuracy of the slow indicator needle

submersible pressure gauge has

declines during normal use, the needle on a defective

amount of information

that can be obtained

a diver monitors the submersible cylinder pres-

sure gauge.
ers,

consoles that allow other types of gauges
to the

Maximum

depth indicators, bottom tim-

and compasses are now commonly associated with

pressure gauges. However, this use of console gauge

holders has added considerably to the mass of the
high-pressure hose end, and the hose and gauge must

4-12

unit

might

stick,

which could cause the pressure read-

ing to be higher than

it

actually

is.

Divers

in the field

can assess the adequacy of submersible gauge needle
function by releasing pressure from the gauge over a

3-minute period while they observe the needle for
movement. Defective gauges must be returned
to the manufacturer for replacement of parts.
erratic

NOAA

Diving Manual

— October 1991

Page

SECTION

5

DIVER AND
DIVING

5.0

General

5.1

Open-Circuit Scuba
5.1.1

EQUIPMENT

5-1

Demand

5-1

Regulators

5-1

Two-Stage Demand Regulators
5.1.1.2
Breathing Hoses
5.1.1.3
Mouthpieces
5.1.1.4
Check Valves and Exhaust Valves
Preventive Maintenance for Regulators
5.1.1.5
Surface-Supplied Diving Equipment
5.1.1.1

5.2

5-6
5-6

Lightweight Free Flow Helmets

5-8

5.2.3

Lightweight Free

5.2.4

Umbilical Assembly

Flow/Demand Helmets

5.2.4.3

Gas Supply Hoses
Communication Cables
Pneumofathometer Hoses

5.2.4.4

Strength

5.2.4.5

Hot-Water Hoses
Assembly of Umbilical Members
Coiling and Storage of Umbilical Hose
Umbilical Maintenance
Harness
Weighting Surface-Supplied Divers

5.2.4.8
5.2.4.9

5.2.4.10

Members

Diver Equipment.

5-8
5-8
5-9
5-9
5-9

5-9

5-10
5-10
5-10

5-10
5-1
5-1

5-1

5.3.1

Face Masks

5-1

5.3.2

Flotation Devices

5-1

5.3.3

Weight

Belts

5-13

5.3.4

Diver's Knife

5-14

5.3.5

Swim

5-14

Fins

Protective Clothing

5-14

5.4.1

Wet

5-15

5.4.2

Dry Suits
5.4.2.1
Dry Suit Insulation
5.4.2.2
Variable-Volume Neoprene or Rubber Dry Suits
Hot-Water Suit Systems
5.4.3.1
Open-Circuit Hot-Water Suits
5.4.3.2
Hot-Water Heater and Hoses
5.4.3.3
Closed-Circuit Hot-Water Suits
Accessory Equipment

5.4.3

5.7

5-5

5.2.2

5.2.4.7

5.6

5-5

Flow/Demand Masks

5.2.4.6

5.5

5-4

Free

5.2.4.2

5.4

5-4

5.2.1

5.2.4.1

5.3

5-2

Diver's

Suits

5-16
5-17
5-17

5-18
5-18
5-18

5-19
5-19

5.5.1

Snorkels

5-19

5.5.2

5-20

5.5.3

Timing Devices
Depth Gauges

5.5.4

Wrist Compass

5-21

5.5.5

Pressure Gauges

5-21

5.5.6

Underwater Slates

5-22

5.5.7

Diving Lights

5-22

5.5.8

Signal Devices

5-22

5 5.9

Safety Lines

5-24

5.5.10

Floats

5-24

5.5.1
Accessories That Are Not Recommended
Shark Defense Devices
Underwater Communication Systems
5.7.1
Hardwire Systems
5.7.2
Acoustic Systems
5.7.3
Modulated Acoustic Systems

5.7.4

Non-acoustic Wireless Systems

5-20

5-24
5-24
5-25
5-25

5-26
5-26
5-27

4

<

DIVER AND
DIVING

EQUIPMENT
GENERAL

5.0

This section describes diving equipment that has proven

be reliable

to

in a

Figure 5-1
Open-Circuit Scuba Equipment

wide variety of underwater environ-

New

models and new types of diving equipment
come on the market regularly, and divers should be
ments.

when selecting equipment to ensure that the
equipment they have chosen is both safe and efficient.
Diving equipment must be maintained properly to percareful

form

at its best; selection

mental

5.1

and maintenance are funda-

to safe, effective diving.

OPEN-CIRCUIT SCUBA

Self-contained underwater breathing apparatus (scuba)
was developed to allow the diver freedom of movement
under water. In this diving mode, divers carry their
breathing medium on their backs, which allows dives
to be conducted without surface support.
A typical open-circuit scuba system consists of a
compressed air cylinder (tank) that contains high-

pressure

air,

a regulator that reduces the pressure of

the air in the tank to a pressure equal to that of the

environment (ambient pressure), and a means

diver's

of attaching the tank and regulator to the diver.

A

standard open-circuit scuba system

is

shown

in

Figure 5-1.

Three major categories of scuba are currently

in use:
Courtesy U.S. Divers

•

Open-circuit demand;

•

Semi-closed-circuit (for mixed gas applications);

•

Closed-circuit.

and

To

•

equipment that is appropriate for a particular dive, divers must know and understand the difference between self-contained diving (open-circuit air)
and surface-supplied diving.
The advantages of open-circuit scuba are:
It

•

The equipment needed can be carried

for dives of long

•

Does not permit communication between the diver
and the surface;

•

Cannot be used under conditions of poor visibility;
Cannot be used for cold-water diving; and
Requires a minimum of two divers (i.e., use of the
buddy system) for safety.

•
•

permits diver mobility;

•

Cannot supply breathing gas
durations;

select

or trans-

ported easily;
•

can be conducted from small boats (i.e.,
mode requires little support equipment); and

•

Training for this

It

The disadvantages
•

Cannot be used

October 1991

mode

is

at great depths:

Diving Manual

5.1.1

Demand

Demand

widely available.

of open-circuit scuba are that

— NOAA

this

Regulators

regulators are used to reduce the pressure

of the breathing gas

coming from high-pressure

cylin-

ders to ambient pressure and to provide gas to a diver
it:

on demand; the pressure differential created by the
respiratory action of the diver's lungs

is

the signal to

5-1

Section 5

Most

depth or respiration rate and conserve the gas supply

exhausted at the regulator through the hose leading
over the left shoulder. The two-hose regulator is no
longer widely used, and it is not currently in commer-

by delivering only the quantity of breathing gas required.

cial production.

the regulator to provide gas to the diver.
tors automatically adjust to

changes

regula-

in the diver's

The function of "upstream" and "downstream" valves
is

critical to the

operation of regulators.

An upstream

is one that opens against the air flow coming
from the high-pressure gas in the cylinder. Because
this valve is forced closed by gas of higher pressure, it
increases breathing resistance. If a major regulator
malfunction occurs, the upstream valve is closed by

valve

the higher pressure gas, which, in turn, shuts off the
diver's supply.

As

a consequence of this feature, these

valves are only rarely manufactured today.

stream valve, on the other hand, opens

A

down-

same

in the

direction as the airflow, which causes such valves to be

forced open by the higher pressure

This method of

air.

operation results in smoother operation and reduced
inhalation effort. Almost
regulators are

Many

stage valves.

all

commercially available

now equipped with downstream seconddifferent

demand

regulators are

available that deliver breathing gas at remarkably
consistent, low-differential pressures.

The single-hose regulator
first

pressure reduction

is

designed so that the

stage mounts directly on the

tank manifold or valve, and the second pressure reduction stage

is

contained in an assembly that also includes a

mouthpiece and exhaust ports. The first and second
stages are connected by an intermediate pressure hose.
Air is delivered from the first stage at intermediate
pressure (110-160 psi over ambient) and from the
second stage at ambient pressure. The exhaust gas is
released into the water from the mouthpiece through
the exhaust port (non-return valve).

two-stage regulator

is

the most

The

common

single-hose,

regulator in

use because of

its reliability, simplicity, and ease of
maintenance (Cozens 1980). Lighter weight plastics
are being used in second-stage housings, and silicone
rubber components have largely replaced less durable
materials. The performance characteristics of secondstage components have also been improved by elimi-

nating metal-to-metal interfaces.

First-stage regulators are available in two types,
5.1.1.1

diaphragm and

Two-Stage Demand Regulators

Two-stage regulators are designed to reduce the
breathing gas in a cylinder to ambient pressure in two
stages.

The

first

stage reduces the pressure to approx-

imately 110 to 160 psi above ambient pressure, and the

second or demand stage reduces the pressure from this
level to

ambient pressure. The major advantage of the

second stage

is

that air

is

supplied to the

demand

stage

which allows both a
reduction in breathing resistance and fewer fluctuations caused by changes in depth and decreasing cylinat a nearly constant pressure,

der pressure. Breathing resistance
the
(1

demand

is

reduced because

valve works against a controlled pressure

10 to 160 psi above ambient from the

produced in two
and balanced (Figure 5-2).
The diaphragm first-stage regulator (Figure 5-2a)
contains an unbalanced upstream valve (i.e., high-

acts against a flexible diaphragm.

by the
air

still

in

combine

is

the double-hose

lung developed by

original two-stage regulator

model similar to the original AquaGagnon and Cousteau in 1943, in

which both pressure reduction stages are combined
into one mechanical assembly that mounts on the tank
manifold. Two flexible low-pressure hoses lead from
either side of the regulator to a mouthpiece that contains both the inhalation

The hose

until equilibrium

forces exerted

During descent, the

is

restored.

When

the diver inhales,

the reduced pressure in the intermediate

is

chamber

dis-

achieved.

The balanced diaphragm

and exhaust non-return

valves.

that leads over the right shoulder supplies the

ure 5-2b)

first-stage regulator (Fig-

designed so that the valve stem extends

anced configurations of the diaphragm first-stage
regulator, failure of the diaphragm causes the valve to
close.

The unbalanced

piston first-stage regulator (Fig-

ure 5-2c) contains a downstream valve
pressure air acts to open the valve).
in

the exhaled gas exits through the mouthpiece and

pressure,

is

is

completely through the high-pressure chamber; the
operation of the balanced valve is thus independent of
the tank (supply) pressure. In both balanced and unbal-

breathing (inhalation) gas at ambient pressure, and

5-2

to activate the valve.

The

and the high-pressure

demand

few two-stage, two-hose regulators are
use, and single-stage, two-hose regulators can

The

spring, the water (ambient),

chamber displaces the diaphragm and opens the valve

A

be seen occasionally.

spring applies a

increasing hydrostatic pressure in the free-flooding

librium
regulators.

A

pressure air acts to close the valve).

force that opposes that of the high-pressure air and

places the diaphragm and opens the valve until equi-

first stage).

All single-hose regulators are two-stage

piston; both types are

configurations, unbalanced

the free-flooding

and

chamber

A

(i.e.,

higher

bias spring

controls the intermediate

a hole in the shaft of the piston allows

NOAA

Diving Manual

— October 1991

Diver and Diving Equipment

Figure 5-2
First-Stage Regulators
of the valve
a.

therefore independent of tank (supply)

is

Unbalanced Diaphragm

uration, failure of the piston seal tends to cause the
•

Diaphragm

Valve Seat

valve to

fail in

the open or free-flow mode.

The second-stage
HP

[BM

Air-

Valve

b.

piece,

—Water

medium

To 2nd

Tension

Stage

Spring

Seal\

HP

a»
To 2nd

Ambient
Water

*

Pressure

Spring

to

Stage

the

improve the dynamic breathing characteristics of

phragm inward, which reduces inhalation effort. On
diaphragm returns to a neutral posi-

Hollow

exhalation, the

Air

Piston

tion, releasing

pressure on the stem or linkage, which

returns to

normal position, closing the medium-

its

pressure valve.

To 2nd
Stage

As exhalation
chamber to

one-way mushroom valve

\

Ambient
x Water

increases the pressure in

Stem

above ambient,

levels

A

Adjustable

imum

of dead space, which limits the

/Tension

that will be rebreathed.

/

Spring

Valve
Seat

properly constructed second stage has a min-

The pilot
number of

To 2nd

valve that

Stage

valve second stage also has

regulators;
is

it

amount

of air

been used with a

incorporates an air supply

opened and closed by

air pressure rather

than by mechanical leverage. The opening pressure

Air

downstream pilot valve. A simple mechanical linkage
is used between the diaphragm mechanism and the

Ambient
Water

Seals

is

generated by air flow through a diaphragm-activated

Piston
'O" Ring

a

unseated, which allows

water.

Balanced Piston
Hollow

is

the exhaled gas to be exhausted into the surrounding

Pressure

HP

in

the regulator; the venturi effect tends to pull the dia-

the low-pressure

d.

chamber

mouthpiece. In addition, most regulator manufactur-

Valve
Seat

Seals

The

pressure to a valve in the mouthpiece.

ers incorporate aspirators (venturi's) into their designs

Stem

"O" Ring

by a medium-

long as a diver inhales, air will continue to flow into the

Diaphragm

Unbalanced Piston

HP

to the first stage

mouthpiece caused by inhalation results in distortion
of a diaphragm. This distortion applies pressure to a
stem or linkage that is connected directly to the mediumpressure air inlet valve, opening the valve and admitting air into the mouthpiece at ambient pressure. As

Tension

Valve
Seat

mouth-

regulator, located in the

reduction in pressure in a low-pressure

Adjustable

Air-

connected

is

pressure hose; this hose, in turn, supplies a constant

Pressure

Balanced Diaphragm
"O" Ring

c.

Ambient

Adjustable

Upstream

and unbalanced config-

pressure. In both the balanced

Pressure

pilot valve.
Source:

NOAA

Because the

pilot valve

amount of spring tension needed

to

is

very small, the

counterbalance the

(1979)

pressure

is

small and less force

close the valve.
to

The

is

pilot valve

necessary to open and

opens only a

little

way

permit the air supply valve to pass a small amount of

air into a control

chamber. With

this

system, air supply

the dry side of the piston to be equalized at the inter-

valve openings larger than those used in conventional

mediate pressure. During descent, the increasing hydro-

leverage systems can be used in the second stage.

static pressure in the free-flooding

chamber

displaces

the piston, opening the valve until equilibrium
restored.
in

When

the diver inhales, the reduced pressure

the intermediate

chamber displaces

opening the valve until equilibrium

The balanced
the high-pressure

is

the piston,

achieved.

movement

chamber by an

— NOAA

is

isolated

is

from

0-ring: the operation

Diving Manual

Because there

is

a piston opposite the valve opening

that exactly counteracts the opening force of the air
pressure, the supply valve

is

balanced and therefore

not affected by intermediate pressure variations.

is

The

system can be described as a pneumatically amplified

piston regulator (Figure 5-2d)

designed so that the piston

October 1991

is

second stage; this means that a small force, the
valve,

is

pneumatically amplified to move

pilot

a larger

force, the air supply valve.

5-3

Section 5

Figure 5-3
Breathing Hoses

The

aspirator port, mentioned previously,

directed

is

A.

Corrugated Hose

B.

Low-Pressure Hose

Fitting

toward the mouthpiece inside the regulator and gener-

vacuum within
As a result, less

ates a slight
is

flowing.

the regulator case
effort

tain air flow during inhalation.

for

demand

is

when

air

required to main-

Although normally

set

breathing, the aspirator can be set for

positive-pressure breathing.

The

regulator

tive to pressure variations that, in

dive/predive switch

is

is

so sensi-

some

cases, a

incorporated to decrease the
Source:

response of the regulator. Normally, a regulator requires

NOAA

(1979)

a pressure or suction equivalent to that of a 2-inch

cm) water column

(5.1

to activate air flow; the pilot

system requires a pressure equal to that of a 0.5-inch

cm) water column.
The operation of the regulator

connections that are covered by hose protectors espe-

(1.3

initiated

is

by a

slight

diaphragm
to be drawn downward. The resulting linkage movement opens the pilot valve, and air flows to pressurize
inhalation effort that causes the regulator

the control chamber; this, in turn, opens the air supply
valve.

and

The

air

between the

structural arrangement

pilot

supply valves provides a controlling feedback

move

that allows the air supply valve to

response to the pilot valve.

The

only in exact

pilot valve acts as a

safety relief valve in the event of first-stage malfunc-

A

tion.

mechanical override also

is

incorporated into

cially carefully before diving,

because the protectors

sometimes conceal damage.

Mouthpieces
The mouthpiece (Figure

5.1.1.3

5-4) provides a channel for

the flow of breathing gas between the diver and the
life-support system.

piece differ

The

among

size

and design of the mouth-

various manufacturers, but the

mouthpiece generally

is

molded of neoprene,

silicone

rubber, or other materials that have a low deterioration rate. (Silicone rubber has the

added advantage of

the system to ensure operation in case the pilot valve

being hypoallergenic.) Typically, the mouthpiece con-

malfunctions.

sists

of a flange that

teeth. Bits,

Breathing Hoses

5.1.1.2

ure 5-3A) are flexible, large-diameter rubber ducts that

provide passageways for air from the cylinder to the

may

Corrugated rubber hoses are common, but hoses

also be

made

of rubberized fabric with metallic

rings or spiral stiffening.

To provide minimum

resist-

ance to breathing, the hose should have an inside diameter
of at least

1

inch (2.5

cm) and should be long enough

in

the "relaxed" state to allow full freedom of body move-

ment. The hose must be capable of stretching to twice
its

relaxed length without collapsing or buckling.

Single-hose scuba, with the second stage of the
regulator mask mounted or mouthpiece mount-

demand

ed, does not require the large-bore,

ambient pressure

breathing hose described above because the gas in the

hose

is

at

medium

pressure (110 to 160 psi above

ambient) rather than at ambient pressure (Figure 5-3B).
or demand valve is connected to a
cylinder-mounted first-stage regulator by a single,
medium-pressure hose of relatively small diameter.
Exhaled gases are discharged directly into the water

The second-stage

through an exhaust valve

in the

mask

or mouthpiece.

Breathing hoses should be checked for cracks or
chafing before every dive. Divers should check the

5-4

between the

space the jaws. The mouthpiece should

In double-hose scuba, the breathing hoses (Fig-

diver.

fits

diver's lips

and

one on either side of the opening, serve to

comfortably

fit

and be held in place when a slight pressure is exerted
by the lips and teeth. The novice diver often forgets
that the bits are spacers and should not, under normal
conditions, be used as grips. In an emergency, the bits
will

provide a reliable grip, but continuous force exerted

through the teeth

weaken the

will

bits

and cause con-

siderable fatigue of the muscles around the jaws.

Many

individuals have difficulty with temporal

dibular joint

(TMJ) pain when gripping

man-

the mouth-

piece tabs too firmly during a dive. Mouthpieces that

spread the load to the rear teeth are more comfortable.

Learning to relax the jaw
tive deterrent to

On

TMJ

is

probably the most effec-

pain.

a two-hose regulator, the mouthpiece assembly

incorporates a system of one-way check valves, and

clamps are provided for the breathing hoses. In a
hose scuba regulator, the mouthpiece
into the second-stage
cases, the

by a

full

demand

is

single-

incorporated

valve housing. In

some

mouthpiece assembly can be replaced entirely
face mask.

The use

of a full face

mask

in lieu

of a mouthpiece facilitates voice communication by
freeing the diver's mouth; however, with this configuration, an oral nasal

mask must be used

to prevent

carbon dioxide buildup.

NOAA

Diving Manual

— October 1991

Diver and Diving Equipment

Figure 5-4

Mouthpieces
Double Hose

A.

B. Single

Hose

5.1.1.5

Preventive Maintenance for Regulators

Because regulators are one of the primary components of a life-support system, they require careful

maintenance.

An

to ensure that

no foreign matter has entered any of the

essential element of

maintenance

is

regulator's components; introducing foreign matter into

an area of close tolerance or into a perfect seal could
cause a malfunction. The primary entry point for foreign matter
Courtesy U.S. Divers

For

the high-pressure inlet in the first stage.

is

this reason, the dust

cap should be kept

in position

over the high-pressure inlet whenever the regulator

is

not in use. Salt water entering the high-pressure inlet
will leave deposits of salt that

5.1.1.4

ation or pit valve surfaces.

Check Valves and Exhaust Valves

Check

valves and exhaust valves (Figure 5-5) are

designed to permit gas flow

in

one direction only. Check

valves direct the flow of inhaled and exhaled gases

through the breathing system. During inhalation, pres-

chamber (now lower

sure decreases in the mouthpiece

successive days can substantially degrade the perform-

ance of most regulators.
Divers should be alert for early

resistance

moving

is

directed out through the mouthpiece
to the exhaust valve. This pair of

valves within the mouthpiece assembly minimizes dead

symptoms of equip-

ment malfunction. For example, increased breathing

but opens the inhalation check valve. During exhala-

and exhalation tube

of a few drops

of salt water into the high-pressure filter on several

than ambient), which seats the exhalation check valve
tion, the air

can prevent proper oper-

The addition

may

parts,

be caused by the corrosion of internal
and water leakage in the mouthpiece can

occur as the result of deterioration of the second-stage
exhalation valve. Other signs that indicate problems
are rusting or clogging of the first-stage

filter,

free

mini-

flowing, and 0-ring leaks. These and other signs of

mizes the rebreathing of exhaled gases. The inhalation

trouble should be thoroughly evaluated before any

air

space within the system, and

this,

in turn,

demand

check valve also prevents water from entering the
regulator

An

when

the mouthpiece floods.

exhaust valve

is

The most important maintenance

a special check valve that per-

mits the discharge of exhaled gas from the breathing

system and prevents the entrance of water.
valve (also called a flutter valve)

exhaust valve

mushroom

in

is

A

flapper

typically used as an

the double-hose regulator, while a

valve generally

single-hose model.

A

fulfills

this function in

flapper valve

is

simply

the

a soft

rubber tube collapsed at one end; when ambient water
pressure

is

further dives are made.

greater than the air pressure within the

a regulator

is

to be

performed on

a fresh water rinse after each use; this

salt and other debris (sand, dirt,
from the regulator and prevents deterioration.
Rinsing should be done within a few hours of the completion of a dive, regardless of whether the dive was

procedure removes
etc.)

conducted
single-

in fresh or salt water.

Procedures for washing

and double-hose regulators vary significantly

and are discussed below.

With

a single-hose regulator, the first stage should

valve, the valve remains in the collapsed condition.

be held under a stream of warm, fresh water for at least

During exhalation, however, the increase

2 minutes while the dust cap remains sealed in place,
and water should be allowed to flow freely through any
open ports. This is especially important with pistontype regulators, because it prevents the buildup of
salt on the piston tracks. Because the dust caps pro-

in

pressure

above ambient pressure forces the flapper open, allowing
the gas to escape.

Water cannot enter the valve while
and when the pressure

the higher pressure gas escapes,

equalizes, the flapper returns to the relaxed or closed
position.

The mushroom valve on

single-hose models

is

made

of extremely soft, flexible rubber, which renders
very sensitive to changes
valve.

A

in

pressure across the check

wheel-shaped valve seat

the rubber

mushroom

valve seat support the

is

fashioned to hold

rinsing the regulator.

When
tor, the

rinsing the second stage of a single-hose regula-

diver should permit water to enter through the

in place.

Rigid spokes of the

mouthpiece and

mushroom

valve against a clos-

flow

ing pressure but permit the flow of air

when pressure

within the mouthpiece exceeds ambient pressure.

October 1991

it

vided with some regulators are not watertight, the
diver must make sure the cap is watertight before

— NOAA

Diving Manual

in

exit via the exhaust.

Allowing water

to

the direction of the non-return exhaust valve

washes sand,

dirt, etc.,

out of the mouthpiece.

The

purge button should not be pushed unless the system

is

5-5

Section 5

Figure 5-5

Check and Exhaust Valves
5.2

SURFACE-SUPPLIED DIVING
EQUIPMENT

One

of the major constraints of scuba diving

is

the

limited quantity of breathing gas the diver can carry;

with umbilical (surface-supplied) diving, divers have

them to spend
more time on the bottom. The increased safety pro-

a continuous air supply, which allows

vided by umbilical equipment

Source:

NOAA

(1979)

is

also important. In this

mode, the diver is tethered and has direct voice communication, which permits safe operation under conditions considered too hazardous for the self-contained

becomes fouled

diver. If a surface-supplied diver

pressurized, since doing so opens the air inlet valve

and

or

disabled, a continuous air supply can be maintained

through the middle-

from the surface and a standby diver can locate the

pressure hose to the high-pressure stage. If the regulator

diver by following the entrapped diver's tether. In

might allow dirty water
is

to pass

to be stored for a long period of time,

it

may

be

remove the band holding the two sections
of the second stage and the diaphragm in place and to
desirable to

rinse

each separately. Rinsing procedures for the double-

hose regulator are more complicated than for the single-

hose model.

As with

the single-hose regulator, rinsing

should be conducted with the watertight dust cap in

The exhaust

place.
holes,

side of the regulator has a series of

and water should be allowed

to flow freely

through

addition,

if

strong currents are a problem, the tethered

diver can use additional weights to increase his or her
stability.

Surface-supplied diving can be conducted from
locations:

many

from the surface, a habitat, a personnel transfer

An

capsule, or a lockout submersible.

umbilical to the

diver that runs from the gas storage cylinders of the
habitat, capsule, or submersible provides the diver's
(if required), and a communiThe major disadvantage associated with
surface-supplied diving is that this mode requires more

breathing gas, hot water
cations link.

this section.

Care must be taken when

rinsing the hose

piece assembly because any water that

high pressure into the mouthpiece

may

is

and mouth-

forced under

bypass the soft

rubber non-return valve and enter the intake side,
which may cause corrosion. During rinsing, the mouthpiece should be held with the air inlet valve up, and
water should be allowed to enter the mouthpiece, flow
through the exhaust valve and hose, and exit at the

main body of the

regulator.

To remove water from

the

corrugations in the hose, the hose should be stretched

support equipment and personnel than

is

the case for

the scuba mode.

Many

safe

and

efficient diving

are available commercially. All

masks and helmets
masks and helmets

provide the diver with a continuous supply of breath-

and some models allow the diver to elect either
demand operating mode. A communisystem is standard equipment on modern surface-

ing gas,

the free flow or
cation

supplied helmets.

and the diver should blow through the mouth-

lightly

piece, allowing excess water to pass out through the
exhaust.

The

To avoid

hung by the mouthand weaken the hose.

regulator should not be

because

piece,

this will stretch

cultivating bacteria in the corrugations, the

interior of the hoses should

be dried periodically. Scuba

regulators should be tested functionally on a regular
basis

and

at least as often as

every 6 months. Perform-

ing this test usually requires nothing

more than

Free Flow/Demand Masks
The free flow/demand mask is designed

5.2.1

to

be used

with an umbilical hose that supplies breathing gas

from the surface, an underwater habitat, or a personnel transfer capsule (submersible decompression chamFree flow systems supply sufficient ventilation
for heavy work and also provide divers with an adjustable-flow, off-on supply to the interior of the mask

ber).

a

manometer.

through the muffler deflector. In addition to supplying
the diver with a steady flow of breathing gas, the

NOTE

deflector directs gas across the viewing lens to prevent

Hoses (especially exhaust hoses) should be
removed periodically and should then be
washed with surgical soap to prevent bacterial

5-6

buildup.

fogging.

When

the umbilical hose

breathing gas, the
at all times.

The

demand

pressurized with

is

regulator

is

regulator provides a

pressure-loaded

demand

breath-

ing system, similar to that of standard open-circuit

NOAA

Diving Manual

—October 1991

Diver and Diving Equipment

scuba, which

Low volume
Easy strap adjustment
Secure strap fasteners

adjustable for gas supplied at pressures

•

ranging from 60 to 180 psi over ambient pressure.
Demand systems are preferred for light to moderate

•

work because they economize on gas requirements and
enhance communication. A nose-blocking device is
incorporated into demand systems to facilitate sinus
and middle-ear equalization, and an oral-nasal mask
assembly is used to reduce dead air space and eliminate the possibility of a dead air space carbon dioxide

•

Hypo-allergenic material

•

Tempered

is

buildup.

Some lightweight masks and helmets conventionally
used for surface-supplied diving are equipped with
demand

regular scuba

regulators and can be adapted

•

Divers who must wear eyeglasses on land generally
need some form of optical correction under water.
Several methods for accommodating corrective lenses
in divers' face masks have been developed:
•

masks consume more

air

•

consumption rate should be determined at
work loads before actual diving oper-

•

To permit buddy

ations begin.

breathing, an octopus

•

ability to utilize a tape recorder or diver-to-diver

Lenses can be mounted

•

Standard glasses can be mounted inside the faceplate with stainless steel spring wire;

•

Face masks may be equipped with nose-blocking

Each

methods has advantages and disadvanworn inside a mask
because the temples cause the mask to leak. Wearing
of these

lens inserts inside the face

descent. Blocking off the nose to aid in equalizing

sive but provides

the ears

is

accomplished easily either by

pushing upward on the bottom of the mask to create a

when using masks with nose

seal or gripping the nose

pockets.

Masks

valve to aid
high-quality

also

may be equipped

with a purge

in clearing water from the mask. Only
masks with large purge valves are recom-

mended, because purge valves are subject

to failure or

Face mask selection
fit,

is

a matter of individual prefer-

comfort, and other diver requirements.

Masks

are available in a variety of sizes and shapes that will

accommodate
the lens

is

different lens configurations.

The

closer

located to the eye, the wider the peripheral

(Egstrom 1982). Selection of a mask that
well can provide easy clearing and an optimal

visual field
fits

the-shelf

mask

simple and inexpen-

is

an extra surface to

masks are available with

Some

fog.

off-

built-in correction;

whether or not these are useful to a given individual
depends on several factors, including the type and

amount

of refractive error, the similarity of error in

the two eyes, and the interpupillary distance.

The use of contact

lenses

under the face mask pro-

vides good vision under water, offers a wide field of
view, and eliminates problems with fogging. However,

leakage.

ence,

and

Soft or fenestrated contact lenses can be worn.

devices to facilitate equalization of pressure during

in

frame and be

tages. Glasses generally cannot be

communication.

pressure

in a special

secured to the inside of the faceplate;

first stage.

The advantages of this setup are greater comfort around
the mouth and jaws during long exposures and the

Large-size prescription lenses can be bonded perma-

nently to the inner faceplate surface;

several different

second-stage regulator can be added to the

Prescription lenses can be incorporated into the
faceplate;

than they do with regular scuba mouthpieces, and each
diver's air

Individual prescription lenses can be inserted into

goggle-type masks;

easily for use with self-contained air supply (scuba

tanks). Divers using these

safety glass.

visual field.

A

plastic or clear

problem with some of the new clear
rubber masks is that they allow light to

enter from the side, which

may

cause a mirror effect on

some people do not tolerate contact
some lenses cause corneal edema. The

signs

toms of corneal edema, which include discomfort, haloes

around
found

lights,

to

and

loss of visual acuity,

The following features should be looked

for

when

are used; soft lenses or fenestrated hard lenses do not

cause this condition, which has been attributed to the
inability of

1978,

hard lenses to "breathe" (Simon and Bradley

1980). Because a dislodged lens can be very

painful and debilitating, Cotter (1981) has suggested

eye trouble"

if

means

"lens or

either diver wears contact lenses.

options available to individuals

selecting a face mask:

have been

occur when unfenestrated hard contact lenses

that dive buddies establish a signal that

the lens.

and
and symp-

lenses well,

who have

(The

different

types of refractive error but wish to dive, and the
•

Light weight

•

Comfortable

•

Wide-angle vision

•

Easy closure of

October 1991

advantages and disadvantages of the various methods,
are discussed fully in Kinney (1985).)

fit

Ventilation across the faceplate generally

nostrils for equalization

— NOAA

Diving Manual

and the glass tends

to fog easily.

To minimize

is

poor,

fogging.

5-7

Section 5

Figure 5-6
Lightweight Helmet
the inside of the faceplace should be smeared with

and then be rinsed before wearing. Anti-fogging
commercial preparation) may be applied to the inside of
the faceplate. The faceplate should be washed frequently
saliva

solutions (such as a mild liquid soap or a special

in

detergent to remove

oils or

which enhance fogging.

If the

drops of water should be

surface film, both of

mask

fogs during use,

the

mask and should

let into

then be rolled across the fogged areas to clear them.
If the

mask has

a purge valve, the valve should be

thoroughly washed out to remove any sand that might
prevent it from sealing properly. The mask should not

be

left in

the sun for any extended period because

make the headstrap and sealing edge
Although the headstrap can be replaced easily
and economically, cracking of the sealing edge will
sunlight will

brittle.

make

the

mask

useless.

Self-contained emergency gas supply systems (or
bailout units) are used in conjunction with surfacesupplied diving equipment to perform work at depths
in excess of

60

pipes, etc., or

feet (18.3 m),

where there

is

when working

®Diving Systems International
1990 All Rights Reserved.

in tunnels,

the danger of entangle-

ment. These units consist of a scuba cylinder assembly,
a reduction regulator

(i.e.,

first

stage of a standard

and a backpack-harness assembly. The capacity of the scuba cylinder assembly varies
from 10 ft 3 to 140 ft 3 depending on the diver and the
situation. Emergency gas may be fed directly into the
diver's mask through a special attachment on the side
single-hose regulator),

,

valve or be introduced directly into the diver's air hose

assembly. In the latter case, a check valve must be
located between the intersection of the emergency gas

supply hose and the primary surface supply hose. A
completely separate bailout system, which includes a
scuba tank and regulator, may be used. If the umbilical air supply

is lost,

the full face

mask must be removed

before the diver ascends to the surface using the scuba

tank and mouthpiece. If an emergency gas supply sys-

tem

is

carried.

selected, a second face

The advantage

mask should

also be

comcomputting on the face mask

of this configuration

is

plete redundancy; the disadvantages are loss of

munication and difficulty

in

and locating the regulator.

standardized interchangeable fittings, improved valves,

unbreakable faceplates, better ventilation (low C0 2
buildup), improved visibility, better communication,
versatility because they can be used with any type of
dress, bailout capability, and simplicity of use and
maintenance. Modern helmets can be used with a
neoprene wet suit, a hot-water suit, or a variablevolume suit. Some helmets attach to the neck bands of
specially adapted dry suits for use in cold or contaminated water.

5.2.3

Lightweight Free

Flow/Demand Helmets

Free flow/demand system dry helmets combine the
full head protection, communications,
and the breathing characteristics of a standard dry
helmet with the gas economy and comfort of a demand
mask. Weight is distributed throughout the helmet
to achieve balance and optimum performance without
neck strain or effort. The helmet is designed to be

advantages of

neutrally buoyant in seawater. It
auxiliary (or

5.2.2

Lightweight Free Flow Helmets

Many

equipped with an

valve and with communication earphones and microphone.

lightweight free flow diving helmets have been

designed and manufactured in recent years.

is

emergency) system valve and a non-return

An oral-nasal mask reduces

the potential for

C0 2 buildup.

Some manu-

facturers have constructed helmets of the traditional

Assembly

spun copper, which emphasizes indestructibility, while
others use fiberglass and emphasize comfort, light

5.2.4 Umbilical

weight, and maneuverability. In general,

weight helmets and free flow/demand masks generally

modern

light-

weight helmets (Figure 5-6) feature streamlined design,

5-8

The umbilical assembly

for surface-supplied light-

consists of a gas supply hose, a

NOAA

pneumofathometer

Diving Manual

— October 1991

Diver and Diving Equipment

communications wire, and a strength member.
Depending on dive requirements, a hot-water supply
hose, a

may

hose

assembled

also be included. Umbilical
in

members

continuous lengths; for example,

low water diving operations

to

(i.e.,

depths

are

in shal-

less

than

90 fsw (27 m)), a 150-foot (45 m) assembly may prove
satisfactory. Regardless of length, all members should

The wire

is

fitted with

ble with those on the

connectors that are compati-

helmet or mask.

A

waterproof, "quick-connect" connector

four-conductor,

often used;

is

these connectors have a socket-type configuration.

When

joined together, the four electrical pin connec-

be in continuous lengths because umbilical assemblies
designed with fittings and connectors have a greater

and a watertight seal is formed,
which insulates the wire from the surrounding seawater. To be secure and waterproof, these connectors
should be molded to the communication cable. Profes-

likelihood of failing or separating.

sional installation

tions are established

is

desirable. For field installation,

rubber electrical tape overlaid with plastic electrical
tape has been successful, although

Gas Supply Hoses
3/8-inch (1.2 cm) or

A

larger synthetic rubber,

braid-reinforced, heavy-duty hose

carry the diver's air supply.

is

generally used to

The hose must have

a

working pressure of at least 200 psig (this pressure
must exceed the diver's required supply pressure). The
outer cover of the hose must be durable and resistant to
abrasion, weathering, oil, and snag damage. The inside
tube of the hose must be non-toxic and impervious to
any breathing gas to be used. Hoses must be flexible,
kink resistant, and easy to handle. Although a hose
may have a sufficient pressure rating, it may shrink
considerably in length because

it

increases in diameter

when pressurized, which causes looping of the other
members of the umbilical assembly. To avoid problems, the percentage of shrinkage should be determined

before purchasing the hose, and the assembly should

be taped while the hose
less

is

pressurized.

than 150 psig, the change

in

At pressures

nector, generally of the standard terminal post type,
that

is

should be tagged with a serial number.
is

during use

resistant to

is

compatible with the communications

unit.

Many

divers use simple terminal or binder post connections

on masks and helmets. The ends of the wire are prepared with solder, inserted into the binder post termi-

and secured. Although less satisfactory than the
mentioned above, the use of terminal or binder post connections is satisfactory and

nal,

special connectors

economical.

Standard two-wire "push-to-talk" communicators
commonly used in diving. By using all four wires in
the communication wire, the system can be set up so
are

that the diver's voice

is

"live" at

all

times. All

commu-

nication wires should be tagged or coded for record-

keeping purposes, and lines should be checked before
being issued for use on any dive.

5.2.4.3

lost

less satisfac-

length should not

facilitate recordkeeping, all air supply hoses

ging band that

is

The surface end

of the wire should be fitted with an appropriate con-

exceed 2 percent.

To

it

tory than special molding processes.

5.2.4.1

damage and

A

metal tag-

unlikely to be

desirable. Purchase, test,

and usage

records should be maintained for each hose assembly.

Pneumofathometer Hoses

The pneumofathometer hose

is

a small hose that

is

end and connected to an air source
and pneumofathometer at the surface. Pneumofathom-

open

at the diver's

eters are precision pressure
in feet

gauges that are calibrated

of seawater and are used to determine the pre-

depth of the diver under water. Pneumofathometers
must be protected from abuse and should be calibrated
regularly. Lightweight air or oxygen hose (0.24-in.
(0.6 cm) i.d., 200 psig working pressure) is generally
used. Standard oxygen fittings are used for surface
cise

5.2.4.2

Communication Cables

Communication cables must be durable enough to
when a strain is placed on the umbili-

prevent parting

cal assembly; they

waterproof and

must

also have an outer packet that

and abrasion-resistant. Multiconductor shielded wire (size 14 to 18) that has a
is

neoprene outer jacket
diving. In
at

is

satisfactory for shallow water

normal service, only two conductors are used

any one time. The wire-braid shielding adds consid-

erable strength to the umbilical assembly.

should be

in

a

The cable

continuous length, with an additional

end and the surface end to allow
room to install connectors, make repairs, and connect
the communication equipment.
few

feet at the diver's

October 1991

connections.

oil-

— NOAA

Diving Manual

5.2.4.4

Strength

Members

The U.S. Navy recommends the use
member in the umbilical assembly. The
strength members include:

of a strength
lines

used as

cm) nylon braided line
cm) synthetic polyolefin braided or

•

3/8-in. (1.2

•

3/8-in. (1.2

3-strand twisted line

5-9

Section 5

cm) manila

•

3/8-in. (1.2

•

thin stainless aircraft-type cable.

surface

line

•

Each type of
Braided nylon

line has

line

is

it

advantages and disadvantages.

and handling

qualities,

stretches under high load conditions;

and expensive. Some divers use hollow-

flexible

"whip" (short length

accordingly.

zations, including the U.S.

pact, lightweight,

more

used between the helmet and the main

and the supply hose should also be adjusted

organi-

Navy, use this type of line.
Polyolefin line floats and thus reduces the in-water
weight of the umbilical assembly somewhat, but this
type of line can be abrasive to the hands. Manila line is
readily available and is the least expensive, but it
deteriorates rapidly. Aircraft-type cable is strong, com-

is

umbilical air supply hose, the communication line

although

many

If a lightweight,

of hose)

commonly used and has accepta-

ble strength, durability,

placed on the harness and not on the diver's

is

helmet, mask, or fittings.

•

If a

whip and special auxiliary

air

supply line valve

are used for helmet diving, their length should be
adjusted.

The diver should have sufficient hose and cable length
between the safety harness attachment point and the
mask (or helmet) to allow unrestricted head and body

core polyolefin line, with the communications line run-

movement without placing

ning through the hollow core, to combine the strength

connections. Excessive hose should not, however, form

and communication members.
strength

A

few combination
lines are com-

member/communicator wire

between the harness connection and the

a large loop

mask.

The communication

mercially available.

excessive stress on the hose

should be slightly longer

line

than the rest of the assembly to permit repairs at the
diver's end.
5.2.4.5

Hot-Water Hoses

When

hot-water wet suits are worn on a dive, a
specially insulated hose is required. This hose can be
obtained in either 1/2- or 3/4-inch (1.2 or 1.8 cm)
inside diameter size,

ume

The

snap hook that

depending on the depth and

of water to be supplied to the diver.

The

vol-

insulation

is

diver's

end should be

fitted with a

secured to the strength

member and

the rest of the assembly to facilitate attachment to the
safety harness.

The surface end

of the strength

mem-

ber and other components also are secured to a large
D-ring, which allows the assembly to be secured at the

diving station.

reduces the loss of heat to the open sea, which allows a

The hose should
be equipped with a quick-disconnect female fitting
that is compatible with the manifold attached to the
lower boiler operating temperature.

suit.

To prevent handling problems,

the hot-water hose

5.2.4.7 Coiling

and Storage

After the umbilical hose

of Umbilical

is

assembled,

Hose
it

should be

stored and transported; protection should be provided

should be joined to the diver's gas and communications

for hose

umbilical.

dures.

and communications

fittings

during these proce-

The hose ends should be capped with

plastic

protectors or be taped closed to keep out foreign mat-

and to protect threaded fittings. The umbilical hose
may be coiled on take-up reel assemblies, "figureeighted," or coiled on deck with one loop over and one

ter

Assembly

5.2.4.6

of Umbilical

Members

The various members of the umbilical assembly should
be bound together with pressure-sensitive tape. Twoinch (5 cm) wide polyethylene cloth-laminated tape or
is commonly used. Prior to assembly, the
members should be (1) laid out adjacent to
each other, and (2) inspected for damage or abnormal-

duct tape
various

and connections should be installed in
advance. The gas supply hose and pneumofathometer
hoses should be connected to the air supply and should
ities; all fittings

loop under. Incorrect coiling,

all in

the

same

direction,

will cause twist and subsequent handling problems.
The tender should check the umbilical assembly at the
end of each dive to ensure that there are no twists, and

the coil should be secured with a

number

of ties to

prevent uncoiling during handling. Placing the umbilical

assembly

in a large

tarpaulin will prevent

canvas bag or wrapping

damage during

it

in a

transport.

be pressurized to about 150 psig to ensure that shrink-

age does not cause looping.

The following

5.2.4.8

guidelines should be observed

when

assembling umbilical members:
•

The strength member should terminate
to

hook

After a day's diving, the umbilical should be washed

with fresh water, be visually inspected for damage,
in a position

to the diver's safety harness, generally

on the

left-hand side, so that the strain of a pull from the

5-10

Umbilical Maintenance

and be carefully stored

to prevent kinks. If the umbili-

be stored for a long period of time, the hoses
should be blown dry and the connectors should be
cal

is

to

NOAA

Diving Manual

— October 1991

Diver and Diving Equipment

capped

foreign matter from entering. Con-

to prevent

required for weight belts

fresh-water washing after

is

nectors should be lubricated with silicone spray after

use and predive checks of the quick-release

capping.

to ensure that

5.2.4.9

The
tate

Harness

wear a harness assembly to faciliattachment of the umbilical assembly. The hardiver should

ness should be designed to withstand a

1000-pound (454 kg)

pull in

minimum

any direction, and

it

of a

must

mask or
helmet when a pull is taken on the hose assembly. The
location of the attachment depends on the type of
harness assembly worn by the diver, but the harness
prevent strain from being placed on the diver's

should not be attached to the weight belt
latter

mechanism

operating properly.

is

it

in

case the

needs to be dropped.

5.3

DIVER EQUIPMENT

The on-scene dive master determines which items of
equipment are required to accomplish the particular
underwater task. Unnecessary equipment should be
left on the surface because excessive equipment can
become a hazard rather than an asset. This is particularly true when diving in a strong current, under conditions of limited visibility, or in

heavy surge, because

each additional item of diving equipment (especially
additional lines) increases the probability of fouling
the diver.

WARNING

Diver equipment considered

in

this section includes

face masks, flotation devices, weight belts, knives, and

Never Attach the Diver's Umbilical Directly
Weight Belt. A Separate Belt or Harness is Required To Permit the Weight Belt
To Be Dropped If Necessary
to the

swim

5.3.1
5.2.4.10

Weighting Surface-Supplied Divers

To weight

the diver properly, lead weights (3, 5, or

8 lbs (1.4, 2.3, or 3.7 kg)

The

with bolts.

wide and

is

belt

is

each) are secured to the belt

approximately 4 inches (10.2 cm)

fitted with a quick-release fastener.

The

weight belts used for arctic diving are heavier than
most belts because of the bulk and positive buoyancy
of cold-water exposure suits.

A

shoulder harness that

is

similar in configuration to a fireman's suspenders

is

the best

belts

method of preventing the heavy, unwieldy

from slipping

off.

If a leather belt

should be coated regularly with neat's-foot

Weighted shoes

or leg weights

may

is

used,

overcome

bility to the diver.

positive

the diver's eyes and the water. There are two general

classes of face masks: separate face

be used

buoyancy and

in

mask, which covers only the eyes and nose,

is

generally

used for scuba diving (when equipped with a mouthpiece)
or for skin diving. Full face

masks are used with

special

scuba and surface-supplied diving apparatus. Full face

masks consist of

The faceplates

con-

to give sta-

and a protective brass toe piece.
Leg weights consist of one large or several small

weights attached to leather or nylon straps. The straps
are fitted with buckles for securing the weights to the

The weights vary from

pounds (0.9 to 4.5 kg) each, depending on the
Leg weights provide improved stability and protection against blowup, because divers
wearing variable-volume suits can swim with relative
2 to 10

diver's preference.

ease while wearing fins and leg weights. For safety,
the weight belt should be worn outermost so that

it

can be freed easily when released. The only maintenance

Diving Manual

masks and full
The separate

face masks (Figure 5-7) (Hall 1980a).

tic,

place,

— NOAA

Face Masks

Face masks are used to provide increased clarity and
visibility under water by placing an air space between

a faceplate, a frame,

made

are

tempered safety

a lead or brass sole, leather straps to hold the shoe in

October 1991

sections below discuss each of these

and a headstrap.

of highly impact-resistant,

it

Standard weighted shoes consist of

diver's legs near the ankle.

The

(Glass

glass.

is

still

better than plas-

oil.

junction with the weight belt (primarily by tethered
divers) to

fins.

items in turn.

because plastic faceplates are subject

tion, abrasive

to discolora-

damage, and fogging.) The frame

is

designed to hold the faceplate and to provide a watertight seal;

it

is

usually

made

of plastic. Silicone rubber

has largely replaced less durable materials as face seal

components; the widespread use of silicone materials
in diving has significantly extended the useful life of
most rubber components. The mask should be sufficiently
rigid to hold the

rubber plate away from the diver's

nose and should be pliable enough to ensure perfect

and

still

retain

its

approximately
rear holds the

l

An

inch (2.5

mask

5.3.2 Flotation

A

shape.

fit

adjustable rubber headstrap

cm) wide and

split at the

to the diver's head.

Devices

is an essential part of a diver's
and buoyancy control system; it is also an

flotation device

life-support

5-11

Section 5

Figure 5-7

Face Masks
A.

Separate Masks

item of rescue and safety equipment. Many different
buoyancy compensators have been developed during
the past few years, including those with the popular
stabilizing jacket and compensators using the horse
collar designs (Figure 5-8).

and

These devices are available

backpack-mounted

as vest units,

units, stabilizer jackets,

wide range of variable-volume dry suits.
Although almost all divers would agree that some type
of buoyancy compensation is necessary, they would not
agree about which configuration or design is best.
When selecting a buoyancy compensator (BC), a
number of factors must be considered, including: type
in a

of exposure suit, type of scuba cylinder, diving depth,
characteristics of the breathing equipment, nature of

diving activity, and type of accessory equipment and

BC

weight belt (Snyderman 1980a, 1980b). The
be compatible with the exposure suit.

must

NOTE
Buoyancy compensators should not be used
ability and physi-

as a substitute for swimming
cal fitness.

Flotation devices should be designed so that a diver,

even when unconscious,

will float

with face up. The

mechanism of the device should be constructed
of corrosion-resistant metal, and a relief valve should
be part of the device when it is used for buoyancy
compensation. Most devices are designed to inflate
inflating

Courtesy Glen Egstrom

B. Full

Face Mask

automatically either
tured or

when

filled

when

a

C0 2

cartridge

is

punc-

with air supplied by a low-pressure

hose from the scuba cylinder. Regardless of their method

of inflation,

all

flotation devices should be

with an oral inflation tube.

The

equipped

oral inflation tube

should have a large diameter and be able to be operated with either hand.

Recent studies have determined that a minimum of
25 pounds (11 kg) of positive buoyancy is required to
support a fully outfitted diver operating in Sea State 1
conditions.

To achieve

this, a 19-25

gram

C0 2

car-

must be used with a properly designed buoyancy
compensator. U.S. Coast Guard regulations require
life vests to have a positive buoyancy of 24.5 pounds
(11 kg) to support a fully clothed adult. Divers and
boat operators should keep themselves informed about
tridge

the status of

life

vests (personal flotation devices),

because, for example, the Coast

Guard

recently issued

a warning cautioning against the use of
vests in
'

B Diving

1990

5-12

Systems

All

rough water because they

will not

Type

III life

keep a diver's

International

Rights Reserved

head clear

in

choppy water. Flotation devices that use

NOAA

Diving Manual

— October 1991

Diver and Diving Equipment

Figure 5-8
Flotation Devices

with a silicone lubricant.

The threads on

CO,

the

car-

tridge should also be lubricated.

The most frequent cause

of flotation device mal-

corrosion caused by salt water entering the

function

is

inflation

compartments; the resulting residue can block

C0 2

and cause significant deterioration
mechanism. If this occurs, the
device should be filled approximately one-third full of
warm fresh water, the water should be circulated rapidly through the vest, and the water should then be

the passage of

of the inflation-release

drained out through the oral inflation tube. Fresh water
also should be flushed through the passage

the vest and the

between

C0 2 cartridge.

Courtesy Glen Egstrom

NOTE
larger cartridges than those required, multiple cartridges,

and one or two

available; these

pensators

if

the oral or

inflation

compartments are

also

models can be used as buoyancy com-

Buoyancy compensators should not be worn
with a variable-volume dry suit if the BC hinders easy access to the suit's valves.

the diver partially inflates the device through

power

inflation tube while he or she

is

still

Periodic checks of the inflation device are also

The device should be

required.

submerged.
Specially designed buoyancy compensators that have

and separate inflatable cham-

large oral inflation tubes

bers are commercially available.

A

large cylinder of

inflated

and hung up

over night and/or be submerged periodically to check
for leaks. If leaks are observed, they should

before the device

is

used again. The

C0 2

be repaired
cartridges

chargeable from a standard
scuba air cylinder is an integral part of some buoyancy
compensators; this arrangement allows for partial or
complete inflation while the diver is submerged. Pressure relief valves are provided for each compartment

should be weighed frequently to ensure that they have

to prevent overinflation.

with that device. Cartridges should also be inspected

compressed

air that

Training divers

is

use of specific

in the

BC

devices

essential because these devices vary widely in

control locations, control operation,

is

terms of

and potential buoy-

not lost their charge;

grams

less

if

their weight

is

more than

3

than the weight printed on the cylinder, the

cartridge should be discarded.
flotation device should

The

cartridge used in a

be the one designed to be used

to ensure that the detonating

mechanism has not punched

a pinhole into the top of the cartridge that has allowed

the

C0 2

to escape.

ancy. Regardless of the diver's choice, training and
practice under controlled conditions are required to

master buoyancy compensation procedures. Divers must

WARNING

be trained not to use excessive weights or to be overly

BC to compensate for diving weights.
Because rapid, excessive inflation can cause an uncontrolled ascent, divers must learn to vent air from
dependent on a

Buoyancy Compensators Should Not Be Used
As Lift Bags Unless They Are Not Attached

To the Diver

the compensator systematically during ascent to maintain

proper control.

After each use, the exterior of the device should be
rinsed thoroughly with fresh water. Special attention

C0

5.3.3

Weight Belts

Divers use weight belts to achieve neutral buoyancy;

mechanism, oral
and power inflators, and other movable mechanical
parts to ensure that they operate freely and easily. The

they should carry enough weight so that their buoy-

C0 2

positive

should be given to the

2

release

actuating lever, with cartridge removed, should

ancy

at the surface

and becomes

is

slightly negative with a full tank

slightly positive as air

buoyancy provided by the

is

consumed. The

diver's suit

is

prob-

be worked up and down while fresh water is being
flushed through the mechanism. The mechanical parts

ably the largest contributing factor in determining

should be allowed to dry and should then be lubricated

suit,

October 1991

— NOAA

Diving Manual

appropriate weight requirements. Without an exposure

most divers can achieve neutral buoyancy with

5-13

Section 5

Figure 5-9
Fins

Swim
than 5 pounds (2.3 kg) of weight, whereas 10 to
30 pounds (4.5 to 13.5 kg) may be required, depending on
depth, if a full suit is worn. Dry suits may require even
less

more weight. Divers must accurately determine
weight requirements

their

water before undertaking

in shallow

a working dive. Failure to establish the proper buoy-

ancy can consume
following test

air

and energy unnecessarily. The

can be performed to determine the proper

amount of weight

to be carried: a full lung of air at the
maintain
a properly weighted diver at
surface should
water;
exhalation should cause the
eye-level with the

diver to sink slowly, while inhalation should cause a

slow rising back to eye-level with the water. (This test

should only be performed on the
it

As

a general rule, the deeper the dive, the less

because
status.)

weight will be required to achieve the desired buoy-

ancy because of the exposure

When

suit's compressibility.

using exposure suits with increased thickness or

should be taken to ensure that the diver

air spaces, care

has adequate weight to permit a slow, easy ascent,
especially during the last 10 feet (3

m)

of ascent.

5.3.4 Diver's Knife

A

diver's knife serves a variety of purposes, the

common

most

being to pry and probe at underwater rocks,

organisms,

etc.,

and

to free the diver in the event of

entanglement (Boyd 1980).

A

diver's knife should

be

constructed of a corrosion-resistant metal, preferably

Handles must provide a good, firm grip
The knife should be
worn where it is easily accessible in an emergency;
knives are worn on the inside of the calf or on the upper
stainless steel.

and be

resistant to deterioration.

arm. Carrying the knife on the inside of the calf
popular because this position makes
ble with either

hand and

Courtesy

dive of the day

last

will influence the diver's repetitive dive

it

is

readily accessi-

lessens the likelihood that the

and are slightly more flexible than the
and they use approximately as much force
on the up-kick as on the down-kick. The swimmingstyle fin is less fatiguing for extensive surface swimming, less demanding of the leg muscles, and more
comfortable. Power-style fins are longer, heavier, and
more rigid than swimming fins. They are used with a
slower, shorter kicking stroke, with emphasis on the
power

style,

down-kick. This style of fin

cal condition

Swim

fins

blade

is

sharp;

if

The

properly maintained, the material

to

be performed.

inside, or

diving in

kelp beds, surf grass, or pond weeds. If this

may

knife should be rinsed with fresh water, dried, and
to ensure that the

and the nature of the task

down before

larity

prior to storage.

maximum

with adjustable heel straps either should

the ends of their straps taped

progress.

oil

designed for

have the straps reversed, with the bitter ends

plants

must be checked frequently

is

power thrusts of short duration, and these fins sacrifice some comfort; power fins are the preferred style
for working divers. A narrow, more rigid fin provides
the best thrust-to-energy cost ratio. The fin must fit
comfortably, be sized properly to prevent cramping or
chafing, and be selected to match the individual's physi-

knife itself will foul. This placement also maintains a

knife

Divers, Inc.

lighter weight,

clear drop-path for the weight belt. After each use, the

coated with a layer of light

New England

A

catch

in the straps

number

is

not done,

and impede further

of plastic fins have gained popu-

because of their good propulsion characteristics
and light weight; these fins couple a plastic blade with
a neoprene rubber foot pocket and an adjustable heel
strap.

used in most diving knives will retain a good cutting

edge for a long time.

5.4

PROTECTIVE CLOTHING

Divers usually require some form of protective cloth-

5.3.5

Swim

Fins

ing.

This clothing, known as a suit or insulation, mini-

available in a variety of sizes and designs.

mizes thermal exposure effects. In addition, it protects the diver from abrasions and minor bites.
Suits must be selected with certain diving conditions in mind; elements to consider include water tem-

In general, there are two styles of fins: swimming
and power (Hall 1980b). Swimming fins are smaller, of

should be considered

Swim

fins

(Figure 5-9) increase the propulsive force

of the legs and,

when used

properly, conserve the diver's

energy and facilitate underwater movement. They are

5-14

perature, depth,

and

activity level. The following points
when evaluating thermal needs:

NOAA

Diving Manual

— October 1991

Diver and Diving Equipment

Figure 5-10

Neoprene Wet
trapped air or gas.

•

All insulation

•

Cold water absorbs heat 25 times faster than
Fifty percent of the average diver's energy

•

Suit

is

air.
is

con-

sumed just trying to keep the body warm.
The greater the temperature difference between
the body and the surrounding water, the faster

•

heat leaves the body.

The

•

larger the

body mass, the better the heat

retention.
•

takes time, rest, and food to replace lost heat

It

energy.

5.4.1

Wet

Suits

The neoprene wet

suit

the most

is

common form

protective clothing in use (Figure 5-10).

It

of

provides

thermal protection, as well as protection against coral,
stinging coelenterates, and other marine hazards.
suits are

Wet

constructed of closed-cell foamed neoprene

and generally are 3/ 16- or 1/4-inch (approximately
cm) thick, although suits as thin as 1/8 (0.3 cm)
and as thick as 3/8 of an inch (1.2 cm) are available.
Wet suits rely on air bubbles in the closed foam to act
as insulation. Because the foam is compressible, how0.6

ever, the suit rapidly loses

insulative capability as

its

depth increases. For example, one-half of a wet
insulating capacity

is

suit's

33 feet (10 m), two-thirds

lost at

66 feet (20 m), and three-fourths at 99 feet (30 m).
Consequently, wet suits are recommended only for
at

shallow water diving or snorkeling and generally are

recommended

not

for diving in

below 60°F (15. 6°C).
The wet suit used in

warm

water

at

temperatures
Courtesy Diving Unlimited International

water consists of neoprene

pants and jacket, with optional boots, gloves, hood,

and

vest.

For warm-water (80°F; 26.7°C) diving, a

brief vest that covers only the body's trunk

Full-length styles that cover the entire

ing the hands, feet,

is

available.

body (includ-

the effectiveness of a wet suit;

some

Fit

is

divers

important to

may need

a

custom suit to achieve proper fit. Thinner suits provide
more freedom of movement, while suits of thicker mateprovide better thermal protection. Most suits use a

nylon liner on the inside surface of the neoprene to
limit tearing

and

is

to facilitate

easy entry. Models are

available with nylon on both the inner
faces to minimize tears and

damage

to

and outer surthe suit; howev-

prevent separation. Neoprene glue

surface nylon does not repair well with ordinary cement,

have as many as

in, which may be a probNylon on the outside cuts down on
abrasions but tends to hold water, which acts as an

they also allow water to seep

lem
suit

in

cold water.

October 1991

— NOAA

Diving Manual

five zippers,

one

in

A

wet

suit

may

each ankle and

sleeve and one in the front of the jacket. In colder
waters, zippers can
loss,

if

become

a significant source of heat

and care should be taken either

number

suits are flexible

suit,

available in small

so tears in this material should be sewn.

suits with

nylon inside offer easier entry into the

is

cans for quick and easy wet suit repair. However, double-

length and

the

the diver

glue.

added layer of nylon further restricts the diver's
movements, as do elbow and knee pads. Although wet

er,

when

on the surface.

The sections of a wet suit are joined by neoprene
The seams on better models are sewn together to

and head) except the face are

available for use in colder waters.

rial

evaporative surface and causes chilling

to

minimize zipper

or to provide waterproof zippers

extended cold-water work is anticipated. Some
and strong enough to be constructed

without ankle and sleeve zippers.

When

water temperatures approach 60 °F (15.6°C),

the hands, feet,

and head

lose heat at a rate that

makes

5-15

Section 5

Figure 5-11
Effects of

Water Temperature

diving without protective gloves, boots, and a hood
°C

impractical. Even in tropical climates, divers often
elect to

Normal Body
Temperature

wear some form of boot and glove for abrasion
In colder waters, loss of body heat from

35

—

4 Resting

protection.

these body areas

may

Diver
30-

formance unless some form of thermal protection is
worn (Figure 5-1 1).
Thermal protection of the hands is necessary because
tiveness.

Most divers

in

movement and

-80

During

Resting Diver Chills

25H

Moderate

In

Work

temperate climates prefer cot-

touch. Five-fingered

prene gloves are available

in

foamed neo-

1

-2

Hours

-70
20-

ton gloves because these gloves do not severely restrict
finger

Overheat

4 Working

Comfortable

reduces a diver's effec-

loss of dexterity significantly

Will

-90

significantly affect diver per-

Diver

s

Underwear

0)

May

1/8- or 3/16-inch (0.3 to

Suffice

60

15-

'Approximate
Tolerance Time

cm) thicknesses that permit a satisfactory degree
of finger movement. Three-fingered "mitts" are used
0.4

in

cold water (Figure 5-12). Proper

because too tight a

will restrict

fit

and increase the rate of heat

fit

is

Of Working
Suits etc.

important

Diver Without
Protection

-50

10-

I

Required

2

1

blood circulation

Hours

loss.

-40

Failure to wear a hood in cold water can result in
Fresh

numbing of

the facial areas

and a feeling of extreme

pain in the forehead immediately on entering the water,

-30

Water

Freezing

Sea

Point

Water

phenomena that persist until the head becomes acclimated to the cold. Fifty percent of body heat can be

-5-

from the head and neck during submersion in cold
water. Hoods that are attached to jackets generally
lost

provide better thermal protection than separate hoods.

The hood should have an adequate
at least

midway onto

skirt,

Source:

one that extends

NOAA

(1979)

the shoulders, to prevent cold

water from running down the spine. In extremely cold
water, a one-piece hooded vest

is

recommended.

Fit

important when selecting a hood because too tight a

is

fit

to rot,

become

brittle,

and crack. Storing

suits in hot,

dry environments also can lead to deterioration.

can cause jaw fatigue, choking, headache, dizziness,

and inadequate thermal protection.
Wet suits must be properly cared

for

and maintained

5.4.2

Dry Suits

should be washed thoroughly with

Dry suits that are made of waterproof materials are
becoming more widely used than wet suits. Commonly

should then be allowed to dry before

called shell suits, these fabric suits are designed to be

being stored. The suit should be inspected carefully for

worn with undergarments; they are usually used with

if

they are to

last for a

each use, the
fresh water;

rips;

if

suit

it

reasonable length of time. After

any are found, the

before being used again.

mately 10 minutes after
best results

it

A
it

should be repaired

suit
suit

can be used approxi-

has been repaired, but for

should not be used for several hours. Suit

zippers and metal snaps should be inspected frequently

and be kept corrosion

lubricants; petroleum-based products will cause

neoprene materials

Dry

suits

can be inflated via the

to deteriorate.

regulator,

and

air inside the suit

an exhaust valve.

Some

Suits should be

hung

for

can be expelled through

automatic buoyancy control. By manipulating the

valves, a properly

weighted diver can maintain buoyA power exhaust valve can

ancy control at any depth.

evacuate excess air from the

They may

easier to deflate.

up or laid flat, but they should
not be folded because prolonged folding may cause
creasing and deterioration of the rubber at the folds.
also be rolled

Suits should be stored out of direct sunlight because

5-16

on the

valves are equipped with an

on wide, specially padded hangers to prevent tearing.

prolonged exposure to the sun

inlet valve

diver's air supply at the low-pressure fitting on the

adjustable over-pressure relief mechanism, which allows

free.

Special silicone greases are available for use as equip-

ment

hoods and gloves and are relatively easy to doff and don.

will

cause the neoprene

Because

flotation capability, a

suit,

which makes the suit
have no inherent

shell suits

buoyancy compensator that does

not cover the suit's valves should be worn.

Dry

suits

must be maintained properly. They should

be washed with fresh water after each use, and water

NOAA

Diving Manual

— October 1991

Diver and Diving Equipment

Figure 5-12

Cold-Water

Mitt, Liner

Included

Underwear made of such material provides primary
thermal protection when divers wear a dry
the shell of the suit loses

garments have

diver's other outer
lation.

suit

because

insulation with depth

its

little

and a

inherent insu-

Leaks can always be a problem with

shell suits;

however, divers equipped with dry suits and nylon

pile

or Thinsulite® undergarments have been able to work

2°C

intermittently for 6 hours in

(35 °F) water (Zumrick

1985).

Variable-Volume Neoprene or Rubber Dry

5.4.2.2

Suits

Variable-volume dry suits differ from dry fabric-

They are one-piece suits that are made of
foamed neoprene or rubber compounds.
These suits are designed to conserve body heat in
shell suits.

closed-cell

extremely cold water for an extended period of time
(Hall 1980c). Variable-volume rubber suits are light

and require no surface support, which makes them
ideal for use at remote locations. These suits also are
simple and reliable, which greatly reduces their maintenance and repair requirements. Operations have been

conducted

using suits of this type for

in arctic regions

long-duration dives (2 hours) under ice in 28.5 °F to

30°F(-1.9°C

Most

(0.4 or 0.6
Courtesy Trelleborg/Viking

to

-l.rC) water.

suits are constructed of 3/ 16- or

cm)

closed-cell

1/4-inch

foamed neoprene and have a

Inc.

One style is availacompound over a tricot

nylon interior and exterior lining.
ble that

is

made from

a rubber

should be sprayed directly into the suit's valves to

material. All suits of this type are designed to be

wash out sand. If the suit develops mildew spots, it
should be washed with soap and water. Finally, the suit

with thermal underwear, are of one-piece construc-

should be allowed to dry while hanging so that

proof zipper.

it

will

tion,

worn

and are entered through a water- and pressureThe hood and boots usually are an inte-

dry thoroughly inside and out.

gral part of the suit, but the gloves are separate.

Dry suits should be stored away from sunlight and
from ozone-producing sources, such as cars or gas-

prevent separation,

fired

household water heaters. The
can be extended by storing the

life

of the suit's

abuse, knee pads often are attached permanently to the
suit to

bag with talcum powder during long periods of non-

The

suit in a

use.

To

seams are glued and sewn. Because

the knees of the suit are the point of most frequent

dry plastic

seals

all

reduce the likelihood of leaks.
suit

may

be inflated via an

to the diver's air

inlet valve

connected

supply at the low-pressure fitting on

the regulator. Air inside the suit can be exhausted
5.4.2.1

Dry Suit Insulation

determined by water temperature, duration of the dive,

and the age, body size, sex, and exercise rate of the
diver. However, many suits are insulated with materials that trap air and stabilize it. The most common
insulation materials in use are synthetic fibers
polyester, nylon,
in piles,

and polypropylene. These

made

fibers,

of

used

buntings, and batting, are selected because of

their low water absorption.

October 1991

— NOAA

the inlet valve or one on the suit's arm.

By manipulat-

two valves, a properly weighted diver can
maintain buoyancy control at any depth.
When diving in cold weather, care must be taken to
avoid icing of the suit's inlet and exhaust valves. The
inlet valve may be frozen in the open position if the suit
is inflated with long bursts of expanding air instead of
ing these

several short bursts.

open position, the

When

suit

uncontrolled ascent.

Diving Manual

from

either by a valve on the opposite side of the chest

The amount of suit insulation needed for a particular diver to remain comfortable on a given dive is

If

the inlet valve freezes in the

may overexpand and
there

is

more

cause an

air in the suit

than

5-17

Section 5

Figure 5-13
Open-Circuit Hot-Water Suit
the exhaust valve can exhaust, the diver should hold up
one arm, remove his or her tight-fitting glove, and
allow the excess air to escape under the suit's wrist
seal.

The disadvantages

of variable-volume dry suits are:

•

Long

•

Air can migrate into the foot area

suits are fatiguing

because of the

suit's bulk;

if

the diver

is

horizontal or head down, causing local overinflation

and
•
•

loss of fins;

and exhaust valves can malfunction; and
seam or zipper could result in sudden
and drastic loss of buoyancy, as well as significant
Inlet

A

parting

thermal

stress.

Divers planning to use any type of variable-volume
dry suit should be thoroughly familiar with the manufacturer's operational literature

and should perform

under controlled conditions before wearing

training dives

the suit on a working dive.

Maintaining variable-volume dry suits

is

relatively

simple. After every use, the exterior of the suit should

be washed thoroughly with fresh water, and the

suit

should then be inspected for punctures, tears, and seam
separation,

all

of which

must be repaired before

reuse.

The zipper should be closed, cleaned of any grit, and
lubricated. The zipper should be coated with waterproof grease after every few uses. The inlet and outlet
valves should be washed thoroughly and lubricated
before and after each dive. Cuffs, collar, and face seals
also require lubrication with pure silicone spray before

courtesy Diving Unlimited International

and after each dive. The inflation hose should be
inspected before each dive.

warm water

tribute
feet,

5.4.3

Hot-Water Suit Systems

Hot-water

warm by

suit

warm

water.

A

hot-

water system heats and closely controls the temperature of the water that

is

pumped through

the heated water evenly over the diver's

body inside

the passive insulation of the specially constructed suit

An

seals.

open-circuit hot-water suit allows the

heated water to flow back to the open sea after use,
while a closed-circuit hot-water suit returns the

warm

water to the heater for rewarming. Hot-water systems

The

control manifold

The

suit's

used
and neck

suit allows

arm,

must have a

leg,

single valve to

allow water to bypass the diver and to return directly to
the surrounding water.

a specially

insulated hose to the diver; the system then distributes

(Figure 5-13).

torso.

water to leak out through the

systems are designed to keep divers

encapsulating them in

to the diver's arms, hands, legs,

and front and back

The hot water

that supplies suits of this type

does not recirculate the

dumped

warm

water; instead, water

can be used to protect more than one diver at a time

water supply

the hot water in the suit, which allows the diver
1

5.4.3.1

made

of passive insulation material; they are

equipped with a control manifold and tubing to

5-18

is

interrupted, the non-return valve retains

up

to

8 minutes to return to the bell or surface.

Open-Circuit Hot-Water Suits

Open-circuit hot-water suits are loose fitting and
are

is

into the sea through the suit's vents. If the

and

to heat a diving bell.

may

and be pumped directly to the
diver or be passed to the diver from a diving bell,
submersible, or habitat. To maintain body heat, a continuous flow of 2.5 to 3.5 gallons per minute of 95 °F to
110°F (35 °C to 43 °C) water is required. This system
originate on the surface

dis-

5.4.3.2

Hot-Water Heater and Hoses

The heater

unit of these systems contains water

pumps,

a heat source, and controls that deliver hot water at a

NOAA

Diving Manual

— October 1991

Diver and Diving Equipment

Figure 5-14
Snorkels

The heat source may use

prescribed temperature.

a

diesel fuel flame, electric cal-rod heaters, live steam,

The heat exchanger generfrom the heat source through an
intermediate fresh water system to the diving water
system. The intermediate system isolates the diving
water system from temperature surges and reduces
heater maintenance by controlling scaling and corroor a combination of these.
ally transfers heat

For operational convenience, the controls that

sion.

operate the heat source can be located remotely.

Hot-water

The

hose.

both a

suits require

bell

bell

hose and a diver's

hose carries hot water from the heater to

the bell, and the diver's hose carries hot water either

from the heater or the

5.4.3.3

bell.

Closed-Circuit Hot-Water Suits

Closed-circuit hot-water suits consist of a dry suit

and a special set of underwear; heated water is circulated through the underwear. Water is pumped from a
heater, through a series of loops in the underwear, and
back

to the heat source.

Hot water may

Courtesy

from a heater carried by the diver or from a surface
heater. The primary advantages of closed-circuit hot-

excessive biting force. Soft rubber models are availa-

water systems are that they keep the diver dry and
ble,

retain their insulating ability for

the hot-water source

The major disadvantages

movement and

restricts the diver's

more

fails.

some period of time

if

of

type are that the special underwear severely

suits of this

TEKNA SCUBA

originate either

that these suits are

fragile than the open-circuit system.

and some have a swivel feature. Other models are

bent to conform to the configuration of the diver's

head or to have a flexible length of hose at the breathing end that allows the mouthpiece to drop away when
not in use. Although widely distributed, snorkels with
a sharp bend should not be used because they increase

airway resistance. Those with shallow bends, such as

5.5

DIVER'S

ACCESSORY EQUIPMENT

the wraparound models, reduce this resistance to a

minimum. Snorkels with corrugated

flexible tubes,

however, are difficult to clear of water and additionally cause air to move in turbulent flow, which increases

There are numerous items of accessory equipment that
have special uses and are valuable to a diver to accomplish underwater tasks. The following sections describe

breathing resistance. Snorkels should have an opening

several of these items.

of the

same

size at the intake as at the

mouthpiece;

they should not have a divider in the mouthpiece, because
the divider also will cause turbulent flow.

5.5.1

A

Snorkels
snorkel

is

Ideally, the inside

a rubber or plastic breathing tube that

allows a diver to

swim comfortably on the surface

diameter of the snorkel should be

5/8 to 3/4 inch (1.3 to 1.8 cm), and it should not be
more than 15 inches (38.1 cm) in length. Longer snor-

more

without having to turn his or her head to the side to

kels increase breathing resistance, are

breathe. Snorkels allow scuba divers to survey the

and cause additional
drag when the diver is swimming under water. Snorkels flood when the diver submerges, but these devices
can be cleared easily by exhaling forcefully through

bottom

in

shallow water without having to carry a

scuba tank.
Snorkels are available in a wide variety of designs
(Figure 5-14), and selection
preference

(Murphy

1980).

is

a

matter of individual

The most commonly used

to clear, increase

the tube.

dead

With some

difficult

air space,

snorkels, especially those with

flexible tubing near the

mouthpiece,

it

is

difficult to

amounts of

snorkel has three segments: a barrel that protrudes

clear the snorkel completely, and small

above the water, a mouthpiece tube, and a mouthpiece.

water

The mouthpiece should be

tube. Snorkels of this type can be cleared easily

selected to

fit

easily

under

the lips and should be capable of being held without

October 1991

— NOAA

Diving Manual

may remain

in the

curve or corrugations of the

when

the diver surfaces.

5-19

Section 5

Figure 5-15
Dive Timer

A

(

Timing Devices

5.5.2

watch

is

bottom time,
and assisting in underwater
imperative for dives deeper than
diver's watch must be self-winding,

essential for determining

controlling rate of ascent,

navigation;

is

it

30 feet (9 m). A
pressure- and water-proof

(a screw-type sealing crown is
recommended), and should have a heavily constructed
case that is shock-resistant and non-magnetic. An

external, counter-clockwise-rotating, self-locking bezel
required for registering elapsed time. The band should
be of one-piece construction and should be flexible
enough to fit easily over the diver's arm. A flat, scratchis

proof crystal and screw-down and lock stem also are

recommended. Electronic (battery-powered) diving
watches are now common, but divers should remember
that batteries run

down and

that

some of these watches

are sensitive to external temperatures, which could
affect their reliability during cold-water diving.

Dive timers are miniature computers that use microprocessor chips to count the

number

of dives in a day,

the current bottom time, and the current surface interval

(Figure 5-15).
after the last

Some

dive to

timers also can count the hours
let

the user

know when

it is

safe to

fly. Models are available that can operate for as long as
5 years without battery replacement. Dive timers are

activated automatically

when

«

the diver descends to a

depth below a certain depth (approximately 5 to 9 feet
(1.5 to 2.7 m)).
cally at a

During ascent, timers stop automati-

depth of about 3 to

5 feet (0.9 to 1.5

m).
Courtesy

TEKNA SCUBA

As with other diving equipment, watches and timers
must be handled with care and be washed in fresh
water after they have been used

An

water.
that

it

in salt or chlorinated

important requirement for any dive timer

have a high-contrast face

to facilitate

is

reading

Figure 5-16
Depth Gauges

under poor-visibility conditions.

5.5.3

Depth Gauges

Depth gauges (Figure 5-16) are small, portable,
pressure-sensitive meters that are calibrated in feet

and allow divers to determine their depth while submerged. Depth gauges are delicate instruments and
must be treated carefully to avoid decalibration. Accuracy is extremely important and should be checked at
regular intervals. Only a few models of depth gauges
can be calibrated in the field; most models can be
returned to the manufacturer if they need replacement
parts. During evaluation and regular use, gauges should
be checked to ensure that rough gears or internal corrosion does not cause the indicator hand to stick at par-

4

ticular depths.

5-20

Courtesy

NOAA

Diving Manual

New England

Divers, Inc.

—October 1991

Diver and Diving Equipment

Most commercially available depth gauges operate
diaphragm, or bourdon tube

either on the capillary,

gauges consist of a plastic
the water at one end and is attached

principle. Capillary depth

tube that

is

open

to a display that

to
is

calibrated in feet.

As depth

increases,

and the

the pocket of air trapped in the tube decreases

depth

read from the water level

is

in the tube.

The

diaphragm model has a sealed case, one side of which is
a flexible diaphragm. As pressure increases, the diaphragm is distorted, which causes the needle to which
it is

linked to move. Bourdon tube depth gauges are the

most fragile of these types of gauges; they require more
frequent calibration than the other types. With bour-

don tubes, water pressure causes a distortion of the
tube, which in turn moves a needle that indicates depth.
Both bourdon tube and diaphragm depth gauges are
available in models that are sealed and oil-filled for

5.5.4 Wrist

Compass

Cylinders

An underwater compass consists of a small magnetic
compass that is housed in a waterproof and pressureproof case and is worn attached to a diver's wrist by a
band. Compasses are useful for underwater navigation, especially in conditions of reduced visibility, and
they are also helpful when divers are swimming back to
a boat while submerged. Compasses do not provide
precise bearings, but they do provide a convenient,
reliable directional reference point. To limit magnetic
interference, compasses should be worn on the opposite wrist from the diver's watch and depth gauge.
Compass models are available that allow a diver to
read them while holding them horizontally in front of
them when swimming. Compasses do not have to be
recalibrated, and the only maintenance they need is a
fresh-water rinse after use.

smooth, reliable operation.

Combination depth gauges are also available; these
generally consist of combinations of a conventional

bourdon tube with a capillary gauge around the perimeter of the face. Capillary gauges generally give

more

accurate readings at shallower depths, and these gauges

can also
accuracy
has been
gauges at

Pressure Gauges
Two styles of pressure gauges can be used to determine the amount of air in a scuba tank. A surface

5.5.5

cylinder pressure gauge (Figure 5-1 7 A)

is

used to check

damaged, the readings provided by the two

amount of air in a tank on the surface. This type of
gauge fits over the cylinder manifold outlet, attaches
in the same manner as a regulator, and provides a

shallow depths will differ significantly.

one-time check of the pressure

be used as a reference for measuring the
of a bourdon tube gauge. If the bourdon tube

Bourdon tube gauges tend to retain salt water in the
tube, which may cause salt deposition or corrosion. To
prevent this, the tube should be sucked free of water
and the gauge should be stored in a jar of distilled
water. Helium-filled depth gauges leak and lose accuracy if they are not kept completely submerged in
water whenever they are exposed to high-pressure

the

release valve

is

installed

in a tank.

on the gauge so that

A

pressure-

air

trapped

gauge after the valve on a tank has been secured
can be released and the gauge removed. These small
dial gauge movements are designed with an accuracy

in the

±

of

100

psi,

but they

may become

less

accurate with

use.

The submersible cylinder pressure gauge attaches
directly to the first stage of a regulator by a length

conditions.

of high-pressure rubber hose; these gauges provide

Depth gauges are delicate, finely tuned instruments
and must be used, stored, and maintained with great
care. They are an essential part of a diver's life-support
equipment, and careless handling on the part of the
diver could prove fatal.

divers with a continual readout of their remaining

Many

air.

units have a console that holds the compass,

depth gauge, and tank pressure gauge (Figure

5-1 7B);

these consoles free the diver's arms for other dive
activities.

Submersible pressure gauges are essential

usually meas-

pieces of diving equipment; most of these devices

ured with a pneumofathometer, which is a pressure
gauge located on the surface. To determine a diver's

operate on the same principle as the bourdon tube.

For surface-supplied divers, depth

depth, air
surface.

is

introduced into the

The pneumo hose

diver's umbilical

the diver's end.

is

air

pneumo hose

is

open

end.

When

the hose

is

to the

water at

introduced at the surface dis-

places the water in the hose and forces

The gauge connected

at the

one of the members of a

assembly and

The

is

One end
and
and

is
is

gauge is sealed
move; the other end is held fixed

of the submersible pressure

allowed to
connected

air pressure

to a high-pressure air supply.

As

the

increases, the bourdon tube tends to

straighten out or to uncurl slightly.

The gauge's

dial

out the diver's

face should be easy to read and should have high-contrast

clear of water, excess air escapes.

markings. Although gauges currently in use are designed

to the

it

hose on the surface indi-

to

be accurate and reliable, they are not precision

cates the pressure (in feet or meters of seawater equiv-

laboratory instruments. Divers should not expect accu-

alent) required to clear the hose of water.

racies better than

October 1991

— NOAA

Diving Manual

± 250

psig at the upper end of

5-21

Section 5

Figure 5-17

Pressure Gauges
A. Cylinder

Underwater Slates
A slate may be a useful

Gauge

5.5.6

piece of equipment when
underwater observations are to be recorded or when
divers need a means of communication beyond hand
signals. A simple and useful slate can be constructed

from a 1/8- or 1/4-inch
acrylic plastic that has

both sides; these slates

(0.3 to 0.6

cm) thick piece of

been lightly sand-papered on
can be used with an ordinary

pencil.

Semimatte
board or
(0.01

cm)

plastic sheets can be placed on a clip

a ring binder. These sheets (about 1/32-inch

in

thick)

may

10 feet (1.8 to 3.0 m).

be purchased

up

to 6 x

as needed,

and no

in sizes

They may be cut

is required. Ordinary lead pencils can be used,
and marks can be erased or wiped off with a rubber
eraser or an abrasive cleanser. Some underwater slates
are equipped with a compass, depth gauge, and watch

sanding

Courtesy Dacor Corporation

B.

that are

Submersible Cylinder Pressure Gauge

mounted across the

When

top.

slates are used,

they should be attached to the diver with a loop or
lanyard

made

them from being

of sturdy line to keep

lost.

5.5.7 Diving Lights

A

waterproof, pressure-proof diving light

is

an impor-

equipment when divers are operating in
areas of restricted visibility. Lights are used most frequently for photography, night diving, cave diving,
wreck diving, exploring holes and crevices, or diving
under ice. Regardless of the power of an underwater
light, it will have only limited value in murky, dirty

tant item of

waters where

When

visibility is restricted

consider, such as brightness
Courtesy

TEKNA SCUBA

by suspended matter.

selecting a light, there are several factors to

and beam coverage, type

of batteries (disposable or rechargeable), size and shape,

burn time, and storage time (Figure 5-18) (Cozens 1981b).

Most
the gauge range and

between 500 and

± 100

psig at the lower end

psig (Cozens 1981a).

divers prefer the light to have a neutral or slightly

positive

buoyancy because

As with

NOTE
Submersible pressure gauges are recommended for all divers and all dives.
The only maintenance
gauge needs

is

that a submersible pressure

a fresh-water rinse after use.

To

pre-

vent internal deterioration and corrosion of a surface

gauge, care must be taken to ensure that the plastic
plug that covers the high-pressure inlet is firmly in
place.

Submersible pressure gauges should be handled

with care and should be stored securely
use.

5-22

it

is

easy to add a small

weight to keep the light on the bottom,

when

not in

all

if

necessary.

other pieces of diving equipment, lights

should be washed with fresh water after every use.

The

0-ring should be lubricated with a silicone grease

and

should be checked for debris every time the light
assembled.

When

is

not in use, the batteries should be

removed and stored separately. Before a diving light is
used, it should be checked thoroughly to ensure proper
operation. The batteries should be replaced any time
they show any signs of running low, and spare light
bulbs and batteries should be available at the dive site:
5.5.8 Signal

Devices

Signal devices are an important but frequently ignored

item of diving safety equipment for divers. They are

NOAA

Diving Manual

—October 1991

Diver and Diving Equipment

Figure 5-19
Signal Devices

Figure 5-18
Diving Lights

A. Diver's Pinger

Courtesy Battelle-Columbus Laboratories

particularly valuable

when

a diver surfaces at a great

B. Diver's Flasher

distance from the support platform or surfaces prematurely because of an

emergency. Several types of

sig-

naling devices are available (Figure 5-19).

Whistles are valuable for signaling other swimmers

on the surface. For easy accessibility, they

may

be

attached to the oral inflation tube of the buoyancy

by a short length of rubber strap.

vest

(MK-13, Mod 0, Signal Disand
Day
Night) can be carried taped to the
diver's belt or knife scabbard. One end of the flare
contains a day signal, a heavy red smoke, while the

The

military-type flare

tress,

opposite end holds a night signal, a red flare. Both ends

are activated via a pull ring. After either end of the
signal has been pulled, the flare should be held at arm's

away from the
The diver's body

length, with the activated end pointed

diver at an angle of about 45 degrees.

should be positioned upwind of the signal.

does not ignite immediately, waving

may

onds
will
if

work

assist ignition.

after

If the flare

for a

it

few sec-

After activation, the flare

submergence, although

it

will not ignite

activated under water. After every dive, the flare

should be flushed with fresh water and should then be

checked

for

damage

Courtesy Dacor Corporation

of 1500 feet (457.2 m). These lights are waterproof and

can operate submerged

at depths up to 200 fsw (61 m),
depending on the make and model. Some rescue lights
have an operational life of as much as 9 hours; the

operational
or deterioration.

by using the

Some

NOTE

of these units can be extended greatly

light only intermittently.

divers use chemical light tubes; these small

tubes contain two separated chemicals.
is

Red

life

flares

and smoke signals should be used

only as distress signals or to signal the termination of a dive.

bent, the chemicals discharge

soft

When

the tube

and mix, causing

green light that glows for several hours.

divers attach these tubes to their scuba cylinders,
straps, or snorkels as

a

Some
mask

an aid to tracking their buddies,

while others carry them as an emergency light source.

Signal devices should be carried so that they are

At

night, divers can carry a flashing rescue light that

attached to their belt, harness, or arm. Rescue lights
of this type are compact, high-intensity, flashing strobe
is

lights that are generally visible for

(16 to 24

km) from

October 1991

1

to

15 miles

a search aircraft flying at an altitude

— NOAA

Diving Manual

and will not be lost when equipment is
Buoyancy compensators frequently have a
ring that will accommodate a whistle or strobe

easily accessible

discarded.
built-in
light,

and

flares are often

taped to the scabbard of the

diver's knife with friction tape.

5-23

Section 5

5.5.9 Safety

Lines

equalization of pressure.

Diver safety lines should be used whenever divers
are operating under hazardous conditions; examples of

The

increase in pressure inside

the goggles as depth increases during the dive

may

ice, or

cause the rim of the goggles to cut deeply into the face
or the eyes to be forced against the glass plates; either

diving in strong currents. Diver-to-diver lines should

of these events can cause severe and painful tissue or

be used when the working conditions of the dive could
separate the divers who are working under water. Safety

eye squeeze.

such situations are cave diving, working under

Regulator neckstraps should also not be worn because

lines provide divers

these straps are difficult or impossible to remove in an

limited)

emergency. Some single-hose regulators come equipped
with these straps as standard equipment; the straps
should be removed and discarded before diving.

with a quick and effective (although
means of communications. Under special condia surface float can be added to the line to aid

tions,

support personnel in tracking the diver.

The most commonly used types of safety
nylon, dacron, or polypropylene.

These materials are

strong, have nearly neutral or slightly positive buoy-

ancy, and are corrosion resistant.
into

A

snap can be spliced

each end of these lines to facilitate easy attach-

ment to a float or to a diver's weight belt.
Maintenance of safety lines requires only that they
be inspected and that their snaps be lubricated. Reels
and lines used in cave diving must be dependable;
these lines require additional maintenance and careful
inspection.

Any

In addition to the specific items mentioned above,

line are

safety line should be replaced

if it

shows signs of weakness or abrasion.

any equipment that

not necessary for the particular

is

dive should be considered hazardous because extra

equipment increases a
gear should be

5.6

left

diver's

chances of fouling. Excess

on the surface.

SHARK DEFENSE DEVICES

In areas where sharks are frequent, many divers carry
some form of shark defense. Several types of devices
are available and have been shown to be effective.

These devices are designed

to be used only as defense
mechanisms; they are not effective and should not be
used as offensive weapons.

5.5.10 Floats

A

float carrying the diver's flag should

time a diver
is

is

The

a wooden club that

is

counter-weighted to facilitate underwater use and

is

be used any

operating from a beach or in an area that

frequented by small boats. Floats also provide the

oldest anti-shark device

commonly

is

called a "shark billy." It

is

used to fend off

Shark

dive master with quick and accurate information about

or to strike a shark, preferably on the nose.

the diver's location and provide the diver with a point

size

made from 3/4-inch (1.8 cm) round fiberglass stock and are 4 feet (1.2 m) long. A hole is drilled
in one end to accommodate a lanyard and a loop of

flag positioned at the top of a staff; bright colors

and the other end is ground to a point
and coated with fiberglass resin. Instruments of this
length and diameter can be moved through the water
quickly because they afford little drag under water.

buoyancy in an emergency. Floats range in
and complexity from a buoy and flag to small
rafts; the type most frequently used is an automobile
innertube whose center portion is lined with net. Float
should be brightly colored and should carry a diver's

of positive

make

billies

surgical tubing,

the raft noticeable, and the flag tells boaters that a
diver

is

5.5.11

in the water.

Accessories That Are Not

Recommended
Several pieces of equipment are sold commercially

are

If a

shark

is

circling a diver, the diver should use the

prod the shark; the butt end should be kept
against the diver's body and the sharp end should be
used against the shark. This defense should discourage
billy to

the shark from coming closer than about 4 feet (1.2

m)

from the diver. Sharks that have been prodded leave
the immediate area hastily (although they return to

but should not be used because they can cause injury to

the area almost immediately). Although brief, the shark's

the diver or convert a routine situation into an emer-

retreat usually provides sufficient time for the diver to

gency. Earplugs should never be used while diving;

leave the water (Heine 1985).

they create a seal at the outer ear, which prevents
pressure equalization and can lead to serious ear squeeze,

shark, a power head can be used. These devices,

ruptured eardrum, and, possibly, total loss of hearing

monly called "bang sticks," consist of

the plug is forced deeply into the ear cavity).
Goggles also should not be used in diving because
they do not cover the nose and thus do not permit

chamber designed to accommodate a powershotgun shell. The chamber is
attached to the end of a pole and is shot or pushed

(if

5-24

If a diver

wishes to

kill

rather than discourage a

com-

a specially

constructed

ful

pistol cartridge or

NOAA

Diving Manual

— October 1991

Diver and Diving Equipment

Figure 5-20

Shark Darts
against the shark, where

power heads have

it

on impact. Although

fires

a built-in positive safety, they should

be handled with extreme caution; they also should not
be carried
also

is

in

water with poor

dangerous

to carry

visibility or at

night.

It

loaded power heads when

several divers are working closely together in the water.

Devices known as "shark darts" are available commercially; these instruments are designed to disable or

sharks by injecting a burst of compressed gas.
Shark darts consist of a hollow stainless steel needle
approximately 5 inches (12.5 cm) long that is connected to a small carbon dioxide (C0 2 ) cylinder or
extra scuba tank; they are available in dagger or spear
kill

form (see Figure

5-20).

To

use these devices, the dart

is

abdominal cavity, where it
penetrates into the animal's body cavity and discharges
the contents of the C0 2 cartridge. The expanding gas
creates a nearly instantaneous embolism and forces
the shark toward the surface. The size of the C0 2

Photo William High

thrust against the shark's

Figure 5-21

Shark Screen

in

Use

cylinder varies from model to model; a 12-gm cylinder
is

effective to a depth of 25 feet (8 m), a

16-gm

cylin-

der to 40 feet (13 m), and a 26-gm cylinder to 100 feet

(30 m). Multiple-shot compressed-air models are also
available.

NOTE
some

it is illegal to carry comweapons such as shark darts in
automobiles or on the person. Divers are

In

localities,

pressed-air

check with

therefore advised to
ties

local authori-

before carrying these devices.

One

of the most effective

methods of protecting

divers in shark-infested waters

the Shark Screen, a

is

Photo Scott Johnson

lightweight synthetic bag that has three inflatable
collars (Figure 5-21). In the water, the diver

the collars, gets into the bag, and

blows up

with seawater;

fills it

intelligibility of

messages transmitted through any type

the bag then conceals the occupant from the sea below

of diver

and keeps any effusions

blood or sweat) that

a result of the effects of pressure, interference from

When

the

might attract sharks

bag

is

in

(e.g.,

the bag.

not in use, the

folded into a small package and carried in a

life

vest or kept with other survival gear.

UNDERWATER COMMUNICATION
SYSTEMS

is

less

than optimal as

support system, and the need for a diver to

life

concentrate on behaviors other than communication.

Message

intelligibility

improves significantly, howevand

listeners in

the underwater environment (Hollien and

Rothman

er, if

5.7

communication system

divers are trained to be better talkers

1976).

The

four principal types of diver

communica-

tion systems are described in the following sections.

Several underwater communication systems have been

developed and are available commercially. These sys-

Hardwire Systems

because of their inherent
deficiencies and use constraints. Studies have shown

5.7.1

that, regardless of the efficiency of these systems, the

parable to a telephone

tems vary

in effectiveness

October 1991

— NOAA

Diving Manual

Hardwire systems employ a closed loop that is comand includes a microphone, an

5-25

Section 5

Figure 5-22
Diver Communication
earphone/receiver, and a cable over which the signal

System

\

is

transmitted. These units require a physical connection,

i.e.,

umbilical, between the talker

Hardwire systems of the type used

and the

listener.

for surface-supplied or

scuba diver communication provide the greatest degree

communication of the systems discussed
shows the surface control panel of a
hardwire diver communication system.
Most hardwire systems can be configured either for
two-wire or four-wire operation. In a two-wire system, the diver usually is the priority signal path and

of intelligible

here. Figure 5-22

Photo Michael

Pelissier,

Ocean Technology Systems

the tender listens to the diver. If the tender wishes to

must be thrown. The earphone and microphone on the diver's end are wired in
parallel (Figure 5-23A). When two divers are operating
talk to the diver, a switch

on the same radio, the tender must push a cross-talk
switch to enable the divers to talk to each other.

Figure 5-23

Schematics of Diver
Communication Systems
A.

Two-Wire Mode

A

four-wire system (Figure 5-23B) allows the tender and

divers to participate in open-line (round robin)

munication, similar to that

in a

com-

conference telephone

call.

Most hardwire

units are

powered by internal

6- or

12-volt lantern-type batteries that provide continu-

ous operation on moderate volume output for 25 hours
or more.

Some

units feature connections for

an exter-

(

power supply; others incorporate redundant batteries
so that a spare is always available in an emergency.
nal

5.7.2

P^

Acoustic Systems

The acoustic system includes
fier,

power supply, and

directly into the water

a microphone, ampli-

transducer;

it

5^f

&_

transduces speech

by means of the projector (under-

B.

Four-Wire

Mode

water loudspeaker). The signal produced can be received
either by a

hydrophone placed

in the

water or by divers

without any special receiving equipment.

Some

of these

systems also incorporate alarms or signals that can be

used to recall divers.

5.7.3

Modulated Acoustic Systems

Several units of the modulated acoustic type have
been manufactured, and these have performance characteristics that

vary from poor to excellent. The most

widely used modulated acoustic systems employ ampli-

tude modulation (AM), a technique also used by commercial

AM

broadcast stations. However, since radio

signals are absorbed rapidly

by seawater, the acoustic

carrier rather than the radio frequency carrier

ulated in diving situations.

A

is

mod-

typical system of this

MICROPHONE

type consists of a microphone, power supply, amplifier,

i

modulator, and underwater transducer (Figure 5-24).

Acoustic signals produced by such systems can be

5-26

Courtesy Michael

NOAA

Pelissier,

Ocean Technology Systems

Diving Manual

— October 1991

Diver and Diving Equipment

Figure 5-24

Modulated Acoustic
Communication System
few

result,

FM

systems adapted to underwater use are

commercially available.
Single sideband has an advantage over

AM

AM,

because

puts one-half of the total output power

and

carrier,

this

power

is

ultimately

lost.

AM

nicators have greater range than

the

in

SSB commu-

systems for the

same output power and frequency. A major drawback
to SSB is that it requires more complicated electronics
and higher initial cost than other systems, and, as a
result, most presently used underwater communication

systems

Poor

utilize the

AM

intelligibility has

technique.

been a problem for many

users of wireless diver communications. In the late
1960's, researchers at the University of Florida sponsored

a series of tests designed to elucidate this problem.
Photo Michael

Pelissier.

Ocean Technology Systems

During the tests, divers read phonetically balanced
word lists using various masks, microphones, and communicators; test results showed intelligibility scores

understood only by a diver or a topside listener equipped

with an appropriate receiver and demodulator. In one

such unit, for example, a 31.5-kHz carrier signal
modulated by the speech
into the

signal
er,

is

signal, amplified,

is

and projected

water via an acoustic transducer. The acoustic

the 50 percent range at best.

now known

that

in

many

human and equipment factors contribute to an increase in
The key elements are the microphone,

intelligibility.

mask, earphone, transmitter/speech

filter

design, and

diver training.

then picked up by another acoustic transduc-

amplified, demodulated, and heard in the normal

5.7.4

communicator

1/2 watt. Generally, a range of
1/4 mile (0.4 km) can be expected in good ocean
conditions. However, range and clarity can change
dramatically because of acoustic background noise, a
shadow effect (caused by the tank, buoyancy compensator, wet suit, etc.), or thermoclines.
is

Non-acoustic Wireless Systems

Another approach

speech mode. The power output of a typical 31.5-kHz

to

underwater communication

involves a non-acoustic wireless system that uses an
electric current field.

system

made

is

Because

barriers, or reverberation.

by the amount of power applied

diver "feels" a mild shock

communication. Generally, the higher the frequency,

the greater the absorption of sound in water.

October 1991

— NOAA

Diving Manual

As

a

Range

is

man-

determined

to the field platers

and

limited to the diver's height, and power output

tems generally require a high ultrasonic frequency

to

non-acoustic, this

by the separation between them. Separation generally
is

obtain the frequency deviation necessary for intelligi-

is

it

not affected by thermoclines, natural or

Other modulated acoustic systems involve frequency
modulation (FM) or single sideband (SSB). FM sys-

ble

It is

is

limited by what the diver can tolerate because the

mode

is

when

transmitting. This

limited, at best, to a range of a few

feet or meters.

With modification,

this

hundred

system can be

used to transmit physiological data.

5-27

i

Page

SECTION 6
HYPERBARIC

6.0

General

6-1

6.1

Hyperbaric Chambers

6-1

CHAMBERS
AND SUPPORT

6.2

Design and Certification

6-3

EQUIPMENT

6.3

Operation

6-3

6.

1

.1

Transportable Chambers

6.3.1

Predive Checklist

6.3.2

Gas Supply

6.3.3

Chamber Ventilation and
Mask Breathing System
Oxygen Analyzers

6.3.4
6.3.5

6-2

6-3

6-3

Calculation of Gas Supply

6-6
6-7
6-8

6-9

6.4

System
Chamber Maintenance

6.5

Fire Prevention

6-10

6.5.1

Ignition

6-10

6.5.2

Combustion

6-14

6.5.3

Materials

6.5.4

Management

6.3.6

6.5.5

Electrical

6-9

6-14
of a Fire

6-14

6.5.4.1

Detection

6-17

6.5.4.2

Extinguishment

6-17

6.5.4.3

Breathing Masks and Escape

6-17

Summary

of Fire Protection Procedures

6-17

«

HYPERBARIC

CHAMBERS
AND SUPPORT
EQUIPMENT
6.0

GENERAL

three terms generally describe 'chambers used prima-

Hyperbaric chambers were developed

human

to

permit

beings to be subjected to an increased pressure

environment. Such chambers are vessels capable of

accommodating one

or

pressurized so that the

more occupants and of being
environment inside the chamber

rily

treatment of pressure-related

fects of pressure, in the

refer to these as

PVHO's

6.1

Early models of hyperbaric chambers were single-

compartment
does not

diving: surface decompression;

Human

HYPERBARIC CHAMBERS

example, hyperbaric chambers are used
in

(Pressure Vessels for

Occupancy).

patient

uations that occur

is

decompression of divers). Engineers

conditions, and in the decompression of divers. For
in several sit-

and decompression cham-

for the surface

simulates water depth while the pressure outside the

chamber remains at normal (l atmosphere) pressure.
Hyperbaric chambers are used in research on the ef-

to treat diving casualties),

bers (a term used to indicate that their primary use

(single-lock)

and a tender

chambers

to enter

recommend

that allowed one

and be pressurized.

NOAA

the use of single-lock chambers

because they do not allow medical and tending person-

have access

omitted decompression; treatment of diving accidents

nel to

such as gas embolism and decompression sickness; and

modern chambers are of the multilock type (see Figure 6-1). The multilock chamber has two or more com-

pressure and oxygen tolerance tests.

changeably

to

Terms used

inter-

denote these chambers include recom-

pression, compression, or hyperbaric

chambers (these

to the patient

during treatment. All

partments that are capable of being pressurized

in-

dependently; this feature allows medical personnel and

Figure 6-1A

Double-Lock Hyperbaric

Chamber— Exterior View
Oxygen

Lifting

Eye

Gas

Nitrox Regulator

Inert

(Therapy Gas)

Regulator

Inner Lock

Analyzer

Gauge
j

Communications

/

Outer Lock

y Gauge

Outer Lock
Viewport

Viewport

C0 2

Scrubber

Controls

Design and
Cert. Plate

2 Overboard
Exhaust

E.K.G.

Air

Oxygen and Therapy
Gas Cylinders

October 1991

— NOAA

Diving Manual

Exhaust

Photo Dick Rutkowski

6-1

Section 6

Figure 6- 1B

Double-Lock Hyperbaric

Chamber— Interior View

Emergency

nterior Light

Air/Therapy

Gas Mask

Photo Dick Rutkowski

tenders to enter the

chamber

to treat the patient

and

Multiplace chambers are designed to accommodate

same time. Deck decompreschambers (located on the deck of the surface
platform or support ship) and land-based chambers

then to leave, while the patient remains at the desired

several occupants at the

pressure in the inner compartment.

sion

A chamber
•
•

A

should be equipped with the following:

two-way communication system

A mask
the

breathing system for oxygen (normally of

demand

used for recompression treatment and diving research

and research are

or for clinical hyperbaric treatment

examples of multiplace chambers.

type, although ventilation hoods are

gaining acceptance for clinical treatment) (Figure 6-2)
•

Emergency air/mixed gas breathing masks

6.1.1

Transportable Chambers
and shape

•

Pressurization and exhaust systems

•

A

•

External lighting that illuminates the interior

lightweight materials (Figure 6-3) to L-shaped, two-

•

Viewports

person capsules, have been used

•

Depth control gauges and control manifolds
Heating and air conditioning systems (highly

fire

extinguishing system

Small portable chambers, varying

in size

from single-person, folding chambers made from modern
in

emergencies to

•

Stop watches (elapsed time with hour, minute, and
second hands)

recompress divers being transported to a large wellequipped chamber. Transportable chambers are most
valuable when they are of the two-person type and are
capable of being mated to a larger chamber, because
these features allow the patient to be continuously

•

Gas sampling

tended and pressurized. Small one-person transportable

•

desirable)

6-2

ports.

NOAA

Diving Manual

— October 1991

Hyperbaric Chambers and Support Equipment

Figure 6-2

Mask Breathing System

for

Use

in

Hyperbaric

Chamber
and ancillary equipment should

quality pressure gauges

C0 2

chamber. All such
equipment should be tested and calibrated before a
diving operation. Figure 6-4 is an example of a certification plate and shows various specifications and

be used

Scrubber Motor
Viewport

Sound Powered
Phone

in outfitting a hyperbaric

certifications.

NOTE
structural modifications such as those
made, the
chamber must be recertified before further
If

involving welding or drilling are

use.

Hyperbaric chambers used

diving usually are cylin-

in

drical steel pressure vessels that are designed to with-

stand an internal working pressure of at least 6 atmo-

(ATA) (165

spheres absolute

Modern chambers

fsw).

generally are 54-60 inches (137-152 centimeters) in

may have

inside diameter but

Oxygen
Exhaust

inside diameters ranging

from 30 inches (76 centimeters) to as large as 10 feet
(3 meters). Large chambers used to house and decompress divers for long saturation exposures are outfitted

with toilet
fortable

facilities,

beds, and showers, but such

chambers usually are found only

at sites

comwhere

large-scale diving operations or experimental dives
are conducted.

C0

2

Scrubber

Canister

Photo Dick Rutkowski

6.3

OPERATION

6.3.1

chambers, although better than no recompression

A

Predive Checklist
predive check of each

chamber must be conducted

have major shortcomings because an
attendant outside the chamber has no way to perform
lifesaving measures, such as maintaining an airway,

gas source must be checked to see that the intake

performing cardiopulmonary resuscitation, or
ing a pneumothorax.

The predive checklist (see Table 6-1) should be posted
on the chamber itself or on a clipboard next to the

capability at

all,

reliev-

before operation.

If

pressurized by a compressor, the
is

clean and will not pick up exhaust from toxic sources.

chamber.

6.2

DESIGN AND CERTIFICATION

Gas Supply
A chamber treatment

6.3.2
Several codes and standards apply to man-rated pres-

sure vessels, including current standards set by the

American National Standards Institute, the American
Society of Mechanical Engineers, the National Fire
Protection Association, and, under certain circumstances, the U.S. Coast Guard. These codes are comprehensive where the structural integrity of the vessel
is

concerned and include

tion,

all

aspects of material selec-

welding, penetrations into the pressure vessel

walls, flanges for entry or exit,

October 1991

— NOAA

and

testing.

Diving Manual

Only high-

and a secondary

air

facility

should have a primary

supply that

will satisfy the follow-

ing requirements:

Primary supply

—

sufficient air to pressurize the

cham-

ber twice to 165 fsw and to ventilate

Secondary supply

throughout the treatment:

— sufficient

air to pressurize the

165 fsw and to

chamber once

to

ventilate for

hour.

l

6-3

Section 6

Figure 6-3
Transportable Chambers
A.

Total system

B.

Courtesy Draegerwerk

C.

Lightweight one-person transportable

Schematic showing victim and tender

AG

chamber

Courtesy Draegerwerk

AG

Technical Data:

Max. operating pressure:
Test pressure:

5 bar

72.5 pounds/sq.

in.

7.5 bar

108.75 pounds/sq.

in.

42,714

Total volume:

700 liters
Total outside length:
2540 mm
Total outside height:
1520 mm
Total outside width:
860 mm
Outside height (without mobile base): 1200 mm
Total inside length:
2350 mm
Largest inside diameter:
640 mm
Total weight:
approx. 500 kp
Weight of the complete base:
approx. 275 kp
Weight of the complete pressure
chamber without base:
approx. 225 kp
Acceptance:
Techn. Inspect. Agency (TUV)

cu.

•100.00

in.

59.84

in.

33.86

in.

•

•

47.24

in.

•

92.52

in.

25.20

in.

•

in.

1102.5 pounds
606.4 pounds
496.1

pounds

Photo Butch Hendrick

Figure 6-4
Certification Plate for Hyperbaric

Maximum Working

Chamber
Maximum Working Temperature

Pressure.

Manufacturer's Serial

ASME Stamp

Number

(Chamber manufactured

in accordance with ASME Code) for,
Unfired Pressure Vessel

Division of Code (Manufactured
according to Section 8, Division

1).

Arc or Gas Welded Construction.

77 PSI 150°F

Uj
DIV

W

SERIAL

NO

1973

I

^.Year of Construction

.U.S.

Coast Guard Stamp:

Class
designates either Working
Pressure between 30 and 600 psi or
working temperature between 275°
and 700 °F
II

«

b USCG CLASS
MIA 73 25

DESIGNED AND BUILT BY
PERRY SUBMARINE BUILDERS
RIVIERA BEACH, FLORIDA

Coast Guard Office
Marine Inspection

U.S.

MIA

Manufacturer

73
25

in

charge of

— Miami Office
— Year of inspection
— Sequential number of
inspection

(e.g.,

25th

chamber inspected

in

I

1973)

Source:

6-4

NOAA

Diving Manual

NOAA

(1979)

— October 1991

.

Hyperbaric Chambers and Support Equipment

Table 6-1
Hyperbaric

Chamber Predive

Checkout Procedures
Before every operation of the chamber, a predive check of

ELECTRICAL SYSTEM

the facility must be conducted. This procedure should take

Lights operational

only a few minutes, provided that the personnel are experienced

Wiring approved, properly grounded

and the chamber

is

Monitoring equipment

properly maintained.

calibrated

(if

applicable)

and operational.

Predive Checklist

COMMUNICATION SYSTEM

CHAMBER

Primary system operational
Secondary system operational.

Clean
Free of

extraneous equipment

all

Free of noxious odors

FIRE

PREVENTION SYSTEM

Doors and seals undamaged, seals lubricated

Water and appropriate fire extinguisher in chamber. For
chambers with installed fire suppression system,

Pressure gauges calibrated, compared.

pressure on tank

AIR

SUPPLY SYSTEM
Primary

air

Combustible material

supply adequate

for

165 feet plus ventilation
Secondary air supply adequate

two pressurizations

to

Fire-resistant
for

MISCELLANEOUS — INSIDE CHAMBER
Slate, chalk,

Equalization valve closed
at

Bucket and

350

psig or

250

psig,

depending

and mallet
bags

plastic

Primary medical

on working pressure (200 or 100 psi) of chamber
Fittings tight, filters clean, compressors fueled.

for

body waste

kit

Ear protection sound attenuators/aural protectors

(one pair per occupant)

OXYGEN SUPPLY SYSTEM

MISCELLANEOUS— OUTSIDE CHAMBER

marked as BREATHING OXYGEN;
cylinder valves open
Replacement cylinders on hand
Inhalators installed and functioning
Regulator set between 75 and 100 psig
Fittings tight, gauges calibrated
Oxygen manifold valves closed.
Cylinders

metal enclosure

worn by all chamber occupants
mattress and blankets in chamber.

one pressurization

and 1 hour of ventilation
Supply valve closed
Supply regulator set

in

Fire-resistant clothing

Stopwatches
Recompression treatment time

full;

Decompression time-personnel leaving chamber
Cumulative time

Spare
U.S.
U.S.

Navy recompression treatment tables
Navy decompression tables

Log
List of emergency procedures
Secondary medical kit

NITROX (Therapy Gas)
marked 60% N 2 /40% 2
cylinder valves open
Replacement cylinders on hand
Inhalators installed and functioning
Regulator set between 75 and 100 psig
Fittings tight, gauges calibrated

Cylinders

NITROX

full;

;

Oxygen analyzers

CLOSED-CIRCUIT OPERATIONS (WHEN APPLICABLE)

C0 2
C0 2

Both the primary and secondary supply

may

be pro-

vided by any combination of stored and compressor
at the
If

amounts of

air

appropriate pressure in the required times.

it

is

is

important

to

power failures and, wherever possible, to keep an
emergency generator available to provide continuous
power if service is interrupted. Personnel at chamber
installations should be familiar with local fire and
rescue units that can provide emergency power and air.

— NOAA

a card in a conspicuous

place showing the date of service and type of lubricant
used. Before activating a hyperbaric chamber, the opera-

must ensure that the predive checklist shown

Table

6-1

in

has been completed.

WARNING

be aware of the possibility

of

October 1991

absorbent

may

be used. In addition to having an adequate volume of
it

C0 2

analyzer functional.

The compressor should have

tor

not feasible to have a high-pressure system

available as a backup, two low-pressure systems

stored gas,

scrubber functional

Adequate

valves closed.

capacities that will provide the required

functioning and calibrated.

Diving Manual

Compressors Should Be Lubricated With
Lubricants That Will Not Break Down Under
Heat or High Pressure, and Filters Should Be
Changed According to Required Maintenance
Procedures
6-5

Section 6

6.3.3

Chamber

and Calculation

Ventilation

minimum

Unless the chamber

equipped with a scrubber, it is
necessary to ventilate the chamber with fresh air to
maintain safe levels of carbon dioxide and oxygen inside
the chamber.

The

The chamber

of

Gas Supply
is

rate at

which

must be circulated

air

through the chamber depends on the number of personnel inside the chamber, their level of activity, the

chamber depth, and the breathing gas being used.

chamber

supply should be maintained at a

air

supply pressure of 100 psig over
pressure. Regulator settings for

maximum

oxygen depend

on the type of oxygen breathing masks installed

in the

chamber; most masks should be supplied with gas at
between 75 and 100 psig above the chamber pressure.
Knowing the amount of air that must be used does
not solve the ventilation problem unless there is some
way to determine the volume of air actually being used
for ventilation. The standard procedure is to open the
exhaust valve a given number of turns (or fractions of a

NOTE

turn),

which provides a certain number of actual cubic
minute at a specific chamber

feet of ventilation per

The abbreviation acfm

refers to actual cubic

at the chamber pressure in
use at the time; scfm refers to standard cubic

feet per

minute

and to use the air supply valve to maintain a
chamber pressure during the ventilation period.

pressure,
constant
•

feet per minute, defined as cubic feet per
minute at standard conditions at one atmo-

The exhaust valve handle should be marked
so that

sphere pressure and 0° C [acfm = (scfm)/
(chamber pressure in atmospheres absolute,
usually expressed as (D + 33)/33), where
D = chamber depth in fsw].

the
•

is

it

number

The

possible to determine accurately

of turns and fractions of turns.

rules in this

paragraph should be checked

against probable situations to determine the rates
of ventilation at various depths (chamber pressures)
that are likely to be needed. If the air supply

The following procedures reflect various scenarios
in chamber operations:

encountered
(1)

When
(b)

(2)

occupants are breathing

acfm
4 acfm

2

(a)

air in the

for

each person at

for

each person not

chamber:

vide at least that

rest

at rest.

(b)

occupants are breathing oxygen by mask
chamber without an overboard dump system:
12.5 acfm for each person at rest
25.0 acfm for each person not at rest

(c)

Additional ventilation

a

(a)

is

not necessary for

much

flow at a deeper depth.

•

The necessary valve

•

and depths should be determined with the help of
a stopwatch by using the chamber itself as a
measuring vessel.
The ventilation rate can be calculated by using

When
in

is

ample, determination of ventilation rates for a
few depths (30, 60, 100, 165 fsw) may be sufficient, because the valve opening specified for a
given rate of flow at one depth normally will prosettings for the selected flows

this formula:

occupants who are not breathing oxygen.
(3)

Interrupted ventilation:
(a)

Should not exceed

5

V X

R =

minutes during any

(P

30-minute period.
t

(b)

When

acfm
(4)

oxygen monitoring equipment

is

where

available:

Ventilation should be used as required to

(a)

maintain oxygen concentration

in the

chamber

below 23 percent.
(5)

With an
The

installed overboard

Step

1

The quantity
is

system:

R

chamber

V

volume of chamber

t

=

ventilation rates for air breathing given

(a)
in

dump

33

and

then the normal rate should be resumed.

When

33)

X

resumed, should use twice the required

for twice the period of interruption,

+

18

above should be used.
of air ventilated through the

=

in

cubic

feet;

time for chamber pressure to change 10
fsw

P

ventilation rate in acfm;

in

seconds;

chamber pressure (gauge)

in fsw.

chamber

controlled by regulating the precalibrated exhaust

valve outside the chamber.

been established, the
to maintain a constant

6-6

air

Once

the exhaust rate has

supply valve can be regulated

chamber

pressure.

Chamber

pressure in the unoccupied

be increased to 5 fsw beyond the depth

chamber should
in question.

The

exhaust valve should then be opened a certain amount

NOAA

Diving Manual

— October 1991

Hyperbaric Chambers and Support Equipment

and the length of time
below

this

maximum

it

takes to

come up

example, if checking for a depth of 165 fsw, the
chamber pressure should be taken to 170 fsw and the
time

The

it

takes to reach

The exhaust intake must be placed

10 fsw

to

depth should be determined. (For

160 fsw should be measured.)

cham-

maximum

ensure

chamber and
from being drawn from the cham-

circulation within the

to prevent fresh air

ber during ventilations.

valve should be opened different degrees until the

setting that approximates the desired time

known;

is

Times

that setting should then be written down.

tings

determined

for these in the

A

same way.

or table of the valve settings should be
ventilation chart using this information

chart

made and

and the

a

venti-

The oxygen system provides oxygen

chamber not equipped
with a mask overboard discharge system and assuming
there are two patients and one tender in the chamber)
(for a

Cp = 10V +

48,502

where

It

also provides a source of

known clean

chamber. The

Smoking

leaks.

A

in the vicinity

hyperbaric chamber

of a

chamber

is

prohibited.

may be equipped

with both

standard and overboard discharge breathing masks.

regulator for oxygen or air supply, appropriate hoses

Cp

total

V

chamber volume

10

atmospheres needed

=

(ft

to

3

);

to pressurize twice

165 fsw;

treatment using

USN

dump

4.

Table 6-2 shows ventilation rates and total air
requirements for two patients and one attendant

(US Navy

fittings to

exhaust the diver's exhaled

breath outside the recompression chamber; overboard

during

Treatment Table

undergoing recompression treatment

and

priate hoses

total air (in scf) required to ventilate

a

and fittings, and an in-board dump (or discharge)
system (see Figure 6-2). A breathing mask with an
overboard discharge system consists of the same basic
components as the standard mask, with the addition of
a mask-mounted demand exhaust regulator and appro-

capacity of primary system (scf);

from the surface

1985).

As indicated, the maximum air flow rate that the system must deliver is 70.4 scfm (with an oxygen stop at

systems are usually used for oxygen breathing.

The oxygen cylinder pressure is reduced
mately 75 psig over chamber pressure by
regulator. This pressure differential

chamber depth. The

demand

calculate secondary system capacity, the formula

=

5V

+

to

by changes

resulting low-pressure

in

oxygen or

through a lightweight, flexible hose to a demand

A

control knob on the

regulator allows adjustment of the regulator

minimize breathing resistance or

may

4,224

a

to

permit constant

is

flow,

Cs

a pressure

maintained by

tion of a standard regulator as required

regulator located on the mask.

Secondary System Capacity

is

to approxi-

suitable tracking regulator or by operator manipula-

air flows

60 fsw).

To

pure oxygen.

air in the event of fouling of the air in the

The standard mask is generally used with air but can
be used with mixed gas or treatment gas. Overboard
discharge masks are generally used for oxygen breathing during recompression or treatments. The standard
breathing mask consists of an oral-nasal mask, demand

calculated as follows:

48,502

for that part of

the decompression/recompression schedule requiring

system should be inspected carefully and checked for

lation rates should be prepared.

Primary system capacity

Mask Breathing System

6.3.4
for

other rates and depths should be calculated and set-

is

inside the

ber as far away from the supply inlet as practical to

if

this

is

desired.

The gas

delivery pressure also

be adjusted from outside the

chamber

to

enhance

flow characteristics.

where

With the overboard discharge units, the diver's exhalais removed through a regulator that is mounted on
the side of the mask. The regulator exhaust is connected by a hose to the outside of the chamber. For a

tion

Cs

=

total

V

=

chamber volume

5

=

capacity of secondary system

(scf);

3

pressure differential

(ft );

atmospheres required

to pressurize

from

chamber

the surface to 165 feet once;

= maximum
for

October 1991

1

ventilation rate of 70.5

hour.

— NOAA

scfm

mask-mounted

regulator.

The

unit should

not be pressurized to a depth greater than 60 fsw unless
it

Diving Manual

excess of 60 fsw, an auxiliary

wall to limit the differential pressure at the

outlet of the

4,224

in

regulator must be connected between the hose and the

is

fitted

with an auxiliary

vacuum

regulator or the

6-7

Section 6

Table 6-2

and Total
Requirements for Two
Patients and One Tender
Undergoing Recompression Treatment
Ventilation Rates

Air

Depth

Ventilat

on

Rate (scfm)

of

Ventilation Air Required at

Stop

Using

(scf)

'

Stop

Air

°2

(fsw)

Stop

Stop

165

47.9

140

41.9

5

37

100

32.2

80

27.3

60
50

22.5

70.4

20.1

62.9

40
30
20

17.7

55.3

15.3

47.7

12.8

40.2

10

10.4

32.6

air

2929

4561

1772
1107

1772

1772

6183

6183

1090

1090

1090

966
328
675
603
530
916
770
1250

6898

13606

15182

6038

requirements are dependent on chamber

Depth

of

4561

4

3

1437
503
444
386
328
675
603
530

139

Total for Ventilation

Total

2A

1A

1437

120

NOTE:

6A

6

2

from 60'

Treatment Table

1540
2501

1437
503
444
386
328
675
603
530
10996
1540
1250

10778

18692

1831

4

5749
1256

5749
1256

1111

1111

966

966

821

821

8104
7234
6363
10996
1540
1250

25344
22644
19908
34344
7236
5868

45390

125247

size.

Stop

A

Duration

60'

4

Hr.

4

Hr. Air

4

Hr.

60'

4

Hr. Air

to

4

Hr.

5,400
16,903

2

3,672
14,430

2

2 Hr. Air

30'

2

Hr. Air

to

4

Hr.

10'

4

Hr. Air

10'

4 Hr.

Required

16,903

2

30'

r

1,922

1,776

10,012

2

2,726
6,262

2

624

2 Hr. Air

to
4'

at 4'

2

Hr. Air

2

Hr.

4'

499
1,563

2

26
82,718 (min)

4 Min.

to Surface

Adapted from US Navy (1985)

discharge hose has been disconnected from the exter-

the manufacturer. For further information, consult the

nal port.

appropriate manufacturer's instruction manual (see

These units should be inspected by the inside tender
or supervisor before each use. Hose fittings should be
inserted into properly labeled connectors on the wall of
the chamber. After testing, the internal and external
valves should be closed until mask breathing gas is

the predive checklist in Table 6-1).

required.

therapy, surface decompression, or research.

The mask must be cleaned with an

antiseptic solu-

and warm water, alcohol, and
sterilizing agent) after each use, air-dried, and stored
in a sealed plastic bag or be reinstalled for subsequent
use. Routine inspection and preventive maintenance
tion (antibacterial soap

when malfunctioning is evident.
Generally, inspection and repair service is provided by
are required annually or

6-8

6.3.5

Oxygen Analyzers

An oxygen

analyzer

is

useful for monitoring oxygen

concentrations in chambers where oxygen

is

used for

The oxy-

gen level in a hyperbaric chamber should be maintained
between 21 and 23 percent to reduce the danger of
fire (see Section 6.5). An absolute upper limit of
25 percent should be observed, in accordance with
current National Fire Protection Association rules.

Several oxygen analyzers are available. For units
placed outside the chamber with a remote sensor located

NOAA

Diving Manual

— October 1991

Hyperbaric Chambers and Support Equipment

Table 6-3

Chamber Post-Dive Maintenance
AIR

Checklist

SUPPLY
Close

all

Check that all log
Stow log book.

valves

Recharge, gauge, and record pressure of
Fuel

entries

banks

air

compressors

OXYGEN SUPPLY

Clean compressors according to manufacturer's

Check

technical manual.

inhalators, replace as

Close

__
VIEWPORTS AND DOORS

Bleed

Close

system

2
all

necessary

cylinder valves

2

valves

Check viewports for damage; replace as necessary
Check door seals; replace as necessary

Replace cylinders with

Lubricate door seals with approved lubricant.

Clean system

BREATHING OXYGEN,

as required

Ensure spare cylinders are available

CHAMBER
Wipe

have been made

if

contamination

is

suspected.

NITROX (Therapy Gas) SUPPLY
inside clean with vegetable-base

warm fresh water
Remove all but necessary support

soap and

Check

chamber

items from

Clean and replace blankets

Encase

all

Close

flammable material

in

inhalators, replace as

NITROX cylinder
Bleed NITROX system

Close

chamber

in

valves

all

Replace cylinders with

fire-resistant containers

necessary

valves

60% N 2 /40%

2

,

as required

Ensure spare cylinders available.

Restock primary medical

as required

kit

Empty, wash, and sanitize human waste bucket

Check presence
Air out chamber

sand and water buckets

of

in

COMMUNICATIONS

chamber

Test primary and secondary systems;

Close (do not seal) outer door. Preferably leave one

on inside chamber

to

keep moisture

make

repairs as

necessary.

light

out.

ELECTRICAL

SUPPORT ITEMS
Check and

Check
reset

stopwatches and lock them

in

Ensure presence of decompression and treatment tables.

housing

for

Turn

all

of

emergency and
Manual

ventilation procedures,

and the

_ Restock secondary medical

as required and stow

kit

If

Clean and stow fire-retardant clothing

inside the
is

When

in

chamber, an appropriate chamber penetra-

required. Small, portable, galvanic cell-type

however,

may

lights

off

Check

Diving

be placed directly

in

the chamber.

choosing portable units for hyperbaric use, the

bulbs as necessary

encased

If

NOAA

units,

circuits

light

desk drawer

list

tion

all

Replace

control

in

pressure-proof housing, check

damage
power

wiring for fraying

environmental monitoring equipment is used, maintain
accordance with applicable technical manual.

must be inspected to ensure that the
system is properly grounded and that all fittings and
terminals are in good order and encased in spark-proof
lights inside, they

housings (see the predive checklist

in

Table

6-1).

manufacturer's instructions should be consulted to be
certain that the unit

is

compatible with hyperbaric

environments. Since nearly
to partial pressures of
1

all

oxygen

ATA, mathematical

WARNING

units read out in response

relative to a pressure of

conversions must be

ascertain the true reading at depth.

made

to

The manufacturer's

Lights Inside the Chamber Must Never Be
Covered With Clothing, Blankets, or Other
Articles That Might Heat Up and Ignite

instructions should be consulted for detailed information

on specific oxygen analyzers.

6.4
6.3.6 Electrical

The

electrical

System
system

in

Proper care of
a

chamber

fiber optics or

chamber,

size of the

no less than once a month, whichever comes first, the
chamber should be maintained routinely in accordance
with the Post-Dive Maintenance Checklist shown in
Table 6-3. At this time, minor repairs should be made
and supplies restocked. At least twice a year, the chamber

to

to provide lights

keep

all

through

through port windows, and to have the

When chambers

October 1991

— NOAA

have electrical systems and

Diving Manual

hyperbaric chamber requires both

routine and periodic maintenance. After every use or

actual electrical system controls located outside the

chamber.

a

com-

varies in

plexity, depending on the capability and
chamber. Whenever possible, it is best
electricity out of the

CHAMBER MAINTENANCE

should be inspected both outside and inside.

Any

deposits

6-9

Section 6

of grease, dust, or other dirt should be

removed and the

affected areas repainted (steel chambers only).

Only

mits corrosion to be recognized easily. Painting an

aluminum chamber

(and thus

will serve only to hide

encourage) corrosion. Corrosion is best removed by
hand-sanding or by using a slender pointed tool, being
careful not to gouge or otherwise damage the base

The corroded area and

a small area around

it

should be cleaned to remove any remaining paint or

Electrostatic sparks.

The most common sources of chamber fires in the
past have been lighted cigarettes, faulty electrical
powered devices.
from overheating caused by a defective component, a short
circuit, a jammed rotor in a motor, sparks produced by
making or breaking a load-carrying circuit, or from a

NOAA

hyperbaric chambers must be pressure

The procedures

to be

followed are shown in Table 6-4, and Table 6-5 presents a checklist for

chamber pressure and leak

electrically

Electrical fires, however, can start either

device with arcing brushes.

The

safe use of electrical devices in a

chamber

is

primarily a design factor, requiring proper installation

painted with a non-toxic, flame-retardant paint.

tested at prescribed intervals.

and sparks from

wiring,

corrosion products. Steel chambers should then be
All

Heat of compression

•

chambers are painted. Aluminum cham-

steel

bers normally are a dull, uneven gray color that per-

metal.

•

of the supply wiring and properly designed devices.

Wiring should be insulated with mineral materials or
in metal conduit (which can be

Teflon® and be shielded

either rigid or flexible).

tests.

The housings

of electrical de-

vices such as instruments can be purged with an

6.5

A

FIRE

oxygen-free inert gas during operation and may or
may not be pressure proof. Lights may be enclosed and

PREVENTION

hyperbaric chamber poses a special

fire

hazard because

of the increased flammability of materials in compressed
air or

an environment otherwise enriched

in

oxygen.

purged, or they

have the

may

be external to the chamber and

light directed inside with a "light

Even an enclosed

fiber optic cable.

light

pipe" or

can generate

chambers requires basically
same practices as it does in other locations. The
chamber environment, however, involves two special

tion plan should include the capability to disconnect

the atmosphere is an "artificial" one,
and people are confined with the fire in a relatively

must be

Fire safety in hyperbaric

enough heat

the

both the design and operational stages.

considerations

small space.
sary for a

—

The

fire,

chamber

anywhere

or

else,

are a

source of ignition, combustible materials, and an oxidizer.

There are four steps

in

chamber

fire safety in

addition

to preventive measures: detecting the fire, extinguishing

—

—

mask for breathing, and if possible escaping.
A safe chamber begins in the design stage. Various
codes and design handbooks deal with this complex
subject, and it can only be touched on here (Naval
it,

using a

Facilities

Engineering

Command

1972, National Fire

Protection Association 1984). After safe design, the

manner

in

which the chamber

tance. This section reviews

is

used

chamber

is

next in impor-

fire safety,

cover-

installations, control of the electrical haz-

ber at

all.

When

electricity

is

used, however,

This

may

be accomplished by employing protective

Use of low voltages

ers.

hazard, but

it

is

(e.g.,

12 or 24 volts) avoids this

a dangerous misunderstanding to think

such voltages cannot start a

fire if

(Shilling, Werts,

and

as intrinsically safe

may

ally are

be used. Low-current, low-

considered safe. There

is

Possible sources of ignition in a hyperbaric

tion of

made

chamber

safety. Ex-

to prevent the igni-

flammable gases or vapors by sparks generated

electrical
in a

equipment;

this

is

not the expected prob-

diving chamber. Junction boxes and other

equipment made

chamber

a fundamental dif-

ference between the concepts behind "explosion-proof

lem

include:

to explosion-proof standards

may

pro-

vide the kind of protection afforded by mechanical

housings (mentioned above), but this equipment

is

designed for a purpose different from the enriched-

•

Electrical wiring or apparatus

oxygen hyperbaric environment and may

•

Cigarettes or other smoking materials

inadequate. Also, most explosion-proof boxes are

6-10

is

and qualifying

voltage devices such as headsets and microphones gener-

by

6.5.1 Ignition

high-current flow

possible. Devices tolerant of pressure

plosion-proof housings are

The Underwater Handbook

requires

devices such as ground fault detectors and interrupt-

devices and those required for

in

it

protection of the occupants from electrical shocks.

additional references, consult the section on fire safety

Schandelmeier 1976, pp. 646-664).

protec-

fire

achieved by allowing no electricity in the cham-

is

and operational techniques.
For a more thorough treatment of the subject and

ing both basic principles

A

available.

At some
ard

be considered at

power instantaneously. Auxiliary lighting

electrical

all

traditional trio of conditions neces-

in a

to start a fire, a fact to

NOAA

Diving Manual

in fact

be

much

— October 1991

.

,

,

Hyperbaric Chambers and Support Equipment

Table 6-4
Pressure Test Procedures for

A

NOAA Chambers*

pressure test must be conducted on

NOAA

every

3.

recompression chamber:

Repeat Steps
until all

and 2

1

the leaks

have been eliminated.

2.

When initially installed;
When moved and reinstalled;

3.

At 2-year intervals

1,

when

in

4.

Pressurize lock to

maximum chamber

place

operating

pressure (not hydrostatic

at a given location.

pressure) and hold for 5

The
1,

test

is

to

be conducted as

minutes.

follows:

Pressurize the innermost lock to

100

(45 psig)

feet

an equivalent
penetration
seals,

5.

solution, leak test

viewports,

fittings,

shell

all

dog

165

feet

Hold

for

(73.4 psig).
1

hour.

145 feet (65 psig)

and

locate

and mark

Mark
and

with Step 2

leaks. Depressurize the lock

all

components

adjust, repair, or replace

until final

at least

is

Viewport Leaks

gasket (replace

-

Remove

the viewport

necessary)

if

,

feet

Repeat Steps

1

through

leaving inner door

contact with any lubricant.

come

Acrylic viewports should not

in

5,

open

and the outer door closed.
Leak test only those
portions of the chamber

be lubricated

Acrylic viewports should not
in

145

wipe.
6.

come

pressure

(65 psig)

CAUTION

or

in accordance
above and

repeat this procedure

as necessary to eliminate leaks.

a.

leaks.

Depressurize chamber and

weldments.

repair leaks
2.

If

pressure drops below

door dogs (where applicable)

valve connections, pipe joints,
shell

Depressurize the lock to

Using soapy water or

.

contact

not previously tested.

with any volatile detergent or leak detector

(non-ionic detergent
leak test)

up

.

When

to

is

be used

for

reinstalling viewport,

take

retaining ring bolts until the gasket

compresses the viewport. Do not

just

overcompress the gasket.

Weldment Leaks

b.

-

Contact appropriate

technical authority for guidance on
corrective action.

*AII

NOAA

standard recompression chambers are restricted to a

too large and heavy for efficient use in the

crowded

conditions of a chamber.

Although
sphere

in

a

is

lem

pressure of 100 psig, regardless of design pressure rating.

in

the piping of oxygen-rich gases,

factor in

should be avoided, the atmo-

static sparks

chamber

maximum

usually

humid enough

to sup-

chamber

A

an explosion.

vapors, gases, or dry, finely divided materials, none of

flow through a

in

a

chamber. Static sparks

it

is

also a

Because gases heat up when

compressed, the sudden opening of a valve, which allows

an oxygen mixture

press sparks. Also, static sparks are only a hazard with

which should be present

safety.

air

is

to

compress

in

the pipes, can cause

different but related hazard
filter or

muffler

is

the gas

in the air supply. If the

produced by an oil-lubricated compressor, some

may

usually can be prevented by using conductive materi-

oil

and by grounding everything possible. In some
medical hyperbaric chambers, the patient himself is
grounded with a wrist strap.
Although the heat of compression is more of a prob-

by compression or sparks generated by flowing gas.

als

October 1991

— NOAA

Diving Manual

collect

Incredible as

on the

it

filter

may seem,

or muffler and be ignited

a

ber fires has been smoking. This

major source of chamis

less of a

hazard now

than before the risks were widely known, but the pro-

6-11

Section 6

Table 6-5
Standard NOAA Recompression
Air Pressure and Leak Test

Chamber

i
Ship/Platform/Facility

Type

of

Chamber: Double Lock Aluminum
Double Lock Steel
Portable Recompression Chamber
Other*
*

(Description)

NAME PLATE DATA
Manufacturer

Date of Manufacture
Serial

Number

Maximum Working
Date

Pressure

Pressure Test

of Last

.

Test Conducted by

(Name/Rank/Title)

1.

Conduct

Chamber

visual inspection of

chamber

to determine

if

chamber

satisfactory

ready

for test.

Initials

of Test

is

Conductor

Discrepancies of inoperative chamber equipment:

2.

Close inner lock door and with outer lock door open, pressurize inner lock to 100 fsw

components do not

(Note:

Inner lock leak
A.

(45 psig)

and

verify that the following

leak:

If

chamber has medical

lock,

open

inner

door and close and secure outer door.)

checks

Shell Penetrations

and

Fittings

Satisfactory
B.

Viewports
Satisfactory

C.

Door Seals
Satisfactory

D.

Door Dog Shaft Seals
Satisfactory

E.

Valve Connections and Stems
Satisfactory

F.

Pipe Joints
Satisfactory

G. Shell Welds
Satisfactory
3.

Increase inner lock pressure to

Record Test Pressure

225 fsw (100

psig) operating pressure (not hydrostatic pressure)

for

5 minutes.
Initials of

Satisfactory

(NOTE: Disregard small leaks

6-12

and hold

Test Conductor

at this pressure)

NOAA

Diving Manual

— October 1991

Hyperbaric Chambers and Support Equipment

Table 6-5
(Continued)

Depressurize lock slowly to 165 fsw (73.4 psig)

4.

Secure

all

supply and exhaust valves and hold

for

hour.

1

Pressure

Start time

Fnd timp
Ci iterion:

If

Pressure
pressure drops below 145 fsw (65 psig)

Innpr Inrk prpssurp drop tpst

,

locate

(NOTE:

Repeat tests

6.

tested

in

If

of sections 2.

sections

2, 3,

7.

Outer Lock Checks

A.

Shpll Penptrations

B

Vipwports

and

and

chamber has medical
3,

leaks. Depressurize, repair,

and

fsw

retest inner ock.
I

passpd

Depressurize inner lock and open inner lock door. Secure

5.

and mark

165 fsw

in

open

lock, close

position. Close outer

and secure

and 4 above when setup per section

inner door
5.

Leak

door and secure.

and ope n outer door)

test only

those portions of the char nber not

4.

Fittings

Satisfactory

Satisfactory

Door Seals

C.

Satisfactory

Door Dog Shaft Spals

D.

Satisfactory

Valve Connections and Stems

E.

Satisfactory

Pipe Joints

F.

Satisfactory
Shell

G.

Welds
Satisfactory

Maximum Chamber Operating

8.

Pressure Test (5 minute hold)

Satisfactory
Initials of

TestC onductor
Inner

9.

and Outer Lock Chamber Drop Test (Hold

for

1

Hour)

Start time

Pressure

Fnd time
Inner

Pressure

and Outer Lock Pressure Drop Test Passed

165 fsw
fsw

Satisfactorily
Initials of

TestC onductor
10

.

All

above

tests

have been

satisfactorily

completed.

Date

Test Director

Signature

Diving Officer/

Director,

October 1991

— NOAA

Diving Manual

NDP

UDS

Date

Date

6-13

Section 6

smoking

hibition against

be

and around chambers must

in

no combustion, there

a broad pressure-oxygen per-

is

centage zone of incomplete or reduced combustion.

strictly enforced.

6.5.3 Materials

6.5.2

Combustion

The

The primary factor increasing the risk of fire in a
hyperbaric chamber is the increased combustibility

An

caused by the enriched oxygen atmosphere.

oxygen atmosphere

is

one that either has a partial

pressure or an oxygen percentage that

(determined

in a laboratory

and

level air,

An

chamber

in the

is

rate

when

also has an increased percent-

The relationships among
flammability, partial pressure, and oxygen fraction
are complex and non-linear, but show a consistent
trend toward faster burning with increased oxygen
percentage or with an increasing pressure at the same
oxygen percentage (Figure 6-5). The nature of the
age

(i.e.,

fraction) of oxygen.

background gas

is

minimum, and

important, too, with helium requir-

an overboard

essential to use

when
if

risk
it

dump

is

when oxygen is
now considered

system for exhaled

divers are breathing oxygen by

decompression or treatment.
able

the

regarded as non-flammable

known

is

fuel,

i.e.,

chamber be kept

to a

Some

it

is

in air will

materi-

burn

in a

best to rely on materials

to be safe or relatively safe in oxygen.

Metals are safe, as are ceramics. For wiring insula-

TFE

(Teflon®)

is

probably the best all-around

material, but there are mineral insulations and fiber-

some hard

glass, as well as

Melmac®

that are usable in

plastics like Bakelite®

and

some circumstances. Some

fluorine-based elastomers are relatively safe in high

oxygen mixtures, but their conductive properties are
poor and they are expensive. For clothing, the popular
choice is Durette®, but Nomex® is also adequate. Beta
fiberglass

is

suitably flameproof but has undesirable

wearing properties (Dorr 1971).

Although chamber design

is

important to

fire safety,

even the well-designed chamber needs to be used prop-

Because of the greatly increased
added to the chamber atmosphere,
gas

in

a fire

safety requires that

where possible, materials that are

high oxygen mixture, so

ing higher ignition temperatures but allowing faster

burning.

that,

make

fire

not flammable in enriched oxygen be used.
als

tion,

introduced when the gas

is

combustible materials

all

twice that of sea

2.5 times as fast at 165 fsw.

it is

additional hazard

mixture

greater than

with paper strips)

equivalent to 75 fsw

is

is

The burning

that of air at sea level pressure.

the pressure

enriched

third element required to

something to burn. Chamber

It

is

mask during

a

also considered accept-

a low oxygen level can be maintained by venti-

lating or purging the

chamber with

air,

but this

is

a less

desirable option because the gas used for purging
itself fairly rich in

oxygen.

It

and high flows may
be accompanied by excessive noise and compressor
wear and tear. The "zone of no combustion" concept is
the oxygen within accepted limits,

helpful in the

management

is mandatory; all
and other flammable materials
must be stowed or removed from the chamber when it
is being operated beyond the fire-safe zone. Particularly important to eliminate are fuzzy or powdered or
finely divided materials and flammable liquids and

loose clothing, papers,

gases.

One flammable gas

is

takes high flows to keep

of fire safety in chambers.

Good housekeeping

erly to be safe.

use in diving

is

that

may come

into increasing

hydrogen. The use of this gas

explored for deep diving because of
properties (primarily

its

its

is

being

physiological

low density, which results

in

low breathing resistance). Hydrogen can be used with-

out danger of explosion (once

it

properly mixed)

is

affect burning rate, changes in the percentage of oxy-

when a mixture contains less than 5 percent oxygen,
making it suitable for diving deeper than 100 fsw.
Most of the safety problems associated with the use

As

of hydrogen as a diving gas occur during handling

This concept takes into account the fact that, although

changes

in

pressure at a constant oxygen percentage

gen have a greater

effect.

a result, there

is

a "zone"

of pressure and oxygen percentage that provides ade-

and mixing.

quate oxygen for respiration but that will not support

combustion (Shilling, Werts, and Schandelmeier 1976;
Rodwell and Moulton 1985). This is illustrated in Figure 6-6.

An

combustion

6.5.4

is

that the

saturation dives

is

chamber environment

fire safe

except

in

in

most

the later stages of

Management

The preceding

important consequence of the zone of no

chamber

fires.

of a Fire

sections addressed the prevention of

Another component of

fire safety requires

that the people involved be able to deal with a fire once

decompression. The existence of this zone allows for

it

controlled combustion, such as that of welding, to be

rapidly (National Fire Protection Association 1979),

performed safely at pressure. In addition

many

6-14

to the

zone of

starts.

Although some past chamber

fires

have spread

others have been extinguished without loss of

NOAA

Diving Manual

— October 1991

Hyperbaric Chambers and Support Equipment

Figure 6-5

Burning Rates of Filter Paper Strips
45° in N 2 -0 2 Mixtures

at

an Angle

of

4.5

P0 2 =2Atm

o

99.6%

2

CO

E

o
LU

DC

CD

1.00

2.51

50

4.03
1

00

5.54

7.06

8.57

10.1

ATA

50

200

250

300

FSW

1

PRESSURE
October 1991

— NOAA

Diving Manual

6-15

Section 6

Figure 6-6

Combustion in N 2 -Oo Mixtures Showing
the Zone of No Combustion

O COMPLETE COMBUSTION
A

INCOMPLETE COMBUSTION

O

SLIGHT COMBUSTION

Q

NO COMBUSTION

COMPLETE COMBUSTION

o
LU

o
rr
LU
Q_

LU
_l

o
Z
LU
O
>
X

o

4

12

8

TOTAL PRESSURE, ATMOSPHERES ABSOLUTE
Combustion zones are defined by
by dashed lines. The area A-D-E

solid lines
is

and normal

prolonged periods, while the area represented by A-B-C

6-16

respiration

compatible with respiration
is

for

breathe

for short

periods only

(adapted from

Shilling,

Werts, and

Schandelmeier 1976)

safe to

NOAA

Diving Manual

— October 1991

i

Hyperbaric Chambers and Support Equipment

life.

It

therefore essential that

is

chamber personnel be

trained in fire safety techniques.

At present, the best

extinguishing agent for use

fire

hyperbaric chambers

in

Water extinguishes

water.

is

primarily by cooling and works best

flame or wets the
6.5.4.1

Detection

Numerous

fire

a pressure

in

mechanisms are available

Many

of these systems are

chamber, particularly ones operating

the relatively low pressures used with compressed

at
air.

The

detection

mechanisms most

suitable for

chamber

use are those involving infrared or ultraviolet sensors.
Ionization or

smoke detectors may

also be of value.

and needs of the particular
feel, for example, that a
clinical
treating patients with open
wounds should have an alarm system only, rather than
one that automatically deluges the chamber; a preferred approach is to have both a hand-held directable
fire hose inside and switches to activate a general
deluge system easily available to both chamber occupants and the topside crew. Whether a deluge or alarm
system is used, it should be thoroughly tested at the
time of installation and periodically thereafter.
the context of the uses

Most experts
hyperbaric chamber

installation.

The

best protection against fire

crew that

is

ble detection

is

in

system

compressed

air,

the only dependa-

another person standing by to

is

watch the operation. It is best if the designated "fire
watch" person stands inside the chamber rather than
outside (Hamilton, Schmidt, and Reimers 1983).

6.5.4.2

water,

is

personnel

A

on.

fire

to a

to control small localized fires.

The

Breathing Masks and Escape
caused by smoke inhalation

fire fatalities are

fire

first

thing the

should do unless

immediate escape is possible is to don a breathing
mask. The masks should be handy and should have a
breathable gas on line or be controllable by the occupants at

all

times. If

quickly to another

it

is

possible for occupants to flee

chamber

be sealed off from the

fire,

or

compartment

that can

they should do so rather

than donning masks and trying to extinguish the
6.5.5

fire.

A summary
•

of Fire Protection

of

chamber

fire

Procedures

prevention procedures

Maintain oxygen concentration and partial pressure as low as possible, preferably within the region

Use an overboard dump system whenever pure oxygen is breathed by mask in
a chamber.

of non-combustion.

•

Eliminate ignition sources.

•

Minimize combustibles, with the complete exclusion of flammable liquids and gases.
If combustible materials must be employed, the
type and quantity and their arrangement in the
chamber must be carefully controlled.
Firewalls and other containment techniques should

•

can be smothered by reducing the oxygen

or fuel concentration to a level that will not sup-

Summary

follows:

tem-

evolution of flammable vapors.

be utilized to isolate high-risk
•

fire zones.

The extinguishing system should

involve a water

port combustion.

deluge spray that can be activated either by occu-

The fuel can be separated from the oxidizer by
removing either the fuel or the oxidizer or by

pants or topside operators and a hand
that can be controlled

mechanically separating the two. Mechanical protein

•

chamber

hose will permit occu-

fire

occupants of a chamber with a

perature below that required for ignition or the

•

must of course remain

the chamber; lights

rather than burns. Accordingly, the

accomplished by physical, or

The combustible material can be cooled

fire

in

suppression system should be tested periodically

Most

•

The

chamber should be

to the

manually directable

6.5.4.3

four basic mechanisms:

•

power

under chamber operating conditions.

a combination of physical and chemical, actions involving

•

Simultaneous with the discharge of

velocities.

electrical

shut off to prevent shorting and electrical shocks to

Extinguishment

Fire extinguishment

all

an alert chamber

backed up by detectors. During certain

welding operations

strikes the

pressure to produce the desired degree of atomization

and droplet

pants of a

There are two problems with fire detection systems:
false alarms and failure to detect a fire quickly enough.
Any detection system needs to be studied thoroughly
in

it

spray nozzle must be 50 psi or more above chamber
detection

for routine fire protection.

usable

if

spray form. The pressure at the

fire in

foams operate in this fashion by blanketing the
fuel and separating it from the oxidizers.
The reactions occurring in the flame front or just
before the flame front can be inhibited or interfered with through the use of chemicals.

October 1991

— NOAA

Diving Manual

fire

hose

and directed by the cham-

ber occupants.
•

A mask

with an appropriate gas on line should be

available for each
•

Escape

to

should be the
tions plan,

chamber occupant

at all times.

another chamber or directly into the sea
first

whenever

option

in

the fire safety opera-

feasible.

6-17

<

Page

SECTION

7

AND
SUPPORT
PERSONNEL
DIVER

7.0

General

7.1

NOAA

Divers

7-1

7.1.1

Selection Standards

7-1

7.1.2

Physical Examination

7-1

7.1.3

Swimming

7-3

7.1.4

Scuba Training

TRAINING

7.2

7-1

Skills

7-3

7.1.4.1

Classroom

7.1.4.2

Pool and

Open-Water

7-4
7-4

7.1.5

Umbilical Dive Training

7-5

7.1.6

Special Equipment Training

7-6

7.1.7

Mixed-Gas Training

7-6

7.1.8

Saturation Training

7-7

7.1.9

Chamber Operator Training

7-7

Training of Diving Supervisors

7-8

7.3

Diving Medical Technicians

7-8

7.4

Hyperbaric Physicians

7-9

7.5

Research Divers

7-10

Selection

7-10

7.5.1

Curriculum
Equipment Maintenance
7.5.2

7.6

7-1

7-1

«

<

DIVER

AND

SUPPORT
PERSONNEL
TRAINING
7.0

GENERAL

screening by experienced

This section describes the general content of diver
training programs, the training involved in preparing

under specialized circumstances, and basic
approaches to diver training. It does not prescribe
to dive

specific training procedures or attempt to teach divers

how

to

perform specific underwater

Many
the

NOAA

organizations offer diver training.

Navy

are

among

agency missions.

and universities offer diver training

Many

and

diving schools offer extensive diver training for divers
in

the commercial diving industry. These training organi-

zations select students on the basis of their personal
motivation, physical fitness, and basic

swimming

NOAA

This section emphasizes the training of

all

ation interview helps to identify any misconceptions

NOAA diving work.
7.1.2 Physical

divers.

The physical examination

NOAA

Corps

universities and organizations involved in

sponsored programs that require diving

officers,

skills.

by a trained hyperbaric physician. Military, com-

tion

mercial, and scientific divers are evaluated according
to standards set forth

organizations.

NOAA

cal standards for

NOAA

from other Federal agencies. All of
the candidates who apply to NOAA's diving program

tions increase the risk of serious injury or disability in

framework

programs can vary

who

greatly:

NOAA

shallow water as well as divers

who

•

Any

Allergy to materials used

comes

terms of

in

diving equipment that

into contact with the skin

is

a relative

•

History of sensitization or severe allergy to marine
or waterborne allergens should be disqualifying.

Psychiatric
•
•

Acute psychosis should be disqualifying.
Chronic or acute depression with suicidal tendenbe disqualifying.

Chronic psychosis

in

partial

remission on medica-

tion should be disqualifying.

divers are selected from volunteers on the
fitness

The psychological evaluation

•

and

Substance use or abuse, including abuse of alcohol
or use of mood-altering drugs, should be disqualify-

for

acceptance into the program consists of a personal
interview, an assessment of motivation, and a general
Diving Manual

in

contraindication.

Selection Standards

— NOAA

rank systems

chronic or acute dermatitis adversely affected

cies should

October 1991

to

by prolonged immersion should be disqualifying.

•

and physical

made

Skin

are required to

The selection
and training of NOAA divers are monitored carefully
by the NOAA Diving Program.

basis of their psychological

is

their relative importance.

divers

dive only occasionally

dive regularly as part of their normal duties.

their water skills.

The guidelines below present

for individual dive fitness evaluations;

and no attempt

of diving involved in the dif-

include senior researchers

NOAA

divers.

conditions disqualify a person for

diving with compressed gas, and other medical condi-

•

are volunteers.

7.1.1

its

Many medical

by their respective agencies or

has developed and enforces medi-

NOAA-

also trains divers

in

if

they are not established standards. These guidelines

researchers, diving technicians, and individuals from

NOAA

of divers to determine

they are medically qualified to dive requires evalua-

are organized in accordance with a systems approach,

NOAA-certified divers include

ferent

Examination

the diving environment.

NOAA DIVERS

The amount and type

training or the require-

ments, conditions, and responsibilities of subsequent

a

7.1

may have about

the candidate

skills.

divers

and other personnel, but many of the principles described
here apply to the training of

divers to identify

and research diving. The evalu-

stresses of operational

to students

Commercial

local dive shops.

NOAA

are unlikely to be able to handle the

col-

and faculty members who use diving as a research tool.
Diver training also is available from diver certification organizations

who

and

those government agencies that

train divers in support of

leges

tasks.

individuals

ing.
•

Careful attention should be paid to the maturity of

prospective candidates, their ability to adapt to

7-1

Section 7

stressful situations, their motivation to

pursue div-

or has been surgically repaired

and their ability to understand and follow
decompression tables and directions.

ing,

is

ally cleared for diving with the

may

perforation

Neurologic
•
•

Closed head injury; following

full

recovery, any

neurologic deficit (including an abnormal

EEG

post-traumatic seizures) should be disqualifying.

Spine injury, with or without cord damage,

may
•

and attendant lower extremity paralysis. Prior cord
decompression sickness with residual symptoms

Chronic or acute

•

•

corrected) should be evalu-

Meniere's disease and other conditions that are
Extensive mastoid surgery, stapedectomy, or

disorder that causes or results in loss of con-

includes any form of seizure, previous gas

•

•

patent nasal passage and the absence of sinus and

Nasal polyps, deviated nasal septum, and other
diving

is

permitted.

•

Acute or chronic

ated individually; however,

•

A

is

not an absolute

infection should be disqualifying.

history of long-term decongestant use should

contraindication. Issues to be considered include

trigger a search for the cause of the congestion,

d

absence of seizures, presence of residual neurologic

and candidates should be warned about the dangers
of the chronic use of chemical agents while diving.

\

deficit,

and impairment of regional perfusion.

Ophthalmologic

Oral and Dental

Candidates should demonstrate adequate visual
acuity to orient themselves in the water and on a
boat. Corrective lenses, either fixed to the face

mask

•

Candidates must be able to be

fitted with

and hold

a scuba mouthpiece.
•

or soft contact lenses (which allow for gas

Where

there

is

a danger that trapped gas could get

under a tooth and rupture

transfer), are acceptable.
•

A

Diving after intracranial surgery should be evaluit

motility has returned to normal.

obstructive nasal lesions should be corrected before

dispose to decompression sickness).

•

membrane

nasal congestion are essential in diving.

regional perfusion abnormalities that would pre-

•

Barotitis should be disqualifying until all middle

Nose and Paranasal Sinuses

embo-

lism, or prior cerebrovascular accident (due to

arti-

cochlear implant should be disqualifying.

panic

neuropathy.

Any

externa should be dis-

ear inflammation and fluid have resolved and tym-

ated on an individual basis, as should peripheral

sciousness should be absolutely disqualifying. This

otitis

associated with vertigo should be disqualifying.

should be disqualifying. Herniated nucleus pulposis

•

recur.

Active ear infection should be temporarily dis-

ficial
(if

condition-

warning that the

qualifying until healed.

carry an increased risk of decompression sickness

of the lower back

may be

qualifying.

or
•

•

and the candidate

able to auto-inflate, he or she

it,

diving should not be

permitted.

Narrow-angle glaucoma, aphakia with correction,
motility disorder, cataract, and retinitis pigmentosa

•

Badly decayed or broken teeth should be

dis-

qualifying.

are relative disqualifications for diving; a skilled

Pulmonary

ophthalmologist should be consulted.
•

Because color vision

is

required for certain diving

tasks, deficiencies in color vision

may

•

Because any abnormality
tion

be dis-

rax, or

qualifying.

•

As

a prerequisite to diving, candidates

must have

tympanic membranes and be able to automiddle ear. Performing a Valsalva or
Toynbee maneuver can be used to indicate whether
the candidate can inflate his or her middle ear
(inability to do so predisposes to rupture of the
tympanic membrane or round window).
Tympanic membrane perforations should be disqualifying (an opening in the tympanic membrane
would allow water to get into the middle ear). If a
tympanic membrane rupture is completely healed
intact

7-2

be absolute disqualifications for diving:

— Bronchial asthma;
— History of traumatic or spontaneous pneumo— Previous penetrating chest trauma surgery of
the
—Chronic obstructive lung
including
—Active pneumonia or lung
and
disease with cavity formation.
— Mycotic

A

Long-term cigarette smoking increases the

^

thorax;

inflate the

•

pulmonary system func-

pneumomediastinum, the following condi-

tions should

Otolaryngologic

in

can cause arterial gas embolism, pneumotho-

or

chest;

disease;

infection,

active tuberculosis;

(fungal)

•

risk

of pulmonary complications while diving.

NOAA

Diving Manual

— October 1991

Diver and Support Personnel Training

•

All candidates should be given a screening chest x

ray to determine

if

•

Obesity increases the relative

risk of

developing

decompression sickness because of the decrease

they have a disqualifying lesion.

in

gas diffusion through adipose tissue.

Cardiovascular
•
•

Cardiovascular defects can be disqualifying because they predispose the individual to unacceptable risks. Conditions that should be disqualify-

— Cyanotic heart
coarctation of the
— Aortic
— Prosthetic heart
— Exercise-induced rhythm disorders,

Paralytic disorders should be relatively disqualifying.

disease;

stenosis or

basis.

Musculoskeletal
•

ing are:

Other endocrine abnormalities should be evaluated
on a case-by-case

•

Bone fractures that are incompletely healed and

aorta;

osteomyelitis that

is

actively draining should be

valves;

disqualifying.

including
•

disorders that manifest as paroxysmal tachycardias despite control with drugs;

— Heart block;
— Cardiac or pulmonary A-V shunts;
— Candidates with pacemakers should

ment should be
•

disqualifying.

Inadequate physical fitness

to

handle the physical

work of diving should be disqualifying.
be indi-

vidually evaluated and generally should be disqualified.
•

Deformities, either congenital or acquired, that
impair the candidate's ability to use scuba equip-

Obstetric and Gynecological
•

Coronary artery disease should be evaluated by

Pregnancy should be absolutely disqualifying because of the risk of bubble formation in the developing fetus during decompression.

an expert.
•

Peripheral vascular disease requires case-by-case
evaluation.

•

7.1.3

Candidates taking cardiovascular drugs (including

Skills

All applicants for diver training should perform the

blood pressure medication) should be evaluated

following

on a case-by-case basis. The use of beta blockers

snorkels and with confidence and good watermanship:

increases the risk of

swimming

exercises without face masks, fins, or

bronchospasm and suppresses
•

the stress response.
•

Swimming

•

case basis.

Swim 300
sidestroke,

Hypertension should be considered on a case-by-

yards (274 meters) using the crawl,
and backstroke

Swim under water

for a distance of

50 feet

(15.2 meters) without surfacing

Hematological
•
•

Leukemia
brosis

•

•

or pre-leukemia manifesting as myelofi-

7.1.4

and polycythemia should be disqualifying.

Anemia

relatively disqualifying

is

and requires

Intoxication that has caused

Scuba Training

Although

NOAA

certification program,

case-by-case evaluation.
•

Stay afloat for 30 minutes.

Sickle cell anemia should be disqualifying.

methemoglobinemia

has

its

own

NOAA

diver training and

personnel often receive

basic scuba training before they

become

NOAA

diver

candidates. Regardless of the training organization,

should be disqualifying.

however, there are basic practices and procedures that
Gastrointestinal
•

Any

disorder that predisposes a diver to vomiting

should be disqualifying (including Meckel's

should be included

•

Unrepaired abdominal or inguinal hernia should

•

be disqualifying.

Active peptic ulcer disease, pancreatitis, hepatitis,
colitis,

cholecystitis, or diverticulitis should be dis-

qualifying until resolution.

diet controlled.

October 1991

competence that

will

— NOAA

•

and

efficiently.

Diving procedures, particularly those of a lifesaving

Diabetes mellitus should be disqualifying unless
is

a level of

Divers who can respond to emergency situations
and make appropriate decisions when faced with
problems under water
Divers who can execute assigned underwater tasks
safely

Endocrinological
•

who reach

Divers

permit safe open-water diving

sickness).

•

any scuba training program. For

di-

verticulum, acute gastroenteritis, and severe sea

•

in

example, any diver training program should produce:

it

nature, should be overlearned to ensure automatic
response

Diving Manual

in

emergencies, which reduces the likelihood

7-3

Section 7

of the diver losing control and panicking (Bachrach

and Egstrom 1986).
Although training courses vary widely among organizations with respect to length, content, complexity,
and water skills required, all courses should include

surface-support requirements in vessel diving; and

water entry and
•

definition of tasks, selection of equipment, selec-

tion of dive team, emergency planning, special
equipment requirements, and setup and check out

both classroom sessions and in-water training. The
core of a training program for working divers should
follow the guidelines discussed in Sections 7.1.4.1 and

exit;

Operations planning: objectives, data collection,

of support platforms;
•

Principles of air diving: introduction to

decom-

pression theory, definition of terms, structure

7.1.4.2.

and

content of diving tables, single and repetitive div-

7.1.4.1

ing principles, practical decompression table problems (including decompression at altitude), and

Classroom

calculation of air supply requirements;

Classroom lectures using multimedia presentations
•

should be developed to provide the candidate with as

much knowledge

as possible.

It

is

important for the

ments; hand and line signals; recall; water emer-

candidate to develop a general understanding of diving

and the

principles and the diving environment,

Diving procedures: relationship of operations planning to diving procedures; warning signal requiregencies; buddy teams; tending; precautions required
by special conditions, e.g., pollution, restricted

self-

confidence (but not overconfidence) necessary to operate

visibility,

safely in the field.

Formal training courses are only the
becoming a safe and efficient diver. With

first

step in

this in

or flying after diving; dive station setup and post-

mind,

dive procedures; work procedures for search and

diver training should expose the trainee to a wide vari-

recovery; salvage and object lifting; instrument

ety of diving-related experiences in addition to teaching the basics. Details of various diving systems
ancillary

equipment

will

deployment and maintenance; and underwater navi-

and

gation methods;

be learned as part of on-the•

job training. Topics to which working and research
divers should be exposed during basic

currents; "dive safe ship" requirements;

boating safety; dangers of diving at high altitude

Accident prevention, management, and

and advanced

resuscitation
training include:
•

(CPR), use of oxygen

resuscitators,

development of accident management plans, recov-

Diving physics: pressure, temperature, density, spe-

ery of victims and boat evacuation procedures,

buoyancy, diving gases, the kinetic
theory of gases, and the gas laws and their practi-

lung overpressure, and "diver's colic"), the indi-

recognition of pressure-related accident signs and
symptoms, patient handling en route to treatment,
introduction to recompression chambers and treatment procedures, and procedures for reporting accident investigations (see Sections 18 and 19); and
Diving environment and hazardous marine life:
tides and currents (surf; thermoclines; arctic, temperate, and tropical conditions); waves and beaches;
rip currents; and river, harbor, and marine life

rect effects of pressure (decompression sickness,

hazards.

cific gravity,

cal application in diving;
•

first aid:

basic principles of first aid, cardiopulmonary

Diving physiology and medicine: the anatomy and

mechanics of circulation and respiration, the effects
of immersion on the body, hypoxia, anoxia, hyper-

•

capnia, hypocapnia, hyperpnea, apnea, hyperthermia,

hypothermia, the direct effects of pressure (squeeze,

gas embolism, inert gas narcosis, oxygen toxicity,

bone

necrosis), breathing gas contaminants,

drown-

near-drowning, overexertion, exhaustion,
breathing resistance, "dead space," and psycho-

ing,

logical factors
•

such as panic;

Equipment: selection, proper use, and care of
personal gear; air compressors and compressor systems; operation and maintenance; tank-filling

procedures; requirements for testing and inspection of specific types of

cylinders);
•

7-4

and

air purity

equipment (including scuba
standards and testing;

7.1.4.2

Pool and Open-Water

A

program of work in the water that progresses from
pool to protected open water and then to a variety of
open-water situations is essential to diver training.
Students should be exposed to open-water conditions
while diving at night, under conditions of reduced
visibility, and in cold water (see Section 10 for details
of diving under special conditions). An understanding
of the proper use of mask, fins, and snorkel; surface
swimming; surface

dives;

underwater swimming; pressure

and rescue techniques

Diving platforms: shore, small boat, and large vessel

equalization;

platforms; fixed structures; safety precautions and

skin (breath-hold)

is

required to master

and scuba diving.

NOAA

Diving Manual

— October 1991

Diver and Support Personnel Training

hazardous, and work-

Experience and experimental data have shown that

must be

the diver should be trained to maintain a reasonably

competent swimmers in excellent physical condition.
The skin diver is subject to barotrauma of the ears and
sinuses, just as any other diver is; however, air embolism and related complications are a problem only if
the skin diver breathes air from a scuba cylinder, a
habitat, or an underwater air pocket. Since breathholding can cause serious problems, divers should

constant respiration rate with a nearly complete inha-

Breath-hold or skin diving

is

ing and research divers using this technique

lation

and exhalation pattern. This slow deep-breathing

pattern permits good air exchange at relatively low
flow rates. Keeping the flow rate at lower levels results

more comfortable breathing; higher

in

respiration rates

can cause discomfort and anxiety (Bachrach and Egstrom
1986).

thoroughly understand the potential hazards of prolonged

breath-holding under pressure.
Specific skills to be learned in a pool and open-water

program should include but not be limited

7.1.5 Umbilical
Umbilical diving

Dive Training
is

to:

also referred to as surface-supplied

diving. In umbilical diving, the diver's breathing gas
•

Skin diving

is

supplied via an umbilical from the surface, which pro-

skills

— equalization of spaces
— mask clearing and equalization
— snorkel clearing
— proper use of buoyancy compensator
— proper use of weight belt (including how
ditch
— proper kicks with and without
—distance swimming with skin-diving gear
— water
and surface dives

vides the diver with an unlimited breathing gas supply.

air

Preliminary selection procedures and criteria for
umbilical dive training are essentially the same as
those for basic scuba. In

NOAA,

divers applying for

umbilical training must be certified as advanced working
to

it)

fins

which requires the completion of at least 100
logged dives. Before qualifying as umbilical divers,

divers,

trainees should receive instruction

and training

in:

full

entries

•

The general purpose and

limitations of surface-

supplied (umbilical) diving;
•

Skin diving confidence

•

drills
•

— recovery of mask,
and
—clearing the ears
—one-finned kicks over a distance
— snorkeling without mask
snorkel,

fins

system;
•

Lifesaving

lar tasks

skills

•

— search and recovery
— proper rescue
— rescue techniques with and
compensator
— rescue
— in-water mouth-to-mouth

Use of accessory

tools

and equipment basic

to

umbilical procedures and specific to the particu-

•
•

Use of masks and helmets;
Assembling and disassembling of the gas supply

•

being contemplated;

Methods of achieving intelligible communication;
Equipment repair and maintenance;
Water entry, descent, and ascent procedures and
problems.

entries

without a buoyancy

When

initial

training

is

completed, an open-water

qualification test that includes both general diving

carries

techniques and actual working procedures should be
artificial

resuscita-

given.

tion

Qualification Test
•

Skills involving the use of

scuba equipment

— sharing
— "ditch and don" exercises
— mask clearing
— regulator recovery and clearing
—emergency ascent
breathing
—
—scuba
— buoyancy control
— gauges and other special support equipment
— scuba rescues.
air

To pass the qualification
demonstrate the ability
•

test,

candidates must

to:

Plan and organize an air surface-supplied diving
operation to depths between 30 and 50 fsw
(9.1 and 15.2 msw), including calculation of hose
pressure and air requirements and instruction of
surface personnel;

station

entries

life

October 1991

— NOAA

Diving Manual

•

Demonstrate ability to rig all surface and underwater equipment properly, including air supply,
mask/helmet, communications, and other support
equipment;

7-5

Section 7

•

•
•

Demonstrate proper procedures of dressing-in and

Variable- Volume

dressing-out, using the particular pieces of equip-

— Suit
preparation, and maintenance
— Emergency procedures blowups, weighting,
buoyancy control
—Control of operational problems
— Hypothermia/hyperthermia
—Accessories
— In-water training
— Cleanup and decontamination after pollutedselection,

ment needed for the working dive;
Tend a surface-supplied diver;
Demonstrate knowledge of emergency procedures
(these

may

differ for

for

each project or exposure) as

determined by the instructor or dive master;
•

Participate in at least two practice dives, as described

below:

— Properly
(3

enter water that

is

at least

msw) deep and remain submerged

10 fsw

water dives

for at least

Contaminated-Water Diving Training

30 minutes, demonstrating control of air flow,
buoyancy, mobility, and facility with communi-

—Protective systems
— Donning and doffing
— Buoyancy
— Hyperthermia
—Training tender
— Work performance while
— Decontamination procedures.

cation systems.

— Ascend and leave water a prescribed manner.
— Properly enter water that between 30 and
in

control

is

50 fsw (9.1 and 15.2 msw) deep and conduct

as a

work-related tasks.

fully suited

After successful completion of this
tor should evaluate the diver's

test,

the instruc-

performance and estab-

phased depth-limited diving schedule

lish a

Dry Suit Training

to ensure

a safe, gradual exposure to deeper working depths.

7.1.7

Detailed descriptions of umbilical diving equipment

Mixed-gas diving involves the use of a breathing
other than air; this mixture may consist of
nitrogen-oxygen, helium-oxygen, or oxygen and one
or more inert gases.
The curriculum for NOAA's mixed-gas training program includes coverage of the following topics:

and

its

7.1.6

use appear in Sections 5.2 to 5.2.4.10.

Special Equipment Training

how to operate and maintain
and umbilical equipment, divers

In addition to learning
diver life-support scuba

medium

may be

called on to use special equipment in the performance of their duties. In such instances, new techniques and procedures must be learned from divers
who are already experienced in their use, from technical personnel (such as

Mixed-Gas Training

•

Oxygen

•

Nitrogen-oxygen breathing mixtures

•

Depth/time

•

Central nervous system and pulmonary oxygen

partial pressure limits

limits for

oxygen during working dives

manufacturers' representatives), or

by test and evaluation. Examples of types of equipment that are used by divers and whose use requires
special training are: variable-volume suits; thermal

toxicity
•

Nitrogen/oxygen breathing media mixing procedures

•

Analysis of mixed-gas breathing media

•

Mixed-gas diving equipment (open-circuit systems)

protection diving suits; protective suits, clothing, support equipment, and breathing apparatus for diving in
contaminated water; photographic/video equipment;
scientific equipment; and underwater tools.

Many
cial

•

•

NOAA
circuit

addressed include:
•

Nitrox

I

NOAA Nitrox decompression tables
NOAA Nitrox residual nitrogen table
NOAA Nitrox surface interval table.
NOAA mixed-gas trainees attend classroom
•

I

•

I

—Search and recovery techniques
— Wireless communications
—
objects
—Ships husbandry
systems
— Underwater
— Pinger/sonar
—Underwater

•

I

television

locators

tools

equivalent air depths for open-

scuba

Operational Diver Training

Lifting of

7-6

Nitrox I no-decompression limits and
group designation table for no-decom-

pression dives

training programs prepare divers to use spe-

equipment and protective clothing. The topics

NOAA

repetitive

and then progress

to

sessions

open-water dives, during which

they use a nitrox (68 percent nitrogen, 32 percent
oxygen) breathing mixture. Divers enrolled in a commercial diving mixed-gas course or those being trained

by their companies receive classroom and open-water

NOAA

Diving Manual

— October 1991

Diver and Support Personnel Training

training in the use of heliox (helium-oxygen) breathing mixtures.
in

Heliox

is

a widely used breathing

deep mixed-gas diving and

in

medium

saturation diving.

For example, water boils at a higher temperature
under water than on the surface: 262°F (128°C) at
50.5 feet (15.4 meters) and 292°F (144X) at 100 feet
(30.5 meters); cooking procedures must be altered,
tat.

because burned food not only constitutes a

fire

hazard

7.1.8 Saturation Training

but produces toxic gases at depth. (For additional infor-

Although the basic requirements for saturation diving are the same as those for surface-based diving, there

(1984).)

are

ration usually

is

"home base" during

satu-

either a seafloor habitat or a diving

system (see Section

bell

ration diver needs a

17).

A

that need to be addressed

some important differences

during training. The diver's

mation on underwater habitation, see Miller and Koblick

For

this reason, the satu-

fundamental reorientation

to the

slight loss in

speech

occurs as a

intelligibility also

atmosphere

result of the denser

at depth.

The amount

of speech distortion depends on the habitat breathing

mixture and the depth. Other factors directly affecting the saturated diver or a habitat diving

program

environment. For example, the saturation diver must

include: the necessity to pay special attention to per-

constantly be aware that returning to the surface will

sonal hygiene, e.g., to take special care of the ears and

complicate, rather than improve, an emergency situa-

Because of the high humidity encountered in
most habitats, the growth of certain pathogens and
organisms is stimulated and recovery is prolonged.
Proper washing, drying, and care of diving suits is

This factor has specific implications with respect

tion.

to the selection

and use of certain pieces of saturation

diving equipment. For example, in saturation diving:

skin.

essential to prevent skin irritation or infections. Trainees
•

Weight

belts without quick-release

mechanisms

or weight harnesses should be used;
•

Buoyancy compensators with

to the use of toxic materials in a

oral inflation tubes

rather than a cartridge or tank inflation system

should be used;
•

A

for the repair of

when umbilical equipment

is

utilized;
filling

scuba

cylinders to avoid admitting water into the valves.

Because the consequences of becoming lost are so
program also should
include training in underwater navigation techniques.
serious, a saturation diving training

lines, string

highways, ripple marks,

suits)

and aerosol sprays.

should teach divers the procedures for making

ascending and descending excursions from the storage
depth. Special diving excursion tables have been

developed for excursions from the saturation depth.
These tables are designed to consider storage depth,
oxygen dose, nitrogen partial pressures, and other facTrainees should become familiar with these tables

tors.

and

their limitations.

A

Divers should be instructed in the use of navigational

such as grid

wet

Training for saturation diving from underwater habi-

in tropical regions;

backup breathing gas supply should

Extra precautions must be taken when

aids,

to the

use of scientific preparations but also to the use of

tats
self-contained

be used
•

closed-environment

system such as a habitat. This applies not only

normally harmless things such as rubber cement (used

Adequate diving suits should be worn because the
extended diving time involved in saturation may
cause chilling even

•

should be aware that there are restrictions with respect

unique feature of saturation diving

ability to

make upward

is

the diver's

excursions. However,

upward

topographical features, and navigation by compass.

excursions constitute a decompression, and divers must

Because compasses are not always accurate, divers
should be trained to use the compass in combination
with topographical and grid line information.
Training in habitat operations, emergency procedures,
and local diving restrictions usually is conducted on
site. Such training includes instruction in: communi-

be careful to remain within the prescribed excursion

cation systems; use of special diving equipment; habi-

resist

tat

support systems; emergency equipment; regional

topography; underwater landmarks; navigational grid

systems; depth and distance limitations for diver/
scientists;

This applies not only to the divers themselves

limits.

but also to certain types of equipment; for example,

camera

is

opened and reloaded

in a habitat,

if

a

an upward

excursion of 10 to 15 feet (3.0 to 4.6 meters) can cause
flooding because such equipment

is

not designed to

internal pressure. Students should be instructed

check all equipment to be used in a habitat to determine whether it is designed to withstand both internal
and external pressures.
to

and operational and safety procedures used

by the surface support team.

Other features related
need

to

to seafloor habitation also

be identified during saturation training.

Some

of these relate to housekeeping chores inside the habi-

October 1991

— NOAA

Diving Manual

7.1.9

Chamber Operator

Training

The operation and maintenance
chambers are

of recompression

a necessary part of a diving

program;

it

is

7-7

Section 7

therefore important to ensure that

all

personnel oper-

As an

often not practical.

is

(DMT)

alternative, a Diving

ating recompression

Medical Technician

include the following topics:

emergency medical
situations and can also communicate effectively with a
physician located at a distance from the diving site

chambers are properly trained
and certified as chamber operators.
A training program for chamber operators should

•

Introduction to hyperbaric chambers;

•

Chamber

trained in the care of

diving casualties can be assigned to the

The development

— Pre- and post-dive procedures
— Plumbing
— Controls
— Life-support and emergency procedures
— Breathing and communication systems
— Maintenance procedures

in-

of

emergency medical service

organizations began in the United States in the mid1970's in response to the need for improved national

emergency medical
fic

care.

The National Highway

Traf-

Safety Administration of the Department of Trans-

portation developed and implemented a

program to
Emergency Medical Technicians (EMT's) at vari-

train

ous levels of certification. These services, coordinated

Recordkeeping;

by the Department of Transportation, are offered and

Introduction to the physics of pressure;

Decompression theory and calculation of decompression tables;

Recompression theory and treatment

managed

at the state level.

Courses

in

various aspects of emergency medical

American
American Heart Association, and local
fire and rescue groups. Individuals successfully completing these courses are certified by the sponsoring
agency as having fulfilled the course requirements.
care are offered by organizations such as the

tables;

Red

Barotrauma;

Examination and handling of patients;
Emergency management of decompression
and air embolism;

sickness

Cross, the

may

Courses

lead to different levels of certification,

Inside tending procedures;
kit

national, state, local, or regional,

e.g.,

contents and use;

Review of case histories;
Hands-on experience with simulated treatments;

Chamber

An

(see Section 19.6.1).

setup and subsystems;

Chamber medical

site.

dividual so trained can respond to

and thus may

reflect different levels of proficiency.

In the late-1970's, the need for medical technicians

emergency treatment of diving caswas recognized; this specialized need arose

specializing in the

operation procedures.
ualties

because existing

EMT

training programs were heavily

oriented toward urban ambulance-hospital emergency

TRAINING OF DIVING SUPERVISORS

7.2

Many

organizations, including

NOAA,

the Navy, and

commercial diving companies, designate certain experi-

enced divers as supervisors.

NOAA

has four supervi-

sory diving categories: Line Diving Officer, Unit Diving Supervisor, Diving Instructor,

Each organization provides

and Divemaster.

training that

is

specifi-

cally related to the goals of the organization; however,
all

diving supervisors are required to have a broad

range of diving experience. In addition, every supervisor

must have the working knowledge

projects, oversee diving activities,

to plan diving

conduct inspections,

and investigate accidents. Diving supervisors receive
advanced training in dive planning, the use of special
equipment, first aid, communications, and accident
management.

systems.

The

medical technicians

interest in diving

grew with the development of offshore

oil

and gas

well drilling platforms. Experts decided that the most

workable solution to

this

need was

to cross-train

work-

ing divers as medics rather than to train medics to

working
by economic considerations, since using a diver as a medic
made it unnecessary to have a person standing by. The
National Association of Diver Medical Technicians
(NAMDT) was founded in 1981 and, by 1985, a number
of training organizations were approved to provide
DMT training. NOAA has adopted DMT training for
its medical personnel and has a representative on the
NAMDT Board of Directors.
The approved DMT training program is an extensive
303-hour course and includes training in the following
treat diving casualties. This choice to train

divers as medical technicians

was

also driven

areas:

7.3

DIVING MEDICAL TECHNICIANS

Although there are obvious advantages

in

Lecture (158 hours)

having

a qualified hyperbaric physician at a diving site, this

7-8

•

orientation,

anatomy, medical terminology, legal

problems

NOAA

Diving Manual

— October 1991

Diver and Support Personnel Training

support, shock, use of oxygen

ing casualties has increased.

In response to this need,

•

basic

•

systemic diseases and injuries

several organizations offer specialized training.

•

medical, environmental, thermal, diving, and de-

courses range from a series of lectures to more inten-

compression aspects

sive courses lasting several weeks.

•

equipment

•

life

handling, emergency com-

use, patient

drugs and fluids

Society, Inc., which

One

•

animal laboratory (optional)

the

is

located

in

of the most respected and comprehensive train-

gram offered by

autopsy (optional)

•

diving treatment, neurological examination

•

chamber operations

NOAA.

Started

the 3-week pro-

is

in

1977 with finan-

support from the Department of Energy and the

cial

•

hyperbaric

Bethesda, Maryland.

ing courses in hyperbaric medicine

and care, suturing

patient assessment

is

in

Undersea and Hyperbaric Medical

medicine

•

best source of

information on the availability of courses

munications

Laboratory and Practical Experience (115 hours)

The

These

cooperation of the U.S. Navy, this program has trained

The course

over 269 physicians to date.

includes train-

ing in the following areas:

Clinical Observation (30 hours)
•

mixed ambulance/emergency room experience.

DMT

training

may

based on the

number

but includes a
it

is

EMT

Level

I

diving physics
basic diving physiology

Program

fundamentals of

of important additions. Because

stress physiology

be hours or even days before medical help

oxygen toxicity

emergency diving situation, the DMT
must be capable of delivering more advanced support

arrives in an

than a medical technician

DMT's

ingly,

in

mothorax

air

an urban area. Accord-

saturation diving

commercial diving equipment
decompression tables

pneu-

stabilization, simple suture techniques,

embolism

vestibular problems related to diving

receive training in parenteral drug

administration, intravenous infusion techniques,

exchange
and behavior

inert gas

and

decompression sickness and treatment

other special procedures.

DMT's must

helium-oxygen tables and recompression treatment

be recertified every 2 years and must

attend 24 hours of lectures and serve 24 hours

in

recompression chamber operation and safety

an

procedures

ambulance/emergency room situation to maintain their
certification. Serving under the diving supervisor, the
trained DMT brings enhanced diagnostic and clinical
skills

to medically

DMT's

gas analysis systems
pressure exposures

and geographically remote worksites.

also have the ability to

orientation to the national Divers Alert

received from medical specialists belonging to organi-

Network (DAN)

Network

basics of diving accident

though these experts are
geographically distant from the scene of the diving
(see Section

recompression chambers

emergency treatment of diving casualties

implement expert advice

zations such as the national Divers Alert

in

hyperbaric oxygen therapy

19.6.1), even

management

case histories of diving accidents and treatment

polluted-water diving

accident or

illness.

treatment of near-drowning victims

7.4

A

evaluation and assessment of scuba diver injuries

HYPERBARIC PHYSICIANS

hyperbaric physician

cial training in the

is

and

illnesses.

a medical doctor with spe-

treatment of medical problems

Physicians trained

in

hyperbaric medicine are an

related to diving and/or elevated atmospheric pres-

important resource for the diver. Every diver should

Such a physician may be a general practitioner or a
specialist in any branch of medicine. In many cases,
the personal impetus to become an expert in hyperbaric
medicine derives from the fact that the physician is
also a diver. Historically, the U.S. Navy and U.S. Air
Force have been the primary sources of expertise and

learn the

sure.

trained personnel in hyperbaric medicine.

Because of the increase

in

the

October 1991

— NOAA

Diving Manual

cian

in his

of divers,

to treat div-

or her area. In the event of a diving accident

related to pressure, such as an

sion sickness,

it

is

essential to

embolism or decompreshave located a physician

trained in hyperbaric medicine before beginning the

Hyperbaric chambers are described in Section
and the treatment of diving casualties is discussed
dive.

number

however, the need for physicians trained

name, address, and phone number of the
nearest hyperbaric facility and/or hyperbaric physi-

6,
in

Section 20.

7-9

Section 7

7.5

RESEARCH DIVERS

Research diver training

number
tories.

is

offered by

NOAA

and

a

and the success of scientific diving are maintained
(American Academy of Underwater Sciences 1987).

of educational institutions and marine labora-

Although the course content and

style differ

Selection

7.5.1

with different organizations, the objective of such courses
is

either to train experienced divers in scientific tech-

niques and methods to enable

them

ter scientific technicians or to train
tists

to act as

underwa-

experienced scien-

the techniques and methods of underwater work.

in

In either case, the curriculum should include

advanced

instruction in diving physiology, uses of underwater

equipment, and a review of the potential hazards faced

by

Selecting individuals for research diver training
depends on the objectives of the particular course. The

acceptance of individuals for such training should be
based on need, academic background, personal moti-

and the

vation,

ability to pass certain

fitness requirements.

mon

If possible,

swimming and

individuals with

com-

objectives should be grouped together and trained

in a single class.

divers.

Each of these

Selection criteria should require research diverfactors should be related to the prob-

candidates to demonstrate evidence

of:

lems faced by diving scientists and their impact on the

conduct of underwater investigations. Diving safety
should be emphasized throughout the course so that on

•

Diver certification from a recognized organization

•

Satisfactory completion of a physical examination

completely com-

•

to concentrate their

•

Good
Need

energies on the work or scientific tasks at hand. This

•

Training

degree of competence can be achieved only

•

Training or equivalent experience
methods

completion of training the divers
fortable in the water

feel

and are able

if

the basic

diving skills are learned so thoroughly that routine

become

operations and responses to emergencies

•

physical condition
for the specialized training
in the basics of first aid,

Ability to pass diving and

CPR

including

swimming

in

research

skill

tests to

the satisfaction of the examiner.

automatic.

University research diver training programs have
historically lasted for a

minimum

of 100 hours and

Research divers must be comfortable

in the

water and

required candidates to complete 12 open-water dives.

know their limitations and those of their equipment.
To accomplish these ends, a series of pretraining tests

Admin-

are used to predict likely success in the diving envi-

In

1984, the Occupational Safety and Health

istration
in

(OSHA), which had promulgated

regulations

1978 governing commercial diving operations, spe-

exempted from these regulations those scienand educational diving programs that could meet
certain requirements. A research organization or
educational entity wishing exemption from the Federal OSHA standard must have in place a diving program that has developed a diving manual, has a diving

ronment. The following phases are included

in the

pretests:

cifically
tific

control officer

Phase

fins,

1.

2.

to fulfill

these requirements for exemption was originally de-

The

become

new

and

certification procedures. Individuals or organizations

wishing information about scientific diving programs

Academy

or snorkel

and

in the following

sequence:

Perform a 75 foot (22.9 meter) underwater swim

Perform a 1000 foot (304.8 meter) swim on the

Perform a 150 foot (45.7 meter) underwater swim,
surfacing for no more than 4 single breaths during the swim.

community

reflects the effectiveness of current diver training

completed within a

or side stroke.
3.

available.

safety record of the research diving

to be

surface in less than 10 minutes, using the breast

veloped at the Scripps Institution of Oceanography in
technologies and techniques have

is

on a single breath.

procedures for emergency diving situations. The pro-

the 1950's and has been updated since then as

— Swimming Pool

15-minute period and should be done without mask,

and diving safety board, and has developed

gram used by many research organizations

1

This series of activities

The 75

underwater swim simulates
emergency ascent, except that
the exhaling is omitted. The 1000 foot (304.8 meter)
surface swim simulates a swim back to the beach. The
foot (22.9 meter)

a 75 foot (22.9 meter)

Underwater
Sciences (947 Newhall Street, Costa Mesa, California
92627). As a result of the combined experience of

single breaths, simulates surf passage,

scientific diving organizations, a set of standards has

to

been developed

before the next wave.

should contact the American

7-10

of

to ensure that the high level of quality

150 foot (45.7 meter) underwater swim, surfacing for 4

where one has
surface, take a breath, and get back under water

NOAA

Diving Manual

— October 1991

Diver and Support Personnel Training

The candidates are then required

to

swim 75

Operational planning, including diver supervision,

feet

scheduling, and emergency plans;

(22.9 meters), dive to the bottom of the pool, recover,

and tow a person of similar

size

75 feet (22.9 meters).

First aid, including

CPR;

Diving accident management procedures;

Phase 2

— Open-Water Test
open-water swim involves
(304.8 meter) open-water swim and a dive

An ocean
1000 foot

or other

Underwater navigation and search methods, includmethods of locating, marking, and returning to

ing

a

research

to

sites;

the bottom in a depth of at least 15 feet (4.6 meters).

Collection techniques, including introduction to

This open-water exercise often reveals potential problems

sampling, testing, and harvesting systems, tagging,

that are not apparent

swimming

The

pool.

those screened by
Institution of

when

the candidate swims in a

diver training success rate

means of these two

tests at the

preserving, transporting of specimens, and data

among

recording methods;

Photographic documentation, including the use of

Scripps

Oceanography has been nearly 100

per-

cent (Stewart 1987).

7.5.2

for scientific investigations.

Curriculum

Research diver training should cover dives conducted

many

in as

different environments as possible. Addi-

tionally, students

should gain experience using a vari-

ety of different platforms, such as small boats, ships,
piers, docks,

and

jetties,

and should make water

entries

The curriculum should be

tailored to the local area

and the particular needs of the researcher. However,
the following outline identifies topics that are usually

•

A

in a

practical scientific diving course:

review of diving physiology and physics as they

relate to field operations;
•

Surface-supplied diving techniques, including
tending, communications, capabilities of surfacesupplied diving systems, and emergency procedures;

•

Small boat handling, including the uses and limitations of small craft as diving platforms, load
limits

and distribution, securing procedures, minor

field repairs,
•

•

legal responsibilities;

and securing of research equipment

Environmental hazards, such

as:

Training

element

equipment maintenance is an important
any diving program. Although fatal diving

accident statistics show that equipment failure

issuance of visual cylinder inspection stickers

The cylinder

inspection course covers the following

in the water;

diving

in

currents,

•

Reasons

•

Frequency of inspection;

wrecks, and under con-

for cylinder inspection;

•

Types of inspection;

•

Analysis of cylinder structure and accessories;

•

Criteria of inspection, e.g., wall thickness, material

and valve specifications;

Evaluation of cylinder interior and exterior;

Use of inspection equipment,

Thermal protection problems, including the use of
wet suits, variable-volume dry suits, and hot water
suits, and the advantages and disadvantages of

•

hardwire, and acoustic and diver recall systems;

— NOAA

Diving Manual

lights,

probes,

Detailed inspection sequence (this

is

an 18-step

process describing each step of a cylinder inspection);

Diver communication, including diver tending,

e.g..

flushing solutions;

each;

October 1991

The

tightly

is

controlled.

•

in

rarely

the course are certified as cylinder inspectors.

ditions of limited visibility;

and

is

ience, and premature dive termination. Only trained
and qualified personnel should perform maintenance
and repair of diving equipment, especially regulators,
scuba cylinders, and other life support systems.
NOAA and other organizations have instituted a
training and certification program for scuba cylinder
inspectors. The objective of these programs is to ensure
that uniform minimum inspection standards are used
at diving facilities. People who successfully complete

•

as caves, under ice,

•

in
in

the cause of death (see Section 19.2), equipment mal-

polluted water, blue water, restricted areas such

•

EQUIPMENT MAINTENANCE

topics:

Equipment handling, including safe use, field maintenance, and storage of diving and scientific
equipment;
Underwater rigging, including emplacement, moving,

•

and

7.6

function does cause near-misses, lost time, inconven-

under as many shore conditions as practical.

addressed

video, movie, and time-lapse photography

still,

•

and

The inspection

of a

minimum

of 10 cylinders under

the supervision of an instructor.

7-11

«

«

Page

SECTION

8

8.0

General

8-1

WORKING

8.1

Surface-Supplied Diving Procedures

8-1

DIVE

8.1.1

Planning the Dive

PROCEDURES

8.1.2

Selecting the Dive

8.1.3

Dressing the Surface-Supplied Diver

8-3

8.1.4

8-4

8.1.6

Tending the Surface-Supplied Diver
The Dive
8.1.5.1
Diver Emergencies
Ascent

8.1.7

Post-Dive Procedures

8-8

8.1.8

Umbilical Diving From Small Boats

8-8

8.1.9

Basic Air Supply Systems

8-9

8.1.5

8.2

Rates of Air Flow
Supply Pressures
Search and Recovery

8.4

8-2

8-4
8-5

8-7

8.1.10

8-9

8.1.1

8-10
8-10

8.2.1

Circular Search

8.2.2

Arc Pattern

8.2.3

Jackstay Search Pattern

8-13

8.2.4

Search Using a

Tow Bar

8-15

8.2.5

Search Without Lines
Recovery

8.2.6

8.3

8-1

Team

8-12

(Fishtail)

Search

Underwater Navigation
Underwater Tools

8-13

8-16
8-16

8-16
8-18

8.4.1

Hand

8.4.2

Pneumatic Tools

8.4.3

Hydraulic Tools

8-20

8.4.4

Electric Tools

8-21

8.4.5

Power Velocity Tools

8-21

8.4.6

Cutting and Welding Tools

8-22

8-18

Tools

8-20

8.5

Maintenance and Repair Tasks

8-23

8.6

Instrument Implantation

8-23

8.7

Hydrographic Support

8-24

8.7.1

Hazards

8-24

8.7.2

Locating and Measuring Least Depths

8-25

8.7.3

Resolving Sounding Discrepancies

8-25

to

Navigation

8.8

Wire Dragging

8-25

8.9

Salvage

8-26

8.10

8.11

8.12

8.9.1

Lifting Devices

8-26

8.9.2

Air Lifts

8-27

Diving

From an Unanchored Platform

8-27

8.10.1

Liveboating

8.10.2

Drift Diving

8-30

Underwater Demolition and Explosives
Underwater Photography

8-31

Photography

8-33

8.12.1

Still

8.12.2

8.12.3

8-33

8.12.1.1

Lenses and Housings

8-33

8.12.1.2

Light and Color

8-34

8.12.1.3

Selection of Film

8-38

Time-Lapse Photography
Motion Picture Photography
8.12.1.4

8.13

8-28

8-41

8-42

8.12.2.1

Selection of Film

8-42

8.12.2.2

Procedures

8-42

Special Procedures

Underwater Television

8-44

8-44

«

i

WORKING
DIVE

PROCEDURES
GENERAL

8.0

depths that do not require

to shallower

This section describes some of the techniques and procedures used by scientific and academic divers engaged

in

underwater objects,

routine underwater

of choice for underwater

ment of various types

to

supplied

air.

This

mode

is

8.1.1

also called umbilical diving.

may

in detail.)

of any dive depends on careful pre-dive

SURFACE-SUPPLIED DIVING

planning, which must consider the goals of the dive,

PROCEDURES

the tasks involved in achieving these goals, environ-

The surface-supplied

NOAA

by

5

Planning the Dive

The success
8.1

a lightweight diving outfit

describes diver and diving equip-

be used. (Section

work operations. The diving mode
work that requires the diver
remain submerged for extended periods of time is

maximum

protection from pollution, temperature extremes, or

gives

them

mental conditions (both surface and subsurface), the

air diving

mode

is

widely used

divers and by diver-scientists because
the flexibility they need to perform

it

many

different underwater tasks. In surface-supplied div-

breathing mixture

ing, the diver's

surface by

means

is

supplied from the

of a flexible hose; thus, divers using

mode have a continuous breathing gas supply.
The surface-supplied mode is generally used when

this

divers need to remain under water for an extended
period of time to accomplish the dive's objectives.

The

advantages of surface-supplied diving over scuba diving are that

it:

personnel needed to carry out the dive, the schedule for
the dive, the equipment needed to conduct the dive
safely and efficiently, and the availability of emer-

gency assistance. Figure 8-2 is a checklist that can be
used to evaluate environmental conditions that may
affect the dive.

For every surface-supplied dive, the dive supervisor
should complete this checklist (or one adapted to the
specific conditions of a particular dive) before decid-

and equipment needs. Different environmental conditions affect members of the dive team

ing on personnel

differently.

For example, divers are generally not affected

by surface waves except when entering or exiting the

•

provides greater safety;

•

permits dives to greater depths;

water; however, divers operating in very shallow waters,

•

permits divers to stay on the bottom for longer

in surf, or in

periods;

by wave action

•
•

•

provides thermal protection

(if

exceptionally large waves can be affected
at the surface.

Air temperature and wind conditions at the surface

diving in cold water);

may have

a greater effect

on the tender and other

permits communication between the diver and the

also

surface; and

surface support personnel than on the diver, because
these individuals are

provides an unlimited air supply.

Another advantage of the surface-supplied mode
that

it

surface conditions.

platforms, including piers, small boats, barges, and

The disadvantages of this mode, compared with
the scuba mode, are: (l) that the umbilical diver's
mobility and operational range are restricted by the
length of the umbilical; and (2) that a large amount of
ships.

equipment is required to support umbilical diving.
Surface-supplied diving gear includes both deepsea and lightweight equipment. When a diver-scientist
needs maximum protection from the physical or thermal environment or when the dive is deep (i.e., to
190 fsw (57 m)), the deep-sea diving outfit shown
Figure 8-1 is the diving dress of choice. For dives

October 1991

— NOAA

Diving Manual

more exposed than the diver to
is important to remember, how-

is

can be undertaken using a variety of support

in

It

ever, that the surface

crew should be able

to operate

with maximal efficiency throughout the dive, because

reductions

in

the performance of topside personnel

could endanger the diver.
Visibility at the surface

can affect the performance

and safety of the diver and the surface crew. For example, a diver surfacing under low- or no-visibility conditions

might not be able

to find the support craft.

The underwater environment can influence many
aspects of a dive, from crew selection to choice of
diving mode. All diving operations must consider:
•

depth;

•

bottom type;

8-1

^

Section 8

Figure 8-1

Surface-Supplied Diver
in Deep-Sea Dress

Helmet
Assembly
Adjustable

ill

Exhaust
Valve

.Jocking Harness

Air

/ Yvr^^rlrfu". ^^Front

Communication

Jocking
Strap

W

Hip Weight
>

—

Pocket

-i

Whip

Whip

Rear Jocking
Straps

iv*'

^S ii^^oidS.
P

Thigh Weight
Pocket

Umbilical

Dry Suit

Thigh Retainer

•Crotch
Jocking
Strap

Calf Weight

Pocket

,

Calf Retainer

Boot Safety
Straps

Boots

Source:

US Navy (1988)

•

temperature of the water;

ocean, and tidal currents vary with such factors as the

•

underwater

and

•

tides

time of year, phase of the tide, bottom conditions,
depth, and weather.
Underwater visibility and water temperature also have a

visibility;

and currents.

In addition, the presence of contaminants in the water

underwater obstacles, ice, or other
unusual environmental conditions can affect planning
for some dives.
Dive depth must be measured using two different
methods before the dive begins. To obtain an accurate
(see Section

11),

depth profile of the area of the dive, a series of depth

measurements must be plotted. Methods of measuring
depth that may be used include lead line sounding,

pneumofathometer, high-resolution sonar, or shipmounted fathometer. Depth readings on maps or charts
are useful for general screening purposes but are not
sufficiently accurate to

be used to measure dive depths.

Samples should be taken of the bottom
area of the dive; in
tions

some

in the general

instances, in-situ observa-

and

visibility

underwater conditions

in

major U.S. geographi-

cal regions, see Section 10.1.

8.1.2 Selecting

The

the Dive

size of the

Team

team needed

for a surface-supplied

number of divers on the dive team,
the type of equipment available, the dive's safety
dive depends on the

requirements, environmental conditions, dive depth,
dive mission, and the surface support platform availa-

The optimal number

of dive team personnel for a
and complex surface-supplied dive is six: a dive
supervisor, diver, standby diver, tender, standby tender, and timekeeper/recorder. If all members of the
team are fully trained, a job rotation system can be
ble.

large

can be made before the dive. Bottom conditions

affect a diver's mobility

major influence on dive planning. For a detailed description of

under water; a

maximum mobility, and the diver's
stir up so much sediment that visi-

used that permits

team members

all

sandy bottom allows

ing as divers; this approach allows for

movements do not

working time and

By comparison, working in an area
muddy and silty bottom can be dangerous, because
diver may become entrapped in the mud and usu-

bility is restricted.

with a
the

8-2

ically efficient.

The

dive supervisor

is

responsible for planning,

in a

aid supplies are available, conducts pre-dive briefings,

the surface-supplied scientist-diver

The

in-water

direction and velocity of river,

visibility.

Currents must be considered in dive planning, whether

river or the ocean.

maximum

thus both logistically and econom-

managing all dive operations; the dive
supervisor remains at the surface at all times. This
individual also determines equipment requirements,
inspects the equipment before the dive, selects team
members, ensures that emergency procedures and first

ally generates sufficient silt to interfere substantially

with

is

to take turns serv-

is

working

organizing, and

NOAA

Diving Manual

— October 1991

Working Dive Procedures
Figure 8-2
Predive Environmental
Checklist
her diving gear

complete,

good repair, and ready
must know both line pull
signals and voice signals and must respond to and
comply with instructions from surface personnel.

Surface

is

in

for use. In addition, all divers

Atmosphere

Sea Surface

Visibility

Sea State

Wave

Sunrise/Set

Moonrise/Set

Temperature

(air)

Humidity

The standby

Action:

is

required for

Height

Length

bility of the

size.

It

surface-

all

the responsi-

is

standby diver to be ready to provide
emergency or backup support to the diver any time the

diver

Current:

in

is

the water.

The tender

Direction

Precipitation

standby

supplied operations, regardless of

Direction

Barometer

must be as well trained and quali-

diver

fied as the diver; a

the

is

member

of the surface team

who

is

Cloud Description/Cover

Velocity

responsible for tending the diver while the diver

Wind

Type

the water. Every diver in the water must have a tender.

Direction/Force

Other:

Water Temperature

_

•

checks the diver's equipment;

•

checks the

•

dresses the diver.

Local Characteristics

Subsurface

Once
Visibility

Depth

Underwater:
degrees

depth

at

degrees

at

depth

degrees

at

depth

degrees

at

depth

feet at

depth

feet at

depth

in the water, the

tender takes care of

line.

In addition, the tender maintains

supervisor informed of the diver's progress. All ten-

On complex

dives, a standby tender

The standby tender should be
and should be instructed
It is

in all

may

be needed.

fully trained as a diver

of the required duties of

the standby tender's job to be ready to

tender or to replace him or her at any time.

The timekeeper may be dedicated

Obstructions:

depth

at

on the

assist the

depth

at

is

the tender.

Bottom Type:

Thermoclines:

is

ders should be fully qualified divers.

depth

Bottom

bottom

the diver

communication with the diver and keeps the diving

feet at

feet at

and

air supply;

the diver's lines to ensure that no excess slack or tension

Water Temperature:

to

keeping the

diver's time during the job or, on dives involving a

Current:

limited

Direction

Marine

Source

number

of dive

involve keeping an accurate record of dive

sibilities

Pattern

times and noting
dive.

Other:

Tides:

High Water
Low Water

Ebb Direction

On some

all

of the important details of the

dives, the dive supervisor acts as the

timekeeper.

time
/

team members, the tender may
The timekeeper's respon-

also serve as the timekeeper.

Life:

Velocity

time

Velocity

Flood Direction

_ Velocity _

8.1.3

Dressing the Surface-Supplied Diver

Surface-supplied divers use either a diving
Adapted from US Navy (1988)

a helmet,

monitors the progress of the dive, debriefs the divers,
prepares reports of the dive, and checks equipment and
diver logs at the completion of the dive.
diver(s)

must be qualified and trained

in the

equipment and diving techniques needed for the dive.
During the course of the dive, the diver must keep
surface personnel informed of the progress of the dive,
bottom conditions, and any problems (actual or potential).

Every diver

October 1991

is

responsible for ensuring that his or

— NOAA

Diving Manual

mask

or

and the supervisor and diver must decide

whether a dry

The

in

Before the diver enters the water, the tender:

Visibility

Underwater and Bottom

is

suit,

wet

suit, or

bathing suit

is

appro-

priate for a particular dive. Factors to be considered

when making

these choices include:

•

Personal preference;

•

Depth of the planned dive;
Nature of the work to be performed;

•
•

Length of the planned dive;

•

Environmental conditions (temperature of the water,
speed of current, underwater visibility, etc.); and

•

Condition of the water,

i.e.,

polluted or clean.

8-3

Section 8

Figure 8-3
Lightweight Surface-Supplied

Mask
The dressing procedures followed by the diver and
depend on the type of dress selected

or her tender

his
Steady Flow
Valve (defogger)

for

the dive.

At

least

one tender

assists in dressing a diver

wear-

ing a lightweight surface-supplied diving system (dry
suit) or a

wet

suit. If

a dry suit

is

to

be worn, the diver

applies a lubricant to the suit's zipper

and then, while

seated, inserts his or her legs into the suit.

The

diver

then stands and works both arms into the suit's sleeves.

The tender holds the breech ring while the diver
performing these procedures. Then the tender:
Wraps

is
'Dial-a-Breath"

"Adjustment knob

the harness chest strap tab around the left

shoulder strap and presses

it

into place;

Pulls the crotch strap to the front

and fastens the

weight belt latch;

Adjusts the waist belt and shoulder straps and
Waterproof

secures both rear jocking straps;
Inserts thigh

Communication
Connector

and calf weights and secures the

(Male)

thigh and calf restrainers;

Ensures that

air is available to the

the air supply valve

is

helmet and that

Source:

US Navy (1988)

opened;

Lowers the helmet into place on the diver's head
and aligns it with the lower breech ring lugs;
Presses the quick-release locking pins, slides

them

and ensures that all pins are locked;
Positions the umbilical and whips under the diver's
left arm and secures them;
Performs a communications check; and
into place,

stage or ladder.

diver and to prevent a

As

a

hand on

fall.

the diver enters the water, the tender pays out the

umbilical at a steady rate, being careful to avoid sharp
edges. Throughout the dive, the tender

out of the

Establishes the appropriate air flow.

The tender must always keep

the diver's lifeline close to the helmet to steady the

line; at

the

must keep slack
same time, the tender must be

careful not to pull the line taut. Maintaining approxiIf a

a

lightweight

mask (Figure

wet suit or bathing

suit,

8-3)

is

to be

used with

dressing procedures are

simpler than those described above. For divers wearing
a wet suit or a bathing suit, the tender assists the diver
to

perform the following

steps:

•

Don

•

Place the lower breech ring with neck

the harness;

dam

over the

mately 2 or 3 feet (0.7 to 1 m) of slack on the line
permits the diver the right degree of freedom and
prevents him or her from being pulled off the bottom

by currents or by the movement of the support craft.
Too much slack in the line interferes with effective line
communication between the diver and tender and
increases the likelihood of line fouling.

Throughout the

diver's head;
•

Secure the ring to the jock strap; and

•

Place the helmet on the diver's head and secure

any

line-pull signals

Figure 8-4 shows a surface-supplied diver dressed and
in a

wet

from the diver.

If

an intercom

it.

system
ready to dive

dive, the tender continuously observes

the descent line and monitors the umbilical to receive

suit.

is

not in use, the tender periodically signals the

diver (using line pulls) to ensure that the diver's condifails to respond to two pull
must be treated as an emergency
and the dive supervisor must be notified immediately.

tion

is

good. If the diver

signals, the situation

8.1.4

Tending the Surface-Supplied Diver
is the dive team member in closest com-

The tender

munication with the diver during the dive. Before the
dive begins, the tender checks the diver's diving dress,

paying particular attention to the valves on the helmet,
the helmet locking device, the helmet seal, and the
harness.

The tender then

dresses the diver and helps

the diver to position himself or herself on the diving

8-4

8.1.5

The Dive

Once

the diver

is

dressed and ready for the dive, the

tender helps the diver to prepare for water entry.

The

entry technique used depends on the staging area or

type of vessel involved

in

the operation. If a stage

used for diver entry, the diver should stand or

NOAA

Diving Manual

sit

is

squarely

— October 1991

Working Dive Procedures
Figure 8-4

Surface-Supplied Diver
In Lightweight Mask

and Wet Suit
The diver must equalize pressure

•

sinuses during descent.

When

both ears and

in

equalization

is

not pos-

must be terminated.

sible, the dive
•

If

descending

in

a tideway or current, the diver

should keep his or her back to the current so that
he or she will be forced against the descent

When

•

line.

the diver reaches the bottom, the tender

should be informed of the diver's status and the
diver should ensure that the umbilical assembly

is

not fouled in the descent line.
•

If

necessary, buoyancy and air flow should be reg-

ulated before releasing the descent line; adjust-

ments

made

to air control valves should be

in small,

cautious increments.
•

The

diver should attach a distance line

one

is

used) and should then proceed to the work area.

A

distance line should be used

when

(if

visibility

is

extremely poor and the diver cannot see the descent

from a distance.

line
•

After leaving the descent

line, the

proceed slowly to conserve energy.
for divers to carry

diver should

It

is

advisable

one turn of the umbilical hose

in

the hand.
Source:

US Navy (1988)

•

The

diver should pass over, not under, wreckage

and obstructions.
•

If

on the stage platform and maintain a good grip on the
rails.

If the diver

makes

a

moving against a current, it may be necessary
assume a crawling position.

for the diver to

jump

or roll entry into the

If the

•

water, he or she must maintain a grip on the face

mask

etc.,

while the tender maintains sufficient slack on the line

and

diver

the umbilical hose at the entrance to the confined
space.

When

the diver

is

positioned for descent, the follow•

various

members

of the dive team.

The tender must constantly inform the diver
bottom time. The diver should be notified
minutes

The diver should adjust

his or her buoyancy,
Whether the diver is weighted neutrally
negatively will depend on the dive's objectives.

necessary.

•

The tender should

be

made

in

the air supply fittings

and also should look for

or suit

must

before the diver's descent. The tender

should check for any leaks

air

bubbles.

No

diver should dive with malfunctioning equipment.

The tender should
ment

•

is

also re-verify that

all

a few
advance of termination so that the task

can be completed and preparations

if

re-verify that the air supply

are functioning properly. If not, corrections

in

of the

made

for ascent.

or

system, helmet (or mask), and communications

•

required to enter wreckage, tunnels,

air hose.

ing procedures, as appropriate, should be followed by

•

is

a second diver should be on the bottom to tend

If

the diver experiences rapid breathing, panting, or

shortness of breath, abnormal perspiration, or an unusual sensation of

warmth, dizziness, or fuzzy

vision, or

become cloudy, there is probably
carbon dioxide in the helmet. To get rid of

the helmet ports have

an excess of

this excess, the air flow in the

helmet should be increased

immediately by simultaneously opening the

air control

and exhaust valves.

equip-

functioning satisfactorily.

The diving supervisor should

give the diver per-

8.1.5.1

Diver Emergencies

mission to descend.
•

The
line.

diver should descend

The descent

down

rate used

a descent or "shot"

depends on the

diver;

should not exceed 75 ft/min (22.9 m/min).

however,

it

The

supply should be adjusted for breathing

air

— NOAA

A

surface-supplied diver's umbilical

may become

fouled in mooring lines, wreckage, or underwater structures, or the diver

may

be trapped by the cave-in of a

tunnel or the shifting of heavy objects under water. In

ease and comfort.

October 1991

Fouling

Diving Manual

8-5

Section 8

such emergencies, surface-supplied divers are in a
better position to survive than scuba divers, because
they have a virtually unlimited air supply and can
communicate with the surface, both of which facilitate

may

rescue operations. Fouling

result in fatigue, expo-

and prolonged submergence, and

sure,
sitate

it

may

also neces-

an extended decompression. Divers who are fouled

should:
•

Remain calm;

•

Think

•

Describe the situation to the tender;

•

Determine the cause of fouling and, if possible,
and
Be careful to avoid cutting portions of their umbilical

themselves are unsuccessful, divers

should call for the standby diver and then wait calmly
for his or her arrival. Struggling

make

actions only

remaining

and other panicky

the situation worse by using up the

supply at a faster rate.

air

After surfacing, blowup victims should not be allowed

resume diving. If a diver who has experienced a
blowup appears to have no ill effects and is still within
to

the no-decompression range prescribed by the tables,

m) and
decompress for the amount of time that would normally
have been required for ascent from the dive's working
he or she should return to a depth of 10 feet (3.0

The diver should then surface and dress, after
which he or she should be observed for at least an hour
for signs of delayed-onset air embolism or decompression sickness.

Blowup victims who are close to the no-decompression
who require decompression should first be
recompressed in a chamber and then be decompressed in
accordance with surface decompression procedures; if
the available surface decompression tables are not adequate, the victim should be recompressed in a chamber
to 100 feet (30.5 m) for 30 minutes and then be treated
in accordance with U.S. Navy Treatment Table 1A (see
Appendix C). If no chamber is available, conscious viclimit or

assembly when using their knife.
If efforts to clear

losing

depth.

clearly;

clear themselves;

•

method of ascent should never be used because

control of the rate of ascent can have fatal consequences.

tims should be treated in accordance with recompression

Blowup

Blowup

the uncontrolled ascent of a diver from

is

depth; this

is

a hazard for divers using either a closed

dress (deep-sea or lightweight helmet connected to a

dry suit) or variable-volume dry suit
equivalent).

(UNISUIT®

Blowup occurs when the diving dress

becomes overinflated or the diver loses hold of the botor descending line and is swept to the surface.
During blowup, the diver exceeds the rate of ascent
(25 ft/min (8 m/min)) that must be maintained to be
decompressed successfully at the surface. Accidental
inversion of the diver, which causes the legs of the suit
fill

with

air, also

may

result in uncontrolled blowup.

Accidental blowup can cause:
•
•

•

Cerebral gas embolism;

Decompression sickness; and/or
(if the diver's head

Physical injury

strikes

an object,

such as the bottom of a ship or platform).
Before descending, the diver must be certain that

all

exhaust valves are functioning properly. The diving suit
or dress should

fit

the diver well to avoid leaving exces-

sive space in the legs in

which

air

can accumulate;

air in

the legs of the suit presents a serious hazard, particularly with

variable-volume

suits.

Divers must be trained

under controlled conditions, preferably

in a

swimming

pool, in the use of all closed-type diving suits, regardless of their
suits.

Some

previous experience with other types of
divers have attempted to use a technique

called "controlled

8-6

blowup"

.

unconscious victims should be handled according to the

m

recompression table

in

Appendix

C

that

is

designed for

cases of air embolism or serious decompression sickness.

or

or suit

tom

to

procedures for interrupted or omitted decompression;

for ascent; however, this

Loss of Primary Air Supply

Although losing the primary
quent occurrence

air

supply

is

an infre-

surface-supplied diving,

in

it

does

occasionally occur. In the event of a primary air supply

malfunction or

loss,

the panel operator should switch

immediately to the secondary supply, notify the tender

and diver, and call for the termination of the dive.
(Secondary air supply systems on the surface are
discussed in Sections 4.2 and 14.5 for both air compressor and high-pressure cylinder air supplies.)
The use of self-contained emergency air supplies in
surface-supplied diving has significantly reduced the
hazard associated with primary air supply failure. In
an emergency, a diver equipped with such a supply can
simply activate his or her emergency supply and proceed

to the surface. Divers

faced with the loss of their

surface supply should close their helmet free-flow valves
to conserve air,

and the surface crew should be alerted
soon as it develops. If, because of

to the situation as

fouling, the diver

is

forced to cut the air supply

line,

a

check valve incorporated into the reserve manifold

The

diver

a

must immediately terminate the dive if it is necessary
to switch to the emergency supply; under no conditions
should the diver attempt to complete the work task.

fl

will

prevent loss of the reserve air supply.

NOAA

Diving Manual

— October 1991

Working Dive Procedures

when
self-contained emergency

the primary air supply fails

If

without a

a diver

is

diving

air supply, the

Loss From View of Descent or Distance Line
Occasionally a diver

diver can drop his or her weight belt (without removing

line or lose

the mask) and then ascend to the surface, exhaling

tance line

throughout the ascent to prevent

air

embolism.

A

diver

will

lose sight of the descent

contact with the distance
lost,

is

line.

If the dis-

the diver should search carefully

within arm's reach or within his or her immediate

with a fouled hose should release his or her weight belt

vicinity. If the

and harness (or harness attachment) and then remove
the mask by grasping it and pulling it forward, up, and
over the head. The surface-support team should han-

the tender should be informed and should haul in the

dle a diver

who

way

surfaces in this

blowup emergency, because

as a

pression sickness

is

in the

same manner

embolism or decom-

air

a possibility.

water

is

less

than 40 feet (12.2 m) deep,

umbilical assembly and attempt to guide the diver

back

to the

may

be hauled a short distance off the bottom.

descending

line.

In this situation, the diver

contact with the descent line

is

When

regained, the diver

should signal the tender to be lowered to the bottom
again. In water deeper than 40 feet (12.2 m), the tender

should guide the diver to the descent line

Loss of Communication or Contact with the Diver
contact with the diver

If

is

lost,

the following proce-

in a

system-

atic fashion.

dures should be implemented:
•

If

intercom communication

lost,

is

the tender should

immediately attempt to communicate with the diver

by
•

line-pull signals (see

is

it

generally best to terminate

the dive so that the problem can be resolved and
the dive plan revised.
•

If

the tender does not receive an immediate line-

pull signal reply

an especially serious hazard for divers

from the diver, greater strain

hull of a ship.

A

diver falling off a diving stage or work

platform wearing such equipment
to be injured

is

much more

likely

than a diver falling a greater distance

in

open water. The principal danger from falling is the
sudden increase in pressure, which may not be compensated for by the overbottom pressure of the air
supply; this could result in helmet or mask squeeze.
The diver and tender must therefore always be alert to
the possibility of a

fall.

Should the diver

start to fall,

the tender should take an immediate strain on the

be sent again. Considerable resistance to the ten-

umbilical assembly to steady the diver.

der's pull

may

fouled, in

which case a standby diver should be

If the

indicate that the umbilical line

is

it

is

still

attached to the diver but

continues to receive no reply to line-pull signals,

it

is

is

air pressure should

If a tear

develops

in a

variable-volume

suit,

the dive

tating to a diver. If a closed suit with the helmet
is

available, or

if

for

some

considered unwise to use one, the diver

available to assist with the ascent.

— NOAA

in

the water.

Diving Manual

is

torn in a

fall,

the diver should remain in an

upright position and ascend to the surface at a safe rate
of ascent.

Ascent
When the diver's bottom

8.1.6

time has expired or the task

has been completed, the diver should return to the

is

The following procedures should be used;
all

times to enter the water when divers wearing
variable-volume dry suits are

attached

ascent line and signal the tender to prepare for ascent.
It

thus essential that a standby diver be ready at

October 1991

and the

effect of water entering the suit can be severely debili-

must be pulled to the surface at a rate of 60 feet
(18.3 m) per minute or less, and the tender and the
dive team should be prepared to administer first
aid and recompression as soon as the diver surfaces. If the diver is wearing closed dress or a
variable-volume dry suit, pulling him or her to the
surface is likely to cause blowup unless another
diver

it,

be increased slightly to prevent water leakage.

standby diver should be dispatched

no standby diver

reason

faceplate does crack, however, the diver

should be terminated immediately because the chilling

to

immediately.
If

If the

should continue to wear

be unconscious. In

the diver should be
this event, the

assumed

The likelihood of a faceplate being cracked during a
fall when a modern helmet is being used is relatively
small.

tender feels sufficient tension on the line to

conclude that

•

is

should be taken on the line and the signal should

dispatched as soon as possible.
•

Falling

using deep-sea or helmet equipment to work on the

Section 14.2).

Depending on diving conditions and the arrangements made during dive planning, the dive may
either be terminated or continued to completion
(using line-pull signals for communication). In
research diving,

Falling

•

The tender should pull in any excess umbilical line
and exert a slight strain on the line; he or she

8-7

Section 8

•

should then exert a slow and steady pull at the

divers are chilled.

prescribed rate (generally 60 ft/min (18.3 m/min));

any equipment defects noted during or after the dive,

start a timer on the surface and
should then monitor this timer (along with the

and defective equipment should be tagged for corrective maintenance. The divers should then be debriefed
Divers should establish their
and the log completed.
own standard of care for their masks, depending on the
conditions of use. For example, using a mask in fresh
water requires different maintenance procedures and

The tender should

pneumofathometer)

to control the diver's ascent

rate;
•

diver controls his or her buoyancy by using

The

either a

buoyancy compensator or adjusting the

air in his or her closed- or

suit,
•

•

variable-volume suit

must be careful not

(the diver

to overinflate the

which could cause an accidental blowup);
line

cleaning frequencies than are required

used

in

seawater.

seawater, the exterior of the

a

mask

is

When

mask should be

diving in
rinsed in

microphones. The interior of the mask should then be
wiped clean with a cloth or sponge. An alcohol solution
is useful for cleaning and disinfecting the oral-nasal

or diving supervisor should inform the

may

be required for

When

decompression

is

mask. (Inhibisol® or similar solvents should not be
completed, the tender

assists

is

stored, even

Some masks
8.1.7

Post-Dive Procedures

if

the storage time

is

very short.

should be placed in the face-down posi-

water to drain from the face seal.
some types require additional maintenance.
For example, the interior of masks that are fitted with
a cold-water hood are difficult to clean and dry unless
the hood is first removed. After the hood is removed,
the mask should be turned inside out and the water in
the open-cell foam face seal should be squeezed out.
The interior of the hood and mask should be dried
tion to allow

Divers should be helped from the water and should
then be assisted by surface-support personnel in removing their equipment.

harm the acrylic port.) The
mask should be completely dry when the

used, because they will
interior of the

mask

The following procedures are

recommended:

Remove
Remove

the weight belt;

•

the helmet and secure the air flow valve;
Unbuckle and remove the emergency backpack;

•

Remove

the neckring assembly;

•

Unbuckle and remove the jocking

Masks

of

completely before reassembling. Installing a zipper
the back of the hood simplifies maintenance because

in
it

reduces the number of times the hood has to be removed.

belt.

Close the supply valve and vent the primary air

maintenance and repair
masks in accordance with
the manufacturer's instructions and the service man-

hose;

ual supplied with each mask.

Monthly
If the

•

when

of underwater activity also

The tender

the diver to board the support platform.

•

The type

fresh water after each dive, taking care not to flood the

long decompressions);

•

and tenders should report

during ascent;

requirements (a diving stage

•

divers

influences maintenance requirements.

The diver should continuously hold onto the

diver well in advance of his or her decompression

•

The

diving system

is

not to be used again that day:

(or between-dive)

should be performed on

all

Close the emergency air cylinder valve, open the
reserve air valve to vent the line, and close the

8.1.8 Umbilical Diving

From Small Boats

reserve air valve again;
•

•

•

Disconnect the primary air hose from the emer-

gency manifold;
Disconnect the hose from the helmet inlet and
disconnect the communication cable;
Place the helmet in an upright position, rinse external
surfaces with fresh water, and wipe

the interior,

then wipe
•

it

if

necessary, with a

them

dry; clean

damp sponge and

dry;

Rinse the jocking belt

in fresh

water and hang

it

up

to dry.

The

umbilical diving

is

fixed platforms, the
readily to small boat

small boats,

i.e.,

at

m), a bank of high-

is usually used to supply breathing
which enables the team to operate without an air
compressor and its accompanying bulk and noise. The

pressure cylinders

air,

number and size of the high-pressure cylinders required
depend on the size of the boat and on operational
requirements. For small boats, two or more sets of

divers should be observed for any signs of sick-

standard twin-cylinder scuba tanks can be connected

and warming proce-

by a specially constructed manifold that is, in turn,
connected to a high-pressure reduction regulator or

ness or injury caused by the dive,

dures should be

8-8

Although most surface-based
conducted from large vessels or
umbilical system can be adapted
operations. When working from
depths of 16 to 30 feet (4.9-9.1

commenced

as soon as possible

if

the

NOAA

Diving Manual

— October 1991

Working Dive Procedures

The umbilical

small gas control panel.

is

then con-

nected to the pressure side of the pressure reduction
In larger boats, air

unit.

may

be carried

m3

240- or 300-cubic foot (6.8 or 8.5

in a series

When
is

of
•

Of specified purity (see Table
Of adequate volume;

•

At the proper pressure; and

•
)

high-pressure

Regardless of the cylinder configuration used,

cylinders.

cylinders must be secured properly, and the valves,

all

•

manifold, and regulator must be protected to prevent
personnel and equipment damage.

The umbilical may

the boat. For the convenience of the tender, the
is

is:

1

5-3);

Delivered at a sufficient flow rate to ensure ade-

quate ventilation. Regardless of the type of system,

be coiled on top of the air cylinders or in the bottom of

municator

properly configured, either of these air sources

able to supply breathing gas that

is

it

imperative that

it

be

good

in

com-

repair, be

manned by

serviced at regular intervals, and be
trained personnel.

generally placed on a seat or platform.

Communications equipment must be protected from

Air compressors are discussed

When

in

more

detail in Sec-

weather and spray. Because small boats can only be

tion 4.2.

used to support shallow water work, the umbilical from

diving operations incorporates an on-line air compressor,

the boat to the diver

m)

45.7

in

depths to

length.
less

It

is
is

the air supply system for surface-supplied

usually 100 to 150 feet (30.5-

the general system configuration

generally wise to limit diving

shown

than 100 feet (30.5 m) when working

from a small boat.

When

Figure 8-5.

in

similar to that

is

surface-supplied diving

operations utilize a high-pressure cylinder system for
diver air supply, the general system configuration used

The diving team

for a surface-supplied dive

from a

is

the one

shown

in

Figure 8-6.

small boat usually consists of a diver, tender, and

standby diver. The tender, who

a qualified diver,

is

also serves as the supervisor on such dives. If properly

8.1.10 Rates of Air

The

qualified, all personnel can alternate tasks to achieve

maximum

The standby diver
second umbilical and mask or,

operational efficiency.

may

be equipped with a

as

frequently the case, be equipped with scuba; he or

is

to

which

rate at

Flow
air

must flow from the

air supply-

the diver depends on whether the breathing appara-

mask) is operated in a free-flow or
demand mode. With free-flow equipment, the primarytus (helmet or

she should be completely dressed and capable of don-

requirement of the air supply system

ning scuba and entering the water

capacity (in acfm) that will provide sufficient ventila-

ute.

A

in

less

than a min-

standby using scuba should be fitted with a

quick-release lifeline (readily releasable in the event
of entanglement).

Some

munication cable as a

divers use a heavy-duty

lifeline,

com-

which allows the standby-

diver and tender to stay in communication. This line
also constructed so that

it

may

be released readily

is

in

Many

divers consider high-pressure cylinder air supply

systems safer and more dependable than systems
incorporating a small compressor and a volume or
receiver tank, and some divers prefer to have a small
tank incorporated into the system to provide air for
surfacing in an emergency. Most experts agree that a
diver should carry a small self-contained emergency
scuba tank for use in the event of primary system
failure. An emergency supply of this type is mandatory
when a diver will be working around obstructions or
inside submerged structures.

8.1.9

depth to prevent the carbon dioxide

tion at

mask

or helmet

work

levels

By ensuring

gencies.

liters)

will not

all

circum-

exceed 2 percent. To compute

inspired

C0 2

,

the following equation should be used:

R = 6(Pa)(N)
where

R =

ventilation flow rate in scfm;

lute pressure at

working depth

in

ATA;

Pa

N =

=

abso-

number

of

divers to be supplied.

Example:

What

ventilation rate would be required for two

divers using lightweight helmets at 80 fsw (24.4

R =
R =
R =
For

6(Pa)(N)
41.04 scfm

demand equipment,

the air requirement for res-

maximum

Air compressors; and

piration

•

High-pressure cylinder systems.

flow rate under severe work conditions.

is

based on the

m)?

6(3.42)(2)

•

Diving Manual

capable of

is

under

the ventilation rate necessary to control the level of

basic types of air supply systems used for

— NOAA

level in the

stances, divers can be reasonably certain that the inspired

surface-supplied diving are:

October 1991

have a

limits at

that the apparatus

supplying at least 6 acfm (170

Basic Air Supply Systems

The two

from exceeding safe

it

normal
and during extremely hard work or emer-

carbon dioxide

case of entanglement.

that

is

instantaneous (peak)

The maximum

8-9

Section 8

Figure 8-6
Typical High-Pressure
Cylinder Bank Air Supply

Figure 8-5

Major Components of a Low-Pressure
Compressor-Equipped Air Supply System

System
Supply

Air

to Divers

Moisture

Back

Separation

.Pressure

^i+J Regulator
LP
Compressor

/Valve

/

D*0—

W

^^^^

Air Intake
to

J

I

~0-

Pressure
Regulator
(if

req)

Pressure Regulator

From
Secondary
Source

Volume Tank
US Navy

Source:

Divers

"C£<|_

Manifold

(1985)

Drain

'Valve

|

Drain

regulators).

Valve

The supply pressure must always exceed

the ambient pressure at the working depth to provide a
Source:

US Navy

(1985)

safety factor in case an accidental rapid descent

from

below the planned working depth must be made.

When
instantaneous flow

is

demand but

not a continuous

rather the highest rate of air flow attained during the

inhalation part of the breathing cycle.

A

diver's air

using a free-flow

mask

or lightweight helmet,

a hose pressure of at least 50 psi

water

less

than 120 fsw (36.6

is

m)

required for dives in

in

depth, and a pres-

sure 100 psi greater than ambient pressure

is

necessary

requirement varies with the respiratory demands of
the work level. Consequently, the rate at which compressed air is consumed in the system is significantly
lower than the peak inhalation flow rate.

for depths exceeding 120 fsw (36.6 m). In addition, a

Computing the rate of flow that the air supply system must be able to deliver for demand breathing
equipment is essentially the same as calculating the

weight helmets.

consumption rate

at

loss

through the valves of at least 10 psig should be

anticipated. Simple calculations give the supply pres-

sures necessary for most free-flow

For depths

less

light-

than 120 fsw (36.6 m):

Ps

depth (see Section 14.3).

masks and

=

0.445D

+

65

+

Pj

= supply air pressure in psig; D = depth in
=
absolute hose pressure (50 psi + 14.7 psi);
fsw; 65
=
pressure loss in system.
and Pj
where P s

Example:

What rate of flow will a diver require using a demand
mask and doing moderate work at 75 fsw (22.9 m)?

For depths greater than 120 fsw (36.6 m):

Cd =
Cd =
Cd =

RMV (Pa)
acfm) (3.27
3.6 scfm

(1.1

For demand equipment, the rate of

ps

ATA)
where 115
air flow

=

=

0.445D

+

115

+

P;

absolute hose pressure (100 psi

+

14.7 psi).

must meet

or exceed the diver's consumption rate at depth.

8.2
8.1.11

The

Supply Pressures
supply system must be capable at

SEARCH AND RECOVERY

Search techniques

all rely

on one

common

element: the

times of

adoption and execution of a defined search pattern.

delivering air to the diver at a pressure that overcomes

The pattern should commence at a known point, cover
a known area, and terminate at a known end point.
Search patterns are implemented by carrying out
search sweeps that overlap. To be efficient, the overlap

air

all

the water pressure at the working depth (overbottom
pressure) and the pressure losses that are inherent in

any surface-supplied diving system (hoses, valves, and

8-10

NOAA

Diving Manual

— October 1991

Working Dive Procedures

Table 8-1

Wind Speed and Current Estimations
should be minimal. The

initial

step in a search

is

to

define the general area and the limits to be searched. If

Wind Speed,

Wind Current,

being conducted to locate a specific object,

knots (m/s)

miles/day (km)

the search

the last

is

known

position of the object

is

the starting

open

1-3

(0.5-

1.5)

2

(3.2)

sea resulting from sea and wind currents, the local

4-6

(2.0-

3.0)

4

(6.4)

7-10

(3.5-

5.0)

7 (11.3)

11-16

(5.5-

8.0)

17-21

(8.5-10.5)

16 (25.8)

22-27 (11.0-13.5)

21 (33.9)

28-33 (14.0-16.5)

26 (41.9)

The

point for defining the search area.

wind condition

drift in the

time the object was

at the

lost,

and the

leeway (movement through the water from the force of
the wind) should be studied. Sea currents can be esti-

mated

for a particular area using current

NOAA

Tidal

11

(17.7)

Current Tables and Tidal Current Charts and the U.S.

Navy's current Atlas of Surface Currents. Wind currents can be estimated using Table 8-1.

The leeway generally

to 10 percent

calculated at

is

Adapted from

of the wind speed, depending on the area of the object

NOAA

(1979)

exposed to the wind and the relative resistance of the

The

object to sinking.

direction of leeway

is

downwind,

made around

sions are

40 percent off the wind vector. Calculation of the value

is

and direction of leeway

can be implemented using a variety of patterns,
depending on the search equipment, visibility, or number

highly subjective for objects

is

that float or resist sinking; however,

wind velocity

is

or the object

leeway has

if

the average

relatively low (under 5 knots (2.5 m/s)),

heavy enough

is

to sink rapidly, the

or no effect on the calculation of a

little

the

datum

except for boats that have a tendency to drift up to

located. Searching the area

point until the object

around the datum point

of search vehicles involved.

Systematic searching

is

the key to success.

A

good

search technique ensures complete coverage of the
area, clearly defines areas already searched, and

probable location.
After the vectors of water current, wind current, and

remaining to be searched. The visibilibottom topography, number of available divers,

identifies areas

leeway have been added vectorially and applied to the

ty,

known position of the object, a datum point is
defined. The datum point is the most probable position
of the object. Once the datum point has been defined,
the search radius around the datum point is selected.
The search radius, R, is equal to the total probable

and

error of position plus a safety factor, as defined by the

of the ship's position by normal surface survey meth-

following formula:

ods. This

last

size of the object(s) to

in selecting

the best

be located are prime factors

method

for a particular search.

There are two acoustic approaches to underwater
object location. The first is to traverse the area being
searched with a narrow beam fathometer, keeping track

approach is suitable for returning to the
known object that has high acoustic relief

position of a

R =

radius

and

= safety factor (between
C = total probable error
k

and

1.5)

is

When

receiver unit

R =

+ k)C

(1

total

probable error

is

a mathematical combination

of the initial error of the object's position (x). the

navigation error of the search craft (y), and the drift
error (d e ). The drift error is assumed to be one-eighth
of the total drift. The total probable error, C, is:

C =

(d e

:

+x

2

+y

2 )'/2

mount. The

using side-scan sonar, a transponder
is

towed either from the surface or a
left and

submersible. Acoustic beams are broadcast
right,

The

such

flat area,

second acoustic method involves the use of side-scan
sonar.

where

located in an otherwise relatively

as a wreck, significant rock outcrop, or a

and the signals received are processed

to present

a picture of the bottom on both sides of the transponder-

receiver unit.

Approximate object

mined by knowing the

position can be deter-

ship's position, heading,

and

speed, and the approximate position of the transponder-

receiver unit with respect to the ship.

Onboard microprocessors
necessary to produce

to control the

optimum

range/gain

display contrast are

Each factor included in the total probable error is
somewhat subjective. Selecting conservative values has

the use of microprocessors simplifies the task of the

the effect of enlarging the search radius; sometimes, a

observer and increases the effectiveness of a search. If

small search radius

October 1991

is

selected,

— NOAA

and repeated expan-

Diving Manual

beginning

to

replace manual adjustment of the gain;

more precise determination

is

necessary, one of the

8-11

Section 8

Figure 8-7
Circular Search Pattern
acoustic surveying methods described in Section 9.1.3

,,

—Descending
—

Line

If*

can be used. Underwater object location using acoustechniques involves divers only after the object has

tic

been detected. The following diver search techniques
have been useful for such purposes.

^

,

Marker Line
M7==4s=
==_-L
rft.

is

is

the circular search technique

is

is

is

reason-

recommended. Under

the least potential for entanglement.
to

^

"

/AD

V

be

made

First

Search Circle

Weight

IA

^-^«_
^>v

small, use of

such favorable conditions, a floating search line is
anchored to the bottom or tied with a bowline around
the bottom of the descent line and is used to sweep the
area. To determine when a 360-degree circle has been
made, a marker line should also be laid out from the
same anchor as the search line. This marker line should
be highly visible and should be numbered with the
radial distance from the anchor.
Where current is noticeable, the marker line should
be placed in the downcurrent position so that the diver
always commences the search from the position having
is

J

J

==:==

free of projections,

good, the object to be located

ably large, and the area to be searched

one circle

SS

Search

In conditions where the bottom

the visibility

VwTT^

\

^V

8.2.1 Circular

j

,

When more

Search Line

Descending Line Anchor

Second Search

Circle

Courtesy Skin Diver Magazine

Figure 8-8
Circular Search Pattern for

Two

Diver/Searchers

than

with tethered divers, the direc-

changed

tion of travel should be

at the

end of each

rotation to prevent the possibility of fouling lines.

The

many

circular search has

modifications, depending

on the number of divers and the thoroughness required.

The standard technique

is

to station

one or more divers

along the search line close to the center of the search

The marker line can be used to assign precise
The divers hold the search line and swim in a

area.

(A)

distances.

marker line, which ensures
360 degrees has been covered. The divers
increase the radius for the next search, moving out a
distance that permits good visual coverage. This procedure is continued until the outermost perimeter is
circle until they return to the

that a full

reached (see Figure

When

Previously

Searched

Area

8-7).

two divers are searching, search effectiveness

can be increased by having one diver hold the circling
line taut

and swim the outside perimeter of the area

to

be cearched while another diver sweeps back and forth
along the taut circling

line.

As shown

in

Figure 8-8A,

bounded by the
outside diver's path. The search starts and finishes at
the marker line. The search may be extended by the
pattern shown in Figure 8-8B, in which case the circling line is marked at the point where the outside
diver was previously stationed. The outside diver then
moves to a new position, farther out on the circling
the

line,

first

search will cover a

and the

inside diver

full circle

sweeps back and forth between

the marker and the outside diver's

8-12

new

position. Posi-

Source:

tions

may be changed

become

fatigued.

NOAA

(1979)

at regular intervals if the divers

Changing positions can be done

at

the end of each sweep by having the outside diver hold

NOAA

Diving Manual

— October 1991

i

Working Dive Procedures

moving out one

position after

visibility length; the

other diver then moves outside, taking up his or her

murky

water, using a weighted line

ble; if the lost object

moving

line, a pull

shaped so that

is

on the

secured with

a

descending

line

in

the

for a circular search.

same
The

is

conducted

diver descends to the bottom (using a weighted line,

be advisa-

necessary) and searches the immediate area. After

snag the

will

it

line will tell the diver that the

object has been found.

may

if

reporting to the surface, the diver again descends,
going downstream to the extended length of the

At

Circular search techniques also

is

manner described above

may

position for the next sweep. If the search
in

diver

this point, the diver

be used for

arc-type swing.

begins moving sideways

line.

an

in

As the diver circles in the pattern, he
some resistance on the upward swing of

diving through the ice in waters that have no current,

or she will feel

such as inland lakes and quarries. The following pro-

the arc.

cedure has been used successfully by the Michigan
State Police Underwater Recovery Unit (1978). When

who pulls in the line the distance of the diver's visibility. The diver then swings back along the bottom in the

the ice

covered with snow, a circle

is

formed

is

the

in

snow, using the under-ice entry hole as the center

When

this occurs, the diver signals the tender,

opposite direction until he or she again meets the resist-

ance of the current. The pattern

repeated until the

is

the snow indicates the area being searched and the
approximate location of the diver who is searching

back at the original starting point. This pattern
can also be used in open water, including rivers and
lakes, and can be conducted from bridges, boats, and
off the shore. The fishtail technique is shown in

under the

Figure 8-10.

pivot point.

The

radius of the circle

determined by

is

The

the length of line used to tend the diver.

ice.

within the

of the search

If the object

first

procedure

only one diver, with a

The
backup

entering the hole, the diver
line,

not recovered

is

and the other end

formed on the

is

is

is

in

The

held by the tender.

diver

If the object

surface and describes the underwater conditions.

The

diver then proceeds just under the ice to the full length

With the

of the line (approximately 75 feet (25 m)).

use of rope signals, the diver begins circling, keeping
the line taut and staying about 6 or 8 inches (15-20

cm)

below the ice. After the diver completes one circle
without encountering any resistance, the tender signals the diver to descend to the bottom. With the line
taut, the diver begins the first circle

on the bottom.

After the diver completes one circle, the tender

him

pulls

or her to a

The

(within the limits of visibility).
searching

in

a second circle,

until the diver again

After reaching the general vicinity of the object, the

diver standing by; before

secured by one end of the

not found directly below, the diver returns to the

and

variation on the arc pattern search can be used to

relocate objects in waters with fast-moving currents.

diver searches large areas of the river bottom by swinging

search of an object will go directly below the hole

nals the diver

A

is

circular pattern involves

and make a search of the immediate area.
is

sur-

continued until the complete

is

area has been searched.

in

on

marked-off area, a second circle that

slightly overlaps the last circle
face. This

circle

diver

diver

reaches the hole.

is

repeated

If the diver's

rudder, allowing the current to force

bottom

in

right (or left) until the line

repeated;

otherwise, the standby diver takes over and a second
is

becomes

swims

taut.

to the

The diver

then turns onto his or her right side, grasps the line

with the right hand (both hands are needed

very

in

strong currents), and stiffens his or her body, turning
at

an oblique angle so that the current sweeps

it

it

rapidly

As the arc slows, a conventional swimming
assumed and the diver swims upstream and
shoreward. When swimming against the current becomes
to the left.

position

is

hand,

turns on his or her left side, and repeats the procedure
in

reverse mode.

tom, the diver

As progress

slips

is

made

across the bot-

backward along the

making larger and larger

arcs.

The

depends on current velocity and

line,

gradually

size of the arc

line length.

If

the

up the
the pivotal point, relocates the anchor, and

line to

standby diver

initiating the

search, the diver has slack in the line and

ond hole

is

across the river

it

When

alternating directions.

object of search

cut in the ice and the procedure

attached to a heavy pivotal

tom, or a creeper. The diver's body can be used as a

physical condition continues to be satisfactory, a secis

line

difficult, the diver shifts the line to his or her left
sig-

new location
commences

and the pattern

widening arcs from a

object, such as an anchor, a stake driven into the bot-

is

not found, the diver returns

begins again.

designated. Figure 8-9 illustrates this

through-the-ice search technique.

8.2.3

Jackstay Search Pattern

In the jackstay search pattern, a rectangular search

8.2.2

The

Arc Pattern

(Fishtail)

Search

October 1991

in

Buoy

is

used to perform

lines

run from the bottom anchor weights to the sur-

water that has a current. The

face,

and a ground

arc pattern search technique

an under-ice search

and buoyed (see Figure

area

— NO A A

is

Diving Manual

laid out

line is

8-11 A).

stretched along the bottom

8-13

Section 8

Figure 8-9
Circular Search Pattern

Through

Ice

Courtesy

8-14

NOAA

Diving Manual

Clifford Ellis

—October 1991

Working Dive Procedures

Figure 8-10

Arc

(Fishtail)

Search Pattern

B.

Search

A.

in

Offshore Search

Waters

with Currents
Courtesy

Clifford Ellis

between the weights. The divers conducting the search

metal bar 4 to 10 feet (1.2-3.0 m) long that permits two

descend on the buoy

divers to be towed behind a boat (liveboating).

and search along the ground
line, beginning at one of the anchor weights. When the
searching diver reaches the other anchor weight, the
weight is moved in the direction of the search. The
distance the weight

line

moved depends on
weight is moved the

is

visibility;

if

area to be searched

is

marked

The

off with four diving flag

buoys, one at each corner, to form a square or rectangle.

The distance between

size of the area to

the buoys depends on the

be searched and the maneuverability

distance the

of the boat. After the buoys are in place, the divers

searching diver can comfortably see as he or she swims

grasp the tow bar and are pulled parallel to two of the

visibility

good, the

is

along the

line.

If visibility

is

poor, the line

only as far as the searching diver can reach.

is

moved

The searching

buoys

slow rate of speed. After the divers have

at a

passed the

last

buoy, the boat

is

brought about through

swims back toward the first anchor weight
along the ground line (Figure 8-llB). The length of the
ground line determines the area to be covered. The
jackstay search pattern is the most effective search

the center of the square and parallel to the buoys.

technique

then be

diver then

8.2.4

in

waters with poor

visibility.

Search Using a Tow Bar

The tow-bar partem

is

similar to the aquaplane

illustrated in Figure 8-21.

October 1991

— NOAA

It

method

involves the use of a

Diving Manual

second pass

is

made along

away. This pattern

is

continued until the buoyed area

has been searched completely.

moved

A

the buoys, one boat width

Two

to the far side of the

of the buoys can

second

set of

buoys,

forming another square. This technique is shown in
Figure 8-12. (The procedures and safety precautions
associated with liveboating are described in Section 8.10.1.)

8-15

—

\

Section 8

Figure 8-12
Searching Using a

Figure 8-11
Jackstay Search Pattern

6

Rectangular Search

Tow Bar

t

^\ Buoy

Buoy /"

N^Buoy
(

BuoyV

'

'

'

~~~—~rr^

\.Buoy

|.C J

Buoy

J

''^

I

|

'

'
;

Courtesy

'

J

I

Source:

NOAA

Diving

8.2.6

Search Without Lines
When conditions are such that

8.2.5

search lines cannot

be used, a search can be conducted using an underwater

compass. There are

many

search patterns that

will

ensure

maximum

tern

important. Divers should use the cardinal points

is

N, E,

coverage; however, simplicity of pat-

W — and

S,

the length of a side

intervals or 50 kicks

—and

Clifford Ellis

Pnjgram

—one-minute

should turn the same

way

each time.

Recovery

The method chosen to recover a lost object depends
its size and weight. Small items can be carried

on

directly to the surface

by the

diver, while larger items

require lifting devices (see Section 8.9.1).
is

used, the diver

ment

must attach

When

lifting straps

to the item being recovered.

A

a

lift

and equip-

line that

is

longer

than the depth of the water being searched and that has
a small buoy attached should be carried to the spot to

mark

the located object.

In addition to observing the usual safe diving practices, divers

conducting searches should consider the

following:
•

•

When

plastic-coated steel wire is used as a line
marker, a small pair of wire cutters should be
carried to permit escape from entanglement.
To prevent line fouling when two tethered divers
are used in search patterns, one should be designated as the inside diver; this diver always remains
under and inside the position of the other tethered

When

At

UNDERWATER NAVIGATION
present, all readily available diver navigation or

positioning systems rely on surface position for their
origin.

If navigational or geodetic positions

under water

were used, the origin would have to be extrapolated,
which would introduce an additional margin of error.
Recently, acoustic telemetry techniques, which use
microprocessor-controlled methods, have been applied to

diver.
•

8.3

advisa-

diver navigation. These systems can be used to track

ble to use contrasting materials for radius, bound-

from the surface and to guide them to particular
Newer methods will allow divers to take the system along to monitor their own position (Woodward 1982);
however, dead reckoning is still the most common form
of underwater navigation. This procedure has a long

ary,

untethered divers are involved,

and distance

of a diver

lines to

becoming

lost.

it

is

decrease the possibility

Polyethylene line pro-

vides a good contrast to plastic-coated stainless
steel wire

8-16

and

is

recommended

for

boundary

lines.

divers

locations.

NOAA

Diving Manual

—October 1991

Working Dive Procedures

Figure 8-13
Diver-Held Sonar

and is used because it is impractical for divers
and operate cumbersome and complex navi-

history

to carry

An

gation equipment.

acoustic-based navigational system

has recently been developed that uses a person's sensory
ability to differentiate the time-of-arrival of under-

water sounds at the two ears.

produced along

a

line, a

If

a sequence of sounds

is

person interprets them as

deriving from a moving sound source, just as a person

perceives the lights being sequentially turned on and

marquee

off on a theater

as moving.

A

diver can quite

accurately perceive the center of a sound array and

swim

to

when

diving in

from distances as great as 1000 feet (303 m).
This technique can be used in habitat operations and

Sonar
ity to

it

is

murky

water.

another method of increasing a diver's abil-

may

navigate under water. Divers

find carrying a
Courtesy Dukane Corporation

compact active sonar useful for avoiding obstacles.
Underwater diver-held sonars have been used with
some success for years (Figure 8-13). The effectiveness of
sonar operations

is

related directly to the level of a

many hours

diver's training;

of listening to audio tones

headset are required before a diver can "read" the

in a

tones.

When

using diver-held sonar, the diver

slow 360-degree rotation until the object

is

makes

a

located

and then notes the compass heading. The active range
of most diver-held sonars
the passive or listening

is

about 600 feet (182 m). In

mode, pingers or beacons some-

times can be detected as far

away

as

3000

feet

(909 m).

For shorter ranges, there are units that allow a diver

ahead and obtain a direct readout
feet for distances up to 99 feet (30 m) with a

For relatively short underwater excursions, however,

the compass, watch, and depth gauge are

when

activated, emit a high-frequency signal.

are the

used

in

companion

Pingers

a

in a

is

noted.

is

To swim

good compass course, the axis of the compass must be
A simple and reliable

parallel to the direction of travel.

method of achieving

this

that does not have the

to

to grasp this

is

for divers to

compass on

arm with

which the compass

Swimming

with the arms

it

extend the arm

in front of

hand

the other

them

(i.e.,

the

strapped) (Figure 8-14).

is

helps divers to

in this position

follow the desired course and, in low visibility, prevents

them from

colliding with objects. Practicing on

units to pinger locators; locators are

land by walking off compass courses and returning to

the passive mode. Pingers can be attached to

the starting point helps to train divers for underwater

any underwater structure, including:

navigation. Because the accuracy of a

compass

by the presence of

advisable to deter-

steel tanks,

it

is

is

affected

•

Habitats;

mine

a

•

Submersibles;

diver

swimming alongside and varying

•

Pipelines;

depth gauge or watch should not be worn on the same

•

Wellheads;

•
•

Hydrophone
Wrecks; and

•

Scientific instruments.

as the compass because
compass heading.

A

in

some

however, the sequentially activated acoustic array
to either pingers

dead reckoning.

— NOAA

the course.

may cause

A

a deviation in

D
T = S

cases,

have been as accurate as dead reckon-

system has been shown to be superior

October 1991

it

with a second

diver can calculate his or her transit time by using

locating underwa-

within the audible frequency range. In
single beacons

in a pool

the following formula to estimate distance:

with acoustic beacons that emit signals

ter structures

ing;

compass's deviation

arm
arrays;

Divers have had some success

or

com-

or her. Progress

timed with the watch, and the depth

arm

1982).

him

horizontal position in front of

in

cm) (Hall

a

along the line of bearing, holding the compass

and then

Acoustic pingers are battery-operated devices that,

the

still

pass bearing has been ascertained, the diver swims

to point the device

reported accuracy of 6 inches (15.2

Once

simplest navigational devices available.

where

T =
D =
S

Diving Manual

=

transit time in

minutes

distance to be covered in feet

speed of advance

in feet

per minute.

8-17

Section 8

Figure 8-14
Using a Compass for Navigation

A

swimming at a pace
maintained over a known distance and slightly
modifying the formula to:
diver can estimate speed by

easily

S

D
=T

For example, a diver traversing a 1000-foot (305 m)
course in 10 minutes

(30.5

is

m) per minute,

mile (1.85

km) per

swimming at a speed
or approximately

of 100 feet
1

nautical

hour.

Some underwater

topographical navigation aids that

can be used are underwater landmarks (and turns

made

with respect to them), the direction of wave ripples in
the sand, and the direction of the current (if

it is

known

change during the dive). Some
areas require the use of a transect line because they
lack distinct bottom features. Divers often use the
increase in pressure against their ears and masks or
changes in the sound of exhaust bubbles to identify
changes in depth.
that the current will not

8.4

UNDERWATER TOOLS

A

fundamental aspect of accomplishing work under
is the selection of proper tools and equipment. In
all operations, the relative advantages and disadvantages of power tools and hand tools must be considered.
The amount of effort that will have to be expended is
an important consideration in underwater work, and
power tools can reduce the amount of physical exertion
needed. Having to supply tools with power and to transwater

may be a substantial disadvantage.
The performance of divers under water is degraded

port them, however,

by several factors, including water resistance, diver
buoyancy, equipment bulk, the confined space environment, time limitations, visibility restrictions, and a

amount of reaction
force without adequate staging, hand grips, or body

diver's inability to provide a proper

harnesses.

A

diver's

land.

performance

compared with

significantly

Even a

may

therefore decrease

his or her

performance on

relatively simple task like driving a nail

can be difficult because of limited visibility, water
viscosity, and other environmental factors; however,
some tasks are easier to accomplish under water because
of the diver's ability to move easily in three dimensions. Because diver safety is a primary consideration
in any underwater operation, hazards such as electric
shock, excessive noise, and other potential causes of
injury must be taken into account when selecting underwater

lists

along with their

8-18

some common tools used under water,
sources of power and available acces-

J.

Cardone

Most pneumatic and hydraulic tools can be
adapted for underwater use. The information supplied
sories.

by the

manufacturer contains detailed use

tool's

specifi-

cations that should be observed faithfully.

8.4.1

Hand Tools

Almost

all

standard hand tools can be used under

water. Screwdrivers are generally available in three
configurations: the

machine

(or straight-slotted) type,

the phillips type, and the alien type.
alien screwdriver

only torque

is

required to operate

is

to

damage

When

and the linear

slip

out of the screw

the screw by twisting.

multipurpose tool can be
driver blade

it

is

screwdriver have a tendency to

head or

the three, the

minimum. Also, the alien
longer lever arm. The other types of

reaction force necessary

type provides a

Of

easiest for a diver to use, because

and a pair of

made by welding

pliers to

An added

tendency of the blade to
lihood that the blade will

NOAA

A

single

a screw-

an adjustable wrench.

using a hand saw under water,

follow a straight line.

tools.

Table 8-2

Photo by Bonnie

it

is

difficult to

complication

is

the

which increases the likebreak. Because it is easier for

flex,

Diving Manual

—October 1991

Working Dive Procedures

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8-19

Section 8

a diver to pull than push under water,

useful to put

it is

saw so that the sawteeth are oriented
toward the diver and the cut is made on the draw.
the blade in the

A

2- to 4-lb

used underwater

short-handled
tool.

easier to develop force

weight of a sledge
ting with a lighter

Because

it

is

effort

by pounding with the heavy
than by swinging and hit-

site in a

canvas bag

to the diver's belt with a line.

also can be attached to a descending line with a

down

this line to the

job

site

from

the surface. Tasks involving grinding, chipping, pounding, or

reaming with hand equipment are arduous and

8.4.3

tect

is

not practical unless the task

hand

bath before being turned on once to

To

Hydraulic Tools

closed-cycle power, are safer to use under water, have
little

or no depth limitation, are

much

lighter per unit

of power output, do not produce bubbles that obscure
the diver's vision, and require relatively

nance.

little

mainte-

As with pneumatic motors, hydraulic systems

have the capability

and stop rapidly, and they

to start

can be operated at different speeds.
Tools such as

(Figure 8- 15 A), impact wrenches

drills

pro-

(Figure 8-1 5B), chain saws, disc grinders (Figure 8-1 5C),

be rinsed with

and cable or pipe cutters usually are modified versions
of hydraulic tools designed for use on land. To convert
tools for underwater use, different seals are used,
internal voids are compensated to withstand ambient

small.

is

tools after use, they should

oil

Hydraulic tools are the most popular kind of tool
with working divers because they provide consistent

time consuming, and the use of hand tools for these
tasks

an

is

easy to lose or drop tools under water,

shackle and be slid

in

displace any water trapped in the tool.

than on land,

hammer.

and are then attached

the motor section; the tool should then be sub-

merged

commonly

hammer

they usually are carried to the work

They

a

is

Because considerably more

hammer under water

required to swing a
it is

hammer

fills

fresh water and lubricated with a protective waterdisplacing lubricant.

pressure, external surfaces are painted or coated with

8.4.2

a corrosion inhibitor, and dissimilar metals are insulated

Pneumatic Tools

from each other.

Although pneumatic tools are rarely designed specifically for use under water, they need little, if any,
alteration to be used in this medium. According to
Hackman and Caudy (1981), the power available in air
motors ranges from 1/8 to 25 hp, and loaded speeds
range from 40 to 6000 rpm; some of these tools have
even higher speeds. Most pneumatic tools require 90
psig of air pressure to operate, and they exhaust into
the water.

A

disadvantage of these tools

is

that they

To

facilitate the field use of hydraulic tools in areas

where hydraulic oil is not readily available or where
environmental restrictions prohibit the discharge of
oil, hydraulic tool systems are being developed that
use seawater as the working fluid in place of oil. The

Navy

has supported a program, called the "Multi Func-

tion Tool

System," that involves the development of a

seawater hydraulic grinder, band saw, impact wrench,

and rock

underwater use.

drill specifically for

exhaust bubbles that may disturb divers or impair
their visibility under water. In addition, the amount of
pressure available for power decreases at depth. Pneu-

that can be located at the

matic tools can be modified to include a hose attach-

These power sources are compensated

ment on the exhaust that

depths but require built-in batteries or an electrical

is

larger in diameter than the

supply hose. Often, the exhaust hose
the surface, where

it

is

routed back to

discharges to atmospheric pres-

Even with these modifications, surface-supplied
pneumatic power can be used only to depths of 100 to
150 feet (30.5-45.7 m). Although closed-circuit pneusure.

matic tools would not be as wasteful of energy at depth

have not been developed
because the entire system would have to be pressurized
or the tool would have to be designed to withstand
ambient water pressure. The extensive maintenance
requirements of pneumatic tools can be minimized by
using in-line oilers to meter oil automatically into the
as open-circuit tools, they

air

supply hose. After each day's diving,

poured into the

8-20

air inlet of the tool until

oil
it

should be

completely

Hydraulic tools require a power source at the surface or a submersible electrohydraulic power source

work

site

near the diver.
to operate at all

umbilical from the surface to run the motor.

normally operate at pressures from 1000

To

psi to

The

tools

3000

psi.

use them, divers usually work standing on the bottom

or on

some

structure.

When

working with these tools on

the side of a structure or in the midwater column, a
diver can use harnesses or a diver's stage for support.

The U.S. Navy has adapted and developed

a variety

of diver-operated hydraulic tools for construction

and

salvage work. These tools include:
1.

2.

An

abrasive saw (2000
by 1/8-in. thick blade);

A

grinder (2000

psi,

psi,

11

6-14 gpm, 10-in. dia.

gpm, used with

discs,

cups, or wire brush);

NOAA

Diving Manual

— October 1991

Working Dive Procedures

Figure 8-15

Underwater Hydraulic Tools
Hydraulic tools that minimize diver fatigue and discomfort should be selected. Most tools can be reconfigured or redesigned to increase diver comfort.
attention should be given to underwater

neering principles

the design of

in

human

new

tools.

More
engi-

Areas

where progress could be made include weight reduction, special grips and triggers, placement of handles
at the center of gravity or wherever they will best
counteract torque, and reduction of vibration and reaction forces.

Hydraulic tools are easy

to maintain.

They should be

rinsed thoroughly with fresh water after each use and

then be sprayed with a protective lubricant such as

WD-40.

Tools

8.4.4 Electric

Underwater

tools that operate

by

power have

electric

been designed, developed, and manufactured, but they
are seldom used.

The

AC

motor, stator, and control

electronics of such tools are potted in epoxy,

motor

tools require only a small umbilical,
limitation,

and are reasonably

Courtesy Stanley Hydraulic Tools

shock

persists,

have no depth
Although

light in weight.

ground-fault detector circuitry
electric

and the

water cooled and water lubricated. Electric

is

is

provided, the fear of

and most divers consequently

prefer to use hydraulic tools despite their greater weight

and support equipment requirements.
3.

A

come-along (1500

cable 1.5
4.

A

in.

psi,

2000

lb.

force,

moves

hurst tool (input of 5000 psi and .07

gpm, jaws

of tool open and close with force of 6 tons through

Power Velocity Tools

Power

velocity tools are actuated by the firing of an

explosive cartridge, which increases the pressure behind a

piston to accelerate a stud or a cutter into the

a distance of 32 inches);
5.

8.4.5

per stroke, used as a rigging aid);

Impact wrenches (2000 psi, 5 gpm, used for driltapping, or for make/break of nuts and bolts);
Linear actuators (10,000 psi rams, 8 ton pullcylinders, 10,000 psi cutters or 2 1/2 in. wire

piece (Figure 8-16).

Power

work

velocity tools are used to

attach padeyes, studs, and hollow penetrations

in

plate

ling,

6.

steel.

Different configurations are used to cut cable,

rebar, hydraulic/electrical umbilicals,

impact socket for loosening

jammed

and

to drive

an

Studs are

nuts.

rope, rebars, or splitting nuts);
7.

8.

A pump

(2000

psi, 5

gpm

hydraulic fluid; 100

available to penetrate steel that

400 gpm water flow, used for jetting, washing,
and dredging); and
Hose reels and different hydraulic power supplies.

(An excellent source

of information on the operation
and maintenance of the Navy's hydraulic tool systems

isNAVSEA
Some

1982.)

thick (0.64 cm).
in

The

cutters can sever

at least

is,

that operates on

for

2000

example,

a hydraulic

psi, 0.5 to 3.0

1/4-inch

diameter cables or 2-inch

(5.1

gpm, and

cm)
diameter

1.5-inch (3.8

cm)

in

composite umbilicals.

WARNING
Only Properly Trained Personnel

hydraulic tools have been designed solely for

underwater use. There

hammer

is

psi,

May Han-

dle Explosive Cartridges. Trained Divers Also

Should Use These Tools Only When The Proper
Safety Precautions Have Been Taken

develops a 40-foot-pound force per blow; output speed

ranges from

1

to

300 blows per minute. The unique

design uses compressibility of the hydraulic fluid to
generate and store the impact energy.

October 1991

— NOAA

Diving Manual

Power velocity

tools are well suited to

water work. Their weight

is

most under-

comparable

to that of

8-21

Section 8

Figure 8-16
Explosive Hole Punch

Figure 8-17

Oxy-Arc Torch

Courtesy Broco,

Inc.

Courtesy Battelle-Columbus Laboratories

metal being heated. The metal is heated to ignition
temperature by a hydrogen/oxygen flame, and pure
hydraulic tools, but they require no umbilical or power
line.

Some models

of underwater stud guns feature

by the diver. The
heavier duty models, as well as most cutters, require
that reloading be performed on the surface.

oxygen

Cutting and Welding Tools

Cutting and welding are often required both in sea-

water and

in

dry underwater enclosures or habitats.

Since habitat welding involves techniques and tools
similar to those of atmospheric welding, this

manual

addresses only cutting and welding tools that are used

then directed at the heated spot to start the

as a fuel gas for cutting,

barrels that can be replaced easily

8.4.6

is

cutting action. Although acetylene also has been used

at

it

is

considered unsafe to use

depths greater than 30 feet (9.1 m). Shielded metal-

arc cutting

is

a process in which metal

is

severed sim-

and physically pushing the metal out of
the kerf. An electric arc is formed between the electrode and the work piece to provide the heat for melting.
The process is used in situations where no oxygen is
ply by melting

available.
ting

is

Some

believe that shielded metal-arc cut-

superior to oxygen cutting on steel plates less

than 1/4 inch (0.64 cm) thick or when cutting brass,
copper, or copper-based alloys. Oxy-arc

is

used to cut

metal burns or oxidizes very rapidly. Electric current

up to 2 inches (5.1 cm) thick.
The most widely used underwater welding process is
shielded metal-arc welding. The weld is produced by
heating with an electric arc between a flux-covered
metal electrode and the work piece. The heat developed
by the arc causes the base metal parts, the core wire of
the stinger, and some of the flux covering to melt.
Other constituents of the flux decompose to gases,
which shield the molten metals somewhat from contamination. When welding under water, technique is
important and special training is required. Generally,
underwater welds are not as strong as surface welds
because of water quench and contamination. Also, it is
vitally important that the diver be aware at all times of

not required for oxy-hydrogen, but an air hose

the severe shock hazards associated with electric cut-

in seawater.

Underwater cutting and welding processes

emit toxic gases that

rise to the

surface and, since they

are heavier than air, collect in any low-lying confined
areas. Ventilation during
is

underwater cutting and welding

thus essential to protect both divers and surface

personnel.

The most popular cutting torch
ure 8-17); the process

is

is

oxy-arc (Fig-

learned with less training than

oxy-hydrogen, oxy-acetylene, or shielded metal arc
cutting.

The oxy-arc process uses

electric

power

to

heat the work piece to ignition temperature; a jet of

oxygen
is

is

required to

then directed at the heated spot and the

fill

the flame and to hold water

8-22

is

a shield cup around the tip to stabilize

away from

the area of

steel

ting

and welding processes. Metal helmets must be

insulated.

NOAA

Diving Manual

—October 1991

Working Dive Procedures

INSTRUMENT IMPLANTATION

8.6

WARNING

The proper implantation
Diver Training and Experience Are Essential
in Underwater Cutting or Welding

gations.

is

Instruments that are implanted on the sea

bottom include

8.5

of scientific instruments

important to the success of underwater scientific investi-

cameras, positioning stakes, radi-

lights,

ometers, recording current meters, thermistors, oxygen sensors, and acoustical devices. Factors affecting

MAINTENANCE AND REPAIR TASKS

the success of implantation are:

Maintaining and repairing equipment, structures, and
instruments under water requires

skill

and an under-

•

standing of the work to be done. In addition, underwater

maintenance should be performed only when envi-

sions, fragility,
•

ronmental conditions are acceptable.

The available power supply and instrument
out cables, or

(if

read-

self-contained) the frequency

divers should practice underwater tasks

with which the instrument's batteries must be

changed or the instrument must be serviced or

The time that
must be known
(or a

will

be needed to accomplish the task

to enable the diver to

major portion of

air supply.

it)

complete the task

replaced
•

within the constraints of the

For strenuous tasks, the work should be

divided into subtasks and several divers should take

its

to

Bottom conditions, the bearing strength of the

•

them out.
To accomplish underwater work, four task phases

are involved:

The alignment of the instrument in position,
height above the bottom, and its sensitivity
misalignment

turns carrying

bottom, anticipated currents, and the type of marine
life
•

The

Inspection of the work site and determination of

precise markings of instrument location and

methods used

the
•

size and weight, mounting dimenand attachment points

shallow water before attempting them in deep water.

If practical,
in

The instrument's

for recovery at completion of the

mission.

the condition of the equipment that needs mainte-

nance or repair;
•
•

The

Selection of appropriate tools;

cal

Performance of the repair or maintenance

task;

and
•

and weight of the instrument and

size

used and the techniques chosen to
to the site.

Reinspection

to

ensure that the work has been

accomplished successfully.

its

physi-

dimensions and fragility affect the type of anchor

may

move

the instrument

For small instruments, a concrete block

be an appropriate anchor.

The blocks can be

predrilled, fitted with fasteners on the surface,

moved
Most underwater maintenance and repair tasks that
is asked to perform are associated with the
inspection and repair of a ship's rudder, propeller, sea

a diver

chest, or cathodic protection system.

When

a diver

is

working over the side of a ship to perform a maintenance task, the ship's propeller should be locked out

and the rudder should be held

in

static

position.

The

appropriate international code flag should be hoisted.

Divers should be careful to avoid skin contact with
the hull of the ship on which they are working, because

to the site as a unit

and positioned.

and

In other

and instrument can be moved
and a diver can then position and

cases, the concrete block
to the site separately,

align the instrument in the water.

A

concrete block

anchor can be lowered directly into position using a
winch, or it may be fitted with flotation devices and
guided into position by a diver, who removes the
tion device

when

the anchor

is

flota-

in position.

For large instrument packages, anchors can be made
of metal piles that are driven into the bottom by a diver

using a sledgehammer or pneumatic impact

hammer.

marine

Steel pilings create magnetic anomalies that can affect

growth (barnacles, algae). These paints retain their
toxic qualities for months after the freshly painted

instrument readings; instruments should therefore be

toxic paints are often used on the hull to inhibit

used only after the effect of the pilings on the instru-

may

ship has been returned to the water.

ment's functioning has been calibrated. Pilings

Maintenance and repair tasks can be accomplished
more easily if a restraining system is used. Such a

grouted

system can be as simple as a

instrument installation and can be driven into the bot-

onto that

is

line for the diver to hold

attached to a convenient point or as elabo-

rate as a jacket with

magnets

or suction cups that

attach to a shear plate.

October 1991

— NOAA

face.

tom

in

Embedment anchors can
to secure the lines.

be used to stabilize an

Chains or wires equipped with

turnbuckles can be run over the instrument package

between anchors
Diving Manual

be

place with concrete supplied from the sur-

to secure the installation further.

The

8-23

Section 8

foundation package should be designed to accept the

therefore equip these instruments with automatic pinger

instrument package easily so that

devices in addition to marker buoys (see Section 8.3).
If a pinger-equipped instrument is believed to be

it

is

as easy as possi-

ble for the diver to attach the package.

foundation

When

the

complete, a line or lines should be run to

is

the surface to assist in lowering and guiding the instru-

ment

into place.

Many

underwater instruments require outside power to

operate and to transmit data to outside receivers. During the installation of instrument cables, a diver usually

is

required to anchor the cable at various points

along the cable run.

The

first

near the instrument package.

point of anchor should be

To reduce

and the
instrument. The diver should guide the instrument
cable around any rocks or bottom debris that might
abrade the cable covering. Anchors should be placed
a bight) of extra cable between the first anchor

frequent intervals along the length of the cable,

wherever the cable turns, and on each side of the cable
where it runs over an outcropping or rise in the bottom.

Cable anchors can either be simple weights attached

embedment

the cable or special

The alignment
alignment

tom

is

A

is

important to

simple technique to achieve

to drive a nonferrous stake into the bot-

A

then to hang a compass from the line or wire.

nonferrous stake

and

the compass indicates that the alignment

is

correct.

stakes and the attached line then act as the

reference point for aligning the foundation or instru-

ment.

A

tape

is

used to translate measurements from

the reference stakes and line to the foundation or the

8.7

necessary.

HYDROGRAPHIC SUPPORT

In hydrographic operations, divers can be used to con-

firm the existence and/or location of hazards to navi-

and measure least depths, and resolve
any sounding discrepancies identified by different
surface-based measurement techniques. When using
gation, locate

divers for this type of work,

is

it

essential to consider

the skills of the divers, water conditions, the nature of

the work, special equipment requirements, and the

Because hydrographic

availability of diver support.

important to mark the dive

site

it is

using buoys, electronic

pingers, or fathometers; this precaution

becomes

increas-

ingly important under conditions of reduced visibility

and high currents.

Hazards to Navigation

8.7.1

A
ing

significant portion of hydrographic support divis

Once

conducted

to identify

hazards to navigation.

the general location of a navigational hazard has

been identified,

When

Before selecting a location for an instrument, botconditions should be analyzed to identify the appro-

priate foundation.

The instrument

site

should be

reinspected at frequent intervals to monitor the condition of the instrument

ma-ine growth that

Unmanned

may

and

to clear

away sediment

or

affect instrument readings.

its

precise location can be determined

instrumentation

is

increasingly used for

Because many unmanned instruments are

self-

contained and expensive, they must be equipped with
reliable relocation devices.

the object has been found,

with a taut-line buoy and

be noted.

If the

depth

is

its

it

should be marked

geographic position should

shallower than about 50 feet

(15.2 m), a lead line depth should be recorded, along

with the time of notation.

Diving operations that are designed to prove that no

navigational hazard exists in a particular area are

long-term data-gathering and environmental monitoring
tasks.

is

using the search techniques described in Section 8.2.

instrument.

tom

long search

second

then driven into the bottom when

is

murky water when the divers are
surface supplied and use liveboating techniques (see
Section 8.10.1), particularly if the pinger is weak and a
especially well in

operations are frequently conducted in open water,

that has a nonferrous wire or line attached

The two

to

anchors.

of the foundation

successful implantation.

to the
approximate location; they can then descend and search
with a hand-held locator unit. This technique works

move-

either the cable or instrument will break the

cable connection, the diver should allow a loop (called

at

implantation, a surface receiver

from a boat can guide divers

unit operated

the possibility

that the cable will topple the instrument or that

ment of

lost in the vicinity of

Although surface or sub-

LORAN-C

extremely time consuming and require painstaking documentation of search procedures and location. The
reported location and geographic position of the hazard should be marked precisely; a taut-line buoy should

be used to mark the search control point.

Any time

the

common

moved, the move should be documented
and the geographic position of the new control point

relocation devices, at least for short-term implanta-

should be noted. Documentation of the search should

surface buoys (used in combination with

or satellite navigation systems) are the most

tion, these

buoys are subject to vandalism, fouling

ship propellors, and accidental release.

8-24

Many

control point

is

in

include the geographic position of control points, the

users

type of search, the equipment used, water conditions,

NOAA

Diving Manual

— October 1991

Working Dive Procedures

and problems encountered, what was found or not found,

statement describing the area that has been
searched and any area that may have been missed.

and

a

hazards associated with any wreck diving operation,
the wire itself poses a hazard. For example, if the wire
slips

on an obstruction,

could pin

it

diver;

a

if

the

strands of the wire are broken, the wire can cut a diver
severely;

Locating and Measuring Least Depths

8.7.2

it

When

Divers can be used to determine least depths accurately, especially in

such areas as rocky shoals, coral

and wreck sites. After the general location to be
studied has been identified, a diver is sent down to
mark precisely the least depth by tying off a line on the
bottom so that a buoy floats directly overhead. Care
reefs,

must be taken

to ensure that the lead line

marking

that the time of

is

recorded.

A

is

plumb and

taut-line

buoy

can be used to mark the geographic position of the
least depth so that it can be noted and recorded by
surface personnel.

and

if

a diver holds the wire and

an underwater obstruction needs

tigated, the support boat

must be

nearest the obstruction. After agreeing on

the discrepancies, and

mark

site,

resolve

in

swim to the buoy and descend to the
bottom wire. Depth gauges are checked, and the depth
of the obstruction is noted on a slate.
Because of forces acting on both the wire and the
upright to the buoy, the depth at the weight can vary
from its setting by as much as 10 feet (3 m). Once on
the bottom, the divers proceed hand-over-hand along
the wire, one behind the other, taking care to stay

procedure

is

to

effort to stay as

The recommended

"crab" into the current, making every

much above

the wire as possible.

WARNING
Divers Must Be Extremely Careful When
ing Inside the Bight of a Ground Wire

Work-

WIRE DRAGGING

Wire dragging

is

a

method

The method

involves deploying a wire between two ships and hold-

depth with weights ranging from 50 to
250 pounds (22.7-113.4 kg). The objective of this procedure is to tow the wire in such a manner that hydrodynamic forces induce an arc-shaped curve. As the ships
move through the water, the wire will snag on obstrucing

it

at

tions protruding

After arriving at the obstruction, wire depth

of ensuring that surface

ships can pass through an area safely.

above the depth of the drag. Divers

supporting wire-dragging operations are used to identify:

•

be difficult

reefs.

8.8

•

may

areas

such as rocky substrates, faulted or volcanic bottoms,

•

buoy

proce-

the site correctly. Dis-

crepant measurements are most likely to occur

and

all

dures, the divers

tends to push the diver into the bight.

of undersea features are dis-

crepant, divers can be used to inspect the

be inves-

because most drags are run with the current, which

Resolving Sounding Discrepancies

When measurements

to

tied off to the

outside the bight of the wire. This

8.7.3

pulls loose,

it

can sever the diver's fingers.

The objects on which the wire hangs;
The least depth over the obstruction; and
The highest protrusion that could be caught from
any direction.

recorded.

The

the obstruction; this procedure requires the divers to
leave the wire. If the obstruction

depth when they enter the bight. Once the least depth
is found, the divers record the depth and determine whether the high point could cause the ship to
hang at any point. If the object is intact or is a candi-

point

date for recovery, the divers select a suitable place to
tie

off a small buoy.

The buoy must be tied off inside
away when the drag wire is

the bight so as not to be torn

recovered.

The depth information recorded
the equipment involved
is

in

the removal of minor obstructions. Another

task performed by divers

verified by a

is

surface-tended pneumatic pressure gauge. Because

Divers also can identify underwater features that pose

assist

not substantial, the

is

divers should be several feet above the obstruction's

a hazard to fishing nets and trawling or ground tackle

and

is

divers then try to find the least depth of

is

assessing the areal extent

is

cumbersome,

this

technique

rarely used during the initial investigation.

tively

calm seas and slack current,

a lead line

In rela-

may

be

used to verify depth information.

of wreckage. If the least depth cannot be determined

Because divers following a wire do so

in single file,

it

accurately, the approximate depth needed for clear-

is

easy for one diver to lose track of his or her buddy.

ance

A

buddy-check should therefore be carried out every

is

sought.

Divers need to exercise extreme caution

when work-

ing around wire drag hangs because, in addition to the

October 1991

— NOAA

Diving Manual

50 feet (15.2 m);

this

procedure also

entanglement when there

is

poor

may

prevent diver

visibility.

8-25

Section 8

Figure 8-18
Salvaging an Anchor
With Lift Bags

NOTE
Wire-drag support diving should be done
only by experienced divers who are well
trained in the techniques and fully aware
of the hazards involved.

SALVAGE

8.9

Salvage of a ship or craft,

cargo, or

its

equipment

its

requires a knowledge both of the technical aspects of

recovery and the legal aspects of ownership of the
salved items and claims for salvage.
recovers a ship or craft or

its

ment with the owner must

A

salvor

who

cargo without prior agree-

file

a claim in the United

States District Court nearest to the port in which the
salved items are landed.

Salvage techniques vary considerably with the

size,

and condition of the item to be salved, the depth
of the object and seafloor conditions, and the equipment available to conduct the salvage. Salvage techvalue,

niques that are used

commonly

winch or crane, floating

lifts

are direct

lifts

Photo by Geri Murphy

using a

using a device to compen-

from the container; this will displace more water
and may increase the speed of ascent to an uncon-

buoyancy of the ship or craft, and
repairing and restoring the inherent buoyancy of the
sate for the negative

salved object

trollable rate;

itself.

Individual divers often salvage instruments or instru-

ment

arrays, anchors, or other small structures. In the

•

The weight

of the object in water

is

amount equal to the weight of the water

reduced by an
it

displaces.

majority of these cases, the diver simply carries the
item to the surface. In other situations, the diver atta-

ches a flotation device (Figure 8-18)

or, for

items, a line or wire that will facilitate a direct

heavy
lift

to

8.9.1 Lifting

Many

Devices

objects can be used as lifting devices, includ-

ing a trash can or bucket inverted and tied to the

the surface.

In

some salvage operations such

excavations,

it

may be

necessary to clear bottom sedi-

ment from around the item before
This procedure

is

as archeological

it

can be recovered.

necessary to ensure that the item

free of entanglement.

A

water

jet or air lift

is

commonly

used to clear away entangling debris (see Sec-

is

bag placed in a net bag, a 55-gallon oil
drum, or a commercially available lift bag (shown in
Figure 8-18). If the object is lying on a soft bottom, it
may be necessary to break the suction effect of the
mud by using high-pressure hoses or by rocking the

object, a plastic

object back and forth; a force equal to 10 times the

may be necessary to break it free.
Raising and lowering can be accomplished with
commercially available lift bags of various sizes and

weight of the object
tion 9.12.2).

When

working with heavy or overhead items with
under tension, divers must develop

cables, lines, or chains

lifting capacities or

a sixth sense for safety. Divers should avoid positioning

themselves or their umbilicals under heavy objects
that might fall or placing themselves above lines that
are under tension. The buoyancy or the weight of water
displaced from a container by the compressed air necessary to raise an object

is

equal to the weight of the

object in water plus the weight of the container.

It

is

important to remember that:
•

The container should be vented

•

The air will expand if the object is raised from the
bottom before all the water has been displaced

air

8-26

from rupturing

to prevent excess

it;

tubes.

One

with ordinary automobile

regular-sized inner tube will

tire
lift

inner

about

100 pounds (45.4 kg). The tube or tubes are rigged with
them together and with the

a short loop or rope holding

valves pointing toward the bottom. (The valve caps

and cores must be removed.) A rope loop is attached to
the object to be lifted and is then pulled down as close
to the object as possible, because inner tubes have a
tendency to stretch to about twice their original length
before lifting starts. An ordinary shop air nozzle with a
spring-loaded trigger

is

attached to a short length of

low-pressure air hose and

is

then plugged into the

low-pressure port of a single-hose regulator first-stage

NOAA

Diving Manual

— October 1991

Working Dive Procedures

mechanism. This device

is

attached to a separate air

cylinder for transport to the work
nozzle

The end

site.

of the

and pushed so
and the object

inserted into the tire valve opening

is

The tube

that air will not escape.

fills,

Care must be taken to leave the
valve open, because the expanding air on surfacing
rises

to the surface.

the object cannot be lifted to the surface directly

If

by winching or lift devices, the rise of the tide can be
used if a large vessel or pontoon is available. At low
connected tautly to the object and the

tide, lines are

surface platform; as the tide

rises,

the load rises with

it.

could burst a closed system. With practice, objects can

Every salvage project must be planned and executed
Novice divers should not attempt under-

be raised part-way to the surface and moved under

individually.

kelp canopies, etc., into clear water, where they can be

water salvage tasks for which they are not properly

surfaced and towed. Divers using this technique should

trained or equipped.

accompany

try to

the object to the surface and should

way expose themselves

not stay on the bottom or in any

drop or ascent path of the object. This technique

to the
is

8.9.2 Air Lifts

An

especially useful to biologists lifting heavy bags of

Although the innertube method works, commercially
for

lift

bags are preferred. These bags are designed

heavy duty use, come

from 100

to

20,000

lbs

in a variety of sizes

(45.4-9080 kg) in

and have built-in overpressure
valves.

They

ranging

and/or

dump

and readily trans-

also are lightweight

weighs only 6 lbs (2.7 kg), and a 1/2-ton-capacity bag
weighs only 14

mud, and similar materials from the holds of
some cases of
stranding, an air lift may be used to clear away sand

mud from the side of the vessel (Figure 9-39);
An air lift works on the pressure-differential princi-

and
ple.

Air

introduced into the lower end of a partially

is

submerged

pipe.

The combining

of air bubbles with the

liquid in the pipe forms a mixture that

is

less

dense

than the liquid outside the pipe. The lighter density

head pressure inside the pipe than outwhich causes the mixture to rise in the pipe. The
amount of liquid lifted depends on the size of the air
lift, submergence of the pipe, air pressure and volume
side,

lifting

an object, the

bag should be inflated

lift

Inflation should cease as soon as the object begins to
off the bottom.

rate of ascent
to lose control.

may

Because

expands as

air

it

rises,

Loss of control
tip

is

over

dangerous, and

when

it

it

used, and the discharge head.

the

increase rapidly, causing the diver

can cause the bag to

also

An

to the

bottom. The bag's

dump

valve, therefore,

should be used carefully to control ascent.

discharge pipe and a foot

The

size of the discharge pipe

ranges from approximately 3 to 14 inches (7.6-35.6

reaches the

surface, spilling the air out and sending the object

air lift consists of a

piece or air chamber.

in

back

mixtures of water, grain,

lift

results in less
lbs (6.4 kg).

slowly from a spare scuba cylinder or other air source.

lift

used to

ships during salvage operations. In

lifting capacity,

relief

portable, e.g., a bag capable of lifting 100 lbs (45.4 kg)

When

is

sand,

specimens.

available

air lift

done and the service intended. The air chamber
should be located approximately 20 to 30 inches
(50.1-76.2 cm) from the end of the pipe. Table 8-3

may

be used as a guide

charge pipe and

WARNING

air available

An

Do Not Use Your Buoyancy Compensator as
a Lifting Device While Wearing the Compensator

cm)

diameter, depending on the amount of work to be

in selecting the size of dis-

air line, taking into consideration the

and the job

to be done.

air lift operates as follows: the

submerged

in

the mixture

discharge pipe

to be lifted to a

approximately 50 to 70 percent of the

total length of

The air is turned on, and the lifting operation
commences almost immediately. Occasionally, considerthe pipe.

able experimentation
In addition to the type of

lift

bags shown

in

Fig-

amount of

is

necessary to determine the

air required to

operate the

lift

efficiently.

ure 8-18, special computer-controlled lifting systems

The use

of air lifts in archeological excavation

have been developed for large salvage jobs (Kail 1984).

described

in

These systems are relatively insensitive
velocities to be held constant

even for loads as great as

Such systems can be used

for

October 1991

8.10

emplacing and

retrieving heavy instrumentation packages as well as
for salvage.

is

Section 9.12.2.

to surface

weather conditions and permit both ascent and descent
15 tons.

is

depth of

FROM AN UNANCHORED
PLATFORM
DIVING

Diving from an unanchored barge, small boat, or
can be an efficient method of covering a large

vessel

— NOAA

Diving Manual

8-27

Section 8

Table 8-3
Selection Guide For Discharge Pipe and Air Line

Diameter of
Pipe, inches

Diameter

Compressed

of

3
4
6
10

Cubic

Gallons per
Minute

Air Line, inches

.50

50--75

.75

90- -150

1.25
2.00

210--450
600- -900

Feel: of

Air

15-40
20-65
50-200
150-400

Source:

area for search or survey purposes.

towed from a boat that
referred to as liveboating.

diver but the diver

is

is

When

a diver

is

under way, the technique

is

When

liveboating

is

(1979)

used, the following safety pre-

cautions are recommended:

a boat accompanies the

not attached to the boat and

being propelled by current alone, the technique
drift diving.

When

NOAA

is

is

•

boat should be equipped with a "jet

propeller.

There are procedures and safety precau-

tions that apply to both kinds of diving; these are

If possible, the

dive" propulsion system, which has no rudder or

called

•

If the

boat

equipped with a propeller, a propeller

is

cage or shroud should be fabricated to protect the

described below.

divers.
•

WARNING

A

communications system should be

practiced prior to diving.

When

Liveboating or Drift Diving, the Engines
of Both the Small Boat and Large Vessel (if
Any) Should Be in Neutral When the Divers
Are Close to the Boat or Are Entering or Leaving the Water

tow or descent
•

Liveboating
Some underwater tasks require great distances
covered in a minimum amount of time. These
include inspecting a pipeline, surveying a habitat

searching for a

lost

to be

tasks

Free-swimming divers are inefficient at carryand quicker methods of search or

survey are needed. Devices such as
sion units,

swimmer

to

Divers being towed should carry signal devices

from the boat and tow line.
Unless there is danger of entanglement, the divers
should carry a surface float to assist the boat crew
in tracking them. The float line also can be used
If diving

If diving

A

•

another method

of searching a large area. This technique

is

called diver

The boat should be equipped with

and vary their depth according to the contour of the
bottom, which allows them to make a closeup search of
the area over which the boat is traveling.

•

8-28

and

all

charts, radio,

and resuscitator, emergency

air sup-

equipment required by the Coast Guard

The boat operator should know the procedure
alerting the Coast Guard in case of an accident.

for

All personnel on board should be thoroughly briefed

on the dive plan.

One

Liveboat Divers Should Be Careful to Moniand Control Their Depth to Avoid Developing an Embolism

aid kit

for safe boating operations.
•

tor

with surface-supplied equipment, one

ladder or platform should be available for

ply,

towing; the divers hold onto a line attached to the boat

WARNING

on the bottom.

with scuba, two divers should be towed

boarding.

first
is

weather

become separated

the boat suited up and ready to dive.
•

increase diver efficiency.

Towing a diver behind a small boat

from the

diver should be towed while the other remains in

propul-

wet subs, or towed sleds may be used

line separate

together.
•

wide area, or any number of similar opera-

ing out such tasks,

A

may be employed.

for signaling the divers while they are
•

site,

instrument, observing fish popula-

line

conditions such as fog, in case they

8.10.1

tions.

up between

(whistle, flare, etc.) especially in adverse

•

tions over a

set

the diver and the boat, with signals agreed on and

and inexpensive method of liveboating
single towline with loops, a tow
bar, or a fluked anchor for the divers to hold. Divers
using such an apparatus should be towed at a comfortable speed that will not dislodge their masks. The
height above the bottom at which the divers travel is
practical

involves the use of a

NOAA

Diving Manual

— October 1991

Working Dive Procedures

controlled by the speed of the boat and the ability of

length of the towline from the position of the surface

the divers to arch their bodies and to plane up or down.

boat at the time of observation.

A

back to a
yoke with a short line for each diver works best. There
should be two crew members in the tow boat, one to
single towline, rather than a bridle, leading

operate the vessel and the other to watch for surfacing
divers and to keep the towline from fouling in the boat

In areas

may

where entanglement

not a problem, divers

is

wish occasionally to drop off the towline during

A

traverses to investigate objects of interest.

m)

(13.4

50-foot

return line attached to and trailing behind the

aquaplane can be used

to

permit a diver

who drops

propeller.

the sled to grasp the line and return to the sled.

The equipment necessary for towing divers is readily
available. The boat should have at least a 30-hp engine
and should be large enough to accommodate three or
more people and the diving equipment. A towline of
1/2 or 5/8 inch (1.3 or 1.6 cm) nylon line about
200 feet (61 m) long used with about 75 pounds

important for those

(34 kg) of weight permits divers to reach depths of
to

90 fsw (27.4 m). The towing weight should be

made

of two or three pieces of lead, steel, or concrete.

up

Three 25-pound (11.3 kg) lead

balls are ideal

are doing, especially
to

hang up on
1/2 inch (1.3 cm)

submerged objects. A return line of
nylon 50 feet (15.2 m) long should be tied to the
towline at the weights. Polypropylene line should not

be used because
trail

it

is

buoyant. The return line will

behind the towed divers, who hang onto the

towline at or near the weights.

Any time one

diver leaves the towline, the partner

should monitor the departing diver's actions until he or

made

she has again

contact with the return

line. If

the

may

aquaplane released by

sled or

downward by

Some tow

itself

and

have a small wire

rigs

built into the towline, with a

waterproof pushbutton

switch, so that the divers can

communicate by buzzer

with the tow boat.

One

of the best

methods of towing

divers, especially

they intend to drop off the towline,

arm

is

to

equip each

of the yoke with a large cork float, such as those

used on fishing nets or mooring pickup poles. The diver
merely straddles the cork and hangs onto the

The towing

pull

is

ahead.

line

then between the legs and not on the

hands and arms. Maneuvering by body flexing

easy,

is

and when the divers wish to leave the line they merely
release their grip and spread their legs, allowing the
cork to

rise rapidly to the

know

boat

surface to

let

the divers are off the line.

personnel

As soon

the

in

as the

cork breaks the surface, the boat stops, backs up along
the line to the cork (the boat

abandon the towline and both divers must surface

line to the boat),

must not

pull the cork

and hovers, with the engine

and

in neutral,

near the bubbles until the divers surface. The divers

Another liveboating method uses the aquaplane (Fig-

The simplest

ure 8-19).
tilted

is

the divers

they intend to drop off the line

A

diver fails to regain the return line, the partner must

together.

know what

boat to

continue planing

crash into the bottom.

because

less likelihood that a ball will

is

if

observe the bottom.

a diver

if

there

in the

off

It

downward

is

a

shown

that,

when

the tow. Experience has

dynamic

thrust

danger of losing the bubbles using

board

corresponding pull on the towing cable.

to counter the

The addition

version

or sideways, provides a

can then hand over samples, relate findings, and resume

of a broom-handle seat and proper bal-

that there
this

or no

little

is

method, because

the relatively slow towing speed of the boat allows the

cork to surface within seconds of being released.

The

ancing of the towing points permit one-handed control

cork should surface at a point very close to the place

of the flight path.

With an aquaplane, which can be
few hours from off-the-shelf materials, a
team of divers can be towed behind a small boat; as

where the divers dropped off the

made

not used and

in

a

with other towing methods, the

maximum

be such that the diver's mask

not torn off.

is

speed must

The

dive

team may operate either in tandem off the same board,
which requires some practice and coordination, or each
diver

As

may have
in

the

traverse (see Section

the diver keys observation to time.

10.16.5),

At the same time,

a

surface attendant notes the location of the tow boat or
escort boat as

it

line.

moves along the traverse, with horimarking locations versus time.

to be

is

a

lowered slowly and carefully overboard, so as not

to hit the divers below.

The towboat should stand by

vents the surface boat from being carried

at

away from

the survey area by current or wind.

The scope
and

in

of the towline

may

be as

much

as 10-to-l,

deep water this could place a diver far behind

Later, the position of the diver at times of recorded

earlier, the

observations can be determined by subtracting the

the diver

Diving Manual

is

chance that they are temporarily lost. In this case, a
standby buoy with an adequate anchor should be ready

the tow boat. If a weighted line

— NOAA

method

bubbles cannot be seen from the tow boat, there

zontal sextant angles

October 1991

If this

after the divers drop off a tow, their

the buoy until the divers surface. This technique pre-

a separate board attached to a yoke.

swimming

if,

is

is

used, as described

scope can be reduced to about 4-to-l.
a long distance

behind the tow boat,

If

a

8-29

Section 8

Figure 8-19

Aquaplane

for

Towing Divers

Source: iMOAA (1979)

safety boat

may be

used to follow the towed divers to

them if they become separated from the towline.
Whenever a towing operation is planned, regardless
of the equipment or method used, it is advisable to
assist

conduct a series of practice runs to determine the best

combinations of boat speed, towline-yoke length, and
diver-boat signals.

Although towing

is

a useful

way

of terrain, there are limitations

technique.

It

is

to

especially cautious to keep the umbilical clear, and
positive

may wish

The

system that
allows monitoring of the diver's communication. If
diver-to-surface communication is interrupted for any
reason, the engines must be stopped.
bridge also

to incorporate a

cover a great deal

and drawbacks

difficult to take notes or

to this

photographs

8.10.2 Drift Diving

while under tow, unless enclosed sleds are used. There

may

communications must be maintained between

the bridge on the large vessel and the tender.

be considerable drag on the body, so one should

Drift diving

area

when

is

used occasionally to cover a large

there are strong currents. Divers are put

hands should not be used for anything but holding on.

water upstream and drift with the boat, which
buoy with a clearly visible diver's flag. If the
operation must be conducted in heavy currents, divers

Sample bags, cameras,

should enter the water as far upcurrent as necessary

not carry bulky equipment either in the hands or on the

weight

belt.

Until the diver leaves the towline, the

should be attached to the

etc.,

towline with quick-release snaps.
to

The amount

of work

be accomplished and the equipment to be carried

can be determined

in

predive practice.

into the

trails a

and

drift

with the current, holding onto a line attached

to the drifting boat. Drift diving

only

when observers

should be carried out

in the drifting

boat can see the

Liveboating also can be used when surface-supplied

diver's bubbles. If the drift involves a large vessel, a

umbilical systems are provided.

Under such conditions,
must be slow (0.5-1.5 k (0.25-

small boat should be used to track the divers and to

the speed of the boat

pick them up.

As with

liveboating, drift divers should

0.75 m/s)), carefully controlled, and determined by the

carry appropriate signaling devices (see Section 8.10.1).

experience of the divers. Precautions must be taken to

During pickup, the boat operator should not (except
an emergency) approach the divers until the entire
dive team is on the surface and has given the pickup

avoid fouling the diver's umbilical in the propeller.

Generally, the propeller

is

covered by

a specially

in

The

constructed wire or metal rod cage, and the umbilical

signal.

"buoyed" so that it floats clear of the stern. When
liveboating from a large vessel, it may be desirable to
tow a small boat behind the vessel and to tend the
towed diver from the smaller boat. The tender must be

side the dive party on a

is

8-30

boat's operator should bring the boat along-

downwind

or downcurrent side,

and the dive tender should assist the divers aboard. In
all cases, the boat's motor should be in idle during
pickup, with the propeller in neutral.

NOAA

Diving Manual

— October 1991

Working Dive Procedures

WARNING

explosion, losing

its

intensity with distance.

pressure waves follow the

Liveboating or Drift Diving Should Never

Be

Conducted With Inexperienced Personnel

UNDERWATER DEMOLITION AND
EXPLOSIVES

Many underwater

Less severe

shock wave very

closely.

For an extended time after the detonation, there is
considerable turbulence and movement of water in the
area of the explosion.

8.11

initial

Many

factors affect the intensity

of the shock

wave and pressure waves; each should be

evaluated

terms of the particular circumstances

in

in

which the explosion occurs and the type of explosive

tasks require the use of explosives.

Several different types of explosives are available, and

involved.

Type of Explosive and Size of

the Charge.

Some

these can be applied in a variety of ways. Because

explosives have high brisance (shattering power

explosives are powerful and dangerous tools, they should

power at
long range, while others have reduced brisance and
increased power over a greater area. Those with high
brisance generally are used for cutting or shattering

be used only by trained personnel.

To achieve accurate

underwater applications, the explosive must

results in

be selected carefully and positioned properly.

immediate

in

the

vicinity of the explosion) with less

Explosives are used under water to remove obstruc-

purposes, while low-brisance (high-power) explosives

open new channels or widen existing ones, and

are used in depth charges and sea mines, where the

tions, to

to cut

through

or cables.

steel,

They

concrete, or

wooden

pilings, piers,

are also used to trench through rock or

coral.

Explosives suitable for underwater use include primacord, various gelatins, plastics, precast blocks,
liquids.

Such

and some

charges are relatively safe to use

if

the

target

may

not be in immediate contact and the ability

damage over

to inflict

a greater area

is

an advantage.

The high-brisance explosives therefore create a highlevel shock wave and pressure waves of short duration
over a limited area. High-power explosives create a
less intense

shock and pressure waves of long duration

manufacturer's instructions are observed and general

over a greater area.

safety precautions for explosives handling are followed.

sive to be utilized

Bulk explosives (main charges) generally are the most

use to estimate the type and duration of the resulting

stable of the explosive groups; there

shock and pressure waves. The principal characteris-

less stability

progressively

is

with the secondary (primers) and

tor (detonators/blasting caps) groups.

initia-

Initiators

and

tics

of the most

shown

tion are

in

The

characteristics of the explo-

need to be evaluated carefully before

commonly used
Table

explosives for demoli-

8-4.

secondary explosives always should be physically
separated from bulk explosives.

WARNING

WARNING
Only Properly Trained and Certified Personnel Are Permitted to Handle Explosives

An underwater

explosion creates a series of waves

that propagate in the water as hydraulic shock

waves

hammer") and in the seabed as
seismic waves. The hydraulic shock wave of an underwater explosion consists of an initial wave followed by
further pressure waves of diminishing intensity. The
initial high-intensity shock wave is the result of the
(the so-called "water

and liberation of a large volume of gas,

violent creation
in

the form of a gas pocket, at high pressure and tem-

perature. Subsequent pressure waves are caused by

Before Any Underwater Blast All Divers Should
Leave the Water and Move Out of Range of
the Blast

If a

diver must remain in the water, the pressure of

the charge a diver experiences from an explosion

must

be limited to less than 50 to 70 pounds per square inch
(3.5-4.9

kg/cm 2 ). To minimize

pressure wave effects,

up a position with feet pointing
toward the explosion and head pointing directly away
from it. The head and upper section of the body should
be out of the water, or divers should float on their back

a diver should also take

with their head out of the water.

rapid gas expansion in a noncompressible environment,

For scientific work, very low-order explosions are
occasionally used to blast samples loose or to create

which causes

pressure waves through substrata. Each use must be

a

sequence of contractions and expan-

sions as the gas pocket rises to the surface.

The

initial

dangerous;

it

high-intensity shock wave is the most
travels outward from the source of the

October 1991

— NOAA

Diving Manual

evaluated

in

terms of diver safety and protection. Bot-

tom conditions, the degree of the diver's submersion,
and the type of protection available to the diver can

8-31

Section 8

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Diving Manual

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— October 1991

4

Working Dive Procedures

Figure 8-20

Underwater Cameras
modify the effects of an explosion and must be considered

in

Divers also should be cautioned against diving
vicinity

A. Watertight

Camera

planning a dive involving the use of explosives.

when sub-bottom

air or

high electrical discharges

8.12

UNDERWATER PHOTOGRAPHY

Scientists can use three

in the

profiling using high-pressure
is

being conducted.

methods

to

document under-

water events: written records, tape recordings, and
photography/television. This section describes the use
of photography and television in underwater work.

Courtesy Nikon

Either diver-held cameras or remotely operated cam-

eras can be used, and each has certain advantages.

Diver-held cameras allow the photographer greater
mobility and permit

more precise positioning

B.

Standard Camera

in

Watertight Housing

in rela-

tion to the subject than can be achieved with remotely

controlled cameras.

On

the other hand, the remote

camera disturbs underwater subjects

than the pres-

less

ence of a diver, and such cameras can operate at depths
difficult for divers to reach.

8.12.1 Still

8.12.1.1

Photography

Lenses and Housings

A 35-mm

camera

is

a

good starting point

for under-

water photography; cameras of this type can then be
modified as necessary to meet task requirements.
categories of

camera can be used under water:

ments specifically designed

to

operate

Two
C. Motor-Driven

instru-

and Motor Winder Camera

in

Watertight Housing

the sea and

in

that have water-tight sealing, such as the Nikonos®, or

cameras designed for air use that are then housed in a
watertight casing (Figure 8-20). Cameras designed

underwater use are easily portable and are relacameras that have
been adapted for underwater use are more versatile
for

tively simple to use, while land-use

because they can be modified

The choice
water

is

of lens for any

easily.

camera

to be

used under

dictated by the required field of view and the

Because the distance from camera
must be short compared with that in air
(Figure 2-5), a photographer who wishes to photograph a
broad expanse must use a lens that has a wide degree of
clarity of the water.

to subject

A

coverage.
visibility
ity,

is

good rule of thumb

is

Ikelite

Underwater Systems

that photographic

only about one-third as good as eye visibil-

which means that

Courtesy

a wide-angle lens

is

an impor-

tant tool even in clear water.

Wide-angle lenses create optical problems

of water require that wide-angle lenses be corrected

before they are used under water; a correction for
underwater use can be designed into the lens formula

under-

(an expensive but effective approach), or corrective

used through a plane parallel port

ports can be placed in front of the lens. Attaching a

facing the water, these lenses produce distortions and

Plexiglas® dome (part of a hemisphere) and making
an allowance for closer focusing of the lens than is

water use.

When

color aberrations, narrow the angle of view,

sharpness at the periphery.

October 1991

— NOAA

The

in

and

lose

optical characteristics

Diving Manual

necessary

in air solves

the underwater wide-angle lens

8-33

Section 8

Figure 8-21
Basic Equipment for Closeup

and Macro Photography
Locking Screw

problem
ter

at lesser cost.

Several commercial underwa-

Support Rod

Wire Framer

housings have built-in corrective capabilities, and

Locking Screw.

sealed cameras can be fitted with lenses that range

from 15

to

mm in width.

80

Close-Up Lens

When

close-up photography of small objects is
required, a plane parallel port coupled with lenses of
longer focal length is useful. This type of photography

demands ground

9.25 Inches
(23.4 cm)

glass focusing for precise framing,

whisker sharpness of the image, a lens that can focus
closely on the object,

and

at least

one light source

Locking Knob

coupled to the camera. Plane parallel ports are helpful

when using

a longer lens

because they enhance the

telephoto effect without noticeably destroying the
sharpness or color quality of the picture. For example,

A

Locking Screw

/

i

the use of a Nikonos® close-up kit with a standard
35

mm

lens allows clear pictures to

be obtained

distance of 9.25 inches (23 cm); with the 35

Locking Screw
at a focal

mm

lens

must be 33 inches (84 cm). This
achieved through the use of an optically

alone, this distance

ability

is

matched auxiliary magnifier

lens that

is

Framer Bracket
A.

Closeup

placed over

Extension Tube

Lens

Wire Framer

the primary lens.

Another method of obtaining close-ups

is

macro

photography. This technique involves placing an exten-

between the camera's body and the lens to
A framer extension is attached
in front of the lens to ensure proper framing and focal
distance, which allows pictures to be obtained at distances as close as 2.5 inches (6.3 cm) from the subject.

sion tube

extend the focal length.

In addition to the high magnification,

raphy offers maximum color saturation, sharp focus
due to the strong flash illumination, and minimal sea
water color filtration because of the short focal distance (usually 3-7 inches (7.6-17.8 cm)). Figure 8-21

shows the basic equipment needed for closeup and
macro photography.

Unmodified off-the-shelf underwater cameras or
simpler housings for air cameras only permit a photographer-scientist to

work

in the

mid-distance range;

although useful data can be collected at this distance,
long distance, closeup, and

Courtesy Geri Murphy

macro photogB.

Macro

life.

In comparison, the ground glass focusing of the

housed camera and
ers to

its

longer lenses allow photograph-

work farther away from

their subjects.

The under-

water photographer must weigh the advantages and
disadvantages of each technique to determine which is
most suitable. An excellent series of articles comparing closeup and macro photography was recently
published in Skin Diver Magazine

(Murphy 1987-1988).

macro photography can

provide valuable additional information. Well-designed

and engineered housings for air cameras are heavier
and bulkier and require more maintenance than sealed
underwater cameras; however, housed cameras can be
more flexible and have a broader range of wide angle
and closeup capabilities than underwater cameras.
Another disadvantage of sealed cameras is that the
diver must work within a rigidly defined distance from
his or her subject and must rely on mechanical framing
rods to determine distance. Few fish will tolerate a
metal framing rod in their territory, and these rods
often cause unnatural behavior in fish and other marine

8-34

8.12.1.2 Light

and Color

Light and color go hand in hand in underwater pho-

tography (Figure 8-22). Color films balanced for either
daylight or tungsten light are relatively blind to the
color subtleties that the eye can distinguish within the

blue and green spectra of water.

When

light in shallow depths, filtration offers

sation.

A

using^ available

some compen-

color-correction filter (Table 8-5) over a

up enough so that a certain
amount of color is restored. The color red disappears at
approximately 22 feet (6.7 m), orange vanishes at
lens will break blue color

NOAA

Diving Manual

—October 1991

Working Dive Procedures
Figure 8-22
Diurnal Variation of
Light

Under Water

When

the sun

is

90° above the

is only reflected
by three percent as it enters the
water; nearly all the light will be
transmitted below the surface.

horizon,

0sable

its

light

Angle of Sunlight

Low-angle sunlight

is

nearly

totally reflected by the water's

surface.

Water

s

surface

Source:

NOAA

(1979)

approximately 40 feet (12.2 m), and yellow disappears

(Murphy

approximately 80 feet (24.4 m) of water, and no
filtration of the lens can restore it (Figure 8-23). Color

absorption and transmission of light under water, see

at

correction filters that selectively subtract ultraviolet
light

and correct the blue

readily available

(Murphy

shift

found

in

seawater are

1987). These filters, which

1987). For additional information on the

Section 2.8.
Artificial light

illuminates underwater situations and

also brings out the color inherent in the subject.

effective in water, artificial light

are designed and color-balanced for available light at

closer to the subject than

depths ranging from 15-50 feet (4.6-15.2 m), can be

The

attached to and removed easily from the camera while

under water. Because such filters subtract from the
of light reaching the film, however, slightly

amount

longer exposure times are required

October 1991

— NOAA

when they

Diving Manual

are used

To be

must be used much

would be necessary

in air.

and more powerful the light, the more it will
compensate for the inherent blue of seawater. By varying distance and power, different balances can be
obtained; a water-blue background with a slight hint
of color can be achieved as easily as brilliantly illumicloser

8-35

Section 8

Table 8-5
Color Correction

Figure 8-23
Selective Color Absorption
of Light as a Function of Depth
in Clear Ocean Water

Filters

(
Exposure

Underwater path
length of the

increase

Filter

light (feet)

1

CC
CC
CC
CC
CC
CC

.

2

.

5

.

8

.

12

15

05R
10R
20R
30R
40R
50R

1/3
1/3
1/3

2/3
2/3
1

For distances of greater than 15 feet (4.5 m), composite
the appropriate

number

stops

in

of

units

filter

filter

with

can be used.
Adapted from

NOAA

(1979)

nating the subject and completely obliterating the water
quality.

Many good electronic flash units are made for underSome offer an underwater wide beam for use
with wide-angle lenses, others a narrow beam that
may penetrate the water column more effectively. (For

water use.

a

list

of underwater strobe units, see Table 8-6.)

variance in exposure
is

when using

The

different strobe units

caused by:
•
•
•
•

The light beam angle;
The strobe reflector material;
The watt-seconds; and
The guide number of the strobe.

Most strobes designed

underwater use come with

for

an exposure guide (see Table

When

i

8-6).

using macro photography under water, divers

have a choice between manual and through-the-lens
(TTL) flash systems. Although each has its advantages
and disadvantages, the manual system is less expensive, has underwater quick-disconnect features, and
offers better exposure control. In general, the

system

is

manual

method for macro photograsystem does, however, have

The automatic TTL
some advantages. For example, because the length of
the flash is controlled by the amount of light reflected
from the subject back through the lens, the system
automatically compensates for varying distances and
phy.

reflectivity.

This system also provides a visual signal

confirming that the correct exposure was used. Auto-

TTL

systems can be switched readily to the
manual mode as needed; Table 8-7 lists some TTL
mini strobes that are suitable for macro photography.

matic

Tests should be
ous speeds.

It

is

8-36

amount

of blur caused by

of the camera during exposure.

Table 8-8 lists exposure compensations for underwater photography that should be used as a starting
point for work with adjustable cameras. These recommendations are based on the following conditions: bright
sunshine between 10 a.m. and 2 p.m., slight winds, and

availa-

other factors can significantly affect photographic

These shutter speeds should freeze

important to conduct tests before

advisable

possible.

movement

1/100 or 1/125 of a

before the dive to establish

when shooting with

ble light to use shutter speeds of
if

the action and reduce the

about 50 feet (15.2 m). The
degree of visibility, the amount of particulate matter
in the water, the reflective qualities of the bottom, and

made

correct exposures with any unit that uses films of vari-

second,

Derived from Church 1971
Derived from Church (1971)

the preferred flash

underwater

results,

visibility of

and thus

it

is

NOAA

Diving Manual

— October 1991

(

Working Dive Procedures
Table 8-6

Manual and Through-the-Lens
(TTL) Strobes for Closeup

Photography

Mfg.

Akimbo

Head

Weight

Model

Size

In Air

Subatec
S-100

6 x 3.5"

2.75

lbs.

Beam
Depth Beam
Tested Angle Spreader
500

ft.

96

No

Color

Temp.

Batteries

Removable

4,500 K

Rechargeable
Pack

Power No. of Recycle U/W Slave TTL
Modes Flashes Time Guide Mode Mode

Subatec
S-200 TTL

6 x 3.5"

2.75

lbs.

500

ft.

96

No

Removable

4,500 K

Rechargeable
Pack

Scuba
Helix

Helix

Ikelite

Ikelite

Whale Strobe
TTL

7 x 4"

Aquaflash
28

6 x 5"

Aquaflash
28 TTL

6 x 5"

Substrobe
150 TTL

10 x 6"

2.3 lbs.

165

ft.

65

Ikelite

Yes

4 AA
Dry Cells

5,600 K

(95)

II

3.8 lbs.

165

ft.

65

Yes

5,600 K

6

3.8 lbs.

165

ft.

65

Yes

5,600 K

10 x 6"

8

lbs.

lbs.

300

300

ft.

ft.

110

110

No

No

Nikon

SB-103

7

x4"

2

lbs.

160

ft.

65

Yes

5,500

Nikon

SB-102

8.5 x 5.5"

4.3

lbs.

160

ft.

79

Yes

Oceanic

3000 Master

See
& Sea

YS-150

See
& Sea

YS-100 TTL

9 x 5.7"

9.5 x 5"

6 x 4"

4.8 lbs.

5.4 lbs.

2

lbs.

300

350

200

ft.

ft.

ft.

110

100

65

No

No

Yes

Subsea

11 x

6"

8.5 lbs.

350

ft.

150

No

Yes

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

Yes

Yes

No

8

Full

130

7 sec.

32

1/4

450

2 sec.

16

Full

80

10 sec.

40

1/4

300

sec.

22

10 sec.

1

1

1

11

Full

80

1/4

300

1

150
300
600

6 sec.
3 sec.
2 sec.

22

125
250
500

6 sec.
3 sec.

32
22

2 sec.

16

130
450

12 sec.
4 sec.

24

sec.

5.6

1/4

1/2

4 AA
Dry Cells

Full

1/4

1/4

sec.

16
11

12

1/16

1,400

6C

Full

33

1/4

120
400

14 sec.

Dry Cells

5 sec.

16

1/16

1,200

2 sec.

8

350
650

3 sec.

22

sec.

16

100
200

5 sec.

22

3 sec.

16

5,500°K

Built-in

High

Rechargeable
Pack

Low

1

1

Removable

Full

Rechargeable
Pack

1/2

4 AA
Dry Cells

Full

130

12 sec.

1/2

12 sec.

32
22

12 sec.

16

1/8

250
450
900

12 sec.

11

150
100
50

175
250
325

5 sec.

22

3 sec.

16

5,400 K

(80)

Subsea
Mark 150RG

Yes

11

sec.

1/4

Graflex

Yes

2 sec.

1/4

Full

5,400 K

Yes

16

Removable

5,700 K

40

22

3 sec.

Rechargeable
Pack

(95)

No

4 sec.

1/2

K

Yes

150
250
350
500

1

1/2

Full

(95)

Yes

8

Removable

4,800 K

No

sec.

1/4

Rechargeable
Pack

4,800 K

225 TTL

AA

Yes

16

Dry Cells

6

(95)
7

AA

Dry Cells

(95)

No

22

3 sec.
2 sec.

1/8

Berry

No

4 sec.

1/8

Akimbo

No

150
250
350
500

1

1/2

Removable

5,500 K

Rechargeable
Pack

2 sec.

11

Courtesy Gen Murphy

starting to photograph; these variables can cause

exposures to vary by as

much

as 4 or 5 stops (see

Section 2.8.1.3).

strobe flash systems, flash bulbs (clear bulbs for dis-

tance and blue bulbs for closeups) can
effectively under water (Table 8-9).

still

be used

The longer water

effectively filters the clear bulbs with blue so

October 1991

— NOAA

be aware that the pressure

at great

depth can cause

bulbs to implode; divers have been cut

Although most underwater photographers now use

column

that the light balances for daylight film. Divers should

Diving Manual

bulbs

in

when changing

deep water.

Incandescent lights that are powered either by battery or by a topside generator

and that are a must

motion picture work can also be used

in still

for

photogra-

phy. Incandescent light does not penetrate water as

8-37

'

Section 8

Table 8-7
Through-the-Lens (TTL) Mini
Strobes for Automatic and

Manual Exposure

Manual

Angle

Beam

Color

Guide

Model

(diameter)

(degrees)

Spreader

Temp.

No.

Batteries

No.
Power
Time
Modes (seconds) Flashes

Whale Strobe
TTL

7x4"

65

Yes

5,600 K

32

4AA

Beam
Mfg.

Berry

Scuba

Helix

Ikelite

*

u/w*

Head Size

6x5"

Aqua Flash
28 TTL

Substrobe

MV

Full

7

1/4

2

(95 degrees)

II

5,600 K

Yes

70

6AA

40

1/4

No

65

"

10

Full

(95 degrees)

4.5 x 3.5"

Recycle

5,800

K

20

4

AA

1

5

Full

130
450

80
300

250

Depth
Tested
Extras

(feet)

Confirm

•

165

Signal
•

Test Fire

•
•

Slave
Confirm

•

Signal
Test Fire

•

Inter-

165

300

changeable
sync cords

SB-103

Nikon

7x4"

Sea &
Sea

YS-100TTL

5,500 K

Yes

65

4

24

AA

Full

12

130

1/4

4

450

1/16

1

1,400

(95 degrees)

Speedlight

6x4"

Yes

65

5,400

K

4

32

AA

12
12
12
12

Full

(80 degrees)

1/2

1/4
1/8

Confirm

•

160

Signal

130

•

Slave

250
450
900

•

Audio

200

Ready
Exposure

•

Calculator

Sea &
Sea

*

YS-50 TTL

6x3"

No

72

5,400 K

4

22

AA

10

Full

200

140

*U/W Guide Number based on ISO 50 film with strobe set on full power manual.
'Recycle times and number of flashes based on alkaline batteries. Rechargeable nickel-cadmium batteries produce faster recycle times but fewer flashes.
Courtesy Geri Murphy

Table 8-8

with brackets that permit them to be either mounted or

Exposure Compensation for
Underwater Photography

hand

held.

8.12.1.3 Selection of Film

Number

of f-Stops to

Depending on the quality of the documentation required

Increase Lens Opening

Over Normal Above-Water

Depth

Exposure

of Subject

Just under surface

6 feet

20
30
50

feet
feet
feet

1

m)
(6.0 m)
(9.0 m)
(15.0 m)

1/2f-stops

2 f-stops

(1.8

2 1/2 f-stops

3 f-stops
4 f-stops
Adapted from

NOAA

(1979)

by the diver/scientist, a wide variety of both blackand-white and color films is available (Table 8-10).
The sensitivity of film is measured according to an
American Standards Association (ASA) rating that
ranges for most purposes from 25 to 400 ASA. There
are slower and extra high-speed emulsions available
for special purposes and techniques.
Film is merely a base on which an emulsion of lightsensitive, microscopic grains of silver halide has been
placed. These particles react to light in various ways
that affect the following:

well as electronic or flash bulb light,

and these

lights

are also clumsier to use.

Lighting arms and brackets or extension cords allow

off-camera light to be placed

in

many

positions (Fig-

ure 8-24). Lights should not be placed on the camera

•

Grain, which

is

the clumping of silver halides.

High-speed film clumps more rapidly than slower
film, and enlargements show graininess more than
small pictures. Grain tends to destroy the sharpness

and

detail of a photograph, but

it

can be reduced

or increased in processing.

To obtain sharp

water directly can curtain off the subject matter and

tures, film of the finest grain

should be used, unless

increase backscatter. Underwater exposure meters, pri-

the light

marily of the reflected-light type, are manufactured

necessary.

lens axis,

8-38

because lighting suspended particles

in the

is

insufficient

NOAA

pic-

and a high-speed film

Diving Manual

is

— October 1991

Working Dive Procedures

Table 8-9

Underwater Photographic
Light Sources

Type of

Depth

Lighting

Limit(ft)

Noturol

50

100

to

Control

Accuracy

Light Subject

of Effects

Limiting

of Color

for the

Human

From

Visibility

Rendition

Eye as Camera
Will See If

Light

fair to

poor
(predominantly
green)

very good

scattering

absorptivity

fairly

good

very good

absorptivity

none

Flood

Ability to

Factors

Means

Duration

of

Power
Extent
Requirement of Use

Intensity

Determining
Exposure

good

meter

none

guide number
determined
by experiment

high

(sec)

Remarks

Scattering

continuous

good

at surface

general

but decreases

with depth
/ery

good

relatively low

continuous

scattering

(

general,

2

1

to2kw)

especially
at greater

depths

none

Flash bulbs

absorptivity.

good

fairly

poor

fair

1

50 to

1

100

guide numbers

h.gh

general

self-

scottermg

contained

replace
bulbs

battery

none

Electronic

absorptivity

good

foirly

poor

fair to

scattering

flash

very

good

1

1

1

2

000
000

very high

to

or

Diver must

general

Electronic

guide numbers,

self-

automatic

contained

flash

battery

probably

faster

is

better

than
regular
flash for

use under
water

Adapted from

•

Resolving power, which

the ability of the film to

is

hold fine details; resolving power
the

number

will

record distinctly.

is

measured

•

in

made from
be viewed

the finer the grain, the higher the resolving power.
•

Latitude

the over- and under-exposure toler-

is

ance of a film. Wide-latitude film is best under
water because a picture can be obtained even when
the exposure

film
•

this film,

and the resulting picture can

in its true

perspective shortly after the

Storage and
is

shelf-life.

The storage and

shelf-life

often an important consideration. For

atively high storage temperatures but

may

rel-

shift

with a 4 f-stop variance, while color transparen-

color with aging. Professional films, however, remain

cies of short latitude will tolerate only a

constant in color but must be stored under temper-

A

deviance.
ing

1/2 f-stop

wide-latitude film should be used

whenever a good picture

is

make

ature-controlled conditions.

necessary and bracket-

impractical. Color negative films, which are

is

used to

color prints, offer better latitude

A

fast

film,

such as Eastman Kodak Ektachrome

film that has an

ASA

value of 200, can produce very

than color reversal films, which are used to pro-

acceptable results, with good depth of field at moder-

duce color

ate light levels.

In low light conditions, the effective

ASA

be increased four times to

slides.

Color balance, which
film.

Films are

made

is

to

problem only of color
match the color temperaa

tures of different light sources-daylight, tung-

value

may

ASA

800.

although this film speed requires special processing
(see

Table 8-11). Black-and-white films are available

are color-balanced for outdoor use in sunlight and

ASA of 1200. As
ASA's are approached, however, black-and-white
films lose shadow detail during developing.
When taking underwater pictures with a flash or

for use with electronic flash systems.

strobe, both the f-stop generated

sten, strobe, etc. Processing

and printing greatly

affect the ultimate color balance.

Both color reversal

and color negative films are daylight

•

work under water.

example, over the counter films can withstand

white negative film will allow sufficient exposure

•

still

developed.

is

of film

not exact. For example: black-and-

is

used most commonly for

Slides or black-and-white or color prints can be

related directly to grain:

is

(1979)

Color reversal. Color reversal (positive color) film
is

of lines per millimeter that the film
It

NOAA

Contrast

the difference in density between darkest

is

shadow and
trast

is

brightest highlights.

Under water, con-

low because of the diffused

results, film with high contrast

light. For best
should be used

under water.

October 1991

films; both

— NOAA

Diving Manual

that can be processed to achieve an

higher

by the strobe or flash

and the available light (f number registered on the
light meter) must be considered. In this case, the aperture must be adjusted to accommodate the stronger of the
two light sources or a flash distance must be selected
that will equalize the natural and artificial light levels.

8-39

Section 8
Figure 8-24
Lighting Arms and Brackets
for

Strobe Systems

Hydro Vision International
Photo Cobra Flash Arm

Top: Sea

& Sea YS 100 TTL Strobe

Insert:

Sea & Sea Motormarine

Helix Aquaflush

Nikonos Speedlight SB-102 and SB-103

8-40

28TTL

Insert: Helix Universal

Slave Strobe

Courtesy Sea & Sea, Hydro Vision International, Nikonos®, and Helix

NOAA

Diving Manual

—October 1991

i

Working Dive Procedures
Table 8-10
Films Suited

Still

for

Underwater Use
Dayligh

Resolving

t

ASA

Film Type

Description

Sharpness

Grain

Power

high

very

high

Daylight Color

Eastman Kodak Ektachrome 64

A medium-speed

64

color slide film for

general picture-taking purposes, e.g.,

Daylight

macro, closeup,

Eastman Kodak Ektachrome 200

A high-speed

200

flash, available light

deep available

Eastman Kodak Ektachrome 400

A

400

very high-speed color slide

deep
Eastman Kodak Kodachrome 25

25

Daylight

Eastman Kodak Kodachrome 64

64

~

film for
(e.g.,

available light)

Moderate speed, daylight balanced
(e.g., macro photography)

high

A medium-speed

high

extremely

extremely

closeup,

(e.g.,

high

fine

color slide film for

general picture-taking

Daylight

high

fine

(e.g.,

light)

general picture-taking purposes

Daylight

very

high

color slide film for

general picture-taking purposes

Daylight

fine

high

fine

flash, available light)

Eastman Kodak Kodachrome 400

A

400

"

very high-speed color slide film for

extremely

very

fine

high

~

~

~

Slow-speed film for a very high degree
of enlargement

very

extremely

very

high

fine

high

Medium-speed

very

extremely

high

high

fine

very

very

high

fine

very

extremely

high

fine

general picture-taking

Daylight

deep

(e.g.,

available light)

Vericolor

II

S

100

Professional color negative film for
short exposure times (1/10 sec. or
shorter)

Black and White

Panatomic X

32

Plus-X Pan

Tri-X

film for general purpose
photography where a high degree of
enlargement is required

125

Pan

400

purpose film when the
enlargement required is

Fast, general

degree

of

medium

not great

Verichrome Pan

Medium-speed

film for general purpose
photography where a high degree of
enlargement is required

125

Note: Proper color balance occurs when colors are reproduced as they actually are. Making warmer or colder tones

cameraman. All color films should be exposed properly and have good
At more than ± Vfc stop, color reproduction differs noticeably from the original color.

aesthetic decision of the

±

1

/2

stop.

high

is

Adapted from

Infrared film has opened up new possibilities in underwater photography; however, because of drastic color

changes, infrared film
color documentation.

ASA
in

20

at

1/60 sec

feet (6.1

October 1991

at

yellow

filter

(1979)

should be used to exclude exces-

sive blue saturation.

starting at

ASA

8.12.1.4

an f-stop of 5.6 on a sunny

Many

m) of water

— NOAA

A

NOAA

not suitable for scientific

Kodak recommends

100, but underwater tests have

50 exposed

day

is

sure.

an

color acceptability at

shown

will give

Diving Manual

that

proper expo-

that

it

Time-Lapse Photography

is

biological

and geological events occur so slowly

neither possible nor desirable to record

them

8-41

Section 8

Table 8-11
Processing Adjustments
for Different

Speeds

Kodak

Kodak

Kodak

Kodak

Change

Ektachrome 200

Ektachrome 160

Ektachrome 64

Ektachrome 50

in

Film

Film

Film

(Daylight)

(Tungsten)

(Daylight)

Professional
(Tungsten)

800
400
Normal 200
100

640
320
Normal 160
80

250
125
Normal 64
32

200
100
Normal 50
25

the time
the first

developer by

+
+

5 1/2 minutes
2 minutes

Normal

—

2 minutes

For Kodak Ektachrome film chemicals, Process E-6.
Adapted from

continuously on film. Time-lapse photography, which

permits the scheduling of photographic sequences,

is

be able to swim in and out of scenes with as
unnecessary movement as possible.

To cover

the solution in such cases. This technique has been

should be planned.

An

and many other phenomena. It is particularly
useful for underwater studies, where, in addition to
investigating slow processes, the inconvenience and
cost of frequent site visits make other photographic

good amateur work

is

generally in one area.

techniques impractical.

for

Modern technology has

greatly improved underwacamera systems that are triggered automatically
by means of standard timing devices or by remote
command. The time-lapse interval (the time between
ter

photographs)

is

determined by the nature of the event

5 feet (1.5

(1979)

little

a single subject adequately, several dives

used widely for years for studying plant growth, weather
patterns,

NOAA

m)

average for topside shooting

m) used

1:5 (1 foot (0.3

in

for every

exposed). Photographers should consider

using a tripod

if

the objects to be photographed are
Artificial lighting

is

critical

motion picture work deeper than approximately 30

feet (9.1 m).

Surface-powered

cumbersome

lights are

but more reliable and longer-lasting than batterypowered lights. Ideally, a buddy diver should handle
the lights, which frees the photographer to concentrate
on filming techniques.

being studied, the available equipment, environmental
conditions,

and

cost.

The time

interval can vary

seconds or minutes to hours or even days.

of a long-term study using current technology
record being

made

from

8.12.2.1 Selection of Film

An example
is

the

of the scouring and erosion of sand

around offshore platforms and pipeline installations
during storms in the North Sea. In this instance, three
pictures per day were taken over a period of 1 month,
using a stereo-camera system (Photosea Systems Inc.
1984).

A

wide range of motion picture film
in

both 100 foot (30.5

in

tions of the film. This film also has a

broad range of

color correctability that can be applied during print-

and is faster and has more latitude than Eastman
Ektachrome Commercial 7252. Eastman 7294 also is
used frequently for filming at greater depths and on
ing

Because time-lapse systems remain unattended for
long periods, they must be thoroughly checked out for
reliability, leaks, buoyancy, and anchoring before
deployment. They must also be maintained and stored
carefully

when

not in use.

darker days because

it

has a higher

ASA

be processed as easily as 7291 can, and
quality that allows

it

Eastman Video News

Motion Picture Photography

Almost all motion picture cameras can be adapted
for underwater use; such cameras should be confined
in

rugged, reliable underwater housings that will with-

rating,

it

can

has a fine

it

be edited with 7291 scenes.
films 7239, 7240, and 7250 are
to

improvements over Eastman Ektachrome
8.12.2

available for

is

m) and
400 foot (121.9 m) rolls (see Table 8-12). Eastman
Color Negative Film 7291 should yield the best picture information in both highlight and shadow porunderwater photography

EF

(daylight)

7241 and Eastman Ektachrome EF (tungsten) 7242,
both with respect to speed and warmer tone (highlight)
characteristics,

which lend a pleasing overall effect

to

the photographs.

stand rough handling. All camera controls should be
outside the housing and should be as simple as possible.

The camera

also should be balanced properly to be

neutrally buoyant.

The underwater cinematographer

must position the camera himself or herself and must

8-42

8.12.2.2

Procedures

Because

all

film

is

sensitive to heat,

it

should not be

stored in the sun or in hot enclosures. In addition, film

should always be loaded in subdued

NOAA

Diving Manual

light.

Other pro-

— October 1991

Working Dive Procedures

Table 8-12
Motion Picture Films
Suited for Underwater Use

Film

ASA

Type

Description

Black and White
Reversal Eastman Plus-X 7276

.

.

.

50 Daylight

A medium-speed panchromatic

reversal film characterized by

a high degree of sharpness,

good contrast and excellent

tonal gradations

Reversal Eastman Tri-X 7278

.

.

.

.

A high-speed panchromatic

200 Daylight

lent tonal

Reversal Eastman 4-X 7277

.

Negative Eastman Plus-X 7231

.

.

.

reversal film that provides excel-

gradations and halation control

400 Daylight

A

80 Daylight

A medium-speed panchromatic

very high-speed panchromatic reversal film

negative film for general pro-

duction

Negative Eastman Double X 7222

.

A high-speed panchromatic negative

250 Daylight

latest

Negative Eastman 4-X 7224

.

advances

in

speed granularity

representing

film

An extremely high-speed panchromatic negative

500 Daylight

the

ratio

film

Color
Reversal Eastman Ektachrome
Commercial 7252 (Tungsten)

Reversal Eastman Ektachrome

EF7241

.

.

.

Daylight 16

w/85

A color

.

reversal camera film, balanced for dayintended primarily for direct projection
(after processing). However, satisfactory color prints can
be made if they are balanced properly

A high-speed color

.160

.

light

Reversal Eastman Ektachrome

.

.

.

w/85

.

.

.

1

.

.

.

filter

-

exposure,

A high-speed

color reversal camera film balanced for tungsten exposure, intended primarily for direct projection (after
processing). However, satisfactory color prints can be made
if they are balanced properly

80

A high-speed

color reversal camera film balanced for daylight
exposure, intended for use under low-level illumination
both for color news photography and for high-speed photography. Satisfactory color prints can be made if they are
balanced properly

60

Video News 7239 (Daylight)

Reversal Eastman Ektachrome
Video News 7240 (Tungsten)

reversal

originals from

(Daylight)

Reversal Eastman Ektachrome
EF 7242 (Tungsten)

camera

film designed to provide low-contrast
which color release prints (duplicates) of
good projection contrast can be made

filter

w/85 B

filter

=

80

.

.

.

.A high-speed color reversal
Satisfactory color

prints

film,

intended

can be made

for
if

use

in

daylight.

they are properly

balanced
Reversal Eastman Ektachrome

.

.

.

w/85 B

filter

=

250

.

.

.

No data

Video News High Speed 7250
(Tungsten)

Negative Eastman Color
Negative
7291 (Tungsten)

.

w/85

II

filter

-

64

A high-speed color negative camera

film designed for use in
tungsten light and in daylight with an appropirate filter. It
is characterized by accurate tone reproduction, excellent
image structure, and wide exposure latitude. Excellent
prints (duplicates) can be made from the original

Adapted from

October 1991

— NOAA

Diving Manual

NOAA

(1979)

8-43

Section 8

cedures to be observed when taking motion pictures

relief valves,

are:

external pressure

•

When

16-mm equipment, photographers

using

•

•

starting to film, the housed

down

to

m),

returned to the surface, and checked for leaks.

The camera should be held
if

feasible, a tripod

Protective shock-absorbing cases lined with

books,
•

and

camera floods in salt water, the best immediis to pack the equipment in ice and to

keep

frozen until

it

•

the value and length of each scene

are considered during the shooting.
•
•

Different distances, angles, and exposures of each
scene should be shot.

•

Scenes should not be rushed because the beauty of
the sea can be lost

•

Only a few special

when they

only

if

the photographer

is

If ice

camera should
it

in fresh

At the end of the day's work, all camera equipment
should be washed with fresh water.
When the camera and housing are removed from
the water, they should be placed in the shade immediately; this is especially true in the tropics, where
even a minimal exposure to the sun can cause heat

hurried.

effects should be used,

can be delivered to a repair

not available, the

is

be flushed thoroughly by immersing
water or alcohol.

The length of scenes should be varied (some short,
some long); this can be done in editing, but film
if

it

to

aid in the editing process.

can be saved

more informative than photography

of which contain errors.

ate action

Photogiaphers should overshoot at the beginning
to establish the scene

If a

many

facility.
•

foam

Actual underwater experience and experimenta-

as steadily as possible;

(custom-made or commercially

and end of each scene

Wearing a wool watch cap can keep water from the
from dripping into the camera during

tion are often

bought and heavily weighted) should be used.
•

WD

gear in a boat.
(9.1

•

•

camera main40 or

rubber are essential for transporting photographic

camera should
30 fsw

for

reloading.

meter.

be put in the water, taken

up

diver's hair

•

When

released.

equivalent, towels, etc.) should also be on hand.

real-time action.

•

is

basic tool kit should be set

tenance, and spare parts (0-ring grease,

should film at 24 frames per second (FPS) to achieve

At 24 FPS, most motion picture
cameras attain a shutter speed of approximately
1/50 of a second. Such a shutter speed is necessary
for interpreting f-stops when using an exposure

A

because the housing can flood when

inside the

and then

camera housing

to

damage

the film.

are exceptional and an integral

part of the picture.
•

The shooting
but

it

from
•

is

script should generally

be followed,

important to be flexible enough to deviate

it if

the situation so dictates.

most

UNDERWATER TELEVISION

Significant advances continue to be
ter television systems.

Photographers should know their cameras thoroughly
so that they can be used

8.13

effectively.

for the scientific

made

tion,

Procedures

Underwater photographers may find the following
hints helpful:
•

•

Overweighting with plenty of lead makes a diver a
much steadier photographic platform.

A

wet

suit protects against

even when
•

•

it is

rock and coral injuries

not needed for thermal protection.

and working diver with respect

to

hull inspec-

damage assessment, improving working procedures

and techniques, and diving safety. Excellent solid-state
underwater color systems now are on the market that

permit small, compact television cameras to be:
(l) held in the hand, (2) mounted on tripods, (3) worn as
an integral part of a diving helmet (Figure 8-25),
(4) mounted on manned submersibles, or (5) used as an
integral part of remotely controlled systems. Underwater video systems capable of operating at depths as

Photographic equipment should not be suspended
from lines on boats in a rough sea unless the line
has a shock absorber incorporated into it.

great as 35,000 feet (10,668

available. This

capability,

quality of cur-

To

rent video systems, has resulted in television replacing

the extent possible, photographic sequences

m) are now
when coupled with the high

The camera

photography as the method of choice for underwater
and technical documentation.
When selecting an underwater video system, it is
best to choose a system designed specifically for

housing should be taken up open, regardless of

underwater operation rather than to select a "surface"

should be planned before the dive.
•

underwa-

recording natural phenomena, conducting surveys,

documenting experimental procedures, ship
8.12.3 Special

in

These advances offer great promise

Cameras should be taken down

to a habitat

open

unless the housing has a relief valve; pressure pre-

vents cameras from opening at depth.

8-44

scientific

NOAA

Diving Manual

— October 1991

Working Dive Procedures

Figure 8-25
Video Recording Systems

A.

Handycam® System With
Underwater Housing
Courtesy Sony Corp.

C. Diver Using Underwater Video

B.

of

America

Underwater Housing With
Angle Lens Attached
Courtesy

Ikelite

Underwater System

System
Photo by Jim Churcn

October 1991

— NOAA

Diving Manual

8-45

Section 8

Figure 8-26

Commercial Underwater
Video System

Courtesy Hydro Vision International,

The

system packaged for underwater use. Surface television cameras normally operate at high light levels and

television Filming

often are not sensitive enough for underwater condi-

sive) as the selection of a

tions.

Further, surface cameras are sensitized to red

Inc.

selection of a lighting system for underwater
is

just as critical (and often as expen-

camera. Although quartz

iodide lights are often used for underwater work, their

mercury or thallium

light,

while underwater cameras for use in the open sea

lights are not as efficient as

have

maximum

charge lamps because quartz provides a high red spec-

the spectrum.

camera

also

is

sensitivity in the blue-green region of

The dynamic range of an underwater
critical if

under the broad range of

it

is

to

be used effectively

light intensities

commonly

encountered.

To achieve these underwater needs,

tral

output that

absorbed rapidly
is

seawater.

in

On

the

the only source that

produces enough red to allow good underwater color
filming.

specifically

is

other hand, quartz iodide light

dis-

Another alternative

is

a water-cooled quartz

halogen lamp that offers burn times of up to

3

1/2

designed low-light-level television cameras often are

hours at 100 watts at depths to 250 feet (76 m). Like

used; such cameras can record images at light levels as

cameras, underwater lights are designed to operate at

low as 0.0005 foot-candle at the camera tube while

depths of several thousand feet

maintaining a horizontal resolution of 500

meters). Specific factors to consider

lines.

In

addition to operating at low light levels, these cameras

can significantly extend the viewing range. Such sys-

tems offer great potential for working under conditions of low visibility, where the diving scientist needs
to observe or record the behavior of marine life without

(i.e.,

several hundred

when

selecting a

camera include the size and
location of the battery pack, burn and recharge times,
the size of the underwater beam angle, and an arm and
bracket mounting system. Rapid advances continue in
the development and miniaturization of videotape forlighting system for a video

either artificial light or the veiling effect of backscat-

mats. Miniature camcorders weighing less than 3 pounds

ter that occurs with lighted systems. In addition to the

(1.4 kg) have reduced the bulk of video systems

optical characteristics of video cameras, other impor-

permitted the use of high-quality 8

and
buoyancy control; type of viewfinder; automatic versus zone focusing; automatic exposure control with
manual override; and automatic white balance. Other
options to consider are built-in microphones, zoom
lenses, focusing for macro photography, housings, and
tant features to consider include: size, weight,

general ease of operation.

8-46

Underwater

DC, 115

and

mm video tapes.

TV

systems can operate from 12 volts
230 vac input power, which provides
to operate either from large or small

vac, or

the flexibility

diving support platforms.

As with other

television sys-

tems, data can be viewed in real time on the surface or

be stored for later viewing. The combination of a diverheld or helmet-mounted camera, a surface-based moni-

NOAA

Diving Manual

— October 1991

Working Dive Procedures

TV

good diver-to-surface communication system permits the diver to act as a mobile underwater
platform under the direction of the diving supervisor
or a scientist on the surface. This arrangement not only
permits real-time recording of events but greatly

detach, or service a

enhances diving safety by allowing the surface support

wireless communication.

team

narrative

tor,

and

to

a

monitor the activities of the diver continuously.

This monitoring can be done either at the

site

on the

surface or at a remote station or laboratory.

Computer microprocessing technology

also permits

means that
wide variety of data can be recorded, including

video camera. For the diving scientist, this
a

information on such things as environmental conditions,
weather, water conditions, and the results of experiments.

Underwater

TV

is

used

in a variety

(1) attached to submersibles, (2)

the monitoring

in

are obtained

of modes, including

lowered by cable for

mode

when

the

camera

is

manipulated by

a

diver using either umbilical diving gear with hard-

wire communications or a scuba diver with reliable

is

In

either case, the diver's

recorded on videotape, along with the picture.

Commercial systems are available

that are designed

as an integral unit, including a full face

on the output of the

digital displays to be overlaid

camera

or to carry the camera-light module. The best results

mounted

mask, helmet-

or hand-held camera, monitor, and complete

facilities for

two-way communications and videotaping

(Figure 8-26). Divers usually can work with cable
lengths up to 500 feet (152.4

m)

if

floats

and buoys are

used to reduce the drag and the possibility of fouling.

Underwater television technology has reached the stage
where it is preferable, in most cases, to underwater
photography.

Its

advantages include: on-the-spot evalu-

ation of results; instant replay;

communication with

use as a remote instrument, or (3) placed on or near a

surface support personnel both for safety and assis-

structure or habitat for long-term monitoring. Within

tance in the evaluation of results; and cost-effective

working depth limitations, divers

October 1991

— NOAA

may

be asked to attach,

Diving Manual

duplicate films.

8-47

<

(

1

Page

SECTION

9

PROCEDURES
FOR
SCIENTIFIC
DIVES

9.0

General

9-1

9.1

Site Location

9-1

9.1.1

9.1.2

Methods
Electronic Methods

9-1

Traditional

9-2

Underwater Surveys
9.2.1
Direct Survey Methods
Indirect Survey Methods
9.2.2
Underwater Photographic Surveys
9.2.2.1
Underwater Acoustic Surveys
9.2.2.2

9-2

9.3

Underwater Recording Methods

9-5

9.4

Biological Surveys

9-6

9.2

9.4.1

9.5

9.8

9.9

9.10

9.11

9.14

9-8
9-8

9.5.2

Benthic Organism Sampling

9-9

9.5.3

Airlift

Sampling
Midwater Sampling

9-1
9-1

9-12

Shellfish Studies

9-13

Collecting Techniques

9-14

Tagging and Marking Techniques
Botanical Sampling

9-17

9.8.1

Field Procedures

9-18

9.8.2

Collecting Techniques

9-18

9.8.3

Specimen Preparation and Preservation

Artificial

9-19

9-20

Reefs

9-22

Geology
9.10.1

Mapping

9-22

9.10.2

Sampling

9-26

9.10.3

Testing

9-31

9.10.4

Experimentation

9-31

Microphysical Oceanography

9-32

9.11.1

Emplacement and Monitoring

9.1 1.2

Planktonic Studies

9-33

9.11.3

Use of Dye Tracers
Water Samples

9-34

of Instruments

9-32

9-34
9-36

Archeological Diving

9-37

9.12.2

Shipwreck Location and Mapping
Shipwreck Excavation

9.12.3

Artifact Preservation and Salvage Rights

9-40

9.12.4

Significance of Shipwreck Archeology

9-40

9.12.1

9.13

9-4

Plankton Sampling

9.1 1.4

9.12

9-3

9.5.1

9.6.1

9.7

9-3

9-7

Estimating Population Densities

Biological Sampling

9.5.4

9.6

9-2

Capture Techniques

9-37

9-41

9.13.1

Nets

9-42

9.13.2

Seines

9-42

9.13.3

Trawls

9-42

9.13.4

Diving on Stationary Gear

The Use of Anesthetics

in

Capturing and Handling Fish

9-42
9-42
9-43

9.14.1

Response

9.14.2

Selecting an Anesthetic

9-43

9.14.3

Application of Anesthetics

9-43

9.14.4

Diver-Operated Devices

9-46

to Anesthetics

<

i

PROCEDURES
FOR
SCIENTIFIC

DIVES
9.0

GENERAL

Diving

is

widely performed

phenomena and

to

SITE LOCATION

9.1
to

observe underwater

acquire scientific data, and this use

To study any

map

a base

region carefully,

is

it

necessary to plot on

the precise location from which data will be

of diving has led to significant discoveries in the marine

obtained (Holmes and Mclntyre 197 1 ). This

method
that can be used to make valid observations and take
accurate measurements. Using equipment and techniques designed specifically for underwater use, the

important

diving scientist can selectively sample, record, photo-

of the seafloor, a scale of

sciences. In

some

instances, diving

is

the only

if

there

is

a

need

location several times during a study.

base

map depends

size of the area to

is

especially

to return to the

The

same

scale of the

on the detail of the study and the
be investigated. In geological mapping

water, and fish behavior studies, requires diving to be

inch to 200 yards (2.5 cm to
adequate for reconnaissance surveys. In
archeological and some biological studies, a much more
detailed base map, with a scale of
inch to 30 feet

used throughout the entire project, while other research

(2.5

may

contain the proper scale or sounding density,

make

graph, and

field observations.

Some

such as ecological surveys, benthic inventories

research,
in

shallow

require diving only as an adjunct to submersible,

remote sensing, or surface ship surveys. Regardless of
the project or the role that diving plays, marine research

using diving as a tool has been important in understanding

the ocean,

The
measured

its

organisms, and

its

dynamic processes.
is

minutes and seconds instead of hours

(unless the saturation diving

mode

is

used).

Long

underwater work periods necessitate decompression
times twice as long as the actual work time on the
bottom: the cost-effectiveness of scientific diving
therefore depends on how efficiently scientists can
perform their tasks. Efficiency under water requires
good tools, reliable instruments that can be set up
rapidly, and a well-thought-out task plan. Until recently,
there was almost no standardization of the equipment
and methods used to perform scientific research under
water, and in many cases the instruments, tools, and
techniques were (and

still

1

is

1

cm

to 9 m),

may

be required.

If existing charts

are) improvised by individual

meet the specific needs of the project.
However, now that the value of scientific diving has
been widely recognized, scientists are becoming concerned about the accuracy and replicability of their

it

do not

may

be

necessary to use echosounder survey techniques to
construct a bathymetric map of the bottom before
starting the dive. Gross features can be delineated and

bottom time used more efficiently

diving scientist or technician's working time
in

183 m)

good bathymetric

map

if

the diver has a

of the study area. If published

topographic charts are inadequate, the sounding plotted

on original survey boat sheets of a region (made by
NOAA's National Ocean Service) can be contoured
and will usually provide adequate bathymetric control
for regional dive surveys.

bottom traverses,

it

will

If the

survey plan requires

be necessary to provide some

means of locating the position of the diver's samples
and observations on the base chart.
Techniques used to search for underwater sites fall
into two general categories: visual search techniques
and electronic search techniques. The results from the
latter must be verified by divers after the specific site
has been located.

scientists to

data and results and are increasingly using statistically
valid

and standardized methodologies. Through neceswho want to work under water must be

sity, scientists

proficient both in their scientific discipline and as
divers, inventors,

The purpose

and mechanics.

of this section

is

October 1991

to

to describe

gather data.

— NOAA

The

some

of the

Diving Manual

Methods

great majority of diving

is

carried out in nearshore

waters where surface markers, fixed by divers over
strategic points of the

work

site,

may

be surveyed from

the shore using well-established land techniques,
including the theodolite, plane table, and alidade, or

from the

procedures used in diver-oriented science projects.
These methods are intended as guidelines and should
not be construed as the best or only way to perform
underwater surveys or

9.1.1 Traditional

or,

sea, using bearings

from a magnetic compass

preferably, measuring horizontal angles between

known

points with a sextant. Small, inexpensive, and
rugged plastic sextants are commercially available,
and techniques for using them are simple to learn.
Although sextants have limitations, especially when

9-1

Section 9

UNDERWATER SURVEYS

they are used from a small boat, they are generally

9.2

sufficiently accurate to be useful.

A

At the other extreme in terms of complexity is a site
relocation method used successfully by many scientists; in

landscape; these include direct and indirect surveying

method, lineups and landmarks on shore are sighted

this

visually, without the use of artificial aids. Basically,

once the

site is

located and the boat anchored over

it,

scientists take a number of sightings of various nearshore
landmarks (such as trees, hills, and power poles) and
align them visually so that when the boat is repositioned
the landmarks line up the same way. The only drawbacks
to this method are that the work must be conducted

near shore and the visibility must be good
the shoreside landmarks to be seen.

When

in

order for

survey

used during the

directly over the weights anchoring

lie

initial

them

the selected underwater features; the best plan

is

to

to

wait for a calm day at slack tide.
In

some cases

anchors
this

is

in

may

be advisable to leave the seabed

place after the floats have been cut away. If

contemplated, the anchors should be constructed to

rise slightly

may

it

above the surrounding terrain so that they

be seen easily on the next

of syntactic

foam may be

visit.

tied to the

Small floats made
anchors below the

surface with a short length of polypropylene line to aid
in relocation.

However, because biological fouling soon

obscures any structure used, expensive, highly painted

markers generally are not appropriate. Floating markers,

even

seen

if

they are small and badly fouled, usually can be

if

they protrude a short distance above the

surrounding substrate.

Once

system of markers

established and fixed relative to

is

methods

used to survey the underwater

is

methods. Direct methods require diver-scientists to
measure distances themselves, while indirect approaches
use photography or acoustic means to determine
distances, angles, and other features.

9.2.1 Direct

Survey Methods

With the exception of long distance visual triangulation, many of the methods used in land surveying can

several lineups

have been established and proven, they should be
diagrammed in a notebook that is kept in the boat.
These methods allow divers to establish the locations
of major features in the working area accurately. If
buoys are used for location, particular care is needed
to ensure that the surface floats

variety of

the transect, grid, or other

also be used

text

under water.

on surveying

A

review of a standard college

provide the scientist with some

will

basic surveying concepts, while

Woods and Lythgoe

(1971) give an excellent description and review of

methods that have been devised specifically for work
under water. In most diving surveys, distances are
measured with a calibrated line or tape. However,
measurements done under water seldom need to be as
accurate as those on land, and the use of an expensive
steel tape is unnecessary. Additionally, most ropes or
lines will stretch and should be used only if the
measurement error resulting from their use is acceptable.

A

fiberglass measuring tape that has a

of stretch and

is

marked

in feet

minimum

and inches on one side

and meters and centimeters on the other

commercially

is

come in an
frame with a large metal crank to wind the
tape back onto the reel. They are ideal for most purposes
and require no maintenance except for a fresh water
available (see Figure 9-1). These tapes

open

plastic

rinse and lubrication of the metal crank. No matter
what measuring method is used, especially if long
distances are involved, the lines or tapes must be kept

on reels to prevent tangling or fouling. In clear waters,
optical instruments can

and have been used

to

measure

permanent features on the shore, the diver should record

both distance (range finder) and angles between objects

the position of selected features within the working

for triangulation.

area in relation to the buoy array.

The

first

step in surveying any area

is

to establish a

horizontal and vertical control network of accurately

located stations (bench marks) in the region to be

mapped. Horizontal control
9.1.2 Electronic

Methods

a

Electronic positioning methods are excellent, but
they are also expensive. If cost

is

no object or extreme

accuracy of station positioning and marking

is

required,

map

is

the framework on which

of features (topography, biology, or geology)

to be constructed; such a control provides a

locating the detail that

is

means of

makes up the map. Vertical
and may be obtained

control gives the relief of the region

several highly sophisticated electronic ranging instru-

by stadia distance and

ments may be used.

Rough measurements can be made by comparing

Satellite positioning

equipment can

few meters of the desired
Loran equipment, although less accurate, is

vertical angles or

by

spirit leveling.

position a scientist within a

differences in depth using a diver's depth gauge, but

location.

measurements may be inaccurate

readily available at relatively low cost.

9-2

surface

is

if

the irregular sea

used as the reference point.

NOAA

Diving Manual

— October 1991

Procedures for

Scientific Dives

Figure 9-2
Figure 9-1
Fiberglass Measuring

Bottom Survey

Tape

in

Courtesy Forestry Suppliers,

High-Relief Terrain

Inc.

One method that has worked well in areas of high
where echosounders are not satisfactory is

relief

described below (Hubbard 1978).
•

Along a convenient axis (N-S, E-W, etc.), place
two permanent poles, one on either end of the
survey area.

•

Stretch a line between them to serve as a fixed
centerline.

•

At

Source:

by the

intervals prescribed

the irregularity of the terrain, place additional
poles identified by
a taut-line
•

some

buoy may make the

Lay out the

lines

sites

permanent grid

is

more

of

methods described

with respect to surface positions.

tie-in points.

If a

between the centerline

The

detail to

appear on the finished

poles.

terrain has significant relief, horizontal

changes can be measured by moving away from
each centerline pole, as shown

in

has been completed.

Figure 9-2.

In areas of significant terrain,

it

difficult to

is

maintain an accurate horizontal measurement.
Knowing the difference in depth (y) between the
two points (from a calibrated depth gauge or several

depth gauges) and the measured slope distance
(z),

the horizontal distance (x) can be calculated

is

located

is

located

first

and the

detail

is

located in a separate operation after the control survey

On

other surveys, the control and

the detail are located at the
•

map

by moving from the control networks (bench marks) to
the features to appear on the finished map. On some
surveys, the control

If the

Section 9.1.1 locates the site

in

visible.

desired, place poles at intervals

to those

(1979)

Determining the two end points of the centerline by the

perpendicular to the centerline

by using the centerline poles as

comparable

The use

sort of coding.

NOAA

and

size of the area

method

is

preferable

if

same time. The former

long-term observations are to

be carried out in an area, for example, around a
permanently established habitat. The latter technique
reconnaissance studies are being

is

preferable

in

remote regions or

if

in

made

areas that will not require the

re-establishment of stations.
easily using the formula:

x= V z 2

When

must be taken

Survey Methods

2
.

Indirect underwater surveying involves techniques

using a depth gauge over a period of hours,

tidal fluctuations

staff or

9.2.2 Indirect
y

into account.

bench mark should be established

A

reference

at the begin-

ning of the survey, and readings should be taken at the

that do not require the diver physically to

measure

angles and distances using tapes, lines, protractors,
etc.

Indirect underwater surveying currently

is

performed

using either photographic or acoustic methods.

reference during the period over which depths are being

measured

in the

survey area.

from each of the centerline

By going

poles, a

in either direction

complete Dathymetric

survey can be conducted with considerable accuracy.

October 1991

— NO A A

Diving Manual

Underwater Photographic Surveys
Obtaining reliable measurements by means of

9.2.2.1

photography

—photogrammetry—though

not as advanced

9-3

Section 9

under water as on land

—

is

a tool being used with

increasing frequency. Limited visibility

major drawbacks

is

one of the

in its application.

recording changes with time. Subtle changes

in

often recorded on sequentially obtained exposures of

the

same area

alone

is

or station can be missed

if

memory

costly systems can be used to

some of the problems

A

methods.

Photographs with appropriate scales in the field of
view can be useful in measuring objects on the seafloor

and

More complex and
avoid

that arise with these simpler

high-frequency sonic profiler (Figure 9-3)

can rapidly measure underwater

Such

1977).

not a factor, the sonic profiling

is

way

the best

(Dingier et

al.

and

beyond the means of most researchers.

technical support
If cost

sites

a device, however, requires electronic

method

is

by

far

of obtaining an accurate representation of

small-scale subaqueous bed forms.

relied on.

Photographic transects are useful in showing variations over an area or changes that occur with depth. In

the acoustic equivalent of direct trilateration. In

photogrammetry was conducted
because of the technical difficulties in producing

known

corrected lenses and maintaining altitude and constant

are interrogated sequentially from within their estab-

the past,

little

true

depth and because of the high relative

relief of

many

bottom features. However, improved techniques have
been developed that allow increased accuracy and
flexibility. Recent computerization of photogrammetric
plotting equipment has reduced technical difficulties
considerably.

To improve mapping for detailed archeological studies,
photographic towers may be used (Bass 1964, 1968;
Ryan and Bass 1962). The progress of excavation in

Acoustic Grid. This method of underwater survey

simplest form, three acoustic transponders are placed at
positions on the sea bottom.

lished

grid,

occurs

is

sound

in

and the time delay before each response

delay in time can be related to the distance between the

and each of the transponders.
Transponders are implanted and their positions are
determined using direct underwater survey methods.
interrogator

The

interrogator

produces a consistent series of photos that can be
compared easily when analyzing the data. The tower
ensures that each photo is taken from the same point of
view, thus simplifying follow-on dark room procedures. A

The process

however, a perspective view that requires

is

a small, hand-held directional sonar

device that has a digital readout of the time delay.
diver, positioned

is,

These transponders

measured and recorded. If the velocity of
seawater is known for that area and time, the

each area can be recorded with grid photographs taken
through a hole in the top of the tower. This approach

photograph

is

its

visually at the first transponder
is

The

above the point to be surveyed, aims
and takes three readings.

repeated for the other two transponders.

Ideally, the data are sent to the surface via

communications

an underwater

In the absence of this equipment,

link.

the data should be recorded on a writing slate attached
directly to the interrogator.

The accuracy

of this system

correction for the difference in scale and position of

can be increased significantly by using four or five

objects.

transponders.

A

series of stereophoto pair

photographs

may be

taken of sites for three-dimensional viewing under a
stereo-viewer.

More

important,

it

is

possible to

make

three-dimensional measurements from such photos.

The use

of wide-angle lenses, such as a

15-mm

lens,

permits detailed photographs to be taken that cover

from short distances. Bass (1978) recomand divided
into 6.6 foot (2 m) squares. These squares are then
excavated and photographed individually.
large areas

mends

that rigid metal grids be constructed

Because so many variables affect the velocity of
in seawater, errors in measurement can have a
significant effect on the resulting mathematical analysis. For example, sound velocity measurements in
very shallow water can be affected seriously by errors
in recording temperature. Accurate results depend on
keeping the salinity and temperature measurement errors
small enough so that the errors in velocity are below
sound

the inherent equipment-introduced errors.

More

sophisticated versions of the acoustic grid survey

system are available, and
directly.

Underwater Acoustic Surveys
Another method for conducting bottom surveys

9.2.2.2

involves the use of sonic location beacons (pingers).

These devices are particularly useful if there is a need
to return to specific locations. The system may consist
of small (the size of a roll of quarters) pingers, which
can be placed
receiver.

at the site of interest,

specific frequencies to differentiate

9-4

and a diver-held

The pingers can be tuned by the diver
between

sites.

to

many

of these read out range

Although more convenient

may

to use,

system

be created by variability in speed
of sound. Compact and reasonably priced sound velocimeters are now available that permit in-situ measureinaccuracy

ments

to

still

be used immediately as survey system correctors.

The acoustic
site is visited

grid

is

particularly valuable

when a

repeatedly to measure features that vary

over time, such as the motion of sand waves. Another

advantage of

this

system

is

its

internal completeness. If

the geodetic location of the site

NOAA

is

not important and

Diving Manual

— October 1991

Procedures for Scientific Dives

Figure 9-3

High-Frequency
Sonic Profiler
its

inherent mobility and flexibility are distinct advan-

tages except in situations where job requirements

make

the acoustic grid or one of the direct methods preferable.

Under

measurement

certain conditions, the phase

system can be more

fully utilized

if

diver towing tech-

niques are employed. In this case the position of the
diver relative to the support ship must be monitored

continuously, which increases both ease of operation

and accuracy. Combining the phase measurement system
with a good diver-to-surface communication system
results in

an excellent survey procedure.

9.3

UNDERWATER RECORDING METHODS

The

simplest and most widely used

method

for recording

data under water involves using a graphite pencil on

These records

a white, double-sided plastic board.

are sufficiently permanent to withstand normal handling
Photo

Tom Harman

during a dive. Since most divers use abbreviations
and shorthand in recording observations and species
names, however, the notes should be transcribed as

Wax

soon as possible.
only relative position and motion within the site are to

be measured, the acoustic grid

an appropriate method.

possible to relate the grid

It is also

geodetic

is

map

measurements

to a

at a later time.

which determines the position of an object relative
fixed network of transponders, phase

to a

measurement

systems are contained within the support ship except
mobile transponder. Three receiving elements

are located precisely with respect to each other on the

underside of the support craft; they are usually attached
to a

mast extended over the side of the

craft.

A

diver

places a transponder on the object whose position

is

to

be determined, and an interrogator located on the ship
queries the transponder.

A

phase analysis

by the receiver on the return signal, which
as deflection angle

and

is
is

performed
displayed

line-of-sight range to the object

with respect to the receiver element mast. The only
variable

is

velocity of sound,

which must be determined

by the method discussed previously.
scuba cylinder so that the position of the diver can

be monitored continuously by personnel
craft.

When

in

continuous communication

the support
is

available,

the diver can be directed through a geodetically fixed

survey pattern

if

This system

the ship's position
is

is

known

brittle

and break

in

corrode. Ordinary pencil lead can be cleaned off easily

wax smears and

often must

be removed with a solvent. Mechanical pencils are
unsatisfactory, since the metal parts will soon corrode.

The

best writing instrument

is

an off-the-shelf, readily

available plastic pencil that uses bits of sharpened lead

encased

in plastic butts.

Slates can be

made multipurpose by adding compasses,

rulers, or inclinometers (see

Figure 9-4). Because there

accurately.

suited to applications where a large

made under

water, a

list

of tasks to be undertaken and

the form to be used for

measurements should be

all

developed before the dive. These

lists

and tables may

be inscribed on the plastic pads. In some cases
desirable to retain the original records (this

important

in

is

is

the case of archeological drawings, for

instance); drawings then are

made with wax crayons on

or rubber bands.

There are several types of underwater

paper, including a fluorescent orange paper. Standard

formats can be duplicated ahead of time to facilitate

recording during a dive.

A

simple and inexpensive

technique for underwater data sheets

is

to

prepare the

sheets on regular typing paper and then have each
sheet laminated in the

same way

that drivers' licenses

disadvantage of requiring a surface-support platform.

good practice

Diving Manual

it

particularly

and other important identification are preserved.
Where precise measurements are to be made,

— NOAA

is

a risk of misinterpreting the often rather erratic notes

area must be surveyed or where there are only one or
two sites of interest. Although the system has the

October 1991

cold

water, and pencil holders have metal parts that will

waterproof paper attached to the plastic board by screws

Small transponders are available that can be strapped
to a

pencils are usually not satis-

become

with scouring powder, but

Phase Measurement. Unlike the acoustic grid method,

for a single

factory because they

for

two observers

to take

it

is

independent

9-5

Section 9

Figure 9-4

Multipurpose Slate
breathing noise and increases voice fidelity by picking

up sounds from the resonating chamber formed by the
rather than from the high-sibilance area in front
of the lips. Several commercially available masks are
equipped with demand regulators that can be used

mask

with standard scuba cylinders or with an umbilical air

When an umbilical is used, most diver-tender
communications systems can be wired to accept a tape
supply.

recorder so that both sides of the conversation can be
recorded. Regardless of the unit selected, divers should

practice using the system in shallow water until they

can produce

To

intelligible transcriptions routinely.

optimize recording fidelity and minimize distortion

and interference, cassette tapes of the highest quality
should be used. At present, commercial tapes are
Photo Robert

Dill

available that have 60 minutes of recording time on

each

side,

and

this capacity

generally sufficient for

is

most scuba missions. Maintenance

measurements and to check them with each other for
agreement before returning to the surface. If there is
disagreement, the measurements should be repeated.
Tape recording is another useful, although somewhat
specialized, method of documenting data under water.
The most satisfactory and reliable system includes a
cassette tape recorder as part of the hardwire two-way

in the

is

9.4

BIOLOGICAL SURVEYS

same requirements
and involve the same techniques as those described in

a self-contained unit carried by a diver

Section 9.2; however, some specific aspects should be

in

scuba mode. The position of the microphone and

way

which

Biological surveys generally have the

mentioned. Biological surveys are used for
placing

recorder.

the effects of ocean

in

especially important

O-rings, seals) to prevent corrosion.

waterproofed is critical in
determining the usefulness of an underwater tape

the

is

must be taken (checking

umbilical diving; the

communication system used
alternative

for tape recorders; special care

it

is

Some commercial systems

feature a special mouth-

piece unit into which a microphone

which the scuba regulator

is

built

and

to

many

poses, including determining the environmental

man-made

objects on the seafloor and assessing

dumping on marine

most marine environments,
ate the impact of

pur-

impact of

it

is

resources. In

not possible to evalu-

man-made changes without performing

attached. Standard

special baseline surveys designed to obtain specific

however, do not allow the lips to move
form anything more than simple words
or noises, which are usually intelligible only to the
speaker immediately after the recording is made. This is

information about the biota and the physical environ-

is

especially true for biologists giving long

cannot be obtained before the natural undersea envi-

mouthpiece

is

bits,

sufficiently to

names or

for scientists reading

lists

of scientific

numbers from instruments.

ment. To be meaningful, these studies must be

made

before structures are emplaced on the seafloor or material

discharged into the area.

When

baseline information

ronment has been altered by human actions, biological
surveys can be used to determine the incremental impacts

of subsequent activities.

NOTE

Baseline studies must be designed so that they can

The most

critical factor to consider in a voicerecording system for data gathering is the
ability of the diver to speak and enunciate
clearly enough to be understood and transcribed accurately.

be monitored at prescribed intervals. Control stations
placed outside the area being studied are necessary to

provide data on environmental changes occurring
naturally (e.g., seasonal effects).

The techniques of underwater
make

The

best equipment configuration

equipped with a microphone that
the immediate

9-6

mouth

is

is

a full-face mask,

located

away from

area; this position diminishes

biological surveying

involve establishing a standardized methodology to
the results of the survey quantitatively meaningful

and ecologically acceptable. This is done by choosing
stations at specific depth intervals along a transect
line and dropping an anchor at each station to serve as

NOAA

Diving Manual

— October 1991

Procedures for Scientific Dives

the center of a circle of study. Quantitative observa-

made

tions are then

within the circle; general bottom

area; to the extent that the surfaces

from the horizontal, area

will

sampled depart

be underestimated, which

cause density to be overstated. This bias becomes

topography and biological features of the areas beyond

will

the circles are also noted.

particularly important as the scale of the surface vari-

The amount

of bottom area covered does not need to

ation approaches the scale of the distribution being

be the same for every station; water clarity and the

measured. Dahl (1973) describes a technique designed

complexity of the biota

study

to quantify the estimation of irregular surfaces in the

The poorer the visibility, the more restricted the
amount of bottom that can be surveyed. In West Coast

marine environment. Briefly, the technique consists of
making some simple height, frequency, and surface

will affect the size of the

circle.

regions and for sand stations having a limited macrobiota,

m)

a 10.2 foot (3.1

line

is

generally used to produce a

length measurements and then applying a surface index

formula to determine the surface area. The technique

323 square foot (30 m 2 ) area of study. In rocky areas,
where the biota is more diverse, a 7.2 foot (2.2 m) line

Thalassia, sand

can be used to define the radius of the circle of study.

reefs.

In addition, using tools such as plankton nets and
bottom cores, scientists can estimate the number of
plants and animals, take quantitative samples of life

organisms

is

who used

it

forms, and take photographs of general bottom conditions

ure 9-5). At each location sampled, the authors spent 10

and of each quadrat.

to

Environmental factors that must be considered when
surveying the establishment and growth of underwater

has been applied to coral reefs, benthic algal substrata,

A

and rubble zones, reef

crests,

and patch

simple method for estimating populations of sessile

described by Salsman and Tolbert (1965),
to

15 minutes

survey and collect sand dollars (Fig-

making observations, taking photographs,

and sampling population density. To facilitate counting
and to ensure a random sample, a counting cell was
by bending an aluminum rod into a square

communities include exposure to wave or swell action,
type and slope of substrata, water temperature, dissolved

constructed

oxygen and nutrient content, and extent of grazing.
Variations in the intensity and spectral composition of

counting squares also can be constructed using

light

under water also have a significant effect on plant

communities, but

it

is

often difficult to obtain accu-

measurements. The illumination

rate light

at or within

community can be obtained with accuracy

a given plant

only by actual in-situ light measurements; photographic
light

meters are not satisfactory for this purpose.

11.8 inches (30

As

tubing.

cm) long on each

side.

Inexpensive

PVC

divers approached the seafloor, they released

the square, allowing

it

to fall to the

bottom. The organ-

isms within this square were counted and collected for
procedure was then repeated

later size determination; this

at least

two more times

same method can be used
any

sessile

A

each location sampled. The

at

to take a

random sample

of

organism.

Underwater spectroradiometers, which are probably the
most effective means of measuring light in the sea,

operated fishrake (Figure 9-6).

are available. Submersible spectroradiometers have

obtain information on the small-scale distribution

been used

in

studies of photosynthesis

and calcification

device used for surveying epifauna
It

is

the diver-

has been used to

patterns and estimates of population densities of demersal

and invertebrates. The apparatus consists of a

rates of corals.

fishes

Most underwater investigators have used transect or
simple quadrat methods for the analysis of benthic
communities. A reasonable description of the change
in biota relative to depth and other factors can be

metal tubular frame fitted with a handle, a roller of

obtained by measuring the area of cover along a strip
or

band

transect.

Accurate quantitative data on standing

crops can best be obtained by collecting the entire

ground cover from
component species

a
in

quadrat and sorting this into
the laboratory for subsequent

rigid

PVC

tubing into which stainless steel wire "staples"

are fixed, and an odometer

of a plastic tracking

pushed along the bottom by a diver who makes
and other observations
on animals that occur within the path traversed by the
It

is

visual counts, size estimates,

roller.

In

some underwater

of animal behavior,

analysis.

made

wheel and removable direct-drive revolution counter.

it

is

situations involving observations

necessary to remain a reasonable

distance from the subject so as not to interfere with

normal behavior. Emery (1968) developed an underwater
telescope for such situations by housing a

9.4.1

Estimating Population Densities

When

estimating the biological content or density of

a given region,

account.

An

it

is

necessary to take surface area into

irregular surface can greatly increase the

October 1991

— NOAA

Diving Manual

PVC

rifle

scope

in

tubing with acrylic plastic ends. The underwater

scope described by this author functioned satisfactorily at

depths as great as 180 feet (55 m). An underwater
telephoto camera lens was used during the Tektite II

9-7

Section 9

Figure 9-5

Counting Square for Determining

Figure 9-6

Sand

Diver-Operated Fishrake

Dollar Density

j*

s

\s

/-Z

J^y\^~~^SF

/ ss.yy~~~--~~~A\)

gv
<

y

yyyy

copper

*

yy

REVOLUTION
COUNTER

pipe

PLASTIC ROLLER

Photo Art Flechsig

•MP"
Courtesy U.S. Navy

ably the most important practical one
ability to observe the

experiments to avoid interfering with animal behavior

(VanDerwalker and Littlehales 1971).
At the other end of the magnification continuum is
an underwater magnifying system (Pratt 1976). This
device, referred to as the Pratt Macrosnooper, has a
magnification power of seven and permits the diver to
study marine organisms too small to be comfortably
observed with the naked eye. It is a three-element lens
system designed specifically for use under water and

tiveness,

cm)

plastic pipe (see Figure 9-7).

are then drilled through the housing

is

mask

in use, the

Macrosnooper

faceplate. It should be cleaned

is

its

in

effec-

some cases, such as with
underwater sampling
considerably more effective than from
In

fish,

and magnitudes of the
and allows
one to decide whether the sampling site is
unusual or representative of a larger area.
With the less common species, it may be
particularly important to be able to make
repeated population estimates without imposing unnatural mortality by the removal
feeling for the types

errors associated with the sampling

to

held against the

and rinsed

of

the surface. Direct observation gives one a

permit the entry of water for equalization at depth.

When

the

improve the design or pro-

to

situ.

small demersal

Holes

and the spacers

and

cedure in

consists of three lenses with appropriate spacers inserted

into a 2 inch (5

make estimates

operation, to

is

sampling apparatus

carefully,

of individuals.

along with other diving equipment, after each use.
Soap, mineral, or fungus deposits, which

by an overnight soak
dry detergent,

may

may form on

Because a diver using marker buoys, stakes, or pingers

be removed

in either bleach, vinegar, or laun-

the lenses after prolonged

can return repeatedly to the same location, changes in
both environment and the biota can be followed for
considerable periods. In addition, changes can be imposed

use.

on the environment by selective removal of species, by
alteration of substrata,

9.5

BIOLOGICAL SAMPLING

Although a discussion of research design

and so on, and the effects of

these experimental manipulations can be followed in
for a

sampling

detail.

program

is outside the scope of this volume, careful
attention should be given to the implementation of

sampling methods. Chapters on the design of sampling
programs can be found in Holmes and Mclntyre (1971).

As Fager and

his colleagues

have noted (Fager

1966),

et al

9.5.1

Plankton Sampling

Planktonic organisms that live within 3.2 feet (1

m)

of

the bottom can be sampled with a skid-mounted
multilevel net apparatus that is pushed by a diver over
a

predetermined distance. Hand-operated butterfly

valves are used to isolate the collection bottles located

9-8

Underwater operations have several advan-

in the

tages over sampling from the surface for

ecological studies involving quantitative

Plankton sampling nets 11.8 inches (30 cm) in
diameter, with a mesh size of 0.08-0.12 inch (2-3 mm)

sampling or observations of behavior. Prob-

are used to collect plankton selectively in reef areas.

cod end of the

net.

NOAA

Diving Manual

— October 1991

Procedures for Scientific Dives

Figure 9-8
Figure 9-7

Hensen Egg Nets Mounted on

Underwater Magnification System

a Single Diver Propulsion Vehicle

A. Optical

B.

System

Complete System

Photo William

carried out properly, there
net

is

reused,

it

is

no sample

loss.

L

High

Before a

should be turned inside out and back-

flushed.

Benthic Organism Sampling

9.5.2

Quantitative sampling of the epifauna can be accom-

plished by counting the animals within a randomly
located circle or square quadrat.
Photo Harold Wes Pratt

of brass,
Air-filled bottles also

can be inverted

appropriate

in

with grooves at 0.4 inch

The

areas to suck up plankton and water samples.

A

circle template,

movable arm may be constructed
with the center rod and movable arm marked

fixed center rod, and

(1

cm)

intervals (Figure 9-9).

position of an animal within the circle can be

Several methods of sampling plankton have been

defined by three numbers: the distance along the center

developed. Ennis (1972) has employed a method using

rod from a standard end; the distance from the center

two diver propulsion vehicles on which a 19.7 inch
(50 cm) plankton net was mounted. A similar method was
used during a saturated dive in the Hydrolab habitat
at Grand Bahama Island, when two 3.2 foot (1 m) long
Hensen egg nets were mounted on a single diver
propulsion vehicle that was operated at a speed of
about 2 to 3 knots (1 to 1.5 m/s) (Figure 9-8). At the
end of every run, each net should be washed separately
and the sample should be concentrated into the cod end
by holding the net up inside a trapped bubble of air
under a plastic hemisphere having an 18 inch (45.8 cm)
radius. The cod end should then be removed, and the

rod along the movable arm; and the half of the circle

contents of the net should be poured into a glass jar.

The

volume at
wrap should

be placed over the top of the jar to trap a small bubble
air.

The

and carried

jar

is

to a

then removed from the hemisphere

work area

at the base of the habitat.

The work area should be deeper than
that hydrostatic pressure will help to

from escaping.

A

the hemisphere so

keep the

syringe filled with formalin

pushed through the plastic wrap, the jar
immediately secured, and labeled.

October 1991

air

— NOAA

When

this

Diving Manual

is

bubble
is

then

capped,

procedure

is

To study

details

species, the "distance of the nearest neighbor" tech-

nique can be used. This method involves preassembling a
large, lightweight
it

metal or

PVC

at the appropriate location.

square and dropping

Within the square, divers

place short brass or plastic rods with fabric flags on

them

at

predetermined positions

in

relation to the

individuals of the species being examined. After the
positions of all individuals

have been marked, distances to

nearest neighbors are measured, and reflexives are
counted.

Samples of the substrate and infauna can be collected

jar should be filled, except for a small

the top, with filtered seawater, and plastic

of

within which the animal was observed.

of the distribution pattern of individuals of sedentary

with no loss of sediment or organisms by using a simple

coring device with a

widemouth sample container
The corer

jar) attached to the top (Figure 9-10).

pushed

a given distance, e.g., 2 inches (5

(a
is

cm), into the

aluminum plate is slipped
through the sand. The apparatus is inverted
sediment is allowed to settle into the jar. Once

sand, tipped slightly, and an

under

it

and the
all

sediment and organisms are inside the

attachment

is

removed and the

jar

is

jar,

the coring

capped.

9-9

Section 9

Figure 9-10
Coring Device
With Widemouth Container

Figure 9-9

A

Template

Determining
Benthic Population Density
Circle

for

Photo Art Flechsig

Another simple soft-bottom sampling device, esand meiofauna, is a

pecially good for small infauna

thin-walled coring tube of transparent plastic, the

diameter of which

is

based on a predetermined sample

designed to gather the desired substrate and organisms

most

efficiently.

Most organisms obtained by

this type

of device will be found in the top 3.9 to 4.7 inches (10 to

12

cm) of the sample. For ease of handling, the tube

should be at least 11.8 inches (30 cm) long and sealed
with rubber corks, one of which has a small hole drilled

through

it.

With both corks

off,

the tube should be

rotated carefully into the sand to the desired depth,

and the cork with the small hole should then be used to
cap the tube. While gripping the tube for removal, the
scientist's thumb should be held over the hole to create
a suction that keeps the sediment from falling out.
When the tube is free of the sediment, the bottom cork
should be inserted. Samples accurate to any depth can
be taken with this device, and depth lines can be marked
on the outside of the tube. To remove the core, the
scientist places a finger over the hole in the top cork,

removes the bottom cork, and allows the plug

To remove

to fall out.

discrete segments of the core, the plug

may

Photo Art Flechsig

Another coring device
samples of the infauna

is

for obtaining quantitative

a square stainless steel box

with handles and a screen covering one end (Figure 9-11). Its rugged construction allows scientists
forcibly to penetrate hard substrates, such as sand or
vegetated bottoms, as well as softer sediments. The
sampler, currently in use by

NOAA/NMFS divers, can
m 2 sample to a depth of

obtain a 0.17 square foot (1/64

)

be pushed out the end and cut into desired lengths or

9.1

quick-frozen in dry ice immediately upon surfacing

substrate to the desired depth, one side of the device

(to prevent

migration of animals) and later cut with

a hacksaw.

A

is

used for studying the depth

distribution of infauna. This corer samples an area of
1

(6 cm).

inches square (45

The corer

cm 2 )

to a

depth of 2.4 inches

consists of a square brass

box

fitted

with a funnel adapter at the top to accept widemouth

sample containers. The front side of the corer

is

slotted

to permit thin metal slide plates to be inserted to
separate the sample into five separate layers, which
can then be transferred under water to separate sample

containers.

9-10

excavated and the device

is

is

pushed into the
is

which the
To prevent any loss of

tilted over, after

corer and sample are pulled free.

multilevel corer

about

inches (23 cm). After the corer

sample, the diver holds the open end of the corer against

body while ascending. The contents are then
appropriate mesh size (Figure 9-11), washed free of most of the sediments, and the
residue containing the organisms is placed in jars of
preservative. A red dye (usually Rose Bengal) is added
to the preservative to facilitate the sorting and identihis or her

placed

in a sieve of

fication process.

A

Multiple Disc Sampling Apparatus for collecting

epibenthic organisms has been developed by

NOAA

Diving Manual

NOAA/

—October 1991

Procedures for Scientific Dives

Figure 9-11
Infauna Sampling

701

Box

1.2

mm 2

cm

Diameter

Stainless Steel

Mesh Screen
0701

mm 2

Mesh Screen

1.6

mm

Stainless Steel

Plug Sampler
Source:

NMFS

divers.

9.7 inches (24.6

Each
cm)

collecting unit consists of a disk
in

0.54 square feet (1/20

have been used

in

can bore into

it

or merely attach to

diameter with a surface area of

composition

m2

over long periods. In soft bottoms,

).

Various kinds of material

the construction of the disks (wood,

glass, steel, rubber, cement).

Rubber and cement

will

also determine

it,

NOAA

(1979)

and the rock's

resistance to erosion

its
it

is

useful to describe

sediment grain size and bottom configurations; deter-

minations of grain

size,

chemical composition, and

generally are superior substrates for most sessile
invertebrates. The disks are wired to a galvanized pipe

especially equipped to handle these tasks. Situations

frame placed on the bottom by divers. Individual disks

vary,

removed at intervals by divers who place a canvas
collecting bag over the disk and cut the wire holding
the disk to the frame. This procedure minimizes the

geological data.

are

the disks are filled with a narcotic solution (7.5%

chloride mixed

1:1

with seawater) for

hour and the disks are then preserved

in a

1

10 percent

formalin solution. Wiring disks rather than bolting

them

simplifies the operation

of corroded fastenings.

and eliminates the problem

The experimental design

—

col-

lecting frequency, substrate material to be tested, or

other epifaunal survey requirements

number

and it may be helpful to consult geologists for
recommendations on where to obtain the appropriate

organisms. Individual bags containing

loss of motile

magnesium

other physical characteristics are best done by scientists

— dictates

the

of disks to be used. Because of the large size of

disks, the epifaunal

assemblages that are collected by

9.5.3 Airlift

An

Sampling

airlift is

plastic pipe

a sampling device that consists of a long

equipped with a device

The

to

supply air at the

and organisms
and water, so
that they can then be emptied into a mesh bag of a
certain size (see Section 8.9.1). Large areas of soft
bottom can be collected in a very short time with this
device, and the samples can be screened through the
lower end.

airlift

carries sediment

to the top of the pipe in a

bag

in the process.

When

stream of

air

used with a diver-held scraping

method are more typical of those found on natural
substrates. However, only a portion of each disk is
examined and enumerated.
Some knowledge of geological techniques is helpful
when sampling. For example, on rocky substrates it is
important to know how to measure angles of inclines on

device, an airlift

overhangs or shelves, because

Although plastic bags have been used successfully
to sample swarming copepods and small aspirators
have been used to sample the protozoan Noctiluca,
animals in midwater must generally be collected using

this

this

many organisms

orientation of

angle influences the

(see Section 9.10.1).

Similarly, knowing the composition of the rock

important

in

is

determining whether or not organisms

October 1991

— NOAA

Diving Manual

is

also useful on hard substrates,

especially to collect the small organisms that tend to

escape when attempts are

9.5.4

made

to

"scrape and grab."

Midwater Sampling

9-11

Section 9

Figure 9-12

Use of a Hand-Held Container
to Collect Zooplankton
other techniques.

It

is

difficult to

sample even very

ftp'

*

•

~WM

small animals, such as the copepod Oithona, without

swim rapidly
and
readily
dodge
water
bottles,
short distances

disturbing them. Although small, copepods
for

nets, or aspirators. If nets must be used, they are deployed
most effectively by divers swimming the nets by hand
or guiding diver-propulsion units to which the nets are

attached (see Figure 9-8).
the

mouth of

No

^^y

objects should obstruct

the net, because even monofilament bridles

cause zooplankton to avoid nets.

The diver can

easily capture larger, less motile

zooplankton that range from several millimeters to a
few centimeters

in size,

such as the gelatinous medusae,

ctenophores, salps, pteropods, and chaetognaths,

by permitting the animals

to

swim

etc.,

into a hand-held

container, preferably of clear plastic or glass (see Fig-

ure 9-12). This

is

it

is

the

method of data

the preferred

for all aspects of laboratory

collection

y^w

marine research, because

way to collect these delicate animals without
damage that normally occurs even with the most
the

carefully handled net.

Estimating density of planktonic aggregations. For

many

kinds of organisms, density and distribution can

B^afl

be determined photographically without disturbing the

The use

aggregation.

of an

80-mm

lens

and extension

tubes provides a small measured field of view some
11.8 to 15.7 inches (30 to

Depth of

40 cm) from the camera.

field varies systematically

with f-stop (see

Photo Al Giddings

Section 8.13). Instructions for some underwater cameras

provide these calculations, but investigators can

make

own cameras by photographing underwater
targets at a series of known distances in front of the
camera with different f-stops and determining the
them

for their

depth of

field in the resulting

photographs. Density of

organisms such as copepods within swarms

by counting
i.e.,

all

within a

is

determined

of the animals in focus in the photograph,

known volume determined by area of field
field. When the number of organisms in

times depth of
focus

is

large, density

can be estimated by measuring

the distance from one individual to

its

closest in-focus

neighbor for each of some 20 individuals within a
single plane. These distances are averaged and the
density of the aggregation is estimated by entering this
average into the formula for close packing of spheres
or of isohedronic arrays. Use of the formula
1,000,000

cm 3 /0.589

x (average nearest neighbor's

distance in

Number

cm) 3

Density measurements for animals sparsely distributed

can be obtained more easily by swimming

Figure 9-13). Divers also

9-12

all

drift slowly

on a tether

drift rate

and counting the number of organisms that

pass through a grid in a specified time.

Replicated measurements permit the application of

most normal
ecology.

many

statistical

Some

statistics

procedures used

in quantitative

tests are of questionable validity

because

depend on presupposed patterns of normal

distributions, patterns that

may

dimensional arrays. Nonetheless,

not apply to three-

many

of the sampling

procedures used by the terrestrial ecologist may be
applied to underwater sampling. Biological oceanographers

now use

these

new techniques

frequently.

=

of organisms per meter 3

preferred because isohedrons pack symmetrically

along

may

with the ship and estimate densities by measuring the

9.6
is

line transects

between tethered buoys while counting the number of
animals that pass through a grid of selected size (see

three axes, whereas spheres do not.

SHELLFISH STUDIES

The use

of diving as a research tool to study lobsters,

crabs, scallops,

and other types of

NOAA

shellfish has increased

Diving Manual

— October 1991

Procedures for Scientific Dives

Figure 9-13
Use of a Plexiglas Reference Frame for
Estimating Population Densities in Midwater

ment. In addition, lobsters

than one-half pound

less

(0.22 kg) in size generally are not nocturnally active in

environment but are active

their natural

at night in the

confines of an aquarium tank. Lobsters spend most of
their first 3 years of life in a labyrinth of tunnels

projecting as

many

as 3 feet (0.9

m)

into the boulder-

rock substrate of the ocean bottom (see Figure 9-14).
Replicating this substrate

9.6.1

in

an aquarium

is

difficult.

Collecting Techniques

Many

shellfish (crabs, lobsters,

and clams) inhabit

tunnels and burrows on the bottom. Others (scallops,

and abalone) live in beds and reefs or creep
and rocks. When collecting shellfish,
divers should always wear gloves and carry catch bags.
oysters,

across the seafloor

Lobsters inhabit burrows, tunnels, and caves

in

shallow

and in ocean depths that are beyond the
range of surface-supplied diving. Those more than
one-half pound in size are nocturnal in their movements;
during daylight hours, they remain in their homes.
coastal waters

When

picked up, spiny lobsters and bulldozer lobsters

if grabbed around the
abdomen (tail), the tail can cut a diver's fingers. The
American lobster can be collected easily by grabbing

should be held by the back;

it

from the back, behind the claws. Lobsters can also be

grabbed by their ripper claws and held
Courtesy ^National Geographic Society
Photo Al Giddings

seconds;

for

l

to 2

held longer, their crusher claws will be

if

brought into action. Lobster claws should be inactivated

by banding or pegging before the animal is put in a
catch bag; this will prevent animals from crushing

commercial importance of these
and the difficulty of sampling these

as a result of both the
living resources

organisms effectively with conventional surface-oriented

equipment. In general, shellfish studies have been
directed toward the ecology of these organisms, their
behavior

in

relation to sampling gear, the efficiency of

sampling gear, and the potential effects of conventional

sampling techniques on the bottom environment and
its

fauna.

Historically,

more underwater studies have been

New

conducted on the American lobster of the

England

coast than on any other single species of shellfish. In
addition, extensive studies have been done in Florida

and California on the spiny lobster (Herrnkind and
Engle 1977, Marx and Herrnkind 1985).
Direct in-situ observation of lobsters

is

the most

each other. Lobsters frequently

will

autotomize (drop)

antennae and claws when handled; American lobsters
this especially during the winter months, when
water temperatures range between 28.5° and 34.0°

do

(-1.94°

and 1.1°C).

The conventional method

for commercial harvesting
and New England clawed lobster is the
wire or wooden trap. Divers should assess the efficiency
and design of this gear before using it, bearing in
mind that spiny lobsters move much faster than
American lobsters and are much more sensitive to

of the spiny

being disturbed.

Commercial crabs are found

in

waters ranging from

shallow estuaries to ocean depths that are beyond
conventional diving limits. Gloved divers can catch

them

easily

by hand with short-handled scoop nets and

when

way to study lobster ecology and behavior.
Comparative studies of lobsters in the laboratory-

tongs. Caution should always be exercised

aquarium environment have shown that

claws; depending on the size and species, such injuries

effective

is

altered significantly

when they

example, lobsters held
balistic,

in

but cannibalism

October 1991

— NOAA

is

their behavior

are in captivity. For

collecting crabs because they can pinch with their

can vary from

a cut

finger (blue crab or

Dungeness

captivity are highly canni-

crab) to a broken finger (stone crab or Alaskan King

rare in the natural environ-

crab).

Diving Manual

9-13

Section 9

Figure 9-14
Benthic Environment
of the American Lobster
coast states, and in the

North

Pacific.

They occur

and pilings,
and together, in large beds of thousands of individuals.
These sedentary shellfish are easy to collect by hand. A
individually, in clusters attached to rocks

Surface

pry bar can be used to collect samples that are attached.

Oysters can temporarily be piled loosely on the bottom

during harvesting.
Scallops live in bays, sounds, and ocean bottoms in

depths up to 328 feet (100 m). Density varies from one
or two individual scallops to dozens per square meter.

They

are collected easily by

piles of scallops
Distance from Shore (Meters)

100

the scallops

200

150

should not be

hand or scoop
left

may swim away.

Loose

net.

on the bottom because

Getting one's fingers

stuck in the shell of a live scallop

is

painful.

National Marine Fisheries Service

Abalone inhabit rocky coasts from Alaska to southern
They are nocturnal foragers of algae and

California.

Blue crabs

estuaries, bays,

and sounds

Atlantic Ocean.

When

fast

in

frightened, they will burrow

quickly into the bottom or

These

temperate waters of
the Gulf of Mexico and

live in the shallow,

swim away with

great speed.

rest

during the day at their "homespots" on a rock.

iron pry bar

can be used to pull them

An

and they

loose,

can sometimes be pried loose quite easily with a quick
motion.

swimming, pugnacious crabs can be collected

They can be
found partially buried and lying around shells and

9.7

rocks or walking along the bottom.

Tagging aquatic organisms can provide information on

easily with a short-handled scoop net.

Stone crabs inhabit burrows, depressions, and shell
houses in the coastal waters along the South Atlantic

and Gulf of Mexico
tongs

is

useful to

An

cm) pair of
extricate them from burrows and
states.

18

inch (45.7

TAGGING AND MARKING TECHNIQUES

many
tion,

aspects of underwater

including coastal migra-

life,

nearshore to offshore movement, seasonal

bution, and growth rate. Because tagging can

distri-

damage

the animal, the value of the information gained from a

shell houses.

Their claws can be brought into action
quickly and can easily crush fingers, so they should be

return should be carefully considered.

handled carefully. Stone crabs should be handled by

organisms:

their rear legs.

be captured and brought to the surface for tagging.

The Alaskan King crab lives in the cold waters of the
North Pacific Ocean and the Bering and Okhotsk Seas.
Young crabs (2 to 3 years old) inhabit shallow waters

collect fish for tagging.

in large "pods" of 2000 to 3000 individuals and migrate to
deeper water as they mature. Mature crabs (males
range up to 6.6 feet (2 m) and 22 pounds (10 kg))
migrate seasonally between deep and shallow water to

spawn. As the crabs walk across the bottom, divers can
collect

them by grabbing them

cautiously from behind.

Dungeness crabs are found

in shallow inshore,
and offshore waters from southern California
to Alaska and the Aleutian Islands; they live in waters
that are up to 328 feet (100 m) deep. These large crabs,
which range up to 9.4 inches (24 cm) across the back
estuarine,

and up

to 2.2

pounds

(1

kg) in weight, can

move

quickly,

occasionally even faster than a diver can swim. Individual

crabs can be captured from behind and placed in a

mesh bag,

if this is

done cautiously.

Oysters inhabit relatively shallow waters
bays,

9-14

and sounds

in the

There are two different methods of tagging marine
The animal can either be tagged in situ or

Figure 9-15 shows an electroshocking grid used to
Although more traumatic for
the organism, the latter method has the advantage of
allowing the animal to be weighed, measured, and

examined

in detail before release.

ble to take

measurements

in situ

Methods are

under water. Although

body dimensions can be measured under water, a
method for determining body mass (weight)
has not been developed.
Ebert (1964) described a fish-tagging gun that
satisfactory

inserted a standard dart tag into bottom-dwelling fishes

and which could be adjusted
scale thickness.

More

to

account for skin or

recently, the plastic

Gulf of Mexico, off the Atlantic

"T"

tag,

marking clothing (Figure 9-16),
has been used. The needle of the tagging gun is placed
against the organism and the tag is inserted into the
body tissue. With practice, the depth of tag penetration
originally designed for

can be controlled by the tagger. Because
in estuaries,

availa-

gun has many metal

parts,

it

this particular

must be washed and

oiled

carefully to avoid corrosion.

NOAA

Diving Manual

—October 1991

Procedures for Scientific Dives

Figure 9-16
Tagging a Spiny
Lobster on the Surface

Figure 9-15
Diver With Electroshock Grid

Courtesy Floy Tag and Manufacturing Inc

Courtesy Diving Systems International
Photo Steven M. Barsky

carapace, adjusted, and then crimped with a leader
sleeve.

Other methods of short-term tagging include

staining by injection or dipping with vital stains, fluo-

Lobsters have been tagged within their natural envi-

Tagging of oysters, scallops, and abalone can be
accomplished by attaching Petersen tags with glue or a

be marked with styrofoam floats, numbered

wire, painting the shell, using colored quick-setting

term (retained
dens

may

rescent dyes, or phosphorescent dyes.

shedding) tags and marks. Lobster

ronments with short-term
at

(lost

at

shedding) and long-

The

carefully to note specific locations. Color-coded tags

cement, or staining the shell with

may

be inserted into the dorsal musculature between

excurrent holes on abalone shells are very convenient

abdomen and thorax of the lobster with the aid of a
No. 20 syringe needle (Figure 9-17). A secondary mark

abalone has been reported by Tutschulte (1968). This

or 4

mm)

technique involves attaching a small battery-powered

mark

will

the

may

be

made by punching

a small hole (0. 1 6

in.

into one of the five tail fan sections; this

be retained through at least one molt and will permit
recognition of a lobster that has lost

Movements and

its

primary

locations of lobsters at night

tag.

may be

determined by using small sonic tags (pingers). These
tags are small (about 1.2 x 2.0 x 0.4

in.

or 3 x 5 x

1

cm)

and weigh only a few grams. Several types are available commercially. They operate in the general frequency
range of 70 kHz and may be picked up as far away as

m) on an open bottom and 60

1200

feet

when

the tagged lobster

When
kept

in

(363

is

mind

movements
shell are

its

to the shell.

for tagging

During the night, the

of the abalone with the light source on

recorded on sensitive film by a camera

Movement

fixed several meters above the seafloor.

of a

marked animal may be recorded

either as light

streaks (in time exposures taken with a
or as a

moving point of

still

light (in time-lapse

tography). Animals studied by this
to a constant, low-intensity light

method are subjected
and are not illumi-

havioral changes caused by unnatural light flashes

and the

affect overall behavior. In one

in

night diving; be-

are therefore probably eliminated with this method.

A

technique has been developed for tagging echino-

study, a significant alteration of the population dis-

derms (Lees 1968). This method involves

was noted during the course of several weeks
of capturing and tagging (Miller et al. 1971).
Long-term and short-term tags also have been used
by divers in crab population studies. Long-term dart
and spaghetti tags can be inserted at the isthmus of the
carapace and abdomen, the point from which the crab

tiny hole completely through the sea urchin

tribution

exits

when shedding. Short-term

to the legs or carapace.

tags can be applied

Carapace tags

for blue crabs

consist of an information-bearing plastic spaghetti

is

stainless steel line) that has

carefully
in a

holding device

its

The urchin

first

is

hole or crevice and placed

made from

diver to press the urchin
still

(11.4

Diving Manual

removed from

a weighted plastic bowl

lined with thick polyurethane foam; this enables the

drill

— NOAA

been strung with small

pieces of color-coded vinyl tubing.

A

October 1991

drilling. a

and inserting

an inert filament (monofilament line or high-quality

put around each of the lateral spines of the

tag with a loop of stainless leader wire at each end.

loop

camera)
cinema-

should be

required for direct observation
it

method

nated by the periodic flashes of high-intensity light

that the very presence of the diver

may

luminous beacon

A

m)

feet (18.4

in a crevice.

conducting a survey of lobsters,

tagging procedures

points of attachment for tags.

vital stains.

down

into the

during the drilling operation.

An

fitted with an 18-gauge, 4
cm) hypodermic needle is used to

foam

to hold

it

ordinary hand
1

/2-inch-long

drill

completely

9-15

Section 9

Figure 9-17
Tagging a Spiny Lobster

in

Situ

(Randall 1961). Spaghetti tags are

made

of soft tubu-

about 1/16 inch (0.16 cm) in diameter,
with monofilament nylon in the center. This type of tag
lar vinyl plastic

can be attached by running the

line

through the

fish's

back beneath the rear of the dorsal fin. Because this
type of tag can snag on rocks or coral, the method is not
recommended for reef fishes. Dart tags consist of a
vinyl plastic tube with a nylon tip and barb. They can
be inserted into the back of the fish with a hollow
needle so that the plastic streamer bearing the legend
trails posteriorly,

this

come

tend to
Source:

NOAA

(1979)

with a slight upward

tilt.

Although

technique permits fairly rapid tagging, these tags

via the first

loose

more

easily than those implanted

two methods.

Another method of tagging

finfish involves injecting

colored dyes subcutaneously (Thresher and Gronell

through the

test

and body

cavity. After the filament or

wire has been threaded through the needle, the entire
drill/needle assembly

slowly withdrawn, pulling the

is

1978). This technique has been used successfully in

studying the behavior of reef fish. The dye can
be injected via disposable plastic syringes and dispossitu for

wire through the body cavity and leaving wire and tags

able needles. Although several different dyes have been

on the urchin. The ends of the wire are then

used, plastic-based acrylic paints are the most satis-

in place

twisted together to form a loop, and the loose ends are

factory and apparently do not

trimmed.

cantly affect their behavior.

The same technique can be used

to tag sea

cucum-

can be pushed through by

bers, except that the wire

hand instead of with a drill. Animals tagged in this
fashion seem to be unaffected, and tags have been
known to last for 6 to 8 months. With sea cucumbers,
trimming the tags short

important because fish

is

may

otherwise nibble on the long loose ends.

Tagging

The

finfish requires special skill

size of the fish

will not

must be

and handling.

sufficient so that the tag

impair the ability of the fish to navigate,

forage, or avoid predators.

Lake (1983)

lists

several

guidelines for tagging finfish:
•

use barbless hooks to catch the fish

•

avoid the use of bait

•

don't tag fish that have been tired by a long fight

•

hold fish with a wet rag over their heads

keep

•

don't tag fish that are bleeding from the gills

•

tag during cold water season whenever possible

•

during tagging,

gills free

the water for

of sand and dirt

make

sure that fish are not out of

more than 60 seconds.

For small-scaled and scaleless species, the needle

from the

number of techniques have been used to tag finfish.
Three common methods involve Petersen disk tags,
spaghetti tags, and dart tags. Disk tags are about 3/8
or 1/2 inch (0.95 to 1.27 cm) in diameter and come in a
variety of colors. They can be attached to the back of

is

body surface, so
that the tip enters the skin, runs underneath it for a
short distance, and then emerges. This in-and-out
technique ensures that the tag is placed immediately
below the skin, the best position for producing a longlasting tag. Slight pressure should be placed on the
syringe to start the flow of dye (and ensure that the
needle is not plugged), and then the needle should be
pulled back under the skin and withdrawn. The smooth
motion results in an even line of color below the skin.
inserted

rear, parallel to the

For large-scaled species, the needle should be inserted
under the rear edge of a scale and moved gently from
is

applied to the syringe,

which causes a small pocket of dye to be deposited
under the scale. Acrylic paint tags inserted in this
manner have lasted as long as 16 months; durability
depends

in part

on the color of the paint.

Scallops have been

marked successfully using a quickcement (Hudson 1972). This

setting calcium carbonate

material meets four criteria:

A

the fish or signifi-

used, depending on the size of the species to be tagged.

side to side while pressure

•

harm

Two methods have been

tissue; 2)

it

is

1) it

does not

harm

living

easy to apply and readily visible; 3)

it

adheres to a wet surface and hardens under water; and
4) it makes a durable mark. The recommended mixture
for this purpose

is:

not be used on fish that will

seven parts Portland gray (or white) cement
(Portland Type II is best because it is formulated

the tag will

especially for use in seawater)

the fish with monofilament

9-16

line.

This type of tag should

grow to a large size because
cause pressure on the fish as it grows

•

NOAA

Diving Manual

— October 1991

Procedures for

Scientific Dives

Figure 9-18
Elkhorn Coral

Implanted on Rocky Outcrop
•

one part moulding paste

•

two parts builder's sand

(fine grain).

This mixture will start to harden

in 3 to 5

minutes (or

moulding paste is used). The materials
should be thoroughly mixed while dry, and three parts
of water should be added to 10 parts of dry mix. If
colored cement is desired, no more than 10 percent
additive by volume should be used, so that the strength
sooner

if

of the

cement

less

is

not reduced.

The

final consistency

should be similar to that of a firm putty.

To apply cement to a scallop, the organism should be
removed from the water and the upper valve should be
pressed into a soft sponge to remove excess water. A
small quantity of cement (about 1/2 cc for scallops 0.4
to 0.8 inch (10 to 20 mm) in shell height and 1 cc for
scallops 1.2 inch (3
lip

cm)

or larger)

is

placed near the

and then rubbed firmly across the

shell at right

angles to the ribs. This tightly grouts the depression

between the
over the

"A*

and leaves a thin coating of cement

Several quick

shell.

to distribute

shell

ribs

thumb

cement evenly out

to the lip so that

J.

Harold Hudson

new

growth can be measured accurately. Only enough

cement should be applied

Photo

strokes are necessary

relatively

deep habitats. The

sites

where most research

the inter-rib areas;

involving algal and angiosperm vegetation takes place

the upper surface of the ribs should be visible through

are shallow enough to be accessible with scuba equip-

the coating.

Marked

to

fill

scallops can be returned

ately to the holding tank,

immedi-

where they should be held

for several hours to allow further hardening. Scallops

marked in this way have retained this marking material
months or more.
The same type of cement has been used to transplant
live coral in reef areas and to mark large marine
gastropods and other delicate bivalve molluscs (Hudson

for 15

1978). Figure 9-18

shows a

living

elkhorn coral, Acropora

palmata, implanted on a rocky outcrop. Another method

marking marine organisms involves the use of
various dyes. Alizarian Red dye has increasingly been
found useful for making permanent growth line marks
in living corals and other invertebrates. The dye does
not harm the coral, and subsequent growth can be

for

measured

after the coral

sliced with a saw.

is

ment.

Wherever

stable substrates occur nearshore,

on rocky

beaches, in estuaries or bays, or on coral reefs, various

forms of plants

will develop.

As with

all

underwater

work, however, site-specific features limit and strongly
influence the choice of sampling method. Large-scale
biologic studies

may

include samples or catalogues of

plants, recorded with estimates of area covered.

may sometimes

Data

be combined for forms or species (crusts,

Iridaea spp., for example), depending on the need for

taxonomic precision. Large discrete

thalli,

such as

taxa of brown kelp, usually are counted. In some cases
only indicator taxa, selected on the basis of economic
value, dominance, or ease of identification or counting,

are of interest. Sampling programs that are designed

natural environments focus on both nearshore intertidal

abundance and distribution patterns of plants
sessile organisms are described in Sections 9.5.1 and 9.5.2.
Presence/absence data or estimates of abundance
are utilized for experimental studies as well as for
descriptive investigations. The methods employed for
these various objectives rely on sampling procedures

the region where sufficient

that have largely been adapted from terrestrial or

can penetrate the water to support the growth of

(Figure 9-19). Benthic algae can occur at depths greater

intertidal studies. Their applicability to subtidal work
depends on their efficiency under conditions where
time, mobility, and visibility are often severely limited.
These factors must be assessed independently for every

than 656 feet (200 m), but few species occur

situation.

to record

and other

9.8

BOTANICAL SAMPLING

Studies of benthic macroalgae and seagrasses in their

zones and depths. This
light

is

diverse and often dense associations of photosynthetic

organisms that grow attached

October 1991

— NOAA

to

bottom substrates

Diving Manual

in

these

9-17

Section 9

Figure 9-19
Algal Cover
of Rock Substrate
material into component species in the laboratory. These
specimens can then be dried, weighed, and reduced to

ash for analysis of organic content.

For ecological studies or census (.data, the size and
of quadrats to be used must be determined by

number

appropriate

tests,

such as species accumulation curves,

and researchers often find it advisable
somewhat larger than the minimal one

to use

to

an area

be confident

of establishing statistically significant differences

between samples.
Seasonal variations in the diversity and abundance
of plants
world.

and

To

is

very conspicuous in certain parts of the

get complete coverage of events in an area

to gain understanding of the natural cycles,

it

is

necessary to sample repeatedly throughout the year.

It

is

same

best to return to the

station to monitor changes

over time.
Photo

9.8.1 Field

Bunton

Procedures

As with any

ecological project, the objectives and

constraints of the study
sites

Bill

and the features of underwater

determine which techniques are appropriate. In

Some plants have a narrow temperature tolerance,
and these may act as indicator species because their
presence or absence suggests certain environmental
characteristics. North latitude kelp taxa, for example,
do not live in warm water and are not found in tropical
latitudes except where cold currents or deep cold water
provide suitable circumstances.

recent years, subtidal biological methods have been

summarized

in

books that draw on hundreds of scientific

and technical publications. These sources provide up-to-

9.8.2 Collecting

Techniques

date reviews of methods, as well as discussions of their

Before beginning a study that requires the collection

advantages and disadvantages. Accordingly,

of plants, an investigator should survey local environ-

the following paragraphs represent only a brief review

mental conditions so that he or she will know where
and how to sample. Most macroalgae require a hard
substrate for attachment, and the diversity of plants on

relative

of botanical field procedures.

Generally, underwater botanical sampling, whether
of data or specimens, depends on the use of transect
lines, grids,

haphazard ("random"

is

rock surfaces usually

far greater than in soft sediment

is

in fixed, systematic, or

or sandy areas. Pilings, shells, dead corals, barnacles,

rarely practical) positions.

shipwrecks, and mangrove roots are other places algae

and quadrats arranged

Recently, circular sampling designs have been found

are likely to attach. Marine vascular plants (seagrasses)

useful in sites of heavy surge, rough water, or low

follow the reverse pattern; most species

visibility.

grow on

soft or

In circular sampling, a radius-length line

sandy substrates, although some, such as Phyllospadix,

used to partition the

grow on the rocky shores of the western United States.
Frequently, seagrasses and larger algae themselves

attached to a central fixture

is

area and guide the diver. Underwater sites are usually
located on the surface by sighting or buoys and on the

provide substrates for a great array of smaller epiphytic

bottom by a variety of fixed markers. Data can be
recorded by notations on data sheets treated for
underwater use, by collections of organisms, photography, voice recorder, or television camera (see

plants.

Because benthic plants are attached to the substrate, a
tool

such as a putty knife, scraper, or knife

is

usually

appropriate for investigating marine plants. Studies

remove entire plants if these are required for
voucher specimens or for later study. Mesh bags or
small plastic vials with attached lids are useful for
holding samples. If plant samples are necessary for

methods seek,

identification, portions or selected branches are often

Section 9.3).

Methods

suitable for sessile animals are particularly

that rely on these
ferentiate

and

classify plant

in general, to dif-

communities and

to analyze

needed

to

adequate. If there

is

no reason for collecting material,

of productivity,

a non-destructive sampling or experimental design

standing crop data can be obtained by collecting the

can be implemented. If small thalli are needed for
laboratory examination, it is often more efficient to

the data to identify changes.

entire vegetation

9-18

As an index

from a given area and sorting the

NOAA

Diving Manual

—October 1991

Procedures for

Scientific Dives

Figure 9-20
Diver in Giant Brown
Kelp (Macrocystis) Bed
collect pieces of rock or substrates than to

remove and

handle plants during the dive.

When

several divers are involved in a study, a system

"unknowns" (specimens

for incorporating

be identified

that cannot

the field) should be included in the

in

planning stage. Vouchers for such data as well as for
all critical

taxa should be assembled and retained with

the raw data.
If

an investigator wishes to obtain a census of an

area, collections from diverse substrates should be

sampled. Because some plants

only in intertidal

live

or shallow water, while others live only in deep water,

made

over a broad depth range.
such as the kelp Macrocystis
(Figure 9-20), that may be 100 feet (30 m) in length,
with holdfasts 3 feet (0.9 m) in diameter and as many
collections should be

Data

as

for large plants,

400 or 500

based on in-situ

stipes, are usually

observations and measurements. Care should be exercised when placing several types of marine plants in
a

common

container, because plants that have extremely

high acidic content
in

may damage

other forms of algae

the container.

A

clipboard with waterproof paper and pencil for

notes and a field notebook should be used to record

data immediately after diving. Diving observations
should be recorded as soon as possible. Ideally, field
data should include notes on depth, substrate, terrain,

water temperature, current, visibility (clarity), con-

Source:

NOAA

(1979)

spicuous sessile animals, herbivores, the date, time,

methods used, and the collecting party.

If possible,

information on available light, salinity, and other
environmental factors should be obtained. Census data

become more
species

is

useful

i.e.,

abundance of each
whether common,

Many marine

species are incon-

if

the relative

at least estimated,

occasional, or rare.

spicuous, and these require careful microscopic exami-

increased surface area, which augments the current

output per unit of illumination; a system for easily
filters; and a sensitive ammeter
whose range can be altered by current attenuation

changing the colored
circuitry.

nation and identification in follow-up work.

measurements within a given plant
community can be obtained by using small, selfcontained light meters. The use of photographic light

9.8.3

meters that incorporate selenium photocells

be

Accurate

light

is

unsatis-

factory unless restricted spectral regions, isolated with

colored

are measured. This

filters,

system that responds differently

is

Specimen Preparation and Preservation

To determine the kinds of plants present, notes should
made on the collected specimens while they are still
fresh. Herbarium and voucher specimens can be made

because a sensing

from either fresh or preserved material. Plants prepared

wavelengths

soon after collection tend to retain their natural color

to different

being used to measure light that is becoming
monochromatic with depth. The introduction of colored filters in front of the meter greatly
is

better than those that have been preserved, because

increasingly

more than formalin does.
Although procedures for drying and mounting large
algal and seagrass specimens are described in many
easily obtained and standard guides, a few simple
procedures are described here. Most marine algae have a
gluelike substance on the outside of the cells that makes
specimens more or less self-adherent to most kinds of
paper. Standard herbarium paper will preserve a

reduces

added

its

to

sensitivity.

make

An

opal cosine collector can be

the system behave

more

like the plant's

terms of light absorption, but such
collectors can only be used in shallow, brightly lit
waters. The apparatus needed to make such measuresurface does

in

ments generally incorporates

October 1991

— NOAA

a selenium photocell of

Diving Manual

alcohol bleaches thalli

9-19

Section 9

collection permanently, but this paper
requisite for

making a useful

Formalin (2.5-5%)

set of

will preserve

is

not a pre-

voucher specimens.

small or delicate forms,

Samples obtained from many stations can be kept
separate bags in a single large storage

off,

or collector should be associated with every specimen

condition for several weeks

by

label,

with a numbered reference to a field book or

in

that can

be sealed tightly to prevent formalin from leaking out.

and permanent slides are useful for ongoing work.
Time and place of collection and the name of the study

data

drum

For shipping, most of the preservative can be drained

because the plants, once preserved, remain

An

in

good

they are kept damp.

if

method for preserving whole large
them for several hours or days

alternative

plants involves soaking

set.

There are standard herbarium methods for pressing
some special variations for marine algae.
The usual approach is to float specimens in large, flat
plants and

and to slide them carefully onto sheets of heavyweight herbarium paper. Using water, the plants are
arranged on the paper; the paper is placed on a sheet of
blotting paper and topped with a square of muslin or
other plain cloth or a piece of waxed paper. This is
covered with another blotter, and a corrugated cardboard "ventilator" is placed on top. Another layer of
paper plant cloth blotter cardboard is
blotter
stacked on top. When 20 or 30 layers have been stacked,
the pile should be compressed, using a weight or the
pressure from heavy rocks or from straps wrapped
around the plant press. The top and bottom pieces
trays

—

—

—

—

—

in a solution consisting

of 10 percent carbolic acid and

30 percent each of water, alcohol, and glycerin. Spec-

may be

imens thus preserved

dried and then rolled up

The

glycerin helps to keep the plants flexi-

ble indefinitely.

Another technique involves partially
newspaper (in the shade) and

for storage.

air-drying giant kelp on

beginning with the holdfast. Rolls

rolling the plants,

wrapped in paper, and left to finish
drying. Specimens so prepared can later be resoaked
are tied, labeled,

for examination.

one wet preserved specimen should be

If possible,

kept for each pressed specimen. This

is

especially impor-

tant for unidentified species, because taxonomic classification often

depends on

cell structure.

Some

small

plants can be preserved with general collections, but

boards slightly larger than the herbarium

delicate specimens should be isolated. Retaining small

paper and blotters are generally used. After several

pieces of rock with encrusting algae attached helps

hours (or overnight), the stack should be taken apart,

keep the plants intact. Coralline algae and rock-

should be

stiff;

and the damp blotters should be replaced with dry
ones. Many small algae dry in one day using this technique, but some, such as the large brown algae, may
take a full week to dry completely, depending on air
humidity.

The usual method

for preserving

specimens for

later

detailed examination and herbarium preparation

is

encrusting species require special attention. Articu-

may be pressed on paper and then
brushed with a diluted solution of white glue as an
alternative to older methods of storing in boxes.
Plants collected for particular purposes (electron
lated corallines

microscopic study, chemical analyses, culture inocula)

require special treatment.

It

is

important to

fix or

simple and effective. For each station, one or more

preserve such specimens as soon as they are removed

large plastic bags can be used to hold samples of larger

from seawater. Because algae are photosynthetic organ-

plants.

Small bags or

should be used for selected

vials

isms and the deleterious effects of surface light on

a

the pigment systems of specimens from subtidal habitats

solution of 3 to 4 percent formalin in seawater buffered

tablespoons of borax per gallon. Ethyl

can affect other metabolic processes, they should be
kept relatively cool and dark until placed in a killing

made up

(fixing) solution or

fragile or rare plants.

with

3

to 4

alcohol (70%,

The

best general preservative

with fresh water)

for longer storage. Plant

is

is

recommended

used for physiological work.

and animal specimens should

not be mixed.

Permanent
cies.

slides

may be made

One common method

clear corn syrup

of microscopic spe-

uses a solution of 80 percent

and 4 percent formalin. The

slides

9.9

ARTIFICIAL REEFS

Artificial reefs are

manmade

or natural objects in-

should be allowed to dry slowly; as the syrup dries,

tentionally placed in selected areas of marine, estua-

more should be added. The edges of the

rine, or

slide

can be

sealed with clear nail polish.

fish habitats.

Plants collected for histological study should be

preserved

in a

manner

that

is

appropriate for the

particular technique to be used. In

all

cases, preserved

specimens should be kept in a dark place, because
exposure to light causes preserved plants to fade.

9-20

freshwater environments to provide or improve

Much

of the ocean, estuarine, and fresh-

water environment has a relatively barren, featureless

bottom that does not provide the habitat that reef fish
need. Natural reefs and rock outcrops are limited; less
than 10 percent of the continental shelf can be classified as reef habitat.

Even

NOAA

if

rough bottom consists of

Diving Manual

—October 1991

Procedures for Scientific Dives

Figure 9-21
Fish Using Tires
as Habitat

Figure 9-22

An

Reef Complex

Artificial

Photo Dick Stone, National Marine
Fisheries Service

Source: Grove and Sonu (1985)

low-profile rock outcrops,
fish

it

can provide a habitat for

and invertebrates.

Properly sited and constructed artificial reefs can
provide the same

enhance

benefits as natural reefs.

fish habitat, provide

more

They can

accessible and high-

quality fishing grounds, benefit the anglers and eco-

nomies of shore communities, and increase the total
number of fish within a given area. Artificial reefs
function

in

the

same manner

as natural reefs.

They

provide food, shelter, spawning and nursery habitat,

and orientation

in

an otherwise relatively featureless

non-toxic solid wastes or surplus materials

have been used

in

the United States to build reefs

automobiles

junked

(Figure 9-21),

and

streetcars,

damaged concrete

materials, including gas and

Christmas

trees,

oil

and brush

reef materials in fresh water.

scrap

tires

pipe and building

rubble, surplus or derelict ships, and

tires,

and fiberglass-coated

tested in the United States.

used

commonly

Japan and Taiwan. Fish aggregating devices

in

these have been used for

many

years

in

in

the United States;

the western Pacific.

Although artificial reefs can enhance recreational
and commercial fishing opportunities, creating a successful reef involves more than placing miscellaneous
materials in ocean, estuarine, and freshwater environments. Planning
artificial

reefs.

constructed,

all

is

needed

to

ensure the success of

species at the reef sites. Species,

mean

als,

number

of individu-

and behavioral observations should

lengths,

be recorded on waterproof data sheets (see Section
visibility

4 feet (1.2

is

observations can be

made by two

m)
or

9.3).

or more, these

more

divers.

Each

observer makes counts by species for sections of the
reef,

and these are then totaled for the entire reef. The
obtained by all observers are averaged for a

totals

mean

species count of territorial and schooling fish,

cardinalfish, morays,

and certain groupers, the highest
is used. Although

count obtained by any one observer

the accuracy of fish population estimates varies with
visibility, species,

and time of day,

it

is

assumed

that,

conditions remain constant, the counts represent

if

population density. Photographs taken at intervals from
the

same

location also can be used to count and iden-

tify species.

In this case, the photo print should be

placed on a soft surface and a pin hole put through

each identified

fish;

the print should then be turned

over and the holes counted. Visibility should be meas-

ured after taking the picture to compare the areas
covered by different photographs.
Diver-biologists have used direct observation tech-

or part of a reef can disappear or break

niques to demonstrate that artificial reefs can be used

natural reefs in the vicinity.

October 1991

site

materials are improperly placed or

If

apart and interfere with commercial fishing operations or

damage

and any changes that occur over time are
important pieces of information to researchers and
managers. Also, diver estimates of reef fish populations can be made by direct counts of the number and

on the

grunts, and most porgies. For seclusive fish, such as

plastic units have been
Figure 9-22 shows an

(FAD's) also are becoming popular

of reef material

have been popular

recently, fabricated

reef complex. Fabricated units are

artificial

The charting

such as black sea bass, Atlantic spadefish, snappers,

piles

More

numerous other

documenting the suc-

in

structures. Rocks,

structures such as Japanese-style fish houses, concrete
structures,

cess of an artificial reef.

When

environment.

Many

Divers can play a key role

— NOAA

Diving Manual

augment productive natural
areas. They have also shown that
to

reef and rough bottom
these structures increase

9-21

Section 9

biomass within a given area without detracting
from biomass potential in other areas.

total

clinometer can be cemented to a clipboard or to a
plastic writing surface and a pencil can be attached
with rubber tubing; a plastic ruler can also be mounted

on the edge of the board (Figure 9-23). Other useful

9.10

equipment of a general nature might include: a

GEOLOGY

Diving

is

research.

still,

movie, or video camera; an assortment of small sampling

an invaluable

The advent

tool for

many

aspects of geologic

bags or

vials; lights;

9.10.1

Mapping

and small coring tubes.

of scuba in the late forties and

early fifties permitted easy access to the shallow

subaqueous environment for the

first

time.

The

results

of in-situ underwater studies soon began to appear in

niques generally are applicable to research in lakes

Three basic types of mapping can be accomplished
under water: bathymetric, surficial, and geologic.
Bathymetric maps display the depth contour of the
seafloor. Surficial maps show the two-dimensional
character and distribution of the material that comprises the seafloor, and geologic mapping projects a

and rivers.
The topics

on the seafloor.

the literature. Since that beginning, the scientific
applications of diving have increased to the extent that

many

geologists now routinely use scuba as a research
Although most underwater geologic research has
taken place in shallow marine waters, the same techtool.

categories

three-dimensional analysis of the rocks that crop out
in this section are

— characterization

grouped into two general

and experimentation.

Geological characterization includes mapping, sampling,

and testing parts of the underwater environment, while
experimentation deals with the real-time analysis of
specific geologic processes. Experimental geological
studies rely in part on information obtained from
characterization studies, but they go much further in
that they require extensive interplay between geology
and other disciplines such as biology or fluid mechanics.
Initially, underwater geologic research primarily
involved the characterization of existing conditions,
but such studies

now

routinely entail experimentation

Bathymetric mapping is best done from a surface
echo sounding equipment. Multibeam swath
sonar systems are available in hull-mounted and towed
fish configurations; although expensive, their accuracy
is unsurpassed. A diver under water generally cannot
match the range and efficiency, the accuracy of location,
or the precision of depth determination and recording
possible from a surface craft. However, in unnavigable
water, or when taking precise measurements of a highly
irregular bottom or of features too small to be resolved
from the surface, underwater mapping may be the only
craft with

practical

means

of compiling the bathymetry.

Bathymetric mapping can also be done

as well.

Although sophisticated methods have greatly expanded scientists' sampling abilities, careful observation is still the mainstay of most underwater geological
studies. In some projects, observations may constitute
the main data collected; in other cases, careful docu-

in detail

over

a small bottom area to determine the area's microrelief.

Small-scale bed forms are an example of an important
geologic feature too small to be resolved from surface
craft.

These forms develop

in

response to near-bottom

currents, and their presence indicates aspects of the

of

dynamics of the environment that otherwise may not
be readily apparent. Moreover, such features may be
preserved in the geologic record, where they are of

the most important elements of underwater geological

considerable use in deciphering ancient environments.

accurate note-taking, coupled

Scaled photographs of bed forms provide important

mentation

may

be important either to select sampling

sites later or to

place a chosen study site into the

larger context of

its

research, therefore,

surrounding environment.

is

with agreement on what was seen.

It

is

One

advisable to

supplement notes with a debriefing immediately after
the dive and to record debriefing results along with

information on shape and orientation. In mapping
features such as sand ripples, however, the geologist
needs to determine the average size of the bed forms

The small

size of the

bed

the underwater notes.

over a section of seafloor.

Although most research projects require specific
equipment, there are some basic tools that a diving
geologist should carry routinely. These include a compass, inclinometer, depth gauge, noteboard, ruler, and

forms, the nature of the sediment, and the fact that bed
or unidirectional currents create difficult sampling

These are small items, and many of
them can be combined into a single tool. For example,
a small, oil-filled plastic surveying compass with in-

Peterson's Wheel-Meter Tape Trianguiation Method.
This trianguiation method requires a wheel that is
mounted on a vertical shaft and that has a rim marked

collecting bag.

9-22

forms often are located

in

areas of strong wave-induced

problems.

NOAA

Diving Manual

—October 1991

Procedures for

Scientific Dives

Figure 9-23

Underwater Geological Compass
the table tops and the alidades are set on these.

Two

plane tables are placed on the bottom, one on each side
of the

and

site,

leveled. Initial sightings are

made on

a

previously selected reference or primary fixed control
point and across the site from one table to the other.

Lines are inscribed on each plastic drawing surface
with ordinary lead pencils and are then labeled. The
resultant vectors, plus a

between the two

measurement of the distance

points, establish the position of both

tables on a horizontal plane. If the tables are not at the

same

elevation, the relationship

a 19.7 foot (6
at the lower

m)

determined by placing

is

long calibrated range pole, weighted

end and buoyed

A

the lower table.

at the top with a float,

sighting

is

made from

on

the upper

plane, and the distance between the sighted point on

the length of the pole and the lower table provides the
Photo Robert

Dill

vertical elevation relationship.

A

diver

diver
in degrees.

locations.

The

shaft

is

driven into the bottom at selected

The 0-degree mark on the rim

aligned

is

A

meter tape, pulled out from the
top of the shaft, measures the distance to any point,
with the direction read on the wheel rim where it is
with magnetic north.

A

crossed by the tape.

around

it,

mounted

slightly larger wheel,

over and perpendicular to the

first

so that

it

can pivot

allows elevations to be calculated from

simultaneous readings of upward or downward angles.

site,

mans each

of the two plane tables.

moves the range pole from point

to point

and sightings are taken from each table and labeled

marker up or down the pole until he
from the diver manning
one of the plane tables. The distance is then measured
from that point to the object being positioned. The
plane table diver uses the horizontal element of the
cross hairs for this measurement. The efficiency of this
method is limited by the clarity of the water and the
diver,

who moves

a

or she receives a stop signal

requirement that three divers record each point.

Meter Tape Triangulation Method. This triangulation
method is preferable to Peterson's wheel method when
small areas need to be surveyed under conditions of
reasonable visibility. Although this method is time
consuming, it is inexpensive, requires little equipment
and only a few divers, and is especially adaptable to
level and uncomplicated sites. Control points at known
distances from each other are selected and marked on
the seafloor around the site. Horizontal measurements
with a meter tape made from two of these control
points to any object or point on the site provide the
necessary information for plotting the position on a

used by archeologists.

plane.

object within the frame.

is

a simple

Plane Table Triangulation Method. This triangulation

method may be used

in clear

position triangulation

and

for taking elevations.

plane tables are necessary.
table, three
is

movable

legs,

water or on land, both for

They

consist of a

and a weight.

A

Simple

wooden

simple alidade

constructed by combining a sighting device, a tube

Dumas Measuring Frame Method.
precision

frame

is

mapping

for small areas has

couplings.

The

and extension

leveled a few meters above a sloping site, and the

new sections into place. Using two
frame as tracks, a horizontal crossbar
mounted on wheels can be moved from one side of the
doubled by

fitting

sides of the

frame

to the other. This crossbar, in turn,

by a yoke holding a
the vertical pole,
centimeters.

The

is

traversed

The mobile crossbar,
and the frame are calibrated in
vertical pole.

vertical pole

is

adjusted to touch any

The coordinates of the point are recorded from three
measurements read on the frame, the beam, and the
elevation pole. The details around the point must be
drawn by a diver hovering over portable 6.6 foot (2 m)
grids placed directly on the site materials.

grids are divided into 7.9 inch (20

sides of the grids.

Diving Manual

m) square metal

extension couplings allow the size to be indefinitely

are designated by

— NOAA

16.4 foot (5

telescopic legs enable the frame to be

weighted base. Sheets of frosted plastic are then tacked

October 1991

A

This method of
been successfully

fitted with four telescopic legs

with cross hairs at each end, and a straightedge on a
to

third

on the

consecutively. Elevations are measured by the third

method of making measurements under
limited visibility conditions, using two divers equipped
with voice communication.
This

A

cm)

These simple

squares, which

numbers and letters marked on
The measuring frame is used to

the
fix

9-23

.

Section 9

the positions of the corners of the grid. Although this

method and the Dumas Measuring Frame method are
no longer used extensively, they

may

be useful

in certain

Merifield-Rosencrantz Method.

A

marker stakes has been
developed and tested by Merifield and Rosencrantz
(1966). Two divers are used for the survey. The procedure

of ground control reference

consists of the following operations:

rough sketch of the approximate locations of the
points to be surveyed is drawn on a frosted plastic sheet
for underwater recording. Using a tape measure, the
between the various points

determined.

is

A

work of measurements should be made, forming

a triangular net (three sides of all triangles); this

eliminates the need for

making angle measurements.

When possible, more than the minimum set of measurements should be taken. For example, if surveying a
square that has a point at each corner, all four sides
and both diagonals should be measured. One of these
measurements

nometry and a hand-held

scientific calculator.

The

is

redundant, but

it

a set of adjoining box cores (the basic box coring tech-

nique

shown

is

sediment

in

Figure 9-24). Because the surficial

box core

in the

may be

modified during the

when
Newton (1968) covered the

coring process, additional steps must be taken

surface relief

is

desired.

sediment surface with a layer of dyed sand followed by

A

lattice

vertical heights

unconsolidated sediment can be measured from one or

simple method of

determining the three-dimensional positions of a number

slant distance

True horizontal survey distances and

microrelief of a small section of seafloor covered by

circumstances.

1

3.

are then calculated from these data using basic trigo-

will

enable the divers

check the accuracy of the measurements and to
detect errors. (Errors can easily happen when a large
number of points is being measured.)

to

a layer of native sand to provide a protective covering

before coring. After the core was impregnated with
casting resin, the microrelief was obtained from slabs.

This type of box coring
is

is

not only time consuming but

also extremely difficult to accomplish under the

influence of strong currents.

Ripple height and wave length can be established
under water and, where closely spaced, the resulting
profiles

can be used to create a three-dimensional

of a section of the seafloor.

equipment used

The

map

sophistication of the

to establish ripple profiles differs greatly,

and the corresponding resolution of the data varies
accordingly. Inman (1957) used a greased "comb"
(Figure 9-25) to obtain a profile of the large ripples
that form in

medium and

coarse sand. In principle, this

technique should give a fairly accurate profile of the
2.

The

vertical height of each point

is

measured

using a simple but extremely accurate level.
is

A

stake

driven into the ground in the middle of the array of

points.

A

clear plastic hose with an inner diameter of

0.37 inch (0.95

cm)

is

fastened to the top of the central

end of the hose pointing down. The hose
should be long enough to reach the farthest point to be
measured. To set up the level, a diver first works all the
air bubbles out of the hose. The free end is held at the
stake, with one

end attached to the stake. The diver
then blows into the free end and fills the hose with air.
As it fills, the hose will rise and form an inverted "u" in
the water. The diver then swims to each point to be
surveyed with the free end of the hose. A measuring

same

level as the

is placed on the point and held vertically. The
end of the hose is placed alongside the stick and
pulled down until bubbles are seen rising from the
fixed end of the hose. When this occurs, the water level

stick
free

at the

measuring stick

fixed end,

and the

is

even with the mouth of the

vertical

measurements can be read

off the stick. If visibility conditions prevent seeing the

fixed end, the hose at the free end should be pulled

down

slowly until the water level remains steady with

respect to the measuring stick.

When

this occurs,

come out of the free end, even
keeps them from being seen.

will

9-24

if

bubbles

poor visibility

ripples as long as the spacing of the

comb elements

is

small compared with the ripple wave length. In practice,

the

comb

is

awkward

to use

because

it

has to

be

handled carefully to prevent grease from fouling divers

and equipment and

to ensure that the

adhered grains

are not lost before the trace can be measured. If visibility

permits, photographing a scaled rod laid transverse to

the ripples produces a quick but accurate measure of

wave length (Figure 9-26). To measure the small
form in fine sand, Inman (1957) laid a
Plexiglas® sheet on top of the ripples and marked off the
crests with a grease pencil. Using this method, ripple
heights could only be estimated, and the problem of
ripple distortion by the Plexiglas® was always present.
Furthermore, reliability decreases markedly when the
current velocity increases because of scour around the
sheet and the diver's inability to hold position long
enough to mark the Plexiglas®.
Underwater surficial mapping requires identification and delineation of the materials and features that
compose the seafloor. In a small area, this can be
accomplished more accurately by a diver at the
underwater site than by instruments from a surface
ripple

ripples that

craft. Surficial features

(such as rock outcrops, coral

unconsolidated sediment, and textural and
compositional variations in the sediment) must be

reefs,

NOAA

Diving Manual

—October 1991

Procedures for Scientific Dives

Figure 9-24

Box Cores (Senckenberg)

for

Determining Internal Structure

in

Sand

(^
y\

/
/ -V

/

BOTTOM

TOP

— Senckenberg boxes aligned in o series, shown here as normal
a northtrending shoreline (L). Box 81 is nearly completely emplaced boxes 82 and 3 partly emplaced. Spiral anchor screwed m sond
behind boxes provides stability and leverage for diver b — Box filled with sand bottom plate secured with elastic band Box sides were
taped together prior to sampling to prevent their spreading apart during emplacement c — Box on side in laboratory bottom pier
moved d — Upper side of box detached and uppermost 2 to 3 cm of sand removed by careful troweling, e — Metal tray inverted and

Taking and processing of sand box cores to identify internal structure, a
to

sand surface Orientation data transferred to tray f — Tray removed and sand leveled and dried. Orientation data ot
g — Sand within tray impregnated with about 120 cc of epoxy resin. When resin has set orientation data is transferred
the sand slab, h — Sand slob removed from tray, internal structure outlined by surface relief provided by preferential penetration o
through individual beds Orientation data on underside of slab
pushed

into

side of tray

Source:

identified,

and their distribution must be traced and

plotted to scale.

The problems of

locating underwater features accu-

and of covering a sufficiently large area can be
minimized by towing the diver-observer with a surface
rately

craft

to

NOAA

(1979)

In areas where the bottom can be seen clearly from
above water, aerial photographs are useful to establish
the general bottom configuration.

The

details can then

be completed under water (Figure 9-27). Geologic

equipped for precise navigation and communication

mapping of the rocks that compose the seafloor is best
accomplished by using seismic profiling techniques

To ensure accurate location of features,
mark the features with a float.

the identification of a rock unit or the location of the

with the divers.

the towed diver should

October 1991

— NOAA

Diving Manual

from a surface

craft. If

a specific question arises

—such

as

9-25

Section 9
Figure 9-25

Greased

Figure 9-26
Diver Using Scaled

Comb for

Rod and Underwater Noteboard

Ripple Profiling

'

m

/

/

'V
^*',-^.*B^.
Photo David

Klise

Photo David

—

direct underwater observamust be used to answer it. For example, a geologist
may need to know the attitude (strike and dip) of
sedimentary strata or of fractures, joints, and faults in

surface trace of a fault

Klise

tion

the rock.

The

strike of a rock

the bed would

bed

is

make when

plane on the earth's surface.

Dip

is

is

the compass direction that

with the bubble defines the dip and dip bearing.

projected to a horizontal

Some outcrops are located in water too deep to be
sampled by these methods unless the diver is operating
in the saturation mode. Where underwater sampling

To

fix

the orientation of

the bed, however, it is also necessary to know the dip.
The dip is the angle in degrees between a horizontal
plane and the inclined angle that the bed makes,
measured down from horizontal in a plane perpendicular
to the strike.

The other crosshair, which
now horizontal, defines the strike of the feature, and
the downward direction of the crosshair coincident
coincides with a crosshair.

cannot be done, a photograph of the outcrop that includes

considerable

For any kind of underwater mapping,

measured with a clinometer. These

prepare a base

relationships are illustrated in Figure 9-28.

Rock outcrops on

the seafloor

one in Figure 9-29) can yield a
amount of information.

a scale (like the

may be

located by

map on which

established features are

drawn

New

it

is

useful to

the outlines of previously
in indelible ink

on a

features can be sketched in

noting irregularities in bottom profiles, anomalous shoals

sheet of plastic material.

or reefs, or the presence of organisms such as kelp that

pencil on the base and, as they are confirmed, inked

normally grow on rocks. The rock outcrop

may

be so

onto the map.

encrusted by bottom flora and fauna that recognition
of features, such as stratification surfaces, fractures,

and

joint planes,

geologist

is

difficult.

In such cases the diving

9.10.2

must clean off the encrustations, search

Sampling

for

freshly scoured surfaces, or collect oriented samples in

Diving geologists sample everything from unconsoli-

the hope of establishing the three-dimensional fabric

dated sediments to surface and subsurface rock forma-

of the rock in the laboratory. In some areas, differential
weathering or erosion makes stratification surfaces
and fractures more readily visible under water.

directly in a few underwater situations, they usually

To measure

the attitude of planar elements in the

adequate compass with an
Underwater housings can be built for the
relatively large surveying compasses commonly used

tions.

Although standard land techniques can be used

must be modified
to

(or

new techniques must be developed)

cope with the underwater environment. Diving allows

which

when using

rocks, the diver needs an

selective sampling,

inclinometer.

boat-based methods. The diver sees exactly what

on shore.

A

hollow plastic dish almost completely

Filled

with fluid (plastic petri dishes work well) and marked
with perpendicular crosshairs on the

flat

useful adjunct to underwater mapping.

surfaces

The

placed in the plane of the feature whose attitude

be measured and rotated until the enclosed

9-26

air

is

dish
is

a
is

to

bubble

collected and

how

it

is

not possible

is

relates to other aspects of the

submarine environment. Compromised samples can be
discarded and easily replaced. Also, diving may be the
only way of sampling the seafloor in areas, such as the
high-energy surf zone, inaccessible to surface craft.

Rock sampling may be required
of an underwater geologic

NOAA

map

in the

compilation

or to answer other

Diving Manual

— October 1991

Procedures for Scientific Dives

Figure 9-27
Aerial

Photograph and Composite

Map

Courtesy U.S. Geological Survey

may

be

4-cylinder industrial motor, which limited the type of

they can be traced to a particular outcrop.

surface vessel used for support. Smaller units have

are the most reliable, although talus fragments

adequate

if

Breaking through the external weathered or encrusted
rind of a

submarine outcrop may be

water makes swinging a

hammer

difficult

because

impossible; a pry bar

or geological pick can be used in existing fractures or

can be driven against an outcrop with better effect.
Explosives may be practical in some cases but must be
used with extreme care (see Section 8.12). Pneumatic,
electric, or

work

hydraulic

drills

are available for underwater

(see Section 8.4).

diver-operated

drill

m) (Figure

used

9-30).

in

The

water depths up to 49 feet
drill

consists of a Stanley

hydraulic impact wrench (modified for consistent
rotation) that

surface.

The

is

been designed that
is

a

powered by

drill rotates at a

a hydraulic

maximum

pump

of 600

on the

rpm and

provides sufficient torque to core under any reasonable

Glynn 1976, Macintyre 1977).
recover cores roughly 2 or 3.5 inches

utilize

more portable

unit,

of Macintyre's original design, cores over 82 feet (25
in

(Halley

et

al.

1977,

Hudson 1977, Shinn

Marshall and Davies 1982, Hubbard

exposed

in

water

less

reefs, a tripod

is

diameter, using a double-walled core barrel.

October 1991

— NOAA

Diving Manual

drill

bag can be used
in place of the tripod. Using the habitat Hydrolab in
the U.S. Virgin Islands as a base, Hubbard and his
lift

coworkers (1985) were able to core horizontally into
the reef face in water depths of 98 feet (30 m). On such

deep operations, bottom time
a diver

in

1977.

al.

required to support the

(Figure 9-30). In deeper water, a

The

cm)

et

et al. 1985).

than 6.6 feet (2 m) deep or on

In addition to tending the

(5 or 9

m)

length have been retrieved with these newer systems

conditions (Macintyre and

unit will

5-10 hp motors. The result
weighing about 350 pounds

(159 kg), that can be operated from a small boat.
Although this approach reduces the flow rate over that

For use

Macintyre (1977) describes a hydraulically powered,

(15

Macintyre's original unit was powered by a Triumph

Samples broken directly from the outcrop

questions.

and

is

needed

to note

to

is

usually the limitation.

normal operation of the

drill,

monitor the progress of the coring

anything that would be useful

in

logging

9-27

Section 9

Figure 9-28
Dip and Strike
of

Figure 9-30
Coring in a Deep Reef
Environment With a Hydraulic

Rock Bed

Block diagram

due

east,

illustrating dip

and

shown by arrow; amount

Drill

strike. Direction of dip

of dip, angle abc. Notice

that arrow extends horizontally as

it would if placed flat on
a map. Direction of strike is north-south, shown by crossarm of symbol; it represents a horizontal or level line
drawn on inclined bedding plane.

Photo Holmes (1962)

Figure 9-29
Geologist Measuring
Dip (Inclination) of Rock Outcrop

Photo Eugene Shinn

The hydraulic

drill is also

useful in obtaining shorter

samples through large coral heads for the purpose of

examining internal growth bands.
single-walled barrel

is

A

fitted to the

larger diameter,

same

drill

and

is

used to remove a plug from the coral colony. Because

method is meant to be non-destructive, great care
must be taken not to damage the surrounding colony.
Some researchers have inserted a concrete plug into
the hole they have drilled to promote overgrowth of the
this

colony by algae.
Photo Larry Bussey

A

the core at the surface.

submersible drilling frame

can solve some of these problems when divers are working
in

deeper water. Adjustable legs allow deployment on

an irregular, sloping bottom. The frame securely holds

bag can be used either

the drill in place, while a

lift

place pressure on the

or to

drill

using a video camera, the

drill

and divers are needed only
cores.

9-28

lift it

out of the hole.

to

By

can be monitored remotely,
to set

up and recover the

The

drill

100

psi (7

that

is

(Figure 9-3 la), which can operate at about

kg/cm 2 ),

is

attached to a neoprene hose

fitted to the low-pressure port of the first stage

of a regulator, which

is

attached to a standard scuba

cylinder.

The

sample

forced up into the middle of a core barrel

is

drill bit is

attached to the

bit.

designed so that the core

This barrel, in turn,

sample when the barrel

is

designed to

removed from
the bit. The barrels containing the sample can be
removed, and new barrels can be attached by the diver
retain the core

is

under water. The best cores can be obtained by running

NOAA

Diving Manual

— October 1991

Procedures Tor Scientific Dives

Figure 9-31

Pneumatic Hand
A.

Drill

and Attachment

Drill

The sediment beneath the seafloor may have been
deposited under conditions markedly different from
those producing the surface sediment;
will

differ accordingly.

How

is

character

its

mud? How

containing interlayered sand and

sample

if so,

does one sample a sediment
large a

required to be representative of a specific

particulate trace component, such as placer gold, without

some component, such

biasing the sample by the loss of
as the finest or densest material?

Many

of these questions

have been addressed in conjunction with subaerial
sampling, and the techniques employed in this form of
sampling are applicable to underwater sampling as
well (Clifton et

X Ray

B.

Core

of

al.

1971).

Surficial samples taken with a small core tube circum-

vent

many sampling problems and permit

consistent collection program.

centimeters

in

a highly

Plastic core tubes several

diameter with walls a millimeter or so

thick are ideal and inexpensive.

Cut into short tubes
numbered and have

several centimeters long, they can be

rings drawn (or cut) on them 0.39 to 0.78 inches (1 to 2 cm)
from the base and top (depending on the thickness of
the sediment to be cored). Two plastic caps for each
Photo

Collin

W. Stearn

tube complete the assembly. The tubes are carried
uncapped by the diver to the collection site. A tube
is

the

at

drill

on the

maximum
make the

its

to

bit

penetration of the bit

motion of the

permit

it

to

is

carefully over the top of the tube. Its

A

in

diameter and up

cm) long have been obtained with

single 72 cubic foot (2

m

3
)

scuba cylin-

der is sufficient to drill 4 holes in the coral Montastrea
annularis at depths up to 23 feet (7 m) (see Figure 9-3 lb). Because this equipment is not designed for use
in salt

water, extra care must be taken after use to rinse

and clean

it

to avoid corrosion.

number

is

the full

break the core free and

cm)

sediment until the ring on the side

pressure

be removed from the hole. Complete
(1

into the

coincides with the sediment surface, and a cap

completed, a slight rocking

bit in the hole will

to 33.5 inches (85

method.

When

hole quickly.

unfractured cores 0.39 inch

this

maximum

speed, with

pushed

along with a description of the sample location.
or rigid plate
the tube

is

is

is

placed

recorded,

A

trowel

slipped under the base of the tube, and

then removed from the sediment and inverted.

The second cap

is

placed on the base, and both caps

are secured. This simple arrangement can be improved

by adding a removable one-way valve to the top end
and a removable core catcher to the bottom. These
items allow the diver to insert and remove the core
without capping it. Capping is done at a convenient
time,

and the end pieces are then transferred

to

another

tube for reuse.
Further details concerning

also present

An inexpensive alternative to a core tube is to cut
one end off a 50-cc disposable syringe and to use it
as a small piston core. The sampler is pushed into the
sediment while the syringe plunger is being withdrawn

problems. The collection technique used depends on

slowly to keep the sampler at the sediment surface.

this

technique can be found

in

Stearn and Colassin

(1978).

Sampling unconsolidated sediment generally
than sampling solid rock, but

it

may

the purpose of the study. For example,

if

is

easier

samples are

The plunger provides enough

collected for compositional or textural analysis, the

sampler

primary concern

losing

a larger entity.

is

On

to obtain material representative of

the other hand,

if

internal structure

or engineering properties are the goal, the sample should

be as undisturbed as possible (see Section 9.10.2).

number
For example, how

Collecting a representative sample creates a
of problems that

must be resolved.

deep below the surface should the sampler penetrate?

October 1991

— NOAA

Diving Manual

to

suction to permit the small

be removed quickly from the bottom without

any sediment. The sample can then be extruded
sample bag, or it can be kept in the core tube
by capping the tube with a small rubber stopper.
into a

Undisturbed samples of seafloor sediment are valuable for identifying internal structures, such as stratification or faunal burrows,

and

for

of certain engineering properties.

making measurements

Compared with

the

9-29

Section 9

brief view of the seafloor possible during a single dive,

to a stationary pole so that the piston

analysis of these structures provides a broader per-

sediment surface during coring can increase the penetration of this apparatus to several meters. Recently,

spective on processes through time. Internal stratifi-

remains at the

have constructed a coring apparatus that

cation, considered in light of sediment texture, can be

scientists

used to infer the strength of prevailing currents during

used a hydraulic jack hammer. The jack

The

hammer

is

orientation of cross-strati-

attached to one end of a section of 3 inch (7.6 cm) in

fication indicates the direction of the stronger currents in

diameter aluminum irrigation tubing cut into the

the time of deposition.

the system and

may

indicate the direction of sediment

The degree

transport.

to

which mixing by faunal

necessary lengths.

made by

The attaching device

press-fitting a collar to a

is

a slip-fit

standard jack

hammer

upper 6 inches

burrowing disrupts these structures is indicative of the
rate of production or stratification, which in turn reflects

chisel shaft. Slits are also cut into the

the rate of the occurrence of physical processes and/or

water. During operation, the entire device

the rate of sedimentation.

the water with an air bag or air-filled plastic garbage

cm) of the core tube

(15.2

to allow for the escape of
is

suspended

in

seafloor sediment also

can. Holding the core pipe in a vertical position, the

provide a basis for interpreting ancient sedimentary

diver releases air from the air bag and descends slowly

Internal structures of

modern

environments. Direct comparison of depositional features
in a

be

rock outcrop with those in an individual core

difficult

core. This

may

because of the limited view permitted by a

problem can be overcome,

to a degree,

by

taking oriented cores in an aligned series, which yields
a cross section that

is

comparable with that

in the

the trigger

oriented vertically,

is

pressed and the tube

is

is

jack-hammered
m) of penetra-

into the bottom. Generally, 19.7 feet (6

tion

attained in about 30 seconds. Experience has

is

shown that

loss

up

compaction is less than 10
29.5 feet (9 m) in length have been

due
to

to

The

obtained using this method.
collection of undisturbed samples from the

seafloor requires special coring techniques. Diver-

operated box cores have been used successfully to core
the upper 3.9 to 7.8 inches (10 to 20 cm).

removed are useful

in

muddy

at the

is

layer can be lost

or

sediments. With their

tops off, they can be pushed easily into the

the top

Cans

from which the bottoms have been

similar containers

mud

until

sediment surface level (the surface
the container is pushed below the

if

sediment surface). The opening at the top of the container
sealed by a screw cap or stopper after the can

emplaced

in the

is

sediment, and the sediment remains

intact as the core

is

withdrawn.

A

wedge-shaped or

spade corer permits the taking of somewhat larger

Cores can be taken

in

sandy sediment with a variety

of devices, ranging in design from very simple to quite

complex. Cores more than 6.6 feet (2 m) long can be
taken by driving thin-walled tubing several centimeters

diameter into the sediment. A simple apparatus
removable collar that can be attached
firmly to a 3 inch (7.6 cm) in diameter thin-walled

in

consists of a

irrigation pipe.
3 inch (7.6

welded

to

collar.

By

cm)
it is

A

pounding sleeve consisting of

inside diameter pipe with

a

two pipe handles

slipped over the irrigation pipe above the

forcefully sliding the pounding sleeve

onto the collar, a 3.3 to 6.6 foot

(1 to

2

m)

down

core can be

taken (the core tube must be long enough to allow for
the core and enough pipe above the collar to slide the

pounding

A

different type of apparatus used for underwater

coring

is

the vibracore, which relies on high-frequency

vibrations rather than pounding to push the core tube

through the sediments. The core tube
into the

bottom as possible and

is

is

driven as deeply

then extracted; dur-

ing extraction, the vibration source

is

turned

off.

Several excellent but costly commercial units are
available; a less-expensive unit can be constructed

by

attaching a simple concrete vibrator to the top of a
3 inch (7.6 cm) piece of irrigation pipe. The unit can be
powered by a small motor located in the support boat;
cores 32.8 feet (10 m) long have been taken with this

type of unit.

Subaqueous cores are saturated with water when

surficial cores.

9-30

ascertaining that the core tube

percent. Cores

outcrop.

is

tube makes contact with the bottom. After

until the

sleeve).

Adding a removable

piston attached

they are removed from the bottom and must be handled
carefully to avoid destroying them. For example, unless

may be washed from
removed from the water, be liquefied
by excessive agitation, or collapse during removal from
the corer. The careful geologist avoids these frustrations
by planning core retrieval and transport as an integral
great care

is

the corer as

taken, the sediment

it

is

part of the coring system.

Other types of geologic samples can be collected by
For example, gas escaping from seafloor seeps
may be collected more easily by a diver/scientist
operating at the seafloor site than by scientists working
from a surface craft. Hydrocarbons in the sediment can
be analyzed with greater precision when the samples
have been taken by divers. These containers can be
divers.

NOAA

Diving Manual

— October 1991

Procedures for

Scientific Dives

Figure 9-32
Diver Taking

Vane Shear Measurement
sealed immediately after sterilization, be opened under

water, and then be resealed with the sample inside
before being returned to the surface.

9.10.3 Testing

means determin-

In the context of this section, testing

ing

some variable of the sediment

in situ that

same sediment. For example,

the

cannot be

from a sample of
and Moore (1965)

identified accurately on the surface
Dill

modified a commercial torque screwdriver by adding a
specially designed vane to the shaft.
inserted carefully into the sediment,

The vane was
and torque was

slowly and constantly increased until sediment failure

occurred (Figure 9-32). From this simple
authors were able to determine the

They

strength of surface sediments.

test,

these

maximum

shear

also

measured the

"residual strength" of the sediment by continuing to
twist the dial after initial shear occurred.

equipment generally

is

because the diver has
test to

Use of

this

restricted to currentless locales
to

remain motionless during the

be able to operate the apparatus correctly and

accurately.
Photo Lee Somers

9.10.4

Experimentation

The underwater environment

a

is

superb natural

laboratory, and diving permits the geologist to study a

number

of processes in real-time experiments.

Most

studies of this type begin with a careful characterization

of the study area, followed by an experiment (usually
carried out over an extended period of time) designed
to explore the interrelationships
logical, physical,

among

geological, bio-

equipment such as sonic pingers (see Section 8.3) may
be needed under adverse conditions. Current technology has advanced to the point where Loran C navigation
systems can guide a boat to within less than 20 feet
(6.1 m) of a previously visited site. Such units are readily
available and can be used on small boats. Surface
buoys tend

to arouse the curiosity of recreational boaters,

who may tamper with

and chemical processes.

or even

remove them, and land-

The experimental technique may be simple or sophisticated, depending on the nature of the phenomenon

marks are seldom close enough

studied and the resources of the experimenters. Repeated

stakes at the actual site must be done carefully so as

observations at a selected site can produce

much

information on processes, such as bed-form migration
or bed erosion and deposition.

When

visibility permits,

real-time video, cinephotography, or time-lapse photog-

useful, especially

when

to the actual site to

visibility

not to alter the current flow

is

enough

to

be

Emplacing

poor.

compromise

experimental results.

Some experiments

involve the

emplacement

unattended sensors that monitor conditions

of

at specific

raphy produces a permanent record of an ongoing process

times or whenever certain events occur. The data from

that can later be analyzed in great detail. Monitoring a

such sensors are either recorded

with sophisticated sensors can, for instance, yield

by cable or radio

in situ or

transmitted

to a recording station. Relocation

is

quantitative information on the interaction of perti-

necessary to maintain or recover the equipment used

in

nent physical and geologic variables.

such experiments.

site

Since

making

many experimental

studies in nature involve

serial observations of the

experimental

site

may have

to

same

be reoccupied

Characterization studies will continue to be the main-

the

stay of underwater geologic research because most of

to continue

them can be completed without elaborate equipment.

site,

the study or to service equipment. Relocating the site

In-situ

and must be planned ahead of time. A
buoy, stake, or prominent subaqueous landmark may

become

can be

difficult

suffice in clear, quiet water, while

October 1991

— NOAA

more sophisticated

Diving Manual

experimental studies, however,
increasingly important as

cover the advantages they offer

will

more
in

undoubtedly

geologists dis-

answering funda-

mental questions about the geologic environment.

9-31

Section 9

Figure 9-33
Undersea Instrument

Chamber

MICROPHYSICAL OCEANOGRAPHY

9.11

Micro-oceanographers have so far not taken

advan-

full

tage of diving techniques; to date, in-situ measurements

and observations of water mass processes have not
been widely used. Turbulent cells, boundary layers,
and flow regimes have not been studied extensively.
Notable among published accounts are the studies of
visual indications of the thermocline, the use of

tracers to reveal flow patterns

and the study of

1971),

dye

(Woods and Lythgoe

waves and the formation
(LaFond and Dill 1957).
Hydrolab has shown that

internal

of bubbles in sound attenuation

Work by Schroeder

(1974)

divers can be used to do

in

more than emplace,

tend,

and

recover oceanographic instruments. Divers are the best

means of ascertaining the

measurements of the
The oceanographic
scientist today dives to implant instruments in the
active parts of the water column and to ensure that
these instruments are measuring the real underwater
scale of

physical nature of the water column.

world.

Table

9-1

summarizes some of the micro-oceano-

graphic variables and problems that involve the use of
divers in data collection.

As

better methodology develops,

the diver's role in micro-oceanography will expand.

(
9.11.1

Emplacement and Monitoring
of Instruments

The implantation, reading, and maintenance of
instruments and instrument arrays and the recovery of
samples and data are important jobs divers can perform in

oceanographic surveys. Instruments implanted at a
site to measure current flow, direction, or other phenomena may be damaged by marine growth or the
buildup of sand or bottom debris. If the instruments
are read remotely, these conditions

of the data

may

alter the validity

measured by the instrument. Divers should

routinely check the condition of implanted instruments to

Photo Morgan Wells

ensure that they are operating correctly.

Undersea laboratories are of great advantage
imental studies requiring the use of

many

in exper-

instruments

and dives of long duration. The Undersea Instrument
Chamber (USIC) provides a stable underwater housing for instruments that record oxygen, temperature,

pH, conductivity, and sound. The

light,

USIC

can be

entered by divers as necessary for data retrieval equip-

ment, calibration, and monitoring (Figure 9-33).

A

good diver-managed oceanographic instrumentation

program was carried out during a Hydrolab underwater habitat mission in 1972 (Schroeder 1975). The
objective was to evaluate a continuously deployed
shallow-water current and hydrographic monitoring
system. Divers set up thermometers, current meters,

9-32

pressure gauges for tidal measurements, and instru-

measuring depth, temperature, conductividissolved oxygen, and pH using a taut line
buoy array. Data were obtained by reading the instruments and/or by a direct readout display inside the

ments

for

ty, salinity,

habitat. When reading a vertical array of the thermometers, the procedure was to swim at an angle to the

top thermometer, read
line to

it,

and then

to

descend the buoy

read the remaining thermometers. The data

were transferred onto a slate secured to the anchor
weight of the buoy system. This procedure prevented
the aquanaut's exhalation bubbles from disrupting the
thermal structure.

NOAA

Diving Manual

— October 1991

(

Procedures for Scientific Dives

Table 9-1
Micro-Oceanographic Techniques

Variable

Temperature

Instrument/

Diving

Technique

Mode*

Thermometer array

as

Placement

Problems

Remarks

Taut-line buoy,

Where

Limited by bottom

pier, piling,

mometers. Pre and post use

time

oil rig.

calibration. Reduires

modes.

to position ther-

in

conventional

repetitive observation.

Recording
thermograph

Same

as above
but secure to
bottom.

C.S

Equipment flooding.

Relocation of

units.

Electronic failure.

Only one data point unless
multiple units used.

Remote readout

Same

C.S

as above.

Same

as above

Excellent for use

in

habitat.

Water samples

Salinity

C.S

Bottle rack

Number

carried by

Processing procedures.

of samples.

Dissolved

salino-

Same

as

for

Temperature, above

Remote readout

Same

as

tor

Temperature, above

Water samples

C.S

Oxygen

time

in

conventional

modes

diver.

Recording
meter

Limited by bottom

Bottle rack

Outgassing when brought

Best

carried by

to surface.

a habitat

Reverse vertical

Fouling of cables.

Excellent for

profiling using

Interface at surface.

habitat operations.

used from

divers.

Multiple

Remote readout

Same

as

for

Temperature, above

Recording

Same

as

for

Temperature, above

Remote readout

C.S

Sensor Unit

floats

and

pulley

system.

Currents

Recording

Same

as for Temperature,

above

Remote readout

Same

as for Temperature,

above

Recording (waves)

Same

as

Ambient pressure

S

Dye

Tides

studies

gauge

inside

for

Temperature, above

Gauge

inside

habitat.

habitat

"C = conventional diving
S = saturation diving
Source:

9.11.2 Planktonic Studies

NOAA

screw-type anchor or other anchoring device

(1979)

in

the

Diving techniques have long been an integral part of

lake bottom and attachment of a collapsed bag held in

experiments on the effects of controlled nutri-

a vertical position by a submerged float (Somers 1972).

in-situ

ent enrichment of phytoplankton
lations.

bags

at

and zooplankton popu-

Lake Michigan, divers implanted large plastic
various depths, which required placement of a

In

October 1991

— NOAA

Diving Manual

Divers could then insert a hose into each bag to
tate filling with lake water

facili-

and nutrient solutions.

After the filling process was completed, the divers

9-33

Section 9

disconnected the hoses and secured the

Water samples were taken
a hose and pump.
The role of zooplankton

filling tubes.

periodically by divers using

vidual vortexes rapidly lose their

own motion and

low the ambient flow. The pellets are sealed

proof polyethylene strips until needed. Three sizes,
in a coral reef

system was

each with the same aspect

ratio, are used: the smallest,

studied by divers working from the Hydrolab under-

described above, gives the most regular

water habitat during three saturation missions (Schroeder

only for about 5 minutes.

et al.

fol-

in water-

1973). Plankton samples were obtained by divers

in

The

wake but

lasts

largest, 0.24 inch (6

mm)

mm)

diameter by 0.09 inch (2.3

thick, can lay a

The speed

using small nets attached to a hand-held diver pro-

streak through the whole thermocline.

pulsion vehicle (see Section 9.5.1). Several variations

these pellets

this technique have been used and are described in
Schroeder (1974). To quantify the volume of water
filtered by the sampling nets, the area of the net mouth
was multiplied by the distance traveled. Samples were
preserved by pouring the contents of the cod end of
the net into a jar filled with filtered seawater and
sealing it with plastic wrap. The sample was then
preserved by injecting formalin through the plastic
by syringe and capping the jar immediately.
A second method of sampling zooplankton in inac-

zontal velocity encountered along any streak,

on

drop path

is

is

comparable

and their
means that the
cannot be determined from a single

often quite complex, which

velocity profile

photograph. Instead, the
layer

of

mean

shear across any given

obtained in successive frames of a timed sequence

is

still

of

to the difference in hori-

photographs or motion pictures.

The general procedure

is

as follows: after identify-

ing the area of interest by dropping a trial pellet, the

cessible areas, such as small caves in coral, involves a

photographer positions himself or herself above the
chosen level and then signals an assistant who is floating above and upstream to release a second pellet. As

suction system utilizing air from a scuba tank to create

the second pellet begins to

a vertical water current in a 7.9 inch (20

cm)

tube with a plankton net secured to the top.

When

used

capable of capturing even

fast-

properly, the device

moving small reef

is

plastic

fall,

the assistant increases

buoyancy, which permits the assistant to
move away from the dye streak without disturbing it.
Whenever possible, the assistant is positioned above
his or her

the sheet overlaying the layer being filmed; this sheet

fish.

movements from the dye. The
photographer then films the dye streak, keeping the
sun behind the camera to increase contrast.
Current can also be measured near the bottom by
using dye tagging techniques (Figure 9-34). Care must be
isolates the assistant's

9.11.3

Use

of

Dye Tracers

In addition to the

emplacement and monitoring of

instruments, divers have used dye tracer techniques to

measure currents, internal waves, thermoclines, and
various turbulent components of the water column
(Woods and Lythgoe 1971). Water masses tagged with
fluorescein dye can be followed and photographed to
provide an accurate measurement of current speed and
direction. If a point source of dye (a bottle full of dyed

taken not to kick up sediment or to create artificial

released into the current, accurate measure-

column, care should be taken to minimize the amount
of activity around the study sites to avoid unnecessary

water)

is

ments can be made at speeds lower than those of most
current meters commonly employed. To understand
the generation of turbulence inside a thermocline and
within the water column,

it

is

know both
shear. The most

necessary to

the density gradient and the velocity

vortexes by

swimming

in the

area during such studies.

Water Samples
When taking measurements

9.11.4

or samples in the water

mixing of the water column caused by vertical water
currents from the diver's exhaled bubbles. Instruments

should be placed well away and upstream of

all

bubble

activity.

to

Divers can collect bulk water samples by swirling

drop a tiny pellet of congealed fluorescein through the

large plastic bags through the water until filled, sealing

layer under study. Disk-shaped pellets, 0.12 inch

the mouths of the bags, and carrying the bags to the

convenient technique for laying a shear streak

(3

mm)

in

diameter and 0.6 inch (1.5

mm)

is

thick, are

particularly useful. These pellets are attached to a
light line

and dropped through

a thermocline.

The

dispersion of the dye by the ambient flow can then be

photographed.

The only disturbance

caused by
column is caused
by the formation of a small vortex wake, whose indito the existing flow

the pellet's passage through the water

9-34

Because large water samples are heavy, the bags
should be put into rigid underwater containers that are
then attached to the boom of the ship. The plastic bag
sampler can be modified to collect more precise water
ship.

samples by gluing or stapling a strip of wood or plastic
to each edge of the bag opening, so that it will extend

from the corner to about two-thirds the length of the
The remaining third of the open end is then

opening.

NOAA

Diving Manual

— October 1991

Procedures for Scientific Dives

Figure 9-34

Dye-Tagged Water Being
Moved by Bottom Current
of the air-filled jar

is

buoyancy

sufficient to disturb the

of the diver, requiring constant attention to depth regulation

When

and distracting the diver from the task

at

hand.

standard ship-operated water samplers are used,

the divers and ship personnel can precisely position

and trigger the samplers under water.
It

is

measures of

difficult to obtain accurate

dis-

solved oxygen in seawater because the changes in pressure

which

to

y^>

a

sample of seawater

is

subjected as

it

is

brought to the surface affect the chemical nature of
the solution. Liquids and solids are relatively insen-

but dissolved gases are sensi-

sitive to pressure effects,
tive to pressure

as

/

if

taken up when the container

/
Courtesy U.S. Navy

the container

is

protected

raised through the water column, oxygen

is

it

changes. Even

may

be

opened on the surface.
To overcome this limitation, a sampler that is portable,
versatile, and inexpensive has been developed (Cratin
et al. 1973). This sampler and technique are equally
effective for operations from the surface or from an
ocean floor laboratory.

The sample

PVC

is

bottles (Figure 9-35) are constructed

mm)

folded back against one of the supports and lightly
closed with tape or a rubber band to prevent water

from

from entering the bag. To begin sampling, the diver
pulls the two mouth supports apart, breaking the tape
or rubber band, and opens the bag to form a triangular
mouth. The bag will fill entirely as the diver pushes it

provides a volume of about 0.24 quart (225 ml). Screw

forward.

The

diver then closes the supports, refolds the

end back against one of the supports, and rolls
the edge tightly toward the bottom of the bag to seal in
the water sample. Large plastic bags also can be filled
loose

using hand-operated pumps.

When

shipboard analysis

requires uncontaminated samples, new, acid-washed,
hand-operated plastic bilge

pumps can be used

to collect

1.9 inch (48

caps

made

tubing that

mm)

i.d.,

is

and

2.4 inches (60

4.7 inches (12

of plastic and fitted with

cm)

PVC

long,

o.d.,

which

inner linings

and rubber O-rings effectively seal both ends of
the sample bottle from their surroundings. A hole,
0.59 inch (15

mm)

in

diameter,

each sampler and a piece of

mm)

is

drilled into the side of

PVC

tubing 0.59 inch

rubber membrane
and over the small PVC tubing. When
taking large numbers of samples, a backpack designed
to fit over double scuba tanks is a useful accessory
(15

is

long

is

sealed into

it.

Finally, a

fitted into

(Figure 9-36).

A

samples.

Smaller water samples, up

to

1.06 quart

(1

L),

can

be taken with extreme precision using a plastic or glass
jar with a 2-hole stopper, one hole of

which

is

fitted

with a flexible sampling tube of selected length and
diameter. At the desired depth, the diver inverts the

unstoppered

jar,

The

stopper.

jar

purges
is

it

with

air,

and then

inserts the

place.

then righted and, as the air bubbles

out of the open hole in the stopper, the diver manipulates the

sample collection proceeds as follows: the open
i.e., without the screw caps, is moved to the
underwater location, tapped several times to ensure
complete removal of all trapped air, and one of the
caps is screwed on. A marble is placed into the sample
bottle and the second cap is then screwed firmly into
bottle,

sampling tube

to

vacuum

organisms, or detritus into the

jar.

the water sample,

After evacuating

all

To prevent oxygen from ongassing when
is

the sample

brought to the surface, two chemical "fixing" solu-

tions are

added

in

(hypodermic) needle

the following manner: a venting
is

placed into the

membrane and

the diver seals the jar by inserting the tip of the

.0042 pint (2 ml) of manganese (II) sulfate and alka-

sampling tube into the open hole of the stopper or by

potassium iodide solution are injected into the
by hypodermic syringe. (Special care must be
taken to make certain that no bubbles of air are present
in any of the syringes.) The bottle is shaken several
times to ensure complete mixing. (The dissolved oxygen
gas is converted through a series of chemical reactions

the

air,

swiftly replacing the stopper with a cap.

remains

in the

with water

when

air

tion

is

A

top of the sampling jar and

the stopper

is

bubble of
is

replaced

removed. Contamina-

generally insignificant. Bottles larger than

1.06 quart (1

L) are inconvenient because the buoyancy

October 1991

— NOAA

Diving Manual

line

bottle

9-35

Section 9

Figure 9-35
Diver Using

Figure 9-36

Water Sample Bottle

Water Sample Bottle Backpack

Source:

into a white insoluble solid

When

—manganese

III

NOAA

hydroxide.)

the samplers are taken to the laboratory, they

must be kept under water as added insurance against
leakage.

Once

in the

laboratory (with the bottle

water), a venting needle

is

inserted into the

still

Photo William

(1979)

under

membrane

L.

High

As more people have discovered the advenand monetary rewards of shipwreck diving, government resource managers and scientists have become
increasingly aware of the need to preserve and protect
artifacts.

ture

historic shipwrecks.

Although

this section deals primarily

with shipwreck

and .0042 pint (2 ml) of concentrated sulfuric acid is
added via a hypodermic syringe. The bottle is shaken
several times to ensure complete reaction. The sampler
is then removed from under the water, one of the caps
is carefully unscrewed, and known volumes of solution
are withdrawn. A knowledge of the volumes, concentrations of reacting chemicals, and other pertinent

archeology, research on prehistoric remains that are

data enables the analyst to calculate quantitatively the

than 10,000 years. Figure 9-37 shows a diver recovering

oxygen content
nique

is

seawater.

Use

of this sampling tech-

may

limited only by the depth at which a diver

safely work.

much

in

Oxygen

analysis of samples taken from

greater depths requires

more complicated and

expensive equipment that can be operated remotely.

under water is conducted for other purposes as well.
For example, extensive work has been done in Warm
Mineral Springs (Cockrell 1978) and Salt Springs
(Clausen 1975), Florida, to depths of more than 200
feet (61 m), to obtain information on the area's early
animal and human inhabitants, who date back more
Indian artifacts off the coast of California.

The

real

boom

in

archeological diving in the United

States has involved shipwrecks.
the

more

It is

estimated that, of

than 2.5 million certified recreational divers

in the country,

about 200,000 are wreck divers. In
more than

addition to recreational divers, there are

1000 active salvor divers

9.12

ARCHEOLOGICAL DIVING

20 years, diving methodology and technology have had an enormous impact on the scientific
development of underwater archeology in the Americas
(Burgess 1980). Archeological procedures developed

Over the

in the

in the

trained marine archeologists,

last

1960's for use on shipwrecks in the Mediterra-

country. Professionally

who number no more

than 100 in the United States, thus comprise the smallest

group of wreck divers.
It is estimated conservatively that there are well
over 100,000 shipwrecks in United States waters. Available data indicate that close to 90 percent of

known

shipwrecks on the Continental Shelf are located in
depths of less than 60 feet (18.3 m). Along some parts

nean by Bass (1966, 1970, 1972, 1975) and his associates have been adopted and modified by professional
archeologists in the United States to study both sub-

of the coastline, shipwrecks are clustered in large

many

bers within a few hundred meters of the beach.

merged

prehistoric

and

historic sites. Since then,

archeologists have conducted historical and/or anthro-

Thousands of recreaand professional salvors have also become
involved with wreck diving in their search for historic
pological research on shipwrecks.

tional divers

9-36

numMost

harbors and inlets are rich in shipwreck sites. The
rivers, estuaries, and navigable channels
waterway
also contain thousands of shipinland
of the
Great Lakes,
wrecks from

many

different periods.

NOAA

Diving Manual

— October 1991

Procedures for Scientific Dives

Figure 9-37
Diver Recovering
Indian Artifacts

and grid mapping,
and photomosaic surveys, are well-known procedures
on land sites and are described in detail in archeologiartifact triangulation, plane table

cal publications (see Sections 9.2.1

method and theory

the

and

9.10.1).

Although

of underwater archeology are

similar to those used to conduct excavations on land,

operating procedures for mapping sites can be very

The best
modify these

different because of underwater conditions.

way

for archeologists to learn

techniques

how

to

by borrowing from the experiences of

is

marine biologists and geologists and by experimenting
with various methods to ensure that reliable descriptive data are obtained.

9.12.2

Shipwreck Excavation

Every

historic

shipwreck presents unique problems

with respect to the archeological methods required to

excavate.

The

depositional environment of each site

how shipwreck remains are to be uncovered and recorded in situ. No two wreck sites are
exactly the same. Shipwreck discoveries made since
largely governs

the early I960's along the coasts of Florida, Bermuda,

the Bahamas,
and throughout the Caribbean have
shown that ancient wooden-hull shipwrecks do not
stay intact for as long as formerly believed. Shallow

water shipwreck remains are subjected continuously to
the onslaught of the sea. Because the vessels' super-

structures are degraded by the impact of currents,
storms, and shifting overburden, visual remains often
Courtesy Diving Systems International
Photo Steven M. Barsky

9.12.1

Shipwreck Location and Mapping

Underwater archeologists use many of the same techniques and much of the same equipment as other marine
scientists.

The two principal methods

of locating

shipwrecks involve the use of visual search and remote

sensing techniques. Visual search procedures are
discussed

in

Sections 8.2 and 9.1 to 9.3. Within the

are not easily recognizable on the sea bed.

Before excavation,

a

1986).

number

make

objective of these techniques

to obtain reliable

that accurately reflect

of these

mapping techniques, such

October 1991

— NOAA

the horizontal

Many

as baseline offsets.

Diving Manual

and

unnec-

the operation

efficient

ples of the environmental

and

logistical

information

needed include:
•

Measurements of the bottom topography and

rates

of sedimentation to determine the type of excava-

equipment needed
Sub-bottom profiles to determine sediment layers

tion

relative to
•

Number
at the site

•

and stratigraphic relationships between different types
of artifacts within overall artifact scatter patterns.

more

Exam-

of different

The primary

sites.

measurements

essential to determine the

is

to avoid

•

techniques to survey underwater
is

it

essary expenditures, accidents, and mistakes.

shallow water shipwreck remains scattered over miles

Marine archeologists use

ship's

ballast

general character of the environment, which helps to

sophisticated with respect to locating and defining

(Mathewson 1977, 1983,

its

last

decade, remote sensing techniques have become highly

of open ocean

The

and lower hull structure, may be covered by tons of sand, mud, or coral.
Figure 9-38 shows a marine archeologist exploring the
wreck of the Golden Horn.
contents, along with

If

site,

and/or coring requirements

work days and best time of year

and the weather conditions

Movement
bility,

•

wreck or

of

work

to

to be expected

of suspended materials, underwater

wave

action, current,

visi-

and temperature

near shore, usefulness of shore area as land base.

work

area,

and

living area.

9-37

Section 9

Figure 9-38
Archeologist Exploring
the Golden Horn

cm)

3 to 14 inches (7.6 to 35.6

diameter greater than

cm) are very

difficult for individual divers to handle.

sand or

mud

When

needs to be removed from a wreck

larger diameter pipe

more

is

with a

in diameter, airlifts

8 inches (20.3

effective.

When

deep

site,

the

uncovering

fragile artifacts, particularly in the presence of large

amounts of organic matter, however, a 3 or 4 inch
(7.6 or 10.2 cm) airlift is essential. The principle of
airlift

operation

is

described in Section 8.9.2.
with water depth because

Airlift efficiency increases

the trapped air expands as

ascends

it

in the pipe; air-

lifts

are consequently not very effective in water depths of

less

than 15 feet (4.6 m). Exploratory test holes 6 feet

m) in diameter can be dug
cm) airlift in 45 feet (13.7 m)
of water to define the perimeter of a site. When
excavating around fragile artifacts, the airlift should
be used more as an exhaust for removing loose overburden
than as a digging instrument. Instead of using the
(1.8

m) deep and

10 feet (3

quickly with a 6 inch (15.2

suction force of the

airlift to

cut into the sea bed, divers

should expose artifacts by carefully hand-fanning the

bottom deposits into the

pipe. In this

way, fragile artifacts

can be uncovered without being sucked up the pipe.

Because even experienced divers

lose artifacts

pipe, the use of a basket or grate at the other
essential.

The most common problem with

up the
end is

airlifts is

drawn

that large pieces of ballast, coral, or bedrock get
into the

mouth

become jammed

of the pipe and

as they

ascend.

Water
Courtesy Diving Systems International
Photo Steven M. Barsky

jet

excavation involves the use of a highpump, a fire hose long enough to reach

pressure water

The nozzle should

the sea bed, and a tapered nozzle.

Before excavation,

all

possible information about

the attitude and extent of a shipwreck and

its

cargo

must be known. Once the preliminary survey has been
completed, a site excavation plan is formulated and
systematic layer-by-layer surveying and artifact
removal can begin. Care is needed to avoid damaging
the artifacts or removing them without documenting
their position; archeological excavation requires tech-

nique, appropriate equipment, and a great deal of
patience.

pingpong paddles to the application of large-diameter
prop washes, more commonly referred to as deflectors
or "mail boxes."

Each digging procedure has

its

own

advantages and disadvantages.
excavation involves the use of a long discharge

made of PVC or aluminum) and an air
manifold bottom chamber (Figure 9-39). Although
the size of the airlift can range anywhere from

pipe (usually

9-38

stabilize the hose.

The water

jet creates

a high-pressure

stream that can cut through and remove hard-packed
clays

and sand, but

its

use as an excavating tool

limited to situations where the water jet will not

is

dam-

age artifacts or the integrity of archeological deposits
before they are mapped.

The

venturi

pump excavation

technique, sometimes

referred to as a Hydro-dredge, involves the use of a

10 foot (3

Excavation methods range from hand-fanning with

Airlift

have small holes for permitting a backward thrust of
water to eliminate the recoil so that the operator can

m) length of metal
cm) in diameter,

(7.6 to 15.2

at the suction end.

A

or

PVC

that

is

tube, 3 to 6 inches
bent in a 90° elbow

hose from a high-pressure water

pump

on the surface

at the

end of the tube.

is

attached to the elbow juncture

When

high-pressure water flows

along the length of the tube, a venturi effect causes a

which draws bottom sediment into the tube
and out the other end, where it is discharged off the
suction,

site.

This excavation technique

is

ideal in shallow water,

particularly in areas that are not accessible to the large

NOAA

Diving Manual

— October 1991

Procedures for Scientific Dives

Figure 9-39

Heavy Overburden

Air Lift

LOW
AIR

PRESSURE

COMPRESSOR

Courtesy:

October

1991— NOAA

Diving Manual

7ffV&%2)

NOAA

(1979) and Duncan Mathewson

9-39

Section 9

needed

vessels

to support airlifts or a

prop wash. In

9.12.3 Artifact Preservation

water over 50 feet (15.2 m) deep, a similar hydraulic
dredging tool called a Hydro-flo can be used by lowering it over the side and controlling it from the deck. As
with

underwater excavation

all

must be used carefully

tools,

hydraulic dredges

damaging

to avoid

artifacts.

horizontal discharge of the water thrust that normally
is

deflected downward. This

away the bottom sediment. As
successive overlapping holes are dug by shifting the
surge of water blows

position of the boat on

its

anchor

lines,

an archeologi-

to using the

ological tool

is

only the

first

step in enjoying the rewards of research, diving,

and

hard work.

divers, either

rule for preserving

wet

until

submerged

ever,

if

is

to

first

keep them
initi-

should consult local experts or publications on artifact

treatment (Murphy 1985). Special preservation procedures are required for iron and steel artifacts, including

the use of rust and corrosion inhibitors, acid treat-

ment, sealants, chemical and electrolytic reduction,
and encapsulation (Murphy 1985). Some of these techniques require soaking or treatments lasting weeks or

months, depending on the nature and size of the
fact.

arti-

Non-metallic artifacts must be preserved by the

In addition to preserving artifacts,

engine speed properly. At

it

is

essential that

the states and the courts establish the rightful owner-

very delicately from wreck sites

submerged bottomlands.

50 feet (4.6 to

Generally, the U.S. Government controls operations

damaging the archeological
It can do great damage, how-

on or under navigable waters, while the states own the

When

authority over most finds. Non-navigable waters are

in 15 to

of water without

integrity of the deposits.

them

uncertain about what to do, he or she

is

ship of artifacts recovered on

m)

artifacts

proper preservation procedures can be

ated. If a diver

slow speeds, the prop wash can remove overburden
15.2

by accident or by design,

recover valuable or historic artifacts, only to lose

prop wash as an effective arche-

to control the

Many

is

use of entirely different procedures.

cal picture of the artifact scatter pattern slowly emerges.

The key

and Salvage Rights

of submerged artifacts

because they do not take proper care of them. The

Prop wash excavation (also known as a "blower" or
"mailbox") involves a 90° elbow-shaped metal tube
mounted on the transom of a vessel (Figure 9-40). The
metal elbow, slightly larger in diameter than the vessel's propeller, is lowered over the propeller, where it is
locked into position. With the vessel anchored off the
bow and stern, the engines are started so that the
pushes the vessel forward

The recovery

the engines are raced for too long a time.

waters and their submerged beds, which gives them

owned

or are controlled by local gov-

operating a prop wash, experience and good judgment

usually privately

are needed to ensure that artifacts are not lost or

ernments. There are

damaged. It is essential to maintain good communication between the divers on the sea bed and the operator

of historical artifacts or the salvage of abandoned proper-

at the throttle to ensure safe, well-controlled excavation.

such activities must be aware of applicable laws, both

wash can be very effective in
defining the anatomy of a wreck site by determining
the extent of its artifact scatter pattern. Even in deep
sand, where it is impossible to record exact provenance
data, artifact clusters mapped as coming from the
same prop wash hole may aid in the interpretation of a
site. Marine archeologists in Texas, Florida, North
Carolina, and Massachusetts have successfully used
In proper hands, a prop

many

laws affecting the recovery

and these are often complex. Divers involved

ty,

to protect

in

themselves and their historical finds.

9.12.4 Significance of

The archeological

Shipwreck Archeology

significance of shipwreck sites

best determined by their physical integrity

potential for providing historical

and

is

their

and cultural data

that are not available elsewhere. Information that can

prop washes to excavate wrecks.

be gleaned from shipwreck sites includes: overseas

The use of flotation gear is an inexpensive and effective method of lifting. Lift bags are available in different sizes and forms, ranging from large rubberized

cultural processes; maritime life styles

bags and metal tanks capable of

tion of

lifting several tons to

cultural change;

European

and information regarding the evoluvessels and the development of New

small plastic and rubberized nylon bags for lifting

World shipbuilding techniques.

50 to 500 pounds (22.7 to 226.8 kg). Larger bags should
be equipped with an air relief valve at the top. For
archeological work, smaller rubberized nylon bags are

distributed on a

recommended; these

self-venting bags have a lifting

capacity of 100 pounds (45.4 kg) and are useful in

all

underwater operations. Lifting bags are described further
in

Section 8.9.1.

9-40

New World
and patterns of

trading patterns and maritime adaptation to

Like terrestrial
tial

sites,

random

historic shipwrecks are not
basis.

patterning of shipwrecks

is

The temporal and

spa-

primarily a function of

environmental factors, seafaring cultural traditions,
maritime technology, and socio-political variables.
Recent studies have demonstrated that the preservation potential for shipwrecks

NOAA

is

highest in areas of low

Diving Manual

—October 1991

Procedures for Scientific Dives

Figure 9-40

Prop Wash System Used
for Archeological

Excavation

LOOSE SHELLY SAND
.••U.Y.

Courtesy:

energy

(less

wave action) and/or high

rates of sedi-

mentation. Thus, a knowledge of oceanography and
aquatic geology is important when searching for sub-

merged artifacts.
Shipwrecks should be considered not only as cultural resources but also as a source of valuable
educational and recreational experiences. Wrecks to
be explored for recreational purposes should be situin clear water less than 30 feet (9.1 m) deep, have

ated

a visible hull structure,
boats.

Heavily disturbed

sites

physical integrity can.

how

teach students
cal operations

to

and be accessible by small
in

with

little

or no remaining

certain cases, be used to

perform underwater archeologi-

without distorting the archeological record

(Mathewson 1981). Similarly, heavily disturbed sites
and those of more recent date can be developed into
archeological parks to provide new underwater experiences for sport divers. By promoting such recreational
dive sites, user pressure on some of the more archeologically significant sites

October 1991

can be reduced.

— NOAA

Diving Manual

9.13

Duncan Mathewson

ANIMAL CAPTURE TECHNIQUES

A wide variety of devices is used by scientists and
commercial fishermen to aggregate, concentrate, or
confine aquatic animals. Trawls, seines, traps, grabs,

and dredges have
equipped
ior.

all

been used successfully by scuba-

scientists interested in

Diver-scientists

who

will

animal and gear behav-

be diving near such cap-

ture systems should train under simulated conditions

before participating in open-water dives. Marine

sci-

can help to improve the design of trawls and
other such equipment by evaluating its underwater
entists

performance, observing how animals behave in relaand then conveying this information to
equipment designers.
tion to the gear,

In the

FLARE

and Hydrolab undersea programs,

divers were able to observe fish near stationary traps

25 to 80 feet (7.6 to 24.4 m) below the surface for up to
8 hours per day (Figure 9-4 1) and to devise methods to
alter catch rates

and the species captured (High and

9-41

Section 9

Figure 9-41
Fish Trap

draw the bottom

closed,

which

seals off the fish's escape

route.

9.13.3

Trawls

Trawls are nets constructed like flattened cones or
wind socks that are towed by one or two vessels. The
net

may be

operated at the surface,

midwater, or

in

across the seafloor. Specific designs vary widely,

depending on the species sought.

A

plankton net having a 1.6 foot (0.5

may
Source:

NOAA

(1979)

be towed at speeds up to 3.5 knots (1.7 m/s), while

m)

a 202 foot (61.5

long pelagic trawl with an opening

40.3 by 10.5 feet (12.3 by 21.5
1

Ellis

1973). Divers from the National

Marine Fisher-

Service were also able to estimate accurately the

ies

populations of fish attracted to experimental submerged
structures during studies designed to develop

automated

fishing platforms.

9.13.1

of use. Divers working close to an active net (one which

being towed) can interfere with

is

cially

if

touch

it.

it

is

its

if

net

considered large

Any

is

contact does not appreciably influence
tion or operation.

if

or

direct diver

its

configura-

Plankton nets typify small nets both

and

in the

retain micro-organisms.

sea
4.5
(61

be opened horizontally by towing each wingtip
from a separate vessel, by spreading the net with a
rigid wooden or metal beam, or by suspending paired
otterboards in the water to shear out away from each

to entangle fish

when towed.

on Stationary Gear

Diving on stationary gear such as traps, gill nets,
and some seines presents few problems. Experienced
divers can dive either inside or outside the net to observe

it

lightweight web required to
At the larger extreme, hightuna seines often are 3600 feet (1098 m) long, with
inch (11.4 cm) long meshes stretching 200 feet
m) or more down into the water. Gill nets are designed

in physical size

water at

operation, espe-

they swim too near to

small,

filter

may

9.13.4 Diving
purpose, materials, and methods

in size,

m) may

knot (0.5 m/s). Figure 9-42 shows a trawl diver. Trawls

other horizontally

Nets

Nets vary

m) long
m) mouth opening

9.8 foot (3

attempting to push through the meshes;

webbing mesh and thread size vary, as do net length
and depth, in accordance with the size and species of
fish sought. Gill nets use fine twine meshes hung
vertically in the water between a corkline and a leadline.
The net may be suspended at the surface or below the
surface or be weighted to fish just above bottom and
across the expected path of migratory fish. Divers and
their equipment can easily become entangled in gill
net webbing, which is difficult to see in the water.

animal behavior or to carry out work assignments.
Divers must be alert to the entanglement hazard
presented by loose diving gear, such as valve pull rods,
valves, mask rims, knives, vest inflator mechanisms,
and weight belt buckles. A buddy diver can usually
clear the entanglement more readily than the fouled
diver. Fouled divers must avoid turning or spinning
around, which will entrap them in the web. It is
occasionally necessary for a fouled diver to remove the
tank, disengage the caught mesh, and replace the tank
assembly before continuing with the task

9.14

at

hand.

THE USE OF ANESTHETICS IN
CAPTURING AND HANDLING FISH

Anesthesia has been defined as a state of reversible
insensitivity of the cell, tissue, or organism. In connection with fish, the terms narcosis

and anesthesia are

often used interchangeably, although not

all

chemi-

cals characterized as fish anesthetics also act as nar-

9.13.2

Seines

cotics. Anesthetics

Seines are similar to

gill

nets in that a wall of

web

is

held open vertically in the water by the opposing forces
of a corkline and leadline; however, the seine
circle to confine fish within the

entangle the

fish.

leadline through

9-42

is

set in a

web rather than

to

Seines often have rings along the

which a

line or

cable can be pulled to

should be used for surgical inter-

vention or to perform other painful manipulations.
Fish anesthetics have been used in conjunction with a
multitude of operations, including capture, transport,
tagging, artificial spawning, blood sampling, moving
fish in aquaria, surgical intervention,

sessions.

There

is

and photographic

a wealth of published information

NOAA

Diving Manual

in

— October 1991

Procedures for Scientific Dives

Figure 9-42
Diver Checking Fish Trawl
pose concerned. In the absence of applicable data,

it

is

often advisable to conduct a preliminary experiment,

may

since even closely related species

same anesthetic

the

intolerance

Many

not respond to

same manner. Species-specific
has been demonstrated with some anesthetics.
in the

chemicals exhibit toxic effects that are unrelated

and these may be transitory
Some chemicals that exhibit toxic effects
long-term exposure may be satisfactory to use

to their anesthetic action,

or sustained.

during

for short-term anesthesia.

The therapeutic
used
Photo

Ian K.

Workman

in

TR = LC 50 /EC

ratio

is

EC =

the concentration necessary to provide the

desired level of anesthesia. Generally, a

and
of chemicals and

The use

on a wide variety

scientific literature

their applications.

more

TR

exercised to minimize this effect. The subsequent

which anesthetics have been

used must take this into account, because census and
other data are affected by the use of anesthetics.

TR, its usefulness is somewhat
The toxicity of the anesthetic

be considered.

A

given anesthetic

handle because of
potential, or

it

limited.
to

may

its

humans

may

Response

acute toxicity or carcinogenic

toxify fish flesh, rendering

gerous or fatal to eat. This

to Anesthetics

wild,

last

consideration

the

gills.

As

to the water,

which

is

know

in

simplified

which

is

where the fish will later be released
where fishermen might catch it.

may be important, and the stages of anesthesia
can vary with the anesthetic. As mentioned above,

it

usu-

evaluating the depth of the anesthesia.

A

levels of anesthesia,

devised largely from the work of McFarland

(1959) and Schoettger and Julin (1967),
in Table 9-2.

is

thetic

quinaldine generally cannot be used to induce the sedation stage,
lent to fish

and some chemicals are much more repelthan others. Other anesthetics may initially

cause an increase

in activity.

Several anesthetics have low solubility

presented

must

first

alcohol to increase their solubility.

and

ly,

pH, and

ness,

water temperature, salinity or hard-

state of excitability of the fish, as well as

may

be inconvenient, particularly

cost

in

water and

be mixed with a carrier such as acetone or

The response of a particular fish to an anesthetic
depends on a number of factors, including the species
size of fish,

to the

then taken up by

the fish proceeds into anesthesia,

scheme defining the

dan-

impor-

In addition, the specific responses of fish to an anes-

ally follows a series of definable stages that are useful

to

it

is

commonly

Fish anesthetics are administered most

by adding them

must

also

be dangerous to

tant in cases

9.14.1

of 2 or

considered desirable, but since time of expo-

the

surrounding environment, and extreme care must be
in

is

sure and a variety of other factors affect the validity of

of anesthetics does have an impact on the

monitoring of an area

the

concentration lethal for 50 percent of the specimens

and
the popular

sometimes

LC 50 =

evaluating an anesthetic, where

The need
in

field

to

premix

work. Final-

must be considered, especially when

large field

collections are concerned.

on the dosage and type of anesthetic. With some anesthetics, not all of the stages

mentioned

in

Table 9-2 are

observable; for example, with quinaldine there

is

gen-

Recovery begins
removed from the anesthetic bath and
untreated water, where recovery then

9.14.3 Application of
Rapid immobilization.

erally no definitive sedation stage.

when

the fish

is

transferred to

proceeds, usually

shown

in

Table

in

reverse order, through the stages

in

If

an anesthetic

high enough dosages, fish

idly for

may

capture or handling. The

to untreated

sprayed

9-2.

Anesthetics

in

is

administered

be immobilized rapfish

is

then removed

water for recovery. The chemical

may

be

the vicinity of the fish or added to a con-

tainer holding the fish, or the fish

may

be removed to a

separate bath, depending on the circumstances. Sev-

9.14.2 Selecting

an Anesthetic

Factors to consider

in

choosing an anesthetic are

purpose, toxicity, repellent action, ease of application,

and

cost. It

may

be helpful to refer to the literature to

choose a suitable anesthetic for the species and pur-

October 1991

— NOAA

Diving Manual

eral anesthetics that are unsuitable for sustained

anesthesia are satisfactory for rapid immobilization,

provided the exposure

is

of short duration.

Sustained Anesthesia. Under suitable conditions,

fish

can be sustained safely under anesthesia for several

9-43

Section 9

Table 9-2
Levels of
for Fish

Anesthesia

Stage

1

2

Description

Behavior

Unanesthetized

Normal

Sedation

Decreased reaction to visual stimuli and/or tapping on the tank; opercular rate
reduced; locomotor activity reduced; color usually darker.

Partial loss of equilibrium

Fish has difficulty

Total loss of equilibrium

3

for the species.

remaining

in

normal swimming position; opercular rate usually

higher;

swimming disrupted.

Plane

—Fish usually on side or back; can

1

still

propel

itself;

responds to tap on tank

or other vibrations; opercular rate rapid.

Plane 2 — Locomotion ceases; fins may still move but ineffectively; responds to
of peduncle or tail; opercular rate decreased.

squeeze
4

Does not respond

Loss of reflex

This

to

peduncle squeeze; opercular rate slow — often may be

erratic.

the surgical level.

Operculum ceases

Respiratory collapse

5

is

minutes unless

fish

to

move; cardiac arrest (death)

revived

in

will

occur within one to several

untreated water.
Source;

days. Choosing the proper anesthetic with regard to
toxicity
is

and

stability

is

Before the anesthetic

critical.

administered, the fish should be starved for 24 to

48 hours to prevent regurgitation of food.

To perform surgery on captured

fish, it is

head should be immersed

in

an anesthetic bath

For longer term
surgery, more sophisticated procedures are required.
One successful system employs two water baths, one
containing untreated water and the other the anesthetic solution. The level of anesthesia can be controlled carefully by selectively recirculating water from
the baths over the fish's gills. Steps should be taken to
maintain the oxygen content near the saturation level
and the ammonia concentration at the minimal level.
Filtration may be required to maintain water quality
(Klontz and Smith 1968).
Recovery. To revive fish in deep anesthesia, it may
be necessary to move them gently to and fro in their
normal swimming position. It is helpful to direct a
gentle stream of water toward the fish's mouth, which
for the duration of the procedure.

provides a low-velocity current over the

gills.

It is

not

advisable to use a strong current or to insert a hose
directly into the

mouth because

this

(Houston

et al.

in fish after anesthe-

1971). During this post-treatment

period, additional stress

may

result in mortality

and

simplest to

then be placed in a trough or other restraining device,
its

sia

(1979)

should therefore be minimized.

anesthetize the fish to the surgical level; the fish should

and

than a week, have been observed

NOAA

may

cause, rather

than alleviate, hypoxia. The water in which the fish

is

NOTE
Anesthetics administered to food fish must
be approved by the Food and Drug Administration, and those using anesthetics are
advised to be thoroughly familiar with all
pertinent regulations. Violations of these
regulations carry severe penalties.
Tidepools and Ponds. Anesthetics are useful when
collecting fish in tidepools.

The water volume

in the

pool must first be estimated, and then the desired dose

of anesthetic

the fish

is

are

untreated water as quickly as possible.
to collect fish

As

calculated and added to the pool.

become immobilized, they

It

removed
is

from tidepools as the tide

because a moderate amount of surge

to

desirable
is

rising,

in the pool helps

to flush anesthetized fish out of crevices,

and diluting

the pool water with incoming water will prevent the
killing of

specimens that are not going to be collected.

With the proper anesthetic and dose, the mortality of

being revived must be of good quality.

uncollected specimens can be reduced to a negligible

Some species recovering from certain anesthetics
may undergo violent, uncontrolled swimming move-

level

ments, and steps must be taken in such a situation to

can be collected with anesthetics. Quinaldine (10-20%)

prevent self-inflicted injuries. For example, this

used widely for this purpose. One-half to 1.05 quart
(0.5 to 1 L) of the solution is generally used for each

usually the case

when

is

the yellowtail Seriola dorsalia

recovers from quinaldine anesthesia. Various physiological changes,

9-44

some of which may

persist for

more

(Gibson 1967, Moring 1970).
Reef and Shore. Many species of reef and shore

collection. Species susceptibility

is

fish
is

highly variable.

For example, angelfish and butterflyfish are highly

NOAA

Diving Manual

— October 1991

Procedures for Scientific Dives

Figure 9-43
Slurp Gun Used
to Collect Small Fish
susceptible, squirrelfish are moderately susceptible,

and moray

The

eels are highly resistant.

effectiveness

of the anesthetic also varies with the physical situation

and experience of the collector.
at least somewhat repellent, and

as well as the skill

Most anesthetics are

the fish usually need to be in a situation, e.g., in small
caves, short crevices, or under rocks,

where they can be

confined within the anesthetic's influence for several

The anesthetic

seconds.

squeeze bottle

is

usually dispensed from a

in sufficient

quantity to immobilize or

partially immobilize
tion.
in

The

fish

specimens on the

first

applica-

can then be collected with a hand net

the case of small specimens, with a

gun (Figure 9-43).
A power syringe

is

or,

manual "slurp"

permits the diver to deliver the anesthetic at closer
range to more species of

fish

than can be done using a

this delivery

more expensive anesthetics

system

may make

the

practical to use for collecting.

Sedentary specimens can sometimes be collected by
slowly trickling a light anesthetic dose

toward them. Fish

in

some non-repellent anesthetics

fish

to ensure that the

emerges.

system for collecting garden eels of the
Taenioconger species, which were previously difficult
is

bilized small sharks

and

ratfish with this technique,

while Harvey (1986) has used

it

A

piece of clear plastic, 6.6 feet (2 m)
placed over the area of the eels' burrows and

moray

eels

Coral heads.

It

usually

is

advantageous

to enclose

coral heads with a loose-fitting net before applying the

anesthetic.

Some

hawkfish reside

species of fish such as wrasse and

in coral at

night and can be collected

easily at that time with the aid of anesthetics.

Large-scale collections.
lect fish

One technique used

over a large portion of a reef

is

to col-

to enclose the

desired area with a seine and to administer a large

enough quantity of anesthetic

to immobilize the enclosed

population rapidly. Divers should work as a team to
recover the fish because of the danger of the divers

becoming entangled
Handling large
tured by hook

in

the net. Procedures to free

fish.

may be

in

ing

advance.

Sharks or other large

cap-

fish

immobilized by spraying a strong

anesthetic solution directly over their

1

weighted down along the edges with sand. Approximately 1.05 quart (1 L) of 13 percent quinaldine

to collect

and jacks.

Aquarium have developed

a successful

square,

much promise. Harvey, Denney,

Marliave, and Bruecker (1986) have successfully immo-

entangled divers should be planned

Scientists at the Scripps

to collect.

dart gun, shows

downstream

burrows are often difficult to
collect with anesthetics because the burrows are so
deep that the fish cannot be reached by discharging
anesthetic from a squeeze bottle. Attaching tubing,
such as a piece of aquarium air line, to the bottle may
provide an adequate extension to reach into the burrow. The anesthetic should have repellent qualities
that will cause the fish to emerge, because otherwise
the fish might become anesthetized in the burrow and
remain out of range. A noxious chemical can be added
to

National Geographic Society

available that allows oral anes-

thetics to be delivered through a probe. This device

squeeze bottle, and

Photo

gills

before bring-

them aboard. Gilbert and Wood (1957) used

000-ppm

a

tricaine solution successfully in this situation.

Transportation. Anesthetics have been used, with

solution in ethanol

conflicting results, to immobilize fish during transit.

area

The

is applied under the plastic. The
undisturbed for 20 minutes, after
which the sedated and immobilized eels are gathered
is

then

left

gently by hand.

colony

may

A

single collection in a well-developed

more than 20 eels. This technique can
other burrowing species, although the

yield

be applied to

dosage and time of exposure

may have

to be varied.

Fish can also be anesthetized by injection. Although

effectiveness of this approach depends on a

of fish, temperature, time in transit, preconditioning

of fish, and water quality. Since most fish can be

transported successfully without the use of anesthetics,

information on the appropriateness of using anes-

thetics during transit should be obtained

earlier attempts at collecting fish with projectile-

literature or

mounted syringes were

procedure.

limited in their success, a recently

developed technique utilizing Saffan®, a veterinary anesthetic,

administered by a laser-sighted underwater

October 1991

— NOAA

Diving Manual

num-

ber of factors, including the type of anesthetic, species

from the

by experimentation before attempting the

Summary. The use of anesthetics as collecting agents
aquarium fish is controversial, primarily because

for

9-45

Section 9

Conventional methods of capture such as seining,

of concern about the delayed toxicity of the anesthetic

A

agents.

survey of the literature indicates that, in the

and long-lining are not appropriate

trawling,

majority of species experimentally subjected to repeated

turing fish around coral reefs, and a

anesthetization, delayed mortality

techniques must be used instead.

negligible. Pro-

is

number

An

for cap-

of special

array of suction

fessional aquarists at Scripps

Aquarium, Steinhart

devices called slurp guns has been on the market for

Aquarium, and other

have also demonstrated

some

that

many

institutions

other species that have not yet been subjected

can be collected safely and

to formal experimentation

powered either by rubber tubing,

diver using a slurp

gun (Figure 9-43)

pulls the trigger,

drawing the plunger back and sucking a large volume

handled without significant mortality.

Most aquatic

time. These are

springs, or other means. After cornering a fish, the

biologists concerned with collecting

of water in through a small opening and thus pulling

agree that judiciously applied anesthetics are useful

small fish (1-3 inches (2.54-7.6 cm)) into the gun.

However, the misuse of these chemicals, especially if widespread, can be very harmful. For
example, the practice of using sodium cyanide to collect aquarium fish, which is sometimes done in under-

fish are

collecting agents.

developed countries,

human

is

ill-advised

and other organisms

among

readied for another shot.

is

to the fish,
in a hole, to

and the need
capture

to corner the fish, usually

it.

Glass or plastic bottles also

in the vicinity.

Recommendations. Tricaine® (MS-222) is a highly
powder that is easy to

proved to be a successful anesthetic in a
wide variety of applications under a broad range of
conditions in both fresh water and seawater, and there
use. It has

an extensive literature on its properties and use.
Tricaine® is a good choice where sustained sedation or
surgical-level anesthesia is required, but high cost

of

captured, the necessity for the diver to be very close

the fish

soluble and virtually odorless

The disadvantages

slurp guns are: the small size of the fish that can be

in

and has resulted

deaths, as well as high mortality

gun

The

then moved into a holding container, and the

small

fish;

however, fish

may be

may

used to entrap

react to the pressure

wave created by the moving jar and swim away. All
bottles must be flooded fully with water before being
submerged.

A

better technique than the bottle

is

the

use of a piece of plastic core liner or plastic tube with a
screen across one end, which can be slipped over fish

is

generally precludes

its

It

is

of low solubility in water

and

is

generally

withdrawn and placed

As discussed

hol before use in water. Quinaldine

is

not useful where

the goal, and

is

it

should not

be used for major surgery or other painful procedures

because

it

is

a poor pain killer. Liquid quinaldine can

be converted readily to a water-soluble
greatly facilitates

its

use.

When

salt,

which

a mixture of the salt

combines the desirable properties of both chemicals and is
and tricaine

is

prepared

in

proper proportions,

it

effective at lower doses than either alone. Propoxate®

and

its

analog Etomidate® are two relatively new and

highly potent fish anesthetics that have potential as

anesthetics for fish collection. Table 9-3 shows the

commonly used fish
mended dosages.

anesthetics, including their recom-

if

in

may
may be

to attract fish, or divers

herd fish into the net. Once entangled, fish

dissolved in acetone, ethyl alcohol, or isopropyl alco-

sedation-level anesthesia

Divers on the bottom can also use small
Animals such as sea urchins may be broken

easily.

nets.

up and placed near the net

use as a collecting agent.

Quinaldine has been used widely to collect or handle
fish.

more
gill

bags or wire cages.

earlier, fish traps

may

also be effective

baited appropriately and placed at a proper point

either on the

bottom or

in the

water column. Divers can

then remove fish from the trap and rebait

it

while

it

remains on the bottom.

Deepwater

can be caught on hook and

fish

line

and

reeled to 60 to 100 feet (18.3 to 30.1 m), where divers

can insert hypodermic needles into those with swim
bladders and then decompress the fish. There is an 80
percent recovery rate on many species of rock fish

when

this

technique

bottom. The fish

is

used.

A

dip net fastened to the

is

useful in collecting fish near the

may

be pinned against a rock or sand

end of a pole spear

bottom, taken out of the net, and placed in an appropriate container; again, needle decompression

may

be

helpful.

Many larger
may be

fish

such as rays, skates, or harmless

caught either by hand or by a loop of
heavy monofilament line on the end of a pole (such as a
snake stick). Electric fish and rays should not be taken
sharks

9.14.4

Diver-Operated Devices

The capture

Some

of live fish poses no special problems for

and maintain discrete
and roam widely.
Diurnal variations may also cause the fish to change

with metal poles or rods because of the shock potential

regions, while others live in schools

(see Section 12.4).

their habitats during a 24-hour period.

gloves.

divers.

9-46

fish are territorial

Invertebrates

A

may

be collected by divers wearing

pry bar, screwdriver, putty knife, or diving

NOAA

Diving Manual

— October 1991

Procedures for Scientific Dives

Table 9-3
Fish Anesthetics

Dosage

(varies

Common

with species,

Anesthetic

Benzocaine*

Qualities

temperature,

Powder,

25-100 mg/L

etc.)

soluble

Use

Remarks

References

Immobilization,

Widely used

Caldarelli

deep anesthesia

in

in

medicine; safe

ethanol

and

effective

with

fish.

Low

potency;

Chloral

Solid, soluble,

hydrate

inexpensive

1-4

g/L

Sedation

not widely used.

McFarland 1959
McFarland 1960
Bell

Cresols

mix

Liquid;

50:50 with

20-40

mg/L

for

Collection

1986

human

Cresols have

1967

Howland 1969

undesirable

immobilization

acetone to

toxic effects;

facilitate

para-cresol

solution.

the most effec-

is

tive isomer.

mg/L

High potency;

Amend

analog of

Limsowan

propylene

Propoxate®;

1983

glycol.

longer seda-

Make

Etomidate 5

1

solution

percent

2-10

Immobilization

in

et

al.

1982

et al.

tion times

and

safer than

quinaldine and

MS-222

mixture.

Methylpentynol

Liquid.

0.5-2 ml/L

Sedation or deep

Widely used but

Bell

(Oblivon®,

moderately

1500-8000 mg/L

anesthesia

less desirable

Klontz and Smith

Dormison ')

soluble

Phenoxyethanol

Oily liquid

0.1-1

ml/L

than other

1968

anesthetics;

low potency.

Howland and
Schoettger 1969

Used

Klontz

with salmonids.

and Smith
1968
Bell 1967

Collection,

Good

Thienpoint and

immobilization

agent.

Immobilization

(2-phenoxye-

frequently

thanol)

Propoxate®

Crystalline;

(McNeil R7464)

1-4

mg/L

soluble

1967

collecting

Niemegeers 1965

Howland 1969

Quinaldine
(Practical

grade)

Widely used

No

soluble with

for collection,

state;

difficulty; dis-

immobilization

analgesic;

Oily liquid,

solve

October 1991

in

5-70 ml/L

10-50

sedation

poor

efficacy varies

percent acetone,

widely with

ethanol, or

species and water

isopropyl alcohol

characteristics;

to facilitate

long exposures

solution.

toxic.

— NOAA

Diving Manual

Schoettger and

1969
Locke 1969
Moring 1970
Gibson 1967
Howland 1969
Julin

9-47

Section 9

Table 9-3
(Continued)

Dosage

(varies

Common

with species,

Anesthetic

Qualities

temperature,

Quinaldine

Crystalline

15-70

sulfate

solid

(QdS0 4

Remarks

References

Collection,

Prepared from

Allen

immobilization

liquid quinaldine

1973

and has same

Gilderhus, Berger,

properties.

Sills,

Use

etc.)

mg/L

)

and

Sills

Harman

1973a

Rotenone®

Powder

or emul-

0.5

ppm

sion

Ichthyocide;

Used

occasionally

fish

used

water ponds.

for

collecting

to salvage

from fresh-

Limited use

seawater

Tate, Moen,

Severson 1965

in

for

live collecting.

Sodium
cyanide

Solid

DO NOT USE

Used

in

Philippines

Styrylpy-

White powder;

ridine (4-

soluble

20-50

mg/L

Dangerous to humans;
causes high

and elsewhere

mortality

for collecting

fish.

Immobilization,

Not widely used

Klontz and Smith

deep anesthesia

but a successful

1968

in

anesthetic.

styrylpyridine)

Tricaine®

(MS-222,

tri-

caine meth-

mg/L

White crystalline

15-40

powder; readily

sedation

soluble

40-100 mg/L

for

for

deep anesthesia
100-1000 mg/L

anesulfonate)

Immobilization,

Expense bars

deep anesthesia;
most widely used

use

used extensively

anesthetic

in

its

for collecting;

Klontz and Smith

1968
Bell

1967

surgery, fish

handling,

for rapid

transport.

immobilization

Urethane

Carcinogenic

DO NOT USE

Immobilization,

Carcinogenic.

Wood 1956

deep anesthesia

Mixtures of

Powder, readily

Various, e.g., 10:20

Immobilization,

Combines

MS-222 and

soluble

ppm QdS0 4 MS-222
equals 25 ppm QdS0 4
80-100 ppm MS-222

deep anesthesia

properties of each

Sills,

anesthetic;

1973b

QdS0 4

:

or

desirable

Gilderhus, Berger,

Harman

combination can be

used

in

lower

concentration than
either anesthetic

alone.

Source: Donald Wilkie

9-48

NOAA

Diving Manual

— October 1991

Procedures for Scientific Dives

knife

may

be useful

their substrate.

may

be placed

bags. Vials

and

in

removing some specimens from

Delicate animals such as nudibranches
in

separate plastic jars, vials, or ziplock

jars should be

open

at the

beginning of

either a scoop,

which has

a line inscribed

given volume, or a cylinder

aluminum,

made

showing a

of plastic, stainless,

or other material that can be forced into

the soft substrate.

A

simple cake server or spatula can

the dive but be completely filled with water before

be inserted from the side to provide a closure as the

being returned to the surface.

core of sediment

Traps are effective for crabs, lobsters, and, occasionally, octopus. Nylon net bags are more easily used
for collecting than bottles or plastic bags. Animals
that are neutrally buoyant will float out of the bottle or
plastic bag when it is reopened to add another specimen.
Animals that live in the upper few centimeters of
sediment or sandy bottom may be sampled by using

October 1991

— NOAA

Diving Manual

is withdrawn from the bottom. The
diameter of the cylinder should be such that it fits

snugly over the mouth of the collecting bottle so the
material can be forced into a labeled jar.

Nylon or other plastic screens can be obtained in a
mesh sizes. These may be tied over ends of
plastic tubes as a sieve or be sewn into a bag to be used
variety of

to hold

sediment samples.

9-49

(

Page-

SECTION
DIVING

10

10.0

General

UNDER

10.1

Geographic Regions

SPECIAL
CONDITIONS

10-1

Northeast Coast

10-1

10.1.2

Mid-Atlantic Coast

10-2

10.1.3

Southeast Coast

10-3

10.1.4

10-3

10.1.7

Gulf of Mexico
Northwest Coast
Mid-Pacific Coast
Southwest Coast

10.1.8

Central Pacific Ocean

10-6

10.1.9

Arctic and Antarctic

10-6

10.1.10

Tropics

10-6

10. 1.1

Diving

10.1.5

10.1.6

10.2

10.3
10.4

10.5

10-1

10.1.1

1

in

Marine Sanctuaries or Underwater Parks

From Shore
10.2.1
Through Surf
10.2.2
Through Surf on a Rocky Shore
10.2.3
Through Shore Currents
10.2.4
From a Coral Reef
Diving From a Stationary Platform
Diving From a Small Boat
10.4.1
Entering the Water
10.4.2
Exiting the Water
Fresh Water Diving

Diving

10-3

10-4
10-5

10-7
10-7
10-7

10-9

10-9

10-10

10-10
10-1

1

10-12
10-12

10-13

10.5.1

Great Lakes

10-13

10.5.2

Inland Lakes

10-14

10.5.3

Quarries

10-14

10-14

10.9

Open-Ocean Diving
Cave Diving
Cold-Water Diving
Diving Under Ice

10.10

Kelp Diving

10-22

10.11

Wreck

10-23

10.12

Diving at High Elevations

10.6

10.7
10.8

10-17
10-19
10-21

Diving

10-24

10.12.1

Altitude Diving Tables Currently in Use

10-24

10.12.2

10-25

10.12.3

Comparison of Existing Tables
Recommendations for Altitude Diving

10.12.4

Calculations For Diving at Altitude

10-25

10.12.5

Correction of Depth Gauges

10-26

10.12.6

Hypoxia During Altitude Diving

10-27

10.13

Night Diving

10.14

Diving

10-25

10-27

Dams and

Reservoirs

10-28

10.14.1

Diving at

Dams

10-28

10.14.2

Diving at Water Withdrawal and Pumping Sites

in

10.15

River Diving

10.16

Diving

From

10-30
10-31

a Ship

10-32

10.16.1

Personnel

10-32

10.16.2

Use and Storage of Diving and Related Equipment

10-32

10.16.3

Safety Considerations

10-33

10.16.4

Using Surface-Supplied Equipment

10-33

10.16.5

While Underway

10-33

(

DIVING

UNDER
SPECIAL
CONDITIONS
10.0

The

GENERAL

ber.

characteristics of underwater environments, such

and type of marine life, vary
significantly from geographic region to region and
influence the amount and type of diving work that can
be carried out under water. The following paragraphs
describe the diving conditions most typical of U.S.

as temperature, visibility,

coastal

and other areas and provide an overview of the

visibility increases.

Water temperatures near the surface during the spring
and summer, when a substantial thermocline exists,
range from 50 to 70°F (10 to 21 °C). Temperatures at
100 feet (30.5 m) range from 48 to 54 °F (9 to 12'C).
During the winter months, the temperature of the water

column

diving characteristics of these regions.

the New England
temperature decreases and underwater

As one progresses north along

coast, water

is

essentially

homogeneous, with temperatures

reaching as low as 28.5 °F (-2°C). Subzero air temperatures

WARNING

and strong winds cause wind

volume dry

Diving in an Unfamiliar Region, Information About Local Conditions Should Be
Obtained From Divers Who Are Familiar With
Local Waters. A Checkout Dive Should Be
Made With a Diver Familiar With the Area

When

suits

low

Wet suits and variablehave become standard for winter

diving in the Northeast (see Section 5.4).

Underwater visibility is primarily a function of sea
and vertical turbulence in the water column. In
the Northeast, horizontal visibility of 50 to 80 feet
state

(15 to 24.4

m) may occur

occasionally throughout the

year, usually in connection with

10.1

chill factors as

as -70 to -80 °F (-57 to -62 °C).

GEOGRAPHIC REGIONS

For purposes of discussion, the coastal regions are
classified as shown on the following table. The principal characteristics of

calm

a land mass or to estuaries or harbors

each region are described

in the

following sections of this chapter.

seas.
is

Proximity to

associated with a

because the load of suspended

decrease

in

visibility

material

in

the runoff from the land mass and the

processes associated with the mixing of fresh and salt

water greatly elevate turbidity. During the summer,
biologically caused 'red tide' conditions

lowering visibility to less than

1

may

occur,

foot (0.3 m). Coastal

waters within the Gulf of Maine have an average range
Area Encompassed

Region

in visibility of
visibility

Rhode

in

Northeast Coast

Maine

Mid-Atlantic Coast

Southeast Coast

Rhode Island to Cape Hatteras
Cape Hatteras to Florida

Gulf of Mexico Coast

West Coast

Northwest Coast

Subarctic Alaska to Oregon

Mid-Pacific Coast

Northern and Central California

(see Section

Southwest Coast

Point Conception to the

extend as

to

Texas

Northern Baja Peninsula
Central Pacific

Ocean

Hawaiian and Leeward Islands

and Antarctic
Caribbean and Florida Keys

Polar

Arctic

Tropics

Cape Cod averages

10 to

15 feet (3.0 to 4.6 m).

Island

of Florida to

25 to 35 feet (7.6 to 10.7 m), while

waters south of

Several species of brown algae comprise the large
kelp of the

New

England

coast. Unlike the kelp of

California, these kelp do not form surface canopies
10.11).

much

New

England kelp occasionally

m) off the hard ocean
bottom and, although they look impenetrable, they do
as 25 feet (7.6

not in fact present a significant entanglement hazard.

Generally, these algal plants are sparsely distributed

and seldom project more than 6
from the bottom.

to 8 feet (1.8 to 2.4

m)

New England coast are primarily
and generally do not exceed 0.5 knot
(0.25 m/s). Faster currents may be encountered in
channels and in river mouths. Divers should be cauCurrents along the

10.1.1

Northeast Coast

Diving

in

northeastern waters

tidal

is

an exciting and

chilling experience. Generally, the best diving condi-

tions in

terms of water temperature, sea state, and
visibility occur from June through Octo-

underwater

October 1991

— NOAA

Diving Manual

in origin

tious in the waters off the
cially

when diving

in

New

England coast, espe-

strong currents and cold water,

10-1

Section 10

because of the potential for overexertion. The surf

in

Water temperatures on the surface range during the

modest compared with the surf in California, but it is especially hazardous along rocky, precipitous coastlines such as the coast of Maine. Shortperiod waves as high as 5 to 10 feet (1.5 to 3.0 m) can
create very rough and turbulent sea states along these
coasts and can push divers into barnacle-covered rocks.

summer months from 72-75 "F (22-24 °C) and from

this region

is

Hazardous marine animals. Relatively few species of
and invertebrates

fish

in the

New

waters off the

England

coast are potentially harmful to divers. Sharks of several species are occasionally seen, but they are generally not

harmful to divers (see Section

12.3.1).

and blue shark; occasionally, the
shark

filter-feeding basking

mistakenly identified as a dangerous shark.

is

The torpedo ray (electric ray) (see Figure 12-19), cownosed ray, and stingray are found off southern New
England (Cape Cod and south). Documented divershark or diver-ray encounters are relatively rare along
the

New

England

coast.

The most bothersome

fish in this region

is

the goose-

which may weigh as much as 50 pounds (23 kg)
and grow to 4 feet (1.2 m) in total length. It is the habit
fish,

of the goosefish to

lie

partially buried on the ocean

floor waiting for unsuspecting 'meals' to pass by. This

fish is

approximately one-half head and mouth and

one-half
startle

tail.

The

sight of a goosefish

another bottom-oriented creature that

by fishermen and divers

for

when bothered. The

its

is

The

to

many fishermen have

wolffish

is

highly respected

strength and aggressive-

wolffish's six large canine

tusks are capable of inflicting considerable

discovered

when

damage, as

trying to boat

is

The green

sea urchin, which has

many

stout spines

that can easily puncture a rubber wet suit, can also
injure divers. Unless the tip of the urchin's spine
surgically

trapped every summer. This pool or

summer water on the entire
Tidal and wind movement of

contains the

cell

coldest

eastern continental

shelf.

cold bottom water

can cause a significant and sudden change

tom temperature of the water

A

off the

New

removed from the

diver's flesh,

it

will

is

cause

may last for months or
found in very dense
concentrations on hard substrates to depths of 50 to
60 feet (15.2 to 18.3 m).
a painful 'lump' under the skin that

The green

sea urchin

is

in the bot-

Jersey coast.

chief characteristic of the mid-Atlantic water

summer

the thermocline.

The

rapid

decrease in temperature at the thermocline

may

cause

column

in the

is

an unsuspecting and unprepared diver enough discomfort to abort the dive.

Plankton gathered at the ther-

mocline also can decrease the light so drastically that
artificial lights occasionally are needed in water depths
beyond 70 feet (21.3 m). In the Cape Hatteras area,
eddies from the Gulf Stream often bring warm clear
water to the coast. Bottom temperatures are warmest
in October and early November after the cold bottom
water mixes with the warmer upper layers. Winter
temperatures in the northern range drop as low as 35 °F
(2°C) near shore and are relatively homogeneous
throughout the water column, with slightly warmer

temperatures on the bottom.

Underwater
October, when

visibility
it

is

common

is

best during Septemberto

be able to see for

tances of up to 60 feet (18.3 m).

Many

dis-

of the inshore

waters of the northern area and the waters near the

major estuaries, such as the Hudson and Chesapeake,
have poor visibility throughout most of the year. Visibility

can range from

m)

to 15 feet (4.6

in these areas,

but improves with distance offshore. Tides

this species.

years.

mid-Atlantic Bight (Montauk Point, N.Y. to Cape
May, N.J.), a large bottom 'pool' of cold winter water

even a seasoned diver, but these fish do not

generally attack unless they are provoked.

ness

enough

is

proximity to the shore, and general location. In the

These

hammerhead,

are the mako, dusky, tiger, great white,

40-60 °F (4-1 6 °C) on the bottom, depending on depth,

large changes in visibility for as
(4.8

km)

much

may

cause

as 3 miles

offshore near bays and rivers.

Tides and currents. Strong tidal currents can be
expected in the Chesapeake Bay, parts of the New
York Bight, off the outer banks of North Carolina, and
in

Long Island Sound. Diving

especially hazardous

of low visibility and

if
is

in these areas

can be

the diver becomes lost because

swept away from the planned

exit area.

Waves. Long-period open ocean waves

in the

mid-

Atlantic are generally not hazardous to divers, although

10.1.2 Mid-Atlantic

Waters

Coast

characterized by low visibility and cold bottom temperatures.
flat

Bottom topography generally

consists of

sand clay or gravel and occasional low-relief rocky

outcroppings.

York-New

10-2

Wrecks are found frequently

Jersey coasts and off

squalls can cause quick 'chops' that may be a
problem. Waves pose the greatest danger to divers
attempting to dive off the end of a rock jetty in a

summer

off the coasts of the mid-Atlantic states are

off the

Cape Hatteras.

New

end of a
by a
wave. The surf in these waters is generally moderate,
and most beaches are composed of sand rather than

moderate

to

heavy

surf; divers too close to the

jetty can be picked

up and thrown

NOAA

into the rocks

Diving Manual

— October 1991

Diving Under Special Conditions

which makes entry from the shore relatively easy

rock,

there are often sharp boundaries between water masses

for divers.

in the

Although sharks are numerous off the coasts of the
mid-Atlantic states, there have been few diver-shark
encounters. However, divers carrying speared fish

ties.

have been molested by sharks, and divers are therefore
advised to carry fish on a long

especially in

line,

murky

m) above

(0.3-0.6

the bottom, and

if

1-2 feet

hug the

divers

bot-

tom contours they can work without interference from
the current. However, the tending boat operator must
be aware of the current differential and must establish
a reference for the diver's position to prevent the boat

water.

As

water column that have different current veloci-

The current generally slows about

in the

Northeast, the goosefish

is

probably the

most troublesome marine creature for divers.
Divers swimming close to the bottom to see their way
in murky water often inadvertently place a hand or
foot in the mouth of a goosefish lying camouflaged on
area's

from being carried away from the dive

site.

Dropping

a

well-anchored buoy over the side at the beginning of
the dive

is

a good

means of

establishing such a refer-

ence. Carefully monitoring the bubbles of the diver

is

Some means

of

extremely important

type of diving.

in this

the bottom and thus run the risk of being bitten. Sting-

diver recall must be established in case the crew on the

abundant in estuaries, especially
during the summers in the Chesapeake Bay, that maximum protection against them is necessary.

surface boat loses sight of the diver's position (see

ing jellyfish are so

Section 14.2.2).

10.1.4 Gulf of
10.1.3

Southeast Coast

For the most part, the waters off the coasts of the
southeastern states are tropical.

Warm

and can reach as high as 75

prevail

27 °C) during the

summer months.

temperatures

to 80°

In the

F (24

to

most north-

ern portions of this region of Georgia, South Carolina,

Mexico

Water temperature in the Gulf of Mexico drops to a
low of about 56 °F (13°C) during the winter months
and rises to about 86° F (30°C) in the summer. Visibility offshore is generally good to excellent and may
even exceed 100 feet (30.1 m) around some reefs. Underwater

visibility

near shore

near river outfalls,

in

is

poor, particularly in areas

bays and estuaries, and off some

and southern North Carolina, less tropical conditions
prevail. Water temperature during the summer in this

beaches. Occasionally, a mass of clear offshore water

about 70°F (21 °C). In the area just south of
Cape Hatteras, the Gulf Stream passes close to land,

ity

area

causing the water temperature to be

than

it

warmer near shore

During the winter, water temthe southernmost areas remains 65 to 70 °F

in

(18 to 21 °C); in the more northerly waters, however,

temperatures drop as low as 50 °F (10°C). In the tropi-

and subtropical waters of the Southeast, there are a

vast

up

to

inshore and increase the near-shore visibil-

75 feet (22.9

number

Mobile,

should

be of concern to divers. At times, strong

still

the gulf are generally negligible but

may occur around

offshore oil platforms, and
knowledge must be relied on in this situation.
Weather conditions and running seas are unpredictcurrents
local

able in the gulf. Unforecasted storms with 6- to 12-foot

good

is

(1.8 to 3.6

m)

seas have curtailed diving operations in

to excellent in
this region of the

the offshore areas; closer to shore, however,

25 to 30 feet (7.6 to 9.1 m), and

in

it

country

in the past.

drops to

harbors and bays,

it

can be poor. Farther north, both offshore and nearshore
drops drastically and averages 20 to 25 feet

10.1.5

Northwest Coast

Diving activities

in the

northwest take place off the

coast of subarctic Alaska and extend to areas offshore

(6.1 to 7.6 m).

When

in regions southeast of

in

of different species of marine animals.

Visibility in southern waters

visibility

m)

Alabama.
Currents

to the south.

is

perature

cal

may move

is

diving at the boundary of major oceanic cur-

Gulf Stream, special care

from Oregon. Water temperatures

in

subarctic Alaska

eddies that occasionally spin off the main mass of

3°C) during the winter
months and average 45 to 50° F (7 to 10°C) during
the summer. Divers in these waters must give serious

moving water. Extra precautions also must be taken

consideration to their choice of diving dress so that

because of the meandering nature of the current's edge;

dive duration

rent systems such as the

must be exercised because of the episodic turbulent

relatively quiet water near the

change

to

edge may suddenly

water with a current velocity of

more. Dives

in

1

knot or

boundary regions must be planned

to

anticipate high current speeds, and appropriate surface support must be provided.

October 1991

— NOAA

As

the diver descends,

Diving Manual

range from 34 to 38 °F

is

to

not affected by the cold. During the

winter, temperature
so that

(l

some bays,

and wind conditions may combine
and near-shore waters freeze

inlets,

over.
Visibility in

Alaskan waters varies drastically from

place to place and from time to time.

The

best visibility

10-3

Section 10

occurs along coastlines and in the Aleutians, where

may

it

range, at best, from 40 to 80 feet (12.2 to 24.4 m).

bays and

Visibility in the waters of

straits is usually

throughout the year. Visibility usually

from 5 to 25 feet
beaches and from

(1.5 to 7.6

At any location, visibility may
become temporarily limited by storms or phytoplank-

Puget Sound waters.

ton blooms. Late each spring in southeast Alaska, the

dictable. This

visibility in the

the water

upper 30 to 40 feet

m)

(9.1 to 12.2

of

column may be near zero because of phyto-

plankton, but below that layer the water
clear (visibility of 40 feet (12.2
this deep, clear

water

is

m)

may

be very

or more). Although

Currents
very low

may

in certain areas
is

is

low, ranging

in coastal

70 feet (0 to 21.3 m)

to

15 to 30 feet (4.6 to 9.1 m).

m)

water near
in

protected

be strong and unpre-

especially true in river diving,

visibility

where

can cause orientation problems. Logs,

stumps, wrecked automobiles, fishing hooks and

lines,

and other bottom trash also pose distinct dangers
divers working in Alaskan rivers (see Section 10.15).

to

often dark because of the

shading effect of the overriding low-visibility water,
there is usually sufficient ambient light to work.

10.1.6 Mid-Pacific

Currents and tides are strong and unpredictable in

The mid-Pacific

Coast

coastal region includes the waters

subarctic Alaskan waters. Tides are extremely heavy

of Northern and Central California.

and can cause currents as high as 10 knots in narrows.
Currents also vary significantly and have been observed

north, the best diving conditions in terms of underwa-

to

change direction within a period of minutes.
Much of the Alaskan coastline is steep and rocky;

many

areas are too steep to allow divers either to enter

ter visibility as well as

From San

Francisco

water temperatures generally

occur from June through September.

From San

Francisco

south to Point Conception, good diving conditions

may

continue through December.

From San Francisco
summer temperatures

and exit points must be careMost sections of coastline
are accessible only from boats. During times of heavy
seas or swells, many near-shore diving locations become

48 to 56 °F (9 to 13°C). Fall and early winter temperatures vary from 52 to 60 "F (11 to 16 °C), and late

completely unworkable.

winter and spring temperatures from 45 to 54 °F (7 to

or leave the water. Entry

fully selected before a dive.

Alaskan waters harbor

relatively

few hazardous marine

A

13 °C).

north to the Oregon border,

generally range from about

thermocline generally exists at depths from

m) during

organisms. Those that cause divers the most trouble

20

are the urchins, barnacles, and jellyfish, with their

summer. The difference

and stings.
Dense beds of floating kelp can cause some problems
for divers, especially during surface swimming. Sharks

peratures during this period ranges between 2 and

and whales are common but are rarely, if ever, seen
under water and generally do not influence diving activity
in any way. The presence of killer whales, which are
common, is an exception to this general rule.
Although no known diver/killer whale encounters
have taken place in Alaska, general caution should

waters.

potential to cause punctures, abrasions,

keep divers out of the water
to

if

these animals are

be near. Steller sea lions are very abundant

known
some

in

areas of Alaska; although there are no reports that
these animals have ever
fornia sea lions

harmed

sea lions are large, fast,
divers, they

divers in Alaska, Cali-

have been known to injure

and

agile

divers.

Because

and are attracted

to

can disrupt an otherwise routine dive. In

addition to being a psychological distraction, the activity

40 feet

to

(-17

and gloves,

Underwater

wet

suit,

a necessity

and

5°F

including hood,

when

diving in these

varies quite drastically through-

summer

Oregon border,

to winter.

late spring

m), increasing to 30 feet (9.1 m) in the fall. From
Santa Cruz north to San Francisco, visibility ranges
from 5 to 15 feet (1.5 to 4.6 m) in the early spring and
summer, 10 to 25 feet (3.0 to 7.6 m) in late summer and
6.1

fall,

early spring.

10-4

late spring

surface and bottom tem-

From Fort Bragg
and summer underwater visibility ranges between 10 and 15 feet (3.0 and
4.6 m). In the late summer and fall, underwater visibility
increases to about 15 to 25 feet (4.6 to 7.6 m). During
to
the winter and early spring, visibility decreases to
10 feet (0 to 3.0 m). South of Fort Bragg down to San
Francisco, visibility ranges from 10 to 20 feet (3.0 to
to the

iments and a reduction of

Farther south, in the waters off Washington and
Oregon, water temperatures range from about 43 to
60 °F (6 to 16 °C) over the year in protected areas such
as Puget Sound. In open ocean waters, depending on
the water masses moving through, temperatures ranging from 40 to 60 °F (4 to 16 °C) may be encountered

is

in

full

visibility

out the area from

of sea lions often causes serious roiling of bottom sedvisibility.

A

and -15°C).

boots,

12.2

to

(6.1

and

visibility

to 10 feet (0 to 3.0

From

m) during

the winter and

Point Conception to Santa Cruz,

ranges from 15 to 25 feet (4.6 to 7.6 m)

during the late spring and
50 feet (4.6

to 15.2

m)

summer and from 15 to
and may occasionally

in the fall

reach 100 feet (30.5 m) near Carmel Bay. During
winter and early spring, one can expect visibility to

extend 5 to 20 feet (1.5 to 6.1 m). The main factors

NOAA

Diving Manual

— October 1991

Diving Under Special Conditions

controlling underwater visibility in this area are the

60's (10 to

huge plankton bloom, which occurs during upwelling
in the spring and summer, and the dirty water condi-

deal of mixing in the upper layers and discrete temper-

caused by rough seas and river runoffs during the

thermocline at 40- to 60-foot (12.2 to 18.3 m) depths

tions

16°C). In

fall

and winter there

a great

is

ature zones do not exist. However, a distinct

summer

winter and early spring.

causes a sharp temperature drop that should be con-

Three species of surface-canopy-forming brown
kelp occur on the Pacific coast. From Monterey
algae

sidered

—

—

dominant kelp

north, the

is

the bull kelp. This particu-

forms large beds but, because of

lar species

its

struc-

same entanglement hazard

ture, does not pose the

to

dive planning.

in

Horizontal visibility under water ranges from 5 to
10 feet (1.5-3.0

as

much

islands.

The

North of Point Conception, surf conditions are probably the most important consideration in planning a

m)

of the mainland coast to

m) around

the offshore

best visibility conditions occur in the late

summer and

divers as the giant kelp (see Section 10.10).

m) along much

as 100 feet (30.5

fall.

underwater

During spring and early summer,
is generally less (30-50 feet

visibility

(9.1-15.2 m)) around the islands, at least in part because

can expect
most areas even on calm days, and on rough days it is
not uncommon to see waves 10 feet (3.0 m) or more
high. Divers should always scout the proposed dive

of prevailing overcasts and heavy fogs. Winter storm

area before going into the water to determine the safest

material from storm drains and river mouths.

2- to 3-foot (0.6 to 0.9

dive. Divers

surf

in

conditions and rain runoff can reduce the visibility to

zero for miles along the mainland coast, because the

prevailing long-shore current distributes suspended

Shore conditions along the mainland coast of south-

area of entry and, in case conditions change, to choose

ern California range from sand beaches to high pali-

alternate exit sites (see Section 10.2.1).

Long-shore currents and tidal currents are

and tend
nia.

On

to

be severe

in

common

northern and central Califor-

very windy days, divers should watch for strong

currents around headlands, off rocky shores, and near

common

sade

cliffs.

Ocean access from these areas

is

often

impossible, and a careful check of charts and maps,

supplemented by

preliminary site

a

recommended before

visit, is

initiating a dive.

highly

The offshore

along beaches

islands generally are accessible to divers only by boat.

Hazardous marine animals. As in other areas, divers
must watch for sea urchins, jellyfish, and rockfish, but

land coast and on the windward sides of the offshore

reefs.

Rip currents are very

and

coves (see Section 10.2.3).

in

shark attacks

in this

Moderate-to-heavy surf prevails along the entire main-

area are not

common.

In the last

15 to 20 years, fewer than 2 dozen shark attacks involving

islands. Under certain weather conditions, the normally
calm leeward sides also may present hazardous diving

conditions.

divers have been recorded; however, diving around the

Currents and tides are not of prime importance

Farallon Islands, Bodega Bay, Tomales Bay, and off

the southwest coastal region, although there are local

San Francisco
water

visibility

is

is

not

recommended except when under-

ideal.

Stingrays and electric rays are

in

exceptions. Currents around the islands, especially during
tidal

may

changes,

The

attain speeds of 3 to 4 knots (1.5 to

and

also found in the mid-Pacific coastal region (for appro-

2 m/s).

priate precautions, see Section 12.4).

currents can be observed both topside and under water

all

There are five ecological reserves in this area, where
animals and plants are protected: Point Lobos State

direction

relative strength of nearshore

by watching the degree and direction of kelp layover.

Hazardous marine organisms

in

this region include:

Reserve, Point Reyes Seashore area, Salt Point State

sharks (especially around the offshore islands) such as

Marin County
San Francisco, and Del Mar Landing in Sonoma
County. Divers should consult with the park authori-

the blue, horned, swell, angel, and leopard; whales

Park, Estero de Limantour Reserve in

north of

determine the boundaries of these marine reserves

ties to

and the restrictions that apply

to

(including killer whales);
jellyfish.

moray

eels; sea urchins;

and

Divers should be aware of the habitats, appear-

ance, and habits of these species (see Section 12).

Sewer

them.

outfalls are

common

along the mainland coast,

and direct contact with sewer effluent should be avoided
10.1.7

Southwest Coast

The waters

Point Conception to the northern Baja Peninsula. Water
temperatures range from 50 to 60 °F (10 to 16°C) in
winter and 55 to 70 °F (13 to 21 °C) in summer, with

some
ing

localized areas

much

made

colder by upwelling. Dur-

of the year, temperatures at depths below

100 feet (30.5 m) are fairly stable

October 1991

— NOAA

The outfall discharge point may occur
from a few hundred feet to several miles offshore, in
from 60 to several hundred feet (18.3 to several hundred meters) of water. The effluent sometimes rises to

(see Section

of the Southwest include the area from

in the 50's

Diving Manual

and low

1

1

).

the surface in a boil characterized by elevated temperatures, paper
If

and other debris, and an unpleasant odor.

diving must be conducted in outfall areas, precau-

tions

such as immunization, use of full-face gear, and

10-5

Section 10

scrupulous post-dive hygiene must be observed (see

and coral abrasions are the most

Section 11 for polluted-water diving procedures). Most

injury.

No

license

needed

is

common

types of

to harvest fish or crusta-

be identified on the surface by a boil or by an orange-

home consumption; however, game laws in
most states place season and size limitations on some

and-white striped spar buoy anchored near the pipe

species.

outfall discharge points are

marked on charts and can

ceans for

terminus.

As

Northern California, ecological reserves that

in

have various restrictions have been established

in the

California Department of Fish and

Game

is

the best

source of information about the location of these reserves

and any
waters

them.

restrictions that pertain to

Diving

The two most important

factors to be considered in

and antarctic environments are the effects of
cold on the diver and the restricted access to the surface when diving under ice. These topics are covered in
arctic

northern Mexican (upper Baja California)

detail in the sections dealing with diving in cold

similar to that in lower southern California.

(Section 10.8) and diving under ice (Section 10.9).

in

is

and Antarctic

10.1.9 Arctic

southwestern coastal region. The local office of the

However, Mexico imposes heavy fines and impounds
Mexican waters without
proper permits; permits can be obtained through the
Mexican government or from Mexican customs officials in San Diego.
the boats of people diving in

Temperature in arctic waters can be as low as 28 °F
(-2°C), but the air temperature and its associated
chill factor may be more limiting to divers than the
cold water

Often, surface temperatures as low as

itself.

-40 to -50 °F (-40 to -46 °C) are reached, with accom-

panying wind velocities that bring the

chill factor to

temperature equivalent to -100°F (-73°C) or
10.1.8 Central Pacific

Ocean

The
Hawaiian Archipelago, which
The major

islands are:

lesser

less.

a
In

such conditions, protecting divers from the extreme

most accessible diving in this area

Hawaiian Islands and the

water

is

around the

consists of the major

known Leeward

Islands.

Hawaii, Maui, Kahoolawe, Lanai,

Molokai, Oahu, Kauai, and Niihau.

The Leeward

Islands

are a group of rocks, shoals, and islets that are rem-

cold

is

paramount both before and

the problem
is

is

then both wet and chilled.

conducted under the
in a

after the dive, although

greater after the dive because the diver

ice,

When

diving

being

is

the dive should begin and end

heated shelter positioned over the entry hole.

If

such a shelter cannot be positioned over the hole, one

nants of ancient islands and seamounts that extend

should be located within a few steps of the entry point.

from Kauai to Midway Island. They are all wildlife
reserves and generally are inaccessible except to government personnel or authorized visitors.
The average water temperature around the major
islands is 76 °F (24 °C) and changes very little with the
seasons. Underwater visibility is almost always excellent, ranging from 50 to 100 feet (15.2 to 30.5 m) or
more. Currents can sometimes be a problem in channels and near points and may reach speeds of up to
3 knots (1.5 m/s). High surf is also a potential hazard
and may vary widely with the seasons.

The heated

make shore

from all the
islands, but rocks, surge, and surf must always be
considered when planning entries and exits (see Section 10.2.1). Since drop-offs occur very near shore and
It

is

possible to

continue for several hundred feet,

entries

it

is

an airplane parked nearby

When

exposed

to

may

extremely

low air temperatures for longer than a few minutes,
divers should

Gloves

wear heavy,

(in the case of

warm water

be flooded with
effects of air

the water.

loose-fitting

and

to forestall the chilling

comfort

to provide greater initial

Hot water can be carried

tainers such as

hooded parkas.

dry suits) or entire wet suits can

in

in insulated con-

thermos jugs.

In polar regions the marine species of concern are
seals, walrus, killer

whales, and polar bears.

A

predive

reconnaissance by an experienced observer will indicate
to

if

any of these animals

is

in the vicinity or

is

likely

cause a problem (see Section 12.5).

easy to get into

deep water quickly after making a shore entry. Caution

interior of

satisfy this requirement.

must always be exercised when making

repetitive

10.1.10 Tropics
Tropical waters provide the most interesting envi-

because underwater

dives.

ronment

Although most forms of dangerous marine life can
be found in Hawaiian waters, they are uncommon.
There have been a few recorded shark attacks over the
years, but they are extremely rare and usually involve

usually excellent and marine

although the waters

swimmers

a storm, during plankton blooms, or from silting near

10-6

or surfers. Eel bites, sea urchin punctures,

for diving,

ity in tropical

more. There

waters
is

little

is

life

visibility is

abounds. The

generally 50 feet (15.2

m)

or

variation throughout the year,

may become murky and

NOAA

visibil-

Diving Manual

silty after

— October 1991

Diving Under Special Conditions

Water temperatures hover around 70° F

shore.

during the winter months and
(28 °C)

in

Marine

(21 °C)

be as high as 82 °F

may

shallower waters during the summer.
life

to divers.

contours or features, or triangulation methods using

known shore

When commercial

abundant, and some forms are dangerous

is

Sharks thrive

tions should be taken

waters and precau-

in these

when they

A

are sighted.

wide

variety of poisonous marine animals (jellyfish, scorpionfish, sea snakes) also

abounds (see Section

positions should be used initially in locat-

ing a dive site.

diving operations are being con-

OSHA

ducted from shore without a boat,
played at the dive location.

entry conditions permit,

If

during the dive (see Section 14.2.4).

in

set aside for the

also advisable

signaling the shore in an emergency. These flares pro-

vide a quick
or

work

purpose of preserving

means of accurately

locating a diver on

the surface (see Section 5.6.8).

sanctuaries or underwater parks. These marine sanctu-

have been

It is

equip each diver with a day/night signal flare for

to

10.1.11 Diving in

aries

them

divers should carry and/or tow the flag with

12).

Marine Sanctuaries or
Underwater Parks
Divers may on occasion dive for recreation

regulations

require that the international code flag alpha be dis-

Entering the water from a smooth, unobstructed
is relatively quiet poses no

shoreline where the water

or restoring recreational, ecological, or esthetic val-

problem. Most lakes, rivers (where currents near shore

Examples include the Key Largo National Marine
Sanctuary, Biscayne National Park, John Pennekamp
Coral Reef State Park in Florida, and Buck Island in

are not swift), bays, lagoons, quarries, and ocean coast-

ues.

(where surf

lines

negligible) have shorelines of this

is

type.

the Virgin Islands National Park.

Marine sanctuaries are

built

around distinctive marine

resources whose protection and proper use require

Entering the water even through moderate surf when

comprehensive, geographically oriented planning and

management but do
people.

It

is

not necessarily exclude use by

important when diving

in

these areas to

follow the rules and regulations established for sanctuary management. Accordingly,

when conducting workmarine sanctuaries

ing or scientific dives in designated

and parks,
ties

DIVING

lines

tially

A

hazardous operation.

conditions should be

made

is

a difficult and poten-

careful analysis of surf

and,

if

conditions are con-

sidered too severe to allow safe passage to open water,
the dive should be terminated.

WARNING

FROM SHORE

diver should expect to encounter a wide variety of

conditions

burdened with diving equipment

important to check with local authori-

is

before beginning operations.

10.2

A

it

Through Surf

10.2.1

when entering

Before Diving Through Surf From an Unfamiliar Beach, Local Divers Should Be Consulted About Local Conditions

the water from shore. Shore-

vary greatly, and diving from a particular shore

requires individual preparation and planning.

Before entering the water, divers should observe the

Before entering the water from shore, special atten-

surf.

Waves

equipment checkout. Since diving equipment is often placed on the
ground near the water, small dirt particles may have
entered a space in the equipment that requires a per-

with

little

tion should be given to the predive

fect seal or has a close tolerance.

amount of

Even the smallest

dirt in a regulator or reserve valve

may

traverse vast expanses of ocean as swell,

modification or loss of energy. However, as

the waves enter shallow water, the motion of the water
particles beneath the surface

is

altered.

When

a

wave

enters water of a depth equal to or less than one-half of

wavelength,

its

orbital

it

is

said to "feel bottom."

The

circular

motion of the water particles becomes

ellipti-

with depth. Along the bottom, the particles

cause a serious air leak or a valve malfunction. Extra

cal, flattening

care must be taken to ensure that diving equipment

oscillate in a straight line parallel to the direction of

is

wave

kept as free from dirt as possible.
If the dive

from shore

underwater location,

it

is

is

to

be

made

to a precise

mark

marker buoy or surface

float.

floating on the surface, however,

diver to see; therefore,

October 1991

A

the

wave

feels

bottom,

and

its

done by using
small marker buoy

into

water whose depth

may

be difficult for a

compass bearings, underwater

— NOAA

travel.

the spot

advisable to

clearly at the water surface. This can be
a

As

Diving Manual

the

steepness increases.
is

its

As

wavelength decreases
the

wave

crest

moves

approximately twice that of

wave height, the crest changes from rounded to a
more pointed mass of water. The orbital veloc-

higher,
ity

of the water particles at the crest increases with

10-7

Section 10

Figure 10-1

Schematic Diagram of Waves
in the Breaker Zone

A
(4)

diver standing on the shore

backrush;

beach

(5)

and looking seaward would observe and

face; (6) inner translatory

waves;

(7)

note: (1) Surf zone; (2) limit of uprush; (3) uprush;

inner line of breakers, (8) inner bar;

(9)

peaked-up wave;

(10) reformed

wave; (11) outer translatory waves; (12) plunge point; (13) outer line of breakers; (14) outer bar (inner at low tide);
(15) breaker depth, 1.3 x breaker height; (16) waves flatten again; (17) waves peak up but do not break on this bar at high tide;
Adapted from US Army Corps of Engineers (1984)
(18) deep bar (outer bar at low tide); (19) still-water level; and (20) mean low water.
oscillatory

increasing

wave

height. This sequence of changes

is

the prelude to the breaking of the wave. Finally, at a

depth of approximately

when

1.3

times the wave height,

more
the wave becomes

wave

the steepest surface of the

than 60 degrees from the horizontal,

inclines

unstable and the top portion plunges forward.

The

are good, the diver should begin

swimming seaward on

the surface, using a snorkel. If heavy sets of waves are

encountered, it may be
and to swim as close to
bottom is rocky, divers
grasping the rocks; on

necessary to switch to scuba
the bottom as possible. If the

can pull themselves along by

called surf

a sandy bottom, a diver can
thrust a knife into the bottom to achieve the same

(Figure 10-1). This area of "white water," where the

purpose. Ripples on a sandy bottom generally run par-

waves finally give up their energy and where systematic water motion gives way to violent turbulence, is
called the surf zone. The surfs white water is a mass of

used to navigate through the surf zone by swimming

wave has broken;

this turbulent

form

water containing bubbles of entrapped

is

air;

these bub-

normal buoyancy of the water.

bles reduce the

Having

broken into a mass of turbulent foam, the wave continues landward under

beach face,

this

its

own momentum.

momentum

swash. At the uppermost limit,

Finally, at the

an uprush or
the wave's energy has

carries

it

uprush must now return seaward as backwash,

ment

of water

is

to the sea. This

i.e.,

as

seaward move-

generally not evident beyond the

surface zone or a depth of 2-3 feet (0.6-0.9 m).

By watching

the surf for a short period of time, water

entry can be timed to coincide with a small set of
waves.

When

ready to enter, the diver should approach

the water, fully dressed for diving.

to the face,

and place the snorkel

in the

mouth. With

one hand on the faceplate, the diver should then turn

around and back into the water with knees slightly
bent and body leaning back into the wave. If conditions

10-8

somewhat obliquely

to shore,

and they can be

perpendicular to them. Divers entering with a float
it behind them on 10 to 30 feet (3.0 to 9.1 m)
and should be aware of the possibility that
turbulence may cause the line to wrap around a leg,

should pull

of line

arm, or equipment.

WARNING
Divers Near the Surface Should Not Hold Their

When a Wave Is Passing Overhead
Because the Rapid Pressure Drop at the
Diver's Depth When the Wave Trough Passes
Overhead May Be Sufficient to Cause a Lung

Breath

Overpressure Accident

At the water's edge,

the diver should spit on the faceplate, rinse and adjust
it

or

into

diminished. The water transported landward in the
current flowing back

allel

Swimming over breakers should not be attempted.
As breakers approach, the diver should duck the head
and dive under and through them. Diving at the base of
the wave is advantageous because the water molecules
will carry the diver up behind the wave.

NOAA

Diving Manual

— October 1991

Diving Under Special Conditions

A group of divers may make a surf-entry in buddy
teams and meet beyond the surf zone at the diver's
flag. Once safely through the surf, all equipment should
be checked. Even a moderate surf can knock equipment out of adjustment or tear it away.
Sand may have entered the mask, regulator, or fins
after the diver has passed through the surf. Divers
should take time to remove the sand before continuing
the dive.

cause

it

in

the exhaust valve of a regulator can

to seal improperly, permitting water, as well as

enter the mouthpiece

air, to
fins,

Sand

though only mildly

when

Sand

inhaling.

irritating at first,

in the

may cause

carried back toward the shore and then kick seaward

wave

after the

When

passes.

exiting on a rocky shore, divers should stop

wave conditions

outside the surf zone to evaluate the

toward the beach on the backside

and should then

exit

of the last large

wave of

the

wave

As momentum from

a series.

divers should kick or grasp a rock to

lost,

is

avoid being carried seaward by the backwash. Divers

should maintain their position, catch the next wave,

and thus move shoreward, exercising caution over

slip-

pery rocks.

a

painful abrasion by the end of a dive.
Exiting the water through the surf involves performing

same procedures used to
order. The diver should wait

enter, except in reverse

the

just

seaward of the surf

for a small set of waves.

When

the diver should begin

swimming shoreward (while

a set has been selected,

keeping an eye on the incoming waves) immediately
after the passage of the last of the larger waves.

The

Through Shore Currents

10.2.3

In and adjacent to the surf zone, currents are gener-

ated by

approaching waves (and

1)

and 4)

tides.

When waves

angle, a longshore current
allel to

approach the shore

common

progress toward the beach. Using this assisting wave

current

increases

swim toward the beach until
reaching waist-deep water. At this point, while there
is still enough water for support and balance, divers

2) increasing

The

should pivot around, face the waves, and plant their

(0.5 m/s).

feet firmly.

The

diver should then stand up, and, bend-

and hips enough

When

back out of the water.
should position

them

to avoid

it

velocity

3) increasing

velocity

angle

of

along straight beaches. The

with

the

breaker

1)

breaker

to

height;

the

and 4) decreasing wave
of longshore currents seldom exceeds
beach

Wave

slope;

shore;
period.
1

knot

fronts advancing over non-parallel

bottom contours are refracted

cause convergence or

to

maintain balance,

divergence of the energy of the waves. In areas of

exiting with a float, divers

convergence, energy concentrations form barriers to

down current

to

or push

becoming entangled

in

it

ahead of

the towline.

As

soon as the divers are out of the water, they should

remove their fins.
knocked over by surf action after standing up,

turn; only then should they
If

an

the beach within the surf zone. Longshore

currents are most

ing at the knees

at

generated that flows par-

is

smaller waves breaking behind will assist the diver's

action, the diver should

bottom

surf); 2)

contours and irregularities; 3) shoreline geography;

the returning backwash, which

is

deflected along the

beach to areas of less resistance. These currents turn
seaward in concentrations at locations where there are
'weak
gaps

points,'

in the

extremely large water accumulations,

bar or reef, or submarine depressions per-

divers should not try to stand again but should let the

pendicular to shore, and form a rip current through the

waves carry them onto the beach. Hands and

surf (Figure 10-2).

fins

should

be dug into the bottom to prevent being swept seaward

by the backwash.

On

reaching shore, the divers should

crawl out of the surf on their hands and knees.

10.2.2

Through Surf on a Rocky Shore

Before entering surf from a rocky shore, divers should

evaluate wave conditions and should not attempt to
stand or walk on rocks located in the surf zone. Instead,

divers should select the deepest

wave of

backwash of the

last

and enter the water; the backwash should carry the diver between the larger rocks.
Every effort should be made to swim around the rocks
large

a series

rather than over them. Divers should stay in the small

deeper channels between rocks and maintain a prone

swimming

position facing the next

They should kick

October 1991

oncoming wave.

or grasp a rock to keep from being

— NOAA

Diving Manual

The

volume of returning water has a retarding
incoming waves. Waves adjacent to the
rip current, having greater energy and nothing to retard
them, advance faster and farther up the beach. Rip
currents may transport large amounts of suspended
material. A knowledgeable and experienced diver can
use rip currents as an aid to swimming offshore. A
swimmer caught unsuspectingly in a rip should ride
the current and swim to the side, rather than swimming
large

effect on the

against the current. Outside the surf zone the current

widens and slackens, which permits the diver

to enter

the beach at another location. Rip currents usually
dissipate a short distance seaward of the surf zone.

Most shorelines are not

straight.

Irregularities in

the form of coves, bays, and points affect the incoming waves, tidal

movements, and current

patterns.

When

preparing for beach entries and exits, a diver should

10-9

Section 10

Figure 10-2

Near-shore Current System
break up the wave action sufficiently to allow passage
over the inside calm area without difficulty. If a channel can be located that will allow passage through the

should follow

reef, the diver

deep water.

it,

submerged

if

possible,

passage cannot be
located, the diver should approach the edge of the reef,
into

If a satisfactory

wait for a wave to pass, and slip over.

\

4

MassTranspo

\

*~ Longshore
Current

Shore Line

can be used. In addition,

Curren t

all

possible before entry.

line,

under

equipment

required equipment can be

transported by vehicle directly to the dive

Ladders should be used

is

site.

to get as close to the

Any approved

water as

entry technique,

such as stepping, can be used safely for heights up to
Source: Baker et

al.

(1966)

not

(0.9

take wave approach, shoreline configuration, and currents into account. Entries
to avoid high

waves and

and

exits should

to take

be planned

advantage of current

movements. Divers should avoid dives that require
swimming against the current and should never undertake a dive from an ocean beach without considering
these factors. Hypothetical beach configurations,

approaches,

wave

and current diagrams are shown

in

The roll-in method shown in Figure 10-4
recommended for heights greater than 3 or 4 feet
to 1.2 m) above the water. Immediately prior to

10 feet (3.0 m).
is

submerged obstructions. Floating debris is
common around a pier, and pilings often rot or break
off just below the waterline. Divers should not
into

jump

an area that has not been examined beforehand or

where the water

is

not clear enough to see to the depth

of the intended dive.
If the dive is to

be conducted from an ocean pier or

other high platform and no ladder

Figure 10-3 to aid divers in planning beach-entry dives.

check for floating

entering, the diver should carefully

debris or

is

available,

gear can be lowered into the water and divers can

heavy

make

a shore entry with a snorkel, equipping themselves

10.2.4

From a Coral Reef

with scuba at pierside. If conditions

Diving operations from a reef should be planned,
possible, to take place at high tide

when water

if

covers

the reef. For a diver wearing equipment, walking on a
reef

is

hazardous. Footing

is

uncertain, reefs are gen-

pocked with holes, and areas that look
break under a diver's weight.

erally

solid

may

impossible, using a small boat

is

a shore entry

When

swim-

ming under a pier or platform, divers should be submerged whenever possible to avoid contact with pilings, cross-supports, and other potentially hazardous
objects.

When

exiting the water onto a pier or platform, the

diver should stop at the ladder to

(The ladder should extend 3

NOTE

make

advisable.

to

remove

his or her fins.
1.2 m) into
awkward and

4 feet (0.9 to

the water.) Climbing a ladder with fins

is

dangerous and should be avoided unless the ladder

Coral shoes or hard-sole neoprene boots
should be worn around coral.

In

some

instances, there

side of the reef

swimming. In

10-10

may

be an area on the shore

where the water

is

deep enough for

this case, the outer side of the reef will

is

designed specifically for use with fins (see Figure 10-5).

Tanks and other cumbersome equipment should also
be removed and tied securely to a line and be hauled up
after the diver reaches the top of the pier. Piers and
docks often contain fishing lines, and care must be
taken to avoid being hooked or becoming entangled in
these lines.

NOAA

Diving Manual

— October 1991

Diving Under Special Conditions

Figure 10-3

Shore Types and Currents

R

'

'

is

}

'/
J

Xy
Small Deep Coves

Points
Rip Currents

Rocky Cove

-

Sand Bar - Sandy Beach

Reefs
E

Heavy arrows

indicate direction of

wave approach; dashed

=

entry;

X

—

- Rip Current

exit.

lines represent path of currents, while direction

is

shown by

light

arrows.

Source:

10.4

A

DIVING

small boat

FROM A SMALL BOAT

is

probably the most

common

•

larger solid-hulled vessels.

A

in

(1979)

cold or inclement weather

for the dive party en route to the dive site and,

surface-

back to shore
Be maintained properly and in good repair
Carry a diver's flag (see Table 14-2).

after the dive,

support platform used by divers with self-contained

equipment. Configurations and types of small boats
vary greatly and range from small inflatable boats to

Provide some shelter

NOAA

•
•

boat used as a platform

Small boats used to tend divers can be either anchored

should:

When anchored, the boat should be
downstream of the site for easy access when
divers surface, and a surface float should be streamed
off the stern. Even anchored boats need to be able to
move immediately in case an incapacitated diver must
be recovered; a buoyed anchor line facilitates a quick
getaway. The operator in the boat should keep a constant watch on the diver's bubbles, and great care

or unanchored.
•

•

Be equipped with a means for divers to enter and
leave the water easily and safely
Be seaworthy and loaded within the capacity

recommended by

the manufacturer for the expected

water conditions
•

Be large enough

to

accommodate

all

members

of

the dive party, the diver's life-support equipment,

and any special equipment being used
of the dive

October 1991

in

support

positioned

should be taken to stay clear of divers
gear.

— NOAA

Diving Manual

When

if

an engine

is

in

tending without an anchor, the operator

10-11

Section 10

Figure 10-4
Entering the Water Using the Roll-In

Method

Source:

Figure 10-5

wale and rolling into the water

Transom-Mounted Diver Platform

distance

is

NOAA

considered best

(1979)

if

the

not greater than 3 to 4 feet (0.9 to 1.2

m)

(Figure 10-4).

The

is

diver should examine the area to be

entered to ensure that

it

is

on the gunwale

clear, sit

facing the center of the boat with both feet inside, and
lean forward to counterbalance the weight of the equip-

ment.

When

ready to enter, the diver should simply

sit

up, lean backward, and let the weight of the diving

equipment carry him or her over the side. A second
method of entry is the 'step-in' method, which is generally used when entering the water from a larger boat.
The diver should step onto the gunwale, bend slightly
forward at the waist, and step off into the water.

When

entering the water using these methods, the

diver should always hold the face

mask

firmly in place.

Also, any required equipment that cannot be carried

conveniently and safely should be secured to a piece of
line,

As

hung over the

side,

and retrieved after entry.

a general rule, the diver should always enter the

water slowly, using the method that

NOAA

Source:

should drop the divers off upstream of the
boat should then remain downstream of the

site.

site

(1979)

The

during

least physical

will result in the

discomfort and disturbance to equip-

ment. Each diver should determine the method best
suited to various water conditions.

operations. Drift-diving with a surface float provides

an effective method for keeping the boat

in position for

pickup.

10.4.2 Exiting the

When

general rules to
10.4.1

Entering the Water

Entering the water from a small boat can be accomplished safely by several methods. Sitting on the gun-

10-12

Water

exiting the water into a boat, there are two

remember and

follow. First, exiting

actually begins while the divers are

still

submerged.

While ascending, divers should look upward continuously
to ensure that the boat is not directly overhead and

NOAA

Diving Manual

— October 1991

Diving Under Special Conditions

Figure 10-6

Side-Mounted Diver Platform
that they will not strike

arm over

when

it

the head during ascent

Exhaling during the ascent
will alert

will

surfacing. Holding an
is

also a

good practice.

produce bubbles, which

surface personnel that the diver

is

ascending.

Second, after surfacing, the diver should not attempt
to enter the boat

wearing tanks or other heavy equip-

ment unless the ladder is strong enough to handle the
combined weight of diver and equipment. The diver
should remove the tanks and obtain assistance from
someone in the boat or from another diver in the water
before climbing aboard. Rails extending above the
sides of the boat are useful as handrails to support the

diver as he or she climbs into the boat.

Probably the most widely used method of returning
to a small boat

is

via a diver's ladder.

Ladders also

provide a secure point for divers to grasp while they are
still

the water.

in

A

ladder

may

be built

in

many

con-

Source:

NOAA

(1979)

figurations but should have these general characteristics:
•

It

should extend below the surface of the water 3 to

4 feet (0.9 to 1.2 m), providing a place for the diver
to stand and hold on while removing equipment.
•

should be strong, well built, and capable of

It

being securely fastened to the side so
shift

when subjected

it

will not

to the action of the seas

diver comfortably.
•

It

should be angled away from the boat to permit

It

the boat and suspended just below the surface of the

A

diver can

swim onto

the platform,

sit

securely

while removing equipment, and then stand up and step

A hand- or arm-hold should
portable, easily stored platform
(Figure 10-6) can be constructed from either wood or

safely into the boat.

should have rungs that are

Modifying conventional ladders

flat

and wide.

to fit small boats

be provided.

A

is

unsatisfactory because these ladders are closed on both

sides

assisting a diver into a small boat

the use of a platform rigged to the stern or the side of

water.

easier ascent.
•

Another method of
is

should be wide enough to accommodate the

It

motor, so the diver can pass unhampered on the other
side.

and

the diver's weight.
•

The ladder should extend about 30 inches (77 cm)
below the water's surface to allow diver access. The
ladder should have a handle only on the side next to the

metal.

by rung support shafts, are difficult to climb

FRESH WATER DIVING

with equipment, and hang too close to the boat to provide

10.5

sufficient toe space.

There are thousands of square miles of fresh water

Figure 10-5 shows a ladder that

is

designed to allow

a fully equipped diver to re-enter a small boat with
safety

and ease even

in

strong currents.

The most impor-

tant features of the ladder are lack of side supports

('open step' design),

its

slope,

and

positioned on the transom of the boat.

its

ability to be

With

a ladder of

the open step type, divers can use the inner sides of

and can then step
onto the rung from the side. The angle between the
shaft and the transom should be 35 to 40 degrees.
Positioning the ladder on the transom (the strongest
part of the boat) is particularly important in rivers
because the boat partially protects the diver from the
their feet to locate the ladder rungs

force of the current

ladders positioned on the side of the boat are used, the

may push

October 1991

The

five

in

Great Lakes alone have a

total area of 95,000 square miles (2,460,500 sq km),
and the two-thirds of these lakes that lie within U.S.
boundaries represent almost half of the fresh water

acreage

in the

country.

Basic techniques for diving in lakes, rivers, and quar-

much like those used in ocean waters. Howevsome differences should be noted. For example,

ries are

er,

depth gauges are calibrated for seawater density, and
adjustments must be

made

to achieve

accuracy

in

fresh

water (see Section 10.12. 5). Buoyancy requirements
also are

somewhat

different for fresh

and

salt water.

and because the diver can climb

out of the water parallel to the current. If conventional

current

the United States.

the diver sideways.

— NOAA

Diving Manual

10.5.1

Great Lakes

Great Lakes divers need

to

be aware of the tempera-

ture changes that occur with changes in depth and

10-13

Section 10

season. In a typical fresh water lake, the upper layer

Old

cables, heavy equipment, electric cables, rope,

(epilimnion) temperature generally ranges between

fishline, fishing lures,

55 and 75 °F (13 and 24 °C) in late summer. However, the

lake bottoms.

waters below the thermocline (hypolimnion) approach
the temperature of

maximum

density for fresh water,

39.2 °F (4°C). Consequently, divers working below the

thermocline, which averages 60 feet (18.3
lakes in late

summer, must plan

to use

m)

in these

buoyancy con-

and thermal protection.
During the winter months, the water temperature in
the Great Lakes ranges between 32 °F (0°C) near the
surface and 39.2 °F (4°C) on the bottom; during this
period, a significant portion of the Great Lakes is ice

Many

and even old cars are often found on
lakes have never been cleared of

trees, barns, houses,

water towers, and other objects.

The bottom sediment

of lakes

is

easily stirred up, as

is

sediment that has settled on lake-bottom trees or brush.
Divers should stay off the bottom as much as possible

and move slowly when forced

to

work on the bottom.

trol

covered. Occasionally, divers are required to

2 to 16 inches (5.1 to 40.6
tions, collect

ice to

work under

make

observa-

samples, or maintain scientific equipment.

Diving under ice
special techniques

taken only

cm) of

when

is

particularly hazardous, requires

and equipment, and should be under-

absolutely necessary (see Section

10.9).

Divers and surface support personnel operating in the
lakes

may

be subjected to atmospheric temperatures

of -30 °F (-34 °C), with wind chill factors approaching

-100°F(-73°C).
Underwater

visibility in

the Great Lakes ranges from

m)

less

than

Lake Erie. Visibility is influenced by
local precipitation and runoff, nutrient enrichment,
biological activity, local bottom conditions, and diver
foot (0.3

in

activity. Significant seasonal variations also

occur

in

these waters.

From September

Artificial

to

December, storms and severe

wave conditions can be expected

water systems such as reservoirs and flooded

strip mines, gravel pits, or stone quarries are

popular

some areas, they represent the only
and in other regions they are used

spots for diving. In

place for diving,

primarily for diver training. Quarries usually are deep;
their water originates

from seepage

in the

surrounding

water table. For this reason, the water usually

is

low

in

nutrients and significantly colder than water in areas

primarily fed by runoff. As the water near the surface
warms up during the summer months, a sharp thermocline is created that must be taken into account when
dressing for a quarry dive. Quarries are used frequently as

dump

about 100 feet (30.5 m) in Lake Superior to
1

10.5.3 Quarries

sites for old cars

and a variety of junk, and

quarry divers must beware of becoming snagged on
sharp metal or monofilament

sediment

10.6

is

stirred

up and

line, especially

visibility is

when

the

reduced.

OPEN-OCEAN DIVING

Researchers have recently become interested
and sampling pelagic organisms directly

in observing

in the

open

Great Lakes.

ocean instead of collecting specimens using such con-

Divers working offshore at these times must use sturdy

ventional techniques as Niskin® bottles, grabs, or nets.

in the

and monitor weather forecasts. Because swift
currents may be encountered in rivers and straits
connecting with the lakes, Great Lakes divers must use
considerable caution and be properly trained in the
vessels

techniques of diving in currents (see Section 10.15).

However, because open-ocean

(also

termed blue-water)

diving does not provide a fixed frame of reference,

divers performing open-ocean dives

may become

disoriented because they have a reduced awareness of

depth, buoyancy, current, surge, other divers, marine

organisms,

or, occasionally,

even of the direction of the

surface (Heine 1985). Special techniques have there-

10.5.2 Inland

Lakes

Other lakes in the United States vary from clear
mountain lakes with low sediment input to reservoirs,
sediment-laden rivers, and glacial lakes, which usu-

When planning a lake
bottom terrain is as important a consideration as
underwater visibility. Lakes may have vertical rocky
ally

have a milky appearance.

dive,

sides,

rocky outcrops, ledges, and talus slopes, or they

may be sedimentary and composed primarily of old
farm land. Algal blooms often occur in lakes during
the warmer months and may completely block the light,
even at shallow depths. Thermoclines also occur, and
temperature and underwater

10-14

visibility

may

vary greatly.

fore been developed to aid the diver operating in the
open ocean to carry out scientific tasks safely.
Blue-water diving is usually done from a small boat
to facilitate diver entry, exit, and maneuverability and
to minimize the 'sail' area, which reduces drift and the

consequent dragging of divers through the water. Even

when operations
vessel, a small

are being conducted from a large

boat should be used to tend the divers

because wind and surface currents often carry a larger
boat away from the actual dive

site.

Open-ocean dive teams generally consist of a boat
operator (who remains in the boat), a safety diver, and
as

many

as four or five working divers. After reaching

NOAA

Diving Manual

—October 1991

Diving Under Special Conditions

Figure 10-7
Down-line Array for

Open-Ocean

Diving

100 feet (30 m) long,

the dive site, a downline about

loaded with 5 to 10 pounds (2.3 to 4.5 kg) of weight and

knotted at specific depths,

passed from the boat

is

through a surface float and lowered to serve as a safety

(Figure 10-7). This line

line for the divers

then

is

secured to the surface float and to the small boat.

m)

4-foot (1.2

sea anchor

is

A

frequently used to reduce

caused by wind; the anchor can be attached to a

drift

loop in the downline at the surface float or to a separate
float to

keep

from collapsing and sinking if the wind
it is useful to drop a small

it

To mark

dies.

the dive site,

open jar of fluorescein dye into the water. The vertical
column of dye emitted as the jar descends will be
distorted by currents, giving a visual display of the
current pattern in the water

column

Because of the absence of any
the inherent danger of drifting

ocean divers are tethered

(see Section 9.8.2).

visible reference

away

or

down,

all

and

open-

at all times to the safety line

an underwater trapeze. The trapeze can be configured

via

Adapted from Hamner (1975)

from any bar or ring that accepts clips and shackles
easily. Figure 10-8 shows examples of three types of
than to the tether),

trapezes that have been used for this type of diving.
In conventional diving,
in

buddy

swim

divers

together;

it

diver's body,

can be released by pulling
which ensures that

it

away

it

will release.

open-ocean diving, however, the safety diver serves

buddy diver

as the

shown

in

for all of the divers

Figure 10-7,

all

on the team. As

divers are tethered to the

trapeze by means of lines approximately 30 to 50 feet
(9.1

to 15.2

underwater

To avoid

m)

long; the length of the line

visibility

depends on

and the task being undertaken.

kinking, tethers should be braided lines.

good rule of thumb
to

from the

is

A

WARNING
Tethers Should Not Be Attached to a Diver's
Weight Belt, Because Ditching or Losing the
Belt Would Add Excessive Weight to the Trapeze Array

to restrict the length of the tether

about 50 to 75 percent of the nominal underwater

(Heine 1985). The exception to this
the safety diver's tether, which should only be

visibility distance

rule

is

about

3 feet (0.9

m)

they understand the diving signals, especially the

long.

Because tethers of a fixed length tend

droop and

to

become tangled, they should be designed
taut at
ling.

all

times,

which also

to

remain

facilitates line-pull signal-

This can be achieved by weighting the end nearest

the safety diver with a 4 to 8 ounce (113 to 227
fishing weight.

The

Before starting a blue-water dive, all equipment
must be checked and the divers must all be sure that

gm)

tether then passes freely through

tug signals, that will be used.
the water

down

first,

but

all

The

line-

safety diver enters

of the divers usually descend

the line together to connect the pivot ring to the

vertical line

and

to

prepare the tethers. During the

dive, the safety diver monitors the tethers, keeps a

lookout for hazards, and supervises the dive.

The

safety

the metal loop on the end of a swivel clip (Figure 10-8);

diver maintains visual contact with the other divers

these clips are attached to the trapeze, which

near the safety diver. Thus, as the working diver swims

and can attract their attention by tugging at their
tethers. The boat operator can signal the safety diver

away from

the safety diver, the tether pays out smoothly,

by pulling on the vertical

when

the diver returns, the tether retracts as the

team can communicate and be alerted to ascend at any
time during the dive. A good practice is to have each
diver run the tether through the palm of one hand so

and,

weight sinks. In conditions of low
lines

is

located

visibility, tether

can be shortened by tying a knot on the weight

side of the tether, thus shortening the length available
to

pay

out.

nected to

The other end of the tether should be
the diver's buoyancy compensator or

separate harness. If the quick-release shackle
to the diver's

is

conto a

attached

buoyancy compensator or harness (rather

October 1991

— NOAA

Diving Manual

line.

In this way, the entire

that the line-tugs can be detected easily.
diver can
line to

move

any of the knotted

thus control the

The

the pivot ring up and

maximum

down

The

stops, as required,

depth of

all

safety

the vertical

and can

of the divers.

safety diver can also terminate the dive or send

10-15

Section 10

Figure 10-8

Three Multiple Tether Systems (Trapezes)

Used

for

Open-Ocean

Diving

Brass Snaps

Working Diver's Tether

Bottom Weight

Running
Counterweight
Source: Rioux, as cited

in

Heine (1985)

Stainless Steel

Attachment Ring

Swivel Snaps

Working Diver
Tether Line

Knot

in

Line

Running Counterweight

Polypropylene Washer
Safety Diver Tether Line
(

Source:

)) Small Coated Weight

Hamner (1975)
Source: Coale and Pinto, as cited

10-16

NOAA

Diving Manual

in

Heine (1985)

—October 1991

Diving Under Special Conditions

any diver up

if

the situation warrants such action.

Divers can ascend at will by signalling their intent to

temporary safety diver. There must always be someone
acting as safety diver (Heine 1985).

As with any

the safety diver, unclipping their tethers at the pivot
ring,

and ascending the vertical

line to the boat.

If

away from

can be attached

it

depth as the

line

is

is

to the line at the appropriate

deployed, which makes

it

unneces-

Any

equip-

ment hung on the downline should be positioned above
the trapeze and safety diver, and the weight of the
equipment must not be so great that it overweights the
downline. Divers working below the trapeze must be
careful to avoid entanglement in the weighted tethers,

which would envelop the safety diver in a cloud of
bubbles and reduce his or her ability to see. If a second
line is deployed for equipment, it must be separated
clearly from the safety line and should not be used as
for tethers.

and

In addition to diving, safety,

scientific equip-

ment, most open-ocean divers carry a shark
Section

According

5.7).

to experienced

at the University of California at

Twenty percent of

Readers

should consult a specialized open-ocean diving man-

hung on the

sary for the divers to carry the equipment.

an attachment

specialized diving, open-ocean diving

requires individualized training and practice.

ual for further details about this type of diving.

the boat.

scientific or diving equipment

downline,

is

when ascend-

important that the divers hold the downline
ing so that they do not drift

It

billy (see

blue-water divers

Santa Cruz:

the blue water dives

all

performed by our group

in the central

10.7

CAVE DIVING

Cave diving
performed

To

holes.'

is

in

a specialized

form of diving that can be

both inland fresh waters and ocean 'blue

scientists,

caves offer new laboratories for

research. In cave diving, the emphasis should be placed on

developing the proper psychological attitude, training
in

specialized techniques and

life

support systems,

dive planning, and the selection of an appropriately
trained

buddy

diver.

WARNING
Only Experienced and Specially Trained
Divers Should Undertake Cave Diving. Openwater Experience Is No Substitute for Cave
Diving Training

north

and south Pacific gyre systems and the eastern
tropical Pacific were aborted

due

to the

persistent presence of sharks, specifically

oceanic white tip sharks. In

were spotted

first

all

cases they

by the safety diver. This

The cave diving environment
because

it

is

alien to

humans,

involves both the underwater environment

and the limited-access, limited

visibility,

confined space

environment typical of caves. Examples of the special

may

be encountered

cave diving are:

underscores the value of the safety diver

hazards that

and a routine abort plan and the

the absence of a direct and immediate ascent route to

utility of

the surface, the sometimes instantaneous loss of visi-

the shark billy (Heine 1985).

bility

Divers generally work

in

an area upstream of the

because of

silting or failure of the diver's light,

the divers and the downline, and generally monitors

and the entanglement and impact hazards associated
with being in a confined, enclosed area. These and
other factors all have an effect on the psychological
composure of divers and their ability to cope with
stressful situations. Improperly trained divers, unaware
of the hazards unique to cave diving, often panic and
drown when they encounter situations that are in fact
normal for the cave diving environment. It is impera-

the progress of the dive. During the course of the dive,

tive that divers

the safety diver maintains contact with the divers by

tude before they consider conducting a cave dive.

periodically tugging on the divers' tethers to ensure

pletion of a standard scuba diving course does not

trapeze,

in

which allows them

samples and

to collect fresh, undisturbed

to stay in a single area in sight of the

As they perform their tasks, the divers
make visual contact with
diver. The safety diver constantly monitors

safety diver.

scan their surroundings and
the safety

the surroundings, checks for sharks, keeps an eye on

that they are comfortable, their air supply

and they are responding
If a

is

adequate,

to pull signals appropriately.

diver requires minor assistance, the safety diver

signals another diver to go to his or her aid. Before the
safety diver

or she

becomes involved

must

first signal

October 1991

— NOAA

in

helping another diver, he

another diver to act as the
Diving Manual

develop the proper psychological

prepare a diver for the special perils faced

in

atti-

Comcave

diving.

Before taking a course

in

cave diving, the diver-

student must have enough open-water experience to
feel

psychologically and physically comfortable under

water. Because their lives

may

one day depend on the

10-17

Section 10

Figure 10-9
Safety Reel Used

in

Cave Diving

quality of instruction received, persons contemplating

taking a course should select one taught by a mature

and nationally

A

certified cave diving instructor.

good

cave diving course should include prescreening of potential divers, at least

100 hours of training in underwater

work, and instruction in line safety, the elements of

buddymanship, dive planning, equipment handling, and dive theory. Three. basic rules of
buoyancy

control,

must be adhered

safe cave diving that

to

by every diver

are:

(1)

Always use a continuous guideline

(2)

Save two-thirds of the

total air

to the surface.

supply for returning

to the surface.

(3)

Carry

at least three lights during the dive.
Source:

A common
silt.

hazard

To minimize
swim

trained to

buoyancy

A

cave diving

in

and

cave diver's link to the

Temporary

safety and navigation.

lines are the

consist of a safety reel

and

most

line.

suitable safety reel should feature a line guide,

A

drum,

buoyancy chamber, a good turns ratio, and be capable
of carrying approximately 400 feet (122 m) of
1/16 inch (1.6 mm), 160-pound (72.6 kg)
(3.2
line.

test to

1/8 inch

mm), 440-pound (199.6 kg) test braided nylon
The reel should be neutrally buoyant, compact,

and rugged (Figure

Standard cave diving life-support systems should
include:

line are the

surface and survival. Several kinds of lines are used for

commonly used and

(1979)

cave divers must be specially

silting,

horizontally and to maintain proper

at all times.

safety reel

NOAA

the presence of

is

10-9).

Large

reels

and

double tanks
double manifolds

two regulators
submersible pressure gauge

buoyancy compensator with automatic

inflator hose

depth gauge

watch
decompression tables
wet or dry suit
safety reel with line

lines create

lights

extra drag for the diver

When

and require extra exertion.

running a safety

should maintain tension.

line,

The

compass

the diver with the reel
slate

line

should be tied within

surface light, and safety wraps should be

made

pencil.

approxi-

mately every 25 feet (8.3 m). The line should be centered in the cave as much as possible. The reel-diver is
first

in

and

last out.

The buddy

is

responsible for

The larger capacity double-tank arrangement recommended for cave diving has an 'ideal' or double-orifice
manifold. This system manifolds two tanks together

common

gas supply and uses two regulator

unwrapping the safety wraps on leaving the cave and

with a

for providing light for the diver tying or untying the

adaptors. If one regulator

line.

Physical contact with the line should be avoided

except when visibility decreases. In some cases, cave

tion without interruption

permanent lines for mapping or to permit a more complete exploration of a cave. Novices
should use temporary lines and should not attempt to
follow permanent lines unless they have a thorough
knowledge of the cave. The technique for laying and
retrieving a safety line is unique to cave diving and
should be practiced until it becomes second nature,
because it could save one's life in a total silt-out,
where there is a complete loss of visibility. It is impor-

cylinders.

One

5-foot (1.5

m) hose

divers will use

tant to

remember

that in cave diving the safety line

not a tow line and should not be used for support.

10-18

is

fails,

that regulator

may

be

shut off while the second regulator continues to func-

and with access

to both gas

of the regulators also should have a
so that divers

may

share their gas

supply when maneuvering out of tight situations.

Although the need

for lighting in cave diving

obvious, the lighting taken on cave dives

is

adequate for safety. Each diver must carry at
lights,

is

often not
least 3

with the brightest being at least 30 watts. Backup

can be of lower wattage, but they must also be
dependable and of high quality.
All cave diving equipment must be checked and
rechecked by each member of the dive team before

lights

NOAA

Diving Manual

— October 1991

Diving Under Special Conditions

submersion
ation,

to

ensure proper functioning, ease of oper-

and diver

During

familiarity.

smooth

this time, the

Two

types of diving dress have been used with suc-

cess under severe thermal conditions: the hot-water

which provides a continuous flow of preheated

operation of backup equipment should also be verified

wet

and the dive plan should be reviewed

water to the diver, and the variable-volume dry suit,
which allows the diver to control the amount of air in

for the last time.

The maximum recommended number of cave
per team

three.

is

divers

Larger groups cannot handle the

integrated 'buddymanship' necessary to maintain the

constant contact so essential

in

cave diving. For fur-

ther information about cave diving, readers should

Cave Diving, Box

write to the National Association for

14492, Gainesville, Florida 32604, or the National

Cave Diving

Speleological Society's

Oak

low

Section, 3508 Hol-

Place, Brandon, Florida 3351

1.

suit,

the suit and thus

its

wet

suit

presented

is

Except for the hot-water wet

tion 5.4.)

more

insulating capability. (A

detailed description of these suits

in

Sec-

no dry or

suit,

provides complete protection of the diver's

hands for long periods. As the extremities become cold
and dexterity is lost, the diver becomes less efficient

and should terminate the dive. The use of heavy insulating socks under the boots of a wet or dry suit will
help to keep the feet warm.

Hands should be protected

with gloves or mittens having the fewest possible digits;

10.8

COLD-WATER DIVING

Diving

in

cold water

associated with several equip-

is

ment problems not found

in

warmer

waters; the major

Most single-hose

difficulty involves the regulator.

regulators have a tendency to freeze in the free-flow

extreme

position after approximately 20-30 minutes of

cold-water exposure. However, several models are avail-

and that use a

able that are designed to resist freezing
special antifreeze-filled housing system.

The standard

double-hose regulator rarely develops this freezing
problem.

If a

regulator begins to freeze up, the dive

should be aborted immediately.
freeze-up

is

about to occur

is

An

early sign that

the presence of ice crys-

tals

on the tongue. Second-stage freeze-up

ally

caused by moisture

in

is

that the diver's

Divers must be careful

seawater through their noses,

because introducing very cold water into the mask
often causes divers to inhale involuntarily.

Keeping the diver's body warm

is

The standard foamed-neoprene wet

suit has

10-10).

been used

29 °F (2°C) water for dives lasting longer than an
doubtful whether the divers on these

dives were comfortable or thermally safe.

drawback of wet

suits

over, the diver

wet and

is

that,

is

A

major

by the time the dive

will therefore

is

probably con-

body heat even after leaving the water.
Further, the loss of foam thickness with depth drastically reduces the efficiency of any wet suit for cold
tinue to lose

water diving

much below 60

October 1991

— NOAA

from the head can be reduced by wearing a

second well-fitted neoprene hood over the regular

suit

hood. Wearing a knitted watchcap under the hood of a

dry suit
If the
suit's

is

cap

especially effective in conserving body heat.

pushed back

is

far

enough

to

permit the

face seal to seat properly, the diver's head will be

kept relatively dry and comfortable. With a properly
fitting suit

kept

and

warm and

If divers

all

can usually be

seals in place, a diver

dry, even in cold water, for short periods.

and members of the surface-support crew

feet (18.3 m).

Diving Manual

maintained in the best possible condition, dry suit
underwear should be kept clean and dry, and all seals
and zippers should be inspected and repaired (if necesDuring the dive, divers should
body heat.
Dives should be terminated immediately if the diver

sary) before the dive.
exercise as

much

as possible to generate

begins to shiver involuntarily or experiences a serious
loss of

manual

dexterity.

Once involuntary

shivering

begins, the loss of dexterity, strength, and ability to
function decreases rapidly (see Section 3.4). After leaving

the most impor-

tant requirement in cold-water diving (Figure

is

loss

warm

recommended.

also

water exposure can be greatly reduced. Suits should be

relieve this condition temporarily.

it

Heat

is

the exhaled breath, which

mask is more likely to fog or freeze in cold water, which
means that a non-irritating defogging agent should be
applied to the mask before diving. Partially flooding
the mask and flushing seawater over the faceplate will

hour, but

water just before the dive begins

follow certain procedures, the adverse effects of cold-

Another cold-water diving problem

in

they provide. Filling the gloves or mittens with

gener-

is

then condenses and freezes on the metal parts.

to avoid inhaling cold

manual dexterity associated with the use
is overridden by the added warmth

the loss of

of gloves or mittens

the water, cold-water divers are often fatigued, and,

because heat

loss

from the body continues even after

removal from cold water, such divers are susceptible
hypothermia. Flushing the wet suit with

warm

to

water as

soon as the diver surfaces has a comforting, heatreplacing effect, although such flushing can cause additional

body heat

loss unless

it

is

done cautiously.

must be provided that allow the diver
a comfortable, dry,

and

so that he or she

can regain

relatively

warm

lost

to

Facilities

dry off

in

environment,

body heat (see

Section 3.4.4). Divers should remove any wet clothes
or suits, dry off, and then don

warm

protective clothing

10-19

Section 10

Figure 10-10

Water Temperature Protection Chart

/7=\\

°F

*"tVpl£

Normal Body Temperature 98°F (3rC)

35—

Unprotected Diver

Average Skin Temperature 93°F

(34°C)

Unprotected Diver
Uncomfortably Cold 88°F

(31 °C)

Shivering 86°F

(30 C)

^
^
^

^|

—

Rest mg

90

Working

30—

Diver Will

Overheat

Unprotected
Diver

Comfortable
During
Moderate

Unprotected

80
25

—

Diver At
Rest Chills In

Work
Wet

1-2

or Dry Suit
Diver's

20

—

—

Hours

70

Underwear
Or Wet Suit
Required
Pain 60°F

(15°C)^

Dry Suit
Required
Over 60'; Wet

'

f.

60

15-

Suit For Short
Duration Dives
Less Than 60'

10

—

Death Within One Hour 40°F(5°C)^

5

—

Unprotected Diver

50

—

40

Hot Water Suit
Or Variable
Volume Dry
Suit Required

30

Fresh

^

Water

<4

Sea

Freezing
Point

Water

5

Protection Usually

—

Needed

Heated Suit

Source:

10-20

NOAA

Diving Manual

US Navy

(1985)

—October 1991

Diving Under Special Conditions

Figure 10-11
Diver Tender and Standby
Diver in Surface Shelter
as soon as possible. In cold-water diving situations
that require repetitive dives,

it

is

even more important

conserve the diver's body heat, to maintain an
adequate fluid balance, and to select the diving dress

to

carefully.

and nutrition are essential to providing cold-water divers with the energy necessary for
this type of diving. A diver should have a minimum of
6-8 hours of sleep before the dive. Care must be taken
to avoid dehydration, which can interfere with the

Adequate

rest

body's thermal regulatory mechanism. Careful planning is thus of the utmost importance in all cold-water
diving.

WARNING
If a Diver Is Extremely Cold, the Decompression Schedule Should Be Adjusted to the
Next Longer Time

UNDER

DIVING

10.9

ICE

In addition to the problems and limitations of diving

water (see Section 10.8), there are specific
precautions that must be taken when diving under ice.
in cold

Diving under ice

is

extremely hazardous and should be

Photo Doug Eiser

done only by experienced divers who have been carefully trained.

Most

ice diving

is

done from large and relatively

flat

surface ice sheets that are stationary and firmly frozen
to the shore.

Even

at

many

locations

miles from the

nearest land, these ice caps often offer a stable work-

However, diving from drifting or broken
dangerous and should only be done as a last
resort. When the ice cap is solid, there is no wave
action to the water; however, divers must constantly be
on guard because the current beneath the entry hole
can change quickly and dramatically without producing any noticeable effect on the surface. In most cases,
the absence of wave action produces good underwater
ing platform.

ice

is

although under-ice diving operations conareas characterized by river runoff or heavy

visibility,

ducted

in

plankton

may

be associated with conditions of reduced

visibility.

To
drill

enter the water through ice, divers should

mine

and water depth. If conditions are
the area around the site should be cleared

snow and the

approximately

3

size of the entry

by

5

fully dressed divers to

If

no shelter

works

first

site to deter-

ice thickness

satisfactory,

of

through the ice at the

a small hole

is

determined.

m)
accommodated
be

feet (0.9

by

1.5

hole of

allows three
at

one time.

used, a triangle-shaped entry hole

the diver's tasks, so that they will understand the diver's

movements and be able
gency.

A

— NOAA

Diving Manual

to

respond quickly

in

an emer-

safety line should be tied to the diver (not to

the equipment) and the other end should be tied firmly
to a large fixed object

on the surface. Excursions under

the ice should be well planned,

and the distance

to be

away from the entry hole should
be kept to a minimum; under normal circumstances,
this distance should be limited to 90 feet (27.4 m) and
should be extended to as much as 250 feet (45.7 m)
traveled under the ice

only in unusual circumstances. Longer under-ice excursions

make

it

difficult for the diver to get

back

to the

entry hole in an emergency and increase the difficulty
of searching for a lost diver. If divers

distances under the ice,
for

emergency

ascend

to the

tain positive

conserve

best.

October 1991

A

In all diving operations under ice, there should be
one surface tender for each diver and at least one
standby diver (Figure 10-11). While the diver is in
the water, the tender must be attentive both to the
diver and surface conditions, such as deteriorating
weather or moving ice. Tenders should be briefed on

air,

exits.

travel long

additional holes should be cut

Divers

overhead

must

lost

under the

ice cover

ice should

immediately, main-

buoyancy, relax as much as possible
and wait for assistance.

to

10-21

Section 10

WARNING

divers

from the wind and, together with a small porta-

ble heater, can provide relative comfort in these severest

Divers Lost Under the Ice Should Ascend to
the Ice Cover and Wait Calmly to Conserve
Air. They Should Not Search for the Entry
Hole

of diving conditions.

10.10

KELP DIVING

Kelp is found
and temperate

in

dense beds along

many

of the colder

coasts of the world. In the United States,

To

aid the diver to return to the entry hole, a bright

these plants are found along the shore regions of the

light

should be hung just beneath the surface. For

west coast. Kelp beds or forests are widely diversified

it is

both geographically and as a function of depth and

usually the only item required beyond those used in

temperature. Different varieties grow in different zones
and support an incredible variety of sea life. Kelp will
attach itself to practically any substrate (i.e., rock,
concrete, steel, wreckage, etc.) and will often form a
treelike structure, the base of which is a rootlike holdfast that provides a secure anchor and a home for many
organisms. There is generally an area of open water

night diving under ice, this light

is

a necessity;

day-time operations. However, since cold water shortens the

life

of batteries,

homing beacons and strobes

should be checked before use. Because direct ascent to
is impossible when under the
means of determining direction often is

the surface

ice,

a rapid

critical. In

shallow water, detours are often necessary to circumvent the 'keels' (thickened areas) built up beneath the
Also, because of the absence of waves, there are no

ice.

ripple patterns on the

bottom

to aid in orientation.

these reasons, the use of a tether

For

absolutely essential

is

under-ice diving.

in

If there

is

a failure in an ice diver's primary breath-

between the stipes originating from one holdfast. A
diver can swim between the stipe columns just as a
hiker can walk between the trunks of trees in a forest
on the land. Hollow floats or pneumatocysts are found
at the base of the blades or fronds on many of the
larger, longer kelp plants.

These

floats

cause the fronds to

tem, notify the buddy diver, and exit to the surface

up and keep the stipes relatively upright. The
floating fronds form a canopy when they have grown

with the buddy diver. Because buddy breathing

sufficiently to reach the surface. In

ing system, the diver should switch to the

ficult in cold water, all divers

backup
is

sys-

dif-

should practice buddy

breathing before making excursions under the

ice.

Octo-

pus regulators should not be used in cold water as

buddy breathing because the

float

many

instances,

this rapidly growing canopy becomes very dense and

can be several feet thick on and near the surface. The
canopy will usually have thin spots or openings located

stage

randomly throughout the area, and these thin spots or

of these regulators tends to freeze up. If a diver's

openings provide entry and exit points for divers. These

exposure suit tears or floods, the diver should surface

thinner areas are easily seen from below the surface

immediately, regardless of the degree of flooding,
because the chilling effects of frigid water can cause

because the light penetration

thermal shock within minutes. Surface-supplied tethered

light area exhales, the rising

substitutes for

diving
tions

is

becoming more popular

because

it

in

first

under-ice opera-

eliminates the need for safety lines and

navigation lights and provides unlimited

air.

The

full-

face masks or helmets of most surface-supplied diving

systems provide additional protection for the diver's
face and provide the capability for diver-to-diver and

under such a

bubbles usually float the

kelp outward to form an opening that
large to enable the diver to surface.

exercised

when

the diver's head

may

is

sufficiently

is

Care should be

out of the water,

back and fill in the hole and
surround the diver. Although the kelp will not actually
wrap itself around the diver, divers who twist around
because the kelp

float

These added features
must be weighed carefully against the burden of the
added logistic support required to conduct surfacesupplied diving. If the advanced dry suits now availa-

and struggle may become entangled. Training

ble (see Section 5.4.5) are used, the surface-supplied

snag and tangle

diver can spend long periods under the ice in relative

diver

diver-to-surface communication.

safety
If

for

and comfort.

more than

1

is

constructed over the entry hole (Figure 10-11). Such a
shelter will protect both surface support personnel

10-22

diving

and

is

and

necessary to master the

skills to

in kelp

make

entries

exits easily.

Equipment that

is

not relatively streamlined can

in the kelp

becomes entangled,

that kelp

scheduled to last
or 2 days, a tent or shed should be

an under-ice dive operation

much

in these areas is

better; in addition, as a diver positioned

is

it

and cause problems.
is

If the

important to remember

designed to withstand the pulling force of

wind, waves, and currents and consequently that the
tensile or stretching strength of the plant

is

very great.

Divers wishing to break a strand of kelp should fold
to

develop a sharp angle

NOAA

in the stipe. Pulling

Diving Manual

it

on the

—October 1991

Diving Under Special Conditions

may

kelp will result in frustration and

Nicking the kelp with a sharp object

cause panic.
separate the

will

streamlined surface to the kelp, since anything that
extends out from the body

will

Swim

probably snag.

kelp easily, but using sharp objects such as knives

fins

needs to be done with care because of the proximity of

The

end of the strap on the inside rather than the outside of
the buckle. Taping the loose end of a strap to the main

way to get free is to remain calm and to pull the
away carefully with a minimum of movement.

diving knife on the inside of the calf rather than any-

regulator hoses and other critical paraphenalia.
easiest

strands

When

working from a boat,

it

best to anchor in an

is

opening so that the wind or current

will drift the boat

back on the anchor line to a second opening in the kelp.
Divers may also anchor outside the kelp and swim in to
do their work.

If

anchor

full

be

will

the boat

is

anchored

in

the kelp, the

of kelp that must later be removed

with adjustable heel straps should have the loose

portion of the strap

Entry through the kelp

making

is

best accomplished

by finding

a feet-first, feet-together entry

rather than a headfirst or backroll entry that could
easily lead to entanglement.

through the canopy and into

Once through

important to get
the open water between
It

is

the surface canopy, the diver

can swim with comfort in the forestlike environment.
As the diver swims along, it is important to watch for

bags, and tools of

making an opening. When the diver
surface, the arms should be raised over

approaches the

the head so that any kelp that

may

be encountered can

be moved to the side easily as the diver moves upward
into the hole that has

been opened. Once on the sur-

face, the diver should stay in the vertical position

and

should not turn around; this helps to avoid entanglement. Submerging can be accomplished easily by either

exhaling and sinking or raising the arms overhead,

which forces the body deeper down into the water.
Smooth and slow movements make this maneuver easy
and

safe.

The

diver

who wishes

to travel

on the surface of a

kelp bed to get back to the shore or boat has several
choices. If the diver

is

desired location.

Each

step

move

streamlined

game

kinds should be organized to

all

it

is

remember

that kelp floats

and

that,

possible to achieve flotation by using

Under windy

the kelp for support.

conditions, divers

should approach the stern of a small boat to avoid
being pressed by the boat's

movement

into the kelp

and

becoming entangled.

The various forms

may grow so that the taller
may be found growing over a

of kelp

kelps such as Macrocystis
forest of

Pelagophycus

canopy of kelp

(or elk kelp). This

will further

reduce the

second lower

light level but

be easier to swim through than the surface canopy.

All kelp beds are influenced by wind, currents,

may disappear from

surge, and major beds

view

in

a swift current because they are held

45-degree angle. This has

its

and

surface

down

at a

advantages because the

kelp will stream with the current and thus

may

be used

as a navigational aid during the dive.

Achieving comfort and efficiency

in

diver along

who

is

kelp diving

Having

the result of training and practice.
equally well trained

is

a

is

buddy

also extremely

important.

10.11

WRECK

Wreck

diving subjects the diver to

DIVING

hazards that are found

in

cave or

many

of the

same

ice diving. In the past

easy to

20 years, wreck diving has evolved into an activity

in steps to the

requiring both specialized equipment and training, par-

sufficiently skilled,

use a series of breath-hold dives to

in a

present minimal problems.

will

bles to assist in

Wearing the

fashion and that inflated buoyancy compensators,

the light areas that signal the thinner areas in the kelp

bed. Surfacing slowly permits a diver's exhaust bub-

solution.

through the kelp or over the kelp

in a pinch,

a thin area and

good

also a

where on the outside of the body is also a snag reducer.
Kelp divers should remember that they want to move

Divers should also

surgically.

the stipes.

is

it

is

requires the diver to sur-

ticularly in the case of

deep wreck diving. Regardless

face through an opening in the kelp and to take a

of purpose (lobstering, artifact collecting, photogra-

breath or two

phy, or exploring), true wreck diving involves the diver

in

preparation for the next step. Another

useful technique, often called the Kelp Crawl, resem-

entering the wreck.

and involves keeping the body on
the surface above the kelp canopy and using the arms

enclosed space of the wreck that necessitates the addi-

bles the 'dog paddle'

to pull the diver across the top of the kelp as the diver's

make

narrow

body across
the top of the floating kelp canopy. The arms should
reach across the kelp in an extended position and then
the hands should grasp the kelp and press down as the
body is pulled over the kelp. It is important to present a
fins

a

October 1991

flutter kick to slide the

— NOAA

Diving Manual

It

is

the act of penetrating the

equipment and training.
Most intact wrecks are at depths

tional

in

excess of 80 feet

(24.4 m), because those in shallower water have been

destroyed either by storms or because they were
navigational hazards. After arriving on the bottom at
the wreck site, the first team of divers must check the
anchor of the boat for security and to ensure that the

10-23

Section 10

anchor

line will not chafe.

ally has fair to

however,

visibility

good

may

The path

visibility.

wreck usu-

the return trip,

be reduced dramatically because

the divers have stirred up the
(rust)

into a

On

silt

from the walls and exposed

and ferrous oxide
steel plates of the

wreck. The reduced visibility and the confusion and
anxiety caused by the

many passageways,

entrances,

chambers, bulkheads, and tight spaces require that
wreck divers use a penetration line such as a braided
1/8-inch (3.2 mm) nylon line on a reel. The line should
be tied off at the wreck's entrance, payed out during
entry,

and reeled

in

during return. If the line

is lost

cut, the diver should pause, allow the silt to settle,

or

and

regain his or her composure before attempting to return to

10.12

DIVING AT HIGH ELEVATIONS

The U.S. Navy Standard Decompression Tables,
No-Decompression Table, and Repetitive Dive Tables
were calculated and validated on the assumption that
the diver started from and returned to an ambient
atmospheric pressure of

1

atmosphere absolute (ATA).

Consequently, these tables do not account accurately
for dives

conducted from ambient environments hav-

ing pressures less than
corrections are

now

1

ATA. Two

sets of tables or

use for calculating diving sched-

in

Boni/Buehlmann tables
and the Cross corrections, as modified by Bell and
Borgwardt. These are described below, and represent-

ules for altitude diving: the

ative dive profiles based on these tables are

compared.

the entrance. Placing the faceplate of the underwater
light into the silt will

reduce the ambient light level

adapt partially to the
darkness. This will facilitate the detection of any surface light coming into the passageways and thus aid in

10.12.1 Altitude Diving

the identification of possible exit paths.

and

and allow the diver's eyes

to

Because of depth, the use of twin scuba cylinders,

Currently

in

The Boni/Buehlmann
sion,

his colleagues

Tables

Use
tables were developed

by Boni

(1976) and include no-decompres-

decompression, surface interval, and residual

together with a pony bottle with a separate regulator,

nitrogen (called the 'repetitive timetable') tables for

recommended as standard wreck diving equipment.
some instances, a spare air supply and regulator

each 1,640 feet (500 m) of altitude up to 10,496 feet

is

In

should be placed outside the wreck. These precautions
are necessary in case the diver

becomes entangled

or

needed unexpectedly. During wreck
diving, entanglement may be caused by objects such as
monofilament fishing line, fish nets, collapsed bulkheads, or narrow spaces. A bag containing appropriate
tools for artifacts, liftbags, and an upline should be
carried to reduce the risk of entanglement that prevails if this equipment is carried by or attached to the
diver. Most instrumentation can be strapped to the
underwater light; a set of decompression tables may be
decompression

is

attached to the light housing, reducing the amount of

equipment carried by the diver but
ready access to the tables

if

still

decompression

permitting
is

required.

Although a diver inside a wreck may be tempted to
breathe in the air pockets produced by previous divers,
this practice should be avoided because the partial
pressure of oxygen in these pockets is usually quite low
and hydrogen sulfide may be present.
The water temperature around a wreck is usually
low, and divers must therefore dress properly. Variablevolume dry suits or 1/4- to 3/8-inch (6.4 to 9.5 mm)
wet suits should be used in water temperatures of 50 °F
(10°C) or less (see Section 5.4). Extreme caution must
be taken not to snag the suit or equipment on the sharp
objects commonly found in wrecks, such as decayed
wooden decks or corroded metal bulkheads, because
these hazards are frequently overgrown by algae, sea
polyps, or other marine growth.

10-24

(3,200 m).

The

The

results of

feet (2,000 m) have
wet dives (Boni et al. 1976).

tables to 6,561

been tested on humans

in

94 non-repetitive dives

to depths

between

52 and 98 feet (15.8 and 9.1 m) and for bottom times as
long as 40 minutes were reported. The results of 184 dives
under approximately the same conditions were also
reported by these authors. No symptoms of decompression sickness of any kind were observed during these
278 dives. These tables require a routine decompression stop for 3 minutes at 6.6 feet (2 m) for dives

within the no-decompression limits. Consequently,
dives used for testing the tables included a

all

decom-

pression stop for 3 minutes or longer.

The Cross

corrections to the U.S.

Navy tables were
Navy decom-

developed to convert the standard U.S.

pression tables to tables that could be used in altitude

method was first developed in
1965 by Dr. Jon Pegg but was never published. A
similar set of corrections was later developed by H. J.
Smith, Jr. (Cross 1967) and was subsequently published
in greater detail (Cross 1970). The Cross method involves
determining a theoretical ocean depth (TOD) by multiplying the dive depth by the ratio of the atmospheric
pressure at sea level to that at the altitude at which the
dive will be made. The TOD and the actual bottom
time in the U.S. Navy tables are then used to determine the altitude diving schedule.
The theory of the Cross corrections has been examined in detail (Bell and Borgwardt 1976); the correction factors used in the Cross tables do not apply to the
diving. This adjustment

NOAA

Diving Manual

— October 1991

Diving Under Special Conditions

Table 10-1

Comparison of Differences in
Time Limits (in Minutes of
Bottom Time) for No-Decompression Dives
used

critical tissue pressures

On

safety criteria.

in

the

Navy

tables as

the other hand, in the cases studied,

the Cross corrections always 'failed' on the conserva-

Measured
Depth
(ft)

tive,

i.e.,

safe, side.

ter research

University of California underwa-

teams have used the Cross corrections as a
in California lakes and in Lake Tahoe,

guide to diving

Nevada

(elevation

6200

(1890 m)). Diving sched-

feet

ules used have included procedures for
repetitive dives per

day

up

to three

USN

Cross

Boni/Buehlmann

Tables

Tables

Tables

(min)

(min)

(min)

60

+

60
40

40

15

80
100

25

6 (+ 3 at 2 m)

25

10

4

120

15

5

(

3 at 2 m)

+ 3 at 2 m)
Decompression
(

depths of 130 feet (39.6 m).

to

Both no-decompression and decompression dives have
been conducted; no reported cases of decompression

In this

6000

example, dives are assumed to take place

feet

an elevation

at

of

(1829 m).

sickness have occurred in several hundred dives.
Adapted from

10.12.2

Comparison

of Existing Tables

2.

A

comparison of the no-decompression limits given
by the two altitude correction methods and the U.S.

Navy

tables

is

shown

in

Table

As this
Navy

10-1.

shows, both the Cross corrections and the

3.

table

those predicted by the

Boni/Buehlmann

(1979)

altitude of the dive site or the next greater

altitude

is

found

in the top

The entry corresponding

row of the

table.

to the intersection point

of the depth row and the altitude column marks

tables

the

yield no-decompression limits that are longer than

in

The

NOAA

"theoretical ocean depth"

(TOD), which,

according to the assumptions of the Cross theory,

although

yields a probability of decompression sickness

both cases the no-decompression limits are less than

equivalent to that for the altitude and measured

tables,

those that apply to sea level.

depth of the dive.

There have been no reported cases of decompression

4.

The

TOD

and the

total

bottom time, including any

sickness in divers using the Cross corrections on dives

residual nitrogen time accrued from repetitive

from an altitude of 6200 feet (1890 m). The Cross

dives, are then used with the U.S.

corrections therefore appear to be safe. Several labo-

The

ratories are continuing to study this problem, but at

be for a sea-level exposure. Each time a dive is
planned, the TOD equivalent is substituted for

this

time the true bends threshold for these tables has

not been established. Consequently, altitude diving,

and particularly decompression altitude diving, should be

that
5.

performed using conservative assumptions and special
precautions to ensure access to emergency treatment.

dive schedule

Navy

calculated exactly as

tables.

would

it

measured depth.

The ascent
shown

6. If

is

in

rate at altitude

Table

must be reduced, as

10-2.

a decompression dive

is

conducted (which

is

not

recommended), the depth of the decompression
10.12.3

Recommendations

stops

for Altitude Diving

recommended for general
use within the no-decompression limits. Although
The Cross

corrections are

decompression dives have been conducted using the
Cross corrections, they have been relatively few and
have not involved depths greater than 130

from an elevation of 6200
decompression dives

feet

at altitude

feet (39.6

m)

(1890 m). In general,

should be avoided.

must

also be corrected, as

shown

in

Table

10-2.

Example:

Two

dives are to be conducted at an altitude of
6000 feet (1829 m) on a no-decompression schedule.
The first is to be to 80 feet of fresh water (ffw) (24.4 mfw)
for 20 minutes; the second to 60 ffw (18.3 mfw) for
25 minutes. Find the surface interval required to complete the dive schedule in

minimum

time.

Solution:

10.12.4 Calculations for Diving at Altitude

The Cross

correction tables, as modified by Bell and

Borgwardt, are shown

in

Table 10-2. This table

identical to that presented by Cross
that

it

has been modified to

and rate of ascent. The table
1.

is

is

970), except
(
account for fresh water

— NOAA

used as follows:

Diving Manual

10-2, the theoretical

ocean depth

in

fsw

(ffw) (24.4

mfw)

in a lake

whose surface altitude

is

1

The depth of the planned dive is found in the
column on the left marked "Measured Depth."

October 1991

From Table

that corresponds to a depth of 80 feet of fresh water

97 fsw (29.6 msw) and that for a depth of
60 feet of fresh water (18.3 mfw) is 73 fsw (22.2 msw).

6000

The

feet

is

sea-level

decompression table (Appendix B) must
msw) and 80 fsw

therefore be entered at 100 fsw (30.1
(24.4 msw), respectively.

A

20-minute dive

to a

TOD

10-25

Section 10

Table 10-2
Theoretical Ocean Depth (TOD)
fsw) at Altitude for a
Given Measured Diving Depth

(in

i

Measured

Altitude in feet

1000

Depth*

2000

4000

3000

TOD
10
20
30

10
20
29

40
50
60
70
80
90
100
110
120
130
140
150
160
170
180
190
200
210
220
230
240
250

39
49
59
68
78
88
98
107
117
127
137
146
156
166
176
185
195
205
215
224
234
244

10
20
30
40

10

11

11

21

22
33
44
54
65
76
87
98
109
120

23
34
45
56
68
79
90
102
113
124
135
147
158
169

31

42
52
63
73
84
94
105
115
126
136
147
157
168
178
189
199
210
220

51
61

71
81
91
101

111
121
131

142
152
162
172
182
192
202
212
222
233
243
253

131
141

231
241

5000
fsw

in

12

252
262

261

271

281

272

282

293

9
18
27

9
17
26

34
43

51

9000

10000

63
76
88

73

85
97
109
122
134
146
158
170
182
195
207
219

101

114
126
139
152
164
177
190
202
215
227
240
253
265
278

231

243
255
268
280
292
304

14
27

13

26
39
52
66
79
92
105
118

51

61

152
164
176
187
199
211
223

234
246
258
270

8000

13
25
38

24
36
49

141

192
203
214
226
237
248
260

7000

at Altitude

12
23
35
47
59
70
82
94
105
117
129

152
163
174
185
196
207
218
228
239
250

181

6000

41

55
68
82
95
109
123
136
150
164
177

131

144
157
171

184
197
210
223
236
249
262
276
289
302
315
328

291

303
316

14
28
43
57
71

85
99
113
128
142
156
170
184
199
213
227

191

205
218
232
245
259
273
286
300
314
327

241

255
270
284
298
312
326
340
355

341

Stops
10

10
20
30
40
50

10
19

9
18

31
41
51

10
20
30
40
49

29
38
48

28
37

46

35
44

62

59

57

55

53

21

8
15
23
30

41

8
16
24
32
40

49

47

8
16

25
33

«

7
14

7
15
22

21

38

29
37

28
35

46

44

42

Ascent Rate
60

is not gauge depth. Table takes into account the effect of water density. The zero feet altitude column is for
a freshwater lake at sea level. According to Bell and Borgwardt (1976), these tables are theoretically correct (although
they do not account for seasonal or daily barometric changes) but are still untested.
Adapted from Bell and Borgwardt (1976)
*

Measured depth

diving

in

of 100 fsw (30.1
tive

for a

msw)

places the diver in the

F

repeti-

group (Appendix B). The no-decompression limit
TOD of 80 fsw (24.4 msw) is 40 minutes (Appen-

dix B). Therefore, the diver can have no
15 minutes of residual nitrogen time

second dive; the diver

move from

the

F group

is

in the

to the

C

C

when

had taken place
will

maximum

be passing through on the

elevation the diver

trip out.

more than
starting the

repetitive group.

10.12.5 Correction

To

group requires 2 hours

Neither

gauge

actual depth.

is

often

Depth Gauges

nor capillary depth gauges pro-

oil-filled

25 minutes. In high-altitude diving, the

dive

off

vide accurate depth indications

and 29 minutes.
A dive schedule for an altitude dive at 6000 feet
(1829 m) would therefore be 80 fsw (24.4 msw) for
20 minutes, 2 hours and 29 minutes of surface interval
time, followed by a 60-fsw (18.3 msw) dive for
last

at the

Oil-filled

when used

at altitude.

depth gauges are designed to read

pressure of

1

ATA. At reduced atmospheric

feet at a

pressure,

the gauge will read less than zero (unless there

is

a pin

that stops the needle at zero); in the water, such a
will give a

reading that

is

shallower than the

The depth readings can be corrected by

followed by a trip through mountain passes at an elevation

adding a depth that

higher than that used in the calculation. In this event,

the atmospheric pressure at the altitude site and

it is

good practice

10-26

to calculate the last dive as

though

it

1

ATA. Table

is

equal to the difference between

10-3 shows

NOAA

mean atmospheric

Diving Manual

pressures

—October 1991

4

Diving Under Special Conditions

Table 10-3
Pressure Variations with Altitude
Accordingly, special precautions and extra plan-

light.

ning are required for night dives.
Altitude,

Pressure,

Pressure,

Pressure,

ft

mmHg

psl

atm*

Oil-filled

760.0
732.9
706.7
681.2
656.4
632.4
609.1
586.5
564.6
543.3
522.8
502.8
483.5
464.8
446.6
429.1
412.1
395.7
379.8
364.4
349.5

1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
11000
12000
13000
14000
15000
16000
17000
18000
19000
20000

14.70
14.17
13.67
13.17
12.70
12.23
11.78
11.35
10.92

2.37
3.53

10.51

9.73
9.35
8.99

8.64
8.31

7.97
7.66
7.35
7.04
6.76

night to have correct marking lights that are clearly

6.75
7.73
8.72
9.67
10.58
11.47
12.35
13.16
13.98
14.76
15.54
16.25
16.96
17.67
18.28

0.500
0.479
0.461

light

is

recom-

Predive checks are particularly important at night,

because the limited

precludes even a cursory

visibility

inspection of equipment once in the water. Night diving in fog or heavy rain should be avoided because

it is

easy for the diver to lose sight of the lights on the dive
boat or those carried by other divers.

Each diver should carry
charge sufficient to
pated for the dive.
the diver in

NOAA

light or small strobe

mended.

U.S. standard atmosphereSource:

chemical

attached to the anchor line or downline

(1979)

A

last

a reliable diving light with a

longer than the time antici-

second

light

advisable, because

is

common. The light should be secured to
a manner that permits the illumination of

failure of lights
*

A

can see under water.

5.70

0.521

which case other steps are approIt is also important at

liveboating, in

visible to other vessels in addition to a light the divers

4.61

0.772
0.743
0.715
0.688
0.662
0.636
0.612
0.588
0.565
0.542

The boat

priate (see Section 8.10.1)).

1.22

0.801

especially critical at night.

is

must be secure before the diver enters the water (except

ft

when

1.000
0.964
0.930
0.896
0.864
0.832

10.11

Anchoring

gauge
correction,

is

A

watches, gauges, or navigational aids.

chemical

light

should be taped to the snorkel or tank valve for under-

and the corrections necessary

at various altitudes
oil-filled

for

Because of the reduced density of the

trapped

in

the capillary gauge at altitude, less water pressure

is

air

required than at sea level to compress the air to a given

volume. As a

water and surface

The

gauges.

result, the capillary

gauge

will indicate a

depth greater than the actual depth. Because of the
question about the accuracy of these gauges, a meas-

visibility in

case the dive lights

fail.

team should be careful to maintain dark adaptation before and during the dive (see
Section 2.8.2). Every effort should be made to avoid
shining diving lights directly into the eyes of crew
members, both before and during the dive. Once in the
water, it is easy to keep track of a buddy's light at
entire night dive

night; however,

one diver

may

occasionally lose another

because the glare of the light being held prevents seeing

ured downline should be used.

the buddy's light. In this case, the divers should turn
off or otherwise shield their lights momentarily, adjust

10.12.6

A

Hypoxia During Altitude Diving

diver surfacing from an altitude dive

from a breathing gas
sure
low.

is

As

which the oxygen

in

relatively high to

an atmosphere

may

a result, the diver

is

moving

If a

partial pres-

in

buddy's

their eyes, locate the

ately turn their lights

which

it

is

experience symptoms of

hypoxia and breathing difficulty for a period after the

team

is

left

and then immedi-

light,

back on.

with only one light, the dive should

be terminated. Lights

may

also be used to signal the

surface; sweeping the light in a wide arc over the head
is

the standard 'pick

me

up' signal.

At

night, a whistle

or chemical flare should also be carried in case of light

dive (see Section 3.1.3.1).

failure.

Shore entries are more hazardous

10.13

NIGHT DIVING

Night diving exposes the diver

to

an entirely different

aspect of the underwater world. Marine

more

or less

colors than

abundant and appear

is

familiar to the diver during the

may

be

to be of different

day may appear changed

to the extent that orientation

October 1991

life

the case during the day. Areas that are

landmarks may be

difficult

— NOAA

at night

because

such features as rocks, algae, holes, waves, and rip
currents are not easily seen. Entries from boats, piers,

and locating familiar

even with good

Diving Manual

artificial

and other surface platforms require special caution so
that the diver avoids hitting objects on or below the
surface.
If

a shore exit requires a particular approach because of

in-water obstacles, two shore lights in a line can serve
as a navigational aid for divers.

When

possible, experi-

enced night divers should be buddied with novice night

10-27

Section 10

Making

divers.

the entry at dusk rather than at night

reduces some of the problems of night diving.

When-

ever possible, the area to be dived by night should

first

such operations are undertaken at altitudes

in

tions (see Section 10.12).

be dived by day to provide the divers with entry and
exit experience.

If

tion.

excess of 1000 feet, divers should take special precau-

Three major conditions must be considered when

dams

planning dives at

in the

northwest (or any other)

region:

NOTE

Water temperature

(1)

(2) Visibility

Decompression diving is more hazardous at
night than during the day and should be
avoided if possible. To be conducted safely,
night decompression dives need considerable advance planning.

Flow

(3)

velocities.

Water temperatures may vary from

slightly

ing in winter to almost 80 °F (27 °C) in

above freez-

summer. Divers

should be protected from the elements before diving

and during surface intervals

in

both

warm and

cold

seasons, because of the potential for heat exhaustion or

Most research diving
when rivers
and melting snow and fish migrations

hypothermia (see Section
In night decompression diving, lights

decompression

line are

marking the

necessary to ensure that the

divers conduct their in-water decompression near the

dive boat or other platform. Divers operating in a

decompression mode should not swim out of sight of
lines or lights that will

pression line

guide them back to the decom-

and dive platform.

dams occurs during

at

from rains

swell

occur.

The

spring runoff produces low underwater vis-

DIVING IN

from

silt

[0-0.6

Hydroelectric

dams

across rivers in the northwest United

States incorporate bypass and collection systems for
the protection of migrating fish species such as salmon

and steelhead trout (Figure 10-12). Because fish passage research is conducted at many of these dams,
NOAA and other scientist/divers are often required to
inspect, maintain, install, or retrieve research gear
such as flow meters and fish guidance and passage
devices. If time and circumstances permit, a shutdown
and de-watering of turbine intakes, gatewells, and fish
ladders is the safest and most efficient manner for
performing work on dam bypass and collection facilities. However, safe and efficient diving operations can
be performed within and on the upstream and downstream faces of dams even when these are
ing.

The agency operating the dam

inspector

who

still

operat-

supplies a diving

coordinates such dives, because strict

cooperation between the divers and the powerhouse
operations staff

is

mandatory

to ensure proper clear-

ances for turbine shutdown and flow gate closures.

10.14.1 Diving at

The

Dams

safety aspects of diving at

to those prevailing in cave,

dams

are comparable

wreck, and over-bottom

in the

carried by flooding waters. In

in clear water, the

DAMS AND RESERVOIRS

m]

Snake River)
warmer months,
algae blooms may cause low underwater visibility. Even
ibility (e.g., 0-2 feet

sediment disturbed by divers reduces

visibility so that the

10.14

10.8).

the spring freshet,

small amount of natural light

penetrating the gatewells

is

reduced. Although diving

minimally effective, the problems
associated with low visibility at dams can be overcome

lights are only

by careful planning, studies of the blueprints and plans
dam, and familiarization with the research devices

of the
to

be used during the dive. Objects can be recognized

by touch and orientation maintained, even in zero underwater visibility, if the diver is familiar both with the
gear and the dam's structures. The velocity of the flow

and the force of the suction through screens or orifices
dams can be eliminated or controlled by coordinat-

at

ing the diver's actions carefully with

dam

operations

personnel before the dive.

When

bypass systems become fouled or clogged by

sometimes are required

river debris, divers

dam

gatewells to clear the system's orifices.

to enter

The

haz-

ards of gatewell diving can be reduced by taking ade-

quate precautions to ensure that the influence of suc-

caused by the large hydrostatic head,

tion,

is

avoided

which eliminate
the need for buoyancy compensators, should be worn to
avoid the danger of loose equipment becoming caught
(see Section 5.4). Procedures are much the same as
those for umbilical diving, whether the diver is using
surface-supplied air or scuba cylinders. At a miniat the orifice.

mum,

Variable-volume

suits,

a tender line to the diver should be used for

diving,

contact and signals, although hard wire communica-

dam
dam

and many of the same procedures are used in
diving. Predive planning by the dive team with

personnel will help to ensure a safe diving opera-

transport the diver to and from the orifice level and the

10-28

tion

is

preferred.

A

diver cage should be provided to

NOAA

Diving Manual

— October 1991

Diving Under Special Conditions

Figure 10-12

Cross Section of a Typical Hydroelectric
Dam in the Northwestern United States

Courtesy George

Swan

Figure 10-13 shows a diver ready to be lowered into a

be performed in much the same manner as they are
conducted when diving amid pools and boulders in

dam

rivers with relatively fast currents (see Section 10.15).

dam, and

intake deck of the

a safety diver

gatewell. Procedures to shut

system immediately

in

the event of an

be coordinated with the

dam

down

is

required.

the bypass

emergency should

operations controller before

Work

on fish ladders (Figure 10-14) should be
performed during off-season when the number of
upstream adult fish runs is low and water flows can be
cut off for a period of time, which permits the task to
in

the open

impractical, and diving
plete the task.

diving tasks must be performed on the upstream

dam, turbines and/or spillway gates must be

shut down. Adjacent units should also be shut

the dive.

be completed

When

face of a

Flows

air.

is

On

rare occasions this

is

then the only way to comladders appear quite turbulent

in fish

when viewed from above; however,

baffles or weir walls

safety

and

to

reduce flows near the work

can be transported

to

and from the

the intake deck of the

and crane.

A

level of

dam by means

down

station.

for

Divers

work and

to

of a diver cage

boat or floating platform also

is

useful for

the safety (standby) diver and equipment. Diving on

the

downstream face of

a

dam

is

handled similarly;

flows are shut off to avoid sweeping the diver off station.

Divers should avoid water contaminants, such as

are regularly spaced perpendicularly to the flow, and

spilled

the water flows either over the top of each weir or

routine operation and maintenance of

through large rectangular orifices located

byproducts generated by underwater cutting and welding.
These contaminants can become concentrated in confined areas such as gatewells, where the water level
may be 5 to 20 feet (4.6 to 6. m) below the deck of the
dam. Before starting or continuing a dive, any contaminant discovered should be eliminated from the dive

of the baffle wall.
walls,

(2.4

flows

as

When
high

8.0

as

mps) may be encountered

with the orifices but
to either side or

may

at

the base

diving in pools between baffle
feet
in

per

second

be as low as 1.0 fps (0.3 mps)

above the

line of the orifice.

By using

safety lines and exercising caution, diving tasks

October 1991

— NOAA

(fps)

areas directly in line

Diving Manual

may

petroleum or lubrication products used

1

dams

in

the

or gaseous

1

site.

10-29

Section 10

Figure 10-13
Diver Protected by

be Lowered

Into

Figure 10-14

Cage and Ready

Dam

A

to

Fish

Dam

Gatewell

in

Ladder at a Hydroelectric
the Northwest

Courtesy George

Courtesy George

Swan

water opening; (2) a pierlike structure set out from the
shoreline that supports turbine pumps; (3) a combination pier/vault created

by closing

in the

area under a

pier with driven sheet piling or other material;

10.14.2 Diving at

Pumping
The impact

Water Withdrawal and

(4) a simple

Sites

single intake line extending to a depth

of water withdrawal on populations of

juvenile fish in the

Columbia Basin of the northwest

Swan

arrangement of a

water elevation.

Some

pump

and

or siphon with a

below the low

vaultlike structures

may have

trash rack bars in front of the fish screening.

A good

those seeking permits to install and operate water with-

and stable work boat serves as the best diving
sites and expedites diver travel between sites, but divers should be
careful when entering the water from a small boat.
Some sites with enclosed fish screens must be accessed
by ladder or small crane. For such a diving task, tanks,
weight belts, masks, and fins are lowered by lines to the
divers once they are in the water; this procedure is

drawals to

reversed after the dive.

United States

Water

is

a major concern to fisheries agencies.

withdrawn from the Columbia and Snake
Rivers via pumps and siphons and is then used for
is

irrigation, industrial applications, drinking water, ther-

mal cooling,

fish

and

wildlife propagation,

and other

domestic needs. Before water can be withdrawn from
these rivers, the U.S.

ly,

Army Corps

of Engineers requires

install fish protective facilities. Periodical-

divers are required to inspect fish screens at water

withdrawal

sites to

monitor the condition of the screening

and the status of compliance with established

fish

screening criteria.

Several basic types of water withdrawal sites are

common:

10-30

(1) a vaultlike structure with a screened under-

platform for accessing most withdrawal

Diving
safely

if

in

and around pump intakes can be performed
and the neces-

certain hazards are recognized

sary precautions are taken. In general, intake velocities

are not high enough to present a suction hazard,

although pumps should be shut down,

if

possible.

To

perform an inspection during the pumping season,

NOAA

Diving Manual

—October 1991

Diving Under Special Conditions

however, the approach velocities
ured while the

pumps

may have

to be

meas-

are operating. Surface air supply

when

hoses and safety lines should never be used

pumps

ing on sites with operating

div-

unless the tender or

another diver can tend the umbilical line to keep

away from

the

pump. Loose

it

lines, hoses, straps, cylin-

accordingly.

Where

there

directly to the bottom.

may

surface, the diver

considerable surface cur-

is

may

rent, diving in large holes

be surprised to find either no

current or one flowing slightly toward the head of the
hole. Divers should also

remember when working with

umbilicals in any type of current that

der pressure gauges, and other gear should not be used

lines, tethers, or

or should be well secured to avoid being sucked into

the drag on these lines greatly

unscreened pumps or wound around impeller shafts.
Because of the need for mobility in and around a pump

to travel

a buddy team with scuba gear is the preferred
method of diving at pump intakes. Low underwater

site,

found

visibility,

ranging from 0-6 feet (0-1.8 m),

the lower

Columbia and Snake Rivers, and this distance
m) in the upper Columbia

is

in

increases to 15 feet (4.6
River. If large

pumps

are operating and the visibility

is

exceptionally low, the dive should not be performed.

Divers should enter the water carefully with their

because

feet first,

pump

sites are notorious for the

presence of debris, rocks, snags, and pieces of sharp
metal,

of which present a hazard to divers, their

all

and any loose equipment. In addition, because

suits,

there

is

less

scuba diving activity

in

inland waters than

water areas, inland boaters tend to be

in salt

less familiar

Pump

with 'diver down' signal flags and their meaning.
site divers

pump

site

should descend and ascend close to the

structure or the shoreline. Surface personnel

should watch for boating traffic and hail

with a

it

loudspeaker to inform boaters that divers are operating

summer months, any

under water. During the

activity

be done by dropping

At some distance below the

and that the

hampers a

lines also create

diver's ability

an entanglement

hazard.
In a swift river current, entering the water can be

One technique is to attach a line about 20
m) long to the anchor with a handle (similar to
used by water skiers) on the other end. The diver

difficult.

feet (6.1

those

can grasp the handle and descend by making appropri-

body position, which lets the current do
most of the work. Descent can also be made by using
the anchor line, but this requires considerably more

ate changes in

effort.

Divers always need something to hold onto because

of the difficulty of
currents.

One

moving across the bottom in fast
is shown in Figure 10-15

helpful device

(Gale 1977). This device, referred to as a creeper,

is

used by lifting and moving the corners forward in
alternate turns, as shown; it can also serve as a diver's
anchor when not

in use.

Large rocks or sharp drop-offs

may

create enough turbulence down-

along river bottoms

stream to disorient a diver. In such a situation, the
diver should move hand-over-hand along the bottom
or use a creeper, because the current is less on the
bottom. This technique can be used even on sand or

conducted on or near the shoreline should be conducted

gravel bottoms.

cautiously because of the presence of rattlesnakes.

Another difficulty sometimes encountered in a fastflowing stream or river is the blocking of light by
bubbles. In or under white water, it may be almost
dark. Rivers carrying large amounts of sediment, either

10.15

RIVER DIVING

Rivers throughout the world vary in size, turbidity,

and

in

the terrain through which they flow; diving

conditions vary with the river.

Any

studied thoroughly and conditions

planned. Log jams

may

river should be

known before

the

normally or as a result of recent rains, are also extremely

dark. Using underwater lights
turbid waters because the light

by the particles suspended

in

not

is
is

much

help

in

reflected or blocked

the water.

When

working

old cars, barbed wire,

where the waters are reasonably clear but the
bottom is easily stirred up, divers should work upstream
against the flow. Any sediment that is disturbed will
flow downstream, away from the direction of travel,
which allows the diver to work in much greater visibility.

serious injury or be held by the current.

hazards because the hydraulic acrion created by such

dive

is

be a hazard, as are

submerged objects such as sharp rocks, trees, limbs,
and the ever-present monofilament fishing lines, nets, and lures. Rapids or steep
profiles are hazardous because a diver may be slammed
against a rock or other submerged object and sustain
River diving has a number of special aspects for

which a diver should be prepared. For example, divers
who grab the bottom to stop and look at an object
should hold their face masks to prevent them from

in rivers

River diving near low-head

dams creates currents with
and swimmers back toward
(see Section

without lines

dams

presents additional

the potential to pull boats

the

dam from downstream

10.14.1). River divers required to
in

work

waters near low-head dams, water-

being torn off by the current. Divers should be aware

falls,

more weights are required when diving
than in quiet water, and they should plan

on the bottom and as far clear of the affected area as

that

October 1991

— NOAA

Diving Manual

in

currents

their dives

or rapids with significant dropoffs should

work

possible.

10-31

Section 10

Figure 10-15

Creeper— A Device Used
Rocky Substrates

in

to Move Across
Strong Currents

Closeup view

A.

It is highly desirable for the captain to have prior
knowledge of diving techniques and procedures. Al-

though this may not always be the case, a captain with
such a background can add immeasurably to a diving
operation's success.

When

diving from a ship, the

fol-

lowing personnel requirements should be considered
before beginning a cruise.

Dive master. Dive masters are responsible for all
diving portions of the operation. These supervisors
schedule all dives and designate divers and dive teams.

They discuss the operational

necessities of the dive

with the captain and, as required, assist in carrying out
these requirements (see Section 14.1.2.1).

Science coordinator. In conjunction with the dive
master and the captain, the science coordinator formuPhoto William Gale

lates

and ensures that the

On

mission are achieved.
B.

Creeper

in

scientific goals of the diving

a regular basis throughout

the cruise, these goals are re-evaluated and,

use

when

necessary, re-directed (see Section 14.1.2.3).

10.16.2

A

Use and Storage of Diving and
Related Equipment

suitable diving locker should be designated and

used for storing diving equipment. The designated area
size, and equipped
equipment can be hung up to dry. The
diving locker should be kept locked when not in use,
and the key should be kept by the dive master.
During predive planning, the stock of backup diving
gear should be assessed. Equipment easily lost, such as

should be well ventilated, adequate in

so that diving

knives, weight belts, etc., should be stocked in excess
Source:

NOAA

(1979)

so that divers can be re-equipped quickly. Spare parts

and replacements for

10.16
As

DIVING

in all

FROM A SHIP

diving operations, diving from a large ship

requires comprehensive planning before the dive or
series of dives.

Because operating a ship represents a

significant investment, all logistical factors involving

personnel, equipment (diving and scientific), weather,
etc.,

should be thoroughly considered in dive planning.

10.16.1

When

Personnel
a ship

is

being used as a surface-support

the compressor should be run at night.
cylinders, salt water

any matter pertaining to the vessel. However,
the dive master or senior diver has the final decision in
any matter involving the divers. It is imperative that
close communication between the dive master and the
captain be initiated and maintained so that the intent
of the diving operations is well understood and operations can be carried out as safely as possible.

may

10-32

items such

Air compressors play an important role in a shipboard diving operation. The compressor should be
positioned with intake toward the bow of the ship (the
ship will swing into the wind while at anchor), away
from the exhausts of main, auxiliary, or any other
engines, and free of fume contamination from paint
lockers, gasoline, and other solvents (or preservatives
being used by diver/scientists). Cool running of the
compressor requires good ventilation; in hot climates,

diving platform, the ship's captain has the final decision in

critical life-support

as regulators should be available on board.

from the

When

filling air

ship's seawater

system

be flushed over the tanks as a coolant. Oil-lubricated

compressors should have some type of oil/water separator built into the system. It
filtration

carbons,

is

also desirable to

column that eliminates CO,

oil,

C0

,

have a
hydro-

2

water, and other contaminants, in accor-

dance with breathing

air specifications (see Sec-

tion 4.2).

NOAA

Diving Manual

— October 1991

Diving Under Special Conditions

10.16.3 Safety Considerations

When

to ensure they are functioning properly.

If not, correc-

gency assistance or transport, the dive master should

tions must be made before the diver enters the water.
The water should be entered using a ladder. Jump
entries are discouraged from heights more than
3 to 4 feet (about l.O m) above the water. A descent
line should be used. Descent rate will depend on the

have preplanned procedures for prompt, adequate

diver; generally, however,

is

a large ship

is

selected for a diving platform,

it

generally because the diving must be conducted a

considerable distance from shore or in a remote region.

When

the distance

is

beyond the range of rapid emertreat-

should not exceed 75 feet

it

ment on board ship and, when necessary, evacuation to
a destination where further treatment can be obtained

(22.9

(see Section 19.7).

so that they will be forced against the descent line

The

dive master should contact

sources of emer-

all

m) per minute.

If

descending

tideway or

in a

current, divers should keep their backs to the current

(see Section 14.1.3.2).

to the dive

Divers and surface tenders should review the line

and should determine the round-trip range of emer-

pull signals described in Section 8.1.4 thoroughly.

gency transport vehicles, including the distances and
times from shore to the dive site and back to the nearest

Although voice is the primary means of communicabetween divers and surface tenders when surfacesupplied equipment is used, pull line signals are the
backup form of communication if the voice system

gency assistance and rapid transport close
site

recompression chamber.

On

cruises out of the rapid

emergency assistance or

transport range, especially where decompression or
repetitive diving

is

scheduled, a recompression cham-

ber and a trained, qualified

chamber operator should

be on board ship. The possibility of decompression
sickness, gas embolism, or an

emergency

free ascent

requiring immediate surface recompression cannot be

A

discounted.

chamber should

portable double-lock

be provided (see Section 6.1).

Safe execution of the dive also depends upon the
proper handling of the mother ship before, during, and
after the dive (Coale, Michaels,

and Pinto, as cited in
in one

tion

fails.

When

the bottom

is

reached, the surface tender should

be notified and the diver should proceed to the work
site.

The surface tender

also should keep the diver

constantly informed of bottom time.

The

always be notified a few minutes

advance of termi-

nation time so that there

in

diver should

time to complete the task

is

and prepare for ascent.
When work is completed, the diver should return
she

is

ready for ascent. The surface tender should pull
excess umbilical line slowly and steadily.

Heine 1985). Typically, any object remaining

in the

place for a period of time, such as sediment trap arrays,

diver should not release the ascent line but

productivity arrays, or ships, will attract sharks. For

the tender by climbing the

this reason,

open-ocean diving near such objects

is

not

recommended. The bridge and the mess deck personnel
should be told that no garbage can be
bilges can be
is

pumped

in the vicinity

dumped and no

of the dive; fishing

also not permitted near the site. If the ship has

been

on station for some time before initiation of a dive, the

away from the station for a distance
5 miles (8.0 km) so that the boat can be
cleaner water. To minimize the sonic attrac-

ship should steam

of at least

launched

in

tion of sharks to the divers, the dive boat

motor should

be shut off and the mother vessel should be instructed
not to

come

closer than 1/2 mile (0.8

km)

to the dive

dive master must inform the diver of his or her

A

diving stage

pressions.

When

may

be required for long decom-

decompression

and surface tenders should
thorough check of equipment. The ship's

All personnel, divers,

perform a
captain must be notified that divers are about to enter
the water, and clearance should be obtained before the
diving operation commences. The air supply system,
helmet or mask, and communications should be checked

October 1991

— NOAA

Diving Manual

is

completed, the diver

should return on board ship via the ladder or diving
stage, receiving assistance

from the surface tenders as

required.

10.16.5

While Underway

Diving while underway

is

not widely practiced and

can clearly be dangerous. However, divers
to

perform work or to

tions that

Equipment

or

decom-

pression requirements well in advance of dive termination.

way
10.16.4 Using Surface-Supplied

may

The
assist

The surface tender

line.

sionally be required to dive

location.

to

the ascent line and signal the surface tender that he or

cannot be

may

occa-

from a ship that is undermake underwater observa-

made from

a stationary platform

or surface. Because this type of operation

is

inherently

more dangerous than other diving operations, it should
be done only when no safer alternative exists. Strict
compliance with certain rules

is

mandatory.

Only self-contained diving equipment should be used
when entering the water from a moving ship. Although
special requirements may dictate higher speeds, the

10-33

Section 10

ship should proceed
(1.6 m/s).

The

if

possible at speeds under 3 knots

use of a small boat,

while divers are in the water,
It is essential

is

manned

required.

that great care be taken

the water from a moving ship.

continuously

form of research diving. Scientists who plan

to dive

near capturing systems should undertake special training
dives that simulate conditions likely to be encountered.

entering

High (1967) and Wickham and Watson (1976)

be selected on

described methods used by divers to observe trawls.

when

A spot should

possible, aft of the

Fishing gear researchers operating in relatively deep

diver should never enter the

waters off the northwestern coast of the United States

water directly off the stern, because propellers and the

on large midwater or bottom trawls generally descend
to the trawl by entering the water from the towing

the side of the ship well aft and,
ship's propeller(s).

ship's

The

movement through

if

the water cause turbulence

that could buffet a diver severely or

damage

or tear off

The

method (see Section
entry from a moving

step-in

mended for
maximum distance between

10.4.1)

is

recom-

ship. This allows

the side of the ship and the

point of entry. Caution should be exercised in using the
step-in

method when the deck of the ship

is

high off the

dives from a ship

tow equipment (trawls,

into the diver's hand. This descent technique provides

and expends a minimum of
Caution must be observed

a direct route to the net

energy and compressed

air.

as the divers approach the turbulent water behind the

otterboards, especially

when

the boards are in contact

with the bottom. Clouds of sediment stirred up by the

water surface.

Most

and moving down the towing cables. Care must

vessel

be exercised to avoid jamming broken cable strands

equipment.

underway require the ship

otterboard obscure portions of the bridles between the
to

sleds, etc.) that the diver will

may

be on the

surface, partially submerged, or submerged.

The small

use during the dive. This equipment

boat should maintain position behind and just to the

towed equipment. Divers should enter the
water in succession; the interval between entries should be
long enough to avoid having the divers collide with
being too widely separated in the water.
Divers should drift back and maintain visual or hand
contact with the cable being used by the ship to tow the

equipment. They should work their way back along the
cable until the equipment

is

reached, descending as

required.

Hazards and diver difficulties increase if active nets
or their components are moving at great speed. During
the early retrieval of purse seines, the net components
(web, purse rings, and purseline) move slowly. Toward
the end of the pursing and net-retrieving sequence,
however, these components move through the water
quickly. Since divers usually lack communication with
surface winch and line hauler operators, the divers
must stay out of the bight of the line or the immediate
path of the gear.

Diving within the influence of a trawl or other device

towed from vessels under way is hazardous. The hazards include entrapment within the net, fouling, and

As an

along the bridle.

much as 25 feet
may swim inboard of the

divers

when

alternative,

horizontal

(7.6 m), experienced

visibility is as

otterboard just within

the path of the oncoming trawl and wait for the bridles

side of the

each other but short enough to prevent the divers from

way

otterboard and the net, so divers must feel their

to clear the

When

mud

cloud or for the net to appear.

this type of trawl diving

pickup boat

required.

is

is

conducted, a safety

The boat

is

operated on a

parallel course adjacent to the estimated position of

At the termination of the dive, the
buddy team makes a normal ascent and is picked up by
the trawl and divers.

the boat.

In the shallow waters available for fishing gear
research in the southeastern United States, a two-place
diver sled
trawl.

The

is

used to transport divers to and from the

dive sled, which

towing the trawl,

is

is

towed behind the vessel

positioned above and slightly behind

the trawl's headrope.

The

divers are transported in a

small support boat and are positioned well ahead of the
sled close to the

When

support boat

motor

downwind

side of the sled towrope.

the divers are ready to enter the water, the

is

is

turned away from the towrope, and the

taken out of gear.

Once

the divers are in the

water and clear of the propeller, the support boat motor

is

placed in gear, and the support boat moves to a position
slightly

The

behind and to the downwind side of the

divers position themselves

20

to

30

sled.

feet (about 6

apart along opposite sides of the towline.

The

m)

pilot

being forced against bottom obstructions. If the device

takes the lead position facing the port side of the sled.

moving slowly (under 1.5 knots; 0.8 m/s), the diver
may be able to swim alongside for short periods. At
speeds up to about 2.5 knots (1.3 m/s), divers may hold
onto large nets without seriously distorting them. Both
of these methods require the diver to be in excellent
physical condition and to be trained in this special

When

is

10-34

the sled reaches the pilot, he or she grabs the

passing control surface or sled frame and trails back to

a parallel position with the sled.
pilot slides

From

this position, the

aboard the sled and assumes a prone posi-

The observer boards the
same manner but from the opposite side.
tion at the controls.

NOAA

Diving Manual

sled in the

When

the

— October 1991

Diving Under Special Conditions

Figure 10-16

Support Ship, Trawl, Diver Sled,
and Support Boat

Adapted from Wickham and Watson (1976)

divers are positioned, the pilot releases the dive control

restraints

descend

and takes control of the

to the trawl and,

depending on the

trawl or the purpose of the dive, observe
sled or land the sled on the trawl

and

tie

webbing (Figure 10-16). With the sled
trawl.

At the end of the

The

from the

pilot,

from the

divers kick free of the sled

is

Divers making observations while hanging directly
onto the trawl can

move

to different parts of the trawl

tied off, both

having a stretched mesh size of less than 2 inches
(about 5 cm) (i.e., each side of the aperture about

work on the

to the surface.

on a

taken out of gear.

and swim over

to

board

the support boat.

When

which increases the safety and efficiency of trawl

by pulling themselves hand-over-hand. However, trawls

to the sled, and,

the motor

face,

diving operations.

size of the
it

dive, the divers reboard the

downs, and ascend

The support boat then moves
signal

divers

to the trawl

it

divers can leave the sled to conduct their

sled, release the tie

The

sled.

1

inch long) are difficult to hang onto and

tate the use of hand-held

move about.
By using

may

necessi-

hooks to enable the divers to

a separate towline for the divers, small

trawls and other
direct contact,

moving gear can be observed without

which might affect the system.

A

dive

using a dive sled, divers must be particularly

sled can also be used for this purpose and, with the

careful to maintain proper breathing rhythms to pre-

addition of a current-deflecting shield, will provide

vent an embolism from occurring

more protection

if

the dive sled rises

suddenly on a wave. The pilot should have a depth
gauge mounted so that it can be read easily at all times
and should continually monitor the gauge, maintaining a
constant depth or making any necessary depth changes
slowly.

A

dive sled also facilitates the use of a hardwire

communications system between divers and the

October 1991

— NOAA

Diving Manual

sur-

for divers

than

is

possible for divers

hanging directly onto the gear.

Trawl divers must be alert to possible dangers in the
bottom trawl's path. Some underwater obstructions
may cause the trawl to stop momentarily and then to
surge ahead with great force. Large objects may be
lifted and carried into or over the net. Turbulence

10-35

Section 10

behind the otterboards

up off the bottom and

may

lift

sharp-spined animals

into the path of the divers. If

of the diver's extremities get ahead of the
trawl, the diver

is

injury would result

any

bottom

imminent danger, because severe
from being pinned between parts of

know where they

that they will

part of the trawl at

portion of the net

To determine

in

is

when only

a small

visible in turbid waters.

gear efficiency,

trawls under tow.

are in relation to any

times, even

all

A

number

is

it

necessary to measure

of measuring tools have

them. The problem

been adapted or designed specifically for measuring
The measuring tools selected to use when studying a trawl will depend on the size of the trawl and the
degree of accuracy required. An estimate of the distance between two points on a trawl can be made by

through the trawl's

pulling low-stretch polypropylene twine taut between

webbing, which causes the divers to be showered with

The tied end will
remain with the trawl until retrieval, when the line can
be removed and measured. To measure more accurately

the net and an obstruction.

hazard to trawl divers and can
ability to function safely under

Jellyfish present a
seriously reduce their

When

water.

towed divers
increases

jellyfish are

abundant,

to avoid contact with

when

jellyfish are strained

it

is

impossible for

hundreds of jellyfish pieces. To avoid being stung,
trawl divers must dress in full-length wet suits (1/8 in.
(0.3

and

cm) thick in warm water), hoods, gloves, boots,
masks whenever large numbers of jelly-

full-face

fish are in the vicinity.

In the event divers are carried into a trawl

from

trawls.

the points and then cutting the line.

the horizontal spread of a trawl (the distance from

wing across the mouth of a trawl), a 1/8 inch
in diameter stainless steel cable marked in

wing

to

(0.3

cm)

foot (0.3

1

m) increments is used. The cable is stretched
mouth of the trawl, with one end attached to

which they cannot readily extricate themselves, they
must cut an exit through the web. Since trawls usually

across the

have heavier web

pulled through a small pulley attached to the

in the aft portion

(cod end), an escape

should be cut forward in the top of the trawl body and a
3 foot (0.9
trawl.

to

m)

long diagonal

Another similar

and beginning

slit

at the

slit

should be

should be

made

made

at

in the

90 degrees

upstream end of the

first slit.

the

hanging on one wing and the other cable end

first

hanging on the opposite wing. The cable
across the net

by one

the spread reading.

is

first

pulled taut

diver, while the other diver records

The

vertical opening (the distance

between the trawl headrope and footrope) on small
trawls is measured with a fiberglass measuring rod

The water current should then fold a triangular flap of
webbing back out of the way, leaving a triangular
escape hole. The diver's buddy should assist the trapped

trawls, the vertical opening

diver through the opening to free any gear that snags

brated depth gauge. Short distance measurements can

on meshes. Often an additional small single-blade knife

is

carried in an accessible place such as the forearm.

marked

in 6

made

be

inch (15.2 cm) increments. On larger
is measured with a cali-

accurately with a fiberglass tape measure.

Trawl door measurements are made with an inclinometer
for door

tilt

and a door angle measuring device

WARNING

angle of attack.

Divers Working Around Trawls Must Carry a
Sharp Knife Strapped to the Inside of the
Calf or Forearm to Prevent Its Catching on
the Web

attention

for door

Equipment for Diving While Under Way. Special
must be given to diving equipment used during dives on moving gear. Single-hose regulators with
large-diameter purge buttons occasionally free flow
when used during underway diving because of the strong

water current being exerted against the face of the
button.

Vessel course or speed changes normally pose no

Reserve valve pull rods are the single greatest source

hazard to working divers. Often, changing speed can
be used as a simple signal between divers and vessel
personnel. As speeds rise above 2.5 knots (1.3 m/s),

of diver entanglement in webbing. K-valves in combi-

divers will have difficulty holding their mouthpieces

used, the following information

and keeping their face masks on. At higher speeds
they may lose their grip and be forced off the net.
When stopped, the net settles slowly, becoming slack

pull rod

in

gradually rather than suddenly. In this situation, the
divers should be cautious of a

tangle

them

in a line or

sled adjacent to a trawl

sudden

start,

which may

web. Divers working from a sea

may be

forced against the trawl

during a turn. Trawl divers should be well-trained so

10-36

nation with submersible pressure gauges are generally
safer for use in trawl diving; however,

is

is

if

J-valves are

important.

When

a

used, the pull-ring should be brazed shut or

taped to prevent webbing from slipping into the loop.

Submersible pressure gauges permit team members to
monitor each other's air supply and depart the net
while ample air reserve remains.

The

strap on the

pressure gauge hose should be fastened to a strap of the

backpack

only. If the

diver's side,

it

gauge

is

may become caught

NOAA

left

dangling at the

in the net.

Diving Manual

— October 1991

Diving Under Special Conditions

Adjustable straps on face masks and fins are an
occasional source of difficulty for trawl divers.

The

Variable-volume dry suits are excellent for use in water
temperatures below 60° F (16°C); however, additional

loose ends of the fin straps should be on the inside of

drag on a towed diver

the strap next to the ankle to prevent the flopping strap

suits

or buckle

from entangling

in

the net. Straps should be

adjusted until comfortable and then securely taped

in

place to prevent pulling out.

Towed

must have exposure suits with warmth
qualities superior to those necessary during regular
dives. Rapid movement through cold waters will quickly
chill

them

divers

divers,
to the

when high mobility

may
is

preclude the use of these

desired.

Snorkels should not be attached to a towed diver's

mask. Generally, snorkels are omitted from the gear

complement because of their tendency to catch on
webbing. They are not normally needed because the
diver

is

on the surface only for a short period before

being picked up by a safety boat. Divers are advised to

may

reducing their effectiveness and exposing

carry signal flares under conditions where

dangers of hypothermia (see Section

difficult for the boat to locate the diver after surfacing.

October 1991

— NOAA

Diving Manual

3.4).

it

be

10-37

4

<

Page

SECTION 11
POLLUTED-

11.0

General

11.1

Microbial Hazards

WATER
DIVING
11.2

11.3
11.4

11-1
1

1-1

11.1.1

Health Effects of Exposure to Microbial Hazards

11-1

11.1.2

Factors Affecting Microbial Pathogenicity

11-2

Chemical Hazards
Thermal Hazards

Equipment for Polluted-Water Diving
11.4.1
Self-Contained Underwater Breathing Apparatus
11.4.2
Surface-Supplied Diving Equipment
Polluted-Water Diving Procedures and Precautions
1 1.4.3
11.4.3.1
Decontamination Procedures
11.4.3.2
Medical Precautions

1

1-2

1

1-3

1

1-3

11-3

11-4
1

1-5

11-5

11-6

i

POLLUTED-

WATER
DIVING
GENERAL

11.0

NOAA

the following organisms have been implicated as potential

and scientific divers
have all been called on in recent years to perform
working dives in waters contaminated by a variety of
commercial

divers,

pollutants,

divers,

including pathogenic micro-organisms, toxic

chemicals, and nuclear reactor effluents. Research

is

continuing on the specific hazards and effects on diver

and health of these occupational exposures and

safety

hazards to the health of divers swimming

in

polluted

water: several bacterial species, including Vibrio,
Escherichia, Legionella, Actinomycetes, Aeromonas,
Salmonella, Shigella, Enterobacter, Klebsiella, Pseudo-

monas, and Staphylococcus; viruses; protozoa; molds;
fungi; algae; and parasites belonging to other families
(Colwell and Grimes 1983).

on the development of equipment and methods of protecting divers

from such hazards.

Because water pollution

is

so widespread,

all

divers

WARNING

should be aware of the hazards of polluted-water div-

They should

and
post-dive procedures, equipment requirements, and

ing.

also be familiar with the pre-

medical surveillance activities appropriate for polluted-

water diving.

Before Diving in Potentially Polluted Waters,
Divers Should Sample the Water for the Pre-

sence of Pathogens or Other Contaminants
or Obtain Such Information From Reliable
Sources

MICROBIAL HAZARDS

11.1

Microbial pathogens

— bacteria, viruses, parasites,
— may occur part of the

protozoa, fungi, and algae

as

natural environment or be introduced into the aquatic

Divers working

in

waters contaminated or infested

with these organisms

may

be subject to a variety of

maladies, including:

environment through an external source, such as sewage or chemical wastes from industrial sources, commercial ships, or agricultural run-off. These wastes
are often carried into the ocean by rivers and streams;

although contaminants are diluted by the ocean, they

can continue

to

have a powerful effect on water quality

and the diver's environment. In addition, pollutants
may "clump" together to form discrete and highly
toxic parcels of contaminated water. Divers may be
exposed to waters polluted by microbes
occupational settings:

when they clean

hulls in polluted rivers or harbors,

age

dump

sites, or

NOAA

of

life

in

monitor ocean sew-

lakes, rivers, or coastal

divers are most likely to be exposed to

hazardous contaminants during dives near or on the
bottom sediments, which provide ideal environ-

soft

ments

ear infections

•

eye infections

•

respiratory tract infections

•

inflammation of the intestinal tract

•

warts

•

skin infections

•

parasitic infections

•

central nervous system effects

•

systemic or pulmonary fungus infections.

or paint ship

perform scientific dives to observe

the behavior of marine

waters.

in a variety

•

accumulating contaminants and encouraging microbial growth (Phoel 1981).
for

Because the signs and symptoms of many of these
conditions do not manifest themselves for a period of

hours to weeks after the dive,

it

is

often difficult to

associate the polluted-water exposure with the resulting

symptoms. Although personal hygiene and specific pre-

some of these effects,
methods of protecting divers operating in
microbially contaminated waters are to isolate them

ventive measures can counteract

the surest

completely from contact with these organisms and
11.1.1

Health Effects of Exposure to
Microbial Hazards

The number and kinds

may

be present

October 1991

in

— NOAA

completion of the dive. Section 11.4 describes pro-

of pathogenic organisms that

polluted water are many.

Diving Manual

to

ensure that divers are adequately decontaminated after

To

date,

tective

equipment and procedures designed

to achieve

these goals.

11-1

Section

Figure 11-1
Diver Working

in

1

Contaminated Water

11.1.2 Factors Affecting Microbial

Pathogenicity
Recent research efforts have identified several facand virulence of the
microbes found in polluted water (Colwell 1982). Concentrations of heavy metals, such as those associated
with waste petroleum products, may reduce species
tors that affect the pathogenicity

diversity in a

changes

in

manner

that favors pathogenic species;

water temperature or salinity

may

also have

similar effects. Altering the levels of certain nutrients
in the

may

water

operate to select out non-pathogenic

and thus permit pathogens to thrive. The ability of some organisms to stick or attach themselves to
surfaces, including a diver's skin and mucosa or his
species

equipment, makes them persistent threats. Seasonality
also affects the distribution of

and divers are generally

many

summer months

microbial infections during the

warm

diving in

11.2

species of microbes,

at greater risk of incurring

or

when

water.

CHEMICAL HAZARDS

As many

as 15,000 chemical spills are estimated to
U.S. waterways every year, and countless
other chemical-laden discharges take place regularly

occur

in

and municipal facilities expel their wastes
and coastal waters (McClellan 1982).
Divers operating in waters contaminated by chemicals, many of which are toxic, have experienced upper
as industrial

into lakes, rivers,

Photo: Steven M. Barsky, Courtesy Diving Systems International

respiratory tract infections, difficulty in breathing,

important not to wear the same equipment

skin reactions, nausea, burns, severe allergic reactions,

is

and tingling of the limbs. As

sive dives involving incompatible chemicals,

hazards,

it

may

in the case of microbial

be difficult to relate cause and effect.

Industrial chemicals

commonly found

in polluted

water include:
•

diving equipment

may

absorb enough of the

cal or chemicals to cause a reaction on

in succes-

because

first

chemi-

subsequent

contact with an incompatible substance.

Chemical and petroleum-product

phosphates

spills occur as a
and groundings, oilwell blowouts, major storage facility releases, and illegal dumping
of toxic or hazardous wastes. The Environmental Protection Agency (EPA), the U.S. Coast Guard, and
NOAA all have important roles to play in emergency
response and environmental assessment.
The steps involved in protecting the health and safety
of divers and other personnel (and the health of the
public and the environment) responding to a spill emergency include:

result of vessel collisions

•

chlorates

•

peroxides

•

acids

•

solvents (benzene, xylene, toluene).

Petroleum and petroleum products are the most common chemical hazards encountered by divers, because
these substances are frequently spilled in incidents
involving commercial vessels or in other marine accidents, such as oilwell blowouts
facilities.

Divers

may be

and

spills

from storage

called on to help with spill
•

identifying the hazardous substance(s) present

•

evaluating the hazard associated with these

•

ameliorating the effects of the release.

cleanup and must wear carefully selected gear during
such operations because

oil

destroys neoprene and rubber

substances

(Figure 11-1). In addition, the solvents and other chemical substances

used to clean up

spills

permeate many

types of protective clothing and can cause either gradual or catastrophic deterioration of other materials. It

11-2

Field samplers are used to take grab samples of the
contaminated water as close to the source of the con-

NOAA

Diving Manual

— October 1991

—
Polluted-Water Diving

tamination as possible. On-site portable "laboratories"

space available for set-up operations, and the cost-

analyze these samples. Results of

effectiveness of various types of equipment. This latter

can often be used

to

of protective equipment and clothing needed by response

may be particularly important if the
contaminated equipment will have to be disposed of

personnel, measuring the extent of the potential envi-

after use.

sampling are useful

in selecting the

ronmental impact of the

spill,

appropriate level

consideration

and determining the

necessary cleanup procedures.

Self-Contained Underwater
Breathing Apparatus

11.4.1

11.3

THERMAL HAZARDS

Overheating of the diver, or hyperthermia, may be a
critical factor for divers working in tropical waters or
in

the heated environment typical of cooling water

outfalls or nuclear reactor pools.

The temperature

of

the water in the cooling pools surrounding nuclear
reactors and in the canals at facilities that generate
nuclear power may reach H0-l20°F (43~49°C). Divers
performing maintenance and repair tasks in these
superheated waters must be specially trained in safety
and emergency procedures and be protected from
hyperthermic stress; in addition, since biological sampling has shown that pathogenic organisms are often
present in these waters, divers must also be isolated

Overheating can become acute even when divers are
in

polluted-water environments at moderate

temperatures (82 °F or 28 °C), because the divers are
in effect

encapsulated

in their

temperatures

will

continue to

rise

throughout

this post-

threat posed by hyperthermia

is

increased by

unaware of the extent
of their own overheating. For example, many divers do
not exhibit the signs or symptoms of hyperthermia
the fact that divers are generally

until after their core

that
is

is

temperatures have risen to a level

considered medically unsafe. Thermal monitoring

thus highly

used, the diver's mouth is directly exposed
and the process of inhalation introduces
droplets of water into a diver's respiratory tract. Scuba
divers who are wearing a dry suit and full-face mask
mated to a second-stage regulator can be exposed via
inhalation, ingestion, and skin contact (at the neck,
hands, etc.). Thus, even hybrid scuba equipment
arrangements often provide grossly inadequate protection. However, an extended series of tests performed
by
has succeeded in identifying a suit-andmask system that can be used by scuba divers required

scuba

recommended

for divers

working

in

warm

NOAA

contaminated waters.

identify

neoprene material acts as a sponge and degrades when
in

contact with chemicals, suits of this substance can-

not be used in contaminated water.

similar procedure.

dive or

When

The seams

of the

be sealed by vulcanization or a

The number

of openings in the suit

should be minimized to reduce the number of potential
failure points.
suit

permits the

Requiring boots to be attached to the

number

of openings to be reduced to 3

or 4, depending on whether or not the suit

neck-entry or shoulder-entry type. Because

is

of the

many

neck-

entry suits are not compatible with the types of helmet
in this

kind of diving, most polluted-water

be of the shoulder-entry type. The gloves and

for the shoulder opening.

work in contaminated waters
should choose their equipment with a view toward

maximum

consists of a "smooth-skin"

dry suit with an attached hood and boots. Because

suit via positive locking

mechanisms, and heavy-duty zippers should be used

DIVING

who must

some cases chemically)

considers this scuba system

helmet should be attached to the

EQUIPMENT FOR POLLUTED-

Divers

in

and develop a better system continues.

The recommended system

suits will

WATER

(and

NOAA

the best protection currently available, but research to

appropriate

polluted waters.

11.4

is

suit selected should

dive period (Wells 1986).

The

When

diving suits. In addition,

the need to remain suited-up during the often-lengthy
decontamination period after a polluted-water dive
adds to the overheating problem, because divers' body

to

to the water,

to dive in biologically

from microbial hazards.

working

Standard scuba gear offers inadequate protection

divers operating in contaminated water environments.

Because gloves are the weakest

point in the suit systems used in polluted-water diving,

they should be selected carefully, with consideration

selecting equipment, divers

given to compatibility of material with the chemicals

must consider such factors as the degree and extent of
the contamination, the duration of the exposure, and

encountered and resistance of the glove material to
puncture and stress. The boots chosen for the scuba
suit system should be made of a thick, smooth material
that is resistant to abrasion and punctures, have a

protection.

the type of contamination they will be dealing with
biological, chemical, or thermal.

Other factors

to be

considered when selecting equipment include the geo-

graphic area

October 1991

in

which the dive

— NOAA

will take place, the

Diving Manual

nonslip sole, and be designed to

accommodate

fins

(Pegnato 1986).

11-3

Section

1

Figure 11-2
Diver in Dry Suit

The

suit

must be

inflatable either

diver's air tanks or a

pony

bottle.

by means of the

The

suit

must

also

have a diver-controllable exhaust valve to keep water
out of the

suit.

The hood must have an

installed relief

valve that automatically vents any air that

accumu-

and the skirt surrounding the face
must have a smooth outer surface. Figure 11-2 shows a
diver wearing a Viking dry suit, with a Draeger hood
attached via a neck ring.
The mask to be used with this suit system must be
lates in the hood,

internally pressurized to prevent the inward leaking of

Such

the contaminated water.

a

mask

offers polluted-

water divers a considerable increase in protection over
other masks, because

provides

it

full

face coverage,

separate air intake and exhaust ports, and a positive
interior pressure that seats

and

mask skirt
The mask can

seals the

against the diver's hood (Pegnato 1986).

be coupled with any top-rated standard first-stage
regulator; the regulator's secondary output pressure
must be freeze-protected and provide an intermediate
pressure that

is

compatible with the second stage. Before

attempting a dive
divers should

make

in polluted

water with

this system,

a test dive in clean water to ensure

that the diver remains completely dry.

Because many

more air than the standard scuba
system, predive planning must take this need for addiof these systems use

tional air into

account (Pegnato 1986).

WARNING
Divers Operating on Compressed Air Near
Should Use Bottled Air Compressed
in a Clean Atmosphere To Avoid the Danger

Photo:

NOAA

Diving

Program

Spill Sites

Of

neck-entry inner dry suit layer with attached booties,

Contaminated Compressor Air

and an outer layer that consists of a dry

To achieve

with ankle

mod-

closed cavity between the two suits. Figure 11-3 shows

the degree of protection necessary for

surface-supplied diving in polluted water, several
ifications to existing surface-supported diving

suit

systems

Surface-Supplied Diving Equipment

11.4.2

An

arm-mounted
exhaust valve is worn over the inner suit, and a "neck
dam" installed in the outer suit is clamped to the
entrance yoke of the inner suit and thus creates a
exhaust valves.

adjustable-pressure,

SUS.

are necessary. For example, a series exhaust valve

a drawing of the

(SEV)

Clean water is pumped into the cavity between the
two layers of the SUS; the water can be hot or cold,
depending on whether the diver will need cooling or
heating during the dive. The working temperature
range for the SUS appears to be from 30 to 130°F
(-1.1 to 54.4 °C), allowing divers to perform rescues in

that consists of two exhaust valves aligned in

series has

been designed to overcome the problem of

"splashback" through the exhaust valve of a demand
regulator. Several commercially available helmets and

masks now incorporate

this

NOAA-designed SEV

feature.

The
by

"suit-under-suit"

NOAA,

in

(SUS) concept was developed

conjunction with the Environmental Pro-

Agency, the Coast Guard, and the Department
of Energy, to solve two of the most significant problems of polluted-water diving: thermoregulation and
tection

suit leakage.

11-4

The

SUS

has two layers: a thin, foam,

freezing waters or to

power
filled

facilities.

work

in the cooling pools

of nuclear

Since the entire volume of the

SUS

is

with water under a pressure slightly greater than

the pressure of the ambient water, any leak in the suit
will result in clean

water from the

suit leaking out into

the polluted water, rather than polluted water entering

NOAA

Diving Manual

— October 1991

Polluted-Water Diving

Figure 11-4
Dressing a Diver for Contaminated-Water Diving

Figure 11-3

NOAA-Developed Suit-Under-Suit (SUS) System

Drager ankle

exhaust valve

Photo:

the suit.

The

SUS

NOAA

Diving

Program

thus provides protection against

microbial, thermal, petrochemical, and chemical diving hazards (Pegnato 1986).

Another system that
diving

is

is

appropriate for polluted-water

of built-in or attachable gloves and a suit

breastplate or to a breach ring

The

Photo: Steven M. Barsky, Courtesy Diving Systems International

the traditional hard-hat diving rig, consisting

entire hard-hat unit

is

mated

mated

to a

to the helmet.

waterproof and provides

complete protection unless the

suit

replaced more frequently than equipment used

in

unpolluted environments.

develops a tear or

leak.

11.4.3.1

Decontamination Procedures

Both divers and tenders must go through a de11.4.3

Polluted-Water Diving Procedures

and Precautions
Divers required to work

contamination process after completing a dive in contaminated water, because evidence shows that divers

polluted waters must

infected with microbes can contaminate their suits and

rigorously observe a series of procedures designed to

thus spread infection or reinfect themselves unless the

provide

maximum

in

protection of the diver and the sup-

suit

is

adequately decontaminated. Suits badly con-

port crew. In addition to the careful selection of suits

taminated with radiation from reactor pool diving must

and helmets, divers and support crew members must
be specially trained in the hazards of polluted-water
diving. Figure ll -4 shows NOAA support personnel
preparing a diver for a polluted-water dive. Careful
records must also be maintained of the types of contaminants divers are exposed to, e.g., names of chemicals, types of pathogens, etc. Equipment used in contaminated water must be maintained, repaired, and

be discarded and disposed of properly. Figure ll-5

October 1991

— NOAA

Diving Manual

shows a polluted-water decontamination team decontaminating a diver after a polluted-water dive.

Team

members are wearing decontamination protective equipment, and the diver is wearing a MK.12 helmet and
polluted-water diving
is

suit.

After each dive, the diver

sprayed with a high-pressure sprayer; three separate

spraying solutions are often used.

The

first

involves a

11-5

Section

1

Figure 11-5

Decontamination

Team

at

Work
neutralizing agent or disinfectant appropriate for the
particular contaminant, the second consists of a deter-

gent washdown, and the third and final spray
fresh-water rinse. If contamination

is

is

a

severe, heavy-

duty brushes can be used to scrub the zippers, helmet
locking mechanism, boots, boot soles, and seams of the
suit system.

The

entire decontamination process should

be as thorough as possible, but

ber that time

is

it

is

important to remem-

important because the diver remains

effectively encapsulated throughout the procedure

and

is

thus subject to hyperthermia (Wells 1986).

Medical Precautions
who work in polluted waters should be given
baseline and annual physical examinations. Physicians
administering these examinations should pay particular attention to the respiratory and gastrointestinal
systems and to the ears and skin. Any polluted-water
diving guidelines recommended by NOAA, the Environmental Protection Agency, the National Institute
for Occupational Safety and Health, or the Occupational Safety and Health Administration should be
11.4.3.2

Divers

observed. Individuals with open cuts should not dive in

microbially polluted waters. In addition, divers must

maintain current immunizations for diphtheria, tetanus, smallpox,

and typhoid

fever,

and they should clean

their ears carefully with otic solution

any dive

in polluted water.

immediately after

This ear-cleaning proce-

dure has proven to be dramatically effective in reducing the incidence of otitis externa associated with
Source:

11-6

NOAA

Diving

Program

polluted-water diving.

NOAA

Diving Manual

— October 1991

Page

SECTION

12

12.0

General

12-1

HAZARDOUS

12.1

Animals That Abrade, Lacerate, or Puncture

12-1

12.2

Animals That Sting — Venomous Marine Animals

12-1

AQUATIC
ANIMALS

Hydroids, Jellyfishes, Sea Anemones, and Corals

12-1

12.2.2

Marine Worms

12-3

12.2.3

Cone

Shells

12-4

12.2.4

12-5

12.2.5

Octopuses
Sea Urchins

12.2.6

Fishes

12-5

12.2.7

Reptiles

12-7

12.2.1

12.3

12-5

Animals That Bite
12.3.1

Fishes

12.3.2

Reptiles

12.3.3

Aquatic

12-8
12-8

12-10

Mammals

12.4

Animals That Shock

12.5

Animals Poisonous

to

Eat

12-1

12-1

1

12-1

1

4

(

HAZARDOUS
AQUATIC
ANIMALS
GENERAL

12.0

Figure 12-1

Many

aquatic animals are potentially hazardous to

divers.

Although only a few present serious physical

threats, the

damage

Sea Urchin Echinothrix diadema on a Hawaiian Reef

by others can seriously

inflicted

impair a diver's effectiveness. The material that

fol-

lows discusses some of these animals. For convenience,

hazardous aquatic animals have been classified
•

those that abrade, lacerate, or puncture

•

those that sting

•

those that bite

•

those that shock

•

those that are poisonous to eat.

as:

This classification has limitations: the categories overlap,

and, although most hazardous species

neatly into

fall

one or another, some of the classifications are arbitrary.
For a discussion of the treatment of injuries inflicted

by hazardous aquatic organisms, see Section

12.1

18.

ANIMALS THAT ABRADE,
LACERATE, OR PUNCTURE

The bodies

of

many

Photo Tony Chess

aquatic animals are enclosed

sharp, pointed, or abrasive

in

armor that can wound the

inject

venom

into other

organisms poses a threat

to

exposed areas of a diver's body that come into forceful

divers in the water.

contact with these creatures. Included in this group of

from the stinging

animals are such forms as mussels, barnacles, sea urchins,

corals,

and stony corals (Figure 12-1). The wounding effect of
contact between these animals and humans is intensi-

bodies of crown-of-thorns starfish, sea urchins and

because

fied in aquatic habitats

human

skin

is

softened by

water. Although single encounters of this sort are unlikely
to

produce serious injury, repeated encounters during

extended diving operations can produce multiple
ries that

exposed

may

in

may become
to

water

problems.

resist healing,

Wounds

inju-

continuously

and careless divers

time be incapacitated by an accumulation of

ulcerated sores.

Wounds

vated when working

are especially likely to be aggra-

in the tropics.

To compound

the

wounds are not
diving
projects
can be
long-term
uncommon. Thus,
problem, secondary infections in such
crippled

if

participants

minor though they

12.2

A

may

fail

to avoid these injuries,

initially

seem.

is

con-

sidered together in this section because their ability to

October 1991

— NOAA

Diving Manual

of injection varies

cells of the coelenterates (hydroids,

anemones, and

jellyfishes) to the spines

on the

radular teeth of cone shells, beaks of octopuses,

worms, and the fangs of snakes.
the surface of some sponges can
produce a severe dermatitis. The toxicity of the venom,
as well as the amount of venom introduced, varies from
one species to another and sometimes among individuals of the same species. Furthermore, humans may
differ in their sensitivity to a given venom. The reactions of humans to marine animal stings may range
bristles of annelid

Mere contact with

from no noticeable reaction
den death.
avoid

all

to

mild irritation

to sud-

become informed about and to
marine organisms known to be venomous;
It

is

wise to

occasional contact

is

inevitable, however, for even the

most experienced divers.

ANIMALS THAT STING— VENOMOUS
MARINE ANIMALS

diverse array of otherwise unrelated animals

fishes,

The instrument

12.2.1

Hydroids, Jellyfishes, Sea
Anemones, and Corals

Grouped here
swim slowly at

are a variety of organisms that drift or

the water's surface or at mid-depths.

12-1

Section 12

Figure 12-2
Stinging Hydroid

They have gelatinous, semi-transparent, and often bellshaped bodies from which trail tentacles armed with
stinging cells, called nematocysts. In large specimens,

these stinging tentacles

may

down

trail

much

as

as

100 feet into the water.

Nematocysts are characteristic of a large group of
though superficially very diverse, marine ani-

related,

mals known as coelenterates. In addition to the
fishes, the coelenterates also include the

jelly-

hydroids and

stinging corals, considered below. Different coelenterates

have different types of nematocysts, but

When

similarly.

the animal

function

all

disturbed, the nemato-

is

venomous thread that, in
skin. The reactions
of hazardous coelenterates

cyst forcefully discharges a

some species, can penetrate

humans

of

to the stings

human

range from mild irritation to death.

many

Stinging hydroids occur on

and temperate-zone

reefs in tropical

they are featherlike

seas. Typically,

colonies of coelenterates (Figure 12-2) armed, like

with nematocysts. Because colonies of these

jellyfish,

animals

may be

inconspicuous (they are often only a

may go

few inches high), they
occasional person

who

is

unnoticed. Except to the

hypersensitive to their stings,

hydroids generally are more of a nuisance than a haz-

most

ard. Divers are

likely to

be affected on the more

sensitive parts of their bodies,

such as the inner sur-

Photo Tony Chess

Figure 12-3
Stinging or Fire Coral

faces of their arms. Although clothing protects most of
the

body from the

stings of hydroids,

it

will not protect

against stings on the hands and face.

Stinging corals (Figure 12-3), often called fire coral,

belong to a group of colonial coelenterates known as

They are widespread on tropical reefs among
more familiar stony corals, which they superfi-

millepores.

the

Contact with the nematocysts of mil-

cially resemble.

lepores affects

humans

in

about the same way as con-

Common

tact with the nematocysts of stinging hydroids.

Florida and

Bahama

species have a characteristic tan-

colored blade-type growth, with lighter (almost white)

upper portions. Millepora

may appear

in the

bladed or

encrusting form over rock surfaces or on the branches
of soft corals such as alcyonarians.
of the outer Florida

The Millepora zone

Keys ranges from 10

to 25 feet

deep.

Portuguese Men-o-War (Figure 12-4), which are
grouped together in the genus Physalia, are colonial
Photo Morgan Wells

hydroids known as siphonophores. Siphonophores dif-

from the other forms considered here as jellyfish in
is actually a colony of diverse
individuals, each performing for the entire colony a
fer

that each organism

specialized function such as

prey.

A

6 inches or

the surface,

12-2

swimming

or capturing

gelatinous, gas-filled float, which

may

be

more in diameter, buoys the man-o-war at
and from this float trail tentacles as long

Man-o-war
humans, so divers should

as 30 feet that bristle with nematocysts.
stings

can be dangerous

to

stay well clear of these animals. Unfortunately, even

the most careful diver can

become entangled

in a

man-

o-war tentacle, because these nearly transparent structures trail so far below the

NOAA

more

visible float. It

Diving Manual

is

— October 1991

i

Hazardous Aquatic Animals

Figure 12-4

Figure 12-5

Portuguese Man-of-War

Large

Jellyfish of

Genus Cyanea

Photo Tony Chess

and touching the glove

gloves,

to bare skin, especially

on the face, will produce a sting as painful as any
received from the intact animal.

The most dangerous

of the jellyfish belongs to a

subgroup of scyphozoans known as cubomedusae.

tropical

or sea wasps. Sea wasps have an extremely virulent

Photo Morgan Wells

sting;

one species

death

in

in the southwest Pacific has caused
humans. Fortunately, the more dangerous sea
wasps are rarely encountered by divers.

Sea anemones of various species are capable of
especially difficult to detect fragments of tentacles
that have been torn
free.

from the colony and are drifting

The nematocysts on these

essentially invisible

fragments can be as potent as those on an intact organism, and chances are good that divers

who

repeatedly

enter tropical waters will sooner or later be stung by

inflicting painful stings with their nematocysts.

animals frequently look

may

deceive people into touching them. The Hell's

Fire sea

anemone (Actinodendron), which is found in
is an example of such an

the Indo-Pacific region,

anemone.

True corals are capable of

one.

More properly regarded as jellyfish are a group of
known as scyphozoans, each individual

cuts are one of the most

of which

in tropical

is

an independent animal. These include the

jellyfishes

Although many can

One

encountered by divers
sting,

relatively

in all

oceans.

few are dangerous.

Cyanea (Figure 12-5)
is often encountered by divers in temperate coastal
waters of both the Atlantic and Pacific oceans. Divers
should be aware that there is a chance of being stung
even after they leave the water, because segments of
large jellyfish of the genus

the tentacles of these animals

October 1991

— NOAA

may adhere

Diving Manual

to the diver's

inflicting serious

wounds

with their razor-sharp calcarious outer skeletons. Coral

coelenterates

common

These

beautiful flowers, which

like

common

hazards facing divers

waters, and contact with corals should be

carefully avoided. Divers should be equipped with leather

gloves and be fully clothed
als,

because coral cuts,

if

when working among

cor-

not promptly and properly

treated, can lead to serious skin infections.

12.2.2

Marine

Worms

Marine worms that can be troublesome to divers are
classified in a group known as polychaetes. Two types

12-3

Section 12

Figure 12-6

Figure 12-7

Bristleworm

Cone

Shell

Photo Richard Rosenthall

reportedly inflict

venomous wounds:

worms and

bristle

blood worms.
Bristle worms (Figure 12-6),

which divers often

encounter when overturning rocks, have tufts of sharp

segmented bodies

bristles along their

It

that, in

can be extended when the animal

species,

is

many

irritated.

has not been established that these bristles are ven-

omous, but there
that this

is

evidence for at least some species

is so.

Blood worms burrow
cies

in

mud

or sand

and some spe-

can be a problem to divers who handle them. Their

jaws contain venomous fangs, and their bite

is

compa-

rable to a bee sting.

12.2.3

Of

Cone

the

sea, only

Shells

many

diverse kinds of shelled mollusks in the

some of the

to divers (Figures

tropical cone shells are hazardous

12-7 and 12-8).

Cone

shells, char-

acterized by their conical shape, are an especially attractive

hazard because collectors are drawn to the color-

ful shells of the

more than 400 kinds of cone shells, each with a highly
developed venom apparatus used to stun the small
animals that are its prey. The weapon of cone shells is
thus an offensive rather than defensive one, a fact that

helps to reduce the

number

of times people handling

these shells are stung. Although only a relatively few

12-4

Source:

NOAA

(1979)

most dangerous species. There are
of the cone shells are dangerous to divers, the stings of

some can reportedly be deadly. Because cone shells
inject their venom with a harpoonlike structure located at
the narrow end of their shells, persons handling these

animals should grasp them at the wide end.

NOAA

Diving Manual

— October 1991

i

Hazardous Aquatic Animals

Figure 12-8

Anatomy

Cone

of a

Figure 12-9
Rare Australian Blue-Ring Octopus

Shell

Proboscis

Venom

Foot

Tentacles

Bulb

Venom

Dl

Photo Bruce W. Halstead

Rodular Sheath
Radular
'Teeth

venom, these spines invariably break off in the
wound and, being brittle, frequently cannot be completely
removed. Gloves and protective clothing afford some
protection against minor brushes with these animals
but do not help much when a diver strikes forcefully
against them. To avoid painful injury when working
close to venomous sea urchins, divers should avoid
their

Photo Bruce W. Halstead

contact.

12.2.4

Octopuses

Some

Octopuses are timid creatures that

will take

any

Some species, howwho attempt to handle

opportunity to retreat from divers.
ever,

them.

can be hazardous to divers

When

an octopus bites into prey with

parrotlike

its

to

of the short-spined tropical urchins are reported

be hazardous because they have tiny pincerlike organs,

called pedicellariae, that occur

among

their spines.

Although some pedicellariae contain a potent venom,
they are very small structures that probably do not

who

come

venom enters the wound and subdues the prey.
This venom normally is not toxic to humans, however.

threaten divers

Although there have been relatively few cases of octo-

one can handle these urchins without concern for their

beak,

pus bites

in

humans, one diver

in Australia

who

allowed a

rare blue-ring octopus to crawl over his bare skin
bitten on the neck

incidentally

with the urchins that carry them.

When

into contact

wearing gloves,

pedicellariae.

was

and died within 2 hours. Because the
can be lethal, the Australian blue-

12.2.6

Fishes

bite of this species

Many

ring octopus (Figure 12-9) should be carefully handled.

fishes inflict

venomous wounds. Most do so
some wound with the spines

with their fin spines, but

located on their heads or elsewhere on their bodies.

Sea Urchins
Among the more troublesome

12.2.5

working near tropical reefs
This

is

animals for divers
are venomous sea urchins.

especially true after dark,

when

visibility is

reduced and many of the noxious sea urchins are more

exposed than

problem

in

in daylight.

Sea urchins may

also be a

temperate waters, but the species

regions lack the

venom

in these

of the tropical species and

Generally these fishes injure only divers

who

ately handle or provoke them; however,

some wound

divers

who

unintentionally touch

them

or

deliber-

come

too

close.

Stingrays. Stingrays carry one or
spines near the base of their flexible

more spikelike
tails,

can use effectively against those who come

which they
in

contact

with them. Although these spines can inflict venomous

therefore present a puncture rather than poisoning

puncture wounds similar to those of the fishes discussed

hazard.

above, they more often inflict a slashing laceration.

Most

difficulties with

venomous sea urchins

result

from accidental contact with certain long-spined species.

The smaller secondary

larger primary spines do the

October 1991

— NOAA

spines that

lie

among

the

most damage; apart from

Diving Manual

Humans

are most threatened

sandy bottom
the bottom.

in

when they are wading on
swimming close to

shallow water or

Walking with

a shuffling

motion tends

to

frighten stingrays away. Stingrays are responsible for

12-5

Section 12

Figure 12-10
Dasyatid Stingray

more

fish stings

than any other group of

fishes.

Species

of the family Dasyatidae present the greatest danger,

combining as they do large size, the habit of lying
immobile on the seafloor covered with sand, and a
large spine that is carried relatively far back (compared to those of other stingrays) on a whiplike tail
(Figure 12-10). Large rays of this type can drive their
spines through the planks of a small boat or through a

human arm

or leg.

Swimmers coming into contact with
wounded when struck

the bottom have been mortally

abdomen by

in the

a dasyatid stingray lying unseen in

the sand.

The urolophid,

or round, stingrays have a short mus-

cular caudal appendage to which the sting

is

attached;

they are thus able to deliver severe stings with a whip

of their tail.

Many

of the most

common

stingray

envenomations are caused by round stingrays.

Photo Morgan Wells

Less dangerous are stingrays of the family Mywhich includes the bat rays and eagle rays

liobatidae,

Figure 12-11
Myliobatid Stingray

(Figure 12-11), even though these animals can be large

and have long venomous spines on their

tails.

The

spines of these species are at the bases of their tails

rather than farther back and so are far less effective
weapons than the spines of the dasyatid or urolophid
rays. The myliobatid rays are also less cryptic than the
dasyatids or urolophids: rather than lying immobile on
the bottom most of the time, they more often swim
through the midwaters, their greatly expanded pectoral fins flapping gracefully like the wings of a large

When

bird.

on the seafloor, myliobatid rays usually

root actively in the sand for their shelled prey,

and thus

are readily seen.

among

Scorpionfishes. Scorpionfishes are

the most

widespread and numerous family of venomous

The

family, which

numbers

several

fishes.

hundred near-shore

species, has representatives in all of the world's seas,

but the most dangerous forms occur
Scorpionfishes usually inject their
dorsal fin spines
their anal

Many

and

and pelvic

less often
fins.

scorpionfishes are sedentary creatures that

the sculpin, a

common

of southern California.
is

their

do so with the spines of

An example

immobile and unseen on the seafloor.

fish,

in the tropics.

venom with

common

lie
is

near-shore scorpionfish species

Another example, the stone-

in the shallow, tropical

waters of the

western Pacific and Indian Oceans; this species has the

most potent sting of
deaths

all

scorpionfishes and has caused

among humans. Although

stonefish are not

aggressive toward divers, their camouflage
easy to step on them unless special care
In contrast to the cryptic sculpin

group of scorpionfishes, the

12-6

and

is

makes

it

taken.

i

stonefish, another

brilliantly

hued

Photo Edmund Hobson

lionfishes

NOAA

Diving Manual

— October 1991

Hazardous Aquatic Animals

Figure 12-13
Surgeonfish

Figure 12-12
Lionfish

Photo Edmund Hobson

their bodies, just forward of their tails.

conclusive, there

omous

in at

Although not

evidence that these spines are ven-

is

some

least

The more dangerous

species.

surgeonfishes, which belong to the genus Acanthurus,
Photo Al Giddings

usually carry these spines flat against their bodies in

integumentary sheaths; however, when threatened, these
fish erect these spines at right angles to their

bodies

(Figure 12-12), stand out strikingly against their sur-

and attack their adversaries with quick, lashing move-

roundings. Because lionfishes are beautiful animals

make little effort
divers may be tempted
that

to

avoid humans, inexperienced

ments of their tails. Divers injured by surgeonfishes
have usually been hurt while trying to spear or other-

to

grasp hold of one. This could

wise molest them.

prove a painful mistake, because lionfish

venom

is

especially potent.

Other

fishes similarly

armed with venomous

fin-spines

include: the spiny dogfish, family Squalidae; weever

Trachinidae: toadfishes, family Batrac-

fishes, family

hoididae; stargazers, family Uranoscopidae; freshwater

and marine catfishes, family Ariidae; rabbitfishes,

family Siganidae; and surgeonfishes. family Acanthuridae.

These

fishes

force to drive their
instead, the force

is

12.2.7 Reptiles

Venomous snakes

more widespread hazard in
fresh water than in the sea. The cottonmouth water
snake, which has an aquatic bite known to have been
fatal to humans, may be the most dangerous animal
hazard that divers face

do not usually generate sufficient

which

venom apparatus

variable coloration,

into their victims;

supplied by the victims themselves,

are a

that

is

water. This species,

in fresh

because of its highly
does not show the fear of humans

difficult to identify

is

characteristic of most aquatic snakes. In regions

who handle or otherwise come into contact with these
fishes. A number of fishes, however, do actively thrust
their venom apparatus into their victims, an action

a noiseless, deliberate retreat.

that often produces a deep laceration; fishes of this

ably good protection but can be penetrated by the

inhabited by the cottonmouth, divers should avoid any

snake that does not retreat from them. The best defense

type are discussed next.

teeth of larger specimens.

As noted above, some surgeonfishes
(Figure 12-13) can inflict venomous puncture wounds
with their fin spines; these wounds are much like those
produced by scorpionfishes and other similarly armed

to strike

Surgeonfishes.

fishes.

Many

surgeonfishes can also inflict deep lacer-

ations with knifelike spines they carry on either side of

October 1991

— NO A A

Diving Manual

Wet

The

Although the evidence

snake

is

may
is

result in multiple

not conclusive, the

believed not to dive deeper than about 6 feet.

Another species
excellent

diver should not attempt

back, since this practice

bites.

is

suits afford reason-

to avoid

swimmer

occur only

is

the timber rattlesnake, an

at the surface.

in tropical

Venomous

sea snakes

regions of the Pacific and Indian

12-7

Section 12

Figure 12-14

Sea Snake
oceans. These reptiles have a highly virulent venom,

but fortunately for divers they generally do not bite

humans
that

is

unless roughly handled. Sometimes a sea snake
caught amid a netload of fishes will bite a

fisherman, but generally they are not aggressive toward

divers

who meet them under

especially

numerous

in the

water. Sea snakes are

waters near the East Indies.

Sea snakes are the most numerous of all reptiles and
are sometimes seen in large numbers in the open ocean.
Divers most often see them amid rocks and coral, where
they prey on small fishes (Figure 12-14). They are
agile underwater swimmers, and divers should not lose
respect for their deadly bite simply because they are

Photo John Sneed

reportedly docile.

Figure 12-15
Great White Shark

ANIMALS THAT BITE

12.3

Serious injuries caused by the bites of non-venomous

marine animals are
such injury
this

is

rare.

However, the

possibility of

psychologically threatening, partly because

hazard has been so widely publicized that

divers are distracted by

it.

It is

many

important that working

divers view this hazard realistically.

12.3.1

Fishes

Sharks have been given more sensational publicity
as a threat to divers than any other animal, even though
shark bites are among the most infrequent of all injuries that divers sustain in the sea.

This notoriety

is

understandable; injuries from shark bites generally
are massive and are sometimes fatal. Nevertheless,
only a very few of the

many

species of sharks in the sea

threaten humans.

The

vast majority of sharks are inoffensive animals

and shellHowever, some sharks that are usually inoffen-

that threaten only small creatures like crabs
fish.

sive will bite divers

here are such

who

common

are molesting them; included

forms as nurse sharks (family

Orectolobidae) and swell sharks (family Scyliorhinidae).
These animals appear docile largely because they are
so sluggish, but large specimens can seriously injure a

diver.

Photo Ron and Valerie Taylor

Although any large animal with sharp teeth

left alone, the sharks discussed below may
unprovoked attacks on divers.
Most sharks known to attack humans without apparent
provocation belong to one of four families: the Carcharhinidae, which include the gray shark, white-tip

include the hammerheads. All of these are relatively

shark, blue shark, and tiger shark; the Carchariidae,

ously.

which include the sand shark (including the species

characterizes their appearance, these sharks

called grey nurse shark in Australia, not to be confused

much

with the animals called nurse sharks in American waters);

distinguishing

should be
initiate

the Lamnidae, which include the

12-8

mako shark and

great

white shark (Figure 12-15); and the Sphyrnidae, which
large, active animals

whose feeding apparatus and

behavior give them the potential to injure divers

divers

Except

for the

seri-

hammerheads, whose name well

alike to the untrained eye.

The

all

look

characteristics

them would certainly not impress most
encountering them under water.

NOAA

Diving Manual

— October 1991

I

Hazardous Aquatic Animals

Figure 12-16

Gray Reef Shark

Photo Edmund Hobson

The

great white shark

gerous of

is

reputed to be the most dan-

sharks. This shark

all

is

credited with more

humans than any other shark

attacks on

species.

It

attains a length of 20 feet or more.

The gray

reef shark (Figure 12-16),

tropical Pacific reefs,

is

numerous on

typical of these potentially

dangerous species. These sharks have repeatedly been

human

incriminated in
3 feet

Any

attacks.

creature over about

long that generally resembles this animal should

be regarded cautiously, and

should be avoided

—even

if

if

over about 8 feet long,

it

this requires the diver to

leave the water. Sharks of these species that range

between

and 7

3

tropical waters,

feet in length are numerous in shallow
and diving operations often cannot be

performed unless the presence of sharks
tolerated.

When

such sharks are

in

the area

is

in the vicinity, divers

downward, arching their backs, and elevating their
heads. The moment sharks show such behavior, divers
should leave the water. Gray reef sharks are sometimes
encountered in large numbers, and when in large groups

may become

they

very aggressive

Moray

eels (Figure 12-17) are a potential

to precipitate

conducted

in

shark attacks.

When

view and

is

operations are

the presence of sharks, each group of

divers should include one person
in

known

alert for

changes

who keeps
in their

the sharks

behavior.

The

enough

some attain a size
The moray's powerful jaws, with
can grievously wound humans.

long needlelike teeth,

Divers injured by morays have usually been bitten
into a reef crevice for

felt

threatened or perhaps mistook the diver's hand for
prey.

The moray

recognizes that

and

if

it

will usually release its grip

when

it

has taken hold of something unfamiliar.

divers can resist the impulse to pull free, they

may escape

with no more than a series of puncture

swim slowly and move naturally. However, the situation becomes dangerous as soon as the sharks assume

situation,

unnatural postures, such as pointing their pectoral fins

pointing teeth of the eel.

Diving Manual

some

were struck by a moray that probably

wounds. But such presence of mind

— NOAA

exposed

to threaten divers seriously,

greater than 5 feet.

chances of trouble are minimal as long as the sharks

October 1991

hazard on

for life within reef crevices; they are only rarely

object; they

the water, because these are

in the

on the reef top. Although relatively few grow large

Common

in

is

and a few species occur in the warmer
temperate regions of California and Europe. They are
secretive animals, with body forms highly specialized

when they are reaching

animals should be

food

tropical reefs,

should avoid making sudden or erratic movements.
sense dictates that no injured or distressed

if

water.

is

rare in such a

and divers often receive severe lacerations

when wrenching

their

hands from between the backward-

12-9

Section 12

Figure 12-17

Moray

Eel

Photo Edmund Hobson

Barracudas (Figure 12-18) are potentially danger-

Generally, however, such fish are hazardous to divers

ous fishes that occur widely in the coastal waters of

when they are handled. The pufferfishes, wolffishes,
and triggerfishes can be especially troublesome in
this respect. These fishes have teeth and jaws adapted
to feeding on heavily armored prey, and large specimens are quite capable of biting off a human finger.
In the tropics, some of the larger sea basses can grow
to more than 7 feet. These giant fish, including certain
groupers and jewfishes, are potential hazards. Their
mouths can engulf a diver, and there are reports that

and subtropical seas. Often exceeding 4 feet in
length and with long canine teeth in a large mouth,
these fishes have the size and equipment to injure
humans severely. Large barracuda often follow divers
about, apparently to get a good look at the divers; it is
important to remember that even the smallest diver is
much larger than anything the barracuda is accustomed
to eating. The barracuda's teeth are adapted for seiztropical

ing the fish that are

its

prey; however, these teeth are

from an animal as large as a
human. Attacks on divers are most likely to occur
where the barracuda has not had a good look at its
victim. Where visibility is limited, for example, the
barracuda may see only a moving hand or foot, which

only

they have done

so.

ill-suited to tearing pieces

may

be mistaken for prey.

when

a diver

jumps

the sea from a boat.

splash
culty

may

—and

An

may

attack

into the water, as

To

also occur

when entering

a nearby barracuda, the diver's

simulate the splash of an animal

hence vulnerable

strike without realizing

—and

in diffi-

the barracuda

may

what made the splash. Thus
in murky water to avoid

one should be especially alert

unnecessary splashing when large barracudas

may

be

present.

Other fishes that

bite.

Any

large fish with sharp

teeth or powerful jaws can inflict a

12-10

damaging

bite.

12.3.2 Reptiles
Reptiles that bite, including turtles, alligators, and

crocodiles, are potential hazards to divers, both in

freshwater and

in the sea.

Turtles are frequently encountered by divers; however, although the larger individuals of

can injure divers with their

bites, these

some

species

animals are not

generally threatening. Although the larger marine turtles

have occasionally inflicted minor injuries, several
freshwater species are far more vicious and aggressive;
these include the alligator snapping turtle and com-

mon snapping

turtle of

softshell turtle also

may

NOAA

American

inflict

fresh waters.

The

a serious wound.

Diving Manual

— October 1991

Hazardous Aquatic Animals

Figure 12-18

Barracuda
frightening, but

and sea

lions,

it

is

rarely dangerous. Large bull seals

although aggressive on the above-water

rocks of their breeding rookery, apparently do not
constitute a serious threat under water.

greater danger

when swimming with

A

seals

is

potentially

being shot

by a person hunting illegally. Some divers wear bright
markings on their hoods for this reason. If bitten by a
seal or sea lion, the diver should consult a physician,

may
among humans.

because some species
infectious

Common

transmit diseases that are

sense dictates that divers avoid large whales

under water. Usually whales stay clear of divers, so
that most incidents occur when divers put themselves
in jeopardy by provoking the whales. Whales may be
startled when a diver approaches too close and may
strike a diver senseless in their sudden surge of evasive
action.

Muskrats are potential hazards
ally they attack only

if

fresh water. Usu-

in

they believe themselves to be

threatened; their bites produce only minor wounds.

However, there

is

a serious danger that rabies can be

contracted from muskrat bites, so

in

addition to seek-

immediate medical advice, divers who are bitten

ing

should

make every

effort to capture or kill the animal

for later examination.

12.4

ANIMALS THAT SHOCK

Among

marine animals that produce an electric shock,

the only one significantly hazardous to divers
electric ray,

which has representatives

in all the

is

the

oceans of

The torpedo ray of California (Figure 12-19),
which can grow to 6 feet in length and weigh up to
200 pounds, is an example. These rays are shaped
somewhat like a stingray, except that their "wings"
are thick and heavy and their tails are flattened for
swimming. Electric rays are slow-moving animals, and
alert divers should have little trouble avoiding them.
the world.

Photo Dick Clarke

Alligators that have been encountered by divers,

As

is

true of so

many undersea

hazards, these animals

including the American alligator, have not proved

generally threaten only those divers

threatening. Nevertheless, the potential for serious

The

and divers should be cautious.
Crocodiles are more dangerous than alligators.

injury exists,

A

species in the tropical western Pacific that enters coastal

marine waters is feared far more than sharks by the
natives, and with good reason: it is known to have
attacked and eaten at least one diver.

12.3.3

Aquatic

electric ray's shock,

who

molest them.

which can be as large

as

200 volts, is generated by modified muscles in the
forward part of the animal's disc-shaped body. The
shock, which is enough to electrocute a large fish, can
jolt a

diver severely.

12.5

ANIMALS POISONOUS TO EAT

Most seafoods are edible and nourishing; however,
known are some-

Mammals

several of the most toxic substances

the animals are nearby

times found in marine organisms. Mollusk shellfish,
such as clams, mussels, and oysters, are sometimes
poisonous to eat. These shellfish become poisonous

during a dive. Their activity can be distracting or even

because they feed on toxic dinoflagellates, which are

Juvenile and female seals and sea lions frequently
frolic in the

water near divers. Underwater encounters

with sea lions can be expected

October 1991

— NOAA

if

Diving Manual

12-11

Section 12

Figure 12-19

Figure 12-20

Torpedo Ray

Examples

of Pufferfish

Photo Tony Chess

microscopic plankton. Most of these episodes of poi-

soning have occurred along the Pacific coast from
California to Alaska; the northeast coast from Massachusetts to Nova Scotia, New Brunswick and Quebec;
and in the North Sea countries of Britain and West
Germany. It is advisable to check with local authorities to determine what periods are safe for eating mollusk shellfish. Violent intoxications and fatalities have
also been reported from eating tropical reef crabs;
these should not be eaten without first checking with

the local inhabitants.
reef fishes are

known

Numerous
to

Photo Bruce W. Halstead

species of tropical

be poisonous to eat because
as ciguatera (see Section 18

In addition, most pufferfish (Figure 12-20) contain a

for a discussion of ciguatera poisoning treatment).

deadly poison known as tetrodotoxin, and puffers and

An

related species should be carefully avoided.

they cause a disease

known

edible fish in one locality

may be

deadly

in another.

i
12-12

NOAA

Diving Manual

—October 1991

Page

SECTION

13

WOMEN

13.0

General

13.1

Physiological Considerations

AND

13.1.1

DIVING

13-1
1

13-1

13.1.2
13.1.3

Birth Control

Methods

13-2

Temperature Regulation
13.1.5
Aging and Diving
Women Divers and Decompression Sickness
Diving During Pregnancy
13.1.4

13.2
13.3

3-1

Anatomical Differences
Diving During the Menstrual Period

13.3.1

Effects of Diving on the Fetus

13-1

13-2

13-2
13-2
13-3
13-3
13-3

13.3.1.1

Direct Pressure

13.3.1.2

Effects of

13.3.1.3

Effects of Increased Nitrogen Pressure

13-3

13.3.1.4

Pregnancy and Diving

13-4

Changes

in

Oxygen Pressure

13-3

13.4

Training Considerations

13-4

13.5

Equipment for the Smaller Diver

13-4

<

WOMEN
AND
DIVING
GENERAL

13.0

many
Hae-Nyu and Ama
divers in Korea and Japan. The number of certified
female sport divers, instructors, research, and commercial divers in America has increased significantly

Women

have played significant roles as divers for

years, beginning with their

work

as

and national certification agencies report that approximately 25 percent of newly
certified divers are women. This increase in the female
since the early I970's,

diving population has raised
addressed.

Some

issues not formerly

of these questions are asked by

women

and others are raised by researchers

divers themselves,
in

many

hyperbaric medicine and physiology. This section

discusses several of these topics.

PHYSIOLOGICAL CONSIDERATIONS

13.1

Women

They are capable

training

as their

to breathe

her heart rate

women

is

divers.

tend

their breathing

less air into

slightly higher.

tions for diving. For

These

is

her lungs and

facts

have implica-

may

example, a female diver

than her male buddy for the same dive.

less air

also have increased pulse

tend to work closer to their

level

when

diving.

It is

use

Women

and respiration rates and

may

maximum

important for

all

exertion

divers to pace

themselves carefully under water and to avoid maxi-

mum

near-maximum

or

13.1.2 Diving

One

much

as possible.

During the Menstrual Period

of the most

"Should

is,

exertion as

common
I

questions asked by female

dive during

stresses

male colleagues. However, the anatomical and
men and women have
for

female diver takes

divers, a

divers

physiological differences between

some implications

more shallowly, although

equally efficient. Consequently, in comparison to male

of participating in the

and withstanding most of the same

Women

heart and lungs are smaller than a man's.

have proven themselves to be safe and compe-

tent divers.

same

systems (heart, lungs, and circulation). Even when
relative weight is taken into consideration, a woman's

answering that question,

it

my

period?" Before

important to understand

is

woman's

certain hormonal changes that occur in a

body

the course of her normal 20-45 day cycle.

in

Several hormones are involved in this cycle: hypotha-

lamic and pituitary hormones, which are secreted by

Anatomical Differences
Some of the anatomical differences between women
and men are obvious, but others are more subtle. Even
an athletic woman in good physical condition has less
muscle mass than a man in comparable condition,
13.1.1

because the male hormone, testosterone, which
for the

is

needed

development of large muscles, is present only in
in women. However, all divers ben-

reduced quantities
efit

from being

in

good physical condition, and female

divers can improve their strength
ities

and aerobic capabil-

glands

generally have a lower center of gravity than

adrenal hormones, and the two

an's estrogen level increases

up

to ovulation

A womand then

drops slightly, while the level of progesterone increases
rapidly after ovulation and then decreases during

men-

The female sexual cycle is thus regulated by
hormones. The levels of hormones are highest

struation.

various

before menstruation and lowest during menstruation.

The drop

in

estrogen and progesterone levels triggers

menstruation.

with specially designed exercise programs.

Women

in the brain,

ovarian hormones, estrogen and progesterone.

Based on current knowledge, there is no reason for
to refrain from diving during their periods if

women

men, and have relatively longer trunks and shorter
legs, which means that most of a woman's weight is

they feel well.

distributed at a lower point than a man's. Moreover,

which can occur during the premenstrual period, may
be a problem for some women divers. Although the

the shape of several joints, such as those at the hip and
in women, because the bones at these
meet at slightly different angles than is the case
for men. In addition, a greater percentage of total body
weight is composed of fatty tissue in women than men.
Another anatomical difference between men and
women occurs in the cardiovascular and respiratory

elbow, differ
joints

October 1991

— NOAA

Diving Manual

As

in all diving,

however,

it

is

important

not to dive to the point of fatigue. Fluid retention,

effect of fluid retention on the susceptibility of divers
to

decompression sickness has not yet been established,

women

divers should use

common

sense and plan their

dives so that they are well within the no-decompression
limits during the premenstrual

and menstrual portions

of their cycles.

13-1

Section 13

Some women have asked whether

there

a greater

is

According

likelihood of shark attack during their periods.

to

some recent Australian research, there

no

is

evi-

women

dence that sharks are attracted to menstruating

(Edmonds, Lowry, and Pennefather 1981). Sharks thus

may

women

not pose a greater threat to

divers during

menstruation than at any other time.

many middle-aged and
dive for the

first

may

advancing age

older

time at

men and women

this stage of life.

learn to

Although

lessen people's interest in competi-

tive or strenuous sports,

scuba diving can be a lifelong

recreational activity. Older divers should have an annual

diving physical examination, and they should
several times a

month with mask,

fins,

swim

and snorkel

to

stay in good diving condition. In addition, older divers

should watch their weight, avoid fatigue, ascend and

Methods

13.1.3 Birth Control

Women

divers should select a

descend

method of

birth con-

trol

on the basis of their physician's advice and their

own

preference.

the patient

is

consideration

The physician should be informed that
a diver, which may be an important

if

either an intrauterine device or birth

women

control pills are selected. In general, however,

who

have no adverse responses to the method of birth

control they are using on land should have no difficulty

with the

same method when

diving.

tial

Temperature Regulation

Usually between the ages of 45 and 50,

enjoyment and

tant both for

to

impor-

accomplish the work

planned for a dive. Despite the fact that
layer of subcutaneous fat that

is

is

a

women have

a

good insulator,

many women become chilled quickly when they dive.
By studying the responses of women in cool water,
two factors involved

in the sensitivity to cold

Ovuoccur during the monthly cycle and
estrogen production by the ovaries decreases. Abrupt
changes in hormonal levels of estrogen and progesterone may cause a variety of symptoms, including hot
flashes, irritability, fatigue, and anxiety. A woman
suffering from any of these symptoms should not dive
lation fails to

these

her

Older divers, both male and female,

may be more

susceptible to decompression sickness. Therefore,

middle-aged and older divers should use conservative
in dive planning and should remain at a

judgment

particular depth for less time than the

maximum

no-decompression tables permit.

women; women
with such a low percentage of body fat chill more
rapidly than women or men with a higher body fat
percentage. Both men and women who have 30 percent
or more body fat will experience the same amount of

13.2

heat loss in water.

Suitable exposure suits, properly fitted, are re-

thermal protection (see SecAlthough wearing an exposure suit on the
to ensure

WOMEN DIVERS AND
DECOMPRESSION SICKNESS

surface area to body mass than fatter

warm day

make

sufficiently acute to

have

with 27 percent or less body fat have a larger ratio of

tion 5.4).

symptoms are

uncomfortable.

emerged: percentage of body fat and ratio of surface
area to body mass (Kollias et al. 1974). Lean women

commended

women undergo

a series of hormonal changes called menopause.

feel

Staying thermally comfortable during a dive

and consider the potenand any prescribed

medication before diving.

if

13.1.4

at a reasonable rate,

interactions between pressure

Many

factors are believed to increase an individual's

susceptibility to decompression sickness, including age,

degree of body

and general vascular condition.

fat,

Because the U.S. Navy dive tables were developed for
young, physically fit males, their applicability to other

groups of divers, especially to women, has been
questioned.

Women

usually have a relatively greater

amount of subcutaneous

fat

than men. They also expe-

make any diver hot, the
problem may be exacerbated in women because they
have fewer sweat glands than men and do not begin to

that can cause fluid retention,

sweat until their body temperature

of these factors suggest that the risk of decompression

surface on a

will

is

2-3

°F higher

than the temperature that causes sweating
(Kollias et

al.

1974). (See Sections 3.4

more detailed discussion of thermal

Aging and Diving
Many middle-aged divers,

and

in

men

3.5 for a

regulation.)

13.1.5

both male and female,

continue to enjoy the sport of scuba diving. In fact,

13-2

rience hormonal changes during their menstrual cycles

birth control pills that

sickness

may be

may

higher for

and some women use

affect their circulation. All

women

than for men.

In one study, a 3.3-fold increase in the incidence of

decompression sickness was reported among women
divers, as compared with divers in the male control
group (Bangasser 1978). In this study, other distinguishing factors, such as age and weight/height factors, were not significantly different for the female
and male groups. These results are too tentative to use

NOAA

Diving Manual

— October 1991

Women

and Diving

any conclusion concerning the relative

breathes pure oxygen under pressure, as might occur

bends susceptibility between males and females. How-

during hyperbaric treatment for decompression sick-

as the basis for

women
Navy

ever,

of the

divers should be conservative in their use

make

tables and should

3- to

5-minute

ness or gas embolism.

cumstances,

ever, experience

safety stops at 10 feet (3 meters) after deeper dives.

To

fetal effects
is

date, even under such cir-

have not been reported; how-

not sufficiently extensive to be

conclusive.

13.3

DIVING DURING

PREGNANCY

As more women
the chance that dives will inadvertently take place
during pregnancy increases. Women who would not
enter sport and professional diving,

knowingly dive during pregnancy
during the

may

dive unwittingly

few weeks of pregnancy, before they

first

discover that they are pregnant. Several factors that

could affect both the mother and the fetus indicate
that women should take care to avoid diving when
there

is

13.3.1.3 Effects of

As

Increased Nitrogen Pressure

body absorbs increasing

a diver descends, the

amounts of nitrogen.

If the

nitrogen

is

eliminated too

quickly (which could happen during a rapid ascent),

decompression sickness

may

occur, either during ascent,

Decompression

at the surface, or after surfacing.

when the
comes out of

ness occurs
tissues

nitrogen in solution

in

sick-

a diver's

solution in the form of bubbles

(see Section 3.2.3.2).

any chance that they are pregnant.

Any bubbles

that form in the fetus could obstruct

blood flow and cause major developmental anomalies
or death. Research has been conducted on bubble for-

Diving on the Fetus

13.3.1 Effects of

mation

The health and

safety of the developing fetus are of

primary importance to expectant mothers. Since scuba
divers are exposed to increased hydrostatic pressure

and

to increased partial pressures of

oxygen and

nitro-

gen, the effects of these pressures on the fetus have

been investigated.

in

the fetus using laboratory studies of animals

or retrospective surveys of

women

divers (Lanphier

1983, Bolton 1980, Bangasser 1978).

The questions

addressed were: Does diving cause birth defects? Are

bubbles more or

less likely to

form

in the fetus

than

in

the mother? If the mother develops decompression
sickness,

what happens

Scuba diving and

to the fetus?

The results of one
survey (Bolton 1980) showed a birth defect rate of
13.3.1.1 Direct

Pressure

Since the fetus
fluid

and no

air

5.5 percent

completely enclosed

is

spaces are present, there

effect of increased pressure on the fetus.

amniotic

100 fsw (30

is

no direct

incidence

dive,

a fetus will not experience squeeze, e.g., pressure

on

the ear drums.

Changes

in

Oxygen Pressure

essential to maintaining

life,

extreme, but circumstances affecting the mother's oxygenation must be considered

As long

effects on the fetus.

in

(Hypoxia

unlikely.

in

breath-hold than

is

in

terms of their potential

as the diver has an ade-

quate compressed-air supply, too
is

little

oxygen (hypoxia)

thus a potentially greater problem

scuba diving.)

At any depth below sea level, the oxygen pressure,
even when air is the breathing medium, is higher than
it is at sea level. For example, breathing compressed
air at 132 fsw (40.2 msw) produces an inspired oxygen
pressure of 4 ATA. However, a fetus is most likely to be
exposed to too much oxygen (hyperoxia) if the mother

October 1991

is

statistically greater than the rate ob-

in infants

women. Although

born to a control group of non-diving
this finding

was

significant, the rate

among all U.S. women (approximately
3-3.5 percent) is not much lower than that found in the
divers. Results from another survey of women who had

and either a
lack or an excess of oxygen can have harmful effects.
To some extent, the fetus is protected from either
is

served

of birth defects

13.3.1.2 Effects of

Oxygen

among women who had dived to depths of
msw) or greater during pregnancy; this

in

During a

birth defects.

— NOAA

Diving Manual

dived during pregnancy failed to demonstrate a relationship between diving while pregnant

and

birth defects

(Bangasser 1978).

Data gathered from animal studies thus far show no
conclusive evidence of a connection between increased
pressure and fetal abnormalities. For example, rats
exposed to high pressures during peak embryonic development had no increase in birth defects (Bolton and

Alamo

1981). In a similar experiment, pregnant sheep

were exposed

to a pressure of 4.6

pregnancy, that

is,

atmospheres early

in

during peak embryonic develop-

ment (Bolton-Klug et al. 1983). Toward the end of
pregnancy, the fetuses were examined anatomically
and were found

to

have no detectable abnormalities.

Bubble formation

in the

fetus during a dive. Research

on the likelihood of bubble formation

in

the fetus of a

13-3

Section 13

pregnant

woman

versial findings

during a dive has resulted in contro-

on dogs and rats showed a resistance to bubble formation in the fetus.

WARNING

(Bangasser 1979). Early experiments

More

Women

and goats as experimental models have produced some-

what conflicting

results.

pressure of 165 fsw (50

Should Not Dive While Pregnant

recent experiments using sheep

When
msw)

sheep were put under a

for

20 minutes, a Doppler

bubble monitor detected bubbles in the mothers but
not in the fetuses. The lambs developed normally after
birth (Nemiroff et al. 1981). In another hyperbaric

dams

experiment, bubbles were detected both in the

and fetuses of sheep and goats; however, these lambs
and kids were also normal on delivery (Powell and
Smith 1985).
These experiments show that, although the fetus is
probably less susceptible to bubble formation during
decompression than the mother, there is a real potential danger of fetal bubble formation during decom-

TRAINING CONSIDERATIONS

13.4

Scuba instructors have observed several tendencies

common among women
women

skill

small steps rather

skills in

than to master complex tasks
tend to over-learn a

many

divers. For example,

new

prefer to learn

in

one

step.

Women

also

before having confidence in

and they may also be more conservative
planning their dives (S. Bangasser,
personal communication). Because some women have
not had much experience in handling mechanical equiptheir mastery,

men when

than

ment, they
to

may need

additional training to learn

how

assemble and maintain their equipment.
Psychological studies of experienced male and female

pression.

divers have not demonstrated any important basic dif-

Effect of maternal decompression sickness on the
fetus. Although evidence pointing to the potentially

ferences in the psychology of

adverse consequences of maternal decompression sick-

that

ness on the developing fetus

pendent competence and confidence they need

forces the view that pregnant

is

not definitive,

women

Although early studies on dogs and

it

rein-

should not dive.

rats

1982) on sheep report different results. If sheep

dived late in gestation and did not incur decompression
sickness, the

lambs were born healthy (Nemiroff et al.
if pregnant sheep developed decom-

1981); however,

pression sickness immediately before delivery, their

lambs were

stillborn

et al.

1982). Decompres-

woman

thus might also be

(Lehner

sion sickness in a pregnant

women

safely

and

divers, like

men

It

is

divers

important

divers, develop the inde-

to assist other divers in

to dive

an emergency.

(Mclver 1968,

Chen 1974) indicated that the fetus would suffer no
harm even if the mother had decompression sickness,
more recent studies (Nemiroff et al. 1981, Lehner et
al.

men and women

(Lanphier, personal communication).

13.5

EQUIPMENT FOR THE
SMALLER DIVER
fit

the

smaller diver. (This development has also helped small

men and younger
diving equipment

divers of both sexes.) Properly sized
is

now

readily available.

Smaller divers should pay extra attention to equip-

ment

selection

and

Masks should

fit.

seal completely,

leave the hair free, and be comfortable.

associated with fetal morbidity and mortality.

made

In the past few years, the diving industry has
great advances in manufacturing equipment to

a smaller mouthpiece

is

recommended

A

snorkel with

for

anyone with

a narrow mouth. If need be, the mouthpiece on a standard

13.3.1.4

regulator can be replaced with a

Pregnancy and Diving

Although obstetricians encourage patients

to con-

tinue their favorite sports during pregnancy as long as

they are comfortable and use

common

sense, hyperbaric

pnysicians take the most conservative position and

recommend

that their patients discontinue diving while

they are pregnant, since so

much

is still

unknown about

the effects of diving on the fetus. Considering the

evidence to date, the conflicting results of animal as

human

studies,

consequences,

NOAA

well as

and the seriousness of the potential

recommends

agency not dive during pregnancy.

that

women

Women

more comfortable
many lengths

model. Buoyancy devices are available in

and chest sizes and should be selected for size, comfort, and their ability to float the diver in a safe position on the surface (see Section 5.3.2). Tanks that
are smaller and lighter in weight are also available.
Hoods, boots, and gloves are made in smaller sizes and
are available at many dive shops. Figure 13-1 shows a
scientist on an underwater mission wearing properly
fitted clothing and equipment.

in the

divers

who

WARNING

personally elect to continue diving during pregnancy

despite this recommendation should do so only on

Equipment

the advice of a trained hyperbaric physician.

Dive Safety

13-4

Fit

and Comfort Are Essential

NOAA

Diving Manual

to

— October 1991

Women

and Diving

Figure 13-1
Scientist

on Research Mission
Selecting a proper fitting wet suit takes more time

and

effort than locating other types of properly fitted

equipment. Although

many women cannot

suits are

manufactured

be properly fitted

in

for

women,

a standard

A diver renting a wet suit may need
wear a top of one size and a bottom of a different
size. Since splitting sizes can be a problem for the
owner of the dive shop, active female divers should
invest in a custom wet suit. Zippers make donning and
doffing easier and provide a snug fit. With properly
whether male or female can
fitted gear, small divers
enjoy the dive, concentrate on the task at hand
not
and feel comfortable and confident about
the gear
off-the-shelf suit.
to

—

—

Photo Ronald Bangasser

October 1991

— NOAA

Diving Manual

—
—

diving.

13-5

i

Page

SECTION

14

14.0

General

AIR DIVING

14.1

Dive Planning

AND
DECOMPRESSION

14-1
14-1

14.1.1

Selection of Diving Equipment

14.1.2

Dive

Team

14.1.2.1

Dive Master

14.1.2.2

Diving Medical Officer/ Diving Medical

14.1.2.3

14.2

14.3

14-2

Technician

14-3

Science Coordinator

14-3

Divers

14-3

14.1.2.5

Tender for Surface-Supplied Diving
Support Divers and Other Support Personnel

14-3

Environmental Conditions

14-3

14-4

14.1.3.1

Surface Environmental Conditions

14-4

14.1.3.2

Underwater Environmental Conditions

14-4

Diving Signals

14-8

14.2.1

Hand

14.2.2

Surface-to-Diver Recall Signals

14-8

14.2.3

Line Signals

14-8

14.2.4

Surface Signals

14-8

Signals

Air Consumption Rates
14.3.1

14.4

14-1

14-2

14.1.2.4

14.1.2.6
14.1.3

Organization

Determining Individual Air Utilization Rates

Self-Contained Diving
14.4.1

14.4.2

Scuba Duration
Scuba Air Requirements

14-8

14-8

14-12
14-13
14-13

14-16

14.5

High-Pressure Air Storage Systems

14-18

14.6

Decompression Aspects of Air Diving

14-19

14.6.1

Definitions

14-20

14.6.2

Air Decompression Tables and Their Applications

14-20

14.6.2.1

No-Decompression Limits and Repetitive Group
Designation Tables for No-Decompression
Air Dives

14-21

14.6.2.2

Standard Air Decompression Table

14-23

14.6.2.3

Residual Nitrogen Timetable for Repetitive

Air Dives
14.6.2.4

14.7

Recordkeeping and Table Use

Surface Decompression

14-23

14-24
14-25

14.7.1

Surface Decompression Using Oxygen After an Air Dive

14-26

14.7.2

Surface Decompression Using Air After an Air Dive

14-26

14.8

Omitted Decompression

14-26

14.9

Flying After Diving at Sea Level

14-28

(

AIR DIVING

AND
DECOMPRESSION
14.0

GENERAL

Diving with air as the breathing medium may be
conducted using a variety of life-support equipment.
The most frequently used mode is open-circuit scuba,
where the diver carries the compressed air supply, but
divers can also use umbilical-supplied air with a scuba
regulator, a full-face mask, a lightweight diving helmet, or deep-sea diving equipment. This section deals
with planning for air dives, methods of calculating
air supply requirements, and the decompression aspects

•

Dive

•

Diving gear,

The nature

of each dive operation

to

A

Medical personnel;
Tenders/timekeeper; and

•

Coxswain/surface-support personnel.

•

The

•

Conditions

•

Diving techniques and equipment to be used;

•

Personnel assignments;

in the

operating area;

Particular assignments for each diver;

allow for delays and unforeseen

•

Anticipated hazards;

should include at least the following items.

•

Normal

•

Any

•

clear statement of the purpose and goals of the

safety precautions;

special considerations;

and

Group discussion period to answer questions from
members of the diving team.
and Safety Checks:
Review of dive plan, its impact on the operation,
and all safety precautions;
Outline diving assignments and explain their

Final Preparations
•

Surface conditions, such as sea

state, air temperaand wind chill factor;
Underwater conditions, including water temperature, depth, type of bottom, tides and currents,
visibility, extent of pollution, and hazards; and
Assistance and emergency information, including
location, status, and contact procedures for the
nearest decompression chamber, air evacuation

ture,

•

objective and scope of the operation;

•

Analysis of Pertinent Data:

•

Dive master;

•

operation.

•

tools, etc.

Selection:

•

Definition of Objectives:
•

Team

and

on the team and be

ability of the least qualified diver

enough

resuscitator;

flag;

Briefing/Debriefing the Diving Team:

determines the scope of the planning required. The
dive plan should be devised to take into account the

It

Oxygen

Diving

an efficient diving operation and are also imperative
for diver safety.

gas; or

•

•

Careful and thorough planning are the keys to conducting

problems.

Saturation.

diver/crew shelter;

DIVE PLANNING

flexible

Mixed

•

Equipment and Supplies Selection:
• Breathing gas, including a backup supply;
• Dive platform and support equipment, including

of air diving.

14.1

•

•

sequence;
•

•
•

Complete and post on-site emergency checklist;
Review diver qualifications and conditions; and
Secure permission from command or boat captain
for dive.

team. Coast Guard, and hospital.

Schedule of Operational Tasks for All Phases:

Selection of Diving Equipment

14.1.1

•

Transit to the

•

Assembling dive gear and support equipment;

•

Predive briefing;

•

Calculating allowable/required bottom time;

site;

The

selection of the proper diving

equipment depends

on environmental conditions, qualifications of diving
personnel, objectives of the operation, and diving

•

Recovery;

procedures to be used. Although most diving

•

Cleaning, inspection, repair, and storage of gear; and

at

•

Debriefing of divers and support personnel.

open-circuit scuba,

Diving

Mode

Selection:

depths

less

than 130 fsw (39.3

is

msw) and

performed
often uses

some missions can be accomplished
more complex

using only skin diving equipment. Other

•

Open-circuit scuba;

assignments require surface-supplied or closed-circuit

•

Surface-supplied;

breathing equipment. Depth and duration of the dive,

October 1991

— NOAA

Diving Manual

14-1

Section 14

type of work to be accomplished (heavy work, light

Harsh environments (low

•

work, silent work), temperature of the water, velocity

and nature of current,

visibility,

experience and capabilities

logistics,

and the

diver's

visibility,

strong currents,

polluted water)

Major Advantages:
Ease of supplying heat

influence the selection

•

of diving equipment. Detailed descriptions of the vari-

•

Long duration

ous types of diving equipment are presented in Section

5.

•

Voice communication

may

•

Protection of diver from environment

all

For planning purposes, the following guidelines
be used

diving equipment.

in selecting

Major Disadvantages:
•

Limited mobility

•

Significant support requirements

Breath-Hold Diving Equipment
Generally Used For:
•

Closed-Circuit Scuba

and specimen collection in
areas where more complex equip-

Scientific observation

shallow water in

Generally Used For:

Observations of long duration

•

ment

is

a disadvantage or

is

•

Shallow-water photography

•

Scouting for diving

not available

Major Advantages:
•

Mixed-gas capability

•

No

•

Conservation of breathing

sites

Major Advantages:
•

Less physical work required to cover large surface

noise or bubbles

medium

Long duration
Major Disadvantages:
•

areas
•

Simplified logistics

•

Fewer medical complications

•

Complicated maintenance

•

Extensive training requirements

•

Lack

Major Disadvantages:
depth and duration

•

Extremely limited

•

Requires diver to develop breath-holding techniques

•

Can

in

only be used in good sea conditions

14.1.2

Dive

14.1.2.1

Scientific observation

•

Light underwater work and recovery

•

Sample

must be experienced divers who are qualified
the requirements of the proposed dive.

master

collection

•

Shallow-water research

•

Ship inspection and

light repair

Mobility

•

Accessibility

ing

Portability

•

Reliability

The
many, and include

to:

Overall responsibility for the diving operation

•

Safe execution of

•

Preparation of a basic plan of operation, including

all

diving

evacuation and accident plans
•

Liaison with other organizations

•

Selection of equipment

•

Proper maintenance, repair, and stowage of
equipment

Major Disadvantages:
• Lack of efficient voice communication
•

no dive

•

and economy of equipment and breath-

medium

•

handle

to

When

present, diving should not be conducted.

but are not necessarily limited

support requirements

•

is

dive master's responsibilities are

Major Advantages:

Minimum

Organization

safe

Generally Used For:

•

Team

Dive Master

Dive masters have complete responsibility for the
and efficient conduct of diving operations. They

Open-Circuit Scuba

•

of efficient voice communication.

•

Selection, evaluation, and briefing of divers and

other personnel

Limited depth and duration
•

Monitoring progress of the operation and updating
requirements as necessary

Umbilical-Supplied Systems

•

Generally Used For:

•

Monitoring of decompression (when required)

•

Coordination of boat operations when divers are

Maintaining the diving log

•

Scientific investigation

•

Ship repair and inspection

•

Salvage

The

•

Long-duration scientific observation and data

to

gathering

are adequate for the requirements of the dive.

14-2

in

the water.

dive master

is

responsible for assigning

an operation and for ensuring that

NOAA

Diving Manual

all

divers

their qualifications

The

dive

—October 1991

and Decompression

Air Diving

master must ensure that

divers are briefed thoroughly

all

about the mission and goals of the operation. Individual responsibilities are assigned to

Where

dive master.

each diver by the

special tools or techniques are to

be used, the dive master must ensure that each diver

is

14.1.2.3

On

Science Coordinator

missions where diving

is

performed

programs, a science coordinator

scientific

The science coordinator

is

in

support of

may

be needed.

the prime point of contact

for all scientific aspects of the

program, including
and mainte-

familiar with their application.

scientific

Enough training and proficiency dives should be
made to ensure safe and efficient operations. During

Working with the dive master, the science coordinator briefs divers on upcoming missions and supervises the debriefing and sample or data accumulation

complex operations or those involving a large

especially

number

of divers, dive masters should perform no actual

equipment,

its

use, calibration,

nance.

after a dive.

diving but should instead devote their efforts entirely
to directing the operation.

The

dive master

is

in

charge when divers are

in the

water during liveboating operations. Before any change

made

to the

boat's propulsion system (e.g.,

change

Although the dive master
in

Medical Officer/Diving
Medical Technician

14.1.2.2 Diving

site, a

individual so trained

is

may

be assigned.

able both to respond to

emergency medical situations and

communicate

to

effectively with a physician located at a distance
site.

train Diving

to

from

There are specialized courses available
Medical Technicians in the care of

diving casualties (see Section 7.3).
In the

the

is

available, the dive master should obtain

names and phone numbers

of at least three diving

who can be reached for advice in
an emergency. Emergency consultation is available
medical specialists

from the service centers

listed below.

Referred to as a

"Bends Watch," each of these services
to provide advice

Tender for Surface-Supplied Diving
The tender must be qualified to tend divers

14.1.2.5

dependently and

is

available

on the treatment of diving casualties:

•

Navy Experimental Diving Unit, Panama
FL 32407, telephone (904) 234-4351, 4353;

•

National Naval Medical Center, Naval Medical
Institute,

Bethesda,

City,

MD

20814, telephone

(202)295-1839;
•

Brooks Air Force Base, San Antonio,

CST, emergency

TX

78235,

calls are also received

on (512) 536-3281); and
•

Diver's Alert Network,
Center,

Durham,

NC

Duke University Medical

tem. Although there

of these facilities, especially

if

diving in remote areas.

— NOAA

in-

surface-support equip-

efficiently, the tender

may

is

be

no specific requirement that

tenders be qualified divers, they should be trained

in

diving supervisors (see Section 7.2). Ideally, tenders
should be trained by instructors and be assigned to diving

operations by the diving supervisors.

may assume

A

the tender's responsibilities

tender-assistant

when

the assis-

working under the direct supervision of fully
qualified diving and tending personnel. Another ten-

tant

is

der, diver, or qualified person should be assigned as

communications person, console operator, timekeeper,
recordkeeper, and diver's assistant.
is

recommended

that one qualified person be des-

ignated as standby diver, ready to enter the water

promptly

in

an emergency. The standby diver
in

may

routine operations; in

more complex diving operations, however, the standby
all other duties. A tender must be
available and ready to tend the standby diver during an
diver must be free of

emergency.

14.1.2.6

Diving personnel should obtain and keep the phone

October 1991

all

27710, telephone (919) 684-8111

(ask for the Diving Accident Physician).

numbers

manpower

accept tender responsibilities

telephone (512) 536-3278 (between 7:30 a.m. and
4:15 p.m.

use

operate

a qualified diver used in a diver-tender rotation sys-

It

Research

To

ment.

to

theory and operational procedures by the divers and

event that neither a physician nor a trained

technician

in

procedures.

Diving Medical Technician

trained in the care of diving casualties

the diving

responsible for being

is

proper physical condition, for checking out personal

not practical to have a qualified diving

medical officer on

An

diving operation, each diver

equipment before the dive, and for thoroughly understanding the purpose and the procedures to be used for
the dive. Divers also are responsible for using safe
diving procedures and for knowing all emergency

change with the dive master.

it

responsible for the overall

is

is

speed, direction, etc.), the boat captain must clear the

When

14.1.2.4 Divers

they will be

In

Support Divers and Other Support
Personnel

most diving operations, the number and types of

support divers depend on the size of the operation and

Diving Manual

14-3

Section 14

the type of diving equipment used.

As

a general rule,

even though water temperature

may

permit the use of

may

those surface-support personnel working directly with

standard wet

the diver also should be qualified divers. Using unquali-

dictate that a variable-volume dry suit (or equivalent)

fied personnel who do not understand diving techniques
and terminology may cause confusion and be dangerous. Persons not qualified as divers can be used when
the need arises only after they have demonstrated to
the satisfaction of the dive master that they under-

be worn when diving from an open or unheated platform.

stand procedures adequately.

Whenever

cold air temperature and wind

suits,

moderate
depend to a

possible, avoid or limit diving in

seas (see Table 14-1). Sea state limitations

and

large degree on the type

may

size of the diving platform.

be conducted

in rougher seas
from properly moored larger platforms such as diving

Diving operations

barges, ocean-going ships, or fixed structures. Divers

14.1.3

using self-contained equipment should avoid entering

Environmental Conditions

the ocean in heavy seas or surf, as well as high, short-

Environmental conditions at a dive site should be
considered when planning a diving operation. Environmental conditions can be divided into surface environmental conditions and underwater environmental
conditions. Surface conditions include weather, sea
state, and amount of ship traffic. Underwater conditions include depth, bottom type, currents, water temperatures, and visibility. Regional and special diving
conditions are discussed in Section 10.

period swell. If bad weather sets in after a diving
operation has commenced, appropriate recall signals

should be employed. Except in an emergency, divers

should not attempt scuba or surface-supplied diving
in

rough seas (see Figure 14-1).
Because many diving operations are conducted

of ship traffic often presents serious problems.

may

vicinity.

Surface Environmental Conditions

Weather conditions are an important factor to consider when planning a dive. Whenever possible, diving
operations should be cancelled or delayed during bad
weather. Current and historical weather data should
be reviewed to determine

if

conditions are acceptable

or are predicted to continue for a sufficient

amount

of

time to complete the mission. Personnel should avail

themselves of the continuous marine weather broadcasts provided

162.40

MHz,

by

NOAA

162.475

on the following frequencies:

MHz,

or 162.55

MHz,

depending

on the local area. These broadcasts can be heard

in

most areas of the United States and require only the
purchase of a VHF radio receiver. Weather radios are
designed to pick up

NOAA

radio broadcasts only.

A

boater with such a set will hear regular weather forecasts

and special marine warnings any time of the day
Although all three receivers pick up weather

or night.

from approximately the same distance, the twosystems have the advantage of transmission

signals

way

weather warnings is no
longer in general use; all weather reports are
now transmitted by radio.
some

system

for

cases, surface

weather conditions

may

influ-

ence the selection of diving equipment. For instance,

14-4

the

movement

traffic

of ships in the dive

site's

should be taken into considera-

and a local "Notice to
Mariners" should be issued. Any time that diving

operations are to be conducted in the vicinity of other
ships, these other vessels should

or signal that diving

and

lights are

shown

be notified by message

is

taking place. Signal flags, shapes,

in

Table

If the dive operation

is

to

of an active fishing ground,

14-2.

be carried on
it is

in the

middle

necessary to anticipate

com-

that people with various levels of experience and

petence will be operating small boats

The diving team should assume
are not acquainted with the

in the vicinity.

that these operators

meaning of diving

signals

and should take the necessary precautions to ensure
that they remain clear of the area.
The degree of surface visibility is important. Reduced
visibility may seriously hinder or force postponement
of diving operations. If operations are to be conducted
in a

known

fog-belt, the diving schedule should allow

for probable delays

caused by low
is

visibility.

The

safety

the prime consideravisibility is ade-

determining whether surface

the support craft or might be in danger of being run

down by surface
14.1.3.2

traffic.

Underwater Environmental Conditions

Dive depth
In

it

quate. For example, in low surface visibility conditions, a surfacing scuba diver might not be able to find

NOTE
flag

times,

tion during dive planning,

tion in

The

Ship

of the diver and support crew

capability.

At

be necessary to close off the area around the dive

site or to limit

14.1.3.1

in

harbors, rivers, or major shipping channels, the presence

is

a basic consideration in the selection

of personnel, equipment, and techniques. Depth should be

determined as accurately as possible

NOAA

Diving Manual

in the

planning

— October 1991

and Decompression

Air Diving

Figure 14-1

Sea States
ft

«

SS6 Waves Start

to Roll

(1)

0)

28

*

20

SS5 Spindrift Forms

SS3 White Caps Form

2

3

4

Source: Bunker

phases, and dive duration, air requirements,

may

pression schedules

the starting point on the return current.

and decom(when required) should be planned

accordingly.

Type of bottom affects a diver's ability to see and
work. Mud (silt and clay) bottoms generally are the
most limiting because the slightest movement will stir
sediment into suspension, restricting visibility. Divers
must orient themselves so that any current will carry

away from the work area, and
should develop a mental picture of their

the suspended sediment

they also

surroundings so that an ascent to the surface

even

in

conditions of zero visibility.

Sand bottoms usually present
because

less

In addition,

severe than

is

little

for divers

the case for

mud

bottoms.

many sharp

pro-

Divers should wear gloves and coveralls or a

suit for protection

the mission requires contact

if

down

current and to return to

Tidal changes often alter the direction of current
and sometimes carry sediment-laden water and cause
low visibility within a matter of minutes. Tidal currents

may

prevent diving at some locations except dur-

ing slack tides.

Because a slack

tide

Currents generally decrease

in

velocity with depth,

current rather than with the current; this facilitates
should stay close to the bottom and use rocks
to pull

Water temperature

is

Currents must be taken into account when planning

and executing a dive, particularly when using scuba.
When a boat is anchored in a current, a buoyed safety

m)

in

length should be

trailed over the stern during diving operations.

If,

on

swept away from the boat

by the current, he or she can use

this safety line to

keep

Free-swimming descents should be avoided
rents unless provisions have been

made

to

in cur-

reach safety.

Descent from an anchored or fixed platform into water

made

made along

a weighted line.

A

should be used unless adequate provisions are

for a

pickup boat

to operate

down current

so that

surfacing some distance from the entry point will not

be dangerous.

A

October 1991

— NOAA

thermocline

knowledge of changing
Diving Manual

tidal currents

is

has a significant

some

in

A

a boundary layer between waters of

different temperatures.

Although thermoclines do not

pose a direct hazard to divers, their presence

may

affect the selection of diving dress, dive duration, or

equipment. Thermoclines occur at various water
els,

including levels close to the surface and

in

lev-

deep

Temperature may vary from layer to layer. As
F (a range of
"C) variation has been
recorded between the mixed layer (epilimnion) above
the thermocline and the deeper waters (hypolimnion)
water.

much

from being carried down current.

line also

it

equipment selected and,

cases, determines the practical duration of the dive.

Section 12).

with currents should be

present)

a major factor to consider in

effect on the type of

is

(if

themselves along.

avoid corals and other marine organisms that might

entering the water, a diver

the

in

and it may therefore be easier to swim close to the
bottom when there are swift surface currents. However, current direction may change with depth. When
there are bottom currents, it is useful to swim into the

planning a diving operation because

line at least 100 feet (30.3

be followed

diving area and their effects.

with the coral. Divers should learn to identify and
inflict injury (see

may

by strong currents, divers should know the tides

return to the entry point at the end of the dive. Divers

sandy bottoms provide firm footing.

Coral reefs are solid but contain
trusions.

problem

caused by suspended sedi-

visibility restrictions

ment are

wet

possible

is

allow divers to drift

Ramo Corp

as a 20°

beneath

1

1

it.

Underwater

visibility

depends on time of day,

locality,

water conditions, season, bottom type, weather, and
currents. Divers frequently are required to dive in
water where
zero

level.

visibility

is

minimal and sometimes

Special precautions are appropriate

at the

in either

of

14-5

Section 14

Table 14-1
Sea State Chart

Wind

Sea-General

Sea

5

u

Wave

u-

"D

C

Sea

>

a.
"C

u

en

a>

o
Ripples with the
appearance of scales are

Light

1

D

Significant

(Seconds)

a

Periods

>

Range

<

ffi

o

u.

=
5

a

E"5

E

>

<

-

3

en

c

|

~t>

<

5

C D

I!
c o
S5

-

-

-

o o

.i'-s

1—

Less

than

D
O

CO

3

OS

Calm

U

like a mirror.

a

a

ca

CO

of

V

CO

ffi

M

II*

c

U)

'in

u

_o

«

i

Description

c

-C

.c

a.
"o

c

O

State

c

Fe et

>.

5
Sea

oo

Height

-

1

1-3

0.05

2

up to

10

Airs

0.5

10

in.

5

ft.

8

18
min.

1.2 sec.

formed, but without foam
crests.

Small wavelets,
but

still

short

more pronounced;

2

4-6

Light

18

5

0.4-2 8

0.37

1.4

6.7

39
min.

Breeze

crests

have a glassy appearance, but
do not break.
1
1

)

Large wavelets, crests
begin to break. Foam of glassy
appearance. Perhaps
scattered white horses.

3

Small waves, becoming

4

larger; fairly frequent white

Gentle
Breeze

7-10

Moderate

1-16

1

Breeze

horses.

20
27

0.6

1.2

0.8-5.0

2.4

10

0.88

1.8

1.0-6.0

2.9

12

1.4

2.8

1.0-7.0

3.4

13.5

1.8

3.7

1.4-7.6

3.9

14

2.0

4.2

1.5-7.8

4.0

40
52
59

16

2.9

5.8

2.0-8.8

4.6

71

18

3.8

7.8

2.5-10.0

5.1

19

4.3

8.7

2.8-10.6

5.4

90
99

20

5.0

10

3.0-1 1.1

5.7

22
24
24.5
26

6.4

13

3.4-12.2

6.3

7.9

16

3.7-13.5

6.8

8.2

17

3.8-13.6

7.0

9.6

20

4.0-14.5

7.4

4.5-15.5

7.9

4.7-16.7

8.6

4.8-17.0

8.7

5.0-17.5

9.1

8.5

9.8

1.7

10

2.4

18

3.8

24
28
40

4.8

55
65
75

8.3

5.2

6.6

^
.

jLL

Moderate waves, taking a
more pronounced long form;

5

17-21

Fresh

Breeze

many white horses are
formed. (Chance of some

1

1

1

9.2

10

spray).

£"
v_J

/

(j

Large waves begin to form;
foam crests are
more extensive everywhere.
(Probably some spray).

6

Sea heaps up and white
foam from breaking waves
begins to be blown in streaks

7

22-27

Strong

Breeze

the white

Moderate
Gale

28-33

along the direction of the
wind. (Spindrift begins to be

30.5

14

23
28
29

32

16

33

28
30

1

1

14

134
160
164
188

100
130
140
180

12

212
250
258
285

230
280
290
340

20
23
24
27

14
15
17

seen).

these situations. If scuba

is

used, a

buddy

line or other

reference system and float are recommended.

way

A

con-

buddy line is to use a rubber
loop that can be slipped on and off the wrist easily,

venient

which

is

rapidly.

that

it

to attach a

preferable to tying a line that cannot be

However, the

can be

line

slip off so easily

lost inadvertently.

Heavy concentrations

14-6

should not

removed

of plankton often accumulate

at the thermocline, especially during the

summer and

offshore of the mid-Atlantic states. Divers
that plankton absorb

most of the

light at the

may

find

thermocline

and that even though the water below the thermocline
is clear, a light is still necessary to see adequately.
Thermoclines in clear water diffuse light within the
area of greatest temperature change, causing a signifi-

cant decrease in

visibility.

NOAA

Diving Manual

— October 1991

1

and Decompression

Air Diving

Table 14-1
(Continued)

Wind

Sea-General

Sea
'

o

Wave

u.

_

-o

c

5

c
o

a
Sea

3
o

Description

State

o
CD

Moderately high waves of
greater length; edges of crests

7

8

u
•

c

Height

>.

o

D

DC

Fresh

34-40

Gale

break into spindrift. The foam
is blown in well marked
streaks along the direction of
the wind Spray affects

i

i

c

TJ
•°

Feet

-C
a>

n
a

11*

01 -£,

x
°

>

>

S O M

?

<
-

Period

Range

"5

E
3 ^
IS
c o

E
3

34

19

36
37
38
40

21

38
44

5.5-18 5
5 8-19 7

23
25
28

46.7

6-20 5
6 2-20.8

42
44
46

31

64
73

7-23

12

7-24.2

12.5

81

7

48
50

44
49
52
54
59

90
99
106

64
73

130
148

-S

6 5-21 7

9.7

10.3
10.5
10 7
1

1

4

u

3

o

I?
c a

rs

s^

s£

322
363
376
392
444

420
500
530
600
710

30

492
534
590

830
960

47
52
57

<

<

50
58

a

o

>

(Secor

Signifi

<

2

a

2

u.

n
a

~*

u O

a.

_

_o

tt

n
c

1

34
37
38
42

visibility.

High waves. Dense streaks
foam along the direction of
the wind Sea begins to roll.

Q
O

9

Strong

41-47

Gale

of

36
40

25

13

1

1

1

10

Visibility affected-

Very high waves with long
overhanging crests. The

10

Whole

48-55

Gale

foam is in great
patches and is blown in dense
resulting

51.5

52
54

white streaks along the
direction of the wind. On the
whole the surface of the sea
takes a white appearance.
The rolling of the sea becomes

heavy and shocklike.
is

1

10

121

7 5-26

13 8

7.5-27

14.3

8-28.2

14.7

8-28.5
8-29 5

14.8
15 4

650
700
736
750
810

1250
1420
1560
1610
1800

910
985

2100
2500

63
69
73
75
81

Visibility

affected.

/-V

9

Exceptionally high waves
(Small and medium-sized

Storm

1

56-63

56
59

5

8 5-31

16.3

10-32

17

10(35)

,181

88
101

ships might for a long time be
lost to view behind the waves.)
The sea is completely covered

with long white patches of
foam lying along the direction
of the wind. Everywhere the

edges
blown

of the

wave

crests are

into froth. Visibility

affected.

Air filled with foam and
spray Sea completely white
with driving spray visibility
very seriously affected

12

Hurricane

64-71

>64

>80

>164

Source:

WARNING

underwater visibility. The ability
when handling tools or instruments

to use

US Navy

(1985)

touch cues
work

Divers Should Be Extremely Cautious Around
Wrecks or Other Structures in Low Visibility
to Avoid Swimming Inadvertently Into an Area

work functions on the surface while blindfolded

With Overhangs

increase proficiency in underwater tasks.

environment

is

Underwater

A

well-developed sense of touch

is

extremely impor-

tant to divers or scientists working in low or zero

October 1991

— NOAA

Diving Manual

valuable to a diver

in

in

a strange

the dark. Rehearsing
will

low-light-level closed-circuit television

has been used successfully

when light levels are reduced,
because a television camera "sees" more in these

14-7

Section 14

conditions than does the

when

human

the reduced visibility

light; in

is

•

Hydrophone

caused by the absence of

•

Strobe

cases where the problem

turbidity, a

advantage.

TV

camera does not

When

is

is

offer a significant
is

times.

television

mounted on

14.2.3 Line Signals

inspection

system

is

used, the diver serves essentially as a mobile underwater platform. The monitor is watched by surface
support personnel who, in turn, direct the movements
of the diver. Underwater television cameras are available that are either hand held or

or

at night,

caused by high

the purpose of the dive

and a closed-circuit

or observation

—underwater speaker sound beacon
—used
flashed four

true mainly

eye. This

a helmet

Divers using surface-supplied equipment use line
signals either as a

backup

to voice

communications

to

the surface or as a primary form of communication.

may be used by

Line signals also

divers using self-

contained equipment to communicate with the surface
or,

conditions of restricted visibility, for diver-to-

in

diver communications. Table 14-4 describes line sig-

(see Section 8.14).

Divers are often required to dive in contaminated

commonly employed.

nals

water that contains either waterborne or sedimentcontained contaminants.

The

health hazards associated

NOTE

with polluted-water diving and the equipment to be
used on such dives are described in Section 11.

Hand or

line signals

14.2

may

vary by geographi-

among

organizations. Divers should
review signals before diving with new buddies
or support personnel.
cal area or

DIVING SIGNALS
Hand Signals

14.2.1

Hand

signals are used by divers to convey basic

information. There are various hand signalling systems

presently in use. Divers in different parts of the country

and the world use different signals or variations of

14.2.4

Surface Signals
needs to attract attention after surfacing

If a diver

and

beyond voice range, the following signaling devices

is

may

be used:

same message. A set of signals
used by NOAA is shown in Figure 14-2 and explained
in Table 14-3. The signals consist of hand instead of

•

Flare

•

Flashing strobe

finger motions so that divers wearing mittens can also

•

Flags (see Table 14-2).

signals to transmit the

use them.

To

•

Police whistle

the extent possible, the signals were derived

from those having similar meanings on land. Before
the dive, the dive master should review the signals
shown in Figure 14-2 with all of the divers. This review
is particularly important when divers from different
geographical areas constitute a dive team or when
divers from several organizations are cooperating in a
dive. Signal systems other than hand signals have not
been standardized; whistle blasts, light flashes, tank
taps, and hand squeezes generally are used for attracting
attention and should be reserved for that purpose.

AIR

14.3

When

CONSUMPTION RATES

considering diver air consumption rates, three

terms need definition:
•

1

•

(RMV), the total voland out of the lungs in

Respiratory minute volume

ume

of air

moved

in

minute;

Actual cubic feet (acf)

—the

unit of

measure that

expresses actual gas volume in accordance with

Gas Law; and
Standard cubic feet (scf), the unit of measure

the General
•

expressing surface equivalent volume, under stand-

14.2.2 Surface-to-Diver Recall Signals

Unexpected

situations often arise that require divers to

be called from the water.

When

voice communication

not available, the following methods should be

is

ard conditions,* for any given actual gas volume.
In computing a diver's air consumption rate, the basic

determinant

Acoustic Detonator (Firecracker)

—

differs

a small device

the respiratory minute volume, which

because of individual variation

considered:
•

is

directly related to the diver's exertion level

among

is

and which,

in physiological response,

divers (Cardone 1982). Physiological

research has yielded useful estimates of respiratory

ignited by a flame and thrown into the water
•

Hammer — rapping

four times on a steel hull or

metal plate
•

Bell

14-8

— held under water and struck four times

*Standard conditions

for gases are defined as 32

°F (0°C),

1

ATA

pressure, and dry gas.

NOAA

Diving Manual

— October 1991

and Decompression

Air Diving

Table 14-2
Signal Flags, Shapes,
and Lights

Meaning

Use

Signal

White

Displayed by

civilian divers in the

May be used

United

code flag alpha
(flag A), but cannot be used in lieu of flag A.
The Coast Guard recommends that the redand-white diver's flag be exhibited on a float
States.

marking the location

Red

with

Divers are below. Boats should not
operate within 100 feet.
(Varies

accordance with

in

individual state laws)

of the divers.

Sport Diver Flag

Must be displayed by

all

vessels operating

either in international waters or

White

Blue

International

Code

on the

"My maneuverability is restricted
because have a driver down; keep
I

navigable waters of the United States that
are unable to exhibit three shapes (see last
row of this table). Flag A means that the
maneuverability of the vessel is restricted.

well

clear at slow speed."

Flag

"A"

Yellow
Black

Displayed by

all

vessels

am engaged in submarine survey
work (under water operations). Keep
clear of me and go slow."

in

international

"I

in

international

This vessel is engaged in underwater
operations and is unable to get out of
the way of approaching vessels.

and foreign waters.
Yellow

Red
International
D"i

"I

R"

Code Flags

1

Day
Shapes and Lights
International

Shapes/Day
Black

Lights/Night

Red

Displayed by

all

vessels

and foreign waters engaged

in

under-

water operations.

Ball

Black

r~^) White

Diamond
Black

Red

Ball

Derived from

USCG

Navigation Rules: International/Inland 1983. and
United States Edition. 1981. published by

International Code ot Signals,
the Defense Mapping Agency

October 1991

— NOAA

Diving Manual

14-9

Section 14

Figure 14-2A
Hand Signals

Go Down/Going Down

Something

Low on

Distress

Out

14-10

of Air

Let's

Ok?

Ok!

Go Up/Going Up

is

Wrong

Air

Danger

Buddy Breathe

NOAA

Diving Manual

— October 1991

Air Diving

and Decompression

Figure 14-2B
Additional Hand Signals

Me, or watch

Which

me

Come

direction?

Yes

Ears not clearing

You

lead,

Go

here

follow

way

am

No

Hold hands

I'll

that

Take

What time? What depth?

in

— NOAA

Diving Manual

easy, slow

Get with your buddy

down

Look

don't understand

Developed by American National Standards

October 1991

it

cold

Institute

Z86 Committee (1976)

cooperation with the Council for National Cooperation

in

Aquatics

14-11

Section 14

Table 14-3

Hand Signals

i
No.

Hand

1.

Comment

Meaning

Signal

raised, fingers pointed up,

STOP

palm

Transmitted
Policeman's

to receiver

clenched
3.

4.

5.

fist

Thumb extended upward from clenched

GO UP

fist

GOING UP

Thumb and

forefinger making a circle
with 3 remaining fingers extended (if
possible)

OK!

Two arms extended overhead

OK! or OK?

fingertips touching

to

or

OK?

Divers wearing mittens may not be able to extend
3 remaining fingers distinctly (see both drawings

A

diver with only one free arm may make this
signal by extending that arm overhead with

make

fingertips touching top of

shape. Signal

SOMETHING

Hand flat, fingers together, palm down,
thumb sticking out, then hand rocking
back and forth on axis of forearm

6.

7.

Hand waving over head (may also
thrash hand on water)

8.

Fist

pounding on chest

Hand slashing

or chopping throat

10.

Fingers pointing to mouth

11.

Clenched

on arm extended
danger

fist

direction of

is

use

DISTRESS

Indicates immediate aid required

LOW ON

Indicates signaller's air supply is reduced to the
quantity agreed upon in predive planning or air

AIR

is

signal

does not

low and has activated reserve valve

OUT OF AIR

Indicates that signaller cannot breathe

LET'S BUDDY
BREATHE

The regulator may be
mouth

either in or out of the

i

DANGER

in

be answered by the receiver's repeating the signal as sent.
should approach and offer aid to the signaller.

10, the receiver

The

make the

to

is the opposite of OK!
indicate an emergency

This

IS

All signals are to

and

head

for long-range

WRONG

pressure
9.

a Traffic

or

shape

a large

same way as

of signal)

with

above head

the

STOP

GO DOWN or
GOING DOWN

Thumb extended downward from

2.

in

When answering

signals

7, 9,

Source:

minute volumes for typical underwater situations likely
be encountered by most divers (US Navy 1985).

Solution:

Table 14-5 shows these estimates. These estimates of
respiratory minute volumes apply to any depth and are
expressed in terms of actual cubic feet, or liters, per

RMV

Cd =

to

minute (acfm or alpm, respectively).
The consumption rate at depth can be estimated by
determining the appropriate respiratory minute vol-

ume

for the anticipated exertion level

in

standard cubic feet per minute (scfm),

is

given by the equation:

=

RMV (Pa)

Cd = consumption

respiratory minute

lute pressure

(ATA)

1

=

Determining Individual Air Utilization
Rates
alternative approach that can be used by indi-

vidual divers expresses air utilization rates in terms of

than respiratory minute volume, keeping in mind that

rate at depth in scfm;

RMV

=

abso-

volume

in

acfm; and Pa

Compute a diver's air consumption rate
(15.2 m) dive requiring moderate work.

usable tank pressure

pressure
Table

at dive depth.

Problem:

14-12

An

+

pressure drop in pounds per square inch (psi) rather

Cd =
where

14.3.1

(1979)

RMV (Pa)

=1.1 acfm (from Table 14-5); Pa = 50/33
ATA; and Cd = (1.1)(2.51) = 2.76 scfm.

and the absolute

pressure of the anticipated dive depth. This estimate,

expressed

2.51

NOAA

for a

50 fsw

is

defined as the beginning tank

minus recommended

14-8).

air

This technique allows divers to

reserve

make

(see

a timed

swim at one particular depth once they have determined their individual air utilization rate. To determine their rate, divers must read their submersible
pressure gauges at the beginning and end of a dive to a

NOAA

Diving Manual

—October 1991

I

Air Diving

and Decompression

Table 14-4
Line Pull Signals for
Surface-to-Diver Communication
determine the amount of

Emergency Signals
2-2-2 Pulls

"I

am

fouled and need the assistance of

A

psi/time (min)
psi

(depth

Pull

to diver

"Are you

When

diver

descending, one

is

pull

means

that

down"

From
1

"Come up"
"I

2 Pulls

"I

all

am on
"Give me slack

right" or "I

"Lower" or

pressure gauge) by the psi per minute used at

the bottom"

that depth.

3 Pulls "Take up my slack"
4 Pulls "Haul me up"
2-1 Pulls

"I

Problem:

understand" or "Answer the telephone"

3-2 Pulls "More air"
4-3 Pulls "Less air"
Special signals from the diver to the tender should be
devised as required by the situation

A

diver

swims a distance

Without

Signals

circling line

circling line

7 Pulls

"Go on

Same

and 2050

start

at the

With

The

basic equation

"Stop and search
where you are"

Same

"Move directly
away from the

"Move away

end of the timed dive, showing

tender

if

is

if

in ft

10 (minutes)

(psi)

30 (depth)

move toward

the tender

is

the

+

33)/33

30

30

63

1.9

5.7 psi/min.

from the
weight"

given

was consumed. What

Solution:

300

slack,

10 minutes;

psi/time (min)

(depth

2 Pulls

in

is:

A

searching signals"

Pull

30 fsw (9 m)

diver's air utilization?

Searching

(or off)

at

the submersible pressure gauge reads 2350 psi at the

that a total of 300 psi

1

air utilization

To estimate how many minutes your tank of air
will last at that depth, divide the number of usable psi in the tank (as shown on your submersible

(4)

understand," or "Answer the telephone"

am

to the desired depth,

you your estimated

will give

rate;

diver to tender

Pull

come

across until you

which

i

4 Pulls

minute on the surface on the left
Table (Table 14-6)

closest to your estimated psi per minute.

is

Read

During ascent, 2 pulls mear "You have come
up too far, go back down until we stop you"
3 Pulls "Stand by to come up"
2-1 Pulls

per minute on the surface;

33)/33

side of the Air Utilization

"stop"
2 Pulls "Going

+

in ft

(3) Find the psi per
right?"

all

air utilization

on the surface:

rate

3-3-3 Pulls "I am fouled but can clear myself"
4-4-4 Pulls "Haul me up immediately'
All signals will be answered as given except for
emergency signal 4-4-4

1

used during the timed

Using the following formula, estimate

(2)

another diver"

From tender

air

dive (A psi);

+

33

33

33

strain

taken on the

The

life-

line"

diver would

surface.

consume

Knowing your

15.7 psi per minute at the

utilization rate at the surface

allows you to use Table 14-6 to find your rate at any

"Go

3 Pulls

to

your right"

"Face the

depth.

weight and

go

Air utilization rates determined by this method are

right"

valid only for air

"Go

4 Pulls

to

your

left"

Source:

NOAA

needed

to use the

(1979)

simple 4-step procedure shown

mates only (Cardone 1982).

14.4

SELF-CONTAINED DIVING

14.4.1

Scuba Duration

Knowing

below.
(1) Subtract

ending

ble pressure

October 1991

psi (as

read from the submersi-

gauge) from the beginning

— NOAA

Diving Manual

as

somewhat from day to day in their air utilization rates,
and these calculations should thus be considered esti-

constant depth. These readings give them the information

coming from the same type of tank

that used on the timed swim. Further, individuals vary

"Face the
weight and
go left"

psi to

ply

is

the probable duration of the scuba air sup-

vital to

proper dive planning. With scuba, the

duration of the available air supply

is

directly depend-

14-13

Section 14

Table 14-5

Volume (RMV)
Work Rates

Respiratory Minute
at Different

Respiratory Minute Volume

Activity

REST

Bed

Actual liters/min

Actual cubic ft/min

(STP)

(STP)

5

0.18

Sitting quietly

6

0.21

Standing

8

0.28

rest (basal)

still

LIGHT

SLOW WALKING ON HARD BOTTOM

12

0.42

WORK

Walking, 2

mph
SWIMMING, 0.5 KNOT (SLOW)

14

0.49

16

0.60

MODERATE

SLOW WALKING ON MUD BOTTOM
Walking, 4

20
24
26
30

0.71

WORK

35
35
44

1.2

mph
SWIMMING, 0.85 knot (av. speed)
MAX. WALKING SPEED, HARD BOTTOM
SWIMMING, 1.0 KNOT
MAX. WALKING SPEED,

HEAVY

WORK

Running, 8

mph

SEVERE

SWIMMING,

WORK

Uphill running

Underwater

MUD BOTTOM

1.2

KNOTS

0.85
0.92
1.1

1.2
1.5

53
84

1.9

2.9

activities are in capitals.

Adapted from US Navy (1985)

ent on the diver's consumption rate.

Scuba

air

supply

duration can be estimated using the equation:

Da =
r*

Va
—
Cd

pressure for these two cylinder types can be read
directly from Figure 14-3, or they can be individually

computed using the equation

Vd

where Da = duration in min; Va = available volume
scf; and Cd = consumption at depth in scfm.

in

=

Pgk

diver's air

where Vd = deliverable volume in scf; Pg = gauge
pressure in psig; and k = cylinder constant. This
equation can be used for any type of cylinder; see
Table 14-7 for the appropriate cylinder constant.
For planning purposes, the available volume of air is

consumption rate depends on the depth and the exer-

the difference between the deliverable volume at a

The available volume depends on the type (rated
volume and rated pressure) and number of cylinders
used, the gauge pressure measured, and the recom-

mended minimum

cylinder pressure.

The

The "standard 72" steel scuba cylinder has an internal volume of 0.423 ft 3 (1 1.98 L) at 1 ATA. At its rated
pressure (2475 psig), the cylinder contains a deliverable

volume of 71.2

ft

recommended minimum
The recommended minimum cylinder pressures for the two most commonly used scuba
cylinder types are shown in Table 14-8. The available
given cylinder pressure and the

tion level of the dive.

3

cylinder pressure.

volume of

(2016 L).

air in a diver's

For a given scuba cylinder, the ratio of rated volume
to rated pressure

volume of

air is

meaning that a constant
delivered for each unit of cylinder

is

Va

is

= N(Pg -

given by the equation

Pm)k

a constant,

where Va

=

available

Pg

=

cylinders;

relationship between gauge pressure

mended minimum

and deliverable

volume. Figure 14-3 shows this relationship for a
71.2 ft 3 (2016 L) steel cylinder and an 80 ft 3 (2266 L)
aluminum cylinder. Deliverable volumes at any gauge

volume

in scf;

N =

gauge pressure in psig;

pressure drop. Mathematically, this results in a linear

14-14

supply

Pm

pressure in psig; and k

number

of

^ recom=

cylinder

constant. For planning purposes, estimates of cylinder

duration are based on available air volumes rather
than deliverable air volumes.

NOAA

Diving Manual

— October 1991

Air Diving

and Decompression

Table 14-6
Air Utilization

o o
IS

C\j

CO

cd

Table

CO

CD
oo
CD

at

Depth
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d

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CO

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00

d
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CM
CD

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o

d
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o
t

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CO
fs

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1500

'co

100

Q-

2400
2250
1800
2250
1880
1800

71.2
52.8
50.0
42.0
38.0

CO

C5

1000

500
Adapted from

10

20

30

40

60

50

Deliverable

70

80

where

=

Volume

RMV =

respiratory minute

volume

NOAA

in

(1979)

acfm; Pa

absolute pressure at dive depth.

Cubic Feet
Source:

NOAA

Cd =

0.6

acfm

(1979)

=

(1+0

1.87 scfm.

Step 3

Problem:
Estimate the duration of a

set of

twin 80

ft

3

(2266 L)

Solve the basic equation for

aluminum cylinders charged to 2400 psig for a 70 fsw
(21.3 m) dive requiring the diver to swim at 0.5 knot

n =
Da

Da

Va
—

Cd

(0.25 m/s).

_ 95.76 scf
"

=

1.87

scfm

51.2 minutes.

Solution:

The

basic equation for duration

Table 14-9 shows estimates of the duration of a
is

single steel 71.2

Da=^
Cd
where
volume

Da =
in scf;

ft

3

(2016 L) cylinder

at five exertion

These estimated durations
are computed on the basis of an available air volume of
58.9 ft 3 (Va = 2475 psig - 430 psig) (0.0288 ft 3 /psig).
levels for various depths.

duration in minutes; Va = available
and Cd = consumption rate at depth in

scfm.

14.4.2

Scuba

Air

Requirements

Total air requirements should be estimated

Step

when

planning scuba operations. Factors that influence the

1

total air

Determine Va using

Va
Va

=
=
=
=

N(Pg

- Pm)k
-

2(2400 psig

(18.3

600

psig) (0.0266 scf/ psig)

2(1800 psig) (0.0266 scf/psig)
95.76

requirement are depth of the dive, antici-

pated bottom time, normal ascent time at 60 ft/min

scf.

m/min), any required stage decompression time,

and consumption rate

at depth.

For dives

in

ascent to the surface at 60 ft/min (18.3

which direct

m/min)

is

allowable, the total air requirement can be estimated

using the equation

Step 2

TAR =

Determine Cd using

Cd =

14-16

where

RMV (Pa)

TAR =

total air

tdt

(Cd)

requirement

in scf; tdt

=

total

dive time in minutes (bottom time plus ascent time at

NOAA

Diving Manual

—October 1991

and Decompression

Air Diving

Table 14-8

Scuba Cylinder
Pressure Data

Recommended
Type

Pressure (psig)

2250
3000

500
500

430
600

2475
3000

Steel 72

Aluminum 80

Minimum

Pressure (psig)

Reserve
Pressure (psig)

Working

Rated
Pressure (psig)

Cylinder

Source:

NOAA

(1979)

Table 14-9
Estimated Duration of
3

71.2

ft

Steel Cylinder

RMV
At
Rest

Light

1.1 acfm
Moderate

Work

Work

Work

Work

235.6
117.9
78.5

84.1

53.5
26.8
17.8
13.4
10.7

39.3
19.6

26.8

9.8

6.7

7.8

5.4

8.9

6.5

4.4

acfm

0.25

ATA

Depth

1.0

33
66
99
132
165

2.0

0.7

acfm

42.1

4.0

58.9

5.0

47.1

28.0
21.0
16.8

6.0

39.3

14.0

3.0

acfm
Heavy

acfm
Severe

1.5

2.2

13.4
8.9

13.1

Values are minutes.
Source:

Cd = consumption

60 ft/min); and

rate at depth in

scfm.

Step

Problem:
Estimate the

requirements for a 30-minute

total air

m) involving swimming

at

(1979)

3

Determine

dive to 60 fsw (18.3

NOAA

TAR using
TAR =
=
=

For dives

in

the equation
tdt

(Cd)

(31 min) (2.59

80.37

acfm)

scf.

which stage decompression

will

be

necessary, the total air requirement can be estimated

0.85 knot (0.43 m/s).

using the equation

TAR = Cd (BT +

Solution:

Step

1

where Cd,T,,

Determine

Toial dive time

tdt.

the bottom time

(18.3

is

defined as the

and normal ascent time

at

sum

of

60 ft/min

tion rates

AT)

+

+ Cd 2T 2

Cd,T,

Cd 2 T 2 and Cd 3 T 3
,

and times

+ Cd 3 T 3

(etc.)

are the air consump-

at the respective

decompression

stops.

m/min):
tdt

=

30

+

1

=

31 minutes.

Problem:

Estimate the total air requirement for a 60-minute
dive to 70 fsw (21.3 m) requiring the diver to swim at

Step 2

Determine

Cd

0.5 knot (0.25 m/s).

using the equation

Cd =

RMV =
Pa

=

RMV

(Pa)

Solution:

0.92 acfm (from Table 14-5)

Step

—+

Determine

l

=

2.81

ATA

33

Cd =

=
October 1991

(0.92 acfm) (2.81

ATA)

2.59 scfm.

— NOAA

Diving Manual

1

Cd and Cd, using the
Cd = RMV (Pa)

=
=

(0.6

equation

acfm) (3.12

ATA)

1.87 scfm.

14-17

Section 14

Figure 14-4
Typical High Pressure Cylinder

Bank

Air

Supply

Step 2

Determine the total time for the dive, ascent, and
decompression stops. For the dive and ascent to the
first decompression stop, add the bottom time and the
ascent time (to the nearest whole minute) to the first

AIR

SUPPLY TO DIVERS

1

decompression stop at 60 ft/min (18.3 m/min).

BT + AT =

60

+

oo-

=61

1

minutes.

This dive requires a 10-foot decompression stop. At an
ascent rate of 60 ft/min,

from 70

feet (21.3

m)

The time required

it

will take

1

minute

to

ascend

FROM
SECONDARY
SUPPLY

to 10 feet (3 m).

for

decompression at 10 feet (3 m)

is

Decompression Table
70 feet for 60 minutes.

8 minutes, according to the Air

(US Navy 1985)
Cd,

(Assume

light

for a dive to

=

0.6

work

(— +

(0.6

1

=

j

PRESSURE REGULATOR

0.78 scfm

acfm) on decompression

stop.)
Source:

Step

TAR using the equation for this case
TAR = Cd (BT + AT) + CdjT,
= (1.87 scfm) (61 min) + (0.78 scfm) (8
= 114.1 + 6.2 = 120.3 scf.

A
min)

Computation of these estimates during predive planning
useful to decide whether changes in assigned tasks,

task planning, etc. are necessary to ensure that the dive

can be conducted with the available

air supply.

However,

positioning an auxiliary tank at the decompression
is

considered a safer practice than relying on

calculations of the available air supply.

HIGH-PRESSURE AIR STORAGE

SYSTEMS
For most

3

size), the

necessary piping and

ume

cylinder (at least

high-pressure

filter

1

ft

3

volume) (Figure

14-4).

A

should always be incorporated into or

be located just upstream of each pressure regulator.
Filter elements should be of the

woven-metal cloth

type and should have a collapse pressure rating greater

than the

maximum

possible pressure differential.

A

high-pressure gauge must be located ahead of the
pressure reduction regulator, and a low-pressure gauge
must be connected to the volume cylinder. The volume
cylinder must be fitted with an overpressure relief
valve. A manually controlled regulator by-pass valve
or a redundant regulator with

its

own

filter also

should

scientific surface-supplied diving operations, a

pressure compressor system. In

is

better than a low-

some

cases, the size of

the surface support platform dictates the use of the

simpler and more compact low-pressure compressor

A

high-pressure system can be tailored con-

ven-'ently to the

requirements of a particular operation,

and
advantage of reduced noise and
improved communication. The planning factors that
is

ft

manifolds, a pressure reduction regulator, and a vol-

be included in the system.

high-pressure air storage system

system.

complete system includes high-pressure cylinders

(200-350 standard

is

14.5

(1985)

3

Determine

stop

US Navy

easier to handle than the other type of system,

offers the additional

NOTE
cylinder banks are used to back up a compressor supply, the bank must be manifolded
with the primary source so that an immediate switch from primary to secondary air is
possible.
If

influence the configuration of a high-pressure air storage

system include:
•

Depth of the planned dive

•

Number

System Capacity and Air Supply Requirements

of divers to be supplied and the anticipated

exertion level
•

Type of breathing apparatus

•

Size of the surface support platform.

14-18

Estimations of air supply requirements and duration
of air supplies for surface-supplied divers are the

(free flow or

demand)

as those of scuba divers (Section 14.4.2) except

same
when

free-flow or free-flow/demand breathing systems are

NOAA

Diving Manual

— October 1991

Air Diving

and Decompression

Table 14-10
Flow-Rate Requirements
for Surface-Supplied Equipment
used; in these cases, the How, in acfm,

RMV

is

used

(in all

Table 14-5 and
Table 14-10). Also, the minimum bank pressure must
be calculated to be equal to 220 psig plus the absolute
calculations) instead of

(see

Equipment Type

Flow Rate

Free flow/demand

1.5

pressure of the dive (expressed in psia).

acfm

6.0 acfm

Free flow

Problem:
Estimate the air requirements for a 90 fsw (27 m) dive
for

70 min with a free-flow helmet. This dive requires

decompression stops of
and 30 minutes

20 feet

at

(6.1

m)

Significant variations

in

minimum

these values can occur, depending

Therefore, these values are

diver.

estimates.

at 10 feet (3 m).

TAR = Cd
Step

minutes

7

NOTE:

on the flow-valve set by the

Source: Morgan Wells

+ AT) +

(BT

+ Cd 2 T 2

Cd,T,

.

Step 2

1

Cd 2

Determine Cd, Cd,,

Cd =

=
=
Cd,
Cd =
:

How many

flow x Pa

cylinders would be required in the bank

to supply the required

(6 acfm)(3.73
(6 acfm)(1.61
(6 acfm)(1.30

ATA) =
ATA) =
ATA) =

amount of gas?

22.4 scfm
9.7

scfm

7.8 scfm.

vol.

N =

required

1

vol/cyl

897 scf

=

10.9 or

1

1

cylinders.

172.5 scf/cyl

Step 2

TAR =
=
=

+

22.4 (70

1595

+

1897

scf.

1.2)

+

+

67.9

9.7 (7)

+

7.8 (30)

234

DECOMPRESSION ASPECTS OF

14.6

Cylinder constants for large high-pressure air stor-

age systems are determined
those for scuba cylinders,

=

pressure

same fashion as
rated volume/rated

the

in

i.e.,

k.

The procedure for determining available volume of
air is also the same as for scuba. For example,

= N(Pg - Pm)

Va

k.

AIR

DIVING
The

principal inert gas in air

nitrogen

is

nitrogen.

The

role of

the physiological processes of inert gas

in

absorption and elimination and

its

role in

decompres-

and
breathed under pressure, the inert

sion sickness are discussed in detail in Sections 3

20.

When

air

is

nitrogen diffuses into the various tissues of the body.

Nitrogen uptake by the body continues,
Problem:

at different

rates for the various tissues, as long as the partial

Determine the number of high-pressure

air cylin-

ders required to supply the air for the above dive

(1897 scf)

if

the rated

pressure equals 2400

volume equals 240

psi,

pressure of the inspired nitrogen
partial pressure of the gas

is

higher than the

absorbed

in

the tissues.

scf, rated

Consequently, the amount of nitrogen absorbed increases

and beginning pressure equals

as the partial pressure of the inspired nitrogen (depth)

2000

psi.

and the duration of the exposure (time) increases.

Step

1

because the nitrogen partial pressure

When

How much

air

could be delivered from each cylinder?

Va = N(Pg - Pm)

exceeds that
tems.

k

the diver begins to ascend, the process

If

in

in

is

reversed

the tissues

the circulatory and respiratory sys-

the partial pressure of nitrogen in the blood

ambient pressure, bubbles can
and blood, causing decompression

significantly exceeds

240 scf
-

k

2400

=

„

0.

1

,

form

.

scf/ psi

in

the tissues

sickness.

psi

To prevent

Pm =

220

psi

+

90

+

33

I

X

33

=
Va =
Va

October 1991

1(2000

-

275)

X

0.1

172.5 scf/cylinder.

— NOAA

Diving Manual

ness, several

14.7

)

the development of decompression sick-

decompression tables have been developed.

These tables take into consideration the amount of
nitrogen absorbed by the body at various depths for
given time periods. They also consider allowable pressure
gradients that can exist without excessive bubble for-

14-19

Section 14

mation and the different gas elimination rates associated
with various body tissues.

Stage decompression, which involves stops of specific

durations at given depths,

because of

is

vals as the surface

used for

air diving

The decompresmore frequent inter-

approached because of the higher

is

gas expansion ratios at shallow depths.

pression tables

The

is

decom-

essential to the safety of a diving

constraints these tables and procedures

impose on the conduct of
always be a factor

body

residual nitrogen in a diver's

Residual nitrogen time
to actual

amount of

for a 12-hour period

bottom time

—Time

minutes) added

(in

for calculating the

decompres-

sion schedule for a repetitive dive, based on the con-

air diving operations

must

Equivalent single dive bottom time

—A

dive for which

the bottom time used to select the decompression sched-

ule

is

sum

the

of the residual nitrogen time and the

actual bottom time of the dive

Exceptional exposure dives
diver

is

—Any

dive in which the

exposed to oxygen partial pressures, environ-

mental conditions, or bottom times considered

14.6.1 Definitions

The

some terms used frequently

definitions of

used

letter that is

after a dive

dive planning.

in

—A

to designate the

cept of residual nitrogen

basic understanding of the use of these

operation.

decompression tables

operational simplicity.

its

sion tables require longer stops at

A

Repetitive group designation
in

in

to

be

extreme.

discussing the decompression aspects of air diving (which

are defined in the glossary) are:

—

Depth The maximum depth attained during the
dive, measured in feet of seawater (fsw)
Total bottom time

when

—The

time starting

total elapsed

the diver leaves the surface to the time (next

whole minute) that ascent begins

(in

14.6.2 Air

In the conduct of normal operations, two dive tables

are
•

minutes)

—

at

—A

Decompression schedule
lationships and instructions

set of

—60

No-decompression dive

—A

minute (18.3 m/min)

dive from which a diver

can return directly to the surface at a controlled rate

without spending time at shallower depths to allow
be eliminated from the body

—

Decompression dive Any dive involving a depth
deep enough or a duration long enough to require controlled decompression; any dive in which ascent to the
surface must be carried out through decompression
stops

Single dive

— Any

Residual nitrogen

dive conducted no less than

—A

same

Surface interval

—The

diver

of a previous dive

Table) (see

air dives, these

two tables cover

diving medical personnel in

maximum

tables

must be followed

safety.

In repetitive diving situations, these tables are

to

ensure

diving

supplemented by the U.S. Navy Residual Nitrogen
Timetable for Repetitive Air Dives (also called the
Repetitive Dive Table) (see Table 14-12), which is a
planning aid, not a decompression table.

Whether

a dive

is

a decompression or a no-decom-

involves observing the following instructions.
•

exposure

in

•

elapsed time between surfacing

the tables by the next deeper and next longer

DO NOT INTERPOLATE

Enter the tables at the

equal

to,

maximum
•

dive conducted within 12 hours

All dives that are not separately listed are covered

schedule;

in a diver's

surface for the next dive

—Any

Air

Except under the guidance of qualified
emergency situations, these

tine diving.

from the dive and the time when the diver leaves the

Repetitive dive

Standard

every possible decompression schedule required in rou-

theoretical concept that de-

amount of nitrogen remaining

tissues after a hyperbaric

14-20

the

B).

pression dive, the use of these decompression tables

2 hours or more after a previous dive by the

scribes the

called

Appendix

for controlling pressure

feet per

rate

No-Decompression

Navy Standard Air Decompression Table

For non-saturation

Normal ascent

1

U.S.
(also

re-

reduction

inert gas to

Navy No-Decompression Limits and RepetiGroup Designation Table for No-Decompres-

Table) (see Table 14-11).
•

depth-time

U.S.

used. These tables are:

sion Air Dives (also called the

and time are specified

by the decompression schedule used

commonly
tive

Decompression stop The designated depth and time
which a diver must stop and wait during ascent from

a decompression dive; the depth

Decompression Tables and Their

Applications

or

is

listed

depth that

is

exactly

the next greater depth than, the

depth attained during the dive

Select the bottom time of the bottom times listed
for the selected

depth that

is

exactly equal

to,

or

is

next greater than, the bottom time of the dive

NOAA

Diving Manual

—October 1991

Air Diving

and Decompression

Table 14-11

No-Decompression Limits and Repetitive Group
Designation Table for No-Decompression
Air Dives

No decomRepetitive Group Designation

pression

Depth

limits

(feet)

(mm)

60
35

25
20

mm

50

100

60

60
50

70

mm

80
90
100

i
1
1

210
110

300
160
100

75

350

135

180

240

325

Uhi

1,")

11,0

195
145

245
170

315
205

120
100
70
55

140
110
80
60
50

45

60

75

95

120

5

15

60
50
40
30
30

80
70
50
40
35

100

15
10
10
5

40
30

50

5

25
25

35
30
25

15
10

20
15

40
30
25
20

5

10

15

20

25

5
5

10

I?

15

 levels shown

oxygen toxicity

way

to

manage

is

not a limiting factor. At the
in

Table

15-1,

however,

considered the constraint.

A

CNS

simpler

the long-duration aspects of oxygen

exposure that takes whole-body toxicity into consideration can be found in the
tables (Hamilton,

Repex procedures and

Kenyon, Peterson

et

al.

(1988a):

take pulmonary

Recent research reported by Butler and Thalmann

toxicity into considera-

(1986) indicates that oxygen tolerance testing does not

15-1

Prolonged and repetitive exposure to high oxygen

— NOAA

In addition, at lower

Hamilton, Kenyon, and Peterson (1988b)).

pressures can cause lung damage, which

October 1991

reversible.

nary oxygen toxicity can limit exposures even when

Diving Manual

is

initially

screen satisfactorily for susceptibility to

CNS

oxygen

convulsions during working dives. Thus, continuation

15-3

Section 15

of

NOAA's

policy,

which

is

not to conduct oxygen

tolerance testing, appears appropriate. Butler and
Thalmann's experiments did demonstrate a direct cor-

between rapid cooling of core temperature
and the onset of oxygen toxicity.
relation

Another use
in

for nitrogen-oxygen gas mixtures occurs

the ambient water temperature, which can be unacceptable if the water is cold. The minimum inspired

NOAA

divers breathing air during the dive and breathing

normoxic nitrox

in the habitat.

(Saturation diving

is

discussed further in Section 16.)

15.1.3

Helium-Oxygen Mixtures

For diving to depths greater than 150 to 200 fsw
(46 to 61 msw), helium-oxygen mixtures are commonly
used; such mixtures often contain
well.

The

some nitrogen

as

substitution of helium for nitrogen elimi-

nates the nitrogen narcosis problem and

makes the gas

helium

easier to breathe, but the use of

associated

is

speech distortion, the so-called Donald
distortion has to

do with differences

impedance match between air spaces and the
surrounding tissues and the speed of sound in helium.
The effect becomes progressively more pronounced
with increasing depth. With experience, divers and
tenders learn to overcome some of the communication
interference imposed by this distorted speech. The
problem can be ameliorated further by using pressureinsensitive microphones and one of the commercially
available electronic helium speech unscramblers. Such
devices are commonly used for mixed gas dives to
depths beyond about 300 fsw (92 msw).
in the

Another problem associated with the use of helium
body heat loss, which is caused in part by the fact

that the thermal conductivity of helium

mately

six

times that of

for a dive of

air.

Heat

loss

is

approxi-

occurs both from

any dura-

tion are presented in Figure 15-1.

Divers

who

are being compressed to deep depths

may

while breathing helium-oxygen mixtures

experi-

ence other physiological phenomena. Hyperbaric
arthralgia (pain in the joints) may occur during compression and after arrival at the maximum depth. These
pains tend to improve with time and can be controlled
by compressing slowly. Another problem is the high
pressure nervous syndrome (HPNS), which manifests
itself in tremors of the hands and jerky movements of
the limbs, dizziness, nausea, decreased alertness, and
the desire to sleep

enced

HPNS

when

not active. Divers have experi-

during heliox and hydrogen-oxygen dives.

These symptoms are accompanied by changes in the
electrical activity of the brain (as shown by an electroencephalogram). Although the cause of

with other problems.

One of these is
Duck effect. This

recommended

gas temperatures

shallow saturation and saturation-excursion diving.

These dives have traditionally been performed by

is

because without supplemental heating, the
temperature of a diver's breathing gas will approach
essential,

really understood, experience has

HPNS

shown that

it

is

not

can be

controlled by using a slow rate of compression, or, for

very deep dives, a staged compression profile.

During decompression from a dive using a heliumoxygen breathing gas mixture, the divers
to

an

air mixture,

may

be shifted

both to increase the rate of helium

offgassing from the body and, in 'bounce' dives (short,

deep dives), to conserve the amount of helium used
during the dive. At depths greater than 100 fsw
(31 msw), if the body is surrounded by a helium-oxygen
mixture (as in a diving bell or chamber) and the diver is
breathing a nitrogen-oxygen mixture by mask, gas
gradients can develop through the skin, causing a severe

itching that

is

similar to the itching of skin bends and

predisposing the diver to vestibular decompression sickness.

This phenomenon, in which one inert gas

while another inert gas surrounds the body,

is

is

inhaled

referred

to as isobaric counterdiffusion (see

and from the
respiratory tract because of the heat capacity of compressed gas. In deep saturation dives that use heliumoxygen mixtures, there is a significant and continuous
insensible heat loss even if the divers are thermally
comfortable. The most obvious reflection of this effect
is an increased dietary caloric intake, but it also means
that special effort needs to be made to ensure that
helium-saturated divers are properly rewarmed between

Section 3.2.3.3).
Counterdiffusion can be avoided by shifting to air
gradually or doing so at a shallow depth and by preventing
the divers from breathing air at depths deeper than
100 fsw (31 msw) when their tissues are equilibrated

depth (with

contribute to the tissue's gas loading, which must be

the skin because of thermal conductivity

dives. Respiratory heat loss increases with

any gas, not just helium) to the point where, at about
800 fsw (246 msw), it is as great as an individual's
entire metabolic heat production. For dives of sufficient depth

15-4

and duration, heating the breathing gas

is

with a helium atmosphere.

Pure oxygen

is

commonly used

for breathing during

the later stages of decompression from mixed gas dives.

Since oxygen

is

consumed by the body,

it

does not

reduced to provide safe decompression. Oxygen breathing,

however, can be used only during the shallower

portions of the decompression profile because of the

danger of oxygen poisoning (see Sections 3.3 and 20.4.3).

NOAA

Diving Manual

—October 1991

Mixed Gas and Oxygen Diving

Figure 15-1

Minimum Safe Inspired
Gas Temperature Limits
signal an incipient convulsion are facial twitching,
Inspired

Inspired

dizziness,

Gas

Gas

ria,

Temp

Temp

(*C)

(°F)

25

1

20

68

likely.

Section 20.4.3 provides a further discussion of

oxygen poisoning and the appropriate corrective
For long-term exposures

59

15

nausea, lightheadedness or confusion, eupho-

and dilation of the pupils. At oxygen partial pressures of 1.3 ATA and lower, CNS oxygen toxicity is not

habitat, the
10

50

5

41

s^
-5

600

900

800
(Fsw)

700

I

NOTE

23

The likelihood

1000

of

directly related to

CNS oxygen
work

25
30
Absolute Pressure (ATA)

The physiological and

F MM

°C

°F

Fsw

°C

& 30

-1.0

30.1

9.4

6 50

1.7

7 DO
7 50
a DO

4.0

35.0
39.2

6.0

42.9

850
900
950
1000

7.8

46.1

°

F

toxic boundaries of

51

12.1

53 .8
55 .9

13.3

NOAA

(1979)

Oxygen Concentrations

in

Breathing

Mixtures
oxygen that is considered
normal and to which humans are adapted is 0.21 ATA.
A healthy person can maintain the oxygen level of
blood at a tolerable level even if the inspired oxygen

ATA

atmospheric pressure). Below

(16 percent oxygen

this level,

performance

when the
ATA. Levels much

distinctly impaired; unconsciousness occurs

drops acutely below about 0.10

level

below

cause brain damage or death

this will

if

main-

more than brief periods.
Demonstrable pulmonary oxygen toxicity is likely to
occur when the inspired oxygen partial pressure exceeds
0.6 ATA for prolonged periods (several days), and
tained for

acute toxicity

may

to higher levels.

from much shorter exposures

result

The oxygen

partial pressures that

can

be tolerated for limited periods of time during normal

exposures on a regular repetitive basis are shown
Table

15-1.

Most people can

greater than 2.0

ATA

for

in

tolerate partial pressures

many minutes

while at

and 495 fsw (0.16 and 1.6
ble, provided exposure time
not exceed 45 minutes (Table

major problem with these devices

The most recent research
in

exercising

human

results

oxygen poisoning occurs varies inversely with
and differs significantly among individSymptoms of acute oxygen poisoning that may

oxygen

toxicity.

volunteers are reported by Butler

NOAA

General Safety Precautions

Oxygen
it

is

for

Oxygen

the most hazardous gas divers handle

lowers the ignition temperature of flamma-

ble substances

and greatly accelerates combustion.

Hydrocarbons

uals.

ence of oxygen, and oxygen

Diving Manual

is

on pure oxygen diving

and Thalmann (1986). Table 15-2 shows depth-time
limits for pure oxygen working dives. As noted earlier,
exposure times somewhat greater than those shown at
the highest pressures in Tables 15-1 and 15-2 are
possible without the occurrence of oxygen convulsions;
however,
finds that the conservative limits
established in Table 15-2 (as well as in Table 15-1)
are satisfactory for NOAA diving operations. (Note
that the exposure times in Table 15-2 are different
from those presented for pure oxygen breathing in the
second edition of the NOAA Diving Manual.)

activity level

— NOAA

15-1).

rest;

the treatment of decompression sickness.

October 1991

permissi-

understanding of the principles and hazards involved;
a

because

CNS

is

depth does

apparatus. Use of this equipment requires a thorough

The
which the onset of symptoms of

in

oxygen)

maximum

cations call for the use of a pure oxygen 'rebreather'

15.1.4.1

partial pressure at

ATA
at

Certain research investigations and military appli-

these levels are used in both routine decompressions

and

oxygen

depth and percentage

any fixed depth, it is feasible to breathe a wide
range of oxygen mixtures without ill effects. Figure 15-2 and Table 15-1 may be used together to determine the usable depth range and dive duration for a
fixed oxygen fraction or percentage. For example, at
10 percent oxygen by volume, a depth range between

partial pressure of

pressure drops to about 0.16

is

is

for

.5

21

at

poisoning

of oxygen are shown in Figure 15-2, which shows that,

48 .9

10.8

Source:

The

ATA.

level.

partial pressures as a function of

15.1.4

or a

partial pressure of the breathing

I

I

20

32

actions.

chamber

gas should be maintained between 0.3 and 0.4

Minimum Temperature
nf X ^X XX

80

^ ^ X,
X V 1 ^x

60

40
30

Ni

^~"~~---^
20

\

iXVsNV

\

XX

o

Time-Dependent
'

c

|\ \
I

s

b

NX

6

N

4

3

Hyp oxia

L

1

i

/ Y/

1

Symptoms' J
Helpless
1

E

^
V
v

N

Depth Range

\

\\\\

.

J

\

\v

6

^

Si N>
v^
^ *
^
N

x

s

3N

imits

2
First

\

o
*-

<

x K NX
f

a.

N

en

8

O
O

Toxicity

Range

^v

QJ

10

CNS

i XX
XSJ

\

\

\

\

X

N

\

D
(/>

U)

a.

"5

X
^n

s

v

2.0
1.8
1.6
1.5
1.4
1.3
1.2
1.0

f

/

\N

U nconscious
1.0

s

x

0.8

N

\

0.6

X\

0.6

0.4

W

0.3

0.3

0.21

N

0.2

0.16

0.12
0.10
10

20

30

40

60

80

200

100

300

400

600

800 1000

2000

Depth, Feet of Sea Water

A wide range of oxygen mixtures can be used without the diver experiencing effects during the dive. For example, near 200 fsw (61 msw)
may contain as little as 3 percent oxygen (0.21 atmosphere partial pressure) in extreme duration exposures. However, at
18 percent oxygen (1.3 atmosphere partial pressure) at the same depth, the diver can remain only for 3 hours (Table 15-1) without
ill

the mixture

deleterious effects.

Adapted from

15-6

NOAA

Diving Manual

NOAA

(1979)

— October 1991

Mixed Gas and Oxygen Diving
Table 15-2

Depth-Time Limits

for

Breathing Pure Oxygen
During Working Dives

Scuba

15.2.1

Maximum

Oxygen

Maximum

Single

Depth

Pressure

Dive

Exposure

(few)

(atm)

(min)

(min)

240
210
210

5

1.15

180

10

1.30

180

15

1.45

180

20
25
30
35

1.61

150

180

1.76

80
40

150
120

1.91

2.06

20

The scuba mode is generally associated with comautonomy of diver operation. The semi-closed

Daily

plete

and closed types of scuba systems, however, include
variations that utilize a gas umbilical either as a pri-

mary

or

15.2.1.1

backup source of breathing

Open-Circuit Systems

Open-circuit mixed gas systems are identical to com-

80

mon scuba systems
Repetitive dives to the

a 2-hour surface

maximum

interval.

the

If

single dive limit

maximum

must be separated by

daily

exposure

these additional dives must be separated by a

reached,

is

gas.

12-hour surface

tion.

The only

in

terms of equipment and opera-

difference

that the gas cylinders are

is

with a mixed gas (nitrogen-oxygen or helium-

filled

oxygen) rather than

Since mixed gas

air.

is

more expen-

interval.

sive than air,
Derived from data

Aerospace Data System,

in

the International Diving and
Environmental Medicine,

Institute for

University of Pennsylvania by C.

J.

Lambertsen and
R. E.

Peterson

its

use usually

limited to those diving

is

operations where the advantages gained by using a
special gas mixture outweigh the cost.

These advan-

tages are an increase in allowable diving depth, an
increase in possible bottom times for initial or repetitive

heat.

When

materials burn in oxygen, the flame tem-

Oxygen
25

cles;

contaminants and loose

is

called 'cleaning for oxygen service/

of the purity required for diving

is

in

generally

commercial and

open-circuit

scientific diving.

Within a limited range, the

parti-

the process used to ensure that oxygen systems

Oxygen

decompression

in

the general use of these mixtures, they are used widely

minimum

Oxygen systems must be cleaned

free of organic

are safe to use

(for longer dives) a decrease in

of

emp-

cylinders should never be completely

entering the cylinder.

and kept

The most common gases used

pressure to prevent contamination from

air.

but should be maintained with a

psi cylinder

and

time.

systems are mixtures of nitrogen-oxygen, heliumoxygen, and helium-nitrogen-oxygen. Although the
lack of publicly available decompression tables limits

peratures are higher than they are in

tied,

dives,

can be used

to

determine

decompression tables

air

a diver's

decompression

requirements after a nitrogen-oxygen dive. The advantages and limitations of nitrogen-oxygen mixtures other

Section

These advan-

refined by cryogenic separation from air. In the United

than air are described

States, oxygen

tages are illustrated further by the no-decompression

is

color-coded green.

shipped

The

label

in

gas cylinders that are

on the cylinder, also color-

coded green, provides exact data as
oxygen in the cylinder.

to the

grade of

in

Table 15-3

limits given in

15. 1.2.

68 percent nitrogen, 32

for a

percent oxygen breathing mixture, a mixture that has

been utilized
is

in

designated

NOAA

several

NOAA

diving operations and

Nitrox-I.

The

limits

shown

in

Table 15-3 are based on extensive diving experience

15.2

DIVING WITH MIXED GAS
GAS DIVING EQUIPMENT

AND MIXED

Mixed gas diving can be performed with
equipment, the most
into

common

in

Navy
a variety of
air

of which can be divided

two general categories: scuba and surface-supplied.

Included within the scuba category are the open-circuit,

semi-closed-circuit, and closed-circuit systems.

surface-supplied category includes the standard

MK

The
Navy

12 heavyweight dress and a variety of lightweight

surface-supplied helmets and masks (see Section

5).

Equipment supplied by different manufacturers
requires the use of different operating procedures. Therefore, operating

manuals

each type of equipment
should be obtained from the manufacturer before any
of the equipment described below is used.

October 1991

— NOAA

NOAA,

and the breathing mixtures shown fall
about the mid-range of mixtures used by the U.S.

within

for semi-closed systems.

To

utilize the

decompression tables with an enriched

oxygen breathing mixture,

it

is

standard

air nitrogen-

necessary' to calculate

first

an equivalent air depth (EAD). This is the depth at
which air will have the same nitrogen partial pressure

mix has at the depth of the dive. The
and the bottom time are then used to enter the
standard air decompression tables.
EAD is determined as follows:
as the enriched

EAD

EAD

(fsw)

=

[(1

-

F0 2 )(D +

33)/0.79] - 33

for

Diving Manual

where

F0 2 =

fraction of

the gas mixture;

D =

:

=

percent/ 100 of

O^

in

deepest depth achieved during

15-7

Section 15

Table 15-3

NOAA

NITROX-I (68%

N,,,

32%

2)

No-Decom-

pression Limits and Repetitive Group Designation
Table for No-Decompression Dives

No-decompression
Limits, min

Depth,
fsw

15
20
25
30
40
45
50
60
70
80
90
100
110
120
130
140
150

310
200
100
60
50
40
30
25
25
20
15

A

B

C

D

60
35
25
20
15

120
70
50
35
30
15
15

210
110
75
55
45
25
25
15
15

300
160
100
75

5
5

10
10

5

10
10
10

5

7

5

5

5

5
5

10

See Section

15.2.1.1 for

an explanation of

the dive (expressed in fsw),
of nitrogen in

air,

7

5

60

40
30
25
20
15
15
12
10
10
10
10
8

F

225
135
100
75

350
180
125
95
60
50
40
30
30
25
20
20
20

50

40
30
25
20
20
15
15
15
13
12
10

G

H

240
160
120
80

325
195
145

70
50
40

35
30
25
22
22
20

15
15

100
80
60
50
40
35
30
25
25

J

K

L

315
205
140
110
80
60

250
160
130
90

310
190
150
100

I

245
170
120
100
70
55
45
40

and 0.79

is

the percentage

Since oxygen partial pressure also
it

may
is

be a limiting

calculated as

15.2.1.2

A

semi-closed-circuit system

portion of the exhaled gas
is

is

is

where

D =

in fsw).

For

deepest depth achieved during dive (expressed

NOAA Nitrox-I dives, F0 2 =

means

Using these equations, Table 15-4 has been calculated for NOAA Nitrox-I (68 percent N 2 32 percent
,

2)

mixtures and gives the

EAD

maximum

NOAA

in

(1979)

one

in

which only a

of this system over
efficient utilization

is

used by the body. This

that, for a given gas supply, the diver

in turn

can spend

the oxygen partial pressure at the

may

D
be

entered directly without calculation, using actual depth

•

Possible reduction in the effects of nitrogen narcosis

gen concentration

is

increased;

because higher concentrations of oxygen

may be

used.

The penalty

and bottom time.

their flexibility

•

Table 15-1. As a further aid to users of

Nitrox-I in open-circuit scuba, Appendix

and

oxygen content;
Reduction of decompression time and of the likelihood of decompression sickness because the oxyto vary the

allowable normal oxygen exposure time

contains nitrox decompression tables that

Increased depth, because of these systems' ability
to use a variety of inert gases

associated with the calculated oxygen partial pressure, as

depicted

NOAA

closed-circuit systems are:

actual depth of the dive, and, for reference purposes,
the

Source:

associated with actual
•

EAD,

310

a longer time under water. Other advantages of semi-

dive depth, the standard air table that would be used

based on the

270
200

of the diver's gas supply, since only a small portion of

the inhaled oxygen

0.32.

220
170

recirculated within the system and re-

The obvious advantage
the open-circuit system is more

33)/33

O

vented into the sea; the

breathed.

P0 2 (ATA) = F0 2 (D +

N

Semi-Closed-Circuit Systems

remainder

follows:

M

50

this table.

expressed as a decimal.

factor in nitrogen-oxygen dives,

E

for this increased efficiency

is

increased

complexity of diving equipment and procedures. Because
a major portion of the exhaled gas

WARNING
The Decompression Tables Contained In
Appendix D Are Applicable Only to Dives
Using NOAA Nitrox-I (68 Percent N 2 32 Per,

In Open-Circuit
cent
2 ) as the Breathing Gas
Scuba. These Tables Must Not Be Used When
Breathing Air or Any Other Nitrogen-Oxygen
Mixture

15-8

is

recirculated, a

removal of exhaled
carbon dioxide. Failure to remove the carbon dioxide
would result in hypercapnia, discussed in Section 3.1.3.2.
The most common method of removing carbon dioxide
(C0 2 ) is by means of a scrubber containing a C0 2

means must be provided

for the

absorbent. As the exhaled gas passes through the packet
bed of absorbent, the carbon dioxide is removed.
Sodasorb® is the most commonly used absorbent; another

NOAA

Diving Manual

— October 1991

Mixed Gas and Oxygen Diving
Table 15-4
Equivalent Air Depths (EAD) and Maximum Oxygen
Exposure for Open-Circuit Scuba Using a Breathing
Mixture of 68% Nitrogen and 32% Oxygen (NOAA Nitrox-I)

Oxygen
Actual Dive

Equivalent

Depth.

Air Depth,

fsw

fsw

USN

Air

Partial

Pressure at Actual

Maximum Oxygen

Diving Depth,

Exposure,

ATA

min

Table

fsw

15

8.3

0.47

„

20

12.6

0.51

16.9

0.56

1.19

720
720
570
570
450
450
450
360
300
240
210

1.29

180

25
30
35
40
45

29.8

0.71

34.1

0.76

50

38.4

40

0.80

60
70

47.1

50

0.90

55.7

80
90

64.3

60
70

1.10

100

81.5

110

90.1

120

98.7

130

107.3

21.2

0.61

25.5

0.66

1.00

80
90
100
100
110

72.9

1.39

150

1.48

120

1.58

45
*

(O,) exposure = maximum time to be spent at the indicated P0 2 as per NOAA Oxygen Partial Pressure Limits
Normal Exposure (Table 15-1). * = Exceptional exposure as per NOAA 0> (ygen Partial Pressure Limits Table (Table 15-1).

Maximum oxygen
Table

for

NOAA

Adapted from

material
ents

is

is

Baralyme®. The effectiveness of these absorb-

reduced

at

(1979)

Because most semi-closed-circuit systems use a preset
flow principle, they are subject to certain operational

low temperatures.

limitations.

The breathing bag oxygen percentage

NOTE

'bag level' (average

Semi-closed-circuit scubas are manufactured
by several U.S. and European companies.
Because of the complexity of this equipment
and related safety considerations, operating
manuals and training should be obtained from
the equipment manufacturer before using it.

the diver and the

level in the
2

or

system) must be

predetermined, based on the anticipated work rate of

Because only a portion of the exhaled gas
the water, the remainder

(breathing bag) until

it

is

must be stored

is

vented into

in a reservoir

used for the next inhalation.

Furthermore, the vented gas must be replaced by the
addition of a like
cylinder).

amount

Finally, the

of gas

from a gas supply (gas

oxygen deficiency

in the

exhaled

gas caused by the body's metabolic uptake must be

more oxygen.

In most semitwo
functions,
gas addition
closed systems, the latter
and oxygen enrichment, are accomplished by a constant mass flow of oxygen-rich gas from a high-pressure

corrected for by injecting

gas cylinder into the breathing bag.

October 1991

— NOAA

Diving Manual

maximum

allowable oxygen partial

pressure at depth. These considerations establish the
flow rate setting and oxygen percentage

in

the supply

mixture. The oxygen percentage

governed by the
that

may

maximum

be breathed safely

in the mixture is
partial pressure at depth

if

the recirculation system

must be bypassed and the supply gas used for direct
breathing. Flow rate setting is based on the percentage
of oxygen in the supply mixture and the diver's anticipated work rate or oxygen utilization rate.

The use

of a system with preset limits

means

these limits cannot be altered during the dive

that

if

the

underwater situation changes. As an example, depth
cannot be increased without the danger of oxygen poisoning, which would occur if the premixed gas was
used at a higher pressure.
exertion

may

A

flow rate set for

be insufficient for a

minimum

strenuous swim and

might also produce hypoxia because of overconsumption
of the available oxygen.

The depth range over which

a

15-9

Section 15

semi-closed-circuit system can be employed also
limited by injection gas considerations.

deploying from the surface must have a

oxygen

level of 16 percent at 1.0

The oxygen concentration

ia.

ATA

in the

A

is

free diver

minimum bag

to avoid

longer and the quantity of breathing gas that must be

carried

maximum

supply mix and

depth of the dive because

of partial pressure limits. In practice, the

maximum

depth at which the highest oxygen percentage can be
breathed

is

the depth at which the partial pressure of

oxygen equals

1.6

ATA. Common

mixtures with this

partial pressure are:
•

60 percent oxygen-40 percent nitrogen;

maximum

depth 55 fsw(17 m).
•

•

40 percent oxygen-60 percent nitrogen;

Oxygen consumption
level (see

will vary,

Table

14-5).

hypox-

Mixed Gas Rebreathers

flow rate considerations for the surface condition obviously will govern the

smaller.

is

depending on the diver's exertion

maximum

Mixed gas rebreathers
and separate gas supply

utilize

two

distinctly different

cylinders, one of

which contains

100 percent oxygen and the other a diluent gas. The

may be

diluent gas

nitrogen/oxygen, or helium/

air,

oxygen. The choice of nitrogen or helium

in the diluent

depends on the depth of the dive. The inclusion of
oxygen in the diluent provides a source of oxygen in the
event of failure of the oxygen control system. Diluent
gas is added automatically and breathing gas is vented
automatically from the breathing bags to keep the

depth 99 fsw (31 m).

pressure in the breathing circuit equal to the pressure

32.5 percent oxygen-67.5 percent nitrogen;

of the surrounding water.

maximum

cally to the breathing circuit to maintain a fixed,

depth 129 fsw (40 m).

Oxygen

is

added automati-

preselected oxygen partial pressure in the circuit.

Mixtures that are richer

in

oxygen decrease decom-

pression requirements but are limited to shallower depths

ent gases.

because of concerns for oxygen poisoning.

A

number

The added complexity

of factors directly affect the duration of

the breathing gas supply:

(see Figure 15-3)

is

a

mixed gas rebreathers
result of the oxygen control
of

system. Sensors that measure oxygen partial pressure
are installed in the breathing circuit.

•

•
•

Flow rate (dependent on work loads and resulting

C0 2 production);
C0 2 absorbent characteristics and canister capacity;
Changes

depth (duration

in

is

decreased because

of loss of gas from the breathing bag each time an

made);
Tank capacity (and the pressure to which
ascent

•

Manual

bypass systems are included for both oxygen and dilu-

is

sensor

used to provide redundancy

is

sensor failure during a dive.
sensors

is

More than one
in the

The output

fed to a display that

is

event of

of these

monitored by the

diver and that reads out the oxygen partial pressure

breathing circuit. Sensor output also

in the

is

fed to

an electronic control circuit that compares the sensor
it

can be

filled).

output to a preset value that represents the desired

oxygen

partial pressure. If the sensor output indicates

that the oxygen partial pressure in the breathing circuit

15.2.1.3

Closed-Circuit Systems (Rebreathers)

The closed-circuit (rebreather) system is a further
advance in the efficiency of scuba systems that has
been achieved at the price of increased complexity.
Like the semi-closed-circuit system, the rebreather
employs breathing bags and a carbon dioxide scrubber; however, unlike the semi-closed-circuit systems,
rebreathers recirculate all of the exhaled gas within
the system. Furthermore, the rebreather operates with
a constant oxygen partial pressure, regardless of working

depth.
is

Oxygen metabolically consumed by

the body

within the preset limits, no oxygen

circuit.

or replaced after each dive.

duration

is

The

rebreather's operating

depth and is usuby the capacity of the carbon dioxide

relatively independent of

ally limited

scrubber.

replaced from a bottle of 100 percent oxygen.

When

using any closed-circuit scuba, the utilization

of the available oxygen
the only gas that

amount

is

is

nearly 100 percent, because

expelled into the surrounding water

purged intentionally from the
system or vented automatically as the gas expands
during ascent. This means that the gas supply will last
is

is added to the
However, should the oxygen partial pressure
be less than the preset limit, power is provided to
pulse open a solenoid that permits a fixed amount of
oxygen to flow from the oxygen bottle into the breathing circuit. Power to operate the oxygen control system
is provided by batteries that must either be recharged

is

the

15-10

that

is

Oxygen Rebreathers

An

oxygen rebreather

is

a special type of rebreather

means that the diver
The oxygen rebreather

requiring no diluent gas, which

breathes 100 percent oxygen.
utilizes

breathing bags and a carbon dioxide scrubber,

as in the case of mixed-gas rebreathers; however, since

NOAA

Diving Manual

— October 1991

Mixed Gas and Oxygen Diving
Figure 15-3
Closed-Circuit

Table 15-5

Mixed-Gas
Scuba (Rebreather)

Standards

Air Purity

Component

Purity

—Oxygen concentration
—Carbon monoxide

20-22% by volume

—Carbon dioxide

1000 ppm maximum
20 ppm maximum
25 ppm maximum

— Total hydrocarbons
other than methane
— Particulates and mist

—Odor and
Measured

o

5 mg rrr maximum
Not objectionable

oil

taste

at

standard temperature and pressure.
Source:

the diver breathes

US Navy

100 percent oxygen, there

(1988)

is

no

requirement for an oxygen control system or batteries.

Most

mouthpiece breathing valve assem-

units have a

bly, breathing hoses, inhalation

Courtesy Biomarme.

Inc.

Courtesy Biomanne.

Inc.

and exhalation breathing

bags, a

COi

cylinder,

and an adjustable gas-flow regulating assembly

(Figure

15-4).

absorption canister, an oxygen supply

This simplification

the equipment,

in

Figure 15-4
Closed-Circuit Oxygen
Scuba (Rebreather)

however, does impose severe restrictions on the manner

in

which the oxygen rebreather may be used. The

most significant of these restrictions

the limitation

is

on operating depth.

When

using a closed-circuit oxygen rebreather,

it

is

necessary to purge both the apparatus and the lungs

with oxygen before entering the water to eliminate
nitrogen and air from the breathing system. If the
is not eliminated from the breathing bags
and lungs before the initiation of oxygen breathing,

excess air

sufficient nitrogen

a breathable

may remain

volume of

in

the system to provide

During
from the

a hypoxic gas mixture.

a prolonged dive, the nitrogen eliminated

body can cause a measurable increase of nitrogen in
medium. The danger of excess nitrogen
in a closed-circuit system is that hypoxia (see Section 3.1.3.1) may occur if the volume of nitrogen is
the breathing

enough

to

or death

dilute or replace the oxygen.

may

result

Unconsciousness

from hypoxia (see Figure

15-2).

WARNING
Divers

May Not Be Able

to

Sense the Onset

of

Hypoxia

Advantages and Limitations
The advantages

of closed-circuit oxygen scuba include

freedom from bubbles, almost completely
tion,

and

maximum

carried by the diver.

silent opera-

utilization of the breathing

A

medium

small oxygen supply lasts a long

time, and the duration of the supply

is

not decreased by

BYPASS VALVE

depth. Divers are not subject to decompression sickness or nitrogen narcosis while using closed-circuit

October 1991

— NOAA

Diving Manual

15-11

Section 15

oxygen scuba because there

is

no inert gas

in their

breathing gas.

The major

the complexity of the equipment required on the surface, including large supplies of gas, various quantities

limitations of

to the toxic effects of

oxygen rebreathers are related

oxygen on the body, which sharply

of different gas mixtures, compressors, special

limit the depths at

which rebreathers can be used
The oxygen system must be thoroughly purged

generally

safely.

tific

at the

beginning of each dive, after

1

up

An

excess

system as a result

in the

limited to military, commercial, or scien-

is

applications.

hour of submer-

gence, and again immediately before ascent.
of carbon dioxide can build

15.3

BREATHING GAS PURITY

of absorbent exhaustion, wetting of absorbent, improper

Whatever the breathing gas or gases used,

canister filling, or over-breathing of the system.

tial

Because of the chance of oxygen poisoning,
rarely uses

oxygen rebreathers

at

decom-

pression tables, and so forth, surface-supplied diving

depths

in

NOAA

excess of

it

is

essen-

that the necessary standards of purity be met.

Standards are

set

by the Federal government and by

private organizations.

25 fsw (8 msw) (Table 15-2). Dives deeper than this

depth

will result in a

much

time; for example, the

shorter allowable bottom

maximum

permissible dive

using this apparatus for a period of 20 minutes

is

35 fsw

msw, Table 15-2). The use of rebreathers beyond
these limits can result in serious or fatal accidents
involving oxygen convulsions. The amount of training
required and the extensive maintenance requirements

(11

15.3.1

Compressed

divers' breathing air are discussed in:

U.S.

•

Occupational Safety and Health Administration,
Standard for Commercial Diving Operations (29

CFR

NOTE

Navy Diving Manual (1988)

•

further restrict the use of this equipment.

•
•

Oxygen rebreathers are manufactured by several U.S. and European companies. Operating manuals and training must be obtained
from the manufacturer before attempting to
use any rebreather.

1910, Subpart T)

Compressed Gas Association Grade F standard
American National Standards Institute, Z86.1
standard.

The most commonly used air standards for
practice are summarized and shown in Table

15.3.2 Diluent
15.2.2

Surface-Supplied Mixed Gas Equipment

Surface-supplied mixed gas diving includes those
forms of diving in which a breathing mixture other
than air is supplied to the diver through a hose from the
surface. Either nitrogen-oxygen or helium-oxygen gas

mixtures

may

be employed, depending on the depth of

the dive. In addition to the U.S.

Navy

MK

12 surface-

supported diving system, there are a wide variety of

masks and helmets manufactured worldwide that may
be employed (see Section 5). Most military surfacesupplied equipment utilizes a constant flow of breathing gas through the mask or helmet. Although this
results in a very high gas usage rate, equipment of this
type

is

simple to use.

To reduce

gas consumption, some

surface-supplied equipment incorporates a recirculation

feature that permits a portion of the gas leaving the

helmet

to

be recirculated through a carbon dioxide

surface-supplied equipment in commercial use

employs a demand mechanism similar
(except that

15-12

it

is

to that of

scuba

supplied by an umbilical). Because of

Gas

safe diving
15-5.

Purity

Mixed gases are used with mixed gas scuba or with
equipment using helmets designed specifically for
mixed gas. Various grades of the different gases are
produced

for different uses.

Helium is produced in several quality verification
levels (QVL); QVLG is approximately 99.999 percent
pure,

free of oil

is

and moisture, and

is

suitable for

use in diving. Several private manufacturers and the

Federal government produce helium.

Nitrogen, oxygen, and neon are produced by the
cryogenic fractioning of

air.

number

as a by-product of a

Hydrogen

is

produced

of chemical processes

or by the electrolysis of water.

Nitrogen purity

BB-N-4HC.
of

Type
•

scrubber and back through the mask. The most popular

Air Purity

There are several specifications for the purity of
breathing air. The requirements most applicable to

I

defined in Federal Specification

(gaseous), Class

Grade
tent,

is

This specification describes three grades

A

no

•

Grade B

•

Grade

is

1

(oil free)

nitrogen:

99.95 percent pure, low moisture con-

solids;
is

C

99.5 percent pure, low moisture content; and
is

tent specified

99.5 percent pure, no moisture con-

(US Navy

NOAA

1987).

Diving Manual

—October 1991

Mixed Gas and Oxygen Diving

C may

1

in

Grades A,

for diving operations

if

the trace contaminants in the

Nitrogen of Class

B, or

be used

which may not constitute more than 0.5 percent by
volume, consist only of oxygen and carbon dioxide. A

gas,

high percentage of CO-, contamination

C

nitrogen

may

preclude

label on the cylinder

may

its

Grades B or

in

use as breathing gas.

The

provide data about class and

grade.

The

individual gases used in preparing various breath-

ing mixtures are available in a highly pure state.

Any

trace contaminants are usually the result of cleaning

agents used to prepare the gas containers. (For additional information, see the most recent Compressed
Gas Association Handbook of Compressed Gases.)

and the effects of inadequate ventilation (carbon
dioxide).

The use
diving.

of gas analysis

is

essential in

Because both hypoxia (oxygen

mixed gas

partial

pressures

below the normal range) and oxygen poisoning are

hazards

in

mixed gas diving,

it

is

real

essential that the

oxygen content of the gas supply be known before a
dive. Oxygen analysis is the most common but not
the only type of analytical measurement performed in
mixed gas diving. When selecting an instrument to
analyze one or more constituents of a gaseous atmosphere, two instrument characteristics are particularly
important: accuracy and response time. Both accuracy

and

sensitivity within the range of the expected con-

centration must be adequate to determine the true

Oxygen

15.3.3

value of the constituent being studied; this can be a

Purity

problem when samples must be taken

The

purity standards for oxygen are detailed in Mili-

tary Specification

MIL-0-27210 (US Navy 1988).

This specification categorizes oxygen

sure.

that
three grades:
•
•
•

Grade A
Grade B
Grade C

at elevated pres-

also important that the response time of the

is

instrument be adequate for the situation. Other factors

the following

in

It

may

be important

in the selection of analytical

instruments are accuracy, reliability, sampling range,
portability,

Aviator's oxygen
Industrial, medical oxygen

and

cost.

Instruments for testing the composition and purity
of gases fall into two categories: those for laboratory

Technical oxygen.

use and those for field use. Laboratory instruments are

Grades A and B differ in moisture content. Grade A,
used by aviators, must be extremely dry to prevent
freezing at the low temperatures associated with high
altitudes.
5

ml of

Grade B

free

is

water per cylinder. Grades

are suitable for use in a breathing

Both Grades

A

maximum

allowed to contain a

and B oxygen

medium

and B are required

pure oxygen and must pass

A

to

of

for divers.

be 99.5 percent

tests for acidity

and

alkalinity,

carbon dioxide, carbon monoxide, halogens, and other
oxidizing substances, as specified in the current edition of the

oxygen,

is

Grade C,
may have an

U.S. Pharmacopoeia.

safe to breathe, but

it

technical
objection-

able odor and, for that reason, should not be used in
diving.

complex and highly accurate and include the mass
spectrometer, the gas chromatograph, and other chemical
analysis devices. These instruments generally are not
available at dive sites because they require specialists

trained in their use, operation, calibration, and interpretation of the data and are expensive.

Some

private and state agency health laboratories

provide air analysis services. Several private laboratories

provide diver air analysis services and will supply

diving firms or organizations with air sampling kits

designed to meet the requirements specific to the air

supply system being used (Figure 15-5). Using this
equipment and the directions supplied with such kits,

samples can be collected from the compressor,
oil mist and solid particles can
be collected from the compressor's filter system, and
samples of the ambient air can be obtained to provide
background levels of contamination. The kit and samair

particulate samples for

15.4

BREATHING GAS ANALYSIS

The type and concentration of

the constituents of breath-

ing gas are vitally important because adverse physio-

can occur whenever exposure duraand concentrations of various components in the

The

for

logical reactions
tions

ples are returned to the laboratory for
sis.

breathing atmosphere vary from prescribed limits.
quality of the breathing gas

is

important

in

both

air

and

mixed gas diving. Because the basic composition of the
gas is fixed in air diving, primary attention is directed
toward the identification of impurities (carbon monoxide,

hydrocarbons) that

October 1991

may

— NOAA

be present

in

the air supply

Diving Manual

immediate analy-

Using modern gas chromatography equipment and

other appropriate techniques, the samples are analyzed

carbon monoxide, carbon dioxide, methane,

gaseous hydrocarbons, oxygen, nitrogen,
other particulates. U.S.

Navy standards

oil

mist,

total

and

are generally

used as an air purity guideline.

Instruments also are available for

field use that pro-

vide sufficiently accurate data to determine whether a gas

15-13

Section 15

Figure 15-5
Air Analysis Kit
for On-Site Use

of carbon monoxide in ambient

air. Field equipment
works either on the potentiometric or colorimetric

(Figure 15-6) principle. Potentiometric analyzers are
generally more costly than colorimetric devices, and

color-indicating analyzers are therefore used

more

frequently.
It

commonly assumed

is

that unpolluted air

com-

pressed in a well-maintained compressor designed for

compressing breathing gas will meet oxygen and carbon dioxide requirements without testing. However, a
simple test for water,
gas can be performed.

minutes
then opened

at least 5

valve
Courtesy Texas Research

Institute

is

or particulate matter in the

oil,

The gas

cylinder

is

inverted for

valve-down position. The
slightly, and air is allowed to flow

in the

into a clean glass container. If the gas

is

contaminated,

water, or particulate matter can be observed on the

oil,

Laboratory methods for testing for water in breath-

glass.

ing gas include the electrolyte monitor, the piezoelecis

safe to use as a breathing

medium.

Field instruments

that operate on the colorimetric principle are available

measure a large number of gases

to

oxygen, hydro-

(e.g.,

carbons, carbon monoxide, carbon dioxide,

come with

devices

changes

The

gas or group of gases.

When

the

color. Portable instrumentation

gross percentage of carbon dioxide,

carbon monoxide present; however,

used

is

equipment

A

total
in

test for oil

Ultraviolet spectros-

test.

contamination.

hydrocarbon content

in air

can be deter-

a laboratory using a total hydrocarbon analyzer.

For further information on gas analysis equipment, see
the

US Navy

Diving

Manual

(1988).

the

Compressed air sources should be tested at least
semi-annually. Compressed air from an untested source

and the amount of

should not be used except in unusual or emergency

in the gas,

field

instruments

are not capable of precise analysis of the total gas
composition.

used to

is

mined

determine the percentage of oxygen

to

copy

These

etc.).

material in the tube comes into contact with a specific
it

an electrical conductivity

several different tubes, each spe-

cific for a particular

gas,

hydrometer, the standard dew point apparatus, or

tric

brief description of portable gas analysis

conditions; under these conditions,

that the diver breathe the air

it

recommended

is

for a few minutes

at

the surface before diving.

follows.

Oxygen analyzers.

Several portable oxygen analyzers

are available for measuring the percentage of oxygen
in a gas.

Calibration of these instruments

is

important,

and calibration instructions are usually included with
the equipment. Oxygen content can be determined by
using a fuel cell or paramagnetic analyzer, a gas chromatograph, a standard volumetric gas analyzer, an
electrometric analyzer, a thermal conductivity analyzer,
or color-indicating tubes.

the field can detect only gross

(C0 2

)

in

than

gross

1

a breathing

percent.

amount of

C0 2

Any
is

or

more pure gases or gas mixtures may be com-

bined by a variety of techniques to form a final mixture
of predetermined composition.

The techniques

for

mixing

gases, in the order of their frequency of use, are:

which a precalibrated
mixing system proportions the amount of each

Analysis conducted in

amounts of carbon diox-

medium. Field-use

analyzers are capable of detecting
less

Two

GAS MIXING

(1) Continuous-flow mixing, in

Carbon dioxide analyzers.
ide

15.5

C0 2

in quantities

of

diver's gas that contains a

not safe to use.

gas in a mixture as

C0 2

Carbon dioxide

it

is

delivered to a

common

mixing chamber.
(2)

Mixing by

partial pressure,

fact that the proportion

a mixture

is

which

is

based on the

by volume of each gas

directly related to

its

in

partial pres-

content can be determined by using a gas chromato-

sure (to the extent that the gases behave as 'ideal'

graph, titrimetric analysis, a standard volumetric gas

gases).

analyzer, an infrared analyzer, or color-indicating tubes.

Carbon monoxide analyzers. Equipment

also

is

available for the laboratory or on-site determination

15-14

Aboard

ship,

where space

is

limited and motion might

affect the accuracy of precision scales, gases normally

NOAA

Diving Manual

— October 1991

Mixed Gas and Oxygen Diving

Figure 15-6
Direct-Reading Colorimetric

Sampler

Air

15.5.2
A.

Sampling Tube

Mixing by Partial Pressure

This method frequently

used

is

in

cylinders

filling

employs high-pressure
gas sources from which gases are mixed according to
aboard ship or

in

the field.

It

the final partial pressure desired.

behind

this

Dalton's

method are the

Law

The

basic principles

ideal gas laws, such as

of Partial Pressures, which states that

the total pressure of a mixture

is

equal to the

sum

of the

partial pressures of all the gases in the mixture.

B.

Complete

Two methods

Kit

are available to calculate the partial

pressure of a gas

in

a mixture: the ideal-gas

method

and the real-gas method. The ideal-gas method assumes
that pressure

is

directly proportional to the temperature

and inversely proportional

The

gas.

real-gas

fact that certain

to the

volume of a contained

method additionally accounts for the
gases will compress more or less than

other gases.

Compressibility

Courtesy Draegerwerk

are

mixed by

partial pressure or

AG

by continuous-flow

mixing systems.
15.5.1

Continuous-Flow Mixing

is

a physical property of every gas:

oxygen compresses more than helium. Therefore, if
two cylinders with the same internal volume are filled
to the same pressure, one with oxygen and the other
with helium, the oxygen cylinder will hold more cubic
feet of gas than the helium cylinder. As pressure is
increased or as temperature is decreased, the difference in the amount of gas in each cylinder will increase.
The same phenomenon occurs when any two gases are
mixed together in one cylinder. In the case of oxygen
and helium, if an empty cylinder is filled to 1000 psia
with oxygen and then topped off to 2000 psia with
helium, the resulting mixture will contain more oxygen
than helium.

Continuous-flow gas mixing systems perform a series

An

awareness of the differences

in

the compressibil-

many

of functions that ensure extremely accurate mixtures.

ity

Constituent gases are regulated to the same pressure

of the problems encountered

and temperature before they are metered through precision micrometering valves. The valve settings are
precalibrated and displayed on curves that are pro-

using ideal-gas procedures, knowledgeable divers add

vided with every system and that relate final mixture

percentages
ture

to valve settings. After mixing, the mixanalyzed on-line to provide a continuous his-

is

tory of the oxygen percentage.

Many

systems have

feedback controls that automatically adjust the valve

when the oxygen percentage of the mixture
from preset tolerance limits. The final mixture

of various gases usually

less

oxygen than

is

is

sufficient to avoid

when mixing

gases.

When

called for, analyze the resulting

As an alternawhen mixing certain specific mixtures, the US
Navy Diving Gas Manual (1971) may be consulted for
mixture, and compensate as necessary.

tive

procedures to calculate the partial pressures of each
gas

in

the final mixture. These procedures take into

account the compressibility of the gases being mixed.

settings

Regardless of the basis of the calculations used

varies

determine the

may

be supplied directly to a diver or chamber or be

compressed into storage tanks

October 1991

— NOAA

for later use.

Diving Manual

to

final partial pressures of the constituent

gases, the mixture always

must be analyzed

for

oxygen

content before use.

15-15

i

Page

SECTION 16
SATURATION

16.0

General

16-1

16.1

Principles of Saturation Diving

16-1

DIVING

16.2

Breathing Gases

16-7

16.3

Life Support Considerations

16-8

16.4

Operational Considerations

16-9

16.5

16.6

16.4.1

General Procedures

16-9

16.4.2

Emergency Procedures (Habitats)

16-10

16.4.3

General Health Practices

16-12

16.4.4

Hazardous Materials

16-12

Excursion Diving

16-13

Decompression After an Air or Nitrogen-Oxygen
Saturation Dive

16-13

16.6.1

Diving After Decompression From Saturation Exposure....

16-13

16.6.2

Flying After a Saturation Decompression

16-14

i

SATURATION
DIVING
GENERAL

16.0

As

that of the working depth. During transfer from one

and man's ability to work
there increase, techniques and facilities are needed
interest in the oceans

that will enable the scientist or working diver to

remain

An approach

depth for longer periods of time.

that has

in

from habitats positioned on the seabed. Habitat-based
diving

is

relatively new,

diving are

still

and techniques

for this type of

To improve

developing.

the safety and

effectiveness of nitrogen-oxygen saturation techniques

NOAA

Diving

Saturation

is

the term used to describe the state that

occurs when a diver's tissues have absorbed

all

the

nitrogen or other inert gas they can hold at any given

Once

tissue saturation has occurred, the length

of the decompression that will be required at the end of

the dive will not increase with additional time spent at
that depth.

Under

saturation conditions, the diver works out of

whose atmosphere

a pressure facility

maintained

is

at

approximately the same pressure as that of the surrounding water or, in a chamber, of the working depth.

The saturation

facility

lation, a pressurized

may be an ocean

chamber on board

floor instal-

a surface vessel,

A

The term habitat

usually

is

ambient-pressure vessel that

applied to a pressure- or
is

placed on the floor of

the ocean and that provides basic

and a base of operation

life

for the diver

support, comfort,

and the necessary

support equipment. Habitats are maintained at a pressure
is

diver lockout submersible

is

DDC

to the

all

to

times.

a vehicle designed

ments enable the divers to enter and exit the water
while submerged. Regardless of the system used, the
saturation diver undergoes decompression only on
completion of the

total dive

sequence rather than at

the end of each dive (unless an excursion dive requiring

decompression has been made).

Saturation diving
scientist

who needs

is

to

an essential technique

for the

spend long periods on the bottom

for the working diver who wishes to extend the
working portion of the dive. Since 1958, when Captain

equivalent to the pressure of the seawater at the

habitat's entrance

hatch.

George Bond, USN, conducted the laboratory experiments that led to the development of saturation diving
(Bond 1964), saturation diving programs have been
carried out by a variety of organizations from many-

(See Section

17

for

chambers

nations, using both land-based hyperbaric

(simulated dives) and habitats or bells

in the

open

The saturation depths employed

these

programs

in

sea.

have ranged from 26 to 2250 fsw (8 to 686 m). Although

military and commercial diving industries have
devoted substantial effort to developing practical
the

saturation diving techniques involving helium-oxygen
gas mixtures for use at depths to 1000 fsw (307

deeper,

or a diver lockout submersible.

that

mated

and

Program.

depth.

is

with at least two separate compartments; these compart-

further, organizations using these procedures are re-

quested to report their experience to the

PTC

to another, the

enable the diver to remain at pressure at

at

underwater scientific research is
nitrogen-oxygen and air saturation-excursion diving

proved useful

chamber

in

NOAA

m) and

has concentrated on saturation diving

shallower waters (40 to 300 fsw; 12 to 92

more readily available and

less

m)

utilizing

costly nitrogen-based

gases, particularly air. This section discusses various

aspects of saturation diving and provides, for historical
interest,

summaries of some

air

and nitrogen-oxygen

exposures (Table 16-1).

more

information on habitats.)

A
a

surface-based saturation diving system consists of

deck decompression chamber

(DDC)

that

is

located

16.1

PRINCIPLES OF SATURATION DIVING

The

tissues of a diver's

body absorb

inert gases as a

on a surface support platform and a pressurized diving

function of the depth and duration of the dive, the type

commute to and
DDC. which provides

of breathing mixture used, the characteristics of the

support and comfort of the saturated

diver's condition at the time of the dive, such as

bell

that the saturation diver uses to

from the underwater worksite. The
facilities

diver,

for the

may

life

be maintained at a pressure that

that of the working depth.

(PTC) (which can be
submersible) also

October 1991

is

The personnel

is

close to

transfer capsule

either a diving bell or a lockout

maintained

— NOAA

at a

pressure close to

Diving Manual

individual

diver's

tissues,

temperature and work
the diver's body tissues
inert

gases

in

the

and factors affecting the

rate.

In

long-duration dives,

become saturated with the

breathing mixture at the partial

pressure of each inert gas component in the mixture.

16-1

Section 16

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CO < •a CO CO > I O 5 Q o si hi co cr < X LU cr 3 CO ,— "O 1 CD 1— CD =3 C C o 00 '*- _Q CO CO en CD O October 1991 — NOAA Diving Manual 16-5 Section 16 en Conce of Expo; Period ation ents E £ o 3 « «o T3 O c O CO CO X CO c o c o o "cd CO 1 c 3 .2-d o X CD > s X ® SCO CO T> £| E < o .£= c c O o CO CO 3o 3 o o CO O < 8^ 3 O « 05 CO o c C CO o CD o >* c "O M 3 To c o c °T3 9- CO Q. CO DC Si o .2 CD co o o <5 CO J3 O CO lit c CO co a c P « 3 -s Q..2 2 -S C CO 6.£ m 2 —c co o E EQO.t CO T3 o>2 c CO •> < < o z E o O- co c o E . CO CO ID CO o in o CO * co d d CO CO 3° in 00 D *1 C\J lO CO iri in a> CM Q .!= 0. CO O ® CO CO Q d t 00 n °> 1^ O 3 O CO CO CD * 3 °° 0) c X UJ 2>i5 = o 2* O o 2 CO o c d d co d Z CO d < 3 O > CO cr CO « 3- CO O c S CD _: CD _: co CD -a: CO X. CO or 111 o — < co QOQ m d t— jf d CD *- CO > < CO i £ m CO "O CD 2 CD 5L CO *~ ^ o CO O CD CO m o in CO „ C\J © CO CO o ^CD o «- UJ CD = < CO 2 n -i X) CO CO z CO CO c o CO o> C o CO o> C o 00 o> E "co E ™ a co E "Jo co 1 fO CO CD Z) DC X < X UJ X UJ = X UJ 0. UJ cc Q. UJ GC 0. UJ CC CO oo CO oo CO 00 05 CO GC < co "J CD X CD co X J; CD 5 3 CO jg « CD oc > < CO cc (]) 3 C a) '*- 16 6 Q 00 o> NOAA CO oo CD Diving Manual — October 1991 Saturation Diving For practical purposes, the state of saturation is reached than 24 hours. The techniques of saturation diving make use of the fact that, once the body's tissues have reached this equilibrium, they can safely in less remain saturated for long periods without increasing From an operational standpoint, there are two principal i.e., although apparently normal and reversible adaptations, suggest that operational air-saturations should be limited to 50 fsw (15 m; see Table 15-1). There is also some indication that habitation at this oxygen partial pressure the diver' s decompression obligation. factors in saturation diving, 60 fsw (18 m) using air as the breathing medium. These dives have revealed physiological responses that, the depth at which become saturated P0 2 = (PO ; ) may predispose divers to central nervous system level (i.e., that of air at 60 fsw (18 m); 0.59) (CNS) (called the storage oxygen toxicity (Miller 1976) and that such an oxygen depth), and the vertical range of depths over which the partial pressure may reduce a diver's tolerance for oxygen during any subsequent treatment for decompression sickness (Adams et al. 1978). Because the use the diver's tissues diver can move (termed the excursion depths). The storage depth determines the breathing mixtures that can be used, the possible range of vertical excursions the diver can undertake, and the decompression schedule to be followed; the storage maximize the depth range. depth should be selected to diver's effectiveness in the When working selecting a storage depth, both ascending and descending excursions should be kept in mind, although descending excursions have several safety and operational advantages. 16.2 BREATHING GASES medium breathing at depth its use as a will continue. Shallow-water saturation diving also has been conducted using nitrogen-oxygen (nitrox) mixtures. The proportions of oxygen and nitrogen in nitrox mixtures are selected to provide a partial pressure of oxygen within a range from 0.21 ATA (close to the normal atmospheric value) to 0.50 ATA. Such mixtures can be used for habitat depths equal to or shallower than 50 fsw (15 m) and should be used for habitat depths greater than 50 fsw (15 m). Based on extensive military' Several different breathing mixtures have been used successfully in saturation diving, e.g., air, nitrogen- oxygen, and helium-oxygen. These mixtures may be used singly or in combination, both as the habitat gas at storage of air has obvious advantages, research on depth and as the breathing gas for excursions from the habitat. and commercial saturation diving experience with helium-oxygen gas mixtures, the optimal saturation oxygen partial pressure range is 0.30 to 0.40 ATA, with a nominal value of 0.35 relatively shallow depths (50 fsw; 15 m) because of considered accepta- the oxygen partial pressure of air at the saturation If Air has been used extensively as a breathing gas in saturation diving. Its use as a habitat gas is limited to ATA ble for all applications. depth too high, is it can be adjusted by adding either nitrogen or low-oxygen nitrox mixtures or by allowing the oxygen in the habitat to be "breathed down" by the oxygen toxicity (Adams et al. 1978). Short excursion dives from the storage depth have been conducted successfully to depths as great as 250 fsw (76 m) using air as the breathing medium. Because oxygen toxicity a result of breathing hyperoxic gas in the habitat and and nitrogen narcosis are both concerns on air dives to such depths, excursions using this breathing medium down must be planned carefully. divers. If the oxygen partial pressure recommended maximum level, care is above the must be taken to ensure that the divers do not experience oxygen toxicity as during their air excursion dives. Consequently, breathing the oxygen concentration is not acceptable in most situations and can only be used in very small habitats. Divers engaged NOTE breathing gas exchange characteristics saturation and saturahelium, and nitrogen of tion-excursion diving involving switches from one inert gas to another should not be attempted without the advice of a qualified person who has a thorough knowledge of the Because of the factors involved. continuously be aware of the danger of oxygen toxicity (see Section know the maximum amount 3.3). They must of time that can be spent safely at various depths without incurring problems As with other toxicities, a function of both dose and dura- related to oxygen exposure. oxygen poisoning is tion of exposure. Although neurological symptoms, such as convulsions, the programs have been carried out — NOAA excursion diving using air as the are the most serious consequence of oxygen poisoning, Several successful laboratory and at-sea saturation October 1991 in medium must at storage Diving Manual depths of symptoms most exposure in likely to be associated with over- saturation-excursion diving are pulmonary. Accordingly, pulmonary tolerance limits that are safe 16-7 Section 16 have been incorporated Table 15-1 and have also been applied (where appropriate) to the tables in this section on Helium-oxygen has been used widely as a breathing the U.S. Navy and the commercial diving industry for saturation and excursion diving. (Readers saturation diving. should refer to the U.S. for repeated daily exposures into the limits shown in The degree of oxygen exposure can be quantified by using a system that permits pulmonary oxygen toxicity to be correlated with reduced vital capacity. dose that causes a 10 percent reduction is considered the maximum The oxygen in vital capacity oxygen dose, safe cumulative and diving operations should be planned so that every diver has a safety margin that will allow him or her be treated for decompression sickness with oxygen to without exceeding this 10 percent (1987), information on this type of diving.) In general, helium- oxygen diving is selected as a breathing gas in surface-oriented when performed the job to be done requires that work be at a depth of 150 fsw (45 m) or more. The principal reason for using a helium-oxygen mixture Helium mixtures have rarely been used as breathing under some circumstances, isobaric bubble disease (the counterdiffusion phenomenon) could occur when such exposures has not been established, and nitrox two gases are used (D' Aoust 1977; see Section 3.2.3.3). in the laboratory, is the avoidance of nitrogen narcosis (see Section 3.2.3.5). but the safe limit of 198 fsw (60 for Navy Diving Manual the diving physiology literature, and Section 15.1.3 for gases for excursions from nitrogen saturation exposures; level. Nitrox breathing mixtures have been used to depths m) medium by these saturation dives have been conducted in the open sea to depths as great as 111.5 fsw (34 m). To date, open-sea saturation dives that have used nitrogen-oxygen mixtures as the storage gas have employed gas for excursion dives. A air as the breathing review of the data gathered during these exposures reveals that The • limiting factor storage gas The • is • oxygen limiting factor air is used as the saturation when a nitrogen-oxygen mixture is ATA P0 2 ) to air 60 at fsw has caused significant decreases in red blood cell mass and, in some but not all individuals, a significant decrease in lung vital capacity, The degree • Partial adaptation to narcosis among of nitrogen narcosis varies individuals. may occur in some Prolonged exposure to normoxic nitrogen at depths 120 fsw (37 m) has not produced a significant decrement Based on in diver performance. this information, the following dations can be made for air recommen- and nitrox saturation dives: • Air saturation should be limited to a depth of • The oxygen 50 fsw (15 m). partial pressure of nitrogen-oxygen mixtures used in saturation storage be kept within the range of 0.3 to 0.5 • The gases should ATA. operational use of nitrogen-oxygen as a storage gas should be limited to a depth of 120 fsw (37 m). 16-8 this life itself. to another. Some systems require complicated gas mixing and monitoring equipment on a surface support vessel, while others can be supported by equipment that supplies compressed gas, power, and environmental control from an unmanned buoy. Other systems, such as the mobile lockout submersibles commonly used by the offshore require a self-contained The life oil and gas industry, support system. characteristics that a particular saturation diving support system must have depend on the depth, mission duration, water temperature, sea surface condition, requirements for mobility, type of equipment to be used for excursions, rescue potential, and, in many program to be carried out. Regardless of the system and its peculiarities, all divers must become familiar with the function of each system component, the system's maintenance requirements, and all emergency procedures. Training programs usually provide this information and offer an opportunity for such familiarization. However, all saturation systems have some features in common that relate directly to the health and safety of divers. In saturation diving, the oxygen pressure for storage should be maintained between 0.30 and 0.50 ATA. Carbon dioxide levels should not exceed a sea level cases, the nature of the individuals after continued exposure. to from one system life toxicity (Miller 1976). • support features of the saturation system which indicates pulmonary oxygen • performed with standard diving equipment, Life support equipment and techniques vary greatly et al. 1978). Extended exposure (27 days) (18 m; 0.589 is scuba, umbilical, or closed-circuit rebreathers. Because this equipment is described elsewhere in manual, the following discussion describes the nitrogen narcosis. Extended exposure (for as long as 1 1 days) to air at 50 fsw (15 m; 0.5 ATA P0 2 ) has not produced irreversible or deleterious effects on human vol- (Adams SUPPORT CONSIDERATIONS Excursion diving from a saturation system or habitat usually e.g., partial pressure. used as the storage gas unteers • is when 16.3 LIFE work or equivalent of 0.5 percent (0.005 scientific ATA) (US Navy Carbon monoxide should not exceed a NOAA Diving Manual 1987). partial pressure —October 1991 Saturation Diving that equivalent to 0.002 percent by volume (20 is at sea level. If air ppm) the breathing gas, safe partial is pressures of carbon dioxide can be maintained by constantly venting the interior atmosphere at a rate of 2 cfm each diver for at rest (U.S. Navy pressure usually when air is and 4 cfm at rest for each diver not 1988). Control of the oxygen partial is problem not a at shallow depths used as both the storage and excursion support systems and divercarried rebreathers, which usually use mixed gases, carbon dioxide buildup is a significant problem, and a In closed-circuit life carbon dioxide scrubbing system therefore necessary. is active ingredient in scrubbing systems a chemical, is composed predominantly of barium hydroxide usually density typical of breathing gases under pressure. In addition to atmospheric control, a satisfactory support system must have adequate controls for temperature and humidity. At shallow depths, comfortable temperature and humidity ranges are 78 to 83 F life " (25.6 to 28.3 °C) and 50 to 75 percent, respectively, in nitrogen/oxygen environments. At deeper depths air or or in helium-oxygen saturation atmospheres, temper- diving gas. The associate minor breathing difficulties with the greater atures as high as 92 °F (33.3 °C) and a relative humidity between 40 and 60 percent The atmosphere's may relative be necessary for comfort. humidity affects both the comfort and safety of chamber inhabitants. Habitat humidity controlled by air conditioning and the use is of dehumidifiers or moisture absorbers. Excessive (Baralyme 5 ). lithium hydroxide, or soda lime (Sodasorb® or humidity not only decreases scientific productivity but other trade name), that will absorb the carbon dioxide. encourages the growth of fungus or bacteria that cause The length infections (see Section 3.2.1.1). of the absorbent's active life depends on the CO-, output of the divers, the ambient temperature, and the relative humidity. particular absorbent The man-hour humidity that On the other hand, too low can create a fire hazard. is rating of a provided by the manufacturer. is OPERATIONAL CONSIDERATIONS Table 16-2 summarizes the characteristics of barium 16.4 hydroxide, lithium hydroxide, and soda lime. Because Saturation divers working from a habitat or carbon dioxide absorption C0 is influenced by tempera- 2 is absorbed work PTC have Use of the saturation site. a 40 F (4.4°C) than at 70°F (21.1 *C). Some scrubbers sized for adequate performance at 70°F (21.1 X) may have only one-third of their absorbing capacity at 40° F (4.4°C). ture, less direct access to the at Providing external insulation and heating scrubbers that are to be used in cold water are ways of minimizing mode greatly extends a dive's bottom time or working it reduces the relative amount of time must spend compressing and decompressing. time because that divers Saturation divers also find this mode psychologically advantageous because they find it convenient and reassuring to have a dry chamber close at hand. the size of the canister that must be carried and ensuring that the absorbent achieves its design efficiency. Insulation and heating also minimize moisture con- The efficiency of C0 2 absorbents also is influenced by relative humidity. Barium hydroxide and soda lime absorbents can only achieve their rated capacity the relative humidity levels is when above 70 percent. Lower humidity reduce absorbent capacity. Under conditions of high gas humidity and low scrubber surface tempera- water ture, 16.4.1 A densation. may condense on first auxiliary habitat scrubbing system frequently used as a backup in case the primary system backup scrubber system fails. If • • sometimes also may symptoms October 1991 aware of CO-, buildup because they — NOAA Diving Manual is and foremost, the not a haven in an at the working Become demands substantial commitment; familiar with the saturation system, all emergency procedures, and all its fire safety rules; • Become familiar with the diving equipment and its limitations; • Become familiar with the surrounding area of the seafloor, the transect lines, and any other orienta- tion markers; is difficult to detect over a long period. Divers not be First to rely on the surface support team for support; Be aware that the entire saturation, from predive preparation to the long decompression at the end operation, breathing rate or shortness of breath, headache, sweating, nausea, or weakness); the onset of such to learn. Learn of the mission, • no chamber should be vented as described above. Divers must remain alert for symptoms of carbon dioxide poisoning (changes in is much emergency; instead, refuge must be found is available, the time has depth. Also, saturated divers must: in An diver undergoing saturation on the seafloor for the diver must learn that the surface the walls of the canister or the absorbent, which reduces absorptive capacity and increases pressure drop through the canister. General Procedures • Learn the limits and procedures for making vertical excursions; 16-9 Section 16 Table 16-2 Characteristics of Three Carbon Dioxide Absorbents Absorbent Barium Hydroxide Characteristic Absorbent density, lb/ft 3 Theoretical C02absorption, lb CO^'lb Theoretical water generated, lb/lb CO2 Theoretical heat of absorption, BTU/lb CO2 Useful CC>2absorption, lb CO2/ID (based on 50 percent efficiency) Absorbent weight, lb per diver hr (0.71 lbC0 2 Hydroxide 65.4 28.0 0.39 0.92 0.41 0.41 670 Soda Lime Lithium 875 1 55.4 0.49 0.41 670 2 1 0.195 0.46 0.245 3.65 1.55 2.90 0.0558 0.0552 0.0533 ) Absorbent volume, ft 3 per diver hr 'Based on calcium hydroxide reaction only. Based on generating gaseous H2O. 2 Source: • • Plan all missions and excursions in advance, taking account the equipment, saturation system, depth, excursion profiles, and the saturation experience of other team members; and Assume responsibility both for their own and their of oxygen present (Shilling et into that have less than 6 percent buddy's safety during excursions. fire A combustion. Emergency Procedures (Habitats) All well-conceived saturation operations should have a primary arises. life support system Any contingency fails or another emergency plan should give first priority PTC, any emergency, however minor, threatens diver safety. The following In a habitat or to diver safety. emergency procedures are intended to serve as general guidelines that apply to all habitats and personnel transfer capsules. However, because most habitats and PTC's are one-of-a-kind systems, certain differences in hardware and design will dictate specific procedures Atmospheres will not support atmosphere contains a lower percentage of oxygen than an habitat and therefore presents a lesser air-filled hazard. When helium is used at great depths, the even further reduced. Care must be is when oxygen taken, however, contingency plans that chart a course of action in case (1979) normoxic nitrogen-oxygen habitat potential for fire 16.4.2 1976). al. oxygen NOAA used during decompres- is sion or treatment for decompression sickness. For diving operations conducted outside the zone of no combustion (see Section 6.5.2), materials that are highly combustible should not be placed in the habitat. In the event of fire, divers should follow the general procedures below, although their order • Make may vary: a quick assessment of the source of the smoke or flame. (If the source is a movable item, eject from the habitat immediately, • Don emergency • Shut off it possible.) breathing masks. power except all if lights and emergency communications. that should be followed for each. WARNING • Notify surface personnel. • Attempt • Attempt to extinguish the fire with water. to remove all flammable materials from the immediate area of the flames. Also attempt to Complete Emergency Procedures Should Be Developed for Each System, and All Surface Support Personnel and Divers Should Become Familiar With Them discharge smoldering material from the chamber. • Leave the chamber after you are directly involved • If the fire donning diving gear unless in fighting the fire. goes out of control, abandon the chamber, notifying surface personnel of this action tions permit. Fire Safety Fire probably is the most critical emergency that stations Proceed to available if condi- underwater and await surface support. can threaten divers using a saturation system. Habitats using air as the storage medium are susceptible to fire Loss of Power combustion more readily under increased pressure. Burning rates under hyperbaric Most shallow water habitat systems have a primary power source and an emergency or standby power source. conditions are primarily a function of the percentage Primary power because 16-10 air supports is usually 110 volts a.c; emergency NOAA Diving Manual — October 1991 Saturation Diving power is usually 12 volts d.c. In some systems, the emergency power is designed to activate automatically if the primary source a In A fails. power emergency, divers should perform the following procedures: Activate the emergency power source, • is if system this diver who accidentally surfaces or becomes danger. The best assurance against such emergencies is strict adherence to carefully planned preventive measures. lost is in great not automatically activated; Notify surface support personnel and stand by to • NOTE assist in and remedying the cause of the isolating failure. Lost Diver A saturated diver working away from a habitat or PTC should be aware continuously of his or her dependence on that Loss of Communication Most facility for life support. Any excursion should be planned carefully so that the way back to the saturation systems have a backup communication system. Sound-powered phones that require no external power often are used. In some cases, communication over diver communication circuits may be possible. When a communication failure occurs, communication should be established immediately on a secondary system, the surface should be notified of primary system failure, and attempts should be made to reactivate the primary system. chamber is known and assured. As in all diving, buddy divers are a necessity. In the saturated condition, it is especially necessary for diving buddies to stay close together and to be aware at all times of their location, and the distance and direction back to the habitat or PTC. Many habitats, particularly those permanently fixed and continually used, have significant landmarks, navigation lines extending to various underwater areas. Divers should become familiar with these navigation patterns and use them as reference points during Blowup excursions. Inadvertent surfacing, a serious hazard when they commonly called blowup, is facing saturated divers, especially are using self-contained equipment and are not physically attached to a habitat or umbilical or tether. Saturated divers PTC who WARNING by an away are from the habitat must be careful to avoid any circumstance that would require them to make an emergency ascent to the surface or that might result in Saturation Divers Should Place Primary Reliance for Orientation on Established Navigation Lines. A Compass Should Be Used Only to Provide a Backup Orientation System accidental surfacing. If diver does surface accidentally, however, the a buddy diver must: If a • Immediately return the diver depth. If to the saturation the accidental surfacing was caused by • equipment the diver's failure, immediately to the surface buddy should swim and bring the surfaced emergency octopus and should then proceed saturation depth is regulator, to the habitat. If becomes the To conserve breathing gas, ascend upward excursion depth limit that bottom greater than 100 fsw (30 m), to be seen clearly (in support team, because a saturated buddy who surfaces to help the diver will also be endangered. If lost at night, • than 100 fsw (30 oxygen mixture should be used while they Make if between 1.5 and 2.5 ATA. preparation for emergency recompression, directed to do so by surface support personnel. October 1991 — NOAA Diving Manual buddy's landmarks or transect At depths of 60 fsw (18 m) or less, have the diver begin breathing pure oxygen while awaiting instructions from surface support; if deeper, an enriched partial pressure of murky water or at momen- light; Begin making slow circular search patterns, looking for familiar • maximum permits the still switch his or her light off tarily to look for the habitat or Notify surface support personnel immediately. to provide an oxygen to the night, this will not be possible); • • he or she should take the Begin signaling by banging on his or her scuba the surfaced diver should be rescued by the surface • lost, cylinder with a knife, rock, or other hard object; • diver down, using the diver following actions: Divers hopelessly still lost at lines. saturation depths shallower m) should ascend have sufficient slowly to the surface air. On reaching the surface, the diver should take a quick (less than 30 seconds) compass sighting on the support system or buoy over the habitat and should then return to the 16-11 Section 16 bottom, rejoin his or her buddy, and proceed directly to to the habitat. microflora. maintain a proper balance among the indigenous To maintain this balance, certain health practices should be followed. Although different underwater programs WARNING Divers Should Start Their Return to the Habitat From Excursion Dives Before the Pressure in Their Cylinder Falls Below the Amount That Will may Them Support vance of the general procedures that follow • During Their Return Do not allow a person with a cold, ear infection, severe skin problem, or contagious disease to go who Night Diving • Night excursions from habitats are common, particularly for scientific divers wishing to observe marine Divers must take special care not to become • emergency light, • not allow any medicines into the habitat that Maintain the habitat's humidity and temperature Ensure that divers wash thoroughly with soap and fresh water after the last excursion of the day. • preferably a flashing strobe. In emergencies, the strobe can be have contact with any diver go into the habitat. at proper levels. with two well-maintained lights that are in good working condition and are equipped with fresh batteries. Every Do to is have not been approved by the responsible physician. lost during these excursions. Every diver must be equipped diver should also have an will help to maintain the health of saturation divers. into the habitat or to life. require different practices, depending on the habitat and local conditions, obser- Have the divers wash the inside of their wet suits and water. daily with soap • Treat divers' ears daily, in accordance with the to the habitat if • Treat any cut, abrasion, their lights have failed, a flashing strobe should be • Have used for navigation from the To flash. if the diver shields his or her eyes back assist divers located on the habitat or instructions in Section 3.2.1.1. PTC. etc., no matter how small. remove wet equipment before entering living quarters and store it away from divers the habitat's the living quarters. Decompression Sickness After Excursions • Although excursions from a habitat are not likely to cause decompression sickness, habitat operational plans sickness. Specific procedures will vary program • procedures for treating decompression should include from one habitat • decompression sickness occurs after an if • treatment of choice, as always, in the habitat. is recompression is The recompression and the breathing of enriched oxygen mixtures If (P0 2 • 1.5 to not possible, treatment • Recompression in the water should be used only Decompression from saturation should at least 36 hours after a diver has been as a last resort. in the habitat at Prevent divers from staying in the water without of prime importance to maintaining high performance an underwater program. The micro-organisms that are associated with habitat living formance of divers to the point be removed from the program; When in tropical waters. inside the habitat, ensure that divers wear warm, clean, Wash the interior of the habitat thoroughly after and dry clothing (including footwear). Wash the habitat's sanitary facilities and sur- rounding walls and floor thoroughly every day with 16.44 Hazardous Materials of aquanauts living in an open, semi-closed, or closed environmental system are 16-12 and towels week. a suitable disinfectant solution. General Health Practices The health and welfare in linens it hazard. fectant. • treated for decompression sickness. 16.4.3 Change bed the habitat daily, because fire each mission with a solution of benzalkonium chloride (Zephiran®) or other comparable disin- and drugs should be attempted under medical super- be delayed for both a health and a cleaned up. can drop significantly even using oxygen breathing and the administration of fluids vision. is proper thermal protection, because body temperatures Therapy should be carried out ATA). might decay, least twice a excursion dive. 2.5 it Remove garbage from is to another, but the following general guidelines can be used Ensure that any food that has fallen into crevices, where may To avoid atmospheric contamination, hazardous materials fall into five general categories: • Volatile materials, both liquids therefore essential • Flammables; is and diver impair the per- where the divers must it fires, equipment and materials that could be hazardous must be excluded from the habitat. Such disability, NOAA and solids; Diving Manual — October 1991 Saturation Diving Medications whose pharmacologic effects • may be DECOMPRESSION AFTER AN AIR OR NITROGEN-OXYGEN SATURATION DIVE 16.6 altered by pressure; Objects that cannot withstand increased pressure; • and Ungrounded • or otherwise hazardous electrical equipment. The operational procedures Before beginning a habitat mission, personal diving all decompression after a depths of 50 fsw (15 m) or less, to the surface, immediately enter a recompression chamber, recompress to the saturation systems located the divers can and scientific equipment should be submitted to the operations director for review and logging. To avoid difficulties, aquanauts should provide documentation for any equipment or materials whose safety is likely to be questioned. Table 16-3 presents a list of materials that are hazardous in habitat operations. This list is not exhaustive, and any doubtful materials should be screened carefully by qualified personnel before being for saturation dive vary with different dive systems. In at swim depth, and begin decompression. This if method is possible the interval the diver spends on the surface before recompressing is than less 5 is 1972, Walden and Rainnie less minutes and the storage than 50 fsw (15 m) (Edel 1969, depth Weeks 1971). Other systems are to decompress divers in the habitat on the bottom, after which the divers swim to the surface (Wicklund et al. 1973). In other cases, the habitat can be designed allowed inside a habitat; factors such as mission dura- raised to the surface and towed and the habitat's scrubbing capability should be taken into account during this process. If substances that are necessary also have the potential to affect where decompression is are available (Koblick et divers systems, divers usually are transferred to a surface tion the habitat adversely, safe levels, control in methods, and monitoring procedures for the use of decompression chamber that made aware of the and symptoms of any exposure-related effects divers and topside staff should be signs potentially associated with the use of these substances. al. is in editions of the Excursion diving from saturation in a habitat or DDC/PTC system requires special preparation and strict adherence to excursion diving tables. A diver who is saturated at one atmosphere (i.e., at surface pressure) can make dives (excursions) to depth and return directly to the surface without decompression as long as his or her body has not absorbed more gas during the dive than can safely tolerate at surface it who is saturated at a pressure greater than one atmosphere (i.e., at the habitat's pressure) can make excursions either to greater depths pressure. Similarly, a diver (downward) or lesser depths (upward) by following the depth/time limits of excursion tables. Many factors change the conditions of excursions (e.g., temperature, work load, equipment, the diver's experience); these factors must be considered when planning any excursion dive or decompression. a personnel transfer capsule in medium. Specific procedures Specific procedures for both ascending and descending et al. (1988b), and the methods used in the past to conduct excursions from air or nitrox saturation NOAA Diving is available in earlier editions of the Manual and October 1991 Manual and in Hamilton etal. (1988b). 16.6.1 Diving After Decompression From Saturation Exposure Divers may who have completed a saturation decompression be resaturated immediately. However, make wishes to if a diver non-saturation dives soon after com- must Group Z pletion of a saturation decompression, he or she wait 240 minutes before qualifying in repetitive of the Residual Nitrogen Timetable for Repetitive Air Dives (see Appendix B). The Residual Nitrogen Timetable for Repetitive Air Dives should then be followed as directed, with the diver moving to successively lower repetitive groups after the intervals specified in the tables. Any dives undertaken within 36 hours after an air or nitrox saturation dive should — NOAA in Miller (1976). Diving Manual for a maximum exposure of 1 hour. to develop (1988a). Information on other procedures that have been used Diving previous in these procedures have been published in Hamilton et al. NOAA for in be limited to a depth of 50 fsw (15 m) or shallower excursions from air or nitrox saturation can be found Hamilton deep diving Decompression is then accomplished in accordance with standard procedures for that depth and the saturation breathing EXCURSION DIVING facilities pressurized at the pressure of the storage depth. saturation decompression can be found 16.5 on the shore, 1974). For decompressions after saturation these materials should be established. In addition, all to a base completed and standby Example: Time 0800 A diver surfaces from a completed saturation decompression; however, more coral specimens 16-13 Section 16 Table 16-3 Hazardous Materials for Habitat Operations i Metals, Metalloids Flammables Explosion/ Implosion Volatile (Volatile) Hazards Poisons Acetones And 1"heir Mood-Altering Miscellaneous Drugs Materials Salts Mercury Tobacco smoking materials Pressurized aerosol cans Mercury Gasoline Flares of any kind or ignitables Ammonia Fluorides Marijuana Matches or Ethers Signaling devices Chlorine Selenium Sedatives Newly made (un-aired) Ethanol of any kind lighters styrofoam materials vinyl or (their solvents, vinyl chloride and isocyanate, respectively, are very toxic) Naphtha Sulfur dioxide Cosmetics or perfumed Hallucinogens materials (deodorants) Alcohols Hydrogen sulfide Halogenated hydrocarbons Aromatic hydrocarbons Tranquilizers Ataractics Formalin Anti-depressants Stimulants Concentrated acids or bases Hypnotics Adhesives, including wet suit cement Derived from located at 50 fsw (15 m) are needed. How long must the diver wait before he or she may go to 50 fsw (15 m) for 30 minutes without incurring a decompression obligation? ,200 240 minutes, the diver is in repetitive Group Z. The Residual Nitrogen Timetable for Repetitive Air Dives specifies that 2 hours and 18 minutes must be spent at the surface for the tissues to have released sufficient nitrogen to permit a 34-minute dive to 50 fsw After (15 1418 m) (which Group H). The diver dives will NO AA (1979) place the diver in repetitive ( to 50 fsw (15 m) for 30 minutes and surfaces without decompressing. waiting 16.6.2 Flying After a Saturation Decompression After a saturation decompression, divers should wait for at least 48 hours before flying. Observance of this rule greatly reduces the likelihood that such divers will experience decompression sickness. ( 16-14 NOAA Diving Manual — October 1991 Page SECTION 17 UNDERWATER SUPPORT PLATFORMS 17.0 General 17.1 Pressurized Diving Bell Systems 17.2 Open 17-1 17-1 Systems 17-1 17.2.1 Description 17-1 17.2.2 Operational Parameters 17-2 Bell 17.2.3 Operational Procedures 17-3 Diver- Lockout Submersibles 17-3 17.4 Free-Flooded Submersibles 17-5 17.5 Underwater Habitats 17-6 17.3 17.5.1 Saturation Diving Habitats 17-10 17.5.2 Non-Saturation Habitats 17-17 17.6 Diver Propulsion Vehicles 17-18 17.7 Atmospheric Diving Systems 17-18 17.8 Remotely Operated Vehicles 17-20 ( UNDERWATER SUPPORT PLATFORMS 17.0 GENERAL During the are raised to the surface, where the bell two decades, new technology and last a better understanding of the physiology of diving have saturation diving available as a method of accomplishing extensive work under water. With the made new method of diving, underwater support platforms have become common in commerdevelopment of cial this diving and are becoming increasingly valuable in scientific studies and underwater archaeology. Underwa- is mated to the deck decompression chamber. In the deck decompression chamber, the divers remain at depth and prepare work for their next trip to the site. With one or more teams, this cycle can continue for days or weeks if necessary. Decompression is carried out after completion of the mission. Bell diving tages over a fixed habitat if systems offer advan- a large bottom area is to be submersibles, remotely operated vehicles, and one- and substantial surface support are required. Under saturated conditions, one or more teams of divers can live in relative comfort in the deck chamber. Hot meals can be passed in, and surface atmosphere diving systems. personnel can maintain direct contact with the divers. ter support platforms include manned habitats, work shelters, diving bells, lockout submersibles, flooded covered or if Commercial 17.1 undersea tasks. A Today, most work done from diving diving bell usually port of the offshore for long periods at or itself. A diving bell functions as a dry, pressurized, and some- times heated elevator to transport divers between surface living quarters and underwater work sites. While the divers are on the bottom, the nearby diving bell functions as a tool storehouse and ready refuge. Most diving bells are capable of carrying and supporting 2 to 4 working divers. On board the support ship or barge are the deck decompression chamber(s), control van, and other supporting machinery, such as electric generators, hydraulic power systems, and hot water generators. Normal living operations and decompression are carried out in the When deck decompression chamber. beginning a job, divers enter the bell and are lowered to the work site. After reaching the required depth, the divers equalize the bell pressure with the outside seawater pressure, open the lower hatch, and exit to start work. If necessary, the bell closer to the job site by can be moved maneuvering the ship. completion of the task, the divers re-enter the October 1991 — NOAA Diving Manual Upon bell bells is sup- in industry. Additionally, the var- salvage, search and recovery, and instrument implanta- tion. is designed to provide divers with a dry, safe living envi- near the pressure prevailing at the dive site oil ious navies of the world use bell diving systems for only one part of an integrated system (Figure 17-1) ronment that can be maintained systems are designed to 200 and 1500 fsw (61 and diving 457.3 msw). Although most underwater habitats are fixed on the seabed and cannot be transported with divers inside, semi-mobile underwater support platforms, which are known as diving bells, have proven their worth in several types of bell tools operated between be PRESSURIZED DIVING BELL SYSTEMS heavy and OPEN BELL SYSTEMS 17.2 17.2.1 Description The open bottom bell, referred to as a Class II or non-pressurized bell, was developed as an in-water work platform and emergency way station. Unlike a diving stage, which serves only as an elevator between the surface and the work site, the open bottom bell provides a semi-dry refuge, emergency breathing gases, and communications capability. The bell consists of a rigid frame with an open grating on which the diver stands and an acrylic hemispheric is open on the bottom. By adding suitable breathing gases to the inside of the dome, water is dome that forced out, creating a dry gas bubble for the diver's head and shoulders. The acrylic dome is transparent, which affords the divers a full field of vision. Ballast is added to the bottom of the buoyant in the water (Figure bell to make it negatively 17-2). Emergency breathing gases are supplied to the bell from two separate sources: one from a topside umbilical and another from high-pressure gas cylinders mounted on the outside of the routed to a manifold inside the bell. Both gases are dome and used for 17-1 Section 17 Figure 17-1 Saturation Diving Complex Courtesy Saturation Systems dewatering the bell dome and emergency A speaker mounted breathing via masks or scuba regulators. built-in-breathing (BIB) dome ical is bell. routed from the surface rather than from the Most open bells can support two divers in normal allows two-way voice operations and three divers in an emergency; however, communication with topside personnel. The bell is raised and lowered by a wire cable from a crane, davit, or A-frame on the support vessel. A life support umbilical consists of a hardwire communication cable, gas supply hose routed from a surface control manifold, pneumofathometer hose providing con- they are often designed and built for specific purposes in the tinuous depth readouts at the surface, a strength in case the primary specialty lift member cable breaks, and additional components as required (Figure 17-3). in various sizes bell requires its and weights. Safe operation of an open a stable support platform capable of holding position in a variety of sea conditions. OSHA and United States Coast Guard lations require the use of an Although typically used diving, the many open bell may in types of diving operations. in conjunction with When supporting surface-supplied diving operations, the diver's umbil- 17-2 on all regu- dives a heavy-weight diving outfit (full helmet with a suit) is used or when dives are in a physically confining space. These regulations also allow open bell use to a depth of support of surface-supplied be used (USCG) than 120 minutes of in-water decompression, except when being performed Parameters bell deeper than 200 fsw (61 msw) or those involving more constant-volume dry 17.2.2 Operational open 300 fsw (91 msw) in helium-oxygen diving operations; however, the use of open bells is usually restricted to 225-250 fsw (70-75 msw) because of limited emergency support capabilities. Longer and in actual practice, NOAA Diving Manual — October 1991 Underwater Support Platforms Figure 17-2 Diving Bell on Deck of Open Seahawk topside personnel via a control panel. Compressed gases dome during ascent to exclude are added to the bell water. Descent stopped when the is bell 10-15 feet is from the bottom, and the bell remains the water column while the divers are on (3-4.5 meters) suspended in Whenever they leave the bell, the divers dome to reduce the buildup of carbon dioxide, because an emergency return to the bell may require the divers to breathe the gas inside the dome while they the bottom. vent the don emergency breathing equipment. The divers their pass their umbilicals through the legs of the bell to help them to relocate the bell at the conclusion of the dive. During ascent, the rate of speed and bell is raised at the appropriate stopped at predetermined depths is in accordance with the appropriate decompression schedule. After the last in-water decompression stop, the bell is climb aboard the support platform, and any further decompression is brought to the surface, the divers completed on board. Retrieval of the bell reverses the steps in the deploy- ment procedure, except that a surface swimmer must enter the water to attach the control lines and unshackle the bell from its downline. The bell is lifted aboard and secured to the deck. All systems are rechecked for proper operation, gas supplies are inventoried, gas banks are charged, and maintenance is performed in prepa- ration for the next dive (Figure 17-5). Courtesy NURC-UNCW DIVER-LOCKOUT SUBMERSIBLES 17.3 Most research submersibles have one or two compartments designed to maintain the crew at a pressure of deeper dives are more safely performed using a closed one atmosphere. All allow direct observation through and pressurized diving viewing ports or acrylic spheres. bell. Many research sub- mersibles have manipulators that permit the occupants to 17.2.3 Operational Procedures Operation of an open rigorous predive checklist of all samples and place equipment on the seafloor. Others have lockout capabilities that permit divers to leave the submersible. Lockout submersibles have a collect bell requires completion of a major support sys- chamber that can be pressurized to ambient tems, including the bell-handling, life-support, and separate communications systems. Positive control of the bell is essential during deployment and retrieval and requires pressure so that the divers the use of control lines (Figure 17-4). The bell is lowered into the water, shackled into a separate downline to prevent the bell from turning during ascent and descent, and all control lines are removed. Divers enter pilot may enter and exit while the and other personnel remain sure within the submersible (Figure out, the diver is at 1 atmospheric pres7-6). When locking usually tethered to the submersible by an umbilical that provides hardwire communication to the submersible and a gas supply that can be either a the water, secure themselves on the outside of the bell, primary or backup breathing source. With lockout capa- and prepare bility, to descend. Riding the bell in this position rather than being transported inside the bell prevents the divers from being trapped inside if the lift cable tions scientists have the choice of directing collec- from the observation compartment or locking out from the dive chamber and collecting the samples. A breaks. diver-lockout submersible also affords great mobility, During ascent and descent, the bell and diver's depth and rate of travel are monitored and controlled by reduces unnecessary in-water time for the divers, October 1991 — NOAA Diving Manual al- lows decompression to be initiated soon after the di- 17-3 Section 17 Figure 17-3 Bell System ri ?t Y /A compressor I ""Lru G____Dair rec MANIFOLD AIR SUPPLY TO MANIFOLD Manifold (OBB) |Premixh 1 1 X ] I I < j I jj ' * I ' l Premix frCXH.^ !±J COMMUNICATIONS SYSTEM f-\ OOO q oo o oo WATER LINE OPEN BOTTOM BELL Courtesy David A. Dinsmore 17-4 NOAA Diving Manual — October 1991 Underwater Support Platforms Figure 17-4 Open Bell Showing Control Lines and operating procedures. capabilities A detailed ori- entation schedule must be developed prior to any oper- and training must include ation, least at one shallow- water excursion so that the diver/scientist can learn operate all and emergency procedures. familiar with decompression Lockout submersibles always have space chamber pair a tist for at least member A two divers. the diving in general practice is to of the submersible's crew with a scien- crew member can act as a is in the water. Using the so that a well-trained tender when the scientist submersible to become high- and low-pressure systems and in this manner allows good diving background but little a scientist with a or no previous lock- out experience to use the facility to best advantage, without actually becoming a mersible's crew. The full scientist member of the sub- performing work in the is in most cases monitored visually and communication by the submersible pilot or dive controller. In-situ ecological observations can be made water via voice concurrently with the lockout dive, using external or movie Courtesy NURC-UNCW still cameras and videotape systems. FREE-FLOODED SUBMERSIBLES 17.4 Although conventional one-atmosphere and diver-lockout ver returns to the vehicle, and permits the divers to be transported from ally, site to site decompression is under pressure. Gener- managed and controlled by a dive controller positioned in the one-atmosphere partment of the submersible. bles can be mated to Some deck decompression chambers. This allows the diving team to saturate on deck and to be transported to the submersible. Also, in com- lockout submersi- in the work chamber submersibles require a pressure-resistant hull, a free- flooded submersible (wet sub) can be thought of as an underwater convertible. When in use, these vehicles are full of water and the divers breathe by using scuba equipment. This equipment can be open-circuit, semi- and may be worn on the back the vehicle, depending on the nature of closed, or closed-circuit mounted or in the mission and the design of the submersible. site via the There are several configurations of wet subs. the case of deep, long exposures, most of the decompression can be carried out more comfortable environment. many as in as four divers In some, one behind the other, while sit a others are designed to have divers side by side, either larger, The value lies in its of the lockout submersible to the scientist high maneuverability mobility, and its in three planes, periods at depth. Lockout submersibles can cruise at The pilot until they arrive at the dive site. can station the submersible so that the work site is directly in front of the pilot prone position. These vehicles are used primarily for transporting divers at speeds of up to its ability to provide shelter for long atmospheric pressure sitting or in the compartment before locking the diver out. During the lockout, both the and dive controller can observe the activities of diver. the If there is a need to investigate an area where 4 knots (2 m/s) to conserve time and air and to assist diver/scientists in conducting ocean floor surveys. They underwater pickup vehicles. also can be used as small Wet subs are excellent vehicles for all kinds of survey work because they can cover large areas carrying still and television cameras as well as divers. However, most wet subs require extensive maintenance. pilot In planning for operations involving wet subs, cer- tain factors the depth prohibits diver lockout, the lockout submersible can serve as an observation vehicle. Remotely oper- • ated collection tools, manipulators, and cameras can be used to enhance observation in this mode. Although diver/scientists normally do not pilot the submersible themselves, they must be familiar with October 1991 — NOAA Diving Manual its Training in • must be considered: in general operating procedures, especially obstacle avoidance, When making is essential. long excursions with a wet sub under normal diving conditions, a buoy should be used to permit easy tracking by a surface support boat. 17-5 Section 17 Figure 17-5 Open Bell Emergency Flow-Chart i Diver Loses Primary Diver Loses Communication Gas Supply Notes: #1 Gas supplied #2 Gas #3 Diver Uses Returns Bailout; to Bell to diver from secondary supply through diver supplied to bell from topside source through Diver may breathe gas trapped #4 Standby diver may #5 Standby diver may be deployed in bell dome or BIB masks. transport additional gas to diver to assist if umbilical. bell umbilical. if necessary. necessary. Continue Using Establish Line-Pull Communication Signals With Topside Activate (See Note #5) Gas Supply From Topside Source (See Note #2) Activate Breathe Remain on Onboard Gas Bailout Supply Supply (See Note #4) Gas Supply From Bell (See Note #3) L Terminate Dive Terminate Dive J^^» ^* 7* Courtesy David A. Dinsmore Because a diver can be lulled easily into a false WARNING sense of security, bottom time and depth must be good compass mounted on the sub is essential for navigation. Wet sub Either a Wet Sub or Swimmer Propulsion Unit Under Saturated Conditions, Precautions Must Be Taken To Avoid Accidental Ascent When Using monitored carefully. A divers will get cold faster because they are essentially motionless in the water and thus generate Wet sub little body heat. use under saturated conditions requires careful consideration of current velocity, direction, 17.5 UNDERWATER HABITATS Early underwater habitats were designed primarily to and reserve air supply to ensure that a diver could swim back to the habitat should the sub's propulsion evaluate engineering feasibility or to demonstrate system capability to survive in the undersea environment. 17-6 fail. NOAA Diving Manual human They — October 1991 Underwater Support Platforms Figure 17-6 Cutaway Showing Mating Position With Deck Decompression Chamber • Hatch Cover Forward Sphere Diver Compartment Helium Sphere Lock-In Hatch (Open) Thruster Horrz I> Lights Vert. Thruster Horiz. Thruster Manipulator Deck Decompression Chamber Medical Lock v Main Lock Hatch •— Entrance Lock INBOARD PROFILE Johnson-Sea— Link I & II Submersible & Ship Decompression Chamber Scale In Feet Source: were not designed to accommodate the average scien- nor could they be emplaced or moved Habitats come in many shapes and NOAA sizes; the (1979) degree easily. of comfort of these underwater quarters varies from 17 and Koblick 1984). They have been used for observation stations, seafloor laboratories, and as operational spartan to luxurious. Habitats have consisted of an arrangement as simple as a rubberized tent with a single cot; in contrast, some have been four-room apartments. A University of New Hampshire survey (1972) bases for working divers. describes those features of an underwater habitat that tific diver, Since 1962, over 65 habitats have been utilized countries throughout the world (Figure Underwater habitats provide diving in 17-7) (Miller scientists with unlimited access to defined areas of the marine envi- ronment, enabling them to make observations and conduct experiments over long periods of time in to the saturation mode. Because habitats are open to ambient pressure, the blood and tissues of the aquanauts become saturated with the gas they are breathing, and decompression is required only at the end of a mission. October 1991 — NOAA Diving Manual users consider desirable (Table 17-1). When designing and selecting habitats for marine science programs, technical, logistic, and habitability criteria must be applied mission objectives. simplicity, functionality, scientist who is if systems are to facilitate Important considerations include and comfort. An aquanaut- constantly wet, cold, crowded, and miserable for days at a time cannot be expected to 17-7 Section 17 Figure 17-7 Undersea Habitat Specifications and Operational Data ( Depth Name Country Date Adelaide Australia 1967- Aegir U.S.A. 1969- Location (m) Crew Duration Size Weight Habitat Surface (Days) (m) (Tons) Cas Support Ship pression Mobility Remarks (Hours) From pontoons raft 1968 ,QiQ»n_, Hawaii 24-157 4-6 14 1971 N 2/0 2 2cyl., 2.7 • plus Ship Can ascend and Towable descend by He/O, 4.6 3m internal control sphere Italy 1971 Lake 50 Italy 1969 Lake Diver training, Air Garda instrument testing He/O,, 12 4 L =7 44 W=2 Cavazzo 3 separate habitats Shore Air Primary compressor Displ. located on seafloor Each BAH-I Federal 1968- Republic 1969 of 10 L 20 USSR 1968 Ship 1966 Sevastopol 300 L chamber = 21 W = 5.5 H = 11 U.K. 1966 Malta 10 Air Ship Self- He/O, buoy propelled u Cuba-Czech 1966 Caribe-I Rincon de 20 Shore self- propelled habitat Decompression Readily movable L = 3.5 D = 1.5 2 Guanabo i Only 2 D = 2.1 2-3 Observation Shore Sphere A Readily movable H = 5.5 D=1.2 lapanese ^r3 Bubble N 2 /0 2 D=2 Sea Bentos-300 =6 Germany USSR Balanus Baltic Ship 6 experiments Readily First movable Bal Eastern Bloc habitat near Havana LDT-nnrr Chernomor-I USSR Chernomor-ll USSR Black Sea 1969- Black Sea 5-14 5-31 4-5 4-5 14-52 1974 France Conshelf-I Marseilles, Diogenes L=7.9 62 D = 29 Displ L=8 D= 3 74 Air Displ N,/0, L = 5.2 D = 2.4 10 Mediterra- Ship Towable Ship Towable Ship Readily Shore movable Ship Readily Modified Chernomor-I ( nean Sea Starfish Shaab Rumi House Reef, Conshelf-I France I 11 104 100 4 legs Bal movable 1.2-24 Red Sea Conshelf-I France I Shaab Rumi Deep Cabin 50% He 50% Air 27.4 Ship Towable from 3.5 27.4 11 Reef, m to m Red Sea Conshelf-I 1 France 1 Mediterra- 100 22 nean Sea Edalhab 1968 Alton's 12.2 1972 Bay, N.H.; 13.7 3-5 D = 5.5 2.5% sphere 97.5% He L = 3.6 2 Air D=2.4 Ship Towable Shore Readily ship movable 84 Mounted on 14.6 m barge Deployed in quarry 8 5 • Miami, Fla. Czech Ere bos 1967- Olsany L=2.7 11.5 W=1 1968 3 Shore 15 Readily movable Bal H = 1.8 Galathee France 1977 Approx. L =7 Ship Air W = 66 18 H = 48 Ceonur Poland 1975- Gdynia H = 76 50 Glaucus U.K. 1965 Plymouth W= 10.7 L 0~ Bulgaria Hebros-I / 1967 Lake Bulgaria Hebros-ll Federal 1969 North Sea 23 2-4 Republic of Helgoland-I I For geology Towable Shore Air Readily 3.0- movable 3.5 Decompression experiments Made from a locomotive boiler Towable Not known Shore if usee = 6.7 L = 9.0 D = 6.0 N/0 2 Buoy Readily Varied movable Germany Federal 1971 North Sea Republic 1977 Baltic, of Shore Air W = 2.5 1968 L Helgoland-I 2.1 = 3.6 L = 5.5 D = 2.0 7 Varna (Khebros) Ship W = 4.2 1976 Germany 22-31 4 L=13.8 N/0 2 Buoy Towable W = 60 Varied Modified Helgoland-I USA ( 17-8 NOAA Diving Manual — October 1991 Underwater Support Platforms Figure 17-7 (Continued) DecomDepth Name HUNUC Country Date South 1972 Location (m) Crew Durban Duration Size Weight Habitat Surface (Days) (m) (Tons) Gas Support N/A L = 5.9 W= 1 5 Africa Shore pression Mobility (Hours) Movable Remarks Sank during emplacement — never occupied U Hydrolab S A 66-70 Florida 70-74 75-84 Bahamas L = 4.9 12-1 Buoy 40 Towable 1 3-20 W=2.4 Most utilized habitat the in world Virgin Islands USSR Ikhtiandr 1966 Crimean L = 2.i W=1.6 H = 2.0 12 Coast H Black Sea USSR Ikhtiandr 1967 USSR Ikhtiandr 19b8 Crimean 12.2 3 Air Shore Readily movable cubes Air Shore 2 female aquanauts Readily movable Coast L=8.6 Black Sea H = 7.0 Crimean 10 Bal 10 Air Shore Readily towable Coast Black Sea Czech Karnola 3-7 8 19fa8 Readily movable 15 USSR Kitjesch 1965 Crimean 15 L = 63 Made from Shore 25 W = 2.2 Coast (Kitezh) a converted railroad tankcar Klobouk Czech 1965 (Hat) Koza- 6 rovice Kockelbockel Nether ands 1967 Sloterplas 15 L=1.2 visits H=1 U.S.A. 1971- Puerto 1974 Rico 1972 Grand 15-30 4-5 2cyl. 2.4>6.0 1 USA. Lakelab 15 2 movable D= 1 9 H = 4b Short period LaChalupa Readily Daily 2 Traverse rm 9.5 + 150 Nj/Oj Auton- Readily omous movable Buoy Farthest operation Readily movable from shore (6 D = 3.0 H=2 1 Bal L = 2.4 D=4 9 Bal 24 Air Shore Readily N/A movable Bay. Michigan LORA Canada Rumania LS-I 1973- New- 1975 foundland 1967 Lake 7.9 12-14 2 3-4 Bicaz Malter-I German 1968- Malter Democratic 1983 Dam 1962 Mediterra- 8 2-4 24 L=7.2 20 D = 24 Bal L=4.2 14 Air Shore Air Ship Under Fixed Readily- 48 movable Air Shore D = 2.0 Still ice used for observation Under Readily ice movable Republic Man-m-Sea G I USA L= 3 2 D = 09 61 nean Meduza-I 1967 Poland Lake 24 L =2 W= Klodno 1 2 2.1 incl Bal 3.0 8 3% 2 97% He Ship 37% 2 63% N 2 Shore Readily 3 5.5 movable Readily Poland Gdansk, Baltic Sea USA Mmitat 1970 26 L 1977 Federal of L=3 Eilat. 53.5 movable Air Ship Entire habitat raised tor Readily 22 13 5 N. O, Ship Air Shore Towable Excursions to 50m movable N/A Never operational displ. 4 W=2.0 Red Sea Republic H=1 8 H= 1.4 D=24 Virgin Islands Nentica .2 open decompression = 36 W=2 first sea saturation H = 2.1 Meduza-ll World's Readily movable Germany/ Israel Permon-ll/lll Portalab Czech U SA. 1966 1967 1972 runtanya 10 L = 20 Rhode 11 3 L =2 W= Island 1 H=2 Robinsub-I Italy Black Sea. 4 8 Shore 12 Sukumi Readily movable 7.2 Air Shore Readily movable Bal 1 L=2 5 VV = 1 5 H = 20 Ustica Island Sadko-I N, O, W = 20 6hrs/ D= 3 team sphere 7 5 Air Shore 13.5 Air Wire fage Readily movable plastic tent Ship Readily Stationed shore movable midwater Displ in Bav Sadko-I I USSR Black Sea. Sukumi Bay October 1991 — NOAA Diving Manual 25 2 D=i 28.5 spheres Bal N^O; Ship Readily shore movable 70 Stationed in midwater 17-9 Section 17 Figure 17-7 (Continued) DecomDepth Namv f Country USSR Sadko-lll Date 1969 Location Black Sea, Crew (m) Duration Size Weight Habitat Surface (Days) (m) (Tons) Gas Support 30 He/N 2/ Ship 3' 25 14 D = 3.0 H= Sukumi 15.0 press/on Mobility Remarks (Hours) Readily Stationed in movable Bal. midwater Bay UK SD-M 1969 Malta 6-9 1-7 2 L = 29 Rubber tent with frame Auton- Air W = 1.8 omous steel H = 1.8 il-JL JT"3t . USA Sealab-I 1964 (Navy) %f> lePU-XMl I USA Sealah-ll 1965 (Navy) Sealab-I U.S.A. 1 58.8 4 11 1969 Seatopia ft Selena-I Japan D = 2.7 H=4.5 La lolla, 62.5 10 15-30 San 1829 5-12 N/A Clemente, 1968- Yokosuka 30 4 2 1972 Bulgaria Shelf-I 1970 Beloye 11.5 15 hrs. 1 SPID ^ US. A. (Man-in-Sea 1964 1974 M) = 17.5 D = 36 H = 36 L = 10.5 65 USSR 1966 Movable 56 4% O 25% N 2 71% He Ship Movable 30 2% O; 6% N 2 92% He Ship Movable N/A 4.8% 2 16.0% N 2 Ship Burgas 20 4-5 3 Bahamas 131.7 Canadian 4.3 2 5 cancellation Black Sea 30 1968 Black Sea USSR 1969- Black Sea Ship Air = 2.4 membrane Readily 33.5 3.6% 5.6% 2 N2 Ship Readily shore movable 92 Inflatable habitat 90.8% He 10.5 14 3 D^5.0 Shore Air 14 D = 2.4 2 Readily Inflatable movable Shore Air 1-4 12-34 Shore Air 1970 Canada Sub-Igloo y^\. A Canada Sublimnos 1972- Cornwallis 1975 Island 1969- Georgian one Semipermeable Readily Air habitat Readily Inflatable movable Sprut-U for open-sea mission sphere USSR Only used 66 movable W = 1.2 (Octopus) Sprut-M Movable movable L = 6.0 D = 2.5 L 1 Death of aquanaut caused 79.2% He D = 2.0 Arctic Sprut DCQ Ship 2 H = 3.0 Culf » ftp 200 H = 6.5 USSR 4%0 17%N 2 79% He W = 2.3 J . 20 Bal. L=17 5 D = 36 H = 3.6 L 1973 Lake u = 122 Island California ti±M L Bermuda California (Navy) ooi"^ooi Argus 12.2 10.1 2-4 2-4 8 sphere Bal to H = 2.7 9 hrs. D = 24 Up 24 Bay. D = 2.5 1 Shore Air habitat Readily Inflatable movable habitat Readily Under ice movable Air Ship Readily shore movable Designed for day- long occupation Ontario USA Suny-lab 1976- New York 12.2 2-3 6 1.5 1 Ship Air Made from cement Readily mixer movable Tektite USA. l-ll 1969- US 1970 Virgin 13 1 4-5 6-59 D = 3.8 H = 5.5 79 92% N 2 Ship 8%0 shore 2 Fixed World's longest 19.5 open-sea saturation Islands Czech Xenie 1967 Adriatic 6 3 1 L = 3.3 0.13 Shore Air Readily movable H=1.0 W = 1.0 Note Bal = ballast, displ = displacement From Miller and Koblick (1984) with permission from Jones and Bartlett Publishers , perform efficiently or to produce scientific results of high quality. For a description of specific scientific projects accomplished to date using underwater habitats, consult Pauli and Cole (1970), Miller et Miller et al. (1976), Wicklund et al. al. (1971), (1972, 1973, 1975), Beaumariage (1976), or Miller and Koblick (1984). Helgoland (West Germany), and Tektite, Hydrolab, and La Chalupa (USA). The habitats described in this section were selected because they represent a crosssection of those built to date, and the programs in which they were utilized include most U.S. marine scientific saturation itats differ 17.5.1 Saturation Diving Habitats More than 65 underwater habitats have been con- structed throughout the world since 1962. Their level of sophistication ranges from the simple shelters described in Section 17.5.2 to large systems designed extended seafloor habitation. The habitats used most extensively were Chernomor (Soviet Union), for 17-10 programs. Saturation diving hab- from work shelters in that they allow divers on the seafloor long enough to become saturated (see Section 16.1). Decompression may be accomplished either inside the habitat or in a surface decompression chamber after an ascent made with or to stay without a diving bell. Edalhab (Figure 17-8) was designed and built by New Hampshire as an students from the University of NOAA Diving Manual —October 1991 Underwater Support Platforms Table 17-1 Desirable Features of Underwater Habitats Overall Size About 8 Feet x 38 Feet into the habitat took place through a hatch at one (2.4 Meters x 11.6 Meters) sure Room: Bunks Microwave Food freezer and Water heater Separate Wet Room: Wet suit rack Hot shower Hookah and furnished with three bunks, folding chairs, a dehumid- Living Large entry trunk built-in- breathing system Individual and a table surface. unmanned, 23 foot long (7 meter) life-support barge floated at the surface above the habitat and supplied, via an umbilical, all life support, including electrical power, high- and low-pressure air, and water. A small stand-up shelter was provided nearby for emergencies and to serve as an air filling station. More than 700 scientist-aquanauts have lived in Hydrolab since 1972. After almost 20 years of service, Hydrolab was decommissioned by NOAA in 1985, and the habitat is now on view in the Smithsonian's an ifier, refrigerator Toilet Scuba charging Wet lab bench Specimen freezer desk and storage Dry lab bench Compactor Clothes dryer Library Diving equipment storage Tapes, TV, radio Rebreathers Emergency breathing system Computer terminal A air conditioner, a sink, self-contained, Museum GENERAL: Hemispheric windows External lights at trunk Temperature and humidity consisting of two hulls attached to a base and con- External cylinder storage and Separate double chambers charging On-bottom and surface decompression capability Habitat-to-diver Suitable entry height off Diver-to-diver communication chamber for emergency escape nected by a cross-over tunnel. The two cylinders were each divided into two compartments, containing the control center, living quarters, equipment room, and wet room. The control center also served as a dry laboratory for scientists. communication bottom Submersible decompression of Natural History. Tektite (Figure 17-10) was a four-person habitat and viewports control end when the chamber preswas below ambient pressure. The single room was that also functioned as a lock The living quarters contained four bunks, a small galley, and storage and entertain- Adjustable legs The equipment room contained the Mobility ment External or protected internal environmental control system, frozen food, and facilities. toilet chemical hood External survival shelter facilities. Air, water, electrical power, Adapted from NO A A (1979) and communications engineering project. were provided from the shore by means of umbilicals. The wet room was intended for scientific work; however, participants had difficulty entering with specimens of salvaged in The habitat was constructed mainly and donated materials. The living quarters were enclosed in an 8 x 12 foot (2.4 x 3.7 meter) cylinder with a small viewing port at each end. The interior was insulated with 1.5 inch (3.8 centimeter) thick unicellular foam. Entry was made through a hatch centrally located in the floor. The interior had two permanent bunks (which folded to form a large seat) and a collapsible canvas cot. Communications, air, and power were provided from the support ship to the habitat through umbilicals. Decompression was accomplished by having the divers swim to the surface and immediately enter a deck decompression chamber. Edalhab had no specific facilities for scientific investigation, required a manned support ship, and was not easily moved from site to site. Hydrolab (Figure 17-9) was designed to be simple and inexpensive to operate. The main structure was an 8x16 foot (2.4 x 4.9 meter) cylinder supported on four short legs and positioned 3 feet (0.9 meter) above a was submerged by venting and flooding ballast tanks and could be towed short distances for concrete base. It relocation in depths October 1991 up to — NOAA 100 feet (30.5 meters). Entry Diving Manual hand and found that most of the work space had been taken up with diving equipment and carbon dioxide The dry absorbent. lab in the control compartment served as an instrument room. One or more hemispherical windows in each com- partment and a cupola on the top of one cylinder allowed scientists to view the midwater and bottom areas adja- cent to the habitat. Decompression was accomplished by having the divers enter a personnel transfer capsule on the bottom, raising them to the surface, and locking them into a deck decompression chamber. La Chalupa (Figure tat built as 17-11) was a four-person habi- an underwater marine laboratory. Instead of a typical entrance tube, there was a 5 x 10 foot (1.5 x 3.0 meter) door in the wet divers to enter Large room and room floor that allowed exit easily. stainless-steel tables were provided in the wet for sorting specimens; additional instrumenta- was provided next to a 42 inch (107 centimeter) window where scientific equipment could be used. The laboratory had a computer for data analysis. tion space A special waterproof connector in the wet room 17-11 Section 17 Figure 17-8 Edalhab Source: 17-12 NOAA Diving Manual NOAA (1979) — October 1991 Underwater Support Platforms Figure 17-9 Hydrolab * Photo Dick Clarke October 1991— NOA A Diving Manual 17-13 Section 17 Figure 17-10 Tektite Courtesy General Electric allowed instruments outside the habitat to have readouts for current, salinity, and water temperature in the The habitat structure consisted of two 20 foot (2.4 x 6.1 meter) chambers within a barge; between the chambers was the 10 x 20 foot (3.0 x 6.1 meter) wet room. control room. 8 x Company main habitat. Once on the surface, chambers could be transported by helicopter and mated to a shore-based decompression chamber. At completion of a mission, the habitat was brought to the surface and towed to shore while the released from the the pressurized from aquanauts began decompression in the pressurized living compartment. The Aegir habitat (Figure 17-12) was capable of hour. supporting six divers at depths of up to 580 feet Surface support was provided by a self-contained unmanned utility buoy that supplied power, water, high- and low-pressure gas, and communications. A pair of two-man submersible decompression chambers was attached to the habitat for emergency use; these could be entered, pressurized to gain buoyancy, and chamber consisted of three compartments: living, control, and laboratory. The living and laboratory compartments were identical in size and shape, cylindrical with dished heads and an inside dimension of 9 x 15 feet (2.7 x 4.6 meters). The control compartment, located La Chalupa was used (12.1 at depths of 40 to 100 feet x 30.5 meters) and could be moved one location to another and emplaced 17-14 in easily about 1 (176.8 meters) for as long as 14 days. NOAA Diving Manual The personnel —October 1991 Underwater Support Platforms Figure 17-11 La Chalupa compartment (LC), control compartment (CC) and subport (SP) within the barge structure. On deck the highpressure air (A), reserve water (W) and battery power (B), and two personnel transfer capsules (PTC) take up the remaining deck space. The whole structure is supported by four adjustable pneumatic legs. Living Courtesy Marine Resources Development Foundation October 1991 — NOAA Diving Manual 17-15 Section 17 Figure 17-12 Aegir Dehumidifier ECS Wall -30 Escape Port-( 'Lavatory Wall Lavatory & Water Closet EATING/WORKING CYLINDER SLEEPING/STORAGE CYLINDER Passageway Passageway DIVING/ENTRY SPHERE 3 30 Surface Entry Hatch s 36 Passagewoy ' '6 Sight Po o 6 Environmental Control System Wall Shelving rtO Sight Port SsJtooI & H Lock Jr Beam Galley Sink T—r Cabinet Floor Plate bi Floor Structure 36 30 Surface Entry Hatch |\*2 Passageway 48 Diving Skirt Golley Wall Elevation 30 Escape Port x36 Diving Entry Port EATING/WORKING CYLINDER SLEEPING/STORAGE CYLINDER ECS Wall Elevation DIVING/ENTRY SPHERE Shower Wall Elevation Photo Courtesy Makai Range 17-16 NOAA Diving Manual — October 1991 Underwater Support Platforms Figure 17-13 Underwater Classroom between the two cylinders, was spherical, with an inside diameter of 10 feet (3 meters). The three compartments were connected by two 36 inch (91.4 centimeter) in diam- eter necks. The support platform (twin 70 foot (21.3 meter) long pontoons, each 9 feet (2.7 meters) in diameter) was capable of controlling the ascent and descent of Aegir independent of surface control. A support ship tended the habitat when it was sub- merged. At the completion of a mission, the habitat was brought to the surface while the aquanauts remained in the pressurized compartment. The habitat was then towed Of is to shore for completion of decompression. the 65 habitats built since 1962, only one currently used regularly. This located on Key Largo is a small underwater classroom Keys (Figure in the Florida 17-13). Photo ®Robert Holland, 1987 Designed and constructed as an engineering project at the United States Naval Academy (2.4 x 4.9 meter) habitat, in 1974, this 8 now x 16 foot privately owned, is located in a mangrove lagoon at a depth of 20 feet used by students and researchers from 1 to 3 days. Normally occupied by 3 to 4 persons, the habitat has housed over 200 persons in the first 1 1/2 years of operation. Because of the shallow depth, decompression is not required after (6.1 meters) and Figure 17-14 Aquarius is for missions lasting missions are carried out. NOAA new has recently constructed a habitat named the Aquarius (Figure 17-14) for use at research sites throughout the Caribbean. This latest addition in the long line of habitats will operate at depths of up to accommodate 6 scientistAquarius can 120 feet (36.6 meters) and will aquanauts. Because of mobility, the be moved to selected its sites in response to the needs of scientific research. 17.5.2 Non-Saturation Habitats Many diving projects require long periods of work or observation to be carried out in relatively shallow water. Simple underwater work shelters are useful on such projects; the primary function of these shelters is to allow divers to work for longer periods without surfacing, to protect them from the cold, and to serve as an emergency refuge and an underwater communication station. To be most effective, the shelter should be close to the diver's work site. Underwater shelters vary in size and complexity, depending on the nature of the work and the funds available to provide support equipment and facilities. They can be made of materials such as steel, rubber, plastic, or fiberglass. Most of the to date consist of a shell shelters constructed designed to contain an air some have been supplied with air from the surface or have used auxiliary air cylinders. pocket, although October 1991 — NOAA Diving Manual Photo R. Rounds Hardwire or acoustic communication systems have been used with some shelters. The decision to use work shelters should be based on considerations of ease of emplacement, operational preparation time, bottom working time, and cost-effectiveness. The following are examples of four shelters that have been used successfully for scientific observation 17-17 Section 17 Figure 17-15A Sublimnos and studies. Sublimnos (Figure 17-15A) is a Canadian shallow-water shelter that was built for scientists operating on a tight budget. The VIEW DOME shelter provided day- long underwater work capability for as divers. The upper chamber was and 8 feet (2.4 meters) in diameter. many as four 9 feet (2.7 meters) tall VIEW PORT- Entry was made - through a 35 inch (88.9 centimeter) hatch in the floor LIGHT of the living chamber. Subigloo (Figure 17-15B), also Canadian, was used with great success in Arctic exploration programs in 1972 and 1974 and Caribbean in the in 1975. It con- sists of two 8 foot (2.4 meter) acrylic hemispheres on aluminum legs and permits an unrestricted view, makan excellent observational platform. Subigloo is now used daily by divers as a part of 'The Living Seas' ing it Walt Disney's Epcot Center exhibit at in Orlando, Florida. Lake Lab (Figure 17-15C) was designed to be oper- BALLAST- ated continuously for 48 hours by two people and to be emplaced up at depths of to 30 feet (9.1 meters). As SUBLIMNOS with the other shelters, decompression was accomplished SERVICE CABLE by having the divers swim to the surface and immediately enter a deck decompression chamber. Another type of support platform that is used on undersea research shown in Figure 17-1 5D. This Undersea Instrument Chamber (USIC) houses instruments that record temperature, oxygen content, pH, light level, projects is redox potential, conductivity, and sounds. Illustration DIVER PROPULSION VEHICLES 17.6 Diver propulsion vehicles (DPV's) are useful for scuba who must make divers long-distance underwater sur- veys or travel long distances from a boat or shore base to a an underwater work DPV site The propeller alloy. (Figure 17-16). Basically, a small hand-held cylinder with a propeller is on one end that usually is is constructed of aluminum driven by an electric motor The among models; however, one supplied with power from rechargeable batteries. amount of thrust varies popular model delivers 30-35 pounds of thrust at power. On some 35 pounds. 5 to models, the thrust Two may full be varied from 12-volt batteries (in series) pro- revived interest in atmospheric diving systems, which allow the operator to remain at one atmosphere regardless of the operational depth. In 1969, the British developed the atmospheric div- ing system now referred to as JIM (Figure 17-17), which has undergone modification to achieve greater flexibility and depth capability. The new modified sys- tem is called SAM. The advantages of one-atmosphere diving systems are largely biomedical, pression sickness i.e., and the the elimination of decom- risks associated with the high pressure nervous syndrome. The operational advantages DPV of these systems include long bottom times at depth, held by pistol-grip handles in front of and below the greater repetitive dive capability, security, and pro- body so that the thrust pushes the water under, from the cold at depth. Such advantages have been demonstrated in many open-sea operations over the last few years. One, and perhaps the most dramatic, was a dive in 1976 to 905 fsw (275.8 msw) in the vide about is copyright 1969, Great Lakes Foundation diver's and not 17.7 The in 1 hour of operation at the face of, full power. The the diver. ATMOSPHERIC DIVING SYSTEMS work at great depths and biomedical considerations (decompression sickness and the high pressure nervous syndrome) have operational problems associated with 17-18 tection Canadian Arctic through 16 into 25 feet (4.9 meters) of ice °C seawater. An operator worked successfully and experienced only minimal discomfort. To accomplish the for 5 hours and 59 minutes below the NOAA Diving Manual ice — October 1991 Underwater Support Platforms Figure 17-15D Undersea Instrument Figure 17-15B Subigloo Chamber Courtesy National Geographic Society Figure 17-15C Lake Lab Photo Morgan Wells same task using conventional diving methods (only the saturation mode could have been used) would have incurred a decompression obligation of more than 8 days; with JIM, however, no decompression was necessary, because the operator remained at a pressure of one atmosphere. The present JIM system has a magnesium alloy cast body; a new development is a JIM system constructed of carbon fiber steel. Equipping JIM systems with the aluminum articulated arms of the SAM systems has improved performance significantly. The record dive for JIM to date has been a working dive in the Gulf of Mexico to 1780 fsw (542.7 msw),where the JIM system worked in tandem with WASP (Figure 17-18), a manned diving system that allows the operator to perform midwater tasks. Like JIM, the WASP system can be used to perform motor tasks, mm such as shackling and threading nuts. Compensating joints developed for the JIM system provide the flexibility for performing tasks that was lacking in earlier one-atmosphere systems. Future devel- Photo Lee Somers October 1991 — NOAA Diving Manual opments in atmospheric diving systems and other manned 17-19 Section 17 Figure 17-16 Diver Propulsion Vehicle Photo Dick Clarke submersibles will include advances in manipulator technology, which will enhance human performance under water. Although these advances are not likely to permit (30 meters) to more than 9840 feet (3000 meters). In their simplest form, they provide free-ranging, mobile TV more sophisticated form, ROV's capability. In their augment the underwater provide complete assemblages of tools and instruments performance of divers and allow them to concentrate on underwater tasks that require judgment, flexibility, and the ability to deal with the unexpected. conduct detailed bottom surveys, non-destructive (NDT) and cleaning of offshore structures, maintenance and repair of structures, and a variety of specialized tasks related to the offshore petroleum divers to be replaced, they will 17.8 to testing industry and the military. REMOTELY OPERATED VEHICLES ROV's using in scientific More recently, interest in and other types of diving Remotely operated vehicles (ROV's) have become valua- has increased. ble adjuncts to divers in several ways: they allow the The offshore oil industry has been ROV's for diver assistance. Virtually diver's bottom time to be increased and thus enhance productivity; they provide tools and instruments for underwater work assistance; and they can be helpful in an emergency. Although very few been in systems are identical, the of this use has connection with saturation diving operations, but the same methods can be applied to non-saturation diving. ROV the major user of all The following is a tabulation tion of the various support tasks and brief descrip- ROV's have conducted. major components that comprise such systems are generally the same and are shown in Figure 17-19. There are They range in cost from about $27,000 (Figure 17-20) to well over $1 million, over 106 different types of ROV's. from the size of a basketball to that of a compact automobile, and in depth of operation from 98.4 feet 17-20 Diving Support Ship Positioning Assistance With a pinger or acoustic beacon attached to the and a receiving hydrophone deployed from the surface ship, the ROV is launched to locate the exact ROV position of the dive site. NOAA When the site Diving Manual is located, the —October 1991 Underwater Support Platforms Figure 17-17 Figure 17-18 JIM System WASP System Courtesy Oceaneering International, Inc. Continuous Monitoring of the Diver for Safety to may be carried out at depths of up 1000 fsw (304.9 msw). The knowledge that an ROV is positioned outside of the bell can be reassuring to Industrial diving Courtesy Oceaneering International, Inc. and U.S. Navy divers. An ROV can be used to check the diver's gear and can then accompany the diver during the provide immediate on-scene appraisal if the for leaks support ship positioned directly over the vehicle and is dive to ROV's is anchored or holds station dynamically while the dive diver runs into trouble. In several instances, is conducted. This procedure offers two advantages: 1) the diver does not need to have been used to assist during the retrieval of dive bells that have been parted from their umbilicals. for the work site; close to the diver in surface is The 2) the support ship many required. In tice to station the on. consume bottom time looking can remain case an unscheduled return to the and ROV instances, at the work it site diver can then use the lights to is with home the pracits lights on the in job. Monitor, Inspect, and Document Diver's In the past, diver is properly. is sent to the dive such aspects of the environment as currents, and man-made or natural hazards site to ascertain visibility, that might influence diver safety. This use of if not impossible for describing, what difficulties he or she is hav- worst case, whether the work was performed An ROV can be used to monitor the diver during work and to record task performance on video Evaluate Diving Conditions Related to Safety ROV has been difficult surface personnel to understand precisely what the ing, or, in the Before deploying divers, the it Work ROV's greatly enhances subsequent dive safety. tape in real-time. This reduces communication prob- lems and provides a permanent visual record that can to orient subsequent divers who may have to perform similar tasks. Many ROV's also carry still cameras that can be used to obtain high-resolution be used photographs. Evaluate Dive Site With Respect to Tooling During predive reconnaissance, the ROV can be site and identify the tools that will be needed to conduct the job. The ROV can also WARNING used to assess the work when map save procedure can many task. This out a technique to use help the diver to conducting the back and forth the bottom time that trips October 1991 to the surface is and can also reduce spent appraising the job. — NOAA Diving Manual ROV's Used by Divers Must Be Safe Electriand Mechanically— Propellers May Need Guarding and Some Form of Communication Should Be Established Between the ROV Operator and the Diver cally 17-21 Section 17 Figure 17-19 ROV System Components Umbilical Control Console Power Pack Courtesy Hydro Products, San Diego, 17-22 NOAA Diving Manual CA —October 1991 Underwater Support Platforms Figure 17-20 Mitsui Engineering and Shipbuilding RTV-100 them with only carry flashlights, this practice leaves hand a head mounted, it may not adequately illuminate some angles that would make the task easier. The maneuverability of single free for work; if the light is ROV's provides a variety of angles of attack. The foregoing tasks have been performed by ROV's the smaller that were not specifically designed to provide for diver assistance. In 1984, the ROV David (Diver Assistance Vehicle for Inspection Duty) (Figure 17-21) completed became work in underwater and repair tasks. David is a that weighs more than 4 tons in air and sea trials and available for inspection, maintenance, large ROV measures 12.5 feet x 6.5 feet x 5.2 feet (3.8 meters x 2.0 meters x 1.6 meters). It can be controlled remotely Courtesy Busby Associates, Inc. platform, standard tools that include a grinder, cut- Provide Lighting and Tooling Assistance All ROV's have lights that can be used to provide additional illumination for divers. Although divers can Figure 17-21 Examples of ROV David from the surface or by the diver under water. The vehicle is equipped with a power winch, a diver's work off saw, impact wrench, chipping Work Tasks WELD CLEANING NDT ROUGH CLEANING TRANSPORT LIFTING PUMPING - r Courtesy ZF-Herion-Systemtechnik October 1991 — NOAA hammer, hammer and suction pump. It also carries three adjustable TV cameras and can provide the capability for water jetting and pumping equipment. drill, Diving Manual GmbH, Fellbach, West Germany 17-23 i Page SECTION 18 18.0 General EMERGENCY 18.1 Basic Principles of First Aid MEDICAL 18-1 CARE 18.2 18.3 18.4 18-1 Primary Survey Airway Maintenance and Cervical 18.1.1.1 Spine Control Survey 18.1.1 18.1.1.2 Breathing Survey 18.1.1.3 Circulation and Hemorrhage Control Survey Airway Maintenance and Cervical Spine Control 18.2.1 Establishing the Airway 18.2.2 Cervical Spine Control Breathing (Mouth-to-Mouth or Bag- Valve-Mask Resuscitation) 18.3.1 Mouth-to-Mouth Resuscitation Bag-Valve-Mask Resuscitation 18.3.2 Treatment by One Person Treatment by Two People 18.4.2 18-1 18-1 18-3 1 8-3 18-3 18-5 18-5 18-5 18-5 18-6 Circulation 18.4.1 18-1 18-6 18-6 18.5 Bleeding 18-7 18.6 Shock Near-Drowning Heat and Cold Casualties 18.8.1 Heat Exhaustion 18-7 18.7 18.8 18.9 18-8 18-8 18-8 18.8.2 Heatstroke 18-8 18.8.3 Hypothermia and Infections 18-9 Injuries 18-9 18-9 18.9.1 Injuries to the Spine 18.9.2 Injuries to the 18.9.3 Wounds 18-10 18.9.4 Burns 18-10 Head and Neck 18-9 18.10 Fractures 18-11 18.11 Electrocution 18-11 18.12 Seasickness (Motion Sickness) 18-11 18.13 Poisoning Caused by Marine Animal Envenomation 18-12 18-12 18.14 Envenomation Caused by Fish 18.13.2 Envenomation Caused by Jellyfish 18.13.3 Envenomation Caused by Cone Shells 18.13.4 Envenomation Caused by Sea Snakes 18.13.5 Envenomation Caused by Coral 18.13.6 Envenomation Caused by Sea Urchins Poisoning Caused by Eating Fish or Shellfish 18.13.1 18-12 18-12 18-13 18-13 18-13 18-13 18.14.1 Ciguatera 18-13 18.14.2 Scrombroid Poisoning 18-14 18.14.3 Paralytic Shellfish Poisoning 18-14 i EMERGENCY MEDICAL CARE 18.0 GENERAL First aid is part of first aid, the immediate, temporary assistance pro- vided to a victim of injury or illness before the services team can be of a qualified physician-paramedical The purpose obtained. and life of first is response can When mean hospitalization. The following paragraphs provide more worsening of the the difference between and disability, Because diving in detailed dis- cussions of the three first aid phases. is or death, life short- or long- often conducted in Primary Survey 18.1.1 an accident occurs, the proper temporary or permanent be discussed further will not to save the victim's to prevent further injury or victim's condition. term aid it this section. The first priority in any first aid situation is to make sure that the patient can breathe, has a heart beat, and is not obviously hemorrhaging to death. survey covers the ABC's of initial first aid, The primary which are: isolated areas, all individuals involved in diving opera- A. Airway maintenance and cervical spine control have a thorough understanding of the basics of first aid and should complete, as a minimum, both the Advanced First Aid and Emergency Care and tions should the Cardiopulmonary Resuscitation offered or certified by the (CPR) courses American Red Cross and the B. Breathing C. Circulation and hemorrhage control. A is decision tree depicting the sequence for this survey shown Figure 18-1. in American Heart Association. Airway Maintenance and Cervical Spine Control Survey 18.1.1.1 18.1 The BASIC PRINCIPLES OF FIRST AID first step in administering first aid is The to evaluate the victim's condition quickly and accurately and to elect an appropriate course of action. This evaluation must be done systematically, speedily, and comprehensively. Four phases are involved in the initial care of accident victims or victims of sudden medical problems; only the first three of these are considered first aid: lift or step first airway is is to make sure that the patient's open. This can be done by applying the chin jaw thrust maneuver or by clearing the airway of debris with the fingers (see Section 18.2.1 for techniques). It is important to remember when establishing an airway that the patient injury that may have may be made worse a cervical spine during maneuvers to establish an airway. The patient's head and neck should never be hyperextended to establish or maintain an airway. • Primary survey. This purpose is to identify is a quick examination and assess any life- whose or limb- threatening problems. • Resuscitation phase. In this phase, life-threatening conditions are treated. This phase and the primary survey can sometimes, depending on the situation, be accomplished simultaneously. • WARNING Secondary survey. This is a head-to-toe evaluaand includes x ray and other laboratory studies. Although best performed in an emergency room, the secondary survey phase of If There Is cles, the Any Obvious Injury Above the ClaviPerson Administering First Aid Should Assume That a Cervical Spine Fracture Exists tion of the patient first aid should include the identification of less serious injuries, because treatment • may be neces- Breathing Survey The establishment of an adequate airway does 18.1.1.2 victim's chest should be exposed to observe sary to prevent further injury. any obvious injuries and Definitive care. During this phase, the patient's major problems are corrected and less threatening problems are dealt with. Because this phase is not the chest rise and October 1991 — NOAA Diving Manual not ensure that the victim has adequate respiration. The fall to see if there are whether both sides of together. If the victim is not breathing, cardiopulmonary resuscitation must be instituted. 18-1 Section 18 Figure 18-1 Life-Support Decision Tree i ENTER Call for help and position victim Recognize unconsciousness Open airway Maintain open airway Transport to Life Support yes Give 2 breaths Unit full ( Readjust head Transport to Life Support tilt Unit yes Continue rescue breathing 12 times per minute 6-10 manual thrusts Clear throat Breathe yes ^^ Air ^s^ ? C^ ^n. ^r^ entering ± yes Transport to Life Support Unit no i i Continue attempts to open airway ( Source: 18-2 NOAA Diving Manual JAMA (1986) —October 1991 Emergency Medical Care and Hemorrhage Control Survey 18.1.1.3 Circulation first, called the chin lift, is done by placing the fingers Rapid blood loss should be identified during the initial survey and managed by the direct pressure method hand under the front of the chin and gently lifting the chin upward. The thumb of the same hand is used to depress the lower lip and open the mouth. The thumb may also be placed behind the lower teeth to lift the chin gently. This maneuver should not hyperextend the head, and it is the method of choice if a cervical (see Section 18.5). spine injury The person administering pulse to determine cardiac arrest has occurred. if easiest place to find a pulse the neck. If there 18.2 The The over the carotid artery is CPR no pulse, is aid should feel for a first must be in instituted. is suspected because it does not risk compromising a possible cervical spine fracture and converting a fracture without cord injury into one with AIRWAY MAINTENANCE AND CERVICAL SPINE CONTROL first LOOK cord injury. The second maneuver is to: LISTEN FEEL for for airflow at the air mouth and nose; and aid should not be mis- first breathing adequately because his or her chest is rising and falling in the usual manner, because involuntary muscle action may cause the chest to continue to move even when the led into thinking that a victim airway remove any gear and it away is completely obstructed. is It open the wet to is important to suit jacket or cut can be seen and so that the victim's chest felt. Unless the exchange of air through the mouth and nose can be heard or the victim's chest administering victim felt rising is first and it exchange of falling, the aid should not breathing adequately. is possible to see that is and person assume that the To hear and place his or her ear close to the patient's mouth and nose; in cases of complete obstruction, there will be no detectable movement However, partial obstrucdetect and can be identified by listen- easier to tion is ing. Noisy breathing of is pulled first aid should check the mouth to see if any foreign matter, blood, or vomitus is blocking the airway. Any foreign matter should be removed by inserting the index finger of one hand down alongside the cheek, moving it to the base of the tongue, and sweeping the finger across the back of the base of the tongue to the other side and out, bringing the obstructing material with it. victim does not begin to breathe on his or her If the own immediately after this an obstruction continues to tract. maneuver, exist may it be because lower in the respiratory The rescuer should attempt to inflate the vic- tim's chest by beginning cardiopulmonary resuscitation. If the rescuer cannot force air into the lungs, the following methods can be used to dislodge an obstruction. feel the the person conducting the survey should air, may be lip administering exchange. The person administering jaw upward and forward. The lower down with the thumbs (Figure 18-2). After performing either of these maneuvers, the person movements; for breathing performed by is grasping the angles of the lower jaw and pulling the step in determining whether a victim has an airway obstruction of one Manual Thrusts Manual thrusts consist of a rapid series of 6 to 10 thrusts to the upper abdomen (abdominal thrust) or air. a sign of partial obstruction of lower chest (chest thrust) that are designed to force air out of the victim's lungs. the air passages. 'Snoring' usually indicates obstruc- by the tongue, which occurs, for example, when the neck is flexed. 'Crowing' can indicate spasms of the tion larynx, while gurgling sounds can indicate that foreign matter has lodged in the larynx or trachea. Abdominal Thrusts (Heimlich Maneuver) Victim Standing or Sitting • Under no circumstances should noisy breathing go untreated. wrap • Cyanosis, or a noticeable dusky bluish coloration of the lips, nailbeds, or skin, is airway obstruction, particularly The presence to who is arms around the victim's waist. his or her fist with the thumb side of the fist against the victim's abdomen, between the lower end of the victim's breastbone and the victim's cold. or absence of cyanosis should not be used judge the adequacy of the victim's airway or of his or his or her The rescuer should grasp other hand and then place the not a reliable sign of in a diver The rescuer should stand behind the victim and navel. • her breathing. The rescuer should times into the victim's press his or her abdomen with fist 6 to 10 a quick upward thrust. 18.2.1 Establishing If the patient is the Airway can be used to open the airway and maintain October 1991 Victim Lying unconscious, one of two maneuvers — NOAA Diving Manual it. The • The rescuer should position the victim on his or her back, with the rescuer's knees close to the 18-3 Section 18 Figure 18-2 Jaw-Lift Method Source: and should then open the victim's victim's hips, airway and turn the victim's head to one • • The rescuer should place the heel of one hand abdomen, between the lower end of the victim's breastbone and the victim's navel, and should then place the second hand on top of the first or her shoulders are directly over the victim's abdo- Victim Lying • • nal girth is his or her an alternative to the abdominal particularly useful when so large that the rescuer cannot fully wrap arms around the victim's abdomen, or when likely to abdomen is cause complications, as would occur, for exam- ple, if the same as those for applying closed-chest heart compression (heel of rescuer's hand on lower half of victim's breastbone). • The rescuer should then exert 6 to 10 quick downward thrusts that will compress the victim's chest cavity. Conscious Victim The rescuer should stand behind the his or her arms directly victim, place under the victim's armpits, and encircle the victim's chest. 18-4 the victim's airway and turn the victim's head to one side. The rescuer's hand position for and application of victim were in advanced pregnancy. Victim Standing or Sitting • to the side of the victim's The rescuer should open chest thrusts are the the victim's abdomi- pressure applied directly to the victim's rescuer should place the victim on his or her body. Chest Thrusts is The back and kneel close men. This should be repeated 6 to 10 times. thrust. It The rescuer should then grasp his or her fist with the other hand and exert 6 to 10 quick backward thrusts. until his men, which puts pressure on the victim's abdo- is side of his or fist cage. • hand. The rescuer should move sharply forward This technique (1979) on the victim's breastbone, but not on the lower end of it or on the margins of the victim's rib her side. against the victim's • The rescuer should place the thumb NOAA If the victim obstruction, and has good air exchange, only partial is still able to speak or cough effectively, the rescuer should not interfere with the victim's attempts NOAA Diving Manual — October 1991 Emergency Medical Care to expel a foreign body. The following sequence maneuvers (described in detail performed by the rescuer there Determine • if complete is by asking the victim to speak. Deliver 6 to 10 manual thrusts. • Repeat 6 to 10 manual thrusts • away while the victim the face until they are effec- airway is When make exhaling sure that the proof that the victim's recheck whether the victim's jaw is lifted fully, the tongue is held out of the way, etc. The rescuer should give the victim two full breaths and check for a carotid pulse. If is a pulse tive or until the victim loses consciousness. exhales. into the victim, the rescuer should victim's chest rises, which airway obstruction: is the airway obstruction if of below) should be open. If is it is not, the rescuer should present, the rescuer should continue with mouth-to-mouth breathing at the rate of 10-12 breaths per minute until the victim begins breathing on his or 18.2.2 Cervical Spine Control her Cervical spine injury should be suspected if there is or own is or until the rescuer is relieved by too exhausted to continue. If a pulse someone is else not present, of neurological signs or the presence of reflexes should combined cardiopulmonary and respiratory resuscitation, which is described in not be considered evidence that no cervical spine injury Section 18.4. evidence of any injury above the clavicles. The absence exists; the rescuer should begin If a rescuer only an x ray can rule out such an injury. is using the two-hand jaw-lift method to maintain the victim's airway, the rescuer can seal the The management of a suspected cervical spine injury is immobilization of the head and neck. This can be done victim's nostrils by pressing his or her cheek against with sand or sandbags, weights, rocks, or anything that them. In some cases, the victim's jaw heavy enough is another person is keep the head from moving. If present, immobilization can be accomto damaged If this or the victim's sealing the victim's head on both sides and apply slight traction to the head. If a patient must be rolled on the side because of tim's nose. while maintaining their relative positions. This is extremely difficult to do because of the weight of the head, which must be held and rolled with the body while the helper continues to apply traction. As empha- sized in the previous section, the cervical spine should not be extended during the establishment of an airway if cervical spine injury 18.3 is suspected. BREATHING (MOUTH-TO-MOUTH OR BAG-VALVE-MASK RESUSCITATION) 18.3.2 If a badly happens, a rescuer can perform resuscitation by plished by having the other person hold the victim's vomiting or severe bleeding that is obstructing the airway, this can be done if no back board or cervical brace is available by moving the body and head together may be mouth cannot be forced open. mouth and exhaling into the vic- Bag-Valve-Mask Resuscitation bag-valve-mask resuscitator (BVMR) (Figure 18-3) and a trained user are available, this device should be used to treat cardiac arrest. The self-inflating bagvalve-mask forms an airtight seal around the victim's mouth and nose. It can deliver a higher partial pressure of oxygen than is possible with mouth-to-mouth resuscitation, and the resuscitator can be used in atmospheric air, which contains 21 percent oxygen compared with the 16-17 percent in the exhaled air of a rescuer. A BVMR can also be supplied with 100 percent oxygen. In addition, rescuers using a BVMR can ensure that the victim is ventilating adequately and can detect and correct airway obstruction. after establishing an airway, the victim does not If, begin breathing on his or her own, the rescuer should begin resuscitation efforts, which may require both cardiac and respiratory resuscitation. This section deals with the procedure for providing respiration to a victim. NOTE A bag-valve-mask resuscitator should be used only by those who are trained and proficient in its use. 18.3.1 Mouth-to-Mouth Resuscitation If the lift trils airway is being maintained by using the chin method, the rescuer should pinch the victim's nosclosed with the hand that is • not holding the vic- victim's mouth, October 1991 — NOAA Diving Manual An oropharyngeal airway should be inserted unconscious victim only make a seal with his or her mouth over the and exhale into the victim's mouth. The rescuer then removes his or her mouth and turns tim's chin, Precautions if the rescuer is in an trained in this procedure. • Bag-valve-mask resuscitators should not be used on children younger than 2 years. 18-5 Section 18 Figure 18-3 Bag-Valve-Mask Resuscitator and head tilted back with the other three fingers. The rescuer should ensure that there is an airtight seal between the mask and the victim's face. The rescuer should then squeeze the bag firmly while observing the When victim's chest for rise. administering air to a should exercise care not to overexpand child, the rescuer The rescuer should the child's lungs. release the bag sharply and completely to allow the victim to exhale (observe for chest and then repeat fall) this squeeze- and-release pattern approximately every 3 to 4 sec- onds (about chest A. Complete System until fall). 1 second for chest rise and 2 seconds The rescuer should continue he or she for resuscitation too exhausted to continue or until is additional qualified help comes. oxygen If is available, the rescuer can use the proce- dures described above, except that an oxygen bottle should be connected to the bag-mask system and the oxygen should be allowed to flow at a rate of 8-10 liters per minute. When using this method, the rescuer should be alert for signs of vomiting. If vomiting occurs, quickly remove the mask, turn the victim's head to one side, and clean out the victim's mouth. After the vomiting has stopped and the mouth has been cleared, the rescuer should resume resuscitation. 18.4 CIRCULATION This section describes the procedure for performing CPR if no pulse 18.4.1 is found Operating Position • Source: NOAA (1979) Rescuers should ensure that the face mask is completely sealed about the victim's nose and mouth. • Rescuers should never use oxygen flow rates that are in excess of 10 • liters per minute. Rescuers should always release the bag quickly and completely. While maintaining the victim's airway, the rescuer should apply the mask non-breathing victim. Treatment by One Person give the victim two full rapid The rescuer should B. in a mouth-to-mouth ventilations; then, with the heel of one hand on the lower third of the victim's breastbone and the other hand directly on top of that hand, the rescuer should press vertically downward about 1.5 inches (3.8 centimeters). The rescuer should then release the pressure contact with the victim's chest. This downward pressure should be applied 15 times, at the rate of 80 per minute, after which the victim should be ventilated twice. This two-ventilation procedure should be repeated after every 15 heart compressions, until the pulse or spontaneous respiration (or both) returns, the victim is pronounced dead by a physician, or the rescuer cannot continue because of exhaustion. firmly to the victim's face, with the rounded cushion between the victim's lower lip and chin and the narrow cushion as high on the bridge of the victim's nose as possible. the mask firmly against thumb and index 18-6 The rescuer should hold the victim's face with the finger while keeping the victim's chin 18.4.2 Treatment by With the Two People hand on the lower third of the and the other hand directly on top, heel of one victim's breastbone the rescuer should press vertically downward, using NOAA Diving Manual —October 1991 Emergency Medical Care some body weight, about until the victim's 1.5 to 2 inches (3.8 to 5.1 breastbone depresses centimeters). While maintaining contact with the victim's chest, the res- indicating at one it, what time last effort it was applied. Before applying should be made to stop the bleeding by using direct pressure. cuer should then release the pressure by lifting his or her hands. This pressure should be applied at the rate SHOCK of 60 times per minute. Simultaneously, a second per- 18.6 son should apply mouth-to-mouth resuscitation at the Shock may occur after any trauma and will almost always be present to some degree when a serious injury rate of one ventilation for each five pressure applica- tions to the heart, without a pause in the pressure To determine whether applications. returned, it the pulse has should be checked every four cycles. is victim's heart begins beating diac arrest may may suddenly recur. BLEEDING weak • Feeling • Agitation, mental confusion • Unconsciousness 'faint,' Pale, wet, in a diver clammy, cold skin (not a who has been Nausea, vomiting an injury under water, the rescuer's • Thirst remove him or her from the water. The first step in stopping severe hemorrhaging is for the rescuer to apply direct pressure on the wound, which can be done using the hand, finger, or a sterile dressing. The most sterile material available should be • Rapid • Systolic blood pressure 90 If a diver suffers action should be to used, although time should not be wasted looking for something sterile. The victim should be lying down The treatment ration palm of the hand. if possible, with If blood seeps the covering, the rescuer should not method of is it but • A lie tourniquet where close to the skin) or tourniquets. is a constricting • band used as a resort to stop serious bleeding in a limb. A Administer 100 percent oxygen (if available) either by mask or, if the patient does not tolerate the mask, by allowing oxygen to free flow across the victim's nose from the end of the connector tubing. much more effective than using either pressure points (places major arteries other through remove controlling bleeding all for the correction of and the control of profuse bleeding. After respiand cardiac output have been established and the control of bleeding has been instituted, the following procedures should be performed to treat shock. should add more material and continue to apply pressure. This of shock takes priority over breathing problems, the re-establishment of circula- should be elevated higher than the heart. Pressure the fingers or mmHg or less. emergency care measures except tion, rescuer should cover the entire wound, pulse; absence of peripheral pulses Treatment and, unless the injury prevents this, the injured area should be maintained for no less than 10 minutes. The reliable sign in the water) • first cause death. Symptoms and Signs • 18.5 resulting tissue hypoxia or anoxia can have permanent effects or exhausted, or is pronounced dead by a physician. If the and the victim breathes on his or her own, close observation must be continued until medical help arrives because respiratory or car- the victim The circulation. This routine should be continued until a pulse or spontaneous respiration returns, the rescuer(s) occurs. Shock is caused by the loss of circulating blood, which causes a drop in blood pressure and decreased Elevate the lower extremities. Since blood flow to the heart and brain last may have been diminished, circulation can be improved by raising the legs traumatic The entire body should head because the abdom- amputation, crushed limb, or cases in which direct pressure fails to stop the bleeding are instances in which a tourniquet should be used. In these situations, slightly (10-15 degrees). a wide belt or strong piece of cloth not less than interfere with respiration. If the legs are severely not be tilted inal down at the organs pressing against the diaphragm may 2 inches (5.1 centimeters) wide should be tied around injured or fractures are suspected, the rescuer should the victim's injured limb above the wound, using an not attempt leg elevation. overhand knot. A short stick is tied to the overhand knot, and the tourniquet the stick. is band at the The tourniquet should only be as Once in place, necessary to stop the bleeding. the tour- A tag should be placed on the tourniquet October 1991 — NOAA Diving Manual Avoid rough handling. The victim should be handled as gently and as little as possible. Moving a victim has a tendency to aggravate shock conditions. tight as niquet should be loosened only on the advice of a qualified physician. • tightened by rotating • Prevent loss of body heat. Keep the victim warm but guard against overheating, which can aggravate shock. The rescuer should remember to place 18-7 Section 18 • a blanket under the patient as well as on top, to breaks should be taken in the shade or other cool place. prevent loss of body heat into the ground. Fluid intake should be forced, even Keep because thirstiness the victim lying down. This practice avoids is when not thirsty, a poor indicator of dehydration. taxing the victim's circulatory system at a time Symptoms and Signs when it should be at rest. Give nothing by mouth. • NEAR-DROWNING 18.7 Near-drowning refers apparently drowned and to an accident in lifeless many but are victim The causes the water and resuscitated. • Rapid weak pulse Nausea, vomiting • Fainting • Restlessness • Headache • Dizziness • Rapid, usually shallow, breathing • Cold, • a frequent cause is is which an pulled from of near-drowning diver panic, which incapacitates the victim and prevents surfacing or staying on the surface. him or her from As a result, the near-drowning victim inhales water or experiences a laryngeal spasm, which, in turn, causes severe hypoxia. clammy skin, continuous sweating. Treatment The victim of heat exhaustion should be placed in a shaded, cool place in a comfortable position, either Symptoms and Signs lying down from chilling. or semi-reclining, and should be protected The victim should be forced to drink a • Unconsciousness quart of any non-alcoholic fluid as soon as possible; • Lack of respiration Lack of heart beat. this drink • does not need to be iced. The victim should recover fairly rapidly, but and exhaustion Treatment not be allowed until Immediate drowning, even if is all symptoms such as headache Further heat exposure should symptoms are gone. required in cases of near- 18.8.2 Heatstroke the victim has been in the water for a long time. Cases of successful resuscitation have been reported even after 40 minutes of submersion, presuma- bly because the rapid hypothermia associated with vital linger. cardiopulmonary resusci- institution of tation (see Section 18.4) immersion may in cold water protects the brain and other organs from permanent injury. If hypothermia is a result of excessive physical exertion environment and is caused by failure of the body's thermoregulatory mechanism. It can be avoided by limiting exertion, wearing protective clothing, and preventing dehydration. Heatstroke is a serious emerin a hot is suspected, see Section 18.8.3 for other procedures that should be performed in addition to Heatstroke CPR. WARNING gency, and the body temperature of a heat stroke vic- tim must be lowered quickly to prevent permanent brain damage or even death. Symptoms and Signs Do Not Withhold CPR Because a Drowning Victim Appears to be Dead. The Victim May Only Appear to be Dead Because of Severe Hypothermia • Rise in body temperature • Sudden • Skin extremely dry and hot, no sweating • Dizziness • Mental confusion • Convulsions • Coma. collapse HEAT AND COLD CASUALTIES 18.8 Treatment 18.8.1 Heat Exhaustion Heat exhaustion occurs when cardiac output and vasomotor control cannot meet the increased circulatory demands of the skin in addition to those of the brain and muscles. It is caused by simultaneous expo- sure to heat and very hard ronment. 18-8 Where work heat exhaustion in a hot, is humid envi- likely, periodic rest The major factor in treating heatstroke is to lower the body temperature to a safe level as quickly as possible. The victim's body should be bathed in tepid water or, if possible, completely immersed. The head and neck of the victim should be sponged with the same tepid water. If conscious, the victim should drink large amounts of any non-alcoholic NOAA fluid. Transfer to a medical Diving Manual — October 1991 Emergency Medical Care facility should be accomplished immediately; without proper medical care, serious complications are possible. 18.8.3 alert. Hypothermia Strictly defined, hypothermia is climbed a decrease in the to 96.8°F (36°C) and the patient is best done in a medical habitat or a saturation core temperature. for Cold skin and vasoconstriction • Sporadic shivering should be introduced into the diving suit unless a hot tub is available in the chamber. Pulse rate rewarming shock, which can occur as the patient rewarms. As peripheral blood vessels reopen, peripheral resistance is lowered and, 18.9 by keeping the in the tub, INJURIES Uncontrollable shivering 18.9.1 Injuries to • Loss of shivering response Symptoms and Signs • Sensory and motor degradation • Hallucinations, decreasing consciousness Ventricular fibrillation and death. hypothermic victim is conscious and can help himself or herself, no vigorous rewarming procedures should be attempted. Warm dry clothing, hot soup, tea, or coffee, and the avoidance of further cold expoIf a sure are recommended. If spontaneous respiration present but the victim is still unconscious or extremely rewarming should be instituted. Active rewarming should be done at a medical ity, Local pain or tenderness over the vertebrae • Deformity or an obvious • Severe trauma to • Paralysis or lack of sensation in a site evacuation. If a supply of hot water warm is • of back or neck hump rest of (both are rare signs) body body part. a conscious patient for spinal cord injury, Ask the victim what happened, where it hurts, whether hands or feet can move, whether sensation present in hands and feet Look for bruises, cuts, deformities Avoid moving the injured patient is • if the neck and spine cannot be immobilized. facil- while waiting for medical movement rescuers should observe the following procedures: • but simple steps, such as body-to-body rewarming, can be taken at the dive To check water or the Spine Painful is lethargic, active suit full of • Loss of consciousness Loss of reflexes For an unconscious patient, the rescue procedures to be observed are: available, run vic- • tim's diving suit with a hose. Further heat loss should • Look for trauma or deformities Ask others what happened be prevented by shielding the victim from the wind to • Avoid moving the patient block the evaporative cooling of wet skin and clothes. • Provide resuscitation as required Mouth-to-mouth resuscitation also reduces respiratory • Report any symptoms or signs observed water, 102 to 109°F (39 to 43 °C) into the heat loss but should be administered only is not breathing spontaneously. Providing rated air or oxygen at 104 to if warmed, satuto 45 °C) little if spinal injury is suspected to the physician or rescue team. the victim 113°F (40 prevents respiratory heat loss and adds a 18.9.2 Injuries to the Head and Neck heat to Symptoms and Signs the body core. The major means of rewarming involves immersion of the victim's body in (40 to 43 °C) until his October 1991 is can also be helpful. • Cardiac abnormalities • the cardiac output AND INFECTIONS Mental confusion, impairment of rational thought • if low, hypotension can occur. Hydrostatic support, such • • and blood pressure should be taken frequently to guard against • • if, to a hospital been decompressed. Hot water until he or she has keeping the diver • chamber may be necessary example, the victim cannot be taken as that provided Symptoms and Signs again facility, where the process can be closely monitored, because of the serious cardiac and metabolic problems that can occur during this process. However, rewarming in a body's core temperature to a level below 98.6 °F (37 °C). However, many people can stand a drop in core temperature of 0.9 °F (0.5 °C) without significant problems. If the temperature continues to drop, shivering begins and becomes uncontrollable. A core temperature of 91.4°F (33 °C) is lethal for about 50 percent of all victims of such hypothermic exposure. The symptoms and signs of hypothermia are many and are listed below in the order of their appearance with decreasing is Rewarming warm water 104 to 109°F or her rectal temperature has — NOAA at Diving Manual • Injury to the skull (including face) • Blood or clear fluid (cerebrospinal from ears or nose fluid) draining 18-9 Section 18 • Black eyes a pressure dressing (see Section 18.5). Steps should be • Unconsciousness taken to prevent shock until medical aid • Paralysis or loss of sensation (see Section 18.6). Uneven • • dilation of pupils (one dilated more than in the body or eye should removed except under direct medical supervi- Objects that are impaled the other) not be Airway obstruction. sion; instead, they should be stabilized for transport to medical care. The only exception to • Assume • Maintain respiration and circulation that a cervical spine injury is object can be removed, after which the present occurs in Such an wound should be packed inside the mouth to prevent the victim from choking on blood. Control active bleeding. The face and scalp are richly supplied with arteries and wounds of these areas bleed heavily. Bleeding should be controlled by direct pressure. For cheek wounds, it may be necessary to hold a gauze pad inside the cheek as well as outside. The main danger of and this rule the case of an object that penetrates the cheek. Treatment • obtained is veins, facial fractures is that they can cause airway problems bone fragments or blood obstructs the airway. neck wound is present, a neck fracture should be if 18.9.4 Burns Burns are classified into three general categories, according to severity. The least serious is the firstdegree burn, which is a reddening of the skin. With second-degree burns, the skin If a serious sus- pected and the victim's head and neck should be im- is blistered. The most the third-degree burn, in which the skin (and is possibly the underlying tissue) is charred beyond repair. Burns can result from either heat or chemical action. mobilized to prevent injury to the spinal cord. Treatment 18.9.3 Wounds The treatment that can be administered to a burn victim other than by a physician Divers can experience a wide variety of wounds. The wounds or wounds from sharp edges of metal, are minor and require a minimum of first aid. However, there is always the chance that a diver will sustain massive injuries, such as might be majority, such as coral by a shark or a boat propeller. In such cases, may be necessary stop bleeding and prevent shock. The immediate treatment immersion is extremely limited. for all burns, however, is water to reduce tissue tem- in cool or tepid peratures rapidly to levels below those that cause damage. If the skin broken or burned through, the burned is area itself should be covered with a sterile or clean inflicted dressing, using a material that will not adhere to the the right response, promptly applied, burn, to exclude air from the area. (Blisters should not to be opened.) Minor wounds, abrasions, scratches, small lacerations, etc., may be noticed by a diver at the time they occur under water. When such wounds are noticed after the diver leaves the water, they should be washed gently with soap and water and covered with a sterile In minor burn cases, the victim to reduce the pain. To victim may be wound given aspirin given liquids, except alcohol. All burns more than a minor degree may be accompanied by shock, and the victim must be observed carefully and of treated accordingly. For dressing. may be assist in replacing lost fluids, the all burns except minor reddening deep, gaping, or has a large flap of of the skin, the victim should be examined by a doctor. immediately leave the water, and cover it with a sterile dressing. Medical attention should be sought because wounds occurring under water are more liable to become infected than those occurring on the sur- Burn ointment, grease, baking soda, or other substances should not be applied to burns that involve opened blisters or other wounds. If the is skin, the diver should rinse the wound with face. Antibiotic plain water, ointments or other medications should wounds because they will be removed from the wound before definitive Sunburn is common for anyone who spends time near the water. Avoiding prolonged, direct exposure to sunlight and wearing protective clothing and sunshield A not be introduced into open ointment are the best sunburn prevention. have with a protection factor of 15 should provide good to care can be administered. A rescuer's with a major protection most immediate concern when confronted wound is to stop the bleeding and prevent the onset of shock. Bleeding should be controlled with 18-10 if sunshield used properly. Sunshields with lower pro- tection factors provide correspondingly lower shielding capabilities. enough to Sunburns can cause skin damage severe keep the sunburned individual from working. NOAA Diving Manual — October 1991 Emergency Medical Care Symptoms and Signs not try to set the bone; this should be done only by • Prickly sensation on skin in affected area qualified medical personnel. In joint injuries (shoul- • Pain and tenderness to the touch der, elbow, wrist, knee, or ankle), the injury should be • Extreme redness immobilized just as • Blisters damage • A desire to avoid having the affected area come Electrocution Many sunburn ointments that provide partial relief are commercially available. If no special ointment bandages soaked in cool water is will provide The victim should avoid further exposure condition has passed. Sunburn blisters should relief. until the may may result from the careless handling, poor design, or poor maintenance of power equipment, Treatment some joint ELECTROCUTION 18.11 Fever. available, was found; moving the into contact with clothing • it nerves or major blood vessels. such as welding and cutting equipment or electric under- water lights. equipment used under water properly insulated from any possible source of electrical current. When not be opened. All electrical should be well insulated. In addition, divers should be leaving the water to enter a boat or habitat, divers should not carry a connected light or electric 18.10 It is Victims tool. FRACTURES may not be able to separate themselves from the source of the shock. unusual for a diver to suffer a fracture while diving. Diving-related fractures usually occur on the surface. If divers suffer fractures while submerged, Signs • Unconsciousness • Cessation of breathing A • Cardiac arrest closed fracture consists of a broken bone that has not • Localized burns. they should immediately terminate the dive. Fractures can be classed into two general types. penetrated the skin. In an open (compound) fracture, the broken bone has caused an open wound, from which the bone frequently protrudes. This type of wound is complicated by the likelihood of infection. • Area of fracture painful and tender Inability to • Limb bent • • Swelling in and given area of fracture at a location other may for cardiac arrest artificial resuscitation, if Section 18.4). Regardless of joint. necessary (see how complete the recovery seem, the victim should be examined by a physician immediately because of the possibility of delayed cardiac or kidney complications. The only first aid required for closed fractures used. Inflatable splints are excellent. is to splint. Flat pieces of wood, plastic, metal, or any firm substance The may 18.12 SEASICKNESS (MOTION SICKNESS) be Seasickness can be a distinct hazard to a diver using splint serves small craft as a surface-support platform. Diving should movement and consequent complication of To prevent movement, the splint should be bound to the limb at a minimum of three places: wound, and above and below the joints closest at the not be attempted when a diver is seasick: vomiting while submerged can cause respiratory obstruction and death. to the Symptoms and Signs fracture. When to neutralize the source break the contact between the source and the victim. unusual angle immobilize the affected limb with a the injury. is The victim must then be treated Treatment to prevent step in treatment and the victim. If cannot be done immediately, a non-conductive substance (such as a piece of lumber) should be used to affected limb Abnormal movement occurring than a first this • at The of electricity to protect the rescuer Symptoms and Signs move Treatment • Nausea The open wound should be covered with a sterile dressing and splinted to prevent movement. With any fracture, shock should be anticipated and its symptoms treated (see Section 18.6). • Dizziness • Feelings of withdrawal, fatigue Regardless of the type of fracture, the rescuer should treating an open fracture, the limb should not be moved to its October 1991 natural position. — NOAA Diving Manual • Pallid or sickly complexion • Slurred speech • Vomiting. 18-11 Section 18 Prevention There is 30 minutes because no effective treatment for seasickness except to return the stricken diver to a stable platform. All efforts are therefore directed at prevention. more susceptible than ple are Some peo- cases. The susceptible person should respiratory arrest. Envenomation Caused by 18.13.2 to Symptoms and Signs (These vary depending on species and extent of • sting.) Pain ranging from a mild prickly sensation to an intense throbbing, shooting pain • Reddening of the area • Pieces of tentacle on affected area • • Cramps, nausea, vomiting Decreased touch and temperature sensation Severe backache • Loss of speech • (welts, blisters, swelling) • Frothing at the mouth • Constriction of the throat • Respiratory difficulty • Paralysis • Delirium • Convulsions • Shock. Envenomation Caused by Fish Divers are in contact with a variety of marine that can inflict poisonous wounds if Treatment life A handled carelessly. wounds are by stingrays, stonefish, scorpionfish, catfish, and sea urchins. (For more detailed information on the identification of poisonous marine animals, see Section 12.) The poisoning caused by these animals ranges from mild to fatal, depending on the animal, wound site, amount of poison injected, and individual susof the most frequently encountered inflicted diver who has been stung by jellyfish should bicarbonate solution, or boric acid solution to prevent untriggered nematocysts from discharging. down with Severe, localized pain at the Localized swelling, which wound if site may be accompanied by The area should not be rinsed with fresh water or rubbed with increased stinging. Symptoms and Signs be removed from the water as quickly as possible. The rescuer should remove any tentacles, taking care not to come into contact with them himself or herself. The wound area should be rinsed with vinegar, sodium sand to remove any tentacles, because ceptibility. • from minor fatal. POISONING CAUSED BY MARINE ANIMAL ENVENOMATION 18.13.1 • Jellyfish Jellyfish poisoning ranges in severity to affect the individual adversely. Some Medical assistance should be obtained and avoid diving with eat lightly just before exposure an alcohol hangover. Seasick individuals should be isolated to avoid affecting others on board adversely. Drug therapy is of questionable value and must be used with caution because most motion sickness preparations contain antihistamines that make the diver drowsy and could affect a diver's judgment. The administration of scopolamine by means of a skin patch has been shown to be useful in preventing seasickness, but this drug may cause psychotic behavior in sensitive persons. Drugs should be used only under the direction of a physician who understands diving, and then only after a test dose on non-diving days has been shown not 18.13 The as quickly as possible. apy by a trained mental health specialist has been some neutralize the venom. others, but repeated exposures tend to decrease sensitivity. Suggestion ther- helpful in may this patient should be observed for signs of cardiac or this will cause The victim should be kept lying and feet elevated, CPR should be administered required. In serious cases, medical support may be required. an ashy appearance • Fainting, weakness, nausea, or shock • Respiratory distress • 18.13.3 Envenomation Caused by Cone Shells These animals have a very toxic poison that has Cardiac arrhythmias, cardiac caused death arrest. in as many as 25 percent of cases. Symptoms and Signs Treatment Because fainting common wound site wound that spreads wound, • Stinging or burning at removed from the water as soon as The wound should be washed with a sterile • Numbness saline solution or cold salt water. The wound should be water as hot as the victim can stand (not • Muscular paralysis soaked • Difficulty in swallowing and speaking • Respiratory distress. is after a poisonous the victim should be possible. in more than 120°F (50 °C)) 18-12 for a period of at least rest of the or tingling at to the body NOAA Diving Manual —October 1991 Emergency Medical Care Treatment ous. The patient should be removed from the water immediately and laid down. A loose constricting band such as an ace wrap or belt should be placed above the sting to prevent venous drainage from the wound but should not be tight enough to stop arterial flow. Loosen for 90 seconds every 10 minutes. Immediate medical atten- a jellyfish and produce a sting that rapidly disappears tion should be sought. Careful observation in administer is serious poisonous bite have a highly toxic venom. may is Itchy, red, swollen area or • Lingering, infected • Lacerations, bleeding. is that of the sea A sea snake bite usually is not even be noticed, and the onset of often delayed for 1 then be used and the if the wound painful; is if severe, medical attention should be sought. 18.13.6 Most Generalized malaise, anxiety, or, possibly, a feel- ing of well-being and swallowing Envenomation Caused by Sea Urchins divers in marine waters are familiar with the sea urchin. wet Difficulty with speech wound covered with a sterile may be used dressing. Aspirin or other mild analgesics hour or more. Symptoms and Signs • wound wound The wound should be washed with soap and water to remove bacteria and foreign matter. An antiseptic should snake. These reptiles are closely allied to the cobra and symptoms • Treatment 18.134 Envenomation Caused by Sea Snakes small and leave red itchy welts. to CPR. The most may corals have stinging cells similar to those in Symptoms and Signs required Be prepared case of cardiac or respiratory failure. but Some suits, The spines of these creatures can penetrate and, being very brittle, can break off at the slightest touch. Vomiting Aching or pain on movement Weakness, progressing within 1 to 2 hours inability to move, beginning in the legs Muscle spasm Droopy eyelids Symptoms and Signs to an • • • Immediate sharp, burning pain Redness and swelling Spines sticking out of skin or black dots where they have broken off Thirst, burning dryness of throat • Purpling of skin around place spines entered • Numbness. Shock Respiratory distress Fang marks (two small punctures approximately Treatment 1/2 inch (1.3 centimeters) apart) and, possibly, a fang left in Spines that can be grasped should be removed with the wound. tweezers. Spines that have broken off flush with the Treatment quiet. If bitten on the arm or bandage should be placed above the wound but should not be drawn so tightly as to interrupt arterial flow. The band should be periodically The victim must remain leg, a constricting loosened, as described in Section 18.13.3. The victim should be transported immediately to the nearest medical facility for the antivenom treatments necessary to combat the poison. If possible, capture or kill Coral tiny animals leave behind a hard, calcium-like skeleton, which is frequently razor sharp and capable of inflicting painful wounds. The wounds tend to be slow in healing, October 1991 if not treated, — NOAA may become Diving Manual Most of the spines will be dissolved by the body may fester and can then be pushed the point where they can be removed with within a week; others out to tweezers. Alternately immersing the affected area in hot and cold water may help dissolve the imbedded fragments. 18.14 Envenomation Caused by Coral is common in most tropical waters. These easily infected, and, pieces. the snake for identification purposes. 18.13.5 skin are nearly impossible to remove, and probing around with a needle will only break the spines into little ulcer- POISONING CAUSED BY EATING FISH OR SHELLFISH 18.14.1 Ciguatera Ciguatera poisoning is caused by eating fish containing whose origin is unknown but which is believed to come from a certain species of algae eaten by the fish. There is no way to distinguish a poison (ciguatoxin) 18-13 Section 18 fish with ciguatera from harmless fish except by labo- ratory analysis or by feeding the suspected fish to animals and watching for a reaction. The occurrence of fish containing ciguatoxin occur is unpredictable and can Within a few minutes of consumption, symptoms of this type of poisoning, which resemble a severe allergy, will develop. The symptoms usually clear within 8-12 hours. a fish species that was harmless the day before. in About 800 species of fish have been known to produce ciguatera, and common types that have been known to Symptoms and Signs • Nausea, vomiting carry ciguatera include barracuda, grouper, snappers, • Diarrhea and • jack, wrasse (Labridae), parrotfish (Scaridae), seem more preva- • Abdominal pain Severe headache lent in tropical areas and, because the concentration • Dizziness up over time, large fish of a given species are • Massive red welts be toxic than smaller ones. The internal • Severe itching organs and roe of diseased fish are particularly toxic. • Severe dehydration • Shock. surgeonfish (Acanthuridae). Toxic fish builds more likely to may end Severe ciguatera poisoning in death, caused by respiratory paralysis. The toxin is which is not destroyed by cooking. Treatment The victim should seek medical Symptoms and Signs ble. • Numbness • Abdominal cramps • Nausea, vomiting • Diarrhea • Weakness, prostration Reversal of thermal sensitivity (hot • of lips, tongue, throat Vomiting should be induced aid as soon as possiif it does not occur spontaneously. 18.14.3 Paralytic Shellfish Poisoning During the summer months, many shellfish that feels cold and inhabit the Pacific coast and Gulf of Mexico may become poisonous. This poison is caused by the ingestion of poisonous plankton and algae, which contain cold feels hot) • Muscle and • Nervousness • Metallic taste in • Visual disturbances carry this poison, but abalone and crabs, which do not • • Extreme fatigue Muscle paralysis will not neutralize the toxin. • Convulsions. on the central nervous system and the usual joint aching different types of toxins that do not affect the shellfish but can be poisonous to humans. Mussels and clams mouth feed on plankton, are not affected. In most cases, cooking The poison works directly such and vomiting, are not generally present. The poison impairs respiration and affects the circulation of the blood. Death, which occurs in severe cases, results from respiratory paralysis. Onset is variable but may occur within 20 minutes of ingestion. signs, as nausea Treatment There is no definitive first aid available for ciguatera symptoms occur within 4 hours of eating fish, vomiting should be induced. Medical attention should be sought as soon as possible, and the treatment team should be told that fish has been consumed within the last 30 hours. In some cases death occurs within 10 minutes, but a period of days is more common. If untreated, death may be caused by paralysis of the poisoning. If respiratory system. Careful observation for respiratory failure should and CPR be continued until medical help should be started if is reached, required. Symptoms and Signs • Tingling or burning of which spreads lips, mouth, tongue, or face, body to other parts of the • Numbness • Muscle weakness and paralysis • Respiratory failure • Infrequently, nausea, vomiting, and other gastrointestinal ailments. 18.14.2 Scrombroid Poisoning Some scrombroid fish (tuna, bonito, Treatment mackeral, skip- jack, etc.) that have been exposed to sunlight or been Vomiting should be induced as quickly as possible, and immediate medical attention should be sought. left standing at room temperature for several hours Rescuers should be prepared to provide mouth-to-mouth may develop a toxin and have a peppery or sharp resuscitation or 18-14 taste. CPR. NOAA Diving Manual — October 1991 Page SECTION 19 ACCIDENT 19.0 General 19.1 Anticipating a Problem MANAGEMENT AND EMERGENCY 19.1.1 19.1.2 PROCEDURES 19.1.3 19.1.4 19.1.5 19.2 Causes 19.2.1 19.2.2 19.2.3 19.2.4 19-1 During Training During Dive Preparation During Entry and Descent During the Dive During Ascent and Exit of Emergencies Loss of Air Supply Loss or Flooding of Equipment Fouling and Entanglement Near Drowning 19-1 19-2 19-2 19-3 19-3 19-3 19-4 19-4 19-7 19-7 19-8 19.3 Assessing a Problem 19-8 19.4 Approaching a Victim 19-9 19.5 Rescue Procedures 19.5.1 Victim Submerged and Unconscious 19.5.2 Victim Submerged and Conscious 19.5.3 Victim on the Surface and Unconscious 19-10 19-14 19-16 19.5.4 Victim on the Surface and Conscious 19-16 19.5.5 Towing a Victim in the Water Leaving the Water with a Victim 19-17 19.5.6 19.6 19-10 Accident Management 19.6.1 Summoning Aid 19.6.2 On-Site Care of the Diving Casualty 19-18 19-19 19-20 19-22 19.7 Evacuation by Air 19-27 19.8 Guidelines for Emergency Evacuation 19-27 19.9 Accident Reporting Procedures 19-28 4 < ACCIDENT MANAGEMENT AND EMERGENCY PROCEDURES GENERAL 19.0 term implies; it own performance and the situaPanic is accompanied by severe physiological changes that may in turn facilitate loss of control. For control of his or her Accident management has a broader meaning than the many includes activities, ranging from tion. accident prevention to selection of personnel, equip- example, an individual breathing rapidly and shallowly ment, and procedures and the emergency care of victims because of panic causes a buildup of carbon dioxide as after an accident. Preventing accidents through proper and the on-scene manageemphasized in this section, which training, forward planning, ment of casualties is The reader should manual for first aid applies only to open-water accidents. consult Sections 18 and 20 of this and treatment procedures. Statistics on fatal scuba accidents show that accidents occur in clusters, particularly in areas where diving activity is concentrated, such as California, Florida, the Great Lakes, and off the Northwest coast. Although the number of dives undertaken per year has risen markedly, it seems likely that the actual incidence of accidents (i.e., number of accidents per unit time, or rate of accidents) has decreased on an annual basis. Reports of scuba accident fatalities indicate that proper management procedures frequently could have prevented the accident or saved a life once an accident occurred (McAniff 1986). Divers killed accidentally are usually found with intact equipment, weight belts on, functioning regulators, tanks containing some air, and uninflated buoyancy control devices. Instances in which equipment failure led to the death of the diver Human and inadequate diver performance seem to be the major contributing factors in many fatal accidents, and panic is probably the initiating cause in most instances. In some cases, a are extremely rare. error may precede panic and itself produce problems leading to a diving accident. Many feeling of apprehension loss movements, which further contribute to a loss of control. Stereotypical behavior also can result from panic. For example, a diver discovering that the air valve mechanism has been tripped accidentally, leaving reserve no reserve air, could respond properly either by releas- ing the weight belt and slowly ascending by asking a buddy for assistance. the stereotypical response would be or On to the surface the other hand, to continue pulling mechanism lever, causing greater panic control. The basic problem in many cases is the reserve and loss of that the diver delays releasing the weight belt or asking for assistance until the onset of panic, by which time he motor or she has probably lost the necessary degree of coordination to act effectively. Before a diver reaches the point of panic, warning signs appear that should alert dive masters and dive partners to the presence of impending problems. Among the warning signs of panic in the water are indications of anxiety (primarily a change in breathing rate and pattern from smooth and regular to rapid and shallow) and changes in swimming movements from smooth and regular movements lar motions). A (generally a shift to jerky and irregu- detailed discussion of the problem of panic appears in Bachrach and Egstrom (1986). The panicking diver frequently goes through desperate motions, such as "clawing" the surface, trying to hold disturbed by certain kinds of water conditions the head above the water, and spitting out the mouth- or other circumstances associated with a particular The competent diver dive. Lowered air intake also can result in a of buoyancy and lead to inefficient swimming and even the experienced ones divers are apprehensive, may be exchange (see Sec- a result of inadequate ventilatory tion 3.1.3.9). is one who gains as information as possible about the dive site, much boat, equip- piece, The which only create further problems. best means of preventing panic that a diver is make to is well trained, especially in sure emergency ment, and other important features of the dive. Plan- procedures such as ditching the weight belt and oper- ning prepares the diver to meet unexpected eventuali- ating the buoyancy compensator, well equipped, in ties; a thorough knowledge of the dive currents, marine hazards, and sea site, including states, is essential to good physical condition, and well informed about dive conditions and the purpose of the dive. The following proper planning (see Section 10). paragraphs describe these aspects of dive planning. Panic 19.1 ANTICIPATING A Every diver should develop Panic PROBLEM from apprehension. One kind of panic involves the belief that an individual is losing is different October 1991 — NOAA Diving Manual warning skill in signs, either in himself, recognizing the another diver, or the 19-1 Section 19 dive situation, that foreshadow a diving accident. This can significantly increase the chance of averting a ability training. Signs that indicate anxiety or a lack of confi- dence and thus can enhance the safety of both victim and rescuer. Danger signs exhibited by divers are both varied and subtle and may be apparent before or during the dive. A diver's ego may cause him or her to mask incompetence, anxiety, illness, or other distress before the dive, and features of the environment, such as difficulty in communication, may make it nearly impossible to observe such signs once the dive has in the water are: fatality Evidence of claustrophobia Expressed fear of and difficulty with underwater swimming Difficulty in adapting to mouth breathing Difficulty in adapting to underwater breathing using scuba apparatus Poor watermanship without swim or flotation aids Complaints about the regulator's breathing begun. re- sistance During Training The management of scuba Constant fidgeting with dive equipment Obvious overweighting 19.1.1 when dive. accidents should begin Constant interest a candidate expresses an interest in learning to The process of screening ting students to a applicants before admit- scuba training program should include obtaining medical releases from physicians and evaluating swimming and watermanship. (Most sport certi- fication agencies require a physician's release only if is comfortable in the blems occur on the bottom enhance their aquatic environ- and confidence in the use of and other equipment and to main- instructor looks directly into the eyes Constantly being "wide-eyed" Complaints of hold diving experience before beginning scuba lessons to to the surface Lack of acknowledgment when the ment. Students should be encouraged to obtain breath- mask, snorkel, swimming when being escorted Becoming anxious when minor equipment pro- something unusual is reported on the medical form.) During the in-water evaluation, the candidate should be required to demonstrate endurance and confidence in the water so that the instructor can assess whether the candidate in Rapid and/or shallow breathing Stiff and uncoordinated movements Reluctance to exhale fully when requested to do so by the instructor Hanging onto the instructor's hand too tightly inability to clear the ears, especially during early open-water training. ability fins, Many other signs that reveal anxiety, fear, or incompe- throughout their diving career. Points tence can be observed. Although in most instances these for the instructor to observe include such things as problems can be overcome by proper training, some individuals, even with excellent training, are better advised not to pursue scuba diving. tain these skills breathing through the snorkel with the face (without a mask) in the water, surface diving to pick up an object about 20 feet (6 meters) of water, and clearing the snorkel easily. Another good test of aquatic ability is in having an unequipped swimmer catch his or her breath and rest while unsupported in deep water after a strenuous swim. Throughout the preliminary training and evaluation, the instructor should estimate likely to how the diver-candidate is handle an emergency or react under stress and should identify the areas in which the student needs special attention and extra ing often neglected is training. An area of train- learning the proper procedures and attachment of gear such as weight buoyancy compensators, gauges, etc. These Experienced divers sometimes can anticipate another problems during open-water training. In such diver's cases the experienced diver should observe the extent of the other diver's familiarity with equipment, ease in donning it, and mask or put a The experienced ability to correct a leaky regulator in the mouth under water. diver also should note whether the inexperienced diver swims there the buddy, and whether from the regulator with off alone, oblivious to the is difficulty in breathing mask off. Each of these occurrences may be a clue indicating that the student in question may subsequently for dressing panic easily or become overconfident. Even the best belts, divers are concerned about procedures should be overlearned to the extent that they become second nature, which ensures that equip- ment be properly positioned will in the event of an 19.1.2 emergency. Because panic is frequently involved in diving acci- important that the student learn to feel confident and at ease in the water at the outset of dents, 19-2 it is becoming overconfident and seek advanced training when necessary. During Dive Preparation Although individuals suffering from serious injuries usually make no attempt enter the water with minor discomforts NOAA illnesses or many divers that may have to dive, Diving Manual — October 1991 Accident Management and Emergency Procedures if an emergency Examples of such minor maladies are ear or ancy control, chronic problems or overconcern may sinus infections, headaches, lung congestion, seasick- zation problems at depths below 50 feet (15.2 meters) adverse consequences, particularly develops. ness, cramps, and the side effects of medication. Divers should assess not only their own condition but also that indicate an uneasy diver Before entering the water, each diver should note watching. Ear equali- are particularly indicative of a potential problem. changes they of other divers in the group. who needs in may Sudden descent rate also should be noted because indicate either overconfidence or a desire to return to the surface. Throughout the descent and the configuration, condition, and completeness of the initial buddy encumbered with more equipment than can be handled buddy for signs of erratic behavior, such as abrupt changes in swimming speed, fiddling with equipment, safely in the water should be advised to leave non- lack of stability, or difficulty with buoyancy control. The overequipped diver diver's equipment. essential items on the shore or in the boat. During predive preparations, every diver should be alert to phase of the dive, every diver should observe his or her Sudden or unnecessary use of the hands and propulsion or buoyancy often The is arms a sign of anxiety for and signs of diver ineptness or error, such as lack of knowl- impending difficulty. edge of procedures, nervousness, or mistakes made these signs may while assembling equipment. ordinary, but experienced divers should be sensitive to Other signs of potential problems are more subtle and psychological in nature; included in this category are changes in personal characteristics, such as an such behavior before a problem develops. increase in the pitch of the voice, incessant chattering, procrastinating before actually entering the water, and withdrawal. Signs of overheating or chilling, such as excessive sweating or shivering, also should be noted. These signs should be responded to before entering the water, either by providing direct assistance (if the problem is mechanical), by giving reassurance, by prac- by suggesting that the individual not dive (if circumstances warrant). Although some divers might be embarrassed by the latter suggestion, others might welcome it with relief. ticing a particular skill, or 19.1.4 diver exhibiting any or be unaware that anything is all of out of the During the Dive Once entry and descent have been achieved, the watch an alert diver continues to for signs that suggest approaching problem. The things to ically the same watch as those during descent, for are basi.e., general uneasiness, fast breathing, straying from the buddy, equipment problems. Any deviafrom good diving practice, such as failure to check the air supply, depth, and time, should be mentally erratic behavior, or tion noted. Diving accidents are particularly likely to hap- pen either in the first 3 minutes of a dive (because of lack of preparedness) or in the final 5 minutes (because 19.1.3 the dive has been extended too long). Photographer- During Entry and Descent divers should be Failure to use proper entry techniques or forgetting essential equipment such as fins or mask may be signs that the diver requires watching. Other hints that the diver may be under stress or uncomfortable in the water are failure to surface properly or to check with buddy before descent and excessive "high treading." High treading means that the diver treads and easy to become preoccupied with the task at hand and to forget to supply. It is also changes keep track of time, depth, and air important to keep track of significant might from the water. In conditions of or during night dives, extra care must be in surface conditions or currents that affect ascent or exit the with vigor sufficient to lift the major portion of the body out of the water without using buoyancy compensation. When this activity is accompanied by dog paddling and using the arms excessively, it is a sign that a watched especially carefully because it is poor visibility taken to ensure that lights are functioning properly fins potentially serious problem mask Rejecting the water may be in the making. or other essential equipment in the also a portent of problems, as (not to is the tendency clamber onto objects above the surface be confused with the normal practice of using a float or some other object is and that divers stay close together. In addition, at least one diver should watch for potentially dangerous marine if they are known to exist in the area. At the end of the dive, divers should surface in buddy pairs. Prior arrangements about when and where the dive will be terminated should have been made animals before beginning the dive. to cling to or Once for temporary support). the descent begins, there may that a problem be other signs is developing. Although anyone can have occasional difficulty with ear clearing or buoy- October 1991 — NO A A Diving Manual 19.1.5 It is During Ascent and Exit especially important to maintain a continual awareness of potential problems at the end of a dive. 19-3 Section 19 Before initiating a dive, experienced dive masters Several factors can contribute to carelessness and acci- equipment malfunction, and overconfidence. In observing a buddy diver during ascent, it is essential to note whether the no-decom- visualize the worst accident scenarios pression time has been exceeded, the rate of ascent management flow diagram (Somers dents, such as fatigue, cold, is and mentally management of these hypothetical accieven more effective to sketch an accident rehearse the dents. It is 1986). In planning, team it too rapid (especially during the last 10 feet (3 meters)), is the distance between divers ensure that, in the event of an accident, novice divers is too great, or that surfacing where there are obstacles (kelp, active boat channels, rip current, breaking waves) or down current from the support platform. Proper attention also must be given to ensuring an adequate air supply and that the buddy is breathing properly during will take place either essential to assess the capabilities of the dive to are not unnecessarily exposed to risks. No matter how well planned the dive or how well trained the diver, however, emergency situations occasionally arise, usually as a result of failure to observe some safety precaution. In most instances, taking a ascent. few seconds to assess the situation accurately and deter- Each diver should ensure that the buddy does not exit from the wrong place in the surf line, exit to an attached to the bottom during a heavy swell. Because mine the actions necessary can keep the emergency from becoming an accident. Instinctive reactions seldom are correct and may prove to be blind impulses brought on by panic. Adequate training should prepare the diver for most emergencies, provided that panic divers are often fatigued at the end of a dive, extra does not intervene. unsafe surface in a heavy surge, get too close to a dive platform in a heavy swell, or hang on tightly to a line caution must be paid to the routine handling of equipment The while climbing up a ladder or into a boat. In particular, common coming up the ladder under the divers should avoid some of the more following paragraphs describe causes of diving emergencies and methods of avoiding and managing emergencies if they do occur. tank or the falling zone of another diver. 19.2.1 The WARNING is Exhaling When the Trough Wave Passes Overhead, Hanging onto a Line Attached to the Bottom in Heavy Swells is Dangerous Because the Change in Pressure May Cause an Embolism Diving emergencies can arise from an almost number nite step in evaluating an out-of-air situation is real. Before reacting precipitously, the diver should stop, think, attempt to breathe, and, if it is possible to do so, proceed with a normal ascent. Students should be taught many that out-of-air situations are related to the diver or the situation rather than to the equipment or actual loss of air supply. If considered before resorting to emergency procedures, the human aspects of apparent air loss situations often can be corrected (Kent 1979). CAUSES OF EMERGENCIES 19.2 first should be to confirm that the apparent air loss Unless the Diver of the Loss of Air Supply of causes, including exhaustion, infi- embo- If a diver determines that his or her air supply depleted, experts recommend is that the diver initiate an lism, independent action such as a controlled emergency attacks, high currents, entanglement, ascent or use of an alternative personal breathing appara- decompression sickness, nitrogen narcosis, heart heavy surf, outof-air emergencies, equipment failure, and panic. In tus general, diving accidents are overwhelmingly caused to institute by human error rather than equipment (e.g., failure. The probable causes of non-occupational diving fatalities are summarized in Table 19-1, which shows that only 12 percent of fatalities occurring over a 9-year period were attributable directly to equipment malfunction. Readers interested in more details about the causes of diving fatalities should consult McAniff all divers should be briefed familiarized with those plans. New all divers, and practice sessions should be held before the 19-4 and or unfamiliar equip- ment should be understood thoroughly by dive. feasible) (Egstrom 1984). If it is not possible an independent response, a dependent action buddy breathing, alternate stage breathing, breath- buoyancy compensator (BC), use of an auxiliary scuba cylinder) should be considered. As a last resort, an emergency buoyant ascent may be ing from an inflated necessary. It has been found that breathing from an inflated or BC is a safe practice in an emergency proper procedures are followed (Pierce partially inflated (1986). In the planning stages of a dive, contingency plans should be made, and (when situation if 1983, Bove 1985). If this technique tial is used, it is essen- that the bag be flexible and be prevented from becoming overinflated as the diver ascends. If the loses its flexibility as a result of overinflation, NOAA Diving Manual it bag can —October 1991 Accident Management and Emergency Procedures Table 19-1 Summary of Probable Causes of Non-Occupational Diving Fatalities from 1976-1984 Probable Cause 1976 1977 1978 49 (33) 51 (50) 45 Equipment 45(31) 14(10) Unknown 39 19(19) 19(19) 13(12) 26 (22) 22(19) 23 (20) of Accident 1979 1980 1981 1982 1983 1984 Total Medical condition or injury (39) (44) 54 (49) 27 (26) 33 (44) 47 (43) 25 (36) 393(41) 29(21) 19(14) 29(21) 28 (26) 43 16(22) 8(11) 17(23) 33 (30) 16 (23) 3(4) 255 62 Environmental condition 147 Total Values (26) in parentheses are percentage of all 116 102 scuba fatalities 14(13) 13(12) 139 (42) 9(9) 24 109 (23) 6(5) 74 103 26 24 (22) (37) 70 110 (26) 114(12) 208(21) 970 reported for the year. Derived from McAniff (1986) cause a lung overpressure accident by forcing too air into the lungs much on inhalation or by causing an exces- sive rate of ascent. Inhaling BC water while using the 4 cubic foot (0.11 cubic meter) cylinder provides about 14 to 16 breaths at a depth of 100 feet (30.5 meters) and about 80 breaths in shallow water (Anonymous mouthpiece can be avoided by proper purging. Divers can rebreathe exhaled air safely for as long as one full minute without incurring any adverse physiological iary air sources are available, effects (Bove 1985). ing a single regulator Many divers choose to equip their scuba cylinders 1984). If loss of air is sudden and unexpected and no auxil- buddy breathing utiliz- may be necessary. Often, the begin to cough or choke. Until the distressed diver will with two second-stage hoses with regulators (octopus) diver's condition has stabilized, both the diver emergency buddy breathing or in case the primary regulator fails. The use of an octopus is considered one of the more desirable options in out-of-air situations and is recommended by the major sport div- jeopardizing their ing training agencies (Graver 1985). If this technique diver's condition has stabilized, a safer ascent to use for is used, the octopus hose should be at least 12 inches (30.5 centimeters) longer than the primary hose, be marked it will for easy identification, and be oriented so that always be right side up when used. When using an octopus system, the distressed diver should notify the buddy that air is needed and should then proceed to breathe from the extra regulator. Since the air supply of the buddy also is likely to be low, ascent should begin immediately after a brief stabilization period. Two persons breathing from a tank with a low air volume through a single first stage can quickly deplete the air supply. Also, in cold water, the extra flow may cause the regulator to freeze. The divers should maintain physical contact by holding onto each other's straps. Auxiliary scuba cylinders attached to the primary emergency air source, and some cases (Graver 1987). Such cylinders can be obtained in sizes ranging from 1.7 to 15 cubic feet (0.05 to 0.4 cubic meter) and normally are used with a separate regulator. They are designed as an emergency system only. For example, a cylinder can be used as an their use is recommended October 1991 — NOAA in Diving Manual and buddy should maintain their depth while continuing to buddy breathe. Air donors should allow the victim to use their air supply as own much supply. as is possible without When the distressed can be made. If it is necessary to remove the distressed diver's equipment, the ascent should be stopped while the equipment is removed. Because equipment removal will distract the diver and interrupt the breathing pattern, increasing the possibility of gas embolism, this when absolutely essenshould be made to maintain an ascent step should only be undertaken tial. Every effort rate no greater than 60 feet (18.3 meters) per minute. method of buddy breathing is for the two divers to face each other, each alternately breathing from the same mouthpiece while ascending (Figure 19-1). During the exchange of the mouthpiece, the exhaust valve on single-hose regulators must be positioned below the mouthpiece so that water can be eliminated from the second stage; this position can be achieved conveniently if the divers are side by side, The most efficient with the diver in distress on the left. The donor controls and both divers must exhale between exchanges. Contact should be maintained by having each diver the air, hold the straps or belt of the other diver. 19-5 Section 19 Figure 19-1 Buddy Breathing buoyancy compensator should be controlled by the exhaust valves or use of another venting method such as opening a cuff. If it is necessary to cover a horizontal distance while buddy breathing, a number of different methods can be used. The two most common are for the divers to swim side by side (about halfway on their sides), facing each other, or to swim one above the other, the diver with the good air supply on the bottom. In this manner, the mouthpiece can easily be passed back and forth between divers. WARNING When One Diver Runs Out of Air, the Buddy's Supply Is Also Usually Very Low. With Double Consumption, the Available Air Can Be Depleted in Seconds. Buddy Breathing Ascent Should Therefore Be Prompt If buddy breathing is not possible, the diver can make an emergency buoyant ascent to the surface while venting air continuously. Unless the breathing apparatus is entangled, however, a diver should not abandon The reduction it. of ambient pressure as the diver rises to the surface increases the pressure differential, providing additional air for breathing allowing the diver to to breathe may by sucking on the regulator or swallowing divers should NO A A (1979) remember During Buddy Breathing, One Diver Should Be Breathing From the Regulator While the Other Diver Is Exhaling When using constant-volume dry suits or large buoyancy compensators, extra precautions should be taken to prevent uncontrolled ascent caused by air expansion of the suit as the diver rises in the water column. For example, the normal procedure of dropping the weight belt should not the is 19-6 be followed when a constant-volume suit is flooded. During ascent, used unless the amount of not to hold their breaths while tactics. WARNING Emergency Buoyant Ascents Are Difficult and Hazardous and Should Be Used Only as a Last Resort to Resolve an Emergency Situation WARNING dry suit from the scuba and a controlled ascent. Trying decrease the urge to breathe during ascent, but employing these Source: make air in the dry suit or partially inflated When using constant-volume dry suits or large buoy- ancy compensators, extra caution should be taken to prevent uncontrolled ascent. Spreading the arms and legs increases drag and stability and slows the rate of The diver must continue to exhale throughout the ascent. The head should be extended back, allowing maximal opening of the throat and a good overhead view. The diver should swim to the surface, staying ascent. constantly aware of possible entanglements or obstruc- and the consequences of breath-holding. The mouthpiece should be left in place. tions NOAA Diving Manual — October 1991 Accident Management and Emergency Procedures The mask can be cleared by head back, pressing the top of the mask forehead, and blowing into the mask through net, or other obstruction. WARNING tilting the the Diver Is Having Difficulty Ascending, the Weight Belt Should Be Released Immediately. Make Sure No Divers Are Below Before Dropping the Belt If against the the nose (Figure 19-2). forcing The air will displace the water, out the bottom of the mask. it head so that the purge valve his or her position relative to the mask, hold the At night or when should face, and then exhale through exert extra care to hold his or her mask is during ascent to prevent hand over the head from hitting a boat or some hand over other object on the visibility is low, the diver way it up. When the mask is equipped with a purge valve, the diver should position is in the lowest mask against the his or her nose. If the divers should fix their position, lost, their heads, and have wave one come to their partner them. When the second stage of the regulator is lost, the hose generally remains lying over the diver's right WARNING shoulder. If Discarding Self-Contained Equipment and Making a Free Ascent Should Be Considered Only as a Last Resort. When This Procedure Must Be Used, Exhale All the Way to the Surface (see Section 3.2.2) Regardless of the out-of-air emergency response system used, certain criteria should be met. Egstrom (1984) has listed the essential ones: not, it is it can be located by reaching back over the right shoulder with the right hand, grasping the stage of the regulator at the tank's valve to first locate the hose where it joins the first stage, following the hose out to the mouthpiece. and then The mouth- it can be cleared by by pushing the purge button. With a double-hose regulator, the mouthpiece and hose will float above the diver's head. One method of piece probably will be flooded, but a sharp exhalation or recovery for the diver to roll onto his or her back. is The hose and mouthpiece will then float above the diver's When the mouthpiece of a double-hose regulator above is the level of the regulator, it will free flow. The hose and mouthpiece can be cleared of water by holding the mouthpiece above the head. If the exhaust hose face. • the procedure should be standardized; • it should be simple; • it should require only a minimal amount of skill to implement; it should be reliable and effective; • it should involve a • it should not be expensive. All of these skills can be cleared after the mouthpiece is or rolling over on the left side, which allows the water to flow the length of the exhaust hose and be forced out the air exhaust valve. If a double-hose regulator is to be used, the is • minimum amount of retraining; emergency techniques require learning of and must be practiced flooded, back it in the mouth by exhaling diver should practice clearing For example, a study conducted by the staff of the University of California, Los Angeles, Diving Safety Research Project found that students who had practiced buddy breathing on 17-21 successful trials were able to perform without errors (Egstrom 1984). Practice while swimming was more effective than practicing while sitting on the bottom of the pool. When diving with a familiar partner and equipment, buddy breathing should be practiced periodically. This is even more important when either the partner or the equipment is unfamiliar. (For additional information on 19.2.3 Fouling When is important to tion. and Entanglement a diver becomes trapped, entangled, or fouled, make Struggling generally results in even deeper entan- glement and damage to, or loss of, diving equipment. Scuba divers should be more concerned about entanglement than other types of divers, because their air supply usually limited and communication with the surface is is common not possible. Maintaining a cool head, using sense, the presence of a nearby be used only as a Loss or Flooding of Equipment Flooding of a face mask may be caused by 19.2.2 diver inadvertently kicking the mask buddy diver, Diving Manual last resort. When the dive is in the surface-supplied mode, the diver should notify another loose with a fin, by high currents, or by turning the head — NO A A it a calm assessment of the situa- and use of a diving knife usually suffice to gain freedom from entanglement. Emergency free ascent should ascents, see Section 19.5.2.) October 1991 it. to the point of overlearning. into a rock, sur- face personnel as soon as the entanglement occurs. If the diver cannot become untangled promptly, the assis- tance of a standby diver should be requested. 19-7 Section 19 Figure 19-2 Clearing a Face Mask Source: Near Drowning The most common antecedent NOAA Office of Undersea Research drowned or distressed diver may mean that the buddy has also succumbed or is in distress. In some 19.2.4 ing one to drowning is panic, which occurs when divers find themselves in a position for which they are mentally or physically unprepared. cases, there The majority and suddenly beneath the surface without a sound. of drownings can be avoided if the diver no forewarning of serious trouble. For is example, an exhausted diver may Indications of anxiety or difficulty simply may good physical condition, and is using reliable, well-maintained equipment. The most important step in the immediate treatment either because of ego (unwillingness to of a near-drowning victim or other diving equipment. is trained properly, is in is to restore breathing (see Section 18.1.5). The most effective means of cial resuscitation artifi- (when used by trained personnel) mechanical resuscitator. If one is cial resuscitation is required; the not available, is a artifi- most effective form mouth-to-mouth resuscitation. This method is simand can be administered to a victim still in the water (see Section 19.5.1). Victims of near drowning in water at a temperature of less than 70 °F (21 °C) may appear to be dead and yet have a significant chance of survival if cardiopulmonary resuscitation is started immediately. Recovery has occurred even after submersion in cold water for periods of up to 40 minutes (see Section 18.1.5). The chances of recovering increase if the victim is young and the water is cold. is ple problem) or may slip quietly be suppressed admit having a actually be hidden by the face As discussed earlier, mask high treading, clinging, clambering, and removing equip- ment are impending trouble. the rescuer becomes aware that a diver is in distress or whether the emergency occurs on the surface or under water, the first step is a rapid but all signs of Regardless of how thorough assessment of the situation. Factors that should be considered at the outset are location and distance to the victim, ability to establish and maintain visual contact, and the availability of additional assistance (personnel and equipment). It is not advisable even for a trained rescuer to attempt to rescue a diver without taking the appropriate equipment. For example, res- cue in the surf should not be made without fins. Dive boats usually have readily accessible life-saving floats, and ring-buoys that can be thrown. There may also be surf boards, floats, buoys, and rescue boards on the beach. Rescuers should assess their seat cushions, ASSESSING A PROBLEM 19.3 distress that most swimmers own and rescuers recognize easily include cries for help, is Obvious indicators of diver arm or whistle signals (see Section 14.2), an actively struggling diver, or one who appears ill or unconscious. Because scuba divers should always dive 19-8 in pairs, find- ability to carry out a rescue. reach-throw-row-go, i.e., The rescue hierarchy the first choice of strat- egy should be to reach the victim by boat or other means, followed by throwing a lifeline or ring buoy, and so on to the last step, which involves a rescuer NOAA Diving Manual — October 1991 Accident Management and Emergency Procedures going to the aid of the victim in the water. If more than shore. one person point of the dive in a is most suited group, the individual or individuals perform a rescue should be selected to immediately, while others are assigned to stay with the boat, use the radio, obtain flotation equipment, and For example, returning the victim to the starting lifesaving may not be the best procedure because may be more accessible, have essential equipment, or be more suitable for ad- ministering first aid. other locations perform other necessary tasks, which are particularly important tions, there are adverse environmental condi- if such as poor surface conditions. If the victim is under water, over- head obstructions may further complicate the As the victim is situation. approached, the rescuer should try — whether the to determine the nature of the problem problem is caused by entanglement, a strong current, a rough sea, or some other environmental factor. Other possible causes of distress include nausea, decompression sickness, 19.4 high currents, or poor visibility, embolism, contact with a poisonous marine APPROACHING A VICTIM The approach is defined as those events taking place between the time the rescuer ical contact is initiates action established with the victim. made and phys- One of the whether or not a swimming rescue is necessary. An extension rescue, one involving lines, poles, ring buoys, or rescue throw bags, is usually first decisions to be safer is and more desirable. Rescue throw bags, which provide a 60 to 70 foot (18.3 to 21.3 meter) 'extension' now accepted animal, or equipment problems. Being familiar with of the rescuer's arm, are the victim's equipment equipment. If two rescuers are involved, one can attempt is an important part of the is to be released, pieces of rescue overall assessment. If the weight belt an extension rescue while the other initiates a care must be taken to ensure that ming swimming rescue it falls clear of both rescue. Situations requiring a swim- the victim and the rescuer and that the waist strap of include those involving a submerged victim, a victim the backpack unable to respond adequately to verbal instructions, or is not confused with the weight belt. a victim losing the battle to stay afloat. WARNING NOTE Divers Experiencing Stress at the Surface Should Drop the Weight Belt Immediately to Ensure That They Will Float Sufficiently High in the Water Water safety authorities strongly advocate that the rescuer avoid coming into physical contact with an unstabilized victim, if possible. The rescuer should note immediately the location of the C0 2 inflator for the buoyancy compensator and activate the appropriate mechanism or begin oral inflation. Many BC's C0 2 inflators, available on the market do not have although these can be purchased separately and installed. If it is necessary to ditch the backpack, most systems require the release of both the waist belt and at least one shoulder strap. Of primary importance is the state of the victim. If unconscious and under water, the victim must be brought to the surface quickly. If unconscious and on the surface, the method of handling will differ from that of a conscious victim. If the victim is must assess the victim's mental in a manner is not positive, An additional factor that must be method of transporting the victim to positive buoyancy. — NOAA rescue, the rescuer should victim should be observed continuously at all The times because the victim may sink, become unconscious, become panicky, or stop breathing. When a rescuer is approaching a submerged victim, especially in water with poor visibility, two observers stationed at fixed points (boat or shore) pointing at the place of the victim's submergence provide a bearing If the victim is for the rescuer. conscious and on the surface, the rescuer should explain what is going to happen and should be used and the rescuer should demonstrate the rescuer should take immediate action to establish October 1991 swimming and then proceed that does not increase the victim's pain, the cases of a conscious, the rescuer state victim's state of buoyancy. If the victim is all make every effort to calm the victim. If the victim is submerged and conscious, conventional hand signals induce panic, or complicate existing injuries or the rescue process. Finally, the rescuer must assess the assessed In continue trying to enlist help as long as possible. Diving Manual exactly what the victim is expected to do. Positive buoyancy should be established for the victim immediately. If the victim's equipment is to be ditched, it is recommended that it be handed to the rescuer rather than dropped, because this makes it more likely that it will fall clear of the body. Depending on the situation, rescuers also may have to remove their own equipment, 19-9 Section 19 such as the tank or weight Upon reaching momentarily belt, to facilitate the rescue. the victim, the rescuer should pause to reasses the situation and to rest briefly In this position, expanding gases in the victim's lungs should escape without difficulty. The do-si-do swimming carry that affords the rescuer is a maximum mobility while controlling the victim (see Figure 19-3). before establishing physical contact. The 19.5 RESCUE PROCEDURES Although certain rescue procedures should be considered standard, the trained rescuer must still use common sense because no two emergencies are identical. The following procedures are not intended to be an exhaustive treatment of scuba lifesaving techniques but rather to alert the reader to these rescue procedures. (For further information, the reader to Seiff 1985, Pierce 1985, is referred Somers 1986, Anonymous 1986.) When attempting any of the rescue procedures left upper arms are interlocked so that the rescuer can increase his or her control over the victim by squeezing the victim's arm between the rescuer's arm and chest. The rescuer always should be on the left side of the victim to facilitate control of the power inflator hoses on both the victim's and rescuer's BC's. WARNING Rescuers Should Be Careful Not to Risk Embolism or Decompression Sickness by Ascending Too Fast With An Unconscious Victim described in the following paragraphs, the diver should be become entrapped by the victim or the a double casualty. The first concern of careful not to result may be rescuers must be when they are seized by a struggling victim own safety. One way to escape from a for their victim's grasp is to inflate the victim's or the rescuer's buoyancy system, which Victim 19.5.1 An will imminent danger of death. Virtually all of the rescuer's efforts must be directed at initiating and maintaining artificial resuscitation. is in Since resuscitation cannot be administered under water, the first is to-mouth artificial resuscitation. tests, it is recommended Based on in-water that the rescuer's mask be left on to retain optimal visual capabilities (Orr 1981). Removal of the victim's mask may be enough to start Submerged and Unconscious at the surface, on the surface (weight belt already removed, buoyancy compensator inflated, and mask off) and it has been determined that there is no breathing, the rescuer should be positioned for mouththe unconscious diver push the divers apart. unconscious, unbreathing victim, whether sub- merged or Once the victim breathing again. The method best for con- water while per- trolling the victim's position in the forming mouth-to-mouth resuscitation position, shown in Figure 19-3. is the do-si- do The procedure for in-water mouth-to-mouth arti- consideration of the rescuer should ficial resuscitation is: be to get the victim to the surface. • WARNING With the victim in a face-up position, slide your arm between the body and the same arm of the victim (see Figure 19-3). Remain on the victim's left side for No Resuscitative Efforts Should Be Attempted While Submerged The rescuer should establish positive controlled buoyant ascent. buoyancy The • is forefinger (see Figure 19-4). not should be inflated to achieve a slight may need to remove their and adjust their BC's to ensure that • Seal your mouth over the two slow, deep quate oxygen they are not more buoyant than the victim. As victim's mouth and give inflations to re-establish an ade- level. Do not pull yourself up over described the victim to start resuscitation; this will tend to (1985), the victim should then be placed in a force the victim's head under water. Instead, sim- left-sided do-si-do position with the and be brought 19-10 victim's hair, hood, or buoy- Place the heel of your other hand on the victim's forehead and seal the nose with your thumb and own weight in Seiff inflators. open the airway. positive buoyancy. Rescuers belts power as rescuer should approach the victim and remove the weight belt. If this BC Reach back, grasp the BC ancy compensator, and pull back to place the victim in a level position and to drop his or her head to soon as possible and bring the victim to the surface in a possible, the • ease of controlling to the surface at a head tilted back normal rate of ascent. ply roll the victim's head over to a position that allows you to seal the victim's NOAA mouth with yours Diving Manual — October 1991 Accident Management and Emergency Procedures Figure 19-3 Do-Si-Do Position for Administering In-Water Mouth-to-Mouth Artificial Resuscitation Source: with a • minimum amount of kicking effort on your rhythm. This tions to occur If there victim's face. is resistance to lung inflation, pull the is Office of Undersea Research accomplished by timing the ventila- when the waves are washing over the While continuing to resuscitate the victim, the rescuer should start swimming toward the beach or boat at a comfortable pace. The rescuer should part. head back further and try again. If this does not work, check the airway for blockage. If a foreign object or vomit is present, remove the be careful not to overexert during the rescue attempt. obstruction quickly with your fingers before continu- If ing attempts to inflate the victim's lungs. rescuer can achieve a nose seal by pressing his or her victim's • sea's NOAA After successfully completing the two inflations, continue ventilating the victim's lungs at approx- imately 12 breaths per minute. The ventilation rate is not as important as filling the victim's lungs it Sea conditions may override a controlled ventilation and require that the rate be modified to meet the — NOAA Diving Manual for If swimming, the two rescuers are head and one at present, one should be stationed at the the feet. The rescuer at the head is in charge. If three rescuers are available, two should be at the head and (if still rate arm cheek against the victim's nose. one at the feet with each breath. October 1991 necessary to use one is (to push). The tank, BC, and weight belt attached) should be removed from both victim and rescuers prior vessel or on shore. to bringing the victim on board a 19-11 Section 19 Figure 19-4 Mouth-to-Mouth In-Water Artificial Resuscitation Derived from photo by Dan Orr, Wright State University NOTE tice A is essential and continued pracrecommended. General procedures for admin- effectively, training downwhich not single rescuer should angle the kick ward and toward the victim's feet, only provides some momentum toward shore or a boat but also tends to keep the faces of both rescuer and victim out of the water. Care must be taken not to overinflate the is istering mouth-to-snorkel artificial resuscitation are as follows: • After the victim has been brought to the surface, administer two slow inflations, using mouth-to• buoyancy compensators because the bulk may prevent the rescuer from getting close enough to permit good mouth-tomouth contact. created mouth artificial resuscitation. Bend the snorkel and place it in the victim's mouth, keeping it between the middle and ring fingers as shown in Figure 19-5 A. Make sure it is pressed down tightly around the flange. Seal the nose with the thumb and forefinger of the same hand, as shown in Figure 19-5B. It is not necessary to pinch the victim's nose, since the side of the rescuer's Mouth-to-mouth resuscitation requires no equipment and can be started immediately but is difficult to sustain for any period, especially in rough water. In addition, because the victim's mouth is open during exhalation, water may enter the victim's mouth. index finger will made be positioned lower in the water, To perform mouth-to-snorkel 19-12 is teeth. This inserted between the vic- may not be easy to do and may be made by flange tightly over the outside of the • pressing the lips. Place the victim in the standard chin-pull position with the head against the rescuer's chest, as shown reducing the amount artificial resuscitation and an adequate seal the snorkel to resuscitate the victim allows the rescuer to the snorkel time should not be wasted in the attempt because forming of kicking effort required to keep the head above water. if tim's lips A somewhat more energy-conserving method of perartificial resuscitation in the water is mouthto-snorkel artificial resuscitation (Figure 19-5). Using make the seal if pushed against The best mouth seal can be the victim's nostrils. in • Figure 19-6. Place the tube end of the snorkel in your mouth and blow. It is necessary to blow longer than with NOAA Diving Manual — October 1991 Accident Management and Emergency Procedures Figure 19-5 Mouth-to-Snorkel Artificial A. Bending the snorkel and placing Resuscitation it in the victim's mouth B. Getting a seal Reprinted from Scuba Life Saving, pub. Royal Life Saving Society, Canada, 1987 October 1991 — NOAA Diving Manual 19-13 Section 19 Figure 19-6 Towing Position for Mouth-to-Snorkel Resuscitation Artificial Source: mouth-to-mouth resuscitation • be seen to and rise fall, A maintained. perfect seal an effort should be made to is is not essential, but air. continually to ensure no choking or vomiting. filled with each breath to ensure that fresh rather than stale, is air, being provided. If the rescuer begins to feel dizzy because of hyperventilation, the rate can be slowed down. Some place to ensure a good seal, achieve positive buoyancy, and proceed with a controlled buoyant ascent to the surface. The victim should be kept in a vertical posi- head in a normal, straight forward, but not hyperextended attitude. tion with the 19.5.2 Victim Submerged and Conscious An assessment of the tim may reveal any one condition of a submerged vicof a variety of situations, each requiring a different form of contact and handling. When Continue to ventilate the victim's lungs during the tow to the beach or boat. The victim's lungs should be Undersea Research on the cheek. minimize escaping The victim should be checked that there • it Continue to check to ensure that an adequate seal is • overcome the Office of the rescuer can hear the air passing through the tube or feel • to dead air space in the snorkel. After filling the victim's lungs, remove the tube end from your mouth and allow the victim's air to escape through the tube. Although the chest cannot NOAA approaching a conscious submerged victim, eye contact should be established immediately and the victim should be signaled to stop onto a solid object, If if one is swimming and hold available. both the victim and the rescuer are suspended in the water column, the rescuer should immediately neutralize the victim's buoyancy and drop the victim's work better than others because of weight belt or neutralize the buoyancy by appropriate shape, corrugations, or flexibility. Divers should check above. Further details of in-water artificial resuscitation are described elsewhere (Smith and Allen 1978; means if the victim is wearing a dry suit or variablevolume wet suit. The rescuer should then neutralize his or her own buoyancy. When making physical contact with the victim, the rescuer should be alert for sudden Pierce 1977, 1985). grasping motions or rapid ascents; initially the rescuer snorkels their snorkels If the and practice the procedures described submerged victim ing, the rescuer 19-14 is unconscious but still breath- should hold the victim's mouthpiece in should offer a hand only. If at all possible, only highly trained divers should attempt a mid-water rescue. NOAA Diving Manual — October 1991 Accident Management and Emergency Procedures may be enough to rectify the assuming that the anxiety or distress was not problem, caused by a problem such as entanglement or injury. Attempts to ascend with the victim before stabilizaStabilizing the victim tion are not advised may because the situation con- only the victim's situation, but the potential rescuer's capabilities, air supply, susceptibility to narcosis, all cases, signal and initi- ate a controlled ascent while maintaining both eye and A sion. instead of one. In such situations, the possibility of a rescue without tinue to deteriorate uncontrollably. After stabilization, the rescuer should, in almost and Only a rescuer can make this personal deciwrong decision can mean the loss of two divers so forth. physical contact should not be overlooked. should be made to get the An attempt descending diver's attention anxiety or stress, the dive should be terminated. If the by banging on a tank or possibly even dropping an object past the descending diver's line of vision. Then, the diver can be motioned to the surface if the problem submerged victim action of the has simply been a lack of attention or concern. Visual calm contact serves at least to arrest the victim's descent physical contact with the distressed diver. reaching the surface, the victim rescuer is is still entangled, the after If, shows signs of first to provide a source of air (if needed), the victim, and tell the victim what will be done next. long enough for a pursuing rescuer to reach that depth. Knives or other tools should be used with great caution and the rescuer should remain alert for renewed struggling on the part of the victim during disentanglement. Except in cases of a minor snag, the victim and buddy descending diver If pursuit of a first contact should almost always be is successful, the made from behind the victim. This permits grasping the tank valve of a diver dropping in a vertical feet-first position or in a A should return to the surface and at least temporarily horizontal plane. terminate the dive. Reassessment of both victim and should equipment should be made on shore or support any propulsive action. In such cases, the rescuer should quickly "climb" down the descending diver to grasp the tank valve. In situations where nar- An injured or ill and vessel. diver should be taken to the surface at a reasonable rate of ascent, with care taken to main- Depending on the severity of the injury the victim may have to be assisted by buoy- first diver dropping in a head-first position be grasped by the fin(s) to retard descent to arrest may be a factor for either party, the rescuer tain breathing. cosis or illness, should remain behind the victim while arresting the ancy control or propulsion during ascent. The ascent should be interrupted only if breathing is impaired by descent and initiating ascent. Before establishing con- and should be continued as soon as breathing has been restored. Limited first aid or treatment of a particularly serious injury, e.g., hand pressure on a severe laceration, can be performed during ascent, but should ancy device, the rescuer should establish vomiting or other aspects of the injury or illness not be allowed to interfere with the victim's breathing tact with the victim and inflating the victim's buoy- own his or her buoyancy. This ensures the safety of the rescuer and permits the rescuer to use his or her to own oral inflator add additional buoyancy rather than attempting to use the victim's inflation device. If a descending victim is struggling or appears oth- or with continuing ascent. In an injury involving seri- erwise to be irrational, a rescuer should remain above ous bleeding, the rescuer should stay alert for preda- and behind the victim tors in the water both during the ascent and after uncontrolled descent caused by loss of buoyancy can create problems for the diver and rescuer even in because of the danger of barotrauma or impact with bottom features. Uncontrolled descents in deep water may be complicated by nitrogen narcosis and can involve very serious problems of oxygen poisoning, rapid air consumption, and subsequent drowning. In this situation, a rescuer must quickly assess the risk and make a decision. In shallow water, for example, it may not seem prudent to risk ear relatively shallow waters, squeeze to rescue a diver who on a shallow bottom and who is certain to will come to rest almost certainly be able to be rescued by a conservative rescue procedure. A own safety. uncontrolled descent should be sensitive to both the surfacing. An to ensure his or her Divers not directly involved in handling the victim of diver descending uncontrollably in very deep water, decompression and rescuer. They can air supply needs of the victim and pre-position additional scuba equip- ment or obtain other resources that might be necessary. An uncontrolled ascent may be caused by a loss of buoyancy control or panic. Although rescue of such a victim requires an extremely rapid response, rescuers must first ensure that their own ventilation will be adequate during the rescue. The rescuer also should be aware of the fact that a rapidly ascending individual may be making a calculated emergency swimming ascent. "Rescuing" such a diver may create more problems than it solves. Where obvious rescue objective breath-holding is is a factor, the to arrest the ascent quickly. main The however, presents a serious dilemma for the would-be rescuer should grab the most accessible part of the rescuer. Variables to be quickly assessed include not victim, which, on a rapidly ascending individual, October 1991 — NOAA Diving Manual may 19-15 Section 19 be the fins. This will serve not only to maintain contact but also will arrest the propulsive motion. should shift the grasp immediately to the victim's ankle or swim leg because the victim could easily right out of his or her fins. may Victims not overly buoyant be stopped simply by physical contact with a slightly negatively buoyant rescuer. As soon as possible in a rescue procedure, the rescuer should establish a position above the ascending victim. The most effective position is NOTE The rescuer face to face, At the present time, the administration of in-water cardiopulmonary resuscitation is not recommended (Kizer 1984). Its effectiveness, even in swimming pool conditions, has not been demonstrated successfully and to attempt it in the open water will delay getting the victim to a place where it could be administered properly. maintained by keeping a grip on the victim's buoyancy compensator. Eye contact can be established and the rescuer's other hand should be used to vent the victim's buoyancy compensator. Panicky ascending victims often claw desperately, and a rescuer must be alert to the possibility of losing his or her own mask or regulator during contact with a desperate victim. During attempts to arrest uncontrolled ascent in deep water, the rescuer also must recognize that an ascent that initially is non-buoyant may become buoyant near the surface because of expanding air in the buoyancy compensators of both the victim and the rescuer. Attempts to use signals, demonstrations, and if neces- more vigorous thoracic diaphragm should be made to on the Surface and Conscious 19.5.4 Victim When approaching a conscious victim on the surbe made to utilize an extension rescue technique and to obtain help, as described in Section 19.4. The rescuer also must carefully assess the victim's mental state. If the victim is rational face, every effort should and coherent and no alternative rescue technique is available, the approach should probably be made from the front and on the surface, because this approach allows continuous eye contact and reassures the victim because him allows it or her to observe the rescuer's actions. sary squeezes, pushes, or other, pressures directed at the make the victim exhale during uncontrolled ascent. Applying steady pressure may be safer and more NOTE effective If than using a jab or punch. possible, get the victim to initiate self- rescue by weight belt ditching or inflating the buoyancy compensator. Use guile if nec19.5.3 Victim When surface, speed approach on the Surface and Unconscious is is of the utmost importance. recommended because it A surface affords continu- ous eye contact with the victim. Although some degree may be assumed, many buoyancy compensators currently in use do not ensure that the face of a helpless victim will be maintained out of the water. When approaching the victim, the rescuer should have positive buoyancy and the BC should be inflated as needed. The victim should be pulled to the face-up position and the weights and scuba tank dropped. It may be necessary for the rescuer to drop his or her weights and tank, also. If the equipment is not dropped at the outset, the rescuer may forget to do so, thus making the rescue much more hazardous. While maintaining contact, the victim should be placed in a of positive buoyancy on the part of the victim left-sided do-si-do position (see Figure 19-3). Mouth- to-mouth resuscitation should be started as soon as possible and continued at the rate of one breath every 5 seconds while the victim dive platform or shore. 19-16 essary, e.g., say "Hand me your weights." confronted with an unconscious victim on the is being transported to the If the approach victim is is panicky or struggling, a different required. One technique requires the res- cuer to approach the victim from the front and while submerged. This is generally a safe method because the victim will be extremely reluctant to go under water. Another technique involves a surface approach from the rear of the victim. Some prefer this approach because an unexpected wave or rescuer buoyancy prob- lem is unlikely to bring the rescuer within the grasp of the victim. An approach from the rear facilitates the rescuer's grabbing the victim's tank valve, permits the rescuer to reach and activate the buoyancy device, to release the weight belt, and to disconnect the lowpressure inflator hose going to the buoyancy compensator. The rescuer also is in good towing position and can release the tank from the backpack, if necessary. better not to surprise a victim and in However, it is most instances the rescuer will be seen or heard even when approaching from the rear. Thus, the rear approach frequently will become a frontal approach because the victim will turn to face the rescuer. NOAA Diving Manual — October 1991 Accident Management and Emergency Procedures Once made between physical contact has been victim and the rescuer, the first the action of the rescuer should be establishing victim buoyancy by releasing the victim's weight belt and inflating the compensator. When must be taken not to buoyancy releasing the weight belt, care mistake the tank strap for the belt mechanism and to ensure that the weight belt does not become entangled with other equipment in the release drop path. It is important for the rescuer to be aware of the head position of the victim. It is natural for an anxious or frightened diver to lift his or her head from the water. Because the head is heavy (it weighs about 17 pounds (7.7 kilograms)), it takes a significant effort and keep it out of the can induce the victim the rescuer the water, the rescue effort will be on the part of the diver to raise water. Therefore, keep the head to if in it scious and breathing and help cuer should wait until is on the way, the res- arrives before beginning to it tow. Distance, chop, swells, current, surf, kelp, and the strength of the rescuer To tow all should be considered. a victim effectively, the rescuer must remain mobile, which may require the removal of equipment such as the tank or weight belt. The victim's body should be in a position (usually on the back) that will not impede the tow. If the victim does not have a functioning regulator, the face must be out of water, which can best be accomplished by having the buoyancy compensator inflated enough to keep the face out of water. The rescuer should use a towing technique that allows the victim to be observed. If possible, the rescuer should maintain eye contact with a conscious victim. Even without using a snorkel or regulator, the rescuer should keep the victim in a head-back position with the nose and mouth clear of the water, Towing with a Line because most people can float with (see Section simplified. head is partially or completely effort little may the Whenever throw bag possible, a towline or rescue 19.4) should be used because is it less fatiguing for the rescuer, reduces the need to ditch submerged. Once buoyancy and contact have been the rescuer if established, consider removing the victim's mask. This will facilitate breathing, ease some of the psycho- and improve eye contact. If the victim is calm, however, the mask can be left on to keep water out of the nose. Generally, it is desirable to remove the logical stress, equipment, and may permit the rescuer to minimize physical contact with a struggling victim. A conscious may have victim should grasp the a buoyant object attached to it. which line, After grasp- ing the line, the conscious victim should be told to roll over on his or her back to avoid being pulled under backpack and tank to facilitate towing; it is essential do so when an unassisted long tow is anticipated, if the tow will require passing through kelp, or if exit from the water must be made through surf or rocks. Throughout the process of equipment removal, the procedures followed should be explained and the assis- during tow. Once the victim has the line and is in position, the tow can be started slowly, because haste tance of the victim obtained, long as to if possible. could result in pulling the line loose or swamping the victim. If the victim it in the Water may still functioning properly) victim's mouth. In leave a snorkel in victim is may need calm water, may be useful to however, the victim's mouth; if the being towed on his or her back, water enter the snorkel and mouth. to to be restored to the it The victim is swamp to the particularly useful because it is tion easily or to otherwise tend the victim, if necessary. be present. The victim should be checked immediately to see that the face is not in the water, the mask is not pulled down over the mouth, and the airway is clear. The regulator (if As with a conscious permits the rescuer to administer artificial resuscita- After the victim has been stabilized at the surface, the cause of the original incident easily. must be slow so as not victim. This technique Towing a Victim unconscious, the line should can be released victim, the tow 19.5.5 is be attached by the rescuer so that it can be detached easily. The line also may be attached to the rescuer as may then ready be transported to a boat, to shore, or to some other Tank-Tow Method Although many towing techniques require physical contact ally between the victim and rescuer, recommended Using is gener- this technique, the rescuer grasps the victim's tank with his or her right hand from his or her position at the victim's left side, being sure to and verbal contact (see Figure allows the rescuer to type of stable platform. it that divers learn the tank-tow method. maintain visual 19-7). This method commence mouth-to-mouth Towing a victim should not be attempted if the vicis panicky or struggling, or if the safety of the (see Figure 19-3). It should be kept in mind, however, otherwise jeopardized. If the victim that although the victim's tank provides a convenient tim rescuer is October 1991 — NOAA Diving Manual is con- resuscitation in the do-si-do position described earlier 19-17 Section 19 Figure 19-7 Tank-Tow Method removed, one rescuer is positioned on each side. The rescuer on the victim's right supports the victim's head left hand and grasps the victim's elbow or upper arm, using the right hand in a palm-down posi- with the The second rescuer grasps the victim's upper and left arm firmly. The tow is made with the rescuers swimming on their backs. Another method that may be used by two rescuers is tion. lower to place the victim on the back with a rescuer on each Each rescuer grasps a wrist of the victim with the outside hand and places the inside hand on the victim's upper arm or in the armpit. When using this tow, the rescuers swim in a snorkel position. side. Leaving the Water with a Victim Removing the victim from the water may be the 19.5.6 most difficult part of a rescue. It difficult to transport formations, or mud,. or to or boat. The the victim is situation in can be exceedingly a victim through heavy surf, coral lift a victim onto a pier, dock, may be complicated further continued need of if artificial resuscita- Regardless of the point of exit, any encumbering equipment belonging to either the victim or the rescuer should be removed before leaving the water. Victims requiring artificial resuscitation should be placed on a flat hard surface as quickly as possible, because CPR cannot be administered in the water. If the victim is unconscious, the head and chest should be tilted downward during removal from the water; this position will help water drain from the airways. In cases where a back or neck fracture is suspected, care should be taken to avoid any twisting, tion. bending, flexing, or extending of these parts. In such cases the victim should be fastened securely to a back many ties or straps, before being removed from the water. These special precautions should not delay removal of victims from the water if they are not breathing, because CPR must be started as soon as board, with Reprinted from Scuba Life Saving, pub. Royal Life Saving Society, Canada, 1987 handle, towing is faster if the tank is removed. Cir- cumstances such as surface conditions, towing distance, and relative size of rescuer and victim dictate whether equipment should be left intact or dropped. Regardless of these circumstances, both the victim's and the rescuer's tanks must be removed if the tow is through kelp or heavy surf. Towing with Two Rescuers Two rescuers may efficiently tow a victim on the been placed on his or her back and the weight belt has been removed, buoyancy possible. Further details of the techniques for removing a victim from the water may be found in Smith and Allen (1978). NOTE When attempting to remove a victim from the water, every effort should be made to obtain help by shouting, lighting flares, using a radio, or any other means at hand. surface. After the victim has compensator inflated, and mask and mouthpiece 19-18 Into Small Boats. A single rescuer will have consid- erable difficulty getting an incapacitated diver into a NOAA Diving Manual — October 1991 Accident Management and Emergency Procedures small boat, particularly the boat if the victim tion 10.4.2), the rescuer should unconscious. If may climb in first and no ladder, the hands of have to be secured to the anchor line or then assist the victim. If there the victim is properly equipped with a ladder (see Sec- is some part of the boat is keep the face out of the water to while the rescuer climbs in. Once aboard, the rescuer being swept seaward (see Section 10.2.3). The use of more than one rescuer is highly desirable when exiting through surf. If two rescuers are available, the victim should be transported with one rescuer on each side towing the victim by the arms. Once ashore, the victim should be treated in accordance with the injuries A sustained. non-breathing victim should be placed on can then untie the victim's hands and pull the victim shore as soon as possible and aboard. If the victim can climb aboard a boat with no (see Section 18.1.4). ladder, the rescuer's shoulders may be used as a step- important during efforts to get into small boats to keep the victim between the rescuer and the boat, in order to maintain control. ping stone. It is Onto Larger Boats, Piers, and Cliffs. Lifting an Onto a Rocky Shore. When CPR should be started going from deep water onto an adjacent rock or reef, the rescuer should tow the victim as close to the rocks as possible, then attempt to ride a swell up onto the rock with the buoyant victim turned sideways and held in front of the prone rescuer. incapacitated victim into a boat, onto a high dock, or The wave may up a wall or presents a serious problem to a res- leading edge precedes the body and rebounds back off assistants are available. If the boat's gun- the rocks, which helps prevent the victim from striking cuer even wale if cliff too high to reach over, a line with a bowline in is it may be slipped under the victim's arms, with the knot the middle of the back. If assistants are available, in one or more light lines can be attached to the loop so that the weight of the victim can be divided among the members Through of the rescue team. Surf. Exiting through the surf with an injured very difficult and exposes both the victim and the rescuer to the possibility of serious injury. As the diver serve as a kind of cushion because the The rescuer must brace on the rocks as soon is made and hold on until the water from the swell has receded. The victim then can be rolled higher on the rocks. Once on solid ground, a standard fireman's or shoulder carry can be used to move the victim further inshore. As with other resuscitation techniques, CPR, if needed, should be started as soon as possible. the rocks. as contact is approached from open water, the rescuer must continually watch the approaching waves. Large surf zone 19.6 ACCIDENT MANAGEMENT Once the victim has been removed from the water and is waves generally come in "sets" or groups of 3 to 6 waves about 10 to 15 seconds apart, with 2 to 3 minutes of smaller waves between sets. It is advisable to leave the surf zone during the lull between sets of larger waves, waiting outside the surf zone for a lull. If the victim is apprehensive or panicky, it may be necessary pause seaward of the surf zone to calm him or her down. to is on a solid platform such as a boat, ately. Never Attempt to Tow a Panicky Victim Through Surf to Shore To permit continued observation of the surf, the rescuer should tow the victim from the back toward shore. If it appears that large breaking waves may catch advisable to move seaward again to wait for lull. As a breaking wave approaches, the rescuer should turn toward shore, hold the victim firmly, cover the victim's mouth and nose, and let the wave the next from behind. Surf often is accompanied by rip currents, and the rescuer must be cautious to avoid strike October 1991 first things to check for are life-threatening conditions such as airway obstruction, cessation of breathing, reduced circulation, bleeding, and shock. The examination procedures for described in detail in Section 18. each of these are An unconscious diver should be suspected of suffering from gas embolism made it is The beach, a made immedi- and be treated accordingly, unless embolism definitely can be ruled out. Concurrently, every effort should be WARNING them, pier, or reassessment of the situation must be — NOAA Diving Manual to summon outside help, using the telephone, any means available. Although cost should not be a factor in the management of a diving accident, it is an important element to keep in mind during planning. Statistics show that costs incurred for treatment of a diving injury can exceed $l,400/day. When added to an expense as great as $10,000 for a jet air ambulance, costs can easily reach radio, runners, flags, or $33,000 for a 14-day recompression treatment/hospital (Wachholz 1986). For example, the cost for chamber treatment ranges from $100 to more than $300 per hour, depending on the type of chamber, its geographical stay location, and supporting medical for a non-hospital-based services. chamber will that for a hospital-based chamber. The charge be less than Most chambers 19-19 Section 19 charge about $225 per hour (Wachholz 1986). Thus, good planning and accident management practices make so fitted, consisting of a series of 12 dashes, sent sense from a financial point of view. consecutive dashes being in • minute, the duration of the interval between 2 1 1 The radiotelephone alarm second. signal consisting of 2 tones transmitted alternately over periods of from 30 seconds Summoning Aid 19.6.1 to Because many divers and boaters are not familiar summoning aid in emergencies, critical time is lost, causing needless suffering and perhaps even loss of life. The nature of the aid and the procedures to obtain it obviously vary with the situation, e.g., on land in a populated area, on land in a remote area, or at sea. When on land in a populated area, local police, fire, and rescue services should be notified, as in any kind of accident. When on a boat, the best procedure is to seek assistance from the U.S. Coast Guard. Many signals have been devised over the years to signal distress or other emergency status. The most common, which have been accepted by international agreement or national custom or may be used occasionally by Coast Guard Search and Rescue Units (U.S. Coast Guard 1973), are shown below. 1 minute. Table 19-2 summarizes the procedures for obtaining with the procedures for emergency included because local numbers and procedures vary from location to location and radio When contact made by is radio or telephone, the caller should declare that the situation ple, fired at intervals of about a minute. A continuous sounding with any fog-signaling ap- an emer- "This an emergency. is I have a diving accident victim needing treatment in a recompression chamber." The caller should be prepared to provide infor- mation on the location, including direction and distance from prominent land marks, environmental conditions relating to sea state, roads, wind, etc., and the status of the victim. Unusual circumstances should be described and the number of victims identified. If all individuals involved should be advised of the new location and of any planned moves or changes. In 1980, a national Divers Alert gun or other explosive signal is gency and state the nature of the emergency. For exam- in the rescue A numbers and call telephone numbers are changed frequently. the victim's location changes, INTERNATIONAL DISTRESS SIGNALS and diving aid, evacuation of casualties, medical advice. Only national information has been Network (DAN) was established at Duke University Medical Center, Durham, North Carolina, as the country's medical advisory service for divers. For administrative purposes, divided into seven regions (see Figure 19-8). paratus. the system Rockets or shells throwing red stars fired one at a Medical help for victims of diving accidents is now available 24 hours a day (Mebane and Dick 1985). time at short intervals. A signal made by radiotelegraphy or by any other method consisting of the group S-O-S in Morse code. voice signal consisting of the spoken word "May- To use is DAN, a diver or physician dials (919) 684-8111 DAN signaling and asks the emergency). The A day." The International Code Signal of distress indicated NC. answered by an operator University Medical Center. If the call it above or (as from may a burning tar barrel, is is available 24 hours a day). This physi- a local diving physician. If needed, the physician will referral DAN Regional Coordinator to arrange to an appropriate treatment facili- and transport DAN regional coordinators are qualified in diving barrel, etc.). ty. A rocket parachute flare or a hand flare showing medicine and know what treatment signal giving off a volume of orange- colored smoke. Slowly and repeatedly raising and lowering arms outstretched to each side. The radiotelegraph alarm signal, which is design- ed to actuate the radiotelegraph auto alarms of vessels 19-20 facilities are availa- ble in their regions. In addition, each region has trained a red light. smoke in regard to put in contact with a dive oil A is an at the advise the caller directly or refer the caller to work with a a ball or anything resembling a ball. Flames on a vessel physician (one cian signal consisting of a square flag having below (collect calls are accepted in call is an injured diver, the caller by the code group A Duke for medical staff and suitable chambers available continuously (Dick 1982). Although the Coast Guard does monitor Citizens Band (CB) Channel 9, this is a very unreliable means of communication, for many reasons. If unable to raise the Coast Guard via CB, contact someone NOAA Diving Manual else to relay — October 1991 Accident Management and Emergency Procedures Table 19-2 Sources of Emergency Assistance Medical Advice U.S. —Nearest Operable Chamber Location Navy Experimental Diving Unit Panama City, Florida (904) Divers Alert Network Box 3823 - DAN - 215 Duke University Medical Center Durham, North Carolina 27710 234-4355 (919)684-8111 Search, Rescue and Casualty Evacuation SAR Atlantic Coordinator — Commander, U.S. Coast Atlantic Area Guard Rescue Coordination Center Governor's Island, NY (212) 668-7055 Area U.S. Coast Guard Rescue Coordination Center San Francisco, CA (415) 556-5500 Commander, Aerospace Rescue and Recovery Service U.S. Air Force Rescue Coordination Center Scott Air Force Base, IL (618) 256-4815 Pacific SAR Coordinator — Commander, Inland SAR Coordinator — Pacific Emergency Communications Frequencies CW/MCW kHz kHz 500 2182 International distress and calling International voice distress, safety and calling useful for communications between aircraft 156.8 MHz (ch 16) calling Continuous Broadcast (When weather 162.550 162.400 162.475 (particularly and vessels) FM, U.S. voice distress and international voice safety and affects NOAA Weather Frequencies emergency operations) MHz MHz MHz Derived from no radio on the boat, hail a boat messages. If there is that has a marine band radio and give tion to relay to the you it the informa- Coast Guard. Keep the boat with for further contacts. The International Conven- NOAA (1979) be able to assist or give the location of the nearest recompression chamber. If the accident has occurred in a able, remote area and radio communication is not availany means at hand should be used to signal the tion for the safety of life at sea requires that assistance emergency, be provided to vessels conditions, help arrives by air but cannot land, the in distress. If other boats are not immediately available, pro- ceed to the nearest inhabited dock and telephone local paramedic or USCG services. Advise them of a diving accident, state the need for transportation, and give your exact location. Have someone remain at the phone for the line is tele- further assistance. Ensure that the person on aware that a recompression chamber will be local symptoms occur on land paramedics or the October 1991 shown in smoke, fire, flares, etc. If, under such Table 19-3 should be used to convey information to the rescuers. When the rescue aircraft arrives, you should wave and fire flares or smokes, if possible. Let them know you are the one who needs assistance. Do not assume the pilot will recognize you, because valuable time may be wasted searching unnecessarily. In addition to the signals described in Table 19-3, there are a needed. If signals e.g., USCG. — NOAA after diving, contact These individuals should Diving Manual num- ber of miscellaneous signals used for signaling distress; these are shown below. 19-21 Section 19 Figure 19-8 Divers Alert Network (DAN) surface craft toward an aircraft or a surface craft in distress: • • Circling the surface craft at least once Crossing the projected course of the surface craft ahead at low altitude and: close —rocking the wings —opening and —changing the closing the throttle propeller pitch • Heading to in the direction in which the surface craft The following maneuver by an the assistance of the surface craft 919-684-8111 • is be directed. is aircraft means that no longer required: Crossing the wake of the surface craft close astern at a low altitude and: —rocking wings —opening and —changing the closing the throttle the propeller pitch. MISCELLANEOUS EMERGENCY VISUAL SIGNALS NOTE • Used Inverted U.S. flag. as a distress signal by marine craft in the United States. • The following are used recognition signal. When they indicate that this —A —A is as a surface-to-air distress spread horizontally or waved, the unit in need of assistance: cloth of international orange color (United States). cloth of international orange color with a black square and ball inscribed thereon (United States and Canada). —A of red (Caribbean —Green fluorescent dye marker. —Flashes from —Smoke from Note: color cloth territories). a signal mirror). (as signal fires. arranged in a triangular Three signal fires pattern are a positive signal of distress. Occasionally, divers in a small boat may be called on an emergency situation. If the by radio or telephone, the procedures to render assistance in emergency will call is be obvious. ing assistance it is If, however, a rescue aircraft from a boat in the is seek- area of an emergency, important that those in the boat understand some simple air-to-surface signals. The maneuvers used in by the U.S. Coast Guard Search and Rescue system are described below. this situation INTERNATIONAL AIRCRAFT TO SURFACE CRAFT SIGNALS The following maneuvers performed in sequence by an aircraft means that the aircraft wishes to direct a 19-22 Opening and closing the throttle and changing the propeller pitch are alternative signals to rocking the wings. 19.6.2 On-Site Care of the Diving Casualty A major problem with divers is that they tend to symptoms of decompression sickness that may develop into a more serious problem later on. Detailed descriptions of the symptoms of decompression sickness are provided in Section 3.2.3.2. Section 20.10.1 gives treatment procedures. If there is no hyperbaric chamber on site, divers suspected of having serious decompression sickness and who are not having breathing problems should be administered oxygen immediately and be placed on the left side in a head downward position (modified Trendelenberg Posiignore mild head at least 19 inches (48.3 centimeters) lower than the feet, as shown in Figure 19-9. This tion) with the position is not recommended for victims requiring CPR those with breathing problems. In these cases, it or is recommended that a flat supine position be used (Mebane and Dick 1985). The patient should then be transferred immmediately to the nearest hyperbaric chamber. If the symptoms are relieved within 10 minutes, the patient should be kept on oxygen for a total of 30 minutes. If the symptoms get worse, follow the recommendations of the flowchart shown in Figure 19-10. An excellent source of accident management and on-site patient care is the DAN Underwater Diving Accident Manual (Mebane and Dick 1985). NOAA Diving Manual — October 1991 Accident Management and Emergency Procedures Table 19-3 Ground-to-Air Visual Signal Code Code Message No. —serious 1 Require doctor 2 Require medical supplies Code Symbol injuries I I 3 Unable 4 Require food and water 5 Require firearms and ammunition 6 Require 7 Require signal lamp with to proceed Symbol Message No. 10 Will attempt take-off 11 Aircraft seriously 12 Probably safe to land here <^ 13 Require fuel and i_ 14 All well 15 No N 16 Yes Y 17 Not understood 18 Require engineer l> damaged I X F V map and compass I battery and radio oil L_l_ I 8 Indicate direction to proceed 9 Am proceeding inthis direction K T JL W Source: U.S. Coast Guard (1973) NEUROLOGICAL EXAMINATION TO BE ADMINISTERED BY NON-MEDICAL PERSONNEL WARNING INITIAL The Trendelenberg Position Should Not Be Used if Airway Is Blocked or CPR Is Needed NOTE A common problem in the management of diving cases is that such cases are often misdiagnosed initialeither by divers at the scene or by a physician untrained in diving medicine. To minimize the likeli- ly, hood of overlooking serious symptoms of decompresembolism, an attending physician sion sickness or gas When interpreting the results of this examibe sure that abnormalities are a result of the diving disorder and not the result of a previous disorder, e.g., some divers may have nation, a hearing impairment caused by working around loud equipment. should give a neurological examination before, during, after treatment. Such an examination usually takes about 30 minutes and requires certain diagnostic equip- Mental Condition or Status ment and of the higher mental faculties, test for subtle signs of and training to interpret the results. Since a physician is rarely at the scene of a diving accident, however, a preliminary 4-minute neurological evaluation has been developed that requires no equipment and can be administered by non-medical persons. This examination is shown below, and a checklist for recording examination results is shown in Table 194. October 1991 — NOAA Diving Manual Since less interference is required to impair functioning serious decompression sickness • by observing: Orientation —Time day — Place is (the first function to go). Example: "What this?" (the next to go). Example: "Where are youi 19-23 . Section 19 Figure 19-9 Modified Trendelenberg Position • Sense of smell (Olfactory nerves) with coffee, one nostril at a time. —Test delay for this test is • if Do not appropriate testing material not available. Sight (Optic nerves) —Hold up fingers for the patient to count; test one eye at a time. • Eye movement (Oculomotor, Trochlear, and Abducens nerves) —Have the move • it patient's eyes follow your finger as up and down, left and you right. Chewing (Trigeminal nerves) —Can the teeth be clenched? Feel jaw muscles on both sides simultaneously. • Mouth (Facial nerves) —Can the —Can both patient smile? 19-Inch Affords corners of the mouth be lifted simul- taneously? Lift Minimum • Effective Hearing (Acoustic nerves) —Test one ear Best Angle Distance at a time by whispering or rubbing your fingers together approximately from the • Strap victim in Administer 100 percent oxygen if • for gagging and proper enunciation. Mebane and Shoulder muscles (Spinal Accessory nerves) —Have Dick (1985) patient shrug the shoulders while you press down on them. Note any • (severe impairment). Example: "What Memory (test series). last hours). Sensory Nerves • condition called perseveration exists, which • 19-24 finger little Muscle strength fingers in Is hands on the legs just above the ankle and press readily apparent. down lightly. legs. Is check and how possible. Test testing: grip any fluctuation. Cranial Nerves if Base of them by sitting or lying —These are to 3. other) two of your with each —Have patient hand. the strength the same each hand? —With patient down, place your Seizures What 2. vs. dull objects, see if patient can Motor Nerves • for (check one hand Back of hand Base of thumb 1 Level of consciousness —Watch vs. dull distinguish between Mental function Test by using serial 7's. (Subtract 7 from 100, then 7 from the answer, and so on. If an error is repeated, like "93, 90, 83, 80, 73, 70," a usually indicates impairment. Sharp —Using sharp and — • the patient stick the tongue out (not to one side)? — Immediate with a number —Recent (happenings within 24 —Remote (background). • unilateral weakness. Tongue (Hypoglossal nerves) — Can is your name?" • away available Derived from Rutkowski (1985) and —Person inch Talking (Glossopharyngeal, Vagus nerves) —Check place but do not interfere with respiration 1 ear. one side vs. to test 12 cranial nerves, the other side. • Have the patient try to lift the the strength e'qual in both? Range of motion —Check normal movement of both arms and NOAA Diving Manual legs. — October 1991 . . . Accident Management and Emergency Procedures Figure 19-10 Diving Accident Mild Management Flow Chart Signs/Symptoms Immediate Evacuation Not Necessary Administer 1. 2. Fatigue Skin rash 3. Indifference 4. Personality 1. First 100% oxygen by demand 30 minutes. 2. Head and chest Yes Aid inclined for downward on Keep left Yes side. change Observe for onset symptoms. 4. Administer oral fluids. Administer two aspirins. 5. No More of under prolonged soon as possible. Relief more serious 3. patient observation and have him consult diving physician as Relief Symptoms No Relief Severe Signs/Symptoms Immediate Evacuation To Recompression Chamber 1. Joint pains 2. Dizziness or weakness Paralysis of face Visual disturbances Feeling of blow on chest Chest pain Severe hacking cough Shortness of breath 3. 4. 5. 6. 7. 8. 9. 10. Bloody, frothy Did patient take a breath underwater, regardless of depth (2 ft. or deeper) from a scuba tank, hose, bucket, submerged 2. car, etc. Staggering 1. 2. of extremities 3. Collapse or unconsciousness 14. Convulsions 15. Cessation of breathing 13. and b. Begin CPR, if needed. Administer oxygen. Evacuate to nearest physician or medical facility. U.S.C.G. (at c. 3. sea) necessary to restore breathing lying on left inclined downward side 19". Place patient on oxygen and ensure that he remains on oxygen until taken off by diving physician even if breathing normally. Alert evacuation system. Intravenous fluids (lactated Ringers solution). Evacuate VHF16 directly to a recompression and a diving physician. Keep head down, 19" lower than facility HF2182 1. INSERT INFORMATION FOR YOUR DIVE AREA: left Duke is POSITION a. Head and chest If patient was not under the water for the past 24 hours: mouth weakness CPR and/or heart function. Modified TRENDELENBERG | No 11. Difficulty telling direction 12. Paralysis or 1. Yes University 2. Transport below 1,000 3. Forward complete history Divers Alert feet, side. elevation. ft. of all events leading up to accident. Network Chamber Rescue (919)684-8111 _ Coast Guard Diving Doctor Source: Rutkowski (1985) • Muscle tone — Check if Gait muscles are spastic (in state of con- traction) or flaccid (totally relaxed). —Walking —check rubber and unsteadiness. —Tandem —walking heel gait for gait Coordination (Cerebellar function) • — Can patient touch your finger held in front of to toe. Balance (sharpened Romberg) —Have Point in space legs, staggering, patient stand straight, feet together, arms folded in front and eyes closed. his or her nose? Basic reflexes (check both sides with blunt instru• ment) Finger to nose —Can the patient touch the tip of his or her nose after touching the tip of your finger? October 1991 — NOAA Diving Manual —Biceps —Triceps 19-25 . . .. Section 19 Table 19-4 Diving Casualty Examination Checklist ( Date Patient LIFE-THREATENING CONDITIONS 1. Airway 2. Breathing 3. Circulation . MENTAL CONDITION OR STATUS 1. Memory: 2. Hemorrhage 5. Shock SENSORY NERVES Time. Orientation: 4. 1. Place Person Immediate. Sharp vs. Dull MOTOR NERVES Recent Muscle strength Range of motion Muscle tone Remote Mental function Level of consciousness Seizures 3. 4. 5. CRANIAL NERVES 1. Sense 2. Sight (Opiic) R R R 1 1. 1 2. Point in space Finger to nose 1 3. Gait: 4. Chewing (Trigeminal) 5. Mouth, smile (Facial) Hearing (Acoustic) Talking (Glossopharyngeal, Vagus) Shoulders (Spinal Accessory) Tongue (Hypoglossal) 6. 8. 9. R L Walking (Oculomotor, Trochlear, Abducens) 7. L L COORDINATION of smell (Olfactory) Eye movement 3. R R Tandem R R R R R R L 4. Balance 1 1. REFLEXES I 1. Biceps Triceps Basic: 1 1 Forearm Knee Ankle 2. Babinski reflex ( R R R R R. R. LANGUAGE 1. Comments Aphasia or conclusions Examiner Source: —Forearm —Knee —Ankle backward, upward, and spread, NOAA (1979) this is a reliable sign of probable spinal involvement. Language Problem Reflexes • • Babinski reflex — Run up the sole of the foot. If the toes curl down toward the sole of the foot, a a blunt object normal Babinski is present. If nothing happens, no conclusion can be drawn, but 19-26 if the toes flex Aphasia (Speech impairment) for language foulups and incorrect word order. —Check The results of this misplaced words examination should be communi- cated to a consulting physician NOAA like if a physician Diving Manual is not on — October 1991 ( Accident Management and Emergency Procedures Figure 19-11 Evacuation by Helicopter should be given directly to an attending physi- site or cian at the 19.7 first opportunity. EVACUATION BY AIR Each helicopter evacuation presents unique problems. Knowing what to expect and the procedures to follow, however, can save time, effort, and perhaps a life. The following information is applicable to U.S. Coast Guard (USCG) helicopter evacuation by sea, but the same most helicopter evacuations. rules also apply to • Try to establish communications with the helicopIf your boat does not have the necessary frequency, try to work through another boat. Maintain speed of 10 to 15 knots (5 to 7.5 m/s); do not slow down or stop. V|| ter. • • • Photo Wayne Marshall Maintain course into wind about 20 degrees on stopped for the time needed to port bow. addition, the helicopter crew Put all antennas down, if individual trained in possible without losing lift may the victim. In not include an CPR. communications. • Secure all loose objects on or around the decks, because the helicopter • Make transfer, because time and the hovering • is is signals ready critical in advance of the both to the victim aircraft. Signal the helicopter pilot hand WARNING will create strong winds. sure the patient when all is by day and flashlight ready, using at night (see dling Figure 19-11). • If a trail line is dropped by the basket to the deck with the • To prevent aircraft, Do guide the electric shock, allow the lifting device Place a personal flotation device on the patient. • Tie the patient • cannot communicate, attach perwhat happened, and what medication has been ad- in the basket, face up. If the patient sonal information such as name, age, address, If the patient is a diving accident victim, ensure that the flight crew has a copy of, or is instructed medical procedures for diving accidents. If the patient is a diving accident victim, ensure ber complex). If the patient dies, inform members of the flight crew do not take unnecessary risks. Helicopter transfers should not be made if the victim is being given cardiopulmonary resuscita- so they • tion, because the chest compression should not be October 1991 the rescue crew in the proper procedures for transporting — NOAA Diving Manual The following medical evacuation information should be forwarded with the patient. If possible, take time to explain the following steps to the physician or para- that the flight crew delivers the patient to a hyperbaric trauma center (recompression cham• Regardless of the means of evacuation, certain factors must be followed to minimize additional injury to the patient. These factors include providing the maximum amount of advance information to the rescuing organization and the emergency receiving facility and advising a diving casualty. ministered. in, GUIDELINES FOR EMERGENCY EVACUATION not secure any lines/wires from the boat to the basket. • 19.8 it. • • It line. (stretcher) to touch the boat before handling • Do Not Secure a Trail Line, Basket, or Cable from the Aircraft to the Boat. To Prevent Electric Shock, Always Allow the Lifting Device (Stretcher) To Touch the Boat Before Han- medic. Do not assume that they understand the reasons why oxygen should be administered to a diving accident victim. If a patient may is breathing normally, a physician stop the oxygen breathing because he or she does not realize that the patient must continue to breathe oxygen to off-load bubbles. The following steps should be taken: • Maintain breathing and heart functions; ensure way remains air- open. 19-27 Section 19 • Keep patient on 100 percent oxygen delivered by demand valve and incline head downward, left side was fatal. If this is not possible, they should be maintained in the condition in which they were down, during transportation (see Figure found, pending any accident investigation. • Ensure paramedics/physicians understand why head down, 19-8). on 100 percent oxygen by demand left side, Once the patient arrives at the emergency treatment facility, is required until patient arrives at chamber. the procedures described in Section 20 should be followed. • Ensure that paramedics and physicians understand • why the patient needs to be taken to a recompression chamber instead of a hospital. Do not stop giving oxygen to a diving accident patient even there is if patient is breathing normally, unless a need to reopen the airway or the patient shows signs of oxygen convulsions (see Section • • 3.3). Without oxygen, bubbles will reload with nitrogen and cause increasing symptoms. Keep patient out of the hot sun and watch for 19.9 ACCIDENT REPORTING PROCEDURES NOAA personnel, whether All diving accidents involving must be reported promptly. The procedures for reporting accidents are contained in the Diving Regulations. In addition, all diving accidents should be reported to the National Under- fatal or non-fatal, NOAA water Accident Data Center, University of Rhode Island, shock. P.O. Box 68, Kingston, Do is rin); not give any pain-killing drugs (including aspi- intravenous injections can be given to prevent RI 02881. The telephone number (401) 792-2980. Accidents, both fatal and non-fatal, also should be DAN (see Section 19.6.1). In addition vascular collapse or dehydration. reported to • Instruct flight crews to fly or pressurize aircraft to providing serves as a clearinghouse for information on diving • below 800 feet (244 meters) (see Section 14.8). Provided the aircraft can handle the extra weight, the diving buddy should be transported with the patient, because he or she also may need recom- medical advice in diving emergencies, DAN accidents and their treatment. Information (without identifying data) on a national is collected level. It is on the victims then made to be studied available to those pression or can provide information, comfort, and participating groups, such as certifying agencies and contact with patient's relatives. equipment manufacturers, who are responsible A and equipping divers (Dick 1982). Reporting accidents is more than a legal responsibility; it permits an investigation and compilation of accident statistics. From this information, all concerned can learn to improve diving techniques, which will result in • complete history of all events leading up to the accident and evacuation must be forwarded • Depth gauges, tanks, regulators, and other diving equipment should be forwarded with patient if with the patient. weight limitations allow, especially 19-28 if the accident for train- ing fewer diving accidents in the future. NOAA Diving Manual —October 1991 Page SECTION 20 DIAGNOSIS 20.0 General 20-1 20. Physiologic and Pathologic Effects of Diving Gases 20-1 AND TREATMENT 20.1.1 OF DIVING CASUALTIES 20.1.2 20.1.3 20.1.4 20.1.5 20.1.6 20.2 Ear Problems 20.4 in 20-2 20-2 20-3 20-3 20-3 20.2.2 Hearing Loss 20-4 20.2.3 Tinnitus 20-4 20.2.4 True Vertigo 20-4 20.2.5 Alternobaric Vertigo 20-4 Damage 20-4 Ear 20.2.7 Otitis Externa (Swimmer's Ear) Squeeze or Barotrauma 20.3.1 Face Mask Squeeze 20.3.2 Middle Ear Squeeze 20.3.3 Round Window Rupture 20.3.4 Sinus Squeeze 20.3.5 Lung Squeeze (Thoracic Squeeze) 20.3.6 External Ear Squeeze Decompression Sickness and Gas Embolism 20.4.1 Decompression Sickness 20.4.1.1 Decompression Sickness 20.4. 1 2 Decompression Sickness to Inner — Pain Only —Serious Symptoms 20-5 20-6 20-6 20-6 20-7 20-7 20-8 20-8 20-8 20-9 20-9 20-9 20.4.2 Gas 20.4.3 Omitted Decompression 20-13 20.4.4 Pretreatment Procedures 20-13 20.4.5 Tending the Patient Treatment Tables Failures of Treatment 20-14 20.4.7 (Air) Embolism Other Lung Overpressurization Accidents 20-9 20-15 20-15 20-17 20.5.1 Pneumothorax 20-17 20.5.2 Mediastinal Emphysema Subcutaneous Emphysema 20-17 20.5.3 20.7 20-2 Ear Fullness 20.4.6 20.6 20-1 Diving . 20.5 20-1 20.2.1 20.2.6 20.3 Carbon Dioxide Poisoning Hypoxia Carbon Monoxide Poisoning Asphyxia High Pressure Oxygen Poisoning Inert Gas Narcosis Management of the Unconscious Diver Personnel Requirements for Chamber Operations 20-17 20-18 20-18 20.7.1 Diving Supervisor 20-18 20.7.2 Inside Tender 20-18 20.7.3 Outside Tender 20-18 20.7.4 Diving Physician 20-18 20.8 Pressure and Oxygen Tolerance Tests 20-19 20.8.1 Procedures for Pressure and Oxygen Tolerance Tests Emergency Medical Response 20.9.1 Medical Equipment and Supplies 20-19 20.9 20-19 20-20 20-20 20.9.4 Diving Operations Medical Kit (First Aid) Primary Medical Treatment Kit Secondary Medical Treatment Kit 20.9.5 Use of the Kits 20-21 20.9.2 20.9.3 20-20 20-21 i DIAGNOSIS AND TREATMENT OF DIVING CASUALTIES 20.0 GENERAL gas usually relieves This chapter covers the diagnosis and treatment of a variety of diving- may and pressure-related conditions that occur during diving operations. These conditions range from relatively minor threatening (Type (otitis externa) to life- decompression sickness, arterial gas embolism). The on-site treatment of injuries is addressed in symptoms all quickly, although may any headache caused by the buildup even she should be treated in accordance with the procedures described in Section 20.6. II 20.1.2 Hypoxia When Section 18, Emergency Medical Care. the tissues do not have enough oxygen to maintain normal function, the condition 20.1 persist becomes unconscious, he or after surfacing. If a diver PHYSIOLOGIC AND PATHOLOGIC EFFECTS OF DIVING GASES Hypoxia usually oxia. is reflects inadequate called hyp- oxygen in the gases in the lungs (but see Section 20.1.3 on carbon monoxide). Because an increase in total pressure also The presence or use of air and other gases under pressure is accompanied by a variety of adverse physiological effects, ranging from carbon dioxide poisoning to nitrogen narcosis. This section describes the symptoms increases the partial pressure of the oxygen in the and signs associated with these effects, the conditions under which they are likely to occur, and the appropriate forms of treatment. er, breathing mixture (see Section 2.5.1), a diver breathing a gas mixture with less than 20 percent oxygen can often continue to function normally at depth. when the pressure drops as depth decreases, and the diver lose consciousness before reaching the surface. hold divers are particularly at 20.1.1 reduces the level of Carbon dioxide (C0 2 ) buildup (or excess) often occurs when divers work hard and their lung ventilation does C0 2 may Breath- risk, especially if they hyperventilate before diving, because hyperventilation Carbon Dioxide Poisoning not increase enough to vent off the Howev- diver begins to ascend, the oxygen partial produced by Scuba divers who skip-breathe often experience C0 2 buildup. Carbon dioxide poisoning may also occur when a faulty rebreather causes a buildup of C0 2 in the diving mask or helmet. their exertion. C0 2 C0 2 in the blood, and level that provides the principal it is the blood impetus to take another breath. As a consequence, a diver with a low C0 2 blood level can stay under water longer without discomfort and without experiencing the urge to breathe again. This situation can produce a vicious cycle: in the time up it takes for the diver's sufficiently to make him C0 2 blood level to build or her aware of the need to take another breath, the tissues have used up addi- Symptoms and Signs although it is tional C0 2 oxygen and the C0 2 has dropped. If the oxygen partial pressure drops below usually accompanied by an overwhelming the level necessary to maintain consciousness, the diver urge to breathe and noticeable air starvation. There may be headache, dizziness, weakness, perspiration, nausea, a slowing of responses, confusion, clumsiness, flushed skin, and unconsciousness. In extreme cases, muscle twitching and convulsions may occur. loses consciousness. A similar danger exists Treatment when artificial breathing mixtures and rebreathing scuba are being used, because heavy exertion or low gas flow may diminish the concentration of oxygen in the breathing bag. This continue until a pressure Divers tension in the diver's blood poisoning produces no symptoms, Occasionally, is may reached that renders the diver unconscious at depth or until the oxygen partial who are aware that they are experiencing carbon dioxide buildup should stop, ventilate themselves October 1991 and rest, breathe, and their apparatus. Fresh breathing — NOAA Diving Manual pressure drops to an inadequate level during ascent. The victims what is of hypoxia do not usually understand occurring, and they may even experience a 20-1 20 Section feeling of well-being. Hypoxia may be accompanied by an excess of carbon dioxide in the blood (see Symptoms and Signs Section 20.1.1). Carbon monoxide poisoning usually produces no symptoms until the victim loses consciousness. Some vic- Symptoms and Signs feeling of tightness in the head, confusion, or clumsi- tims experience headache, nausea, dizziness, weakness, a • Frequently none (the diver may simply lapse into Mental changes similar to those of alcohol intoxi- be unresponsive or display poor Foolish behavior Cyanosis (bluish discoloration of the lips, lips, is may progress to ces- There may be abnormal redness or The classic sign of may or may not occur nailbeds, or skin. poisoning, "cherry-red" and • • • CO Confusion, clumsiness, slowing of response and sation of breathing. blueness of cation • may judgment. Rapid deep breathing sudden unconsciousness) • ness, while others lips, therefore not a reliable diagnostic aid. nailbeds, Treatment skin) The victim should be given In severe cases, cessation of breathing. oxygen. ble, may Prevention Some effects, persist after the fresh air and, availa- if such as headache or nausea, exposure has ended. An uncon- scious victim should be treated in accordance with the • Avoid excessive hyperventilation before a breathhold dive. • When procedures outlined in Section 20.6. If a recompression chamber diving with rebreathing scuba, flush the U.S. is available, the victim should Navy Treatment Table 5 or 6 (see be treated using Appendix C). breathing bag with fresh gas mixture before ascending. 20.1.4 Treatment • Get the victim to the surface and into fresh air. If under water and using a rebreather, manually add oxygen to the breathing circuit. • If the victim • is still breathing, supplying a breath- ing gas with sufficient oxygen usually causes a • • Asphyxia Asphyxia (or suffocation) occurs when the lung is unable to carry out the function of ventilation. In diving, this situation could be the result of blockage of the windpipe or gas supply hose or the breathing of an irrespirable gas mixture (too little carbon dioxide). Drowning is oxygen or too much a special case of asphyxi- rapid reversal of symptoms. ation. An unconscious victim should be treated as if he or she is suffering from gas embolism (see The signs and symptoms ment for it are the same Section 20.4.2). carbon dioxide poisoning. For instructions on the Cardiopulmonary resuscitation should be administered if necessary and should be continued after the victim is in the recompression chamber. ment High Pressure Oxygen Poisoning Oxygen poisoning is the direct result of breathing pure oxygen or excessive oxygen under pressure. 20.1.3 most it prevents the blood from transporting oxygen, causing tissue hypoxia even when there is adequate oxygen in the lungs. During treatment, this tissue hypoxia must be overcome by administering higher concentrations of oxygen, and the toxic CO must be eliminated by supplying the diver with CO-free breathing gas. The most frequent cause of carbon monoxide in a diver's air supply is that exhaust fumes from the compressor have entered the compressor's air intake. As the total pressure likely to occur when closed-circuit scuba been exceeded. If not treated promptly, • Restlessness • Tingling sensation of the finger • • • Nausea • Dizziness 20-2 oxygen poisoning Symptoms and Signs amounts of carbon monoxide gas can have toxic effects. It is being can cause death. increases with depth (see Section 3.1.3.4), very slight breathing is used and the depth for which the gas was mixed has Tunnel vision Ringing in the ears Twitching of the face in the diver's and treat- of blocked airway, see Section 18.2. 20.1.5 Carbon Monoxide Poisoning When carbon monoxide (CO) is absorbed, of asphyxia and the treatas those for hypoxia • NOAA tips, lips, Diving Manual and nose — October 1991 Diagnosis and Treatment of Diving Casualties • Difficult breathing • Anxiety and confusion • Unusual fatigue Clumsiness Grand mal seizure. • • depths barely exceeding 100 fsw (30.5 m), but the symptoms become more pronounced at depths greater than 150 fsw (47 m). Inert gas narcosis produces a sensation of apprehension, confusion, impaired judgment, and a false sense of well-being. The or even to perform simple tasks Before the onset of a seizure, the only sign likely to be noticed ness is twitching of the facial muscles. Conscious- is lost at the onset of the seizure. Shortly thereaf- breathing usually stops. Violent seizures generally ter, continue for a minute or two; biting the tongue and various physical injuries may occur zure, but the victim eral may remain unconscious for sevmay be drowsy or confused their air supply). on the task By forcing themselves to concentrate at hand, experienced divers is regained. In dives or signs listed above oxygen conditions. is increase in Lack of concern Apparent stupidity noticed. Steps to decrease the • Inappropriate laughter. for job or safety be taken as soon as one can trigger oxygen toxicity, the diver C0 2 rebreathing circuit Treatment There no specific treatment for nitrogen narcosis. A diver experiencing narcosis must be brought to a shallower depth, where the effects will gradually wear is off. from the lungs. scuba shows signs EAR PROBLEMS of incipient oxygen poisoning, he or she should flush 20.2 the breathing bag with fresh breathing gas. The common Oxygen-induced seizures generally stop before any treatment can begin. Those treating the victim should concentrate on preventing the victim from injuring himself or herself or from drowning. Because of the risk of breath-holding and air embolism, the pressure (depth) should not be changed while a diver is convulsing. If normal breathing does not resume, cardiopulmonary resuscitation should be administered. If a convulsing diver surfaces, there is reason to suspect an air embolism; the diver should be recompressed and treated signs and symptoms of ear injury are a caused by breathing inert gases at pressure. Inert gases vary in their narcotic potency, interact with and they each other to produce effects greater than those produced individually. Nitrogen narcosis, which is caused by breathing compressed air at depth, the most diving. The common form of narcosis encountered in effects of narcosis October 1991 — NOAA conditions leading to ear problems and the consequences of these problems are described below. 20.2.1 Ear is Ear Fullness fullness, or a sensation that the ears are blocked, usually the result of a condition that causes a decrease in the transmission of sound to the inner ear. On the illnesses, ear fullness may be the result of fluid that has been secreted into the cavity a state of stupor or unconsciousness that in diving The ear (tinnitus), or vertigo. surface, ear fullness occurs Gas Narcosis is DIVING sensation of ear fullness, pain, hearing loss, noise in the upper respiratory tract Narcosis IN when the external ear canal is completely blocked with wax or other material. With immediately (see Section 20.4.6). 20.1.6 Inert skill • should breathe deeply to ventilate If a diver using A false feeling of well-being • is signs or C0 2 Loss of judgment and • high, oxygen partial pressure should more of these • any of the symptoms level if symptoms occurs. If a diver exhibits one of the signs or symptoms while in a dry chamber, the oxygen breathing mask should be removed and the diver should breathe chamber air. Because an is may be unaware Symptoms and Signs where the oxygen poisoning should be suspected may can keep narcotic under some control, but even they of the decrement in their performance under these Treatment is may minutes afterward and after consciousness or Divers regard for decompression sickness or the duration of effects sei- ability to concentrate difficult. do things they normally would not attempt (removing their regulator, swimming to unsafe depths without during seizures. Breathing generally resumes spontaneously after a is may be noticed even at Diving Manual of the middle ear and that has not been able to drain out through the eustachian tube. In diving, failing to keep the pressure in the middle ear equalized when the external pressure increases during descent may cause middle ear squeeze and be accompanied by fluid or blood in the middle ear and a consequent feeling of ear fullness (see Section 20.3.2). Divers may find it diffi- cult or impossible to equalize the pressure in their ears 20-3 20 Section during an episode of upper respiratory tract infection diving, he or she should be hay fever because of the swelling of the throat tissues, which blocks the opening of the eustachian diving medicine before attempting further diving. or tubes. The way best to avoid ear fullness in diving to when they have an upper respiratory tract infection or are suffering from Unequal or asymmetrical clearing of the middle ear during descent or ascent, and particularly during ascent, can cause vertigo. Regardless of the cause, vertigo and its hay fever or other allergic symptoms. Hearing Loss drum middle ear, or lining of the middle ear, fluids in the changes in spatial disorientation are hazardous Treatment Hearing loss is classified in three categories: (1) Conductive hearing loss, which is caused by dysfunction of any component of the sound conduction system, such as complete occlusion of the external auditory canal by wax, inflammation, swelling of the ear accompanying they occur during a dive. if 20.2.2 specialist in 20.2.5 Alternobaric Vertigo is maintain the ear canal in a clean and open condition. In addition, divers should not dive examined by a middle ear gas densities, pressure gradients across the ear drum, fixation of the ear bones, or loss of elasticity of the ear drum caused by scarring, large perforations, or interruption of the ear bones. The best treatment for alternobaric vertigo vention. First, individuals should not dive if pre- is they have difficulty clearing their ears or if a Valsalva maneuver on the surface produces vertigo. Second, if a diver notices any vertigo, ear blockage, or ear fullness during compression, he or she should stop any further descent and should ascend until the ears can be cleared. Third, if such symptoms are noted during ascent, the diver should stop and descend until the symptoms dis- breathing gas and other conditions permit). appear (if ear, head injury, stroke, bubbles, leakage of inner ear fluids from a round or oval window rupture, excessive 20.2.6 Damage to noise exposure, or various other inner ear diseases or quate pressure equilibration of the middle ear during conditions. descent. It Neurosensory or nerve hearing (2) loss, which is caused by occlusion of the blood supply to the inner Mixed combined conductive and neurosensory hearing losses, which are caused by simultaneous dysfunction of the middle and inner ear. (3) or The inner ear is Inner Ear may be damaged permanently by inade- therefore critical that divers equalize the pressure in the middle ear with the external pressure. Symptoms and Signs Inner ear injuries are accompanied by vertigo, nerve deafness, and a loud roaring in the involved ear. 20.2.3 Tinnitus Tinnitus (spontaneous noise or ringing in the ear) can occur with the type of middle ear disease that causes a conductive hearing loss. However, this condition is usually associated with inner ear or brain disease. One or symptoms may be present. Deafness may be total or partial and may occur concurrently with or several days after middle ear barotrauma. Many of these injuries have been associated with forceful attempts, against closed mouth and nose, to clear the all of these ears at depth. This force results in an increase in cere- 20.2.4 True Vertigo True vertigo is is brospinal fluid pressure, which a disorder of spatial orientation that characterized by a sense that either the individual or his or her surroundings are rotating. Injury to the vestibular system that results in vertigo is frequently is transmitted to the fluid in the inner ear spaces, causing an increase already negative pressure in the middle ear. window or the thin round bulge into the middle ear and rupture, causing a leak of inner ear fluids into the middle ear. and generalized sweating. Vertigo is the most hazardous ear symptom in diving. When it is caused by inner ear dysfunction, it may be accompanied by ear pain, hearing loss, or tinnitus. Vertigo can result from cold water entering the external ear canal, unequal ear symptoms of inner ear barotrauma can clearing during ascent or descent, inner ear barotrau- ma, ear drum rupture, or injury system. 20-4 Once to the central nervous a diver has experienced dizziness during oval window membranes may then associated with nausea, vomiting, visual disturbance, fainting, in the The The signs and easily be con- fused with those of inner ear decompression sickness. Table 20-1 differentiates between these two conditions. Prevention Divers should not perform a forceful exhalation against a closed nose and mouth (Valsalva maneuver) to attempt to clear their ears at depth. If ear-clearing cannot NOAA Diving Manual be —October 1991 — . . Diagnosis and Treatment of Diving Casualties Table 20-1 Characteristics of Inner Ear Barotrauma and Inner Ear Decompression Sickness 1. Time of symptom onset Inner ear barotrauma Inner ear decompression sickness During compression (associated with During or shortly after decompression. middle ear barotrauma) 2. Dives requiring staged decompression. Dives not requiring staged Dive characteristics decompression. Can occur of deeper during compression phase Dives without proper, staged ascents. dives. Dives with rapid descents. Reported cases associated with diving More common during decompression air — can probably occur with from helium dives helium diving. 3. Possible associated symptoms Difficulty with — can occur with air diving. None ear clearing and/or ear pain or drainage — frequent. May have or other symptoms of decompression sickness. history of preexisting nasal, sinus, or middle ear disease. 4. Possible associated physical findings Signs of middle ear barotrauma None frequent. sickness. or other signs of decompression Source: Bennett and Elliott (1982) with the permission of Bailliere Tindall Ltd. performed easily at depth, the diver should can be cleared, even until the ears ascend means if this that the dive must be aborted. otitis externa. Divers Treatment experiences persistent vertigo, hear- the possibility of inner ear barotrauma. rest, are exposed to water with a polluted water, are at spe- Section 11). Divers skin allergies or seborrheic dermatitis are and may develop otitis externa from showering or shampooing even when they are not diving or swimming. particularly vulnerable who diver ing loss, or noise in the ear after a dive should consider these i.e., cial risk for this infection (see who have Any who high bacterial count, Any diver with symptoms should be placed immediately on bed with the head elevated, and should avoid coughing, Symptoms and Signs Symptoms include pain, irritation, itching, and burn- accompanied by thin or nose blowing, or straining. If the dive involved a ing of the ear canal, sometimes no-decompression schedule or serous discharge. Examination shows an inflamed, swol- symptoms began when he if or she the diver noted that had difficulty clearing the ears during compression, inner ear barotrauma of compression the most likely cause. Recompression is therapy should be avoided in these cases, because would expose the diver to the that initially caused the injury. it same pressure change Immediate referral of and tender external ear canal. As the condition become red and become tender neck may also the lymph nodes in the progress to complete and enlarged. The condition may and/or spread of obstruction of the ear canal, abcess, len, worsens, the surrounding ear and skin infection into the surrounding tissues. the patient to a medical specialist in ear, nose, and throat problems is Prevention a matter of urgency. Special ear drops (Domeboro® otic solution) are humid and aqueous useful for general prophylaxis in 20.2.7 Otitis Externa (Swimmer's Ear) environments, and they should be used after each expo- Exposure to water or humid atmospheres can produce maceration, or softening and wasting, of the skin of the The sure (1-2 drops in each ear). If a diver is continuously exposed, as occurs in saturation diving, these ear drops cleaned or should be used four times a day. Particular attention scratched with implements like Q-tips, paper clips, or should be paid to keeping the ear canal dry and to maintaining a slightly acid pH in the secretions on the ear canal. canals itch or feel sore, and, if macerated skin is further irritated and may become infected. The resulting condition is called pencils, the October 1991 — NOAA Diving Manual skin surface. An easy and effective formulation is to 20-5 Section add a dropper full of household vinegar to one ounce of rubbing alcohol in a dropper water in the ear, alcohol absorbs while the vinegar restores acid pH. Another useful measure air The bottle. from a hair dryer its blow to is normal warm dry into the ear canal gently after each dive or before putting of water makes diving compressed possible, but these gases must infiltrate into all the rigid bony cavities and chest cavity) (the middle ear, sinuses, 20 to equalize the pressure inside, or the resulting deformations will lead to squeeze of these areas. in ear drops. Face Mask Squeeze 20.3.1 WARNING Do Not Put Otic Solutions Into the Ear if There Is Any Possibility of Ruptured Ear Drum Face mask squeeze is generally caused by failure to admit air into the face mask during descent. It can also occur if surface air pressure is and the diver lost is wearing a surface-supplied mask without a non-return valve. The resulting pressure differential between the pocket in the semi-rigid mask and the flexible tissues of the face can result in serious tissue damage. air Treatment The treatment of otitis externa consists of cleansing the canal, applying specific antibiotic therapy, restoring a more normal acid-base balance relieving the victim's pain. The and may require analgesics to the canal, pain is for relief. and frequently severe Cases with severe pain, significant swelling of the ear canal, and redness or inflammation of the external ear should be referred to a physician for treatment. Less severe cases managed by and sur- serious cases of face mask nerve and blindness may squeeze, damage to the optic occur. This type of squeeze can be avoided entirely by exhaling into the mask during descent or by having a non-return valve on the gas supply line of a surface-supplied full-face mask. can be after irrigation. After drying, a mild acid solution, such as Domeboro® otic solution, should be applied. This process should be repeated several times daily. Swimming and diving should cease until the symptoms • The human body automatically • Pain or a squeezing sensation • Face swollen or bruised Whites of eyes bright red. Ice packs should be applied to the adjusts to any change surrounding environment; it usu- does so without the person involved noticing the change. Most of the body is Sensation of suction on the face, or of mask being forced into face Treatment SQUEEZE OR BAROTRAUMA in the pressure of the Symptoms and Signs • have cleared completely. ally tissues are those covering rounding the eyeball and the lining of the eyelids. In irrigating the auditory canal, using lukewarm tap water, and carefully drying the canal 20.3 The most tender composed of watery and pain damaged relievers should be administered if tissues required. In serious cases, the services of a physician should be obtained. tissue that can transmit imposed pressure without deformation, but there are a few areas where this the gas pressure within some is not true. If air-filled cavities of the body, such as the middle ear or the bony sinuses of the skull, is not easily equalized with the surrounding pressure, an individual undergoing even mild pressure changes (such as those that occur when riding an ele- vator, driving in the mountains, or flying in an air- plane) may more severe be aware of the pressure difference. In cases, pain, accompanied by blood in the middle ears or sinuses, a "squeeze" in these areas. Such may fluid effects are exaggeris denser and heavier than air. The ability of diving equipment automatically to deliver breathing gases that are at the same pressure as the surrounding depth 20-6 with diving is ear problem associated middle ear squeeze or barotrauma, which is caused by inadequate pressure equalization between the middle ear and the external environment. Most divers have experienced middle ear squeeze at one time or another. and be the result of ated in divers because the water that surrounds them much Middle Ear Squeeze The most common transient 20.3.2 Symptoms and Signs The symptoms of middle ear squeeze consist initially of pain and a sensation of ear blockage (see Section 20.2.1). Conductive hearing loss is always present but may not be the afflicted diver's primary complaint because of the intense ear pain. Mild tinnitus and vertigo NOAA Diving Manual may also —October 1991 Diagnosis and Treatment of Diving Casualties drum may also occur. If the ear ruptures, the pain severe; vertigo occur, especially is usually cold water if Nasal conditions such as congestion and discharge increase the likelihood of poor eustachian tube func- However, the absence of predive symptoms does not guarantee that a diver will not develop middle ear barotrauma. Divers symptoms who have developed Divers deafness, ringing in the ears, or vertigo during a difficult descent or in a has entered the ear. tion during the dive. Treatment who develop of middle ear barotrauma should discon- tinue diving immediately and should have their ears examined by a physician. may have suffered a rupture of window in the inner ear and should be referred immediately to an ear, nose, and throat specialist as a no-decompression dive the round medical emergency. If inner ear barotrauma is suspected, recompression therapy should not be attempted, because therapy exposes the diver to the same pressure this differentials that resulted in the initial injury thus exacerbate round and could window and inner ear damage. Figure 20-1 illustrates the structure of the external, middle, and inner ear. Treatment Divers who who have difficulty clearing their ears and are not able to resolve this difficulty quickly (for example by ascending a way and then little gently trying to clear their ears again) should stop diving for the moment. After returning to the surface, they should be examined by a qualified person to determine whether there is fluid or blood in the middle ear behind the eardrum. Often, returning to the surface relieve the is all facili- Chewing gum, blockage of the paranasal sinus openings. The inability medication, or an antihistamine taken by If may mouth may also help. to equalize pressure examination reveals that the diver has a rupture of the ear drum, the diver should stay out of the water until the tear in both in descent and ascent, and depend to a large degree on adequate nasal function. Inflammation and congestion of the nasal mucosa caused by allergies, smoking, chronic irritation from prolonged or excessive use of nose drops, upper respiratory tract infections, or structural deformities of the nose can result in help to alleviate eustachian tube blockage and yawning, or swallowing cavities are lined with a mucous middle ear squeeze, sinus squeeze normally is the result of diving with a cold or head congestion. Adequate ventilation and pressure equali- These (see Figure 3-7). membrane. As zation in the paranasal sinuses are important in diving, it be absorbed from the middle ear cavity. A nasal decongestant spray, nose drops, a mild vasoconstrictor ear. sinus cavities are air pockets located within the bones that have openings into the nasal passages may is take a few days for the fluid or blood to drain from or from the middle The skull necessary to that symptoms of mild ear squeeze, but tate drainage Sinus Squeeze 20.3.4 has healed, which usually occurs quickly on descent creates negative pressure within the sinus cavity, membrane and causing relative deforming the mucous swelling, fluid exudation, hemor- rhage, and pain. Paranasal sinus barotrauma also may (unless an infection in the ear delays the repair process). occur during ascent. To monitor thought to be one-way blockage of the sinus opening the healing process and take steps to con- the damaged ear, any diver with drum should be seen by a physician. trol infection in ruptured ear a In this case, the key mechanism is by cysts or polyps located within the sinus that allow pressure equalization during descent but not during ascent. 20.3.3 Round Window Rupture Round window rupture is Symptoms and Signs most often a result of very forceful attempts to equalize ear pressures. tion ist • Examina- and treatment by an ear, nose, and throat specialimportant to prevent permanent injury in these is Sensation of fullness or pain over the involved sinus or in the upper teeth • Numbness • Bleeding from the nose. of the front of the face cases. i Treatment Symptoms and Signs The treatment If hearing loss, tinnitus, or vertigo occur in associa- barotrauma with round window rupture and inner ear damage should be tion with a no-decompression dive, suspected. These symptoms and signs may October 1991 — NOAA indicate a by mouth. These medications Diving Manual may involve the use will promote nasal mucosal shrinkage and opening of the sinus. Most of the symp- toms of paranasal sinus barotrauma disappear within 5 to 10 serious condition. of sinus squeeze of nose drops, vasoconstrictors, and antihistamines taken days without serious complications. Divers who 20-7 Section 20 Figure 20-1 Structure of External, Middle, and Inner Ear breathing has ceased, cardiopulmonary resuscitation Semicircular canals with oxygen available) should be administered. Atten- (if dants should be alert for symptoms of shock, and treatEndolymphatic ment duct and sac for shock should be instituted, physician should be summoned 20.3.6 External Ear if necessary. A as quickly as possible. Squeeze External ear squeeze is related to blockage of the external ear canal during descent or ascent. Such block- age causes ear canal pressure to be negative relative to both ambient and middle ear pressure, which causes damage to the tympanic membrane (ear drum) and some swelling of the lining of the external auditory canal. The common causes of external ear canal obstruction are wax or other foreign bodies, mechanical ear plugs, or a tight-fitting diving hood. Symptoms and Signs • EXTERNAL EAR 1 The MIDDLE EAR canals ' • Pain Blood or fluid from external ear Rupture of ear drum. air-containing external auditory canal, middle ear and eustachian tube are noted. subdivided into the perilymphatic and endolymphatic • to the subarachnoid space by the cochlear duct and • endolymphatic duct, respectively. Source: Bennett and Elliott (1982) with the permission of Bailliere Tindall Ltd. The fluid-filled inner ear is spaces, which connect Fullness or pressure in region of the external ear I Prevention • have symptoms for longer periods should see a specialist. If severe there is pain and nasal bleeding are present or if • a yellow or greenish nasal discharge, with or without fever, a specialist should be seen promptly. Individuals with a history of nasal problems or sinus Use of be prohibited solid ear plugs should in diving Fit of diving hoods and earphones should be adjusted so that they do not completely cover or seal the external ear canal during ascent or descent • Accumulated wax that can obstruct the ear canal disease should have a complete otolaryngologic evalu- should be removed by gently irrigating the canal ation before beginning to dive. with a lukewarm water solution, using a rubber bulb syringe. Care should be taken before tion to guarantee that there 20.3.5 It Lung Squeeze (Thoracic Squeeze) Lung squeeze is a hazard occurs when the ambient no corresponding intake of damage can result when is irriga- no ear drum per- foration behind the obstructing wax. for the breath-hold diver. pressure rises but there is air into the lungs. Tissue the size of the lungs has been reduced below the residual volume. Treatment Ear drum rupture should be treated according to the procedures for treating middle ear barotrauma. These procedures are described above, in Section 20.3.2. Symptoms and Signs • Feeling of chest compression during descent • Pain in the chest 20.4 DECOMPRESSION SICKNESS AND GAS EMBOLISM • Difficulty in breathing on return to the surface The only adequate treatment • Bloody sputum. embolism in divers is recompression in a recompression chamber. However, all of the pain a Treatment diver experiences after a dive In severe cases of lung squeeze, the diver requires assistance to the surface. The diver should be placed face down, and blood should be cleared from the mouth. If 20-8 for decompression sick- ness or gas may not be the result of decompression sickness, and other causes should be kept in mind. Generally, however, if symptoms of decompression sickness or gas NOAA embolism are observed, Diving Manual it is — October 1991 Diagnosis and Treatment of Diving Casualties prudent to initiate recompression treatment rather than Treatment cannot be determined whether the diver Directions for the treatment of pain-only decom- has serious decompression sickness or gas embolism, pression sickness are presented in Section 20.4.5, the the treatment for gas embolism should be chosen; the list to delay. If it correct diagnosis often not is made until after the events of the dive have been reviewed with the patient. (See Figure 20-2 for a comparison of the symptoms and signs of decompression sickness and gas embolism.) Although immediate recompression is it is is a relationship is Navy Treatment Tables Table 20-2, the in flowchart Decompression Sickness (Fig- — Serious Symptoms in central nervous system decompression sickness or gas with which the patient 20.4.1.2 not a matter of life and death with pain-only bends (as embolism), there of U.S. decompression sickness treatment ure 20-3), and in Appendix C. between the speed recompressed and the rate of The Type onset of II or central nervous system (CNS) decompression sickness usually occurs within 6 hours of surfacing. The signs and symptoms and treatment of this condition are described below. recovery and avoidance of permanent damage. Divers can help to reduce the incidence of decompression sickness by knowing and following established Symptoms and Signs depth and time at depth. The hazard of flying • Dizziness low as 1220 meters (4000 feet) even • Ringing after safe depth-time dives should also be recognized • Difficulty in seeing (see Section 14.8). • Shortness of breath • • Rapid breathing Choking • Severe pain • Pain in abdomen • Extreme fatigue • Loss of sensation (numbness) • Weakness of extremities limits for at altitudes as 20.4.1 Decompression Sickness Decompression sickness, also known as caisson disease or compressed air illness, is the result of inadequate decompression after an exposure to increased pressures. (See Section 3.2.3.2 for a detailed descrip- in ears decompression sickness symptoms.) The condi- • Staggering tion is classified in two categories: Type I or pain-only bends, and Type II or central nervous system bends. • Paralysis • Collapse or unconsciousness. tion of Immediate Action Decompression Sickness— Pain Only 20.4.1.1 Type I Institute • Administer oxygen decompression sickness usually occurs within 6 hours after a dive but may occasionally be diagnosed as long as 24 to 48 hours after surfacing. symptoms The signs • if necessary Start immediate recompression on appropriate treatment table and of pain-only decompression sickness are cardiopulmonary resuscitation, • • Perform physical examination, including a neurological examination, as soon as patient's situation described below. permits Symptoms and Signs • Local pain, usually in joints of arms or legs • Pain • Itching • Blotchy skin rash. made worse by • Put patient on oxygen (if depth in recompression is pain only decompression ure 20-3), and sickness in treatment flowchart (Fig- Appendix C. possible) patient thoroughly. — NOAA at treatment For treatment procedures, see Section 20.4.6, the of U.S. Navy Treatment Tables in Table 20-2, the Enter chamber, put patient on oxygen, initiate October 1991 is list Perform quick neurological examination before Examine patient life chamber. recompression on appropriate treatment table • Repeat, and complete, physical examination when Treatment recompression to ensure that case • Provide additional • exercise Immediate Action • support measures • Diving Manual 20.4.2 A Gas (Air) Embolism gas embolism occurs when a bubble of gas (or air) causes a blockage of the blood supply to the heart, 20-9 Section 20 Figure 20-2 Summary of Decompression Sickness and Gas Embolism Symptoms and Signs DIAGNOSIS OF DECOMPRESSION SICKNESS AND GAS EMBOLISM DECOMPRESSION SICKNESS GAS EMBOLISM CNS SYMPTOMS SERIOUS Spinal SYMPTOMS AND SIGNS Pain- Skin Only CNS Chokes Brain Cord Pneumo- Mediastinal Damage Damage thorax Emphysema Pain-head Pain-back Pain-neck Pain-chest D Pain-stomach Pain-arms/ legs Pain-shoulders D "' Pain-hips Unconsciousness Shock D Vertigo Visual difficulty Nausea/vomiting Hearing difficulty Speech difficulty Balance lack Numbness Weakness Strange sensations Swollen neck D Short of breath D Cyanosis Skin changes Probable Patient examination Yes No Possible Does diver feel well? Does diver look and act normal? Does diver have normal strength? CONFIRMING INFORMATION Diving History Yes No Decompression obligation? Decompression adequate? Blow-up? Breath-hold? Non-pressure-cause? Previous exposure? D Are diver's sensations normal? Are diver's eyes normal? Are diver's reflexes normal? Is diver's pulse rate normal? Is diver's gait normal? Is diver's hearing normal? Is diver's coordination normal? Is diver's balance normal? Does the diver feel nauseated? D D D D D D a D D Source: 20-10 NOAA Diving Manual US Navy (1985) — October 1991 Diagnosis and Treatment of Diving Casualties Table 20-2 Navy Recompression Treatment Tables List of U.S. USE TABLE TABLES USED WHEN OXYGEN AVAILABLE Treatment of worsening symptoms during the first 20-min oxygen breathing period at 60 feet on Table 6 or unresolved arterial gas embolism symptoms after 30 min at 165 feet. Air/Oxygen Treatment of Type II Decompression Sickness 4 Gas Embolism or of Type Decompression Sickness 5 Oxygen Treatment 6 Oxygen Treatment 6A Air of Type Decompression Sickness and Oxygen Treatment Gas Embolism decompression sickness when of Type symptoms are relieved within 10 minutes at 60 feet and a complete neurological exam was done and is normal. Treatment 1 I Treatment of Type II decompression sickness or Type decompression sickness when symptoms are not relieved within 10 minutes at 60 feet. II I Treatment of gas embolism symptoms relieved within 30 min at 165 feet. Use also when unable to determine whether symptoms are caused by gas embolism or severe decom- of pression sickness. and Oxygen Treatment unresolved severe symptoms of Life Treatment of Threatening or Extremely Serious after initial treatment on Table Symptoms consultation with a Diving Medical Officer. 7 Air 6, 6A or 4. at 60 feet Used only in TABLES USED WHEN OXYGEN NOT AVAILABLE 1A Air Treatment of Type I Decom- Treatment of Type I unavailable and pain Treatment 66 2A pression Sickness— 1 00-foot Air Treatment of Type I Decom- feet. Treatment of Type I pression Sickness— 165-foot unavailable and pain Treatment 66 3 Air 4 Air NOTE: 1 feet. Treatment of Type symptoms or gas embolism when oxygen unavailable and symptoms are relieved within 30 min at 165 feet. DecomGas Embolism Treatment of symptoms which are not relieved within 30 min at 165 feet using Air Treatment Table 3. Treatment of Type pression Sickness or II II II Always use Oxygen Treatment Tables when oxygen 2 Helium-oxygen decompression sickness when oxygen is relieved at a depth greater than DecomGas Embolism Treatment of Type pression Sickness or decompression sickness when oxygen is relieved at a depth greater than may be used in lieu of air available. on these treatment tables upon the recommendation of a Diving Medical Officer. Source: brain, or other vital tissue. The bubble tends size as the pressure decreases (Boyle's to increase in Law), which swept to the left side of the heart and US Navy (1985) pumped out into the aorta. Bubbles can enter the coronary arteries sup- more commonly makes the blockage worse. (A more complete discussion of gas embolism is given in Section 3.2.2.4.) When plying the heart muscle, but they are divers hold their breath or have local air trapped in the bubbles pass into smaller arteries, they reach a their lungs during ascent, the pressure-volume re- point where they can further, stop circulation. gas embolism usually lationships discussed above can occur. Alveoli can rup- ture or air can be forced across apparently intact alveoli. If air bubbles enter the pulmonary veins, they are October 1991 — NOAA Diving Manual swept up the carotid arteries to move no Symptoms of embolize the brain. As and here they occur immediately or within 5 minutes after surfacing. One, a few, or all of the symptoms listed below may be 20-11 Section 20 Figure 20-3 Decompression Sickness Treatment From Diving or Altitude Exposures Diagnosis: Decompression Sickness Remain Decompress on at 60 Feet at w Table 7 Least 12 Hrs Note 3 Diver on Oxygen Compress to 60 Feet 1 ' Decompress on Table 4 Note 2 Complete First 20 Min Oxygen Breathing Period n NOTES: / No Type ' >. II ^v Symptoms N. Note ^r v / 1 — 2 — A Diving Medical Officer should be consulted Worsening committing Note 2 ^\ >^ to a Treatment Table if at all possible before 4. in consultation with a Diving Medical Officer. >w Recompression If a complete neurological exam was not completed before recompression, treat as a Type II symptom. 3 — Commit to a Treatment Table 7 only 4 — Treatment Table 5 — Treatment Table 6 may be extended up to two additional oxygen i I Symptoms and Need for Deeper N. 1 Ves JL ^ Decompress to 60 Feet on Table 4 Note 2 . Yes Compression on Air 6 may be extended up breathing periods at 60 feet. to two additional oxygen breathing periods at 30 feet. to 165 Feet J and Remain 30 to 120 Min ( Complete Two More Oxygen Breathing Periods on Table 6 i Source: 20-12 NOAA Diving Manual US Navy (1985) — October 1991 Diagnosis and Treatment of Diving Casualties Prompt recompression is the only treatment embolism. Patients should be treated in accordance with appropriate U.S. Navy Treatment Tables (see Figure 20-4), or the tables in Appendix C. present. aircraft for gas exceed a few hundred feet of altitude (see Section The must not be allowed used, the cabin pressure is to 14.9). patient should be transported as rapidly as possible to the nearest adequate recompression the decreased chance of recovery Despite facility. therapy if delayed, is WARNING patients have responded even after several hours' Gas Embolism Is An Absolute Medical Emergency and Requires Immediate Treatment delay. Victims should not be taken back into the Symptoms and Signs 20.4.3 water for treatment. Omitted Decompression In situations such as blow-up, loss of air supply, • Chest pain • Cough • Bloody, frothy sputum required to surface prematurely, without taking the • Headache required decompression. If a diver has omitted the • Visual disturbances such as blurring required decompression and shows any • Blindness, partial or complete • Numbness and embolism or decompression sickness after surfacing, immediate treatment using the appropriate treatment • Weakness • Loss of sensation over part of body chamber accidents. bodily injury, or other emergencies, a diver or shortness of breath tingling table should be instituted. or paralysis • Dizziness • Confusion • Sudden unconsciousness (usually immediately surfacing but sometimes before surfacing) • Even after Cessation of breathing. is if Treatment symptom be of gas in a recompression essential for these omitted decompression the diver shows no ill effects from omitted decompression, immediate recompression The may is essential. diver should be compressed to the depth appropri- ate for the table (USN Table 5 or A or C recompression table). selected 1 any other appropriate Appendix Immediate Action • Institute If cardiopulmonary resuscitation, if necessary no ill effects are evident, the diver should then be decompressed in accordance with the appropriate Any decompression Administer oxygen treatment table. • Start immediate recompression during or after this procedure should be considered a • Perform physical examination, including a neuro- recurrence (see Section 20.4.7). • sickness developing logical examination, as soon as situation permits support measures • Provide additional • Repeat, and complete, physical examination when patient life at treatment is depth in recompression. Treatment Rescuers and attendants must be aware that most embolism victims are also near-drowning victims. NOTE The procedure for in-water treatment for omitted, asymptomatic decompression is described in Appendix B and Section 14.8. This procedure should be used only recompression chamber is available. no if Positioning the patient with the head low, in the left side position, is recommended, but trying to position the patient should not be allowed to interfere with the immediate administration of CPR. If available, 100 per- cent oxygen should be administered, and the patient should be moved 20.4.4 as rapidly as possible to a recompression Pretreatment Procedures Patients may arrive at a chamber in may have only a mild ache almost any condi- they may be comatose. In the best of circumstances, the in a joint or that has a 6-ATA pressure capability. A gas embolism case is a minute-to-minute emergency transfer. The chances of full recovery decrease with patient will arrive at the treatment each minute mary of chamber lost in must not be decreased cabin pressure during transit; air transportation exposed to returning the patient to pressure. If is required, the patient consequently, aircraft capable of being pressurized to sea level must be used. October 1991 If a helicopter or — NOAA Diving Manual unpressurized they tion: pressurized, transportable chamber chamber that is in a capable of being mated to the treatment chamber. (For a sumIn all patient handling procedures, see Table 20-3.) instances, a rapid examination must be made to determine the condition of the patient. To establish a baseline, the patient the chamber is is examined pressurized. at When ground level, before signs of gas embo- 20-13 Section Figure 20-4 Treatment of 20 Arterial Gas Embolism Diagnosis: Complete 30 Minute Compress on Period Breathing Air Gas Embolism Arterial Air to 165 Feet on Table 6A Remain at Decompress No 165 Feet an Complete to Treatment 60 Feet at 26 Table Additional Feet Per Minute 90 Min. ' ' NOTES: —A Diving Medical Officer should be consulted committing to a Treatment Table 4. 1 Decompress on Table 4 Symptoms Still \. \ yS > 60 Feet? Note 2 feet. \. Present and at possible before if / No More Time Needed . all in 3 yS at if — Commit to a Treatment Table 7 only consultation with a Diving Medical Officer. — Treatment Table 6A may be extended necessary at 60 and/or 30 2 60 Feet to 6A Note 3 ., Complete / Table 4 / Note / 1 1 |Yes Remain at 60 Feet at Least 12 Hours J 7 Decompress on Table 7 Note 2 / / / / Source: lism are present, the patient —Balance —Response must immediately be To determine pressurized to 165 fsw (see Figure 20-4). which treatment table to use and to gauge the success of the treatment, this examination is repeated on reaching treatment depth and thereafter. The minimum examination must include: • A discussion with the patient to determine the cause of the accident, how his or her level of alertness • Testing of the patient's: —Blood pressure —Pulse and —Eyesight — Hearing — Reflexes — Muscular coordination —Strength respiration rates 20-14 the patient feels, and US Navy (1985) to pinprick. For further information on the preliminary examinafrom hyperbaric-related acci- tion of victims suffering dents, see Section 19.6.2. Tending the Patient When a recompression treatment 20.4.5 is conducted for pain-only decompression sickness, an experienced physician or diving medical technician should tend the patient inside the chamber. familiar with signs, and all The inside tender must be treatment procedures and with the symptoms, and treatment of diving-related injuries it is known before the treatment begins illnesses. If that specialized medical aid the patient, or if must be administered a gas embolism is to suspected, a physician should accompany the patient inside the chamber. If NOAA Diving Manual —October 1991 Diagnosis and Treatment of Diving Casualties Table 20-3 General Patient Handling Procedures TWITCHING, • lips or which usually appears other facial muscles but may in the first affect any is the most frequent and clearest warning of oxygen poisoning.) muscle. (This Patient Medical/Recent Walking Diving History IRRITABILITY, which • includes any change in behavior, such as anxiety, confusion, and unu- + sual fatigue Brief Medical DIZZINESS, which may • Examination * noticeable clumsiness, or lack of coordination. Prepare For Entering Patient Not Walking Chamber 20.4.6 + Patient In Put Pressurized Transportable Chamber Chamber additionally include symptoms such as difficulty in taking a full breath, an apparent increase in breathing resistance, Treatment Tables The primary treatment for decompression sickness recompression. Recompression tables developed by is In many different agencies and organizations are availaThese include USN Treatment Tables 1A, 2 A, 3, 5, 6, 6A, and 7; Figure 20-3 summarizes the use of ble. + 4, Begin The NOAA Diving Safety Board recommends a number of recompression procedures for treating diving accidents; these tables are shown in Appendix C, along with an Accident Treatment Flowchart to be these tables. Recompression Examination followed when selecting a treatment strategy. The first step in any treatment involves diagnosing the condi- * tion properly. Figure 20-2 Begin Treatment According To Appropriate Table to ensure the selection of is a diagnostic aid designed an appropriate table. treatment table has been chosen, treatment is Once a conducted + by carrying out the recompression procedures specified for that table (see Figures 20-3, 20-4, and Appendix Completion Of Treatment C). If complications occur during or after treatment, the procedures + shown in Figure 20-5 and Appendix C apply. Post-Treatment Examination And Observation Treatment Four major complications may 20.4.7 Failures of affect the recom- pression treatment of a patient. These are: • Worsening of the patient's condition during • the patient's original symptoms or new symptoms during treatment the patient's original symptoms or new symptoms after treatment Failure of symptoms of decompression sickness or gas embolism to resolve despite all efforts using treatment the chamber also enter the is sufficiently large, a second tender chamber may to assist during treatment. Inside the chamber, the tender ensures that the patient is • down and positioned to permit free blood circulation to all limbs. During any treatment, the inside tender must remain alert for symptoms of oxygen toxicity. These symptoms can be remembered with the aid of the acronym V-E-N-T-I-D, which derives from: lying • Recurrence of development of Recurrence of development of standard treatment procedures. When any • VISION, which may include any abnormality, such as tunnel vision (a contraction of the normal field of vision, as if looking • through a tube) EARS, which may include any abnormality of • NAUSEA, October 1991 ly, because alternative treatment procedures have been developed and used successfully when standard treat- ment procedures have may hearing which may be intermittent — NOAA Diving Manual of these complications occurs, the advice of diving medicine experts should be sought immediate- failed. These special procedures involve the use of saturation diving decompres- sion schedules; cases of this type occur more frequently 20-15 20 Section Figure 20-5 Treatment of Symptom Recurrence Recurrence During Treatment Recurrence Following Treatment NOTES: 1 Recurrence Treatment —A Diving committing During 2 —Commit to Medical Officer should be consulted to a Treatment Table 4. a Treatment Table 7 only in if at all possible before Recurrence Following Treatment consultation with a Diving Medical Officer. 3 —Treatment Table 6 may be extended up to two additional oxygen breathing periods at 60 feet. Treat According Diver on Oxygen No to Compress to Rgure 20-3 60 Feet Complete Three 20 Min. Oxygen Breathing Periods at 60 Feet Continue Symptoms and/or Relieved 7 Extend Decompress on Yes -**/ Table 6 Current Table No Compress to Depth of Relief (165 Feet Yes Maximum) With Patient Off Needed? Note 2 1 No Decompress on Table 6 Table 6 ^More Time Needed^ v at 60 Feet . w N. 1 / Note 3 May be Extended at / 7 >v No 30 Feet ./ Extended 7 / / / / [Yes 1 Remain at Depth 30 to Remain at 60 Feet at 120 Min. ./ Least 12 Hours 1 I ^^symptomsN. 60 Feet on Table 4 and^ More Time Needed V at 60 Feet v J N° / 7 .Note Complete Table 4 Note Source: 20-16 / / / / / Y8S ^/'still Present to Decompress on Table 7 Note 2 NOAA Diving Manual 1 US Navy // / / (1985) —October 1991 Diagnosis and Treatment of Diving Casualties when a significant period of time has elapsed between the onset of symptoms and the initial recompression. Although it is important to know that alternative procedures are available, it is equally important to note that they have not been standardized. It is therefore essential that the advice of experts in the field of hyperbaric medicine be obtained as soon as there are indications that the standard treatment procedures are not alleviating the symptoms. nitrogen saturation therapy action when The use may of an oxygen- Mediastinal tissues Emphysema emphysema (air within the chest in the between the lungs and the heart) may result from rupture of a pleural bleb or injury to the lung, esophagus, trachea, or mainstem of the bronchus. Although not in itself serious, mediastinal emphysema demonstrates that the lung has been overpressurized, and close examination for the symptoms or signs of gas embolism is therefore required. be the only course of the situation involves a paralyzed diver already at depth whose condition 20.5.2 Mediastinal is Symptoms and Signs deteriorating. • Pain under the breastbone that may radiate to the neck, collarbone, or shoulder 20.5 OTHER LUNG OYERPRESSURIZATION ACCIDENTS • Shortness of breath • Faintness • Blueness (cyanosis) of the skin, • Difficulty in breathing • Shock • Swelling around the neck In addition to gas embolism, several other types of lung overpressurization accidents may occur under diving conditions. These accidents include thorax, mediastinal pneumo- emphysema, and subcutaneous A brassy quality to the voice A sensation of pressure on the windpipe • Cough. emphysema. Pneumothorax Pneumothorax is the result of air escaping from Treatment within the lung into the space between the lungs and the inner wall of the chest cavity. to expand, there blood circulation As the air continues partial or total collapse of the lung. is may In serious cases, the heart may be be displaced and the Unless gas embolism is Sudden onset of cough • Shortness of breath • Sharp pain emphysema. Medical and oxygen administered, if necessary. Subcutaneous Emphysema Subcutaneous emphysema has the same cause as other lung overpressurization accidents but in the chest, usually made worse by breathing Swelling of neck veins and nailbeds • Blueness (cyanosis) of skin, • Pain in chest, evidenced by grimacing or clutching • A tendency to bend the chest toward the side involved • Rapid, shallow breathing • Irregular pulse. lips, of chest so serious. This condition results when is not nearly escaping from the lung migrates out of the thorax into the subcutaneous tissues (just under the skin), usually in the area of the neck, collarbone, and upper chest. The two conditions of subcutaneous and mediastinal emphysema are often associated with one another, and the signs of the two conditions may overlap. air Symptoms and Signs • • Treatment First aid treatment of not indicated. If breathing seriously and no physician is is is Feeling of fullness in the neck area Swelling or inflation around the neck and upper chest pneumothorax consists of administering oxygen. Unless air embolism is also present, recompression assistance should be obtained 20.5.3 • recompression is not necessary for mediastinal diminished or stopped. Symptoms and Signs • or nailbeds • • 20.5.1 lips, present, impaired available to vent the • Crackling sensation when skin • Change • Cough. in is moved sound of voice pleural cavity with a chest tube or large needle, the victim should be recompressed to the point of qualified individual to insert a chest October 1991 must then be locked into the tube before decompression — NOAA Diving Manual is relief. A Treatment chamber possible. Unless complicated by gas embolism, recompression is not necessary. The services of a physician should be 20-17 Section obtained and oxygen should be administered ing 20.6 if breath- that communication, logging, impaired. ment are carried out according MANAGEMENT OF THE 20.7.2 Inside is divers retrieved all phases of treat- to prescribed procedures. Tender The inside tender, who must be familiar with the diagnosis of diving-related injuries and illnesses, UNCONSCIOUS DIVER When and 20 from the water are unconscious monitors and cares for the patient during treatment. or collapse soon after surfacing, they should be treated for gas embolism unless another cause cated (see Section 20.4.2). The many is clearly indi- possible causes Other Releasing the door latches (dogs) after a seal • of unconsciousness include: gas embolism, decompression head monoxide poisoning, • • on insulin), or hyperventilation or • (in a diabetic Communicating with outside personnel first aid as required by the patient Administering oxygen or helium-oxygen Providing hypoventilation. Regardless of the cause, the immedi- pulmonary the patient not breathing is cardio- resuscitation. Clearing of the airway, mouth- ate priority if is to-mouth ventilation, and closed-chest heart massage may also be required (see Sections 18.3 and 18.4). Because the unconsciousness must be assumed to have is made injury, near-drowning, convulsion, insulin reaction sickness, cardiac arrest, carbon responsibilities of the inside tender include: to the patient Providing normal assistance to the patient as • required Ensuring that ear protection sound attenuators • are worn during compression and ventilation Maintaining a clean chamber and transferring body • been caused by an embolism, the diver must be trans- waste as required. ported immediately to a recompression chamber. During transportation, the diver should be positioned, if head low and the body lying on the Cardiopulmonary resuscitation should be connecessary, and supplemental oxygen should possible, with the left side. tinued if be administered if it is available. Resuscitation should continue until the victim recovers or is dead by a physician. Prompt recompression for an unconscious diver under all pronounced is necessary conditions except these two: During the early phases of treatment, the inside tender must constantly watch for signs of relief of the patient's symptoms. The patient should not be given drugs that will mask the signs of sickness. Observing these signs is method of diagnosing the patient's condiand the depth and time of symptom relief determine the treatment table to be used. The final decision as to which treatment table to use must be made by the diving supervisor on the recommendation of the attending the principal tion, physician. • Gas embolism or decompression sickness has been completely ruled out. • Another lifesaving measure that makes recompression impossible, such as a thoracotomy, is essential. 20.7.3 Outside Tender The outside tender • is responsible for: Maintaining and controlling the air supply to the chamber • 20.7 PERSONNEL REQUIREMENTS FOR CHAMBER OPERATIONS The minimum team any recompression operation consists of a diving supervisor, an inside tender, an outside tender and, depending on the cirfor conducting cumstances, a diving physician. The responsibilities of • Keeping times on all • Keeping the dive log • Communicating with • • Decompressing any inside tending personnel leaving the chamber before patient treatment is complete Pressurization, ventilation, and exhaust of the • Operating the medical lock. inside personnel chamber Supervisor charge of the operation 20.7.4 Diving Physician and must be familiar with all phases of chamber operation and treatment procedures. The supervisor must ensure diving accidents. Although The diving supervisor 20-18 phases of the treatment (descent, stops, ascent, overall treatment) each of these team members are described below. 20.7.1 Diving Maintaining the oxygen supply to the chamber is in The diving physician NOAA is trained in the treatment of it may not be possible to Diving Manual —October 1991 Diagnosis and Treatment of Diving Casualties have a diving physician present during all treatments, it is essential that the diving supervisor be able to • a diver is being recompressed, all new arrival at 60 fsw, a tender first is inside tender is placed in the outer lock and decompressed in accordance with the consult by telephone or radio with a diving physician. When Upon locked in and the standard air decompression table. If a new inside attending personnel must work as a team for the benefit of the tender Whether the inside or the outside tender operates will be dictated by the availability of chamber the qualified personnel and the circumstances of the casualty being treated. If the patient has symptoms of serious decompression sickness or gas embolism, the date and the tender in accordance with the stand- team ment The tender must constantly monitor patient. the may have prolonged, a second team first. Whenever 30-minute oxygen at 12.5 for • decompression sickness or gas embolism should be accompanied inside the chamber by a diving medical technician or diving physician, but treatment should not be delayed to comply with this of the treatment and practiced members is The tender is ventilated each person on 100 percent oxygen. the candidate toxicity. instructs the candidate in the use of the oxygen for 30 minutes. After 30 minutes, the chamber is depressurized the surface at a rate of 60 fsw/min (18 m/min). • All candidates must remain at the also advisa- chamber to site for a minimum for hour. Candidates should not fly after this 1 of 15 minutes and in the vicinity procedure until 12 hours have elapsed. to carry out the duties of teammates. their oxygen for this time, the can- and the chamber • team be thoroughly trained in their particular duties. It ble to cross-train all acfm During oxygen mask, and the candidate breathes 100 percent recommendation. Effective recompression treatment requires that members test. didate remains idle, to relieve possible, patients with serious unavailable, decompress both the candi- ard air decompression table upon completion of the will require additional personnel. If the treatis is During pressurization, the candidate must demonstrate the ability to equalize pressure in his or her ears and must otherwise withstand the effects of pressure. During the oxygen tolerance test, if the caneffectively 20.8 PRESSURE AND OXYGEN TOLERANCE TESTS Some government didate convulses or exhibits definite preconvulsive signs, i.e., agencies require their divers or diver- candidates to pass pressure or oxygen tolerance tests, twitching of the muscles of face or limbs, the test failed and the mask is not to be repeated. is should be removed. In such a case, the test symptoms such If the candidate com- as nausea, tingling, or dizzi- or both, before they are eligible for diver training or plains of annual recertification. Procedures for pressure and oxygen tolerance tests have proven safe in many years ness during the test, the The purpose of the oxygen test keep those individuals who are susceptible to oxygen poisoning from diving. repeated at a later date, at the discretion of the diving of experience with them. is to mask should be removed and the test terminated, but in such a case the test EMERGENCY MEDICAL RESPONSE In anticipation both of the routine problems that Procedures for Pressure and Oxygen Tolerance Tests Procedures for pressure and oxygen tolerance be physician. 20.9 20.8.1 may may and unusual medical arise in the course of diving, all diving operations should have a medical emergency response plan. Such a plan should cover assignment tests of individual responsibilities in an emergency, the are as follows: location of • The candidate must undergo • medical treatment, the availability of a trained hyperbaric The candidate and tender enter the recompression chamber and are pressurized to 112 fsw (50 psig) required. In addition, at a rate that can be tolerated by the candidate. The chamber is ventilated for one minute at 112 fsw m) to reduce the temperature. The chamber is brought to 60 fsw (18 m) 60 fsw/min (18 m/min). October 1991 — NOAA Diving Manual physician, and procedures for ensuring adequate patient transport to recompression or medical facilities, emergency kits if should be avail- able that can be used at the scene of a diving accident. These kits should contain the equipment and supplies necessary to treat victims of diving accidents and to life support measures until an emergency medical team can arrive, or until transportation to a maintain (33 • for a physical examinaby a Diving Medical Officer and be cleared to undergo the tests. tion • equipment and supplies necessary at definitive treatment facility can be arranged. 20-19 Section —Eye dressing packet 4" x 4" —Gauze pads, —Curlex® bandage, 1" —Curlex® bandage, 2" —Curlex® bandage, 4" —Triangular bandages, 40" —Trauma dressing Medical Equipment and Supplies 20.9.1 Before a diving operation begins, is it important to diving accident. These items should then be sorted into to handle this requirement is chamber and An excellent way to establish medical kits small enough to carry on a diving operation or to take into the recompression facility. One is place the necessary medical items into three each kits, • • 2 large to as kit (first aid) bite kit, Plastic non-flexible including equip- ment and medical supplies that need not be immediately available within the chamber but that could when in separately required. forceps (5" and 8") —Splinting boards 4" wide x 12" Splinting boards 4" wide x 24" Operations Medical Kit recommended for a diving operations medical kit that would be available at all 2 2 3 —Blanket. 1 sites: Number General: 20.9.3 —Bandaids —Tube of —Aspirin —Dramamine® The suggested contents be available in the recompression chamber during to every treatment: • Diagnostic Equipment: — —Stethoscope —Otoscope-ophthalmoscope —Sphygmomanometer (aneroid type —Thermometer —Reflex hammer Diagnostic Equipment: Flashlight — —Stethoscope —Otoscope-ophthalmoscope —Sphygmomanometer (aneroid type —Thermometer — Reflex hammer —Tuning 1000, and 2000 Herz) —Pin and brush sensory —Tongue depressors —Bandage Flashlight only) only) fork (500, —Tuning fork (500, 1000, and 2000 Herz) Pin and brush for sensory testing Tongue depressors testing for — — scissors Bandages: • —Topper sponges —Adhesive 1/2", —Adhesive compress, 1" — Bandage compress, 4" 20-20 for a medical treatment kit 1 tablets tape, Primary Medical Treatment Kit 50 disinfectant (first aid cream) • 1 1 2 splints following items are 1 2 — —Wire ladder —Liquid/crystal cold packs (First Aid) • 1 tips —Artery diving 1 Flexible Secondary medical treatment The 1 filled treatments. 20.9.2 Diving 1 seizures in resuscitator Primary medical treatment kit, containing diagnostic and therapeutic equipment to be available when required and to be inside the chamber during be locked 2 4 depressor Diving operations medical all 4 Emergency treatment equipment: having a different purpose: • 4 —Oropharyngeal airway, —Oropharyngeal airway, medium —Oropharyngeal airway, small taped and padded —Tongue pad case of a —Oxygen —Resuscitator masks with waterrim — rubber suction catheter suction — (Yankauer® Suction Tip) —Asepto® syringe —Tourniquet —Tweezers suggestion, in accordance with an emergency response plan, roller roller roller those that can be used in a hyperbaric those that will be kept at the surface. 2 10 sterile, consider what medical items would be needed in a 20 1", 6 2" rolls 2 each Emergency Airway Equipment: —Large-bore needle and catheter (12 or 14 French) for cricothy- 2 roidotomy or 2 pneumothorax ( relief of tension NOAA Diving Manual — October 1991 Diagnosis and Treatment of Diving Casualties —Small Penrose® drain or Heimlich® vials should then be considered to have been violated and the valve for adaption to a thoracentesis should be discarded and replaced. vial needle to provide a one-way flow of gas out of the chest Secondary Medical Treatment 20.9.4 —Laryngoscope with extra and bulbs — Laryngoscope blades —Cuffed endotracheal tubes with adaptors and mm) water cuff —Syringe and (10 ml) (approx. 2" —Malleable — —Soft rubber suction catheters Kit batteries The following ommended available to be locked into the inflation stylet • solution Sterile lubricant 5 percent dextrose in 5 saline, scissors Intravenous infusion sets 2 Intravenous infusion extension sets 2 3-way stopcocks nasal spray Syringes (2, tablets 5, 10, 30 ml) Sterile needles (18, 20, 22 gauge) Nasogastric tube Drugs: — percent dextrose lactated Ringers® — percent normal — percent dextrose water —Dextran 70 500 ml —Normal 500 ml —Atropine —Sodium bicarbonate —Calcium chloride —Dexamethasone —Epinephrine mg/ml —Lidocaine® —Diphenhydramine hydrochloride —Phenytoin sodium —Codeine 30 mg —Aspirin 325 mg water — — methyl prednisolone Catheterization in 5 dextrose in 5 5 Wound saline and blade assortment Assorted suture material Surgical soap for injection Sterile towels for injection Sterile gloves, surgical (sizes 6-8) for injection pads, sterile, 4" x 4" roller bandage, 1" and 2", Gauze Gauze for injection 1 sterile for injection Bandaids Cotton balls for injection Splints for injection Eye patches Medicut® cannula. tablets, tablets, for injection Sterile Injection mg/ml in 5 20.9.5 ml) or Decadron® Valium® (10 mg in 2 Use of the Kits Because conditions on board ship, at land-based shock pack (dexamethasone) Injection closure instrument tray, Sterile scalpel in saline, saline, — —Sterets® urethral disposable in for injection, set, Myringotomy knife solution (40 saline in in saline, Miscellaneous: —Bandage —Tourniquet —Adhesive tape —Decongestant —Decongestant • in lactated 5 length) • Drugs: — percent dextrose Ringers® — normal — percent dextrose water 500 ml —Dextran 70 —Normal 500 ml in 1 chamber when they are needed: for sterile somewhere near the recompression chamber to ensure that the contents are 9.5 (8.0, 8.5, additional medical supplies are rec- for a kit to be kept diving operations, and at diver training sites differ, ml) the responsible physician should modify the contents injection swabs. of the medical kits to suit the operation's needs. All When possible, preloaded syringes should be available three kits should be taken to the recompression cham- to avoid the ber or scene of the accident. Sterile supplies should be sion during pressure produced through the rubber stopper for pressure equalization during descent and ascent, but the sterility of such adequately against changes in atmospheric pressure should be resterilized after each pressure exposure or, if not exposed in the interim, at 6-month intervals. All need for venting the vial to prevent implochange within the chamber. If necessary, vials can be vented with a needle inserted October 1991 — NOAA Diving Manual in duplicate. Any sterile supplies not sealed 20-21 Section drug ampules will not withstand pressure, and bottle may be pushed in by increased with stoppers may be vented with a stoppers pressure. Bot- tles needle during pressurization and can then be discarded The emergency that it kit not used. kit should contain a list it has been opened. of contents, and each it is opened, the contents should be verified against the inventory and the condition of Use of the primary kits way can be opened readily when needed; the condition of the seal should indicate that Each if should be sealed in such a time 20 all items checked. or secondary medical treatment should be restricted to the physician in charge or to a diving medical technician. Concise instructions each drug should be provided in for administration of the kit. In untrained hands, many of these items can be dangerous. ( ( 20-22 NOAA Diving Manual —October 1991 Page APPENDIX A DIVING WITH DISABILITIES A-l Introduction Equipment Adapting Prostheses A-l for Diving Use Training for Divers with Disabilities Basic Water Skills Diving Procedures Communication Equipment Preparation Equipment Donning Entries Drop Entries Beach Entries A-3 A-4 A-4 A-4 A-4 A-5 A-5 A-5 A-5 Catheters A-6 A-6 A-6 A-6 A-7 A-7 A-8 A-8 A-9 A-9 A-9 A-10 A-10 A-10 A-10 A-10 Protection of Paralyzed Tissue A-l Decompression Sickness A-ll Autonomic Dysreflexia A-ll Snorkel and Regulator Use Ear Clearing Mask Clearing Buoyancy Control and Descents/ Ascents Trim Propulsion Buddy Breathing Use of Underwater Lines Exits Onto Boats or Piers Onto the Beach Assisted Exits Other Considerations Thermoregulation Summary 1 A-ll i i DIVING WITH DISABILITIES INTRODUCTION EQUIPMENT Increasingly sophisticated scuba equipment and training techniques have made more peo- diving accessible to Non-physical attributes such as good judgment, a ple. that divers with disabilities use diving It is essential equipment that accommodates their disability and enhances dive safety. Divers with disabilities have found healthy respect for personal, environmental, and equip- the equipment listed below useful in the following ment limitations, and constant attention to safety are now considered as important, if not more important, to situations: • safe recreational diving than physical strength. In addition, the availability of tanks of various sizes of suits and equipment designed to fit different physical characteristics has enabled individuals to dive stereotype. Among who do not fit and divers with mask many the traditional • must accomplish diving tasks amount of — task effort required to Thus all divers who have manual limited makes may extremity prostheses, however, snorkel-to- who have regulator exchange easier. Divers find it uppereasier to use a fixed J-valve; accomplish a given a clear advantage for any diver. that has a purge also permits snorkel that has a flexible hose amount of physical force than is the able-bodied divers. The equipment and tech- niques that these divers with disabilities use minimize the —a snorkel dexterity or reduced lung capacity, and use of a using a lesser case for easily; Snorkels easy clearing by divers these are divers with a variety of disabilities; these divers — Masks a face mask that has a low volume and a purge permits divers who have limited manual dexterity or reduced lung capacity to clear their • Fins —even divers who have or no control little can benefit from the techniques developed by divers over their legs find small fins an aid to stability. with disabilities. Fins can also be modified to There are many types of disabilities: vision, hearing, and speech impairments; disabling conditions caused by diseases such as cerebral palsy, multiple sclerosis, diabetes, and arthritis; brain and other injuries caused by accidents or illnesses; and emotional and learning disabilities. This appendix is concerned with orthope- stump or dic disabilities, i.e., make dive gear difficult Orthopedic ysis, if • suits — divers over an amputee's wrist to improve who have paralyzed limbs flex their limbs find ably custom made) that have wet or suits (prefer- maximum flexibility or zippers over gussets running the length of the standing, walk- suit's arms and legs the easiest to don and doff (Figure A-l). Mitts and boots that have Velcro® or zipper closures are also available; "bad" backs, and amputation. Divers with orthopedic may have Wet who cannot not impossible. disabilities include fit hand or the stroking efficiency of arm-stroking divers; climbing ladders, or negotiating sandy beaches in ing, ties those that to attach to the paral- • disabili- Buoyancy compensators —the partial* or total paraplegia (loss of function jacket that has a full front, buoyancy com- ideal pensator for divers with disabilities a snug-fitting is shoulder inflation, and and, occasionally, of sensation in the lower body) or par- a "soft-touch" low-pressure inflator (Figure A-2). and sensafrom the neck or chest down), or they may have Velcro® closure of the jacket facilitates donning and doffing, and a pull dump mechanism operated by an oversize knob, handle, or ring makes grasp- tial tion or total quadriplegia (loss of function lost all or part of one or both legs and/or arms. Para- plegia, quadriplegia, and amputation can occur as a ing easier. It result of spinal cord injuries, polio, spina bifida, or accidents. People with orthopedic disabilities use wheel- chairs, braces and crutches, prosthetic limbs, and a variety of other devices to achieve mobility. is mounted on the • Regulators The medical community uses — divers "quadriparesis," while the disability community uses plegia" or "partial quadriplegia." October 1991 —NO A A Diving Manual "partial para- controls be with disabilities find a low- stage most comfortable. the terms "paraparesis" and all resistance regulator that has a lightweight second mounted on the * important that diver's functional or stronger side; It is The second stage must be diver's functional or stronger side. important that divers who have upper-limb prostheses or whose manual dexterity is limited carry an octopus or other alternative air supply; A-1 Appendix Wet Figure A-1 Suit with Zippers Figure A-2 Jacket-Type Buoyancy Over Gussets Compensator Courtesy Curt Barlow Tanks • — divers with disabilities prefer to use tanks interference with tanks or 63 cubic-foot (1784 metallic rod or be positioned at the head of the steel tanks may liter) tanks are gen- manage than steel tanks, although provide more desirable buoyancy — Weights traditional weight belts made of nylon webbing that are used with lead "bullets" or blocks provide divers with disabilities with bility in terms of weight placement. maximum It is that the buckle be easy to manipulate belt be comfortable Gauges — flexi- important and that the and secure; all times, it is possible to design a holder (Figure A-3) for the console that to cross bars console; Lights —dive lights must be attached in a manner and is is attached then secured to the buoyancy strips. Mounting a comwindow on the console per- compensator with Velcro® pass with a side-view use of his or her hands. In this situation, the light can be mounted on the mask, wet mits the diver to take readings on the surface suit hood, diving helmet, or bicycle helmet with Velcro® fasteners (Figure A-5). A lanyard or holster can be used to attach a light to the waist strap of the buoyancy compensator or ensure that divers with disabilities can view the necessary gauges (pressure, compass, to watch, etc.) at compass can be mounted on a non- prosthesis, the that permits an arm-stroking diver to have free characteristics; A-2 To avoid magnetic (Figure A-4). the functioning of the compass caused by a metal erally easier to • Courtesy Curt Barlow and cause relatively little drag in the water: 50 cubic-foot (1416 liter) aluminum that are small • A to the inflator hose or weight belt. For divers with an upper-extremity prosthesis, a light in a holster can be strapped to the arm; and Other equipment divers with disabilities often carry a compact camera on a strap around their neck or in a zipper bag carried on the weight belt and tank harness. In addition, lift bags that have — manual dumps are ties to easier for divers with disabili- use than those without. NOAA Diving Manual —October 1991 Diving with Disabilities Figure A-5 Figure A-3 Helmet-Mounted Holder for Console Dive Light Courtesy Curt Barlow Figure A-4 Side-View Compass Mounted on Console Courtesy Curt Barlow by means of a long bar that can be slipped The technology for adapting prostheses is not standard, and divers must work with their own prosthetists to develop an appropriate modification. Double amputees need prosthetic sockets prosthesis into the prosthetic leg. Courtesy Curt Barlow The use of equipment of the types described above enables divers with orthopedic disabilities to perform diving tasks safely and effectively. equipment is To ensure that the easy and efficient to operate, divers should practice using a variety of equipment in a supervised pool environment before using open water. Practice is especially important with buoyancy compensators because it is essential that these devices it in the support the diver at the surface in an upright position. that will equalize the length of their legs to facilitate walking on the boat or beach. Rubber pads glued to the bottom of the prosthesis make a non-slip surface, and removable feet can be aligned parallel to the body and be attached to the socket with a long metal rod on top and a Velcro®-closure strap on the foot that loops through a ring on the back of the socket. A single above-the-knee amputee might use a wooden or otherwise waterproof 'peg leg' attached to a pros- A fin could be attached directly to the by means of Velcro® and other fasteners. A single thetic socket. leg Adapting Prostheses for Diving Use Some single- and double-leg amputee below-the-knee amputee might simply mount a fin divers find directly on the socket, since the difference that they can get a powerful kick by attaching fins to not great waterproof prosthetics. Figure A-6 shows a diver putting fins over prosthetic feet that are attached to a leg (and far more expensive) alternative October 1991 — NOAA Diving Manual enough to prevent a straight in leg lengths is swim. is A better to use water- proof prostheses that have drop-ankles that are held in A-3 Appendix A Figure A-6 Fins Being Placed on Prosthetic Feet assured that the student has the potential to manipulate is all of the necessary pieces of equipment and to perform all emergency procedures safely, the student is ready group training sessions and to learn those basic to join water skills that are essential to the safety of all divers. Basic Water Skills Before divers enter the water, they must develop a combination of basic water fort in the water, to face and skills, a high level of com- sufficient fitness to enable them unexpected stresses calmly and with confidence and competence. The overwhelming majority of individuals who have orthopedic disabilities can develop these skills and this level of physical fitness. Although there is no consensus about what degree of strength is needed for safe diving or how it can be measured objectively, today's diving certification standards emphasize the diver's basic water skills, fitness, and comfort in the water. These skills and levels of fitness were historically measured by means of timed distance surface swims and distance underwater breathhold swims; however, these methods were developed before it was common for people with disabilities to dive. Today, diving instructors would agree that all dive must be able to maintain themselves comfortably on the surface of the water for reasonable periods of time, both in a stationary position and while moving through the water for a specitraining candidates Courtesy Curt Barlow fied distance. a walking position on the boat or beach. After entering These requirements emphasize stamina rather than speed, skill, or physical force. the water, the diver pulls a pin that releases the ankles, flattens out to a swimming position. Buoyancy must be considered when crafting prostheses for diving. If the buoyancy of the prostheses is and the foot either too negative or too positive, the power the pros- theses were designed to provide for propulsion will instead be used just to maintain the diver's orientation in the water. DIVING PROCEDURES This section describes the steps involved in carrying out a dive and emphasizes the techniques and procedures divers with disabilities have developed to enable them disabilities, TRAINING FOR DIVERS WITH DISABILITIES is needed No diver should dive alone; this basic even more critical for divers with who may encounter situations where help to dive. rule of diving is to continue the dive. In general, the training of divers with disabilities parallels that for able-bodied divers. An exception to this rule occurs during the first pool or confined-water training session, when it is important that the instructor- to-student ratio be one-to-one. Limiting the size of this first class to a single student allows the instructor to assess the type and to determine cations fortable A-4 may and extent of the student's disability what equipment and procedural modifi- be necessary. Once the student is comand confident in the water, and the instructor Communication During dive planning, it is essential that all divers with disabilities discuss methods of communication that can appropriately be used with the diver's disability. Divers with limited manual dexterity find it diffi- form most conventional hand signals used in diving. They must therefore develop equivalent signals and teach them to their buddies during dive planning. cult to NOAA Diving Manual —October 1991 Diving with Disabilities Figure A-7 Transporting Gear in the Lap and on Footplates Early divers in basic training, who it is often a good idea for are forced to rely on buoyancy and weighting and orientation for stability water to agree with in the means, 'I'm not their instructors on a signal that trouble, but in could use some help.' In addition, because I divers with disabilities often tap, squeeze, or poke their buddies to get their attention, divers must know what parts of the body have sensation so that they will know where to touch their buddies when they need help. Equipment Preparation The task in diving first to the boat or beach. getting diving equipment is Not all dive sites are easily accessible to individuals with a variety of mobility impairments (wheelchairs, crutches, prostheses, or limited walking endurance). In such cases, assistance may be needed to transport equipment and divers to the site. When the paths between the stored equipment and the dive may be site are easily negotiable, wheelchair users able to carry their tanks on the foot plate of their chair and their equipment bag on their lap (Figure A-7). Others may need make to several trips, carrying a reasonable load each time. In however, all cases, remains the diver's responsibility to inor her equipment and to ensure that all of it it ventory his gets to the site. Courtesy Curt Barlow Equipment Donning Divers who, for whatever reason, cannot stand while supporting the weight of their diving gear don their tank and jacket-type buoyancy control device while sitting ure A-8). To down (BCD) water entry point (Fig- at the save time in the staging area, all nylon stockings as a liner or using a dilute soap solution as a lubricant greatly facilitates the donning of a wet suit. of the gear managed while mobile, including wet suit, mask, and weight belt (assuming the BCD does not have a crotch strap), is donned before moving to the that can be staging area. Once the diver is at the entry point, someone passes the tank over and, lizes it as the diver puts When it the staging area if necessary, stabi- a beach without surf, easier to enter the water before donning the tank. tank and BCD make them are moved out into water it is The deep enough to deep enough to present a negative buoyancy problem for the weight belt; this equipment is then donned there. One of the most trying chores for any diver is getting into a wet suit. A custom-made suit is preferred, but any wet suit with maximum flexibility or with zippers over gussets that extend the length of the suit's arms and legs can be used. Wearing a lycra body suit or float but not October 1991 —NOAA Drop pier, or Entries. Entries involving a drop (from a boat, dock, for example) are the easiest, cleanest entries for divers who gear up sitting down. There are no standards for graceful seated entries as there are on. is Entries Diving Manual (at and other standing entries. In the case of seated entries, any entry that lands the diver and gear safely in the water is a good least informally) for giant strides entry. Both forward and back roll entries are used by divers limited lower body function. From the seated who have performs whatever version of a rolldeemed most comfortable under the circumstances. The forward roll, used for short drops (less than 2 feet (0.7 m)), is accomplished by leaning forward with the chin tucked to the chest, which permits the diver to position, the diver over is A-5 Appendix A Figure A-8 Donning Gear While Sitting In a seated entry under surf conditions, mobilityimpaired divers must don their equipment near the water's edge and move backward into the waves while breathing with their regulator. When the water is deep enough to swim, the diver rolls over and continues beyond the surf zone, remaining either at the surface or submerged. With either of these beach entries, regulators are likely to pick up an inordinate amount of particulate matter. They should be checked carefully before beginning a descent and will need to be taken in frequently for periodic maintenance. Snorkel and Regulator Use Divers with limited manual dexterity, a limited range of motion, or a prosthesis need to practice finding, and replacing a snorkel and regulator. A mounted on a flexible relatively easy to reposition in the mouth; some retrieving, snorkel that has the mouthpiece hose is divers prefer a fixed J-tube. ment with The diver should experi- methods of regulator retrieval to find the one that is most effective and should then practice it different often. Divers with mildly reduced respiratory strength benefit from selecting easy-breathing regulators and large-volume, smooth-bore, self-draining snorkels that are designed to minimize breathing resist- ance. In addition, divers should take care not to adjust their weight belts breathing Courtesy Curt Barlow is and impaired. BCD straps so tightly that their A lanyard attaching the mouth- piece to the buoyancy compensator may be useful when the diver has an alternative breathing source. All equipfall straight into the water, landing face first. divers prefer to sitting slightly water add a sideways twist or Some to start out sideways so that a shoulder hits the ment (regulator, snorkel, BC inflator hose, etc.) must be mounted on the diver's functional or stronger side, in cases where this is an issue. first. When dropping into the water from a height of more than 2 feet (0.7 m), such as from a boat with no plat- Ear Clearing A diver who does form and a high gunwale, it is more comfortable to have the water broken by the tank than the body. Sitting backward on the edge of the gunwale with the prosthesis can accomplish a tank hanging out over the water, the diver simply or wiggling his or her jaw, the falls over backward. For those with lower body paralysis, care should be taken to ensure that the legs are guided over the side. entry, the mask and regulaby one hand, while the console and As with any tor are held in place who has a Valsalva maneuver by not have finger control or various methods. If the diver cannot clear by swallowing back of the hand can be pressed against the bottom of the mask, or a finger or knuckle of each hand can be used to pinch the nostrils closed. any other loose items are held with the other. Beach Entries. At beaches without surf, there is no need for a fully geared entry, because the tank and Mask Clearing BCD find the use of a low-volume float. are donned in water deep enough to cause that their weight belts the water and that they A-6 them to remember become negatively buoyant in should don their BCD's quickly. Divers using this technique should Divers whose lung capacity is reduced generally mask more efficient. who have a limited range of motion in the neck that prevents them from tilting the head upward might consider using a mask with a purge valve. Divers NOAA Diving Manual — October 1991 Diving with Disabilities Buoyancy Control and Descents/ Ascents Because stability operating the inflation device. on the surface and descents and ascents are accomplished by means of buoyancy con- such control is one of the first skills that must be mastered by divers who do not kick. Divers who use their arms to propel and position themselves in the water cannot afford to use their hands to inflate their be understood before the technique When trol, BCD's. A power inflation system is thus an absolute requirement for these divers. The system should be capable of quick and easy operation; the best technology now commercially available is the soft-touch power inflator mechanism commonly found on modern BCD's. Divers with limited manual dexterity generally operate the inflate button by pressing it with the right palm against the left palm. There is a need for a technological advance that would allow one-handed operation of the inflation device by individuals who have limited manual dexterity. Deflation systems should also be quick and easy to operate. For divers with limited limited sensation, the end or hoses manual dexterity or dump cords with a plastic knob on that dump when stretched are often The importance of keep- ing the airway open while using this technique should trol, first is put to use. learning and practicing buoyancy con- students and inexperienced divers must point of remembering that shifting make a from a horizontal to vertical or vertical to horizontal position under water changes their buoyancy. They should be prepared even as they shift position to make alterations, either via lung control or by manipulating the inflation/deflation device, to maintain neutral buoyancy. Early in the learning experience, divers must also be conscious of the rather sudden compression or decompression of wet suits and the dramatic effect this can have on buoyancy. With experience, divers make these adjusttheir ments automatically, without noticing that they have done so. Ascents are begun by adding just enough BCD air to the under way. Once initiated, the maintained at 60 feet per minute to get the ascent speed of the ascent is m/min) by releasing air from the BCD as the air the BCD expands and the wet suit decompresses. (18.3 in easier to operate than deflate buttons Practicing ascents along an ascent line should precede inflation/deflation making an ascent to the surface in open water. Because it is even more work to maintain a surface position with arms than it is with legs, it is important that divers who on the end of the device. Better technology is needed in deflation systems as well. Divers who use buoyancy control to effect a descent weight themselves heavily enough so that releasing from the BCD will inflate their BCD's before first water session to entering the water. begin their descent; however, divers must be careful not to overweight themselves. Divers also must remain alert to their increasing negative buoyancy and must constantly compensate by adding the amount of air to the BCD that will slow the descent enough to permit ear clearing and keeping pace with a buddy. Divers who use buoyancy to control their descent must master a greater number of skills than divers who use kicks to slow their descent. These divers benefit even more than other divers from practicing descents with a descent line before doing ascents to the surface open water. The descent line can be held in the inside bend of the elbow so that when the arm is bent tight, the descent is stopped and both hands are available to perform other tasks. in Achieving buoyancy control by means of the lungs a very useful skill for divers becoming accustomed is and may be especially helpful for students or inexperienced divers still do not kick be taught before their air who are to their inflation/deflation Trim Maintaining proper trim (balance and position in is essential to the swimming efficiency and control of any diver, whether able-bodied or not. Divers who do not use their legs either to keep their heads the water) constant in relation to their feet or their bodies from rolling from side to side use the careful placement of weight to achieve an efficient position and balance. On the surface, divers wearing a wet suit that their legs float to the surface and push may onto their backs, a position that some divers find uncom- fortable because water splashes into their faces and makes it difficult to see. This situation can be avoided by using a buoyancy compensator that has enough to use of leg weights, placed either above the knee or at the ankle. Alternatively, divers needing additional buoy- ancy in the lower limb region can use negatively buoyant The amount neoprene ning of a descent helps to get the descent under way. depending on the individual and the depth of the Inhaling and keeping the lungs full while taking small At deeper depths, divers need of wet suit compression. lift October 1991 faster than — NOAA fumbling for, finding, Diving Manual and lift keep the head above the water, combined with the systems. Exhaling and breathing shallowly at the begin- breaths adds find them over fins. of weight needed will vary, less leg dive. weighting because A-7 Appendix The tendency of a steel tank to pull divers onto their backs can be avoided by adjusting the tank and buoyancy compensator straps so that the tank is held securely back and by placing the weights at strategic points around the body and holding them in place with Velcro® fasteners. Because it is in place at the center of the weight belt securely while difficult to fasten the sitting down, divers must check and tighten the belt as soon as they stretch out prone in the water. work. this stroke to The the breast stroke and is sculling stroke is A slower than appropriate for casual cruising and sightseeing. When the space needed for strokes with a large sweep is not available, the dog paddle provides effective propulsion. This stroke also can be performed with one hand only, which is useful impaired or occupied with a Under the line, when the other hand is a buddy, or equipment. right circumstances, pulling along the bottom hand-over-hand can be the strongest method of propulsion. This technique involves the diver grab- WARNING Only Jacket-Type BCD's That Hold the Diver Vertical on the Surface Should Be Used by a Diver Who Relies on Buoyancy to Maintain a Comfortable and Safe Surface Posture bing on and pulling himself or herself along a rocky bottom hand-over-hand. On a sandy bottom, the diver can dig a finger or a long tool into the sand to achieve a similar, is although weaker, effect. Pulling along the bottom often the best way to deal with an unexpected current. Divers with good finger strength can add power to by wearing webbed gloves. With the add up to 10 percent more power to the stroke; they are a good item to keep in the buoyancy compensator's pocket to help their strokes Maintaining a horizontal attitude (position) in the water provides the greatest swimming efficiency. Attitude can be controlled partially by the position of the head lowers the head and upper body, and the inherent buoyancy of tank; placing the tank closer to the flaccid lower extremities may further accentuate this problem. If the placement of the tank in the buoyancy compensator does not adequately control the orientation of the diver, weight placement can be adjusted to compensate. Flaccid legs also tend to drop at the hips, leaving the diver with knees dragging, which ming position. The most shoulders, hips, knees, and is an inefficient swim- efficient position keeps the feet on the same horizontal Keeping the shoulders, hips, and knees in the same plane and allowing the feet to be in a higher plane is a reasonable compromise and can be achieved by placing weights or extra lift where needed. Wearing plane. wetsuit booties or tennis shoes may raise the feet enough so that the knees are positioned evenly with the shoulders. Propulsion common because out if the current increases. Buddy Breathing Although the use of a second stage, or octopus, for buddy breathing is not universal, it is common in diving. Buddy breathing that involves sharing one regulator requires the use of both hands and thus could leave an arm-stroking diver unable to swim or to maintain body position. If propulsion or adjustments in positioning are needed, the buddy-breathing diver the buddy (NOT must first release the regulator); use of this procedure decreases the likelihood that the diver will become separated from his or her air source. Although buddy breathing should be mastered and practiced frequently, it should never be included as a routine part of a dive plan. NOTE who swim with their arms use for propulsion. The breast stroke Divers strokes fingers spread and cupped, these gloves it is a strong stroke maintain head-to-toe orientation in a variety of is the most and can be used to the water and to provide propulsion. Buddies of breast-stroking divers Divers who swim and maintain their position in the water with their arms should them- selves be equipped with an octopus and should dive only with buddies so equipped. need to swim somewhat above or below the diver to avoid the large sweep of this stroke. A which the arms are held at the hands sweeping out from the body and then back toward the hips, is a relaxing and graceful stroke. Because it cannot be used to maintain head-tosculling stroke, in sides with the toe orientation, the diver's trim A-8 must be just right for who arm stroke buddy breathing easier if they and their buddies mount their octopuses on an extra long hose. Figure A-9 shows an octopus positioned in a readily visible, easily accessible location that makes it Divers may propel themselves with a wide find octopus NOAA Diving Manual — October 1991 Diving with Disabilities Figure A-9 Octopus Mounted for Ease of Use between the thumb and forefinger provides less secu- but permits greater use of the hand. The hand can rity be moved forward and backward along the line in a More propulsion but less security can be achieved by swimming just a bit above the line, shortened breast stroke. which keeps the with the underside of line in contact arm as the arm moves up and back in a full breast stroke. The circumstances of each dive determine how the much security hood of a The easiest the arms needed, is i.e., is way an increase in the likeli- need for greater silt-out indicates the security. swimming with with a braking mechanism to lay a line while to use a line reel and a long handle that can be tucked under the weight belt or buoyancy compensating device's waist strap. With the braking mechanism set to keep a constant, moderate tension on the line, the diver tucks the line reel under a belt or strap and swims along until a tie-off is needed. After tying off, the reel is again tucked under the belt or strap until the next tie-off. Careful attention is paid to making sure that the reel does not drop away unnoticed. Attaching the reel with a snap hook makes dropping the line reel virtually impossible. A is one-handed self-retracting or otherwise not yet available, so reeling in a line is line reel necessarily a two-handed job. Consequently, divers who swim with the arms pull themselves along the line as they reel The in. sidered both Courtesy Curt Barlow it extra strain this puts on the line must be con- when selecting line for the reel tying off. Although anyone who and when dives in circumstances necessitating the use of a line must be proficient at laying and reeling in a line, easy to find, free, and use. Other options include swim- kicking ming if at a slightly sidewise angle or in a one-above- moving the stroke above or below the buddy. Again, because divers want to minimize the amount of time their hands are busy, the octopus should the-other position, be secured ple, such a way that in and pass to a it is easy to find, uncou- buddy. member that diver of the dive it usually team to is wiser for a work the line; only becomes incapacitated should the arm- stroking diver tend the line. Exits Exiting the water is often difficult for a diver who does not walk up a beach or climb a ladder. At the end of a dive, mobility-impaired divers usually remove Use of Underwater Lines to follow underwater tionship between the lines. There is an inverse rela- amount of propulsion derived from the stroke and the security of the diver's contact with the line. The most secure method for following a keep the line in the circle formed by the thumb and forefinger when the hand is in the 'OK' position. Using the hand circling the line for propulsion is ineffective, and a one-handed dog paddle is line is to thus the only workable stroke when a Opening the hand and keeping the October 1991 — NOAA equipment in the water. The weight belt is always removed before the buoyancy compensator and tank to their Arm-stroking divers can use a variety of techniques line is being held. line against the area Diving Manual avoid leaving the diver too negatively buoyed. Onto Boats or Piers. The easiest exits for mobility- impaired divers to negotiate are those onto boats that have a water-level dive platform and a walk-through transom. Divers who can do so hoist themselves onto the platform and then, while seated, pull themselves backward On to the deck via the walk-through transom. a pier or dock that has steps (rather than a ladder) leading out of the water, divers can selves up one step at a sit and hoist them- time until they reach the dock. A-9 Appendix A Figure A- 10 Diver Being Assisted from the Water i Onto the Beach. Beach exits in calm conditions can be accomplished by having the diver drag himself or herself backward out of the water while seated. If there is surf, the diver keeps his or her equipment in place, swims as far as possible, and then crawls on his or her elbows until the surf zone tor is reached; the regula- is kept in the mouth during the exit process. Assisted Exits. In some cases, it is useful for the mobility-impaired diver to get help from another diver. is It often easiest for one or two buddies to grasp the diver under the armpits (Figure A-10) or by the hands (depending on the height from the water) and to pull the diver up the beach or to the deck or platform level, perhaps with one assistant guide the On some legs. high that a diver water to help in the lift boats where the gunwale in the is or so water cannot be reached by buddies on the boat, a very strong buddy may be able to carry the diver up the ladder. For any person lifting another, care must be taken to ensure proper lifting techniques so that the lifter is not injured. Davits or other lifting devices can also be useful in such situations. If the boat a sailboat, a variety of lifting devices is can be fashioned. To remove a diver from the water, the boom can be positioned over the diver in the water, boom, and the up by means of a a bosun's chair can be attached to the diver can hoist himself or herself block and tackle. deck, the boom When is the diver is swung across i at the level of the to the cockpit, and the diver then lowers himself or herself to the seat. To lift a diver to a level higher than the deck, such as onto a pier, the bosun's chair can be attached to the main halyard, and the diver can then be by means lifted of a winch. The difficulty in from the water is removing a mobility-impaired diver measure of how difficult it would Courtesy Curt Barlow also a be to remove an unconscious or otherwise incapacitated victim. By creating systems that mobility-impaired divers, a boat is make made it easier for safer for any do not sweat. Carrying a pocket-sized reflecemergency blanket is a good precaution for dealing with an unexpectedly cold post-dive boat ride. injuries, tive diver who may, from the water. for emergency reasons, need to be lifted Pouring water over the skin acts like sweat artificial and effectively cools the body. Finally, warm water can be poured into the diver's suit after he or she exits the dive, which will greatly aid in restoring warmth. OTHER CONSIDERATIONS Thermoregulation Some disabilities are associated with an increased extremes of temperature. Chilling can occur much faster in individuals with decreased cir- Because the effects of hypothermia or hyperthermia can be serious, divers should plan ahead to stay as warm as possible in cool conditions (especially under water) and as cool as possible in warm conditions. sensitivity to culation; in addition, individuals with paralyzed extremities may not develop or perceive the early symptoms of hypothermia. Overheating can be a significant problem for people who, like some people with spinal cord A-10 Catheters Various types of catheters are worn by many viduals with disabilities. If an external catheter leg indi- and a bag are worn, the bag should be emptied before NOAA Diving Manual — October 1991 i Diving with Disabilities the dive (and should perhaps be left open during the dive), since to urinate. immersion A in the plug can be water tends to cause people made an indwelling catheter for using a cut-up leg bag (use only the top piece that has the one-way valve). Such a plug enables urine to drain Autonomic dysreflexia can cause a medical emergency for people with spinal cord injuries at or above the T-5 level, and in some cases for people whose injury is between T-6 and T-10. This condition can occur when there is an irritating stimulus, such as a full bladder, a during the dive and prevents salt water and impurities pressure sore, or an ingrown toenail, below the level of from entering the catheter. the injury. The stimulus sends nerve impulses spinal cord, where they sores. In cooler water, the wet suit will protect the skin; in clothing such as a lycra body coral scrapes and warm water, suit will protect against jellyfish stings. autonomic nervous system thetic about the extent of their susceptibility to decompression is been speculated that unused may tissues, such off-gas at a different the case for active tissues. To date, there have been no scientific studies exploring this issue. It is known, however, that paralyzed limbs have some degree of reduced circulation and that circulation is important to the safe uptake and elimination of nitrogen. Any diver with reduced circulation (including smokers, for example) needs to use the U.S. tables conservatively. Divers may who have Navy dive disabilities that add safety factors when they use the tables. Some divers add 10 minutes to their bottom time and/or 10 feet (3 m) to affect the rate of off-gassing should their depth. limit Others stay well under the no-decompression on their first dive and then penalize themselves one or two repetitive group designations when they plan their subsequent dives. Finally, many divers and 20 fsw (3-6 m) for a few minutes even when the dive was well within the routinely do a stop between 10 no-decompression resulting Autonomic dysreflexia can lead slow. signs if to seizures, untreated, death. and symptoms of autonomic dysreflexia include a pounding headache, slow pulse, sweating Divers with orthopedic disabilities are concerned rate than The blood pressure to rise and, eventually, the heartbeat to The as those in paralyzed limbs, activity. spasms and narrowing of the blood vessels cause the unconsciousness, stroke, or, Decompression Sickness sickness. It has to the become until they reach the brain, but they do trigger increased sympa- Blankets or cushions should be used to prevent bruis- development of pressure upward blocked at the level of the injury. The impulses never Protection of Paralyzed Tissue ing or the travel above the level of the injury, goose the skin, and nasal congestion. bumps, blotching of The condition can be caused by anything that would have been painful or physically stimulating before the injury, but it is most often caused by a full bladder. Emergency treatment of the condition involves getting the victim into (or maintaining him or her in) a sitting position to help decrease the blood pressure, loosening anything that may be pressing on the abdominal area, and finding and correcting the cause (often a plugged catheter, a full drainage bag, or the need for an intermittent catheterization). To avoid having a problem with autonomic dysreflexia, divers with disabilities that can be associated with this condition need to be told in detail about certain aspects of the planned dive; for example, prolonged immersion in cold water, which increases the rate of bladder filling, or the absence of wheelchair-accessible toilet facilities could both contribute to the development of auto- nomic dysreflexia. limits. SUMMARY Autonomic Dysreflexia Divers who are susceptible to autonomic dysreflexia are aware that conditions may commonly encountered in The procedures, equipment, and specialized techniques described above show that trained and experienced divers with disabilities can dive safely and efficiently. trigger this condition. Just as hypothermia In addition, this section demonstrates the importance by taking necessary of intensive training, thorough predive planning, effective precautions, autonomic dysreflexia can be avoided communication, and use of the buddy system for divers by divers who are aware that extra care with disabilities. diving or hyperthermia can be prevented October 1991 — NOAA Diving Manual is needed. A-11 i Page APPENDIX B Introduction U.S.NAVYAIR Definition of DECOMPRESSION TABLES B-l Terms B-l Table Selection No-Decompression Limits and Repetitive Group Designation Table No-Decompression Air Dives Selection of the Appropriate Decompression Schedule Air Decompression Tables U.S. Navy Standard Air Decompression Table B-2 for B-2 B-3 B-3 B-3 Repetitive Dives B-3 Residual Nitrogen Timetable for Repetitive Air Dives B-5 Surface Decompression B-5 Surface Decompression Table Using Oxygen B-10 Surface Decompression Table Using Air B-12 Exceptional Exposure Dives General Use of Decompression B-l B-13 Rules During Ascent B-13 Variations in Rate of Ascent B-19 i APPENDIX B NAVY AIR U.S. DECOMPRESSION TABLES INTRODUCTION When air is these tables provide specific decompression data for breathed under pressure, inert nitrogen diffuses into various tissues of the body. This nitrogen uptake by the body continues, at different rates for the various tissues, as long as the partial pressure of the inspired nitrogen the gas absorbed higher than the partial pressure of is in the tissues. Consequently, the amount use under various operational conditions; the remaining table is used to determine decompression requirements where a diver has conducted or conducting more than one dive in a 12-hour situations will in be period. Before using any of these tables, divers should read Sections 14.6 through 14.9 of this manual. of nitrogen absorbed increases with the partial pressure of the inspired nitrogen (depth) and the duration of the exposure (time).* When the diver begins to ascend, this process is DEFINITION OF Terms which TERMS when are frequently used discussing decom- reversed: the nitrogen partial pressure in the tissues pression tables are defined below. and respiratory systems. The pressure gradient from the tissues to the blood and lungs must be carefully controlled to prevent nitrogen from coming out of solution in the form Bottom Time - The total amount of time that elapses from the time a diver leaves the surface in descent to the time (next whole minute) he or she begins ascent; bottom time is measured in minutes. Decompression Stops - Stops that a diver must make exceeds that in the circulatory of bubbles. If the pressure gradient bubbles of nitrogen gas can form uncontrolled, is in tissues and blood and cause decompression sickness. To prevent decompression sickness, several decompression tables have been established. These tables take into consideration the amount of nitrogen absorbed by a diver's body at various depths for given time peri- for specified times and at specified depths during ascent decompression dive. The depths at which decompression stops must take place and the time that from a the diver must remain at each stop are specified in the decompression schedule being followed. Decompression Schedule - A list of depths and times also consider both the allowable pressure that indicates the decompression stops that a diver gradients that can exist without excessive bubble- must make for dives having particular maximum depths and bottom times; decompression schedules are indi- ods. They formation and the different gas elimination rates associated with various body tissues. Stage decompression, which requires that the diver make stops of specific durations at given depths during ascent, air diving because of its is used in tables are the result of years of scientific study, mathematical modeling, human and animal studies, and extensive Decompression Table ules, or limits, usually - A decompression sched- set of organized in order of increasing bottom times and depths. operational simplicity. The U.S. Navy decompression cated as feet/minutes. field experi- Depth - When used dive, the following 1. in connection with the depth of a terms are used: Deepest Depth: The depth indicated by the deepest ence. These tables thus contain the best overall infor- pneumofathometer reading during mation available; however, as dive depth and time increase, these tables become less accurate and thus supplied dive or the depth shown by the deepest require careful application. safety, these tables also tions be To ensure maximum must be followed strictly. diver depth gauge reading during a scuba dive. 2. Devia- only under emergency conditions and with the consent of the NOAA Diving Coordinator. in air diving. Depth: In surface-supplied opera- deepest depth plus 5 feet (1.5 m); the max depth ule. In scuba operations, the is used to select a decompression sched- max depth and the deepest depth are the same. Five different tables are discussed in this chapter, and each has a unique application Maximum (Max) tions, the from established decompression procedures should made Four of 3. Stage Depth: The depth indicated by a pneumofathometer reading taken when the diver stage and ready to leave the bottom. * The material in this appendix has been adapted from the Diving Manual (1988). October 1991 —NOAA a surface- US Navy depth is is on the The stage used to compute distance and travel time to the first stop. Diving Manual B-1 Appendix B Time Equivalent Single Dive Bottom The time - in minutes used to select a schedule for a single repetitive dive; the equivalent single dive bottom time is the bottom time of the planned repetitive dive equal to and the able to make The maximum amount - or may be make up used to a diver's omitted decompression only the diver's emergency surfacing occurs at a point in if when water the decompression diver's residual nitrogen time. No-Decompression Time time that a diver can spend The Surface Decompression Table Using Oxygen the Surface Decompression Table Using Air at a given depth and still stops are not required have already been taken) and of (or be for use of this table The Residual Nitrogen Timetable a safe ascent directly to the surface at a of the conditions all have been met. for Repetitive Air prescribed rate and without taking any decompression Dives (hereafter called the Residual Nitrogen Timeta- stops. ble) Repetitive Dive - Any dive conducted within a 12-hour period after a previous dive. its is not a decompression table in the strictest sense; purpose is to provide the information needed to plan repetitive dives. Group Designation - A letter that desigamount of nitrogen remaining in a diver's Repetitive nates the body during the 12-hour period following a Residual Nitrogen remains The amount - dive. of nitrogen gas that in a diver's tissues after the completion of a dive. Time Residual Nitrogen - The time, in minutes, that must be added to the bottom time of a repetitive dive to compensate for the nitrogen remaining in the diver's tissues from a previous dive. Single Dive - Any dive conducted more than 12 hours after a previous dive. Single Repetitive Dive diver whose tissues still - Any dive performed by a contain residual nitrogen from a previous dive; to select an appropriate decompresbottom sion schedule for a repetitive dive, the actual time of the planned dive must be added to the diver's - Group Designation Table for No-Decompression Air Dives The No-Decompression Limits and Group Repetitive Designation Table for No-Decompression Air Dives (hereafter called the No-Decompression Table) serves two purposes. First, it summarizes all the depth and bottom time combinations for which no decompression is required. Second, it provides the repetitive group designation for any no-decompression dive. (Even on no-decompression dives, some nitrogen remains diver's tissues after the dive; if in the a diver dives again within a 12-hour period, he or she must consider this residual nitrogen when calculating decompression requirements.) residual nitrogen time. Surface Interval No-Decompression Limits and Repetitive The period of time that a diver spends on the surface after a dive; the interval begins as soon as the diver surfaces and ends as soon as the diver starts his or her next descent. Every depth listed in the No-Decompression Table has a corresponding no-decompression limit utes. This limit diver may spend is maximum bottom the at that in min- time that a depth without needing decom- The columns to the right of the no-decompreslimits column are used to determine the repetitive pression. sion group designation that TABLE SELECTION The following U.S. Navy every dive. air decompression tables are available: • Standard Air Decompression Table No-Decompression Limits and Repetitive Group Designation Table • Surface Decompression Table Using Oxygen • Surface Decompression Table Using Air These tables each contain a series of decompression schedules that must be adhered to rigidly during ascent from an air dive. Conditions surrounding the dive dictate which decompression table and schedule are selected. These conditions are status of the diver, depth and duration of the dive, availability of an oxygen breathing system within the chamber, and environmental • conditions such as sea state, water temperature, etc. B-2 To is assigned to the diver after find a diver's repetitive tion, enter the table at the greater than the maximum group designa- depth equal to or next depth of the dive and follow that row until you reach the bottom time that to or just greater is equal than the actual bottom time of the dive; then follow that column upward to the repetitive group designation. In the No-Decompression Table, depths shallower than 35 fsw (10 m) do not have a specific no-decom- pression limit. Implied time limits do pertain to these depths, however, because repetitive group designations are not provided for bottom times of greater than 6 hours. A 6-hour bottom time is the maximum time permitted by the No-Decompression Table, and diving should not be conducted for times longer than this limit. NOAA Diving Manual — October 1991 USN Air Decompression Tables Any dive deeper than 35 fsw (10 m) that has a bottom time greater than the no-decompression limit given in the No-Decompression Table is by definition a decompression dive and must be conducted in accordance with the Standard Air Decompression Table. To distinguish clearly between standard and excep- exposure schedules on this table are printed As shown on if Schedule The decompression schedules decompression for all m) depth 10-minute bottom time increments. The depth and bottom time combinations of actual dives, however, rarely match any decompression schedule exactly. To ensure that the decompression schedule selected is conservative (i.e., on the safe side): (1) always select a schedule that has a depth increments and, usually, in 5- or equal to or next greater than the is of the actual dive, and has a bottom time that maximum depth (2) always select a schedule that is equal to or next longer than the bottom time of the actual dive. Standard Air Decompression Table, for example, If the is being used to select a schedule for a dive to 97 fsw (29 m) for 31 minutes, the following add First, 97 fsw + 5 the divers is less is required than the listed for the dive's depth; in may in Blue. no decompression ascend directly to the surface of 60 feet per minute (fpm) (18.3 m/min). first such cases, at a rate The repeti- group designations for no-decompression dives are shown in the No-Decompression Table. As noted in the Standard Air Decompression Table, there are no repetitive group designations for exceptive tables are given in 10- or 20-foot (3 or 6.1 that this table, the bottom time of the dive bottom time Selection of the Appropriate Decompression decompression schedules, exceptional tional exposure fsw (1.5 5 fsw = m) to the procedure is depth of the dive used. (i.e., tional exposure dives. Repetitive dives are not permit- ted after an exceptional exposure dive. A Example: diver has just completed a dive to a depth of 143 fsw (43 m) for 37 minutes. The diver unusually cold or fatigued. What is is not the diver's decom- pression schedule and repetitive group designation? To determine the appropriate decompresand the diver's repetitive group designation at the end of the decompression, select the depth equal to or next deeper than the depth of the dive and the bottom time equal to or next longer than the bottom time of the dive. In the example, this would be the Solution: sion schedule 150/40 schedule. 102 fsw). Then, select the schedule for a 102-fsw dive; this would be the 110-fsw schedule. Finally, select the appropriate schedule for a 31 -minute would be the 40-minute schedule. Thus, the dive would be conducted in accordance with the 110/40 schedule. dive; this Repetitive Dives During the 1 2-hour period after an air dive, the quan- tity of residual returns to its nitrogen in a diver's body gradually normal level. If divers are to make a second dive (repetitive dive) within this 12-hour interval, they must consider the amount of residual nitrogen in WARNING when planning for the The procedures for conducting their tissues Never Attempt To Interpolate Between Decompression Schedules summarized first in dive, the Figure B-l. When dive. a repetitive dive are divers complete their Standard Air Decompression Table or the No-Decompression Table assigns If a diver work load is is exceptionally cold during a dive or the strenuous, the decompression schedule for the next longer duration should be selected. For exam- them a repeti- group designation. The repetitive group designation assigned to a diver immediately after surfacing applies only to the amount of nitrogen remaining in his tive As nitrogen leaves the normal schedule for a dive to 90 fsw (27 m) for 34 minutes would be the 90/40 schedule. However, if or her tissues at that time. the divers are cold or fatigued, they should decompress designation changes. according to the 90/50 schedule. permits the appropriate residual nitrogen designation to be determined at any time during the diver's ple, the AIR DECOMPRESSION TABLES tissues and blood over time, a diver's repetitive group The Residual Nitrogen Timetable surface interval. Just before a diver begins a repetitive dive, his or her residual nitrogen time should be determined using the U.S. Navy Standard Air Decompression Table The Standard Air Decompression Table combines — two former tables the Standard Air Table and the Exceptional Exposure Air Table into a single table. October 1991 — NOAA — Diving Manual Residual Nitrogen Timetable. The residual nitrogen time is then added to the actual bottom time of the planned repetitive dive, and the new bottom time, called the equivalent single dive time, is used to select the B-3 Appendix B Figure B-1 Repetitive Dive Flowchart i Decompress according to Standard Air Table or No-Decompression Obtain repetitive group designation Table Surface interval greater than 2 hours 1 Surface interval greater than 10 minutes and less than 2 hours Surface interval less than 10 minutes 1 £ Obtain residual nitrogen time using Residual Nitrogen Timetable Add residual nitrogen time to bottom time of repetitive dive giving ( I Add bottom time of previous dive to that of repetitive dive Use depth and bottom time of equivalent single dive. equivalent single dive I bottom time for repetitive dive depth and equivalent single dive Decompress from repetitive dive using schedule for deeper of two dives and bottom time combined bottom times Decompress using schedule Source: U.S. Navy (1988) B-4 NOAA Diving Manual — October 1991 USN Air Decompression Tables appropriate schedule to use for decompression after nitrogen in a diver's tissues has passed out of the diver's the repetitive dive. Equivalent single dives that require body the use of exceptional exposure decompression sched- after the diver surfaced ules should not be conducted. To assist in selecting the decompression schedule for a repetitive dive, a systematic repetitive dive worksheet, shown in Figure B-2, should always be used. make If a diver wishes to first a third dive after his or her the depth and bottom time of the first repetitive dive, equivalent single dive should be inserted into part after 12 hours, a dive conducted more than 12 hours from the first dive is not considered a repetitive dive. A Example: m) (27.3 for repetitive dive is to made be to 98 fsw an estimated bottom time of 15 minutes. The previous dive was to a depth of 102 fsw (30 m) and had a 48-minute bottom time. The diver's surface interval is 6 hours 28 minutes (6:28). What is the correct decompression schedule for the repetitive dive? one of the second repetitive dive worksheet. Solution: Add the residual nitrogen time of the pre- vious dive to the bottom time of the planned repetitive Residual Nitrogen Timetable for Repetitive Air Dives The quantity of residual nitrogen in a diver's tissues immediately after a dive dive to obtain the diver's equivalent single dive time. The correct decompression schedule for the repetitive dive would then be the 100/25 schedule. Figure B-3 depicts the dive profile for this situation. expressed by the repetitive is group designation assigned either by the Standard Air Surface Decompression Decompression Table or the No-Decompression Table. The upper portion of the Residual Nitrogen Timetable all shows a range of times between 10 minutes and 12 hours, = expressed in hours:minutes (2:21 Each interval has limit) and a two maximum limits: a 2 hours 21 minutes). minimum time time (bottom (top Surface decompression is a technique for fulfilling or a portion of a diver's decompression obligation in a recompression chamber. Use of this technique greatly reduces the time that a diver must spend in the water; moreover, breathing oxygen in a recompression chamber reduces the amount of time a diver must spend in limit). Residual nitrogen times (in minutes) corresponding shown decompression. in Surface decompression also significantly enhances the body of the lower portion of the Residual Nitrogen a diver's safety: the shorter in-water exposure time to the depths of various repetitive dives are Timetable. To determine the residual nitrogen time for a repetitive dive, locate the diver's repetitive group designation from the previous dive along the diagonal line above the table. Read horizontally until you reach made possible by surface decompression keeps divers from chilling to a dangerous level, and the constantpressure recompression chamber environment means that divers can be protected from surface conditions. the time interval that includes the diver's surface interval. In a chamber, the diver can also be observed constantly by (The time the diver spends on the surface must be equal to or lie between the time limits of this interval.) the chamber operator and be monitored by medical personnel; this as necessary kind of monitoring allows Next, read vertically downward to obtain the diver's any sign of decompression sickness to be detected readily new repetitive group designation, which reflects the amount of residual nitrogen left in the diver's body at the present time. Continue downward in this same and treated immediately. If the recompression chamber has an oxygen breathing system, surface decompression should be conducted in column until you reach the row that includes the depth of the planned repetitive dive. The time, in minutes, accordance with the Surface Decompression Table Using Oxygen. If air is the only breathing shown at the intersection is the residual nitrogen time that must be added to the bottom time of the planned Air must be used. repetitive dive. available for decompression If a diver's surface interval the residual nitrogen time is is less than 10 minutes, simply the bottom time of the previous dive. If the planned repetitive dive made to a depth that is is to be equal to or greater than the depth of the diver's previous dive, the residual nitro- gen time may turn out to be longer than the bottom time of the previous dive. In this event, the bottom time of the previous dive should be added to the bottom time of the planned repetitive dive to obtain the diver's equivalent single dive time. Because October 1991 —NOAA all Diving Manual of the residual in medium available the chamber, the Surface Decompression Table Using No surface decompression table is from an exceptional expo- sure dive. Residual nitrogen times have not been developed for repetitive dives. long as the made by However, sum repetitive dives can be made as of the bottom times of a diver in the all the dives previous 12 hours and the maximum depth ever attained by the diver do not maximum time/depth combinations shown in the Surface Decompression Table Using Oxygen (170 fsw (51.8 m)/40 min) or the Surface Decompression Table Using Air (190 fsw (57 m)/60 min) limits. exceed the B-5 Appendix B Figure B-2 Repetitive Dive Worksheet REPETITIVE DIVE I. DATE WORKSHEET PREVIOUS DIVE: Q Standard Table Q Surface Table Using Oxygen minutes + Air feet = f~I] No-Decompression Table [^Surface Table Using Air repetitive group letter designation 2. SURFACE INTERVAL: hours minutes on surface repetitive group new 3. from item I above repetitive group letter designation from Residual Nitrogen Timetable RESIDUAL NITROGEN TIME: + feet, depth of repetitive dive = new repetitive group letter designation from item 2 above minutes, residual nitrogen time from Residual Nitrogen Timetable or bottom time of previous Sur 4. D dive EQUIVALENT SINGLE DIVE TIME: minutes, residual nitrogen time from item 3 above or bottom time of previous Sur D dive + minutes, actual bottom time of repetitive dive = minutes, equivalent single dive time 5. DECOMPRESSION FOR REPETITIVE DIVE: minutes, equivalent single dive time from item 4 above + = feet, depth of repetitive dive Decompression from (check one): Q Standard Air Table H] Surface Table Using Oxygen Q No-Decompression Table Q Surface Table Using Depth Decompression Stops: Air Chamber Water feet feet feet feet feet minutes minutes minutes minutes minutes minutes minutes minutes minutes minutes schedule used (depth/time) repetitive group letter designation ( Source: U.S. Navy (1988) B-6 NOAA Diving Manual — October 1991 USN Air Decompression Tables Figure B-3A Repetitive Dive Chart dATe CHART AIR 02 MAy iQ8e TYPE DRESS EGS DIVING APPARATUS NAME OF DIVER voer suit HvbHfZS TYPE DRESS ECS DIVING APPARATUS NAME OT DIVER 00 &QVOMAA/ £T SOlT %1-SO TENDERS (DIVER TENDER5 (DIVER C?(LpA/$EtK B\N(? HAAA AND sr^v^Ns \TtHE L Lo M DESCENT TIME REACHED BOTTOM DEEiWifsw5 fsWT SURFACE LEFT = toz 02 ob oz OQDO 5 DIVING - (PSIG) I (PSIG) 2 2) I) (LS) f (RB) I -t LEFT BoT Tom TOTAL BOTTOM TIME (LB) (TBT) TABLE & SCHEDULE USED //p/$0 REACHED SURFACE Q9 23 • ; (RS) 5>7 DESCENT TOTAL DECOMPRESSION TIME (TDT) 35 - V7 : DEPTH OF ASCENT STOPS STD TOTAL TIME OF DIVE Ot ' 23 :: TIME TO FIRST STOP Mr (TTD) in GROUP M REPETITIVE 37 DECOMPRESSION TIME WATER •••• (9/ TIME CHAMBER CHAMBER WATER 07*23 ••27 *OS57 r-2t L \Zc* 20 0857 ROgY? L 02 ••••I7 ••/7 30 i\0 50 60 70 80 o 90 97 L O0t| g inn R PgOl -44^- _i?n — Ev I •430PURPOSE OF DIVE REMARKS OK \A)0H\L DIVER'S CONDITION In this example, travel time is shown ftAAC in seconds. For most diving operations, however, recording the travel time minutes October 1991 is LEPETT DIVING SUPERVISOR A/D&aAAlNote: ~T0 CLIME Source: U.S. Navy (1988) in sufficient. — NOAA Diving Manual B-7 Appendix B Figure B-3B (Continued) REPETITIVE DIVE DATE WORKSHEET oaMAj 0% PREVIOUS DIVE: I. T» minutes il + J =/0£. /frt [•fStondord Air Table \^2 No-Decompression Table Q Surface Table Using Oxygen Q Surface Table Using feet Air repetitive group letter designation SURFACE INTERVAL: 2. 69 hours o( ^ minutes on surface /A. repetitive group from item D new I above repetitive group letter designation from Residual Nitrogen Timetable RESIDUAL NITROGEN TIME: 3. 7^ + P D =_T o new *7 feet, depth of repetitive dive repetitive group letter designation from item 2 above minutes, residual nitrogen time from Residual Nitrogen Timetable or bottom time of previous Sur D dive EQUIVALENT SINGLE DIVE TIME: 4. I — I minutes, residual nitrogen time from item 3 above or bottom time of previous Sur D dive 1-^j minutes, actual bottom time of repetitive dive + C minutes, equivalent single dive time = 07 REACHED SURFACE TON TIME TOTAL DECOMI ASCENT ECS (PSIC) ST£\/£"aJS DESCENT TIME (RB) : TABLE & SCHEDULE USED TOTAL TIME OF DIVE 02- TIME TO FIRST STOP I , Of ••33 (OO/Z-L A/o'b' (RS) (TDT) DESCENT AND REACHED BOTTOM .OTAl^OTTOM TpSEI[tfit) (LB) (PSIC) 2) 6?£0A/6EC\< (LS) \ssz LEFT BOTTOM AND CS 22.6 I TEKIDER5 (DIVER ~r~ : (TTD) REPETITIVE GROUP S3 0/ DEPTH OF STOPS DECOMPRESSION TIME WATER TIME CHAMBER CHAMBER WATER 10 20 30 kO 50 60 5 70 80 90 L ---37 \a//\&vLEa/ AND REACHED BOTTOM (Lb) DESCENT EGS Sui'-r-/^ r)g(e^iUfarTYP* bRE55 EGS * TENDERS (DIVER ^ 2) J DEP (LS) REACHED SURFACE . t /ZOO LEFT Bottom Z I) COY LEFT SURFACE \z DIVING APPARATUS 2 M0E&\\J*> TENbERS (DIVER TYPE DRESS ^^ MAV 8& K STOPS TABLE & SCHEDULE USED TIME TO FIRST STOP WO/bS_S\irb'Qi TOTAL TIME OF DIVE (TTD) 01 • DECOMPRESSION TIME WATER GROUP AJome. LbA131 ' -39 3 REPETITIVE TIME CHAMBER CHAMBER WATER 60 70 I 80 90 100 110 120 L -T30 PURPOSE OF DIVE REMARKS [A)0\L\C OK- DIVER'S CONDITION In this example, travel time is shown B-14 is &£P£T HTcAK(Mtv) in HUSS Source: U.S. Navy (1988) seconds. For most diving operations, however, recording the travel time minutes TO DIVING SUPERVISOR A/^MAL Note: 11,02. (2.02. ( in sufficient. NOAA Diving Manual —October 1991 USN Air Decompression Tables Figure B-7A Dive Chart for Dive Involving Surface Decompression Using Oxygen DIVING DATE CHART NAME OF DIVER AIR - M/\CHA$\Ctf. NAME OF DIVER TENDERS (DIVER STAdcK LEFT SURFACE f2- WrlTvcK AND l U ALbO luMTIME(TBt) l l Wo?ib: (TDT) 3<» : ?/:•' LE\AJ |S AND ECS (PSIG) b&EENWZLL DESCENT TIME (RB) 03 TIME TO FIRST STOP TABLE & SCHEDULE USED TOTAL TIME OF DIVE (TTD) REPETITIVE GROUP 3fc> DEPTH ASCENT DESCENT I r^ TENDERS (DIVERnr* 2) (PSIC) [70/255ujrVgz •-Z5 TOTAL DECOMPRESSION TIME (RS) .' ECS dcrw 170 9-- (LB) REACHED SURFACE 0S3I-- Sbt«« TYf>2 TYPE DKtbb b&ESS REACHED BOTTOM DE£ItL»sw) (LS) 0800 LEFT BOTTOM TYPE dress diVINg Apparatus 1 I) MA* \Q8d DZ DIVING APPARATUS "" I OF STOPS DECOMPRESSION TIME WATER TIME CHAMBER WATER CHAMBER 10 20 O: 30 0?$H ..lb Q?5$ Z(* l1 40 % 50 60 70 80 90 100 110 120 8zr I PURPOSE OF DIVE R JU UVO&K QIC No&mAl — NOAA RZPET amc<> CMbv) QrHlbCrS example, travel time is shown in seconds. For most diving operations, however, recording the travel time in minutes is sufficient. In this October 1991 -To DIVING SUPERVISOR DIVER'S CONDITION Note: Og 03 REMARKS Diving Manual Source: U.S. Navy (1988) B-15 Appendix B Figure B-7B (Continued) REPETITIVE DIVE OZMM g& PREVIOUS DIVE: I. CaO minutes l(of)+ S" = A hi I MQ | feet | Standard Air Table Q Surface Table Using Oxygen | | No-Decompression Table (^Surface Table Using Air repetitive group letter designation SURFACE INTERVAL: 2. ick minutes on surface hours vJ repetitive group from item fr///\ new I above repetitive group letter designation from Residual Nitrogen Timetable RESIDUAL NITROGEN TIME: 3. 3j I +5 -\Do A//A new o?S" feet, depth of repetitive dive repetitive group letter designation from item 2 above minutes, residual nitrogen time from Residual Nitrogen Timetable or bottom time of previous Sur k. DATE" WORKSHEET D dive EQUIVALENT SINGLE DIVE TIME: i t^v minutes, residual nitrogen time from item 3 above or bottom time of s~*\ previous Sur D dive + = 5. ( *j£zL tj-O minutes, actual bottom time of repetitive dive minutes, equivalent single dive time DECOMPRESSION FOR REPETITIVE fr DIVE: minutes, equivalent single dive time from item k above 5" = / UfS + / 1 feet, depth of repetitive dive Decompression from (check one): \~] Standard Air Table [jpf Surface Table Using Oxygen Q No-Decompression Table Q Surface Table Using 30 f-O SO 60 Chamber Water Depth Decompression Stops: Air feet feet feet feet feet (o 4- minutes minutes minutes minutes minutes IU ICi minutes minutes inutes minutes minutes minutes II JCp + °* Mr'^l : Z \JT0j H-Q schedule used (depth/time) A//A repetitive group letter designation Source: U.S. Navy (1988) B-16 NOAA Diving Manual — October 1991 i USN Air Decompression Tables Figure B-7C (Continued) DIVING NAME Of" CHART DIVER - 02 AMY AIR DIVING I MAcuAs\c\C NAME OT DIVER TYPE DRESS DlVlhC APPARATUS 2 MIC CJJjJE TENDER5 (DIVER APPARATUS I) TYPE DRES i REACHED BOTTOM (LS) /237 LEFT BOTTOM _JTT0MTIME(TB OSff REACHED SURFACE (RS) I (PSIG) VELARDE 02. TABLE & SCHEDULE USED TIME TO FIRST STOP REPETITIVE 15 GROUP A/one. DEPTH ASCENT EGS DESCENT TIME •* H<> GlS)~' HO 1 70/ WO Sur'O'Oi TOTAL TIME OF DIVE (TTD) TOTAL DECOMPR TIME (TDT) DESCENT t AND (RB) -f&tf- TttH-S'4a%-/llO (LB) (PSIC) Dru SviW\)nderuita.r 12 rTENDERS (DIVERrr^ 2) STOKES LEFT SURFACE 8$ EGS OF STOPS DECOMPRESSION TIME WATER TIME CHAMBER CHAMBER WATER 10 20 30 0U> QzAfr 2 t\ll\--$lo RI315 -S *\10(,'-'$U> wao*; •o; ^ 60 04 R /SO' L /300 moi • su> fSlto- -gCg •••5fe : ; Sk :'. Sk> *'2S<0''S 70 80 2 u. 90 r- 100 110 120 L 1^3 nn PURPOSE OF DIVE (ZSi REMARKS W0H\£ Sur 50 z A/DKM^L H/iaim fpr) example, travel time is shown in seconds. For most diving operations, however, recording the travel time in minutes is sufficient. In this October 1991 — NOAA U mif -Do KM RfpeT DIVING SUPERVISOR DIVER'S CONDITION Note: /Z^V Diving Manual ^H0/AAS Source: U.S. Navy (1988) B-17 Appendix B Figure B-8 Dive Chart for Dive Involving Surface Decompression Using Air CHART DIVING DATE - M OT AIR NAME OF DIVER DlVIMG APPARATUS TYPE bRESa £8 TEGS ECS (PSIC) ECS (PSlG) Orj Svi+'Nnderivea.r V& NAME7)F blVER blVlNC APPARATUS 2 TEMDER5 (DIVER I) 3 L 30 :: '01 REPETITIVE DECOMPRESSION TIME 10 20 TIME TO FIRST STOP TOTAL TIME OF DIVE (TTD) -Z?::/3 ASCENT DESCENT 02. t r- v9 80 90 100 10 120 /f*y 12-3 -430PURPOSE OF DIVE $£AtcH P0£ l1 6»L>4 6K. A/OHMAU B-18 &&Z REMARKS DIVER'S CONDITION Note: R fro*" Sur 'b'AiV-oK-r-p Pe.pe.-f" DIVING SUPERVISOR AAMC (hV) ASHfOA/ Source: U.S. Navy (1988) example, travel time is shown in seconds. For most diving operations, however, recording the travel time in minutes is sufficient. In this NOAA Diving Manual —October 1991 USN Air depth. Decompression Tables On Example: completion of the specified stop time, the divers ascend to the next stop or to the surface at the designated ascent rate. Ascent time is not counted as part of stop time. A dive was conducted to 120 feet (40 As shown with a bottom time of 60 minutes. Standard Air Decompression Table, the first decompression stop is at 30 fsw (9 m). During the ascent, the m) and divers were delayed at 40 feet (12.2 actually it took 5 minutes for them to reach the 30-foot (9 Variations in Rate off Ascent from being maintained, a general tions has These instructions, along with examples of their application, are listed below: If the rate of ascent is less than 60 fpm (18.3 m/min) and the delay occurs deeper than 50 fsw (15.2 m), add the total delay time to the bottom time, recompute a new decompression schedule, and decompress accordingly. Example: A dive was conducted to 120 fsw (36 m) with a bottom time of 60 minutes. According to the 120/60 decompression schedule of the Standard Air Decompression Table, the first decompression stop is at 30 feet (9 m). During ascent, the divers were delayed at 100 fsw (33 m) and it actually took 4 minutes 55 seconds to reach the 30-foot (9 What m) decompression stop. schedule should be used to determine the diver's decompression requirements? Solution: If an ascent rate of 60 fpm (18.3 m/min) had been used, it would have taken the diver 1 minute 30 seconds to ascend from 120 fsw (40 m) to 30 fsw (9 m). The difference between the actual and 60 fpm (18.3 m/min) ascent times is 3 the set of instruc- been established to compensate for any varia- tions in rate of ascent. How much stop. Since conditions sometimes prevent prescribed ascent rates minutes 30 seconds. To first stop? As Solution: in the preceding example, the correct ascent time should have been 1 minute 30 seconds, but the diver was delayed by 3 minutes 30 seconds. means that, instead of 2 minutes, the divers by only 7 minutes: the 3-minute 30-second delay in ascent plus the additional 3 minutes 30 seconds they had to spend at 30 feet (9 m) (Figure B-10).) is greater than 60 fpm (18.3 m/min) If the rate of ascent during a dive in which no decompression to catch up or stop at 10 fsw (3 m) for an amount of actually took. Example: A dive was conducted to 100 fsw (33 m) with a bottom time of 22 minutes. During ascent, the diver momentarily lost control of his or her buoyancy, which increased the ascent rate so that the diver reached m) ascent should take in 1 minute 15 seconds. Solution: At a rate of 60 fpm How (18.3 will this m/min), the minute 25 seconds to reach the 10-foot (3 m) stop. The diver must remain at 10 feet (3 m) for the difference between 1 minute 25 seconds and 1 minute 15 seconds, or an additional stop time 1 of 10 seconds (Figure B-l If the rate of ascent is 1). greater than 60 fpm (18.3 m/min) during a dive that requires decompression, stop 10 feet (3 m) below the first decompression stop and allow the watches to catch up. stop. October 1991 required, time equal to the difference between the length of time the ascent should have taken and the time it new bottom time, which is the 120/70 schedule. (Note from the Standard Air Decompression Table that this 3-minute 30-second delay increased the decompression time from 71 minutes to increase of 18 minutes (Figure B-9).) If the rate of ascent is less than 60 fpm (18.3 m/min) and the delay occurs shallower than 50 fsw (15 m), add the total delay time to the diver's first decompression is either slow the rate of ascent to allow the watches 10 feet (3 —an must spend minutes 30 seconds at 30 feet (9 m). (Note that in this example the diver's total decompression time is increased 5 influence the diver's decompression? 89 minutes To compensate, increase the length of the 30-foot (9 m) decompression stop by 3 minutes 30 seconds. This 60 minutes to 63 minutes 30 seconds and continue decompression according to the schedule that reflects diver's total m) time does the diver need to spend at compensate, increase the bottom time of the dive from this m) in the — NOAA Diving Manual B-19 Appendix B Figure B-9 Dive Chart for Decompression Dive; Delay Deeper Than 50 fsw DIVING CHART NAME OF DIVER - DATE" AIR 5H/EL NAME OF DIVER LOW WHl I) PELT0A/ LEFT SURFACE /Oil AND AtiO£flSO/S lo0+ (RS) : (TbT) oy--30 TOTAL DECOMPRESSION (TDT) OF STOPS DESCENT TIME 07. • TABLE & SCHEDULE USED TIME TO FIRST STOP TOTALTTTme TIME OF DIVE REPETITIVE = TIMI OI -SZ.- -2-S DEPTH ASCENT G&AY AND (RB) OdOZr \Z0 TOtToM TimE 25 DESCENT 2) REACHED BOTTOM (L&) ••: burr TENDERS (DIVER 83 (PSIG) SUIT 2.1-00 ECS (PSIO SUIT 2115 TYPE DRE55 MKi M06 DOWlS EGS iurr /H00 (LS) QgOO 09 00 REACHED SURFACE LEFT BOTTOM M\L[ type dress DIVING APPARATUS 2 TENDER5 (DIVER MAY 02. dIvinc apparatus I OZ -32. (TTD) DECOMPRESSION TIME WATER GROUP o Z$ : TIME CHAMBER CHAMBER WATER \S5 /03Z''l6 ^ 10 ;Z3 0911 IS Q4y7::0S 20 *MJ}L£±0$ L 30 ••65 fl 90 fov\td 01 0?>: .Lit nO900 :: IS l 100 10 ^OqOQ ::0O R 08QZ '00 (IS -mnn PURPOSE OF DIVE ftf.Qunl i-Pica-r-i'oP DIVER'S CONDITION A/p/LMAL Note: B-20 REMARKS Foulfri &t /Pp-Fsw -for •'QS-'-SO DIVING SUPERVISOR 5MC>4l^tffly) example, travel time is shown in seconds. For most diving operations, however, recording the travel time in minutes is sufficient. 0ELAVT&& Source: U.S. Navy (1988) In this NOAA Diving Manual —October 1991 USN Air Decompression Tables Figure B-10 Dive Chart Than 50 fsw Decompression for DIVING DATE CHART NAME OF DIVER NAME OT DIVER - AIR TENDERS (DIVER APPARATUS AK TYPE DRE5S WET SUIT 12. DIVING APPARATUS 2 TENDER5 (DIVER I) OTT0M (LB) O90O ion ' ss TOTAL DECOMPRESSION TIME (TDT) o\n : ASCENT 02. TOTAL TIME OF DIVE TIME TO FIRST STOP ."0/ Air (TTD) REPETITIVE •ZS" GROUP _£_ DECOMPRESSION TIME OF STOPS WATER TIME CHAMBER WATER CHAMBER L lon '-45 :VS- 09 45 L093Z::5S Z2L olio --ss ^09 to ••25' :: S6 g P9ol 20 30 Delay 03: '3,0 40 (PSIC) (jtOfi-bOti rr DEPTH DESCENT 0&07no/hO STQ (oO (RS) ECS DESCENT TIME (RB) TABLE & SCHEDULE USED TIME (TBT) (PSIC) sore AND REACHED BOTTOM sw) 88 ECS 2) H/A/K (LS) REACHED SURFACE TYPE DRESS \A)BT AND LEFT SURFACE /imY 02- DMNC I BSoA/ bit LEFT BOTTOM Dive; Delay Less * *?.:•• g L O90^::^S' RM0l'---l? 50 60 70 ii. 80 I/* 90 100 no ^ 09 00 O30130 PURPOSE OF DIVE PI REMARKS G/4T1QA/ DIVER'S CONDITION DIVING SUPERVISOR SUP1 A/MM Note: >AU HTC^U example, travel time is shown in seconds. For most diving operations, however, recording the travel time in minutes is sufficient. In this October 1991 — NOAA 0fi02L - ' P^QlMU R Diving Manual fyl/tftvA BuSM Source: U.S. Navy (1988) B-21 Appendix B Figure B-11 No-Decompression Dive; Rate of Ascent Greater than 60 fpm ( CHART DIVING NAME OF DIVER - DATE" oi May 88 AIR DlVINC APPARATUS I ANO£ RSQA/ M^CO&MICK NAME OF DIVER 12- MK AND WHITE 9sj-h5 - 100/25 0623 (RS) TOTAL DECOMPRESSION TIME (TDT) 35 • 23 •35 TIME TO FIRST STOP on- -35 l REPETITIVE (TTD) WATER TIME CHAMBER : CHAMBER WATER \-0823 : 10 GROUP H DECOMPRESSION TIME OF STOPS .ASCENT DESCENT TIME M> b TOTAL TIME OF DIVE •O/'-J'T DEPTH DESCENT WHA fCTQA/ AND (RB) TABLE & SCHEDULE USED 082Z REACHED SURFACE EGS(PSIC) loo roTXL BOTTOM TIME (t&T) (LB) TYPE DRESS REACHED BOTTOM < (PSIG) TENDERS (DIVERrrH J) W/lBA/A/ DEEIfcHfsw) (LS) ECS SuiyUndervmf \1 I) A/ASH 08OQ LEFT BOTTOM D'y DlVINC APPARATUS 2 TENDERS (DIVER LEFT SURFACE MK. TYPE Dr£55 10 RO&23 •••25 ••• /5 20 30 40 i 50 I 60 fe 70 80 5 u* 90 9S —100 L tf£ZZ r 0802. H 10 426- PURPOSE OF DIVE REMARKS DIVER'S CONDITION DIVING SUPERVISOR WO£K NORMAL Note: In this example, travel time is BMcfbv) shown in B-22 is ASCe*)*- PAAUWE Source: U.S. Navy (1988) seconds. For most diving operations, however, recording the travel time minutes f fitfp in sufficient. NOAA Diving Manual —October 1991 ( USN Air U.S. Decompression Tables NAVY STANDARD AIR DECOMPRESSION TABLE Total Time Depth Bottom (feet) time first (min) (minrsec) 200 210 230 250 270 300 360 480 720 0:30 0:30 0:30 0:30 0:30 0:30 0:30 0:30 100 110 120 140 160 180 200 220 240 0:40 0:40 0:40 0:40 0:40 0:40 0:40 0:40 60 70 80 100 120 140 160 180 200 240 360 480 720 0:50 0:50 0:50 0:50 0:50 0:50 0:50 0:40 0:40 0:40 0:40 0:40 40 50 60 50 60 70 80 90 100 110 120 130 140 150 160 170 70 October 1991 — NOAA Diving Manual decompression (feet) stop 50 40 30 20 7 11 15 19 23 41 69 3 5 10 21 29 35 40 47 2 7 14 1 2 20 44 78 26 39 48 56 69 79 119 148 187 8 14 18 23 33 •:00 0:50 0:50 0:50 0:50 0:50 0:50 0:50 10 2 1:00 1:00 1:00 1:00 *See No Decompression Table for repetitive groups may not follow exceptional exposure dives ** Repetitive dives Decompression stops 2 4 41 6 52 56 8 9 13 19 47 61 72 79 Repeti time tive (mln:sec) group 0:40 2:40 7:40 11:40 15:40 19:40 23:40 41:40 69:40 0:50 3:50 5:50 10:50 21:50 29:50 35:50 40:50 47:50 1:00 3:00 8:00 15:00 27:00 40:00 49:00 57:00 71:00 82:00 140:00 193:00 266:00 1:10 9:10 15:10 19:10 24:10 34:10 44:10 52:10 59:10 65:10 71:10 86:10 99:10 * N N O O Z * * * * * * * L M M N O O z z * K L M N O Z z z * * * * * * * K L M N N O O z z z z Source: U.S. Navy (1988) B-23 Appendix B U.S. NAVY STANDARD AIR DECOMPRESSION TABLE Total Depth Bottom (feet) time first (min) (min:sec) 80 40 50 60 1 70 1 80 90 100 110 120 130 140 150 180 240 360 480 720 90 100 110 Time 30 40 50 60 70 80 90 100 110 120 130 1 1 1 1 1 1 1 1 1 1 Decompression stops stop 50 40 30 20 10 10 10 10 10 17 23 00 00 2 31 7 00 00 00 00 00 00 00 11 39 46 53 56 63 69 77 85 120 160 187 13 17 19 26 32 50 50 0:50 0:40 1:20 1:20 1:20 1:10 1:10 1:10 1:10 1:10 1:10 1:00 6 29 59 17 108 35 52 90 107 142 187 7 18 21 25 30 40 48 54 24 61 32 36 68 7 13 18 5 74 25 30 40 50 60 70 80 90 100 110 120 180 240 360 480 720 20 25 30 40 EC* 60 70 80 90 100 Repeti time "tive (min:sec) group 1:20 11:20 18:20 24:20 34:20 47:20 58:20 67:20 74:20 83:20 96:20 110:20 121:20 179:20 280:20 354:20 455:20 * K L M N N O O Z z z z* * * * * * * * * :: 1:30 8:30 19:30 J 26:30' M 38:30 54:30 67:30 76:30 86:30 101:30 116:30 N N L O Z Z Z Z 1:40 4:40 16:40 27:40 38:40 57:40 72:40 84:40 97:40 117:40 132:40 202:40 283:40 416:40 503:40 613:40 1 1 1 40 40 30 1 1 Q O 1 1 30 20 20 20 20 c.0 ^RRf") Ou.OU 7 2 -* 1 21 1:50 4:50 8:50 24:50 3 i 1 7 12 15 18 23 23 30 37 'See No Decompression Table for repetitive groups "Repetitive dives may not follow exceptional exposure dives B-24 decompression (feet) 36 48 57 64 72 55:50 73:50 88:50 107:50 125:50 * H J L M IVI N O Z z z Source: U.S. Navy (1988) NOAA Diving Manual — October 1991 USN Air U.S. Decompression Tables NAVY STANDARD AIR DECOMPRESSION TABLE Total Depth Bottom (feet) time first (min) (min:sec) Time Decompression stops to decompression (feet) stop 70 60 50 40 30 20 10 15 120 20 25 30 40 50 60 70 80 90 100 120 180 240 360 480 720 1:50 1:50 1:50 1:40 1:40 1:30 1:30 1 2 9 '30 15 19 1:30 1:30 1:20 1:10 1:10 1:00 0:50 0:50 10 15 130 6 14 23 5 23 18 3 41 32 74 45 64 100 2:00 2:00 2:00 1:50 1:50 1:40 1:40 1:40 1:30 1:30 20 25 30 40 50 60 70 80 90 10 27 35 64 93 114 19 37 60 93 122 122 25 22 45 55 63 74 80 98 137 179 187 187 187 23 27 37 45 47 76 97 142 142 142 31 10 3 8 3 21 9 16 19 19 23 24 35 45 group 284:00 396:00 551:00 654:00 773:00 2 10 3 10 6 10 12 10 23 10 37 10 63 10 86 10 103 10 131 10 154 10 1 3 tive (min:sec) 2:00 4:00 8:00 16:00 32:00 48:00 71:00 89:00 107:00 132:00 150:00 176:00 2 5 15 Repeti- time 4 10 18 25 37 52 61 72 80 * F H J M N O Z z z z Total Bottom Time time first (min) (min:sec) 10 15 140 20 25 30 40 50 60 70 80 90 120 180 240 360 480 720 *See No Decompression Table ** Repetitive dives October 1991 may for repetitive Decompression stops to stop 2:10 2:10 2:00 2:00 1:50 1:50 1:50 1:40 1:40 1:30 1:30 1:20 1:10 1:00 1:00 0:50 90 Diving Manual 80 70 60 50 40 30 20 10 2 2 5 2 6 16 4 2 12 8 31 32 44 56 88 9 16 10 26 28 42 59 97 34 64 100 100 10 14 14 32 50 84 114 114 19 23 18 36 54 78 122 122 122 16 24 23 32 41 42 56 94 124 142 142 142 6 14 21 26 44 56 68 79 88 120 168 187 187 187 187 tlme tive (mlnrsec) group 2:20 4:20 8:20 18:20 28:20 46:20 76:20 97:20 125:20 155:20 166:20 240:20 386:20 511:20 684:20 801:20 924:20 groups not follow exceptional exposure dives — NOAA decompression Repeti- (feet) Source: U.S. Navy (1988) B-25 Appendix B U.S. NAVY STANDARD AIR DECOMPRESSION TABLE Total Bottom Depth (feet) Time Decompression stops to time first (min) (min:sec) decompression Repeti- (feet) time tive (mln:sec) group 2:30 3:30 5:30 11:30 23:30 34:30 59:30 88:30 112:30 146:30 173:30 C stop 90 80 70 60 50 40 30 20 10 5 150 10 15 20 25 30 2:20 2:20 2:10 2:10 2:10 2:00 2:00 1:50 1:50 1:40 40 50 60 70 80 1 3 2 7 4 17 24 8 5 3 11 17 12 19 19 19 19 23 33 26 39 50 62 75 51 84 5 160 10 15 2:30 2:20 2:20 2:20 2:10 2:10 2:00 2:00 1:50 20 25 30 40 50 60 70 2:40 3:40 7:40 16:40 29:40 40:40 71:40 98:40 1 4 1 3 7 2 9 17 2 11 7 16 19 22 23 23 33 11 20 25 39 55 69 80 44 132:40 166:40 E G H k L N O Z z z D F H J K M N Z Z * * Total Bottom time first (min:sec) 20 25 30 40 50 60 70 90 120 1 on ou 240 360 480 Decompression stops to (min) 5 10 15 170 Time stop 110 100 180 50 60 *See No Decompression Table * 'Repetitive dives B-26 may A 14 22 40 2:50 2:40 2:30 2:30 2:30 2:20 2:10 2:10 for repetitive 70 60 50 2 8 -on 1:20 1:10 1:00 80 40 2 1 n IU 15 22 17 14 19 51 34 42 7Q (O 116 122 122 82 1 on £X) 142 142 142 32 oo 12 18 1A o4 42 60 97 50 98 100 70 114 114 24 34 40 30 52 42 56 91 10 2 5 2 4 7 23 23 37 12 12 4 18 20 5 OQ 10 30 2 4 10 18 1 l 5 10 15 20 25 30 40 90 2:40 2:30 2:30 2:20 2:20 2:10 2:10 2:00 2:00 1:50 1:30 1 decompression R e peti- (feet) 15 23 26 13 45 61 74 86 52 120 I ft7 ID/ 1 187 187 187 3 6 10 17 14 19 19 23 30 44 24 27 50 65 1 3 2 5 9 16 2:50 4:50 9:50 21:50 34:50 45:50 81:50 1 09:50 152:50 183:50 D 3:00 6:00 12:00 26:00 40:00 53:00 93:00 128:00 168:00 3 6 17 tive group 246:50 356:50 c;Q^'Rn OoO.DU 681:50 873:50 1007:50 156 3 5 tlme (mln:sec) 81 F H J L M O Z z ** ** ** ** ** D F I K L N O z z groups not follow exceptional exposure dives Source: U.S. Navy (1988) NOAA Diving Manual — October 1991 USN Air U.S. Decompression Tables NAVY STANDARD AIR DECOMPRESSION TABLE Total Bottom Depth (feet) Time to time first (min) (min:sec) 10 15 20 25 30 40 50 60 decompression Repeti- (feet) stop 110 100 90 80 70 60 50 2:50 2:50 2:50 2:40 2:40 2:30 2:30 2:20 2:20 5 190 Decompression stops 40 20 30 10 11 8 14 22 19 1 8 13 17 19 23 33 50 D G 14 :10 20 25 32 55 72 84 6 tive group 3 :10 7 :10 3 7 1 4 time (mln:sec) I K 31 :10 44 :10 63 :10 103 :10 M N O 147 183 Total Bottom Time to first (min:sec) 5 200 25 30 40 50 60 90 120 180 240 360 5 210 10 15 20 25 30 40 50 5 220 10 15 20 25 30 40 50 3:10 3:00 2:50 2:50 2:50 2:40 2:30 2:30 2:20 1:50 1:40 1:20 1:20 1:10 130 120 — NOAA Diving Manual 110 100 90 80 70 60 50 40 30 20 1 4 time 10 (min:sec) 1 1 2 2 6 2 1 1 6 12 22 10 20 36 6 10 24 40 10 18 24 44 10 10 24 36 56 10 10 24 42 82 3:30 3:20 3:10 3:00 3:00 2:50 2:50 2:40 13 8 16 17 12 12 30 24 42 54 98 28 48 68 100 40 3:20 3:10 3:00 3:00 2:50 2:50 2:40 2:30 *See No Decompression Table for repetitive groups "Repetitive dives may not follow exceptional exposure dives October 1991 decompression (feet) stop time (min) 10 15 20 Decompression stops 70 114 114 3 7 7 9 14 22 17 22 24 38 23 39 64 106 122 122 98 4 10 27 25 37 59 75 51 89 74 134 180 187 187 187 142 142 142 4 9 5 10 17 24 41 9 17 19 19 26 45 63 80 124:30 174:30 2 5 1 4 2 9 7 4 13 23 27 1 1 1 3 6 12 842:20 1058:20 4:30 9:30 22:30 40:30 56:30 81:30 1 2 4 4:20 8:20 18:20 40:20 49:20 73:20 112:20 161:20 199:20 324:20 473:20 685:20 3 7 12 17 2 3 8 10 22 18 5 16 11 24 33 47 19 23 29 51 68 86 5:40 10:40 26:40 42:40 66:40 91:40 f40:40 190:40 Source: U.S. Navy (1988) B-27 Appendix B U.S. NAVY STANDARD AIR DECOMPRESSION TABLE Total Time Depth Bottom (feet) time first (mln) (mlrcsec) 5 230 10 15 20 25 30 40 50 5 240 10 15 20 25 30 40 50 Decompression stops to decompression (feet) stop 130 120 110 100 90 80 70 60 3:40 3:20 3:20 3:10 3:10 3:00 2:50 2:50 1 5 3:50 3:30 3:30 3:20 3:10 3:10 3:00 2:50 50 40 30 20 1 2 time 10 (mlnrsec) 3 6 18 5 12 8 22 22 23 34 26 37 24 51 89 3 6 4 6 21 6 15 24 22 25 40 56 75 94 2 7 2 4 8 12 15 14 16 5:50 12:50 30:50 48:50 2 6 7450 99:50 56:50 202:50 51 74 1 6:00 14:00 35:00 53:00 82:00 109:00 167:00 218:00 2 1 1 4 3 8 1 7 15 3 4 8 9 15 22 17 16 39 29 51 Total Depth Bottom (feet) time (mln) 250 5 10 15 20 25 30 40 60 90 120 180 240 260 5 10 15 20 2b 30 40 b 270 10 15 20 25 30 40 Time first Decompression stops to decompression (feet) time stop (mln:sec) 3:50 3:40 3:30 3:30 3:20 3:20 3:10 2:40 2:10 1:50 1:30 1:30 200 190 180 170 160 150 140 130 120 110 100 90 80 70 60 50 40 1 5 4 14 21 10 10 22 8 10 1U 10 22 24 4U 22 10 10 24 41) 10 16 32 42 10 1U 24 42 bb 10 1U 24 44 /b 4:00 3:50 3:40 3:30 3:30 3:20 3:10 10 2 6 9 12 4 7 7 17 22 30 20 10 (min:sec) 1 1 4 2 7 7:10 16:10 38:10 59:10 92:10 116:10 178:10 298:10 514:10 4 7 7 17 24 45 23 59 45 79 64 164 98 186 10 17 19 36 28 44 68 36 48 64 94 142 187 60 84 114 122 142 187 98 100 114 122 142 187 28 1 4:10 4:00 3:50 3:40 3:30 3:30 3:20 22 27 2 2 4 1 4 / 3 8 11 2 6 b 11 8 1b 19 iy 4 1U 20 23 26 4y 1 2 3 3 b b 11 l 22 31 bU 61 84 3 2 b 11 3 3 4 11 y 21 8 13 22 22 23 2/ 24 35 53 b4 51 8b 12 1 2 9 / 684:10 931:10 1109:10 7:20 19:20 42:20 67:20 99:20 126:20 190:20 8:30 22:30 46:30 74:30 106:30 138:30 204:30 i Source: U.S. Navy (1988) B-28 NOAA Diving Manual — October 1991 USN Air U.S. Decompression Tables NAVY STANDARD AIR DECOMPRESSION TABLE Total Depth Bottom (leet) time (min) 280 Time first (mln:sec) 5 4:20 10 400 15 3:50 3:50 3:40 3:30 3:20 20 25 30 40 5 290 10 15 20 25 30 40 5 300 Decompression stops to 10 15 20 25 30 40 60 90 120 180 (feet) stop 200 190 180 170 160 150 140 130 120 110 100 80 90 60 50 40 30 20 decompress!) time 10 (mln:sec) 840 2 2 4 1 4:30 4:10 4:00 4:00 3:50 3:40 3:30 1 3 3 4 7 16 13 17 22 21 2 b 1 3 7 6 6 13 8 3 6 1 5 4:40 4:20 4:10 4:00 3:50 3:50 3:40 3:00 2:20 2:00 3 5 7 6 15 8 16 16 2 3 5 9 17 22 32 5 11 23 23 30 51 12 23 23 36 51 3 1 2 3 2 5 7 9 14 15 10 24 6 10 24 34 56 42 82 4 4 6 1:40 8 4 8 3 8 8 8 14 8 8 20 10 8 10 10 21 21 28 8 14 10 10 24 40 10 10 24 10 16 24 40 48 3 7 6 8 17 17 32 64 102 114 28 34 48 58 66 98 100 6 3 1 13 26 39 56 70 93 25:40 49:40 81:40 113:40 150 40 218:40 3 9 16 26 43 60 72 95 29 52 89 120 162 228 3 17 6 15 26 10 23 47 19 26 61 22 39 75 34 51 90 50 90 187 90 142 187 122 142 187 122 142 187 11:00 32:00 57:00 97:00 129:00 172:00 231:00 460:00 693:00 890:00 1168:00 Source: U.S. Navy (1988) NO-DECOMPRESSION LIMITS AND REPETITIVE GROUP DESIGNATION TABLE FOR NO-DECOMPRESSION AIR DIVES No-decom Group Designation pression Depth limits (feet) (min) 20 25 30 35 40 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 October 1991 F 60 35 25 20 10 15 15 310 200 100 60 50 40 30 25 20 15 10 10 5 5 120 70 50 35 30 15 15 10 10 5 5 5 5 210 110 75 55 45 25 25 15 15 10 10 10 7 5 5 5 5 300 160 100 75 60 40 30 25 20 15 15 12 10 10 10 8 7 225 135 100 75 50 40 30 25 20 20 15 15 13 12 10 10 350 180 125 95 60 50 40 30 30 25 20 20 15 15 G H 240 160 120 80 70 50 40 35 30 25 22 20 325 195 145 100 80 60 50 40 35 30 25 I 245 170 120 100 70 55 45 40 M J 315 205 140 110 80 60 50 250 160 130 90 310 190 150 100 220 170 2/0 200 310 5 5 5 5 Source: U.S. Navy (1988) 5 — NOAA Diving Manual B-29 Appendix B RESIDUAL NITROGEN TIMETABLE FOR REPETITIVE AIR DIVES Locate the diver's repetitive group designation from his previous dive along the diagonal line above the table. Read horizontally to the interval in which the diver's surface Interval lies. Next read vertically downward to the new repetitive group designation. Continue downward in this same column to the row which represents the depth of the repetitive dive. The time given at the intersection is residual nitrogen time, to the repetitive dive. in 12:00* 0:10 1:39 1:40 2:49 2:50 12:00* 0:10 1:09 1:10 2:38 2:39 5:48 5:49 12:00* 0:10 0:54 0:55 1:57 1:58 3:22 3:23 6:32 6:33 12:00* 0:10 0:45 0:46 1:29 1:30 2:28 2:29 3:57 3:58 7:05 7:06 12:00* 0:10 0:40 0:41 1:16 1:59 2:00 2:58 2:59 4:25 4:26 7:35 7:36 12:00* 0:10 0:36 0:37 1:06 1:07 1:42 2:23 2:24 3:20 3:21 1:41 4:49 4:50 7:59 8:00 12:00* 4& ** y *# A° <$ 0:10 0:33 0:34 0:59 1:00 1:29 1:30 2:02 2:03 2:44 2:45 3:43 3:44 5:12 5:13 8:21 8:22 12:00* JFc& ** 7 0:10 0:22 0:10 0:31 0:32 0:54 0:55 1:19 1:20 1:47 1:48 2:20 2:21 3:05 4:02 4:03 5:40 5:41 8:41 8:40 12:00* y y ^y 1:15 3:04 y 2:11 0:10 0:28 0:29 0:49 0:50 1:12 1:35 1:36 2:03 2:04 2:38 2:39 1:11 3:21 3:22 4:19 4:20 5:48 5:49 8:58 8:59 12:00* 0:10 0:26 0:27 0:45 0:46 1:04 1:05 1:25 1:26 1:49 1:50 2:19 2:20 2:53 2:54 3:36 3:37 4:35 4:36 6:02 6:03 9:12 9:13 12:00* 0:10 0:25 0:26 0:42 0:43 0:59 1:00 1:18 1:19 1:39 1:40 2:05 2:06 2:34 2:35 3:08 3:09 3:52 3:53 4:49 4:50 6:18 6:19 9:28 9:29 12:00* 0:10 0:24 0:25 0:39 0:40 0:54 0:55 1:12 1:30 1:31 1:11 1:53 1:54 2:18 2:19 2:47 2:48 3:22 3:23 4:04 4:05 5:03 5:04 6:32 6:33 9:43 9:44 12:00* 0:10 0:23 0:24 0:36 0:37 0:51 0:52 1:07 1:08 1:24 1:25 1:43 1:44 2:04 2:05 2:29 2:30 2:59 3:00 3:33 3:34 4:17 4:18 5:16 5:17 6:44 6:45 9:54 9:55 12:00* 0:23 0:34 0:35 0:48 0:49 1:02 1:03 1:18 1:19 1:36 1:37 1:55 1:56 2:17 2:18 2:42 2:43 3:10 3:11 3:45 3:46 4:29 4:30 5:27 5:28 6:56 6:57 10:05 10:06 12:00* N M L F E c B A V k/ \J 88 39 25 17 13 39 11 5 4 ~5 S\ y y y \* ** 8 *? J* change. y A*M* vx* If no Residual Nitrogen Time is given, then the repetitive group does not 0:10 12:00* 0:10 2:10 minutes, to be applied Dives following surface intervals of more than 12 hours are not repetitive dives. Use actual bottom times in the Standard Air Decompression Tables to compute decompression for such dives. ** y > J H j I NE:w REPETITIVE DIVE \ DEPTH 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 \/J ** ** ** 257 169 122 100 84 73 64 57 52 46 42 40 37 35 32 31 V V ** ** ** 241 160 117 ** ** 469 213 142 107 96 80 70 62 55 50 44 40 38 36 34 87 73 64 31 30 57 51 46 40 38 35 33 31 29 28 \J ** ** 349 187 124 97 80 68 58 52 47 43 38 35 32 31 29 27 26 V V ** ** ** ** 279 229 138 161 111 88 72 61 53 48 42 39 35 32 30 28 26 25 24 99 79 64 54 47 43 38 35 31 29 27 26 24 22 21 GR OU P D ES IGNi\TI ON \/ V «* ** 190 ** 399 159 116 87 70 57 48 43 38 34 32 28 26 24 23 22 20 19 101 76 61 50 43 38 34 31 28 25 23 22 20 19 18 17 \J \J \J 279 ** 208 132 109 87 66 52 43 38 33 30 27 25 22 20 19 73 56 44 37 32 *• 18 17 16 15 29 26 24 V ** 159 88 ** 120 70 49 38 30 26 23 20 61 47 36 31 28 24 22 20 21 18 19 18 17 16 15 14 13 16 15 14 13 13 12 11 18 16 15 13 12 12 11 10 10 10 \J 279 88 54 37 29 24 20 18 16 14 13 12 11 10 9 9 8 8 8 159 62 39 25 21 17 18 12 7 6 15 13 9 8 11 7 10 10 7 6 9 6 3 3 8 6 3 7 6 5 5 4 2 2 2 6 6 6 4 2 4 4 2 2 7 4 3 3 RESIDUAL NITROGEN TIMES (MINUTES) Source: U.S. Navy (1988) B-30 NOAA Diving Manual —October 1991 USN Air Decompression Tables SURFACE DECOMPRESSION TABLE USING OXYGEN Time Time (min) breathing Time to Bottom Depth time stop or surface (feet) (min) (min:sec) 52 90 120 150 180 2:48 2:48 2:48 2:48 2:48 40 70 85 100 115 130 150 3:12 3:12 3:12 3:12 3:12 3:12 3:12 32 60 70 80 90 100 110 120 130 3:36 3:36 3:36 3:36 3:36 3:36 3:36 3:36 3:36 70 air at water stops (ft) first Surface 60 50 40 30 interval at 40-foot Total chamber stop decompression on oxygen time (min) Surface (min:sec) 2:48 23:48 31:48 39:48 47:48 15 23 31 39 LU 80 90 100 26 50 60 70 80 90 100 110 120 4:00 4:00 4:00 4:00 4:00 4:00 4:00 4:00 2:48 22 40 50 60 70 80 90 100 110 4:24 4:24 4:24 4:24 4:24 3:12 3:12 3:12 3:12 3:12 23:12 29:12 35:12 40:12 46:12 53:12 o X o o z 0_ o Iw < X o 14 20 25 30 34 o 39 43 48 °u-x Sg| hco en Q- O Ico EC LU 3 z 3:36 23:36 29:36 34:36 39:36 43:36 48:36 52:36 57:36 cotr< 14 20 26 32 38 44 49 53 Z 5: in 33 3 OCJ 3 10 10 10 C/3 CC n 3 3 00 00 00 00 00 00 00 00 3 3 3 3 i CD 3 26 39 48 56 69 8 14 18 23 O X LU O 1— z 3 3 LU o 3 14 i- 3 3 7 w hi Q in 3 10 7 3 3 3 (min) 11 3 3 3 41 4 6 8 9 13 19 47 52 56 < iCC LL o t— o I- 26 32 rr LU 61 72 79 10 17 o 3 3 23 3 31 7 39 46 53 11 13 17 19 26 32 56 63 69 77 7 18 25 30 40 48 54 61 68 74 40 50 15 24 28 39 48 57 66 72 78 60 70 80 90 100 110 120 — NOAA 10 3 40 50 60 70 80 90 100 110 120 130 30 40 50 60 70 80 90 100 Chamber stops water stops (min) Depth 40 30 30 30 20 20 20 20 7 1 7 12 15 3 21 3 18 26 36 48 23 23 30 37 57 64 72 decompression time (mlnrsec) 14:30 18:30 22:30 26:30 12:40 17:40 28:40 36:40 42:40 47:40 54:40 14:50 21:50 33:50 46:50 55:50 63:50 80:10 16:00 22:00 26:00 31:00 41:00 52:20 59:20 66:20 72:20 78:20 93:20 106:20 18:10 25:10 31:10 42:30 54:30 65:30 74:30 81:30 90:30 126:30 146:30 15:20 26:20 33:20 45:40 71:40 89:40 101:40 114:40 137:40 156:40 23:30 35:50 45:50 64:50 99:50 111:50 124:50 155:50 177:50 15:40 33:00 43:00 78:00 101:00 116:00 142:00 167:00 Source: U.S. Navy (1988) Diving Manual B-33 — 1 Appendix B SURFACE DECOMPRESSION TABLE USING AIR Total Bottom Time time first (feet) (min) (min:sec) 25 30 40 50 60 70 80 90 100 1:50 1:50 1:40 1:40 1:30 1:30 1:30 1:30 1:30 25 30 40 50 60 70 80 90 2:00 1:50 1:50 1:40 1:40 1:40 1:30 1:30 20 25 30 40 50 60 70 80 2 10 2 00 2 00 20 25 30 40 50 60 70 80 2:10 2:10 2:10 2:00 2:00 1:50 120 130 Time to Depth at 50 40 30 20 10 Surface (air) Interval 20 3 15 22 9 15 19 23 27 23 45 37 ii 3 8 21 9 16 19 19 23 i I— 10 3 ^ -^ 5 24 35 45 (mln:sec) 10 5 15 25 22 23 27 37 45 45 55 63 74 80 3 10 18 3 3 time (min) 6 14 3 2 decompression Chamber stops water stops (min) stop 10 21 14:50 22:50 39:10 67:10 97:10 116:10 138:10 173:10 189:10 31 19:00 30:20 51:20 25 37 52 10 23 24 35 61 LU 45 80 3 6 14 5 21 16 26 44 56 68 79 8820 113:20 131:20 170:20 203:20 72 f 1 140 150 160 170 190 1 1 1 1 1 2 16 6 50 16 24 23 32 40 40 15 2:30 2:30 2:20 2:20 2:10 2:10 2 00 2 00 25 30 40 50 60 20 25 30 40 50 60 15 20 25 30 40 50 60 4 10 2:40 2:30 2:30 2:30 2:20 2:10 2:10 2:50 2:40 2:40 2:30 2:30 2:20 2:20 19 23 41 3 3 :50 1:40 2:20 2:20 2:10 2:10 2:00 2:00 1:50 20 3 5 50 50 20 25 30 40 50 60 70 15 180 1 3 1 1 17 5 12 19 19 19 4 8 19 23 26 39 50 3 7 2 7 2 9 17 16 19 22 2 4 1 5 2 8 15 17 3 9 16 4 10 8 13 17 13 6 14 19 19 8 14 22 19 11— 24 23 32 1- LU CD 2 < LZ r-\ H Q_ O w | n 1 1- < > > w 2 O DC LL 41 3 4 8 19 23 26 39 50 3 7 11 23 23 33 44 24 33 51 62 75 84 5 4 15 7 23 26 45 51 _i 51 86 3 5 h- 3 5 6 17 10 17 10 17 23 30 23 30 44 24 27 50 65 2 < 1— 44 23:50 40:50 55:50 98:50 125:50 169:50 214:50 11 20 25 39 55 69 80 1— LU 19:40 31:40 46:40 82:40 115:40 142:40 189:40 227:40 7 3 13 15:10 26:30 37:30 66:30 104:30 124:30 161:30 200:30 17 23 23 37 19 2 5 1 3 4 7 22 3 5 23 23 33 44 23 23 37 10 18 1 2 11 X 18:00 30:00 46:00 63:00 109:00 137:00 194:00 239:00 61 74 19:10 35:10 54:10 74:10 120:10 162:10 216:10 81 4 6 4 7 6 11 11 20 25 19 19 32 23 33 50 23 33 50 55 22:20 41:20 59:20 86:20 130:20 184:20 237:20 72 84 Source: U.S. Navy (1988) B-34 NOAA Diving Manual — October 1991 Page APPENDIX C TREATMENT FLOWCHART AND RECOMPRESSION TREATMENT TABLES Introduction C-l Diving Accident Treatment Flowchart C-l Recompression Treatment Tables C-l « < APPENDIX C TREATMENT FLOWCHART AND RECOMPRESSION TREATMENT TABLES INTRODUCTION Diving Accident Treatment Flowchart This appendix contains a Diving Accident Treatment Flowchart and a number of treatment tables used to recompress divers who have experienced decompression sickness or arterial gas their diving activities. embolism as a result of The information in this appenrecommended by the dix reflects treatment procedures NOAA Diving Safety Board* and taught in the NOAA The flowchart shown decide how observed; a medical diagnosis sources, including the U.S. the flowchart Navy, NOAA, used to begin. is is not required for treat- Explanatory material to be used with shown on the facing page. the tables in this appendix have been widely and have been shown to be safe and Table C-l lists these recompression tables and describes their application. Recompression Treatment Tables The recompression treatment by the *The material Use of the and private compa- in the field effective. a decision tree best to treat stricken divers. many nies. All of is decision tree requires only that the diver's condition be ment Navy, the Royal Figure C-l Diving Emergency Medical Technicians, chamber operators, and other health care professionals who must Diving Program. The tables presented here derive from foreign organizations, in designed to aid dive supervisors, diving physicians, in this appendix derives from C. Gordon Daugherty's Field Guide for the Diving Medic. October 1991 — NOAA Diving Manual NOAA tables recommended Diving Safety Board are shown on the following pages. Instructions for the use of these tables appear with each table and should be followed precisely. C-1 Appendix C Figure C-1 Diving Accident Treatment Flowchart i START— 1 Are 1. symptoms Stay at 60 fsw 2. life- on O2 threatening? (note E) for 20 min. 3. 14. Was of dive/blow up -N-i deeper than 165 fsw? 15. Go hours of onset? cycles X 6. Dive: within 5 Give patient a 5 min. air break, followed by 2 If pain-only, 10 min., use USN 5 depth of relief + 33 fsw, but not deeper than dive. Blowup: go to depth of dive + 1-2 ATA. Use Lambertsen 7-A or other 7. If min., use USN 6 10. 9. Goto Is patient cured? If symptoms are serious, use USN 6 with 230 fsw on air, then use RN 71 -air symptoms sat. table (note D) 17. more O2 are serious or pain relief takes more than 10 relief in to 5. patient treated available? 16. Was 4. helium/oxygen Is patient Is cured? depth N Use 11. USN 6 extensions 18. 12. Compress 19. Is 13. i Use 6 with extensions patient cured much improved? 20. Follow 28. Stay at USN 165 feet 6-A Did deterioration occur when traveling to/at 60 fsw 21 patient USN (note A) or Is improving? (note G) on air to 165 fsw for 30 min. . 29. rw Was patient cured or much improved in 2 nrs. or less? 22. Are symptoms life- threatening 30. or major? to 27. 23. USN Compress 24. Is there definite improvement? Follow CX 30 or 30-A to 60 fsw, then use USN 6 with all extensions 25. CX 6-A (no . up 60 fsw, then 6 with May to 4 hold hrs., then: USN extensions (note H) deterioration) or 100 fsw up to 5 min. to Y- Complete 31 Use USN 4 a 6-A with extensions (minor 32. Is pure deterioration.) available? (note F) Return to 165 fsw 26. nitrogen Use RN 71-72 to 100 fsw, then nitrox 34. 33. surface (notes B, C) sat. to — OR- Use RN 71-72, table 7-A, or other air sat table to surface (notes B, C) Courtesy C-2 NOAA Diving Manual C Gordon Daugherty —October 1991 i Treatment Flowchart and Recompression Treatment Tables Flowchart Comments Flowchart Step Number 1 - The step first is to decide the victim's if life is potentially in danger as a threatening, the best immediate decision considered serious, are not life threatening.) situation potentially is life oxygen period serves to separate cases is to result of shock, convulsions, or unconsciousness. If the recompress deep. (Note that spinal symptoms, while minor bends from more serious cases. 2,3 - Evaluation after the 4 - Fresh cases usually respond to standard treatment; delayed cases usually benefit from longer treatment. 5 - This step completes the 60-fsw stop on 6 - This is the standard use for 7 - This is the standard use for 8 - In 9 - This is - End of the 11 - This is 12 - - 14 - USN USN USN Table 5. Table 6. Table probably the minimum treatment 60-fsw stop on Table for 6; this is of 6. delayed cases, joint pains do not always clear completely; mal, Table 6 is probably adequate. 10 13 first some mild soreness often remains. If the neurologic exam is nor- a delayed case with serious symptoms. a good time to estimate the probability of the table's success. the appropriate treatment for a diver who is cured at this point. The question here concerns the improving diver versus the diver showing no improvement. Where there is no improvement, there is a question whether more depth will offer benefit, but this cannot be answered in advance. Long-delayed cases have a poor cure rate with any treatment. Many authorities prefer aggressive use of oxygen at 60 and 30 fsw, even on a daily basis. Assuming that a saturation treatment can be managed, it is probably advisable to go deeper. Depending on the original problem and the degree of improvement, the table can be extended at 60 fsw, 30 fsw, or both. A diver who is improving at 60 fsw usually continues to improve at 30 fsw. All other factors being equal, the more oxygen the better. a diver with a life-threatening symptom, the In tables to be used for treatment; going deeper 15 - 16 - 17 - 18 - If the depth is decision is how deep to go; going down to 165 fsw allows the standard probably require the use of a saturation table. first will deeper than 165 fsw, both heliox and chambers that are rated for the necessary depth are generally available. For a bends case, it is usually not necessary to go deeper than the dive, and the depth of relief is often shallower. Adding 33 fsw (1 atmosphere) to the depth of relief provides a margin of safety. In a blowup, bubbles may continue to form, even at the depth of the dive. Therefore, blowup cases should be compressed to the depth of the dive plus 1 or 2 ATA. If helium/oxygen is not available but the depth of the dive was greater than 165 fsw, the dive was probably a deep air dive with a short bottom time. Royal Navy Table 71 goes to 230 fsw; it can be followed in its entirety or be followed only to 60 fsw and then be replaced by USN Table 6. Cases at this step involve (1) a life-threatening accident at a depth less than 165 fsw (an embolism, for example) or serious bends case that shows no improvement after the 60-fsw stop on USN Table 6. 19 - As the treatment approaches the 30-minute bottom time on USN Table 6A, the 20 - This 21 - Deterioration while traveling to 60 fsw 22 - Significant deterioration requires further steps; a minor is the standard use of USN diver's response to depth (2) a must be evaluated. Table 6A. is a common dilemma in amount embolism cases. can be tolerated because of deterioration it will resolve as treat- ment continues. may 23 - If 24 - Evaluate the diver after a short time at 100 fsw. 25 - 26 - If there is no improvement at 27 - If there is no deterioration, this is the deterioration is significant, it not be necessary to return all If 100 fsw is sufficient, one of the Comex tables can be followed be followed to 60 fsw, after which USN Table 6 is followed. 100 fsw, the only choice standard use of is the 165 fsw. to for the entire to return to USN way Table 6A. course of treatment or one of these tables can 165 fsw. If there is minor deterioration, the extensions should be used. may be unchanged or be improving 28 - At this step, the diver's condition 29 - At this step, it will be possible to see either that the diver did not improve adequately after 30 minutes at 165 fsw or that the diver deteriorated during travel to 60 fsw and it was therefore necessary to return to 165 fsw. A bottom time of 2 hours or less at 165 fsw will still allow decompression to be conducted with standard tables. 30 - Table 4 will either allow safe travel to 60 fsw, where tion is unlikely, but this table is likely to 31 - 32 - 33 - 34 - USN Table 6 is after 30 minutes at 165 fsw. substituted (with extensions). Deterioration bend the tender, who should be put on oxygen, along with the in the diver's condi- diver, at 60 fsw. a decision is made not to decompress after 2 hours, it may be possible to hold for as long as 4 hours, depending on the diver's previous oxygen exposure. Many authorities would commence saturation decompression after 2 hours. If Self-explanatory. This method has been used successfully in hospital-based treatment chambers, usually with a long hold at 100 fsw. The diver's nitrogen loading necessitates a long decompression. An alternative approach is vent a hold at 100 fsw on pulmonary oxygen October 1 99 1 to air, continue any standard saturation decompression. Although previous oxygen exposure may prevery long holds (days) are possible in the range of 60-80 fsw and are limited only by symptoms of toxicity. — NOA A Diving Manual Source: c Qordon Daugher(y (igfl3) C-3 Appendix C Table C-1 List of Recompression Tables and Their Applications ., Treatment Table Type USN5 Oxygen Treatment of Table mamm m i Application of Pain-Only (Type I) Decompression Sickness Treatment of pain-only (Type I) decompression sickness cases where symptoms are relieved within 10 minutes a pressure (depth) of 60 fsw (18.3 msw). in at USN6 Oxygen Treatment USN6A Air USN7 Oxygen/Air Treatment of Unresolved or Worsening Symptoms of Decompression Sickness or Arterial Gas Embolism This table USN 1A Treatment of Pain-Only (Type I) Decompression Sickness 100 fsw (30 msw) Treatment Treatment of pain-only (Type I) decompression sickness in cases where oxygen is unavailable and the pain is relieved at a pressure (depth) shallower than 66 fsw (20 msw). USN2A Air Treatment Decompression (50 msw) Treatment of pain-only (Type I) decompression sickness cases where oxygen is unavailable and pain is relieved a pressure (depth) deeper than 66 fsw (20 msw). USN 3 of Serious (Type Decompression Sickness and Oxygen Treatment Gas Embolism II) of Arterial Air — of Pain-Only (Type I) fsw Sickness— 165 Treatment of Serious (Type II) Decompression Sickness or Arterial Gas Embolism Air Treatment of serious decompression sickness (Type II) or of pain-only (Type I) decompression sickness in cases where symptoms are NOT relieved within 10 minutes at a pressure (depth) of 60 fsw (18.3 msw). Treatment of gas embolism. This table is to be used only in cases where it is not possible to determine whether the symptoms are caused by arterial gas embolism or by serious decompression sickness. is to be used only in cases that are life threatening and that have not resolved after treatment on USN Table 4, 6, or 6A. in at Treatment of serious (Type II) decompression sickness or arterial gas embolism in cases where oxygen is unavailable and symptoms are relieved within 30 minutes at a pressure (depth) of 165 fsw (50 msw). USN Air Treatment of Serious (Type II) Decompression Sickness or Arterial Gas Embolism Treatment of symptoms that have worsened during the first 20-minute oxygen breathing period at a pressure (depth) of 60 fsw (18.3 msw) on Table 6, or for treatment in cases where symptoms are not relieved within 30 minutes at a pressure (depth) of 165 fsw (50 msw) when Table 3 is used. COMEX CX 30 Helium - Oxygen or Nitrogen - Oxygen Treatment of Vestibular or Neurological (Type II) Decompression Sickness Treatment of vestibular or serious (Type II) decompression sickness that occurs either after a normal or a shortened decompression. To be used in cases where the patient shows deterioration at a pressure (depth) of 60 fsw (18.3 msw) on USN Table 6A but shows good improvement when brought to a pressure (depth) of 100 fsw (30 msw). COMEX CX 30A Air Treatment of Pain-Only (Type I) Decompression Sickness When Oxygen Poisoning Has Occurred Treatment of pain-only (Type I) decompression sickness in cases where the stricken diver shows signs of oxygen poisoning. To be used in cases where the patient shows deterioration at a pressure (depth) of 60 fsw (18.3 msw) on USN Table 6A but shows good improvement when brought to a pressure (depth) of 100 fsw (30 msw). ROYAL NAVY OR 72 Air Decompression Sickness Treatment of decompression sickness or arterial gas embolism to be used in cases where patient remains in poor 4 71 Treatment of Gas Embolism in Cases Where Decompression Depths Greater Than 165 fsw (50 msw) Are Needed and Mixed Gas Is Not Available or Arterial condition after 2 hours at a pressure (depth) of 165 fsw msw) and slow decompression is desired or in cases where a pressure (depth) greater than 165 fsw (50 msw) is needed and mixed gas is not available. (50 LAMBERTSEN/ SOLUS OCEAN SYSTEMS Air-Oxygen TABLE 7A or for Symptoms Developing at Pressure (Depths) Greater Than 165 fsw (50 msw) in cases where patient develops symptoms while under pressure or where decompression sickness develops at pressures (depths) greater than 165 fsw (50 msw) or where extended recompression is necessary because symptoms have failed to resolve. MODIFIED NOAA NITROX Nitrox Treatment Table for Serious Decompression Sickness Cases Where Use in hospital chambers in severe cases of decompression sickness with delayed access to treatment. SATURATION Treatment Treatment Table for Decompression Sickness That Develop Under Pressure Symptoms of Serious Was Use Delayed TREATMENT TABLE C-4 NOAA Diving Manual —October 1991 Treatment Flowchart and Recompression Treatment Tables U.S. Navy Treatment Table 5 Descent Rate = 25 Ft./Min. Ascent Rate = 1 Ft./Min. Q. Q OXYGEN TREATMENT OF TYPE DECOMPRESSION SICKNESS I 1. Treatment of Type I decompression sickness when symptoms are relieved within 10 minutes at 60 feet and a complete neurological exam is normal. 2. Descent rate 3. Ascent rate ft/min. 1 not compensate for slower ascent rates. Compensate for faster rates by halting — 25 ft/min. — Do 7. Tender breathes air throughout unless he/she has had a hyperbaric exposure within the past 12 hours, in which case he/she breathes oxygen at 30 feet. Total Depth Time Breathing Elapsed Time (feet) (minutes) Media (hrs:min.) 60 60 60 20 Oxygen 0:20 0:25 0:45 the ascent. 4. 5. 6. Time at 60 feet begins on arrival at 60 feet. If oxygen breathing must be interrupted, allow 15 minutes after the reaction has entirely subsided and resume schedule at point of interruption. oxygen breathing must be interrupted at 60 feet, switch to Table 6 upon arrival at the 30 foot stop. If 60 to 30 30 30 30 30 toO 5 20 30 5 20 5 30 Air Oxygen Oxygen 1:15 Air 1:20 Oxygen 1:40 Air 1:45 2:15 Oxygen Source: October 1991 — NOAA Diving Manual US Navy (1985) C-5 Appendix C U.S. Navy Treatment Table 6 i Descent Rate = 25 Ft./Min. rr Ascent Rate = 1 Ft./Min. Total Elapsed Time: 285 Minutes (Not Including 50 Descent Time) 40- 30 Q. a 20 10 20 2.4 20 5 5 20 5 30 60 15 15 Time (minutes) OXYGEN TREATMENT OF TYPE Treatment of Type ness or II when symptoms Type I II DECOMPRESSION SICKNESS decompression sick- are not relieved within 10 min- more than one extension oxygen breathing for the utes at 60 feet. —25 ft/min. — Do Descent rate Ascent rate 1 ascent rates. Compensate ft/min. either 60 or 30 feet, the tender breathes oxygen during the ascent from 30 feet to the surface. If not compensate for slower for faster rates is done, the tender begins hour at 30 feet during last ascent to the surface. by halting Total the ascent. Time 6. 60 feet begins on arrival at 60 feet. If oxygen breathing must be interrupted, allow 15 minutes after the reaction has entirely subsided and resume schedule at point of interruption. Tender breathes air throughout unless he/she has had a hyperbaric exposure within the past 12 hours, in which case he/she breathes oxygen at 30 feet. Table 6 can be lengthened up to 2 additional 25 minute oxygen breathing periods at 60 feet (20 minutes on oxygen and 5 minutes on air) or up to 2 additional 75 minute oxygen breathing periods at 30 feet (15 minutes on air and 60 minutes on oxygen), or both. If Table 6 is extended only once at at Depth Time Breathing Elapsed Time (feet) (minutes) Media (hrsrmin.) 60 60 60 60 60 60 20 Oxygen 60 to 30 30 30 30 30 30 toO 30 Oxygen 1:45 15 Air 60 Oxygen 2:00 3:00 3:15 4:15 4:45 5 20 5 20 5 Air 0:20 0:25 0:45 0:50 Oxygen 1:10 Air 1:15 Air Oxygen 15 Air 60 30 Oxygen Oxygen Source: US Navy (1985) ( C-6 NOAA Diving Manual — October 1991 Treatment Flowchart and Recompression Treatment Tables U.S. Navy Treatment Table 6A Descent Rate = As Fast As Possible Ascent Rate = 26 Ft./Min. Total Elapsed Time: 319 Minutes a. a> o Time (minutes) INITIAL AIR 1. AND OXYGEN TREATMENT OF ARTERIAL GAS EMBOLISM Treatment of arterial gas embolism where com- If pression sickness. physician before switching — rate — 3. Ascent 1 ft/min. Do not compensate for slower ascent rates. Compensate for faster ascent rates by halting the ascent. Time at 165 feet includes time from the surface. If oxygen breathing must be interrupted, allow 15 minutes after the reaction has entirely subsided and resume schedule at point of interruption. Tender breathes oxygen during ascent from 30 feet to the surface unless he/she has had a hyperbaric exposure within the past 12 hours, in which case he/she breathes oxygen at 30 feet. Table 6A can be lengthened up to 2 additional 25 minute oxygen breathing periods at 60 feet (20 minutes on oxygen and 5 minutes on air) or up to 2 additional 75 minute oxygen breathing periods at 30 feet (15 minutes on air and 60 minutes on oxygen), or both. If Table 6A is extended either at 60 or 6. 7. the tender breathes oxygen during the last Use also when unable to determine whether symptoms are caused by gas embolism or severe decomDescent rate 5. feet, half at 30 feet and during ascent to the surface. 2. 4. 30 plete relief obtained within 30 min. at 165 feet. October 1991 complete 165 feet, relief is not obtained within 30 min. at switch to Table 4. Consult with a hyperbaric if possible. as fast as possible. — — NO A A Diving Manual Total Depth Time Breathing Elapsed Time (feet) (minutes) Media (hrs:min.) 165 165 to 60 30 Air 4 Air 60 60 60 60 60 60 20 Oxygen Air 0:30 0:34 0:54 0:59 Oxygen 1:19 60 to 30 30 30 30 30 30 30 toO 5 20 5 20 5 Air 1:29 Oxygen 1:44 Air 1:49 Oxygen 2:19 2:34 3:34 3:49 4:49 5:19 15 Air 60 Oxygen 15 Air 60 30 Oxygen Oxygen Source: US Navy (1985) C-7 Appendix C U.S. Navy Treatment Table 7 minimum No maximum limit 12 hrs 3 ft/hr —2 ft every 40 min 4 hrs stop ascent 1 ft/min 1 24.00 30.00 36.00 j 32.00 16.00 Time (hours) OXYGEN/AIR TREATMENT OF UNRESOLVED OR WORSENING SYMPTOMS OF DECOMPRESSION SICKNESS OR ARTERIAL GAS EMBOLISM 1. 2. Used for treatment of unresolved life threatening symptoms after initial treatment on Table 6, 6A, or 4. Use only under the direction of or in consultation 6. mum CO2 with a hyperbaric physician. 3. 4. 5. Table begins upon arrival at 60 feet. Arrival at 60 feet accomplished by initial treatment on Table 6, 6A, or 4. If initial treatment has progressed to a depth shallower than 60 feet, compress to 60 feet at 25 ft/min to begin Table 7. Maximum duration at 60 feet unlimited. Remain at 60 feet a minimum of 12 hours unless overriding circumstances dictate earlier decompression. Patient begins oxygen breathing periods at 60 feet. Tender need breathe only chamber atmosphere throughout. If oxygen breathing is interrupted, no lengthening of the table is required. Minimum chamber O2 concentration 19%. Maxi- concentration 1.5% SEV (12 mmHg). internal temperature 85 °F. Decompression starts with a 2 foot upward excursion from 60 to 58 feet. Decompress with stops every 2 feet for times shown in profile below. Ascent time between stops approximately 30 sec. Stop time begins with ascent from deeper to next shallower step. Stop at 4 feet for 4 hours and then ascend to Maximum chamber 7. the surface at 8. 1 ft/min. Ensure chamber life support requirements can be met before committing to a Treatment Table 7. Source: US Navy (1985) ( C-8 NOAA Diving Manual — October 1991 Treatment Flowchart and Recompression Treatment Tables U.S. Navy Treatment Table 1A Descent Rate = 25 Ft./Min. 100 Ascent Rate = 1 Min. Between Stops Total Elapsed Time: 380 Minutes Q. 0) Q AIR 1. TREATMENT OF TYPE DECOMPRESSION SICKNESS— 100-FOOT TREATMENT I Treatment of Type I decompression sickness when oxygen unavailable and pain is relieved at a depth less than 66 feet. — 25 ft/min. — minute between — includes time from the 100 2. Descent rate 3. Ascent rate 4. Time 5. If the piping configuration of the allow at it stops. l feet to return to 10 foot stop in the surface. chamber does not atmospheric pressure from the l minute specified, disregard the additional time required. Total Depth Time Breathing Elapsed Time (feet) (minutes) Media (hrs:min.) 0:30 0:43 1:14 100 30 Air 80 60 50 40 30 20 12 Air 30 30 30 60 60 Air 10 120 Air ° 1 Air 1:45 2:16 3:17 4:18 6:19 6:20 Air Air Air Air Source: October 1991 — NOAA Diving Manual US Navy (1985) C-9 Appendix C U.S. Navy Treatment Table 2A Descent Rate = 25 Ascent Rate = 1 Ft./Min. Min. Between Stops Total Elapsed Time: 659 Minutes Q. 0) Q Time (minutes) AIR 1. 2. 3. 4. TREATMENT OF TYPE DECOMPRESSION SICKNESS— 165-FOOT TREATMENT 1 Treatment of Type I decompression sickness when oxygen unavailable and pain is relieved at a depth greater than 66 feet. Descent rate 25 ft/min. Ascent rate 1 minute between stops. Time at 165 feet includes time from the surface. — — — Total Depth Time Breathing Elapsed Time (feet) (minutes) Media (hrs:min.) 165 140 120 100 80 60 50 30 Air 12 12 12 12 Air 30 30 30 0:30 0:43 0:56 Air Air 1:09 1:22 Air Air 1:53 Air 2:24 2:55 4:56 6:57 10:58 10:59 40 30 20 120 120 Air 10 240 Air 1 Air Air Air Source: C-10 NOAA Diving Manual US Navy (1985) — October 1991 Treatment Flowchart and Recompression Treatment Tables U.S. Navy Treatment Table 3 Descent Rate = As Fast As Possible Ascent Rate = 1 Between Stops Min. Total Elapsed Time: 18 Hours 59 Minutes a a> a Time (minutes) AIR 1. TREATMENT OF TYPE II DECOMPRESSION SICKNESS OR ARTERIAL GAS EMBOLISM Treatment of Type II symptoms of arterial gas embolism when oxygen unavailable and symptoms are relieved within 30 minutes at 165 feet. 2. 3. 4. — — Descent rate as rapidly as possible. Ascent rate 1 minute between stops. Time at 165 feet include time from the surface. — Total Depth Time Breathing Elapsed Time (feet) (minutes) Media (hrs:min.) 165 30 min. Air 0:30 140 120 100 80 12 min. Air 0:43 12 min. Air 0:56 12 min. Air 1:09 12 min. Air 1:22 60 50 40 30 20 10 30 30 30 720 120 120 1 min. min. Air 1:53 min. Air 2:24 min. Air 2:55 min. Air 14:56 min. Air 16:57 min. Air 18:58 Air 18:59 Source: October 1991 — NOAA Diving Manual US Navy (1985) C-11 Appendix C U.S. Navy Treatment Table 4 i Descent Rate = As Fast As Possible Ascent Rate = 1 Between Stops Min. Total Elapsed Time: 36 hours 41 minutes hour at 165 FSW) to 38 hours 11 minutes (2 hours 165 FSW) (1/2 Patient begins oxygen breathing at 60 feet. Both patient and tenders breathe oxygen beginning 2 hours before leaving 30 feet. a. Q i Time (hours) OR AIR AND OXYGEN TREATMENT OF TYPE OR ARTERIAL GAS EMBOLISM AIR 1. Treatment of worsening symptoms during the first 20-minute oxygen breathing period at 60 feet on Table 6, or when symptoms are not relieved within 30 minutes at 165 feet using air treatment Table 3 or 6A. 6. 7. II DECOMPRESSION SICKNESS If switching from Treatment Table 6A at 165 feet, stay the full 2 hours at 165 feet before decompressing. Total — — — Descent rate as rapidly as possible. Ascent rate 1 minute between stops. Time 1 65 feet includes time from the surface. If only air available, decompress on air. If oxygen available, patient begins oxygen breathing upon arrival at 60 feet with appropriate air breaks. Both tender and patient breathe oxygen beginning 2 hours before leaving 30 feet. Ensure life support considerations can be met before committing to a Table 4. Internal chamber temperature should be below 85 °F. If oxygen breathing is interrupted, no compensatory lengthening of the table is Depth Time Breathing Elapsed Time (feet) (minutes) Media (hrs:min.) 165 140 120 100 80 60 50 40 30 20 10 Air 2:00 Vi hr. Air 2:31 1 Air 1 Air 3:02 3:33 4:04 10:05 16:06 1 /2 to 2 hr. /a hr. /2 hr. 1 /2 hr. 6hr. 6hr. 6hr. Air Air or Oxygen/Air 22:07 34:08 36:09 38:10 38:11 12 hr. 2hr. 2hr. 1 min. required. « C-12 NOAA Diving Manual —October 1991 Treatment Flowchart and Recompression Treatment Tables COMEX Treatment Table CX 30 Use — treatment of vestibular and general 1. logical Royal Navy Treatment Tables neuro- decompression sickness occurring after either 1. a normal or shortened decompression. — quickly —between 100 and 80 fsw— —between 80 and 60 fsw— 2. Descent rate 3. Ascent rate 1.5 min/ft. Time at Maximum 2. 3. 100 fsw does not include compression time. Descent rate Time Breathing Time (fsw) (minutes) Medium (hrsrmin) — 33 ft/min. if the rate cannot be controlled accurately during flushing of chamber. Total Depth be less than the above Ascent by continuous bleed. If rate is slowed, it must not be compensated for by subsequent acceleration. The ascent should be halted if rate is exceeded or Elapsed may pressures depths. as possible (2 or 3 minutes). as 1.5 min/ft. 4. 71 and 72 4. Oxygen may be administered periodically in selected cases, as advised. 5. Time maximum at pressure does not include com- pression time. 40 100 100-80 50-50** 5 25 80 80 80-60 50-50 5 25 1:13 1:18 1:43 Air 50-50 5 25 0:43 Air Depth (fsw) Air 50-50 Rate of Ascent Stops/ Ascent (ft/hr) 2:13 Royal Navy Table 71 Helium/Oxygen or Nitrogen/Oxygen Source: C. Gordon Daugherty (1983) 230 230-208 208-168 168-129 129-96 96-66 66-33 33-0 COMEX Treatment Table CX 30A Use — treatment of musculoskeletal decompression sickness when of oxygen poisoning are present. Descent — quickly minutes), using Ascent rate —continuous ascent the rates shown 30 min. 198 7 min. 2hrs. 20 10 6 5 3 4 hrs. 5 hrs. 6 hrs. 10 hrs. 20 1.6 hrs. Royal Navy Table 72 1. signs rate 2. as 165 164-129 (then as Table 71) as possible (2 to 3 air. 10 at 3. below. 4. 2 hrs.** 3 hrs. 40 min. Time at This period can be reduced 100 fsw does not include compression time. if symptoms Source: C clear earlier. Gordon Daugherty (1983) Total Elapsed Depth Time Breathing Time (fsw) (minutes) Medium (hrsrmin) 100 100-80 80-70 70-60 60 Air 1:03 6 Air 1:09 60 66 Air 2:09 3:15 Air Lambertsen/Solus Ocean Systems Treatment Table 7A 1. Use — for symptoms under pressure, for recompres- sion deeper than 165 fsw, or pression Source: C. Gordon Daugherty (1983) 2. is — — Descent rate minute. 3. where extended decom- necessary. Ascent rate as fast as possible, at least 25 fsw per varies according to treatment depth; refer to schedule. Do not compensate for slower rates; for faster rates, halt the ascent. October 1991 — NOAA Diving Manual C-13 Appendix C Modified NOAA Nitrox Saturation Treatment Table 4. oxygen breathing must be interrupted, allow 30 minutes after reaction subsides and resume If schedule at point of interruption. 5. Patient is — 55 1. Total decompression time 2. Decompression time between stops hrs. 30 min. = 10 minutes. held at treatment depth for 30 minutes as follows: On a) air — limit depth to 200 fsw, stay 30 minutes, go to 165 fsw On He/02 b) —g° in minute, and then follow table. 1 to depth of relief plus 33 not deeper than the dive. (fsw) Final treat- Varies ment depth (See 5, above) (See 5, above) 165 to 150 15 ft/hr. Chamber Breathing Atmosphere Gas Time (hrs:min) Air or Chamber 30 min. He/0 2 atmosphere, according to depth + ascent to 165 Air 1:00 Air ft. (4 min/(ft.) 150 to 100 10 ft/hr. Air Air 5:00 Air Residual 5:00 (6 min/ft.) 100 to 70 6 ft/hr. symptoms (10 min/ft.) Stop Breathing Mixture fsw but per foot), and then follow table. Ascent Rate at (hrs:min) (fsw) Hold 30 minutes, then go to 165 fsw at 15 fsw per hour (4 min. Depth Time Depth 30 min. to 90 100 90 85 80 75 70 65 60 55 50 45 40 40 35 30 25 20 Air ft. 00:50 01:20 01:30 01:40 01:50 02:00 06:00 02:20 02:40 02:40 00:10 02:30 02:30 12:00 02:00 02:20 02:40 02:30 02:40 15 10 5 Air Air Air Air Air Air Air Air Air Air Oxygen Air Air Air Oxygen/Air** Air Oxygen/Air** Air Air ( Oxygen delivered in 4 recurrent cycles and 50-50 — 25 min. 2 /5 min. air. Source: C. Gordon Daugherty (1983) nitrox available; 5 cycles of 30 min. nitrox, 30 min. air. Otherwise, breathe 70 to 60 4 ft/hr. air. 2:30 Air Air Air 5 cycles of (15 min/ft.) 60 to 40 4 ft/hr. 30 min. 30 min. (15 min/ft.) 40 to 30 4 air 2:30 Air Air ft/hr. 5:00 2, (15 min/ft.) 30 to 20 2 5:00 5 cycles of Air ft/hr. 30 min. 30 min. (30 min/ft.) 2, air (both patient and tender) 20 to 10 2 ft/hr. (30 min/ft.) Air Air 10 to 2 2 ft/hr. (30 min/ft.) Air 4 cycles of 30 min. 2 30 min. air 2 Air 2 toO ft/hr. Oxygen 5:00 4:00 , 1:00 (30 min/ft.) Total Time 165 Feet to Surface = i 36:00 Source: C. Gordon Daugherty (1983) C-14 NOAA Diving Manual — October 1991 Page APPENDIX D NOAA NITROX I AND DECOMPRESSION DIVING TABLES NOAA Nitrox I (68% N 2 32% O^ No-Decompression Limits and , Group Designation Table for No-Decompression Dives NOAA Nitrox I (68% N 2, 32% 2) Decompression Table Residual Nitrogen Times for NOAA Nitrox I (68% N 2, 32% O^ Dives Repetitive Residual Nitrogen Timetable for Repetitive (68% N 2 32% , 2 ) Dives D-l D-2 D-5 NOAA Nitrox I D-5 < < APPENDIX D NOAA NITROX I DIVING AND DECOMPRESSION TABLES WARNING The following NOAA Nitrox NOAA Nitrox Tables May Be Used Only With Open-Circuit Breathing Equipment and When Breathing a Mixture of 68 Percent Nitrogen and 32 Percent Oxygen • I of is Nitrox I is All gases used in Nitrox I diving must be of breath- ing quality. • NOAA Nitrox gas I may be used only in standard open-circuit breathing equipment. • NOAA limitations are placed on the use of I: a standard breathing gas mixture High-pressure storage cylinders, scuba tanks, reguhigh-pressure gas transfer equipment lators, and that used with pure oxygen or with nitrox mixtures is all 32% oxygen (±1%); that contain nitrogen. cleaned and maintained for oxygen service. creases the balance of the gas (68%) Use of this gas mixture significantly inthe amount of time a diver can spend at depth without decompression, and diving operations it may be used • The normal depth limit for use of this it is advantageous. All oxygen combinations for use with this decompression. • All NOAA divers who use mixture, except where noted, are within the normal trained and certified in oxygen exposure Coordinator. Table D-1 limits given in NOAA Nitrox Table 15-1. (68% N 2 32% I , and Repetitive Group Designation Table for mixture shall be 130 feet of sea water for dives that do not require in routine when partial pressure-time more than 40 percent oxygen must be its NOAA Nitrox use by the I must be NOAA Diving 2 ) No-Decompression Limits No-Decompression Dives No-decompression Depth, limits, fsw min 15 20 25 30 40 45 50 60 70 80 90 100 110 120 130 140 150 A 60 35 25 20 15 310 200 5 5 100 60 50 40 30 25 25 20 15 10 October 1991 — NOAA B C D 120 70 50 35 30 15 210 110 75 55 45 25 25 300 160 100 75 60 40 30 25 20 15 10 10 5 5 5 5 5 15 15 10 10 10 7 7 5 5 5 Diving Manual 15 15 12 10 10 10 10 8 E 225 135 100 75 50 40 30 25 20 20 15 15 15 13 12 10 F 350 180 125 95 60 50 40 30 30 25 20 20 20 15 15 G 240 160 120 80 70 50 40 35 30 25 22 22 20 H 325 195 145 100 80 60 50 40 35 30 25 25 1 245 170 120 100 70 55 45 40 J 315 205 140 110 80 60 50 K 250 160 130 90 L 310 190 150 100 M N O 220 170 270 200 310 D-1 Appendix D Table D-2 NOAA Nitrox I (68% N 2 32% , 2) Time Bottom Time, Depth, fsw Stop, min:sec 60 70 200 210 230 250 270 300 360 100 110 120 140 160 180 200 220 240 60 70 80 100 120 140 160 180 200 240 0:60 0:60 0:60 0:60 0:60 0:60 0:60 0:50 0:50 D-2 30 20 10 2 7 11 15 19 23 Repeti- Group 0:50 2:50 7:50 11:50 15:50 19:50 23:50 3 5 10 21 29 35 40 47 4:00 6:00 11:00 22:00 30:00 36:00 41:00 48:00 1:10 2 7 14 1 2 26 39 48 56 69 79 3:10 8:10 15:10 27:10 40:10 49:10 57:10 71:10 82:10 1:20 8 14 18 1:10 1:10 1:10 23 33 1:10 1:10 1:00 1:00 1:00 1:00 1:00 1:00 1:00 2 4 6 8 9 41 61 13 19 72 79 47 52 56 9:20 15:20 19:20 24:20 34:20 44:20 52:20 59:20 65:20 71:20 86:20 99:20 tive * N N O O Z * * * L M M N O O z z * K L M N O Z z z * * * K L M N N O O O Z z z z groups may not follow exceptional exposure dives partial pressure exceptional exposure Repetitive dives Oxygen for repetitive 40 Total Ascent, min:sec 1:00 0:50 0:50 0:50 0:50 0:50 0:50 0:50 0:50 150 160 170 See No Decompression Table 50 0:40 0:40 0:40 0:40 0:40 0:40 0:40 50 60 70 80 90 100 110 120 130 140 80 Decompression Stops, fsw First min 50 Decompression Table NOAA Diving Manual —October 1991 NITROX Tables I Table D-2 NOAA Nitrox I (68% N 2 32% , 2) Time Bottom Stop, min:sec Time, Depth, fsw 40 50 60 70 80 90 100 110 120 130 *** Oxygen for repetitive 23 1:10 2 7 1:10 11 1:10 13 17 19 26 32 1:10 31 39 46 53 56 63 69 77 Repeti- Group 11:30 18:30 24:30 34:30 47:30 58:30 67:30 74:30 83:30 96:30 110:30 1:40 7 1:30 1:30 18 1:30 25 30 40 48 54 7 13 18 21 1:20 1:20 1:20 1:20 1:20 1:20 1:10 5 24 32 36 61 68 74 8:40 19:40 26:40 38:40 54:40 67:40 76:40 86:40 101:40 116:40 1:50 3 15 1:40 1:40 2 9 17 1:30 1:30 1:30 1:20 3 7 10 23 23 23 34 1:20 12 41 1:30 1:20 1:20 1:50 2 1:40 1:40 9 1:40 17 1:40 23 23 23 34 1:30 1:30 1:30 1:30 24 28 39 48 57 66 72 78 3 15 1:50 100 110 120 Repetitive dives 1:20 1:10 25 30 40 50 60 70 80 90 See No Decompression Table 10 1:20 1:10 100 110 120 * * 20 10 17 1:10 25 30 40 50 60 70 80 90 * 30 1:10 120 130 120 40 Total Ascent, min:sec 1:30 30 40 50 60 70 80 90 100 110 110 50 1:20 140 150 100 Decompression Stops, fsw First min 90 Decompression Table— Continued 3 7 10 12 41 24 28 39 48 57 66 72 78 4:50 16:50 27:50 38:50 57:50 72:50 84:50 97:50 117:50 132:50 2:00 5:00 17:00 28:00 39:00 58:00 73:00 85:00 98:00 118:00 133:00 tive * K L M N N O O Z z z z * J L M N N O z z z z * I K L N O z z z z * I K L N O O z z z z groups may not follow exceptional exposure dives partial pressure exceptional exposure October 1991 — NOAA Diving Manual D-3 Appendix D Table D-2 NOAA Nitrox I (68% N 2 32% , 2) Time Bottom Time, Depth, fsw Stop, min:sec Decompression Stops, fsw First min 20 25 30 40 50 60 70 80 90 100 130 Decompression Table— Continued 50 40 30 2:00 2:00 1:50 1:50 1:50 1 1:40 7 12 15 1:40 10 2 3 7 21 8 18 1:40 1:40 20 23 23 30 37 26 36 48 57 64 72 15 20 25 30 40 50 60 70 140 10 15 See No Decompression Table for repetitive 1:50 2 1:50 9 2:20 2:20 2:20 2:10 2:10 2:00 2:00 20 25 30 40 50 60 150 2 6 14 2:10 2:10 2:10 2:00 2:00 5 25 15 31 22 23 45 55 23 Group 2:10 5:10 9:10 25:10 36:10 56:10 74:10 89:10 108:10 126:10 2:20 4:20 8:20 16:20 32:20 48:20 71:20 89:20 10 18 25 37 52 37:30 63:30 86:30 4 3 9 Repeti- 2:30 3:30 6:30 12:30 23:30 1 3 10 21 Total Ascent, min:sec tive * H J L M N O Z z z * H I J L N O O * F H J hh N O Z groups may not follow exceptional exposure dives Oxygen partial pressure exceptional exposure Repetitive dives D-4 NOAA Diving Manual — October 1991 NITROX Tables I Residual Nitrogen Times for Table D-3 NOAA Nitrox Dive Depth, fsw Z O N M L K J 257 241 160 117 96 80 70 62 62 55 50 44 213 187 124 161 111 97 80 68 58 52 52 47 43 38 88 72 138 99 79 64 54 47 43 116 87 70 57 48 169 122 100 84 73 64 64 57 52 46 100 110 120 130 140 150 142 107 87 73 64 57 57 51 46 40 61 53 48 48 42 39 35 31 Dives Group Designation H G F E D C B A 87 66 52 43 38 33 30 30 27 25 22 73 56 61 17 13 7 36 37 29 24 20 25 44 37 32 29 26 26 24 49 38 30 26 23 20 18 18 16 14 21 19 18 I 101 76 61 50 43 38 34 34 43 38 38 34 32 28 43 38 35 2) , Repetitive Repetitive 50 60 70 80 90 (68% N 2 32% I 31 28 25 47 31 28 24 22 22 20 18 16 11 10 10 14 13 12 15 13 16 21 17 15 13 10 5 9 8 7 7 7 4 4 3 3 3 3 3 6 6 6 9 8 11 6 11 3 Values are minutes. Table D-4 Residual Nitrogen Timetable for Repetitive NOAA Nitrox I (68% N 2 32% 2) , Dives* A B C 0:10 2:11 2:10 12:00 1:40 2:50 2:49 12:00 2:39 5:49 5:48 12:00 3:23 6:33 6:32 12:00 3:58 7:06 7:05 12:00 4:26 7:36 7:35 12:00 4:50 8:00 7:59 12:00 5:13 8:22 8:21 12:00 0:10 1:39 C** * _^e W* E .** «*** •' ^' . ,# H #*** ^©v K L M N 0:10 0:22 0:10 0:23 0:23 0:34 0:10 0:24 0:24 0:36 0:35 0:48 Z O N O New Group Designation 0:10 0:25 0:25 0:39 0:37 0:10 0:26 0:26 0:42 0:40 0:54 0:52 J 0:10 0:28 0:27 0:45 0:43 0:59 0:55 0:55 1:29 2:28 2:00 2:58 2:24 3:20 2:45 3:43 3:05 4:02 3:22 4:19 3:37 4:35 3:53 4:49 4:05 5:03 4:18 5:16 4:30 5:27 2:38 1:58 3:22 2:29 3:57 2:59 4:25 3:21 4:49 3:44 5:12 4:03 5:40 4:20 5:48 4:36 6:02 4:50 6:18 5:04 6:32 5:17 6:44 5:28 6:56 1:16 1:59 1:42 1:00 1:30 1:29 2:02 1:20 1:48 1:19 1:47 1:12 1:36 1:11 1:35 2:03 1:05 1:26 1:50 1:04 1:25 1:49 1:00 1:19 1:40 1:18 1:39 2:05 1:12 1:31 1:54 2:18 2:05 2:29 2:18 2:42 2:19 2:06 2:34 2:19 2:47 2:30 2:59 2:43 3:10 H G 2:20 2:04 2:38 2:20 2:53 2:35 3:08 2:48 3:22 3:00 3:33 3:11 3:45 F 2:23 2:03 2:44 2:21 3:04 2:39 3:21 2:54 3:36 3:09 3:52 3:23 4:04 3:34 4:17 3:46 4:29 0:10 0:31 0:29 0:49 0:46 0:10 0:33 0:32 0:54 0:50 1:11 1:30 1:53 1:08 1:25 1:44 1:07 1:24 1:43 2:04 1:03 1:19 1:37 1:56 1:02 1:18 1:36 1:55 2:17 K 1:09 0:10 0:54 0:46 1:07 0:49 L 1:10 1:41 0:51 M 0:10 0:36 0:34 0:59 0:55 0:10 0:40 0:37 0:10 0:45 0:41 1:15 0:10 1:06 I * G F D J I E 1:57 1:30 D 5:41 8:41 8:40 5:49 8:58 6:03 9:12 6:19 9:28 6:33 9:43 6:45 9:54 6:57 10:05 12:00 8:59 12:00 9:13 12:00 9:29 12:00 9:44 12:00 9:55 12:00 10:06 12:00 B A C *Dives after surface intervals of more than 12 hours are not repetitive dives. Use actual bottom times (68% N 2 ,32% 2 ) Decompression Table to compute decompression for such dives. Nitrox 0:10 12:00 in the * * * * * * * * * * * * * * * * NOAA I October 1991 — NOAA Diving Manual D-5 4 < < 4 i < APPENDIX E GLOSSARY Abducens Nerve The Amphibious sixth cranial nerve; controls Camera the external rectus muscles of the eye. ACFM An abbreviation for actual cubic A camera that needs no special housing for underwater photography because all ports, lids, and control rods on the camera are O-ring sealed. feet per minute. Analgesic Acidosis Acid poisoning caused by the A medication that reduces or eliminates pain. abnormal production and accum- Angiosperm ulation of acids in the body. A in Acoustic Grid A method for determining the Anorexia position of an object relative to a fixed network of transponders. Acoustic (Auditory) Nerve Acoustic Relief The Anoxia Antigen discontinuity, such as a that Aortic Stenosis makes the object distinguishable from the surrounding area. A type of adhesion that occurs at the surface of a solid or a liquid that Alidade is in contact with another Aphakia adheres to the hands. Aphasia indicator or sighting instru- The muscular-membranous Apnea Apoplexy tube, about 30 feet (9.1 meters) in of a lens in the eye. Partial or complete loss of the speech A brief cessation of breathing. The name given to the complex of symptoms and signs caused by hemorrhage or blockage of the brain or spinal cord. This term to clearing of the middle ear during A is and symptoms resulting from burst- ing of a vessel in the lungs, Apoplexy can cause both physical and mental signs and symptoms and can be fatal. liver, etc. ascent or descent. lungs in which gas exchange takes Pain that occurs in the joints during compression or decom- place. pression. small membranous Female pearl divers of Japan known for their ability to make The serous fluid within the sac (amnion) that encloses a — NOAA Diving Manual Arthralgia sac in the deep and long breath-hold dives and to tolerate cold water. October 1991 The absence also applied to the signs Vertigo Amniotic Fluid In photography, the opening that regulates the amount of light passing through a camera lens and humans from the mouth Dizziness caused by asymmetric Divers Constriction or narrowing of the length, that extends in animals Alternobaric Ama or substance which, or writing. the anus. Alveolus Any bacterium when injected ability to express ideas in ment used to determine direction and range for topographic surveying and mapping. Alimentary Canal oxygen (see (see f Stop). medium; an example of adsorption occurs when dirt adsorbs or An of aortic artery. Aperture Adsorption The absence is that alters the reflection of an way of appetite. into an organism, capable of causing the formation of an antibody. wreck or rock outcrop on the seafloor, acoustic signal in a The absence Hypoxia). eighth cranial nerve; controls hearing. A plant whose seeds are enclosed an ovary; a flowering plant. fetus. ASA Film Speed (ASA ISO) In photography, a number refer- ring to a film's sensitivity to light. This number can be used, along with the readout from an exposure meter, to determine camera settings for aperture and shutter speed. E-1 Appendix E Aseptic Bone See Osteonecrosis. Barodontalgia Pain in the teeth that is caused by changes in barometric pressure. Media Also called "middle ear squeeze." Necrosis Asphyxia Anoxia caused by the cessation Barotitis media is an inflammamiddle ear that is caused by inadequate pressure equalization between the middle ear and the ambient atmosphere. of effective gas exchange in the Barotitis tion of the lung. Aspirator A device used to remove liquids or gases from a space by suction. Atherosclerosis Thickening of the outer layers Barotrauma of an artery and degeneration of the artery's elastic layer. Atmospheric Diving System A Bathymetry diving system that has articulated arms and sometimes is legs both equipped with capability support Bed Forms An to operate instrument used to measure Bends hearing thresholds for pure tones Automatic Exposure Control at normal frequencies. A control on a Dysreflexia Benthic A Beta Blockers physiologic response that colloquial term meaning any form of decompression sickness. An adjective referring to the occur is A to treat a variety of cular problems. person with certain spinal cord injuries and that can be triggered by any irritating stimulus, such as a full bladder; autonomic dysreflexia can lead to elevated blood pressure, reduced An Drugs used conditions, including cardiovas- may in a A fect of these drugs in heart rate, prominent is ef- a reduction which causes, in turn, a reduction in cardiac output and oxygen consumption by the heart muscles. Biomass and death. The amount of organic matter per given volume. electrical or spring-driven Blowup vances the film after the shutter Shunt A animals that live on the seafloor are benthic organisms. motor that automatically ad- (Arteriovenous) geologic feature of the seafloor an exposure for aperture (f stop) and controls the light reaching ness, A-V A benthos, or seafloor. Plants and heart rate, seizures, unconscious- Autowinder determining presets camera that the film via a shutter. Autonomic art or science of caused by environmental dynamics, such as near-bottom or waveinduced currents. atmosphere. Audiometer The and that life and designed caused by or measuring depths of water. an internal pressure of one at to or distoris unequal pressures. one-man pressure-resistant Mechanical damage tion of tissues that The uncontrolled ascent of a diver who is wearing a deep sea diving variable-volume dry suit. suit or a triggered. Boundary Layer link between an artery and a vein that may be The thin layer of higher viscosity or drag around a stationary congenital, occur body or in a stationary conduit that spontaneously, or be created sur- is created by the motion of a fluid of low viscosity, such as air or can cause blood to flow prematurely from one vessel to gically. It water. another. Babinski Reflex A reflex characterized by exten- Bradycardia Slowness of the heart beat, which evidenced by slowing of the pulse to 60 beats a minute or less. is sion of the big toe and flexion of the other toes; the existence of the Babinski reflex indicates spinal cord involvement. Brisance The in Backscatter In photography, light that Bronchi Fibro-muscular tubes connecting the trachea to the smaller portions of the respiratory tract. water. E-2 an explosion. re- back toward the camera by particles suspended in the flected lens is shattering effect of a sudden release of energy, such as occurs NOAA Diving Manual — October 1991 Glossary Bronchospasm A sudden and involuntary con- Cochlea traction of the bronchial tubes. Carapace hard bony or chitinous outer covering; examples of carapaces Coelenterata turtle or the portion of the exoskeleton covering the head and thorax of a crustacean. The compound of carbon monoxide (CO) and hemoglobin that formed when CO is present is in Colitis Conductive Hearing Loss the blood. Carotid Artery snail-shaped cavity in the temporal bone of the inner ear that contains the organ of hearing. A are the fused dorsal plates of a Carboxyhemoglobin A The principal artery on each side of the neck in humans. A phylum of the animal kingdom comprised of hydroids, jellyfish, sea anemones, corals, and related animals. Most species are marine and all are aquatic. Inflammation of the colon. A type of auditory defect caused by impairment of the conductive mechanism of the ear; such impairments can occur when the eardrum is damaged, air passages are blocked, or Carrier Wave An electric modulated wave that can be to transmit signals in radio, telephonic, or telegraphic Cathodic Protection Constant-Volume Dry Suit systems. A when cathodic used, a sacrificial metal is introduced to serve as the anode (site of corrosion), which protects nearby metal parts. Cerebellum The of the impaired. A dry diving suit designed to be partially inflated to prevent squeeze and to provide insulation Contrast In photography, the difference between the brightest and darkest areas in a photograph. Copepod A dissimilar metals; protection is against cold. technique designed to reduce the corrosion that occurs in seawater as a result of the presence of movement bones of the inner ear is part of the brain that lies below the cerebrum and is concerned with the regulation and control of voluntary muscular movement. small planktonic crustacean is usually less than 2 millimeters in length. that Cornea The transparent anterior portion of the eyeball. Counterdiffusion The movement of two in inert gases opposing directions through semi-permeable membrane; when both gases are at the same a Cervical Spine The upper seven vertebrae of the pressure, the spinal cord. phenomenon is called isobaric counterdiffusion. Chokes An imprecise term for the pulmonary symptoms of decompres- Cricothyroidotomy Cholecystitis Clavicle Close-Up Attachment Inflammation of the The Cryogenics gall bladder. CU collar bone. fits over the primary lens of A life Cyanosis which the breathing gas is recycled, carbon dioxide is removed, and oxygen is added to Compression of the walls of — NO A A action. bluish discoloration of the skin, the blood. in vessel or canal. October 1991 A main and nail beds that is caused by an insufficiency of oxygen in replenish the supply as necessary. Coarctation In photography, a close-up shot lips, support system or breathing apparatus of low tempera- that pinpoints the a camera. Closed-Circuit Breathing System The production tures. In photography, a close-up lens that Incision through the ring-shaped cartilage of the larynx. sion sickness. Diving Manual a Dead Space The space in a diving system in which residual exhaled air remains. The dead space in diving equipment adds to the amount of dead space that occurs naturally in human lungs. E-3 Appendix E Decompression Dive Decompression Schedule Any dive involving a depth deep enough or enough to require controlled decompression, i.e., any dive in which ascent to the surface must be carried out through decompression stops. A set of Dyspnea Edema Sickness EEG of bubbles in the joints or tissues; may occur Decompression Stop Elastomer The designated depth and time at which a diver must stop and wait during ascent from a decompression dive. The depth and time are specified by the decompression schedule being used. Electronic Flash Bottom-living fish, Embolism, Air Gas such as plaice or flounder. Depth of Field Term used A rubberlike material, such as neoprene or silicone rubber. In photography, an electrical light source that emits a brief burst of light. or Demersal Fish Abbreviation for electroencephalogram, a graphic record of the electrical activity of the brain made by an electroencephalograph. after a reduction in barometric pressure. Swelling of a part of the body is caused by the buildup of fluid. caused by the presence decompression sickness Difficulty in breathing. that depth-time relationships illness the various the body. and instructions for controlling An in and cavities of tissues, fluids, pressure reductions. Decompression gas pressure total a duration long A bubble in the arterial system when gas or air passes into the pulmonary veins after that occurs rupture of air sacs of the lung. in photography to Emphysema A pulmonary condition charac- denote the distance between the terized nearest and most distant objects and by loss of lung elasticity restriction of air movement. that will be in focus. Emphysematous Dermatitis Dip Inflammation of the A skin. geological term for the angle degrees between a horizontal plane and the inclined angle of a rockbed, as measured down from the horizontal in a plane perpen- Bullae Envenom in Blebs or air-filled blisters in the lungs caused by To poison emphysema. or put venom into or onto something. Epilimnion The layer of water above a ther- mocline. dicular to the strike (see Strike). Epifauna Diverticulitis Doppler Bubble Monitor Inflammation of a diverticulum, an outpouching of the colon that may occur in humans. Epiphytic Plants moving objects. Position A dently. Equivalent Air Depth (EAD) position used in diver rescues on the surface that enables the rescuer to administer mouth-tomouth resuscitation to an uncon- on the Plants that are attached to or are The air-breathing depth that has a nitrogen partial pressure that is Do-Si-Do live supported by another plant but that obtain their food indepen- A device that detects moving bubbles in the circulatory system by picking up changes in the frequency of sound reflected by Marine animals that surface of the seafloor. equivalent to the nitrogen partial pressure at the diving depth. Equivalent Single Dive Bottom Time The bottom time the sum that is equal to of the residual nitrogen time and the actual bottom time scious victim. of the dive. Dysbarism E-4 A general term applied to any clinical condition caused by a difference between the surrounding atmospheric pressure and the Ester A compound that reacts with water, acid, or alkali to form an alcohol plus an acid. NOAA Diving Manual — October 1991 Glossary Eustachian Tube The canal, partly bony and partly Flashpoint Exposure generate enough vapor to ignite in air. Focus Any dive in which a diver Gas Chromatois exposed to oxygen partial pressures, environmental conditions, or bottom times that are considered Number fStop graph laboratory instrument used to Geodesy The science in photography A meter that indicates the correct aperture and shutter speed combination for film exposure. (See A Glossopharyngeal Nerve The passing Glaucoma Grand Mai Seizure in photography light as the previously A to num- Ground Fault Interrupter A major convulsion that involves unconsciousness, loss of motor numbered An electronic device that detects electrical leakage tral wire. Half Time cranial nerve; con- The time required to reach 50 percent of a final state. In diving, a half time is the time required for a tissue to absorb or eliminate motion of the face, ear, 50 percent of the equilibrium and tongue. instrument used to measure the depth of water by determining the time required for a sound wave to travel from the surface to the bottom and for its echo to return Flapper (Flutter) Valve Hedron lens with a preset focal A soft rubber tube collapsed at one end. When the ambient water pressure is greater than the air pressure within the valve, the valve remains collapsed. When of inert gas. geometric figure that has a number of faces or surfaces. For example, a pentahedron has five faces or surfaces. Heliox cutting of an opening (window). camera A given Perforated. distance that cannot be changed. by comparing current in an accompanying neu- An A and tongue. the current in a hot wire with the much to the surface. Fixed Focus Lens ear, condition caused by increased amount The taste asso- control, jerking of the extremities, stop. Fenestration and and biting of the tongue. bered stop admits half as palate, ninth cranial nerve; controls sensation, motion, fluid pressure in the eye. Each consecutively higher-num- trols The middle of material, e.g., number used The seventh mathe- ciated with the tonsils, pharynx, Stop). f in to ber, the smaller the aperture. Fenestrated of describing the size A term used re- lated chemical substances. matical terms. the aperture; the higher the Fathometer and measure closely identify end shape of the earth refer to the relative diameter of Facial Nerve A extreme. serum or pus, through the wall of a vessel and into adjacent tissues. f In photography, the sharpness of the image. a film. Exudation which throat (pharynx) with the middle ear (tympanic cavity) and that serves as an air channel to equalize pressure in the middle ear with denote the amount of light striking Exposure Meter at a combustible liquid or solid will pressure outside the ear. Exceptional Exposure Dive The lowest temperature cartilaginous, that connects the A breathing mixture of helium and oxygen that is used at greater depths because it can be inhaled without narcotic effect. Hematopoietic Tissues Hemoglobin Blood-producing tissues, such as the bone marrow. The coloring matter of the red corpuscles of the blood; hemoglobin combines with oxygen, carbon dioxide, and carbon monoxide. the air pressure within the valve is greater than the ambient water pressure, the valve opens. October 1991 — NOAA Diving Manual Hemoptysis Spitting of blood from the larynx, trachea, bronchi, or lungs. E-5 Appendix E Hepatitis Herbarium Inflammation of the A Hypothalamus liver. The nerve center in the brain that influences certain bodily functions, collection of dried plants that mounted and labeled are in such as metabolism, temperature regulation, and sleep. prepa- ration for scientific use. Herniated Nucleus Pulposis A rupture of a disk in the spinal cord that is caused by degenerative Hypothermia Reduction of the body's core temperature to a level below 98.6 °F (37°C); hypothermia can be changes or a trauma that com- caused by environmental expo- presses a nerve root or the cord sure to cold or by failure of the itself. body's thermoregulatory system. High Pressure Nervous Syndrome (HPNS) Neurological and physiological dysfunction that is caused by hyperbaric exposure, usually to helium. The signs and symptoms Hypovolemic Shock ziness, and convulsions. physiological condition that is caused by a reduction in the volume of intravascular fluid and that may HPNS include tremor, sleep difficulties, brain wave changes, visual disturbances, nausea, diz- of A cause a decrease in cardiac output. Hypoxia A condition characterized by tissue oxygen pressures that are below Holdfast The normal; hypoxia may be caused by breathing mixtures that are defi- rootlike structure at the base of a kelp that anchors the plant cient in oxygen, to the seafloor. Hopcalite A catalyst used in air compressors and breathing apparatus to remove carbon monoxide or other gases. Hypercapnia Inclinometer condition characterized by excessive carbon dioxide in the blood and/or tissues; hypercapnia condition characterized by ex- cessive In geology, an instrument for measuring the angle of inclination (slope). Inert Gas See Narcosis. Narcosis tory center. A oxygen Inert Gases in the tissues. Gases that exhibit great stability and extremely low reaction rates; examples of Hyperpnea Hyperthermia neon, argon, krypton, xenon, and, Elevation of the body temperature sometimes, radon; these gases are called inert because they are not above normal. Rapid, unusually deep breathing than is necessary biologically active. Infauna at a rate greater An Inguinal condition characterized by an Inner Ear the blood; hypocapnia in Hypolimnion The twelfth cranial nerve; controls movement E-6 In situ That portion of the ear that is In the natural or original place or position. of the tongue. layer of water below a ther- mocline. to the hearing. tory center. The mammals, pertaining the organs of equilibrium and causes underactivity of the respira- Hypoglossal Nerve In located within the confines of the temporal bone and that contains unduly low amount of carbon dioxide worms groin. responses in contact with the skin. A living within the and some clams. adjective given to materials that are not likely to cause allergic Hypocapnia Marine animals seafloor sediment, such as for the level of physical activity. Hypoallergenic inert gases are helium, Panting or exaggerated respiration. to levels Hyperventilation states, such as carbon dioxide. A causes overactivity of the respira- Hyperoxia by disease or by the presence of toxic gases Interchangeable Lenses NOAA In photography, lenses that can be attached and detached easily. Diving Manual — October 1991 Glossary Intercooler A pressurized to ambient pressure that so that divers can enter component of an air compressor is designed to cool the air and to cause water and oil vapors to condense and collect as the through the air/liquid air passes Internal Waves Longshore Current separator. Waves arising at an internal boundary that is formed between LORAN-C when a layer of water. Surgery within the A skull. Lymphatic System localized physiological condition is ency in characterized by a deficithe supply of oxygen to and that tissues is Manometer caused by a Jocking Belt (Jockstrap) system of vessels and glands, accessory to the blood vascular system, which conveys the lymph fluid throughout the body. An its instrument for measuring the simplest form, a manometer during entry into the water. The end of which is open to the atmosphere and the other end of which is open to the region where the pressure is to be measured. If the pressure in the two areas is different, the strap passes between the diver's liquid will be higher in one leg of and is attached to the front and back of the weight belt, which, the tube than in the other. consists of a U-tube, one See Hedron. A strap worn by divers to prevent the diving helmet from being lifted off the shoulders, especially legs in turn, Keratitis A pressure of liquids and gases. In contraction of the blood vessels. Isohedron determined by fixed transmitters. Surgery that long range, high-precision navi- measuring the difference in the time at which synchronized pulse signals are received from two surface water from a river runoff Ischemia A lines of position are warm overlays a layer of salty or cold Intracranial A current that is generated by waves that are deflected by the shore at an angle. Such currents gation system in which hyperbolic such an internal bound- ary occurs is linked to the helmet. Mass Spectrometer A laboratory instrument that uses compounds to idenand quantitate them. The the masses of tify Inflammation of the cornea of principle of spectrometry involves the eye. and separa- ionizing the substance Kerf A groove or notch made by a saw, ting the resulting molecular ax, cutting torch, etc. Laminar Flow Larynx Nonturbulent flow of a fragment ions by means of tric and magnetic fields. Liveboating The organ of the voice; the larynx is situated between the trachea and Meckels Diverticulum the water as a result of the force of the wind. infections. Movement A of an object through search, inspection, or survey Mediastinum which one or two divers are towed behind a boat that Submersible October 1991 A congenital sac, resembling the appendix, that occurs naturally in 1-2 percent of the population. This sac is located in the lower intestine and can ulcerate, hemorrhage, or develop obstructions or technique Lockout and elec- fluid. the base of the tongue. Leeway exit run roughly parallel to the shoreline. layers of water that have different densities; and (lock out) while under water. is in the lungs and under the breastbone where the heart is located. under way. A submersible that has one compartment for the pilot and/or observer that is maintained at a pressure of one atmosphere and another compartment that can be — NOAA The space between Diving Manual Mediastinal Excessive gas or air Emphysema below the breastbone and near in the tissues the heart, major blood vessels, and trachea. Mediastinal emphysema caused by air being forced into this area from the lungs. is E-7 Appendix E Meniere's Disease A disease of the middle ear that is Nasal Septum characterized by vertigo, sudden deafness, and symptoms of apo- between the two partition nasal cavities in humans. Neat's-Foot Oil plexy. The A light yellow oil obtained from the feet and shinbones of cattle. Metabolism The phenomenon of transforming food into complex tissue-elements Neck Dam (Seal) and changing complex substances into simple ones to Methemoglobinemia produce energy. A living size; is Necrosis Nematocyst The process of varying of one wave a charac- accordance with that of another wave. Modulation can be achieved by varying teristic tapered to fit is A attached neck tightly in- dam around The death A of cells. structure consisting of a flask- shaped body bearing barbs and a long slender filament that can be discharged by the stinging cells often used synony- mously with bacterium. Modulation skirt that the neck like a collar. can organism of very small the term some lightweight helmets is be caused by toxic agents that are ingested, inhaled, or absorbed. Microbe rubber stead of a breastplate. The presence of methemoglobin in the blood; this condition A to of coelenterates. in Neuropathy Niggles the amplitude, frequency, or phase Any disease of the nervous system. Mild pains that indicate decomand that begin to pression sickness of the carrier wave. resolve within 10 minutes of onset. Morbidity A scientific term meaning disease Niskin Bottle or sickness. Mucosa or Mucous Membranes Mushroom Valve The body tissues lining those cavities and canals that are ex- posed to air. A type of poppet valve that has a disk-like head attached to a stem. The stem reciprocates in a valve guide under the action of a cam that bears against the end of Nitrox Breathing Mixture the stem or that operates a tappet Myoclonic Jerking A is replaced by fibroplastic series of involuntary Myringotomy cells. movements characterized by alternating contraction and relaxation of muscles. Incision of the tympanic brane (eardrum). NOAA Nitrox-I A mem- ness; in diving, it is Gases whose chemical structure characterized by closed shells or subshells of electrons. These is caused by gases are also called inert gases. No- Decompression Dive The signs and symptoms of narcosis include lightheadedness, loss of judgment, and euphoria. A dive to depths shallow enough for times short enough to permit the diver to return to the and surface at a controlled rate without individually. E-8 mixed gas breathing mixture and 32 percent oxygen. state of stupor or unconscious- breathing certain gases at pressure. Gases vary in their narcotic potency and may interact with each other to produce effects that are greater than those produced A consisting of 68 percent nitrogen Noble Gases Narcosis breathing mixture containing nitrogen and oxygen in varying The amount of oxygen mixture can be increased to increase the no-decompression bottom time or it may be reduced to avoid oxygen poisoning during deep dives. disease state in which the mar- row A in the valve stem. A water-sampling device that is designed to collect water samples in amounts ranging routinely from 1.8 quart (1.7 liter) to 31.7 quarts (30 liters). Niskin bottles also can be used in conjunction with reversing thermometers to record temperature and depth concurrently. proportions. that, in turn, bears against the Myelofibrosis A having to spend time at specified stops to allow inert gas to be eliminated from the body. NOAA Diving Manual —October 1991 Glossary Nomogram A graphic representation of mathematical relationships or laws. Overboard Dump (Discharge) System Normal Ascent Rate rate used under conventional or routine conditions; is 60 Overlap A camera of about 1 an area lens that covers .5 x 2.25 feet (45 x 68 Oxyhemoglobin Pancreatitis ATA phere, i.e., about 0.21 oxygen, at any specific depth. Paranasal Sinuses rapid movements of the eyes, usually in the horizontal plane but sometimes also in the vertical Paraplegia The Olfactory The Nerve Operculum the third cranial nerve; controls movement first sinuses. Partial paraplegia. Loss of function, and occasionally Administration of drugs by a route other than oral, e.g., by subcutaneous or intravenous injection. Paroxysmal Periodic bouts of fast heart beats. of the eyes. cranial nerve; controls Partial Pressure The proportion of the total pres- sure contributed to a mixture by a single gas in that mixture. Patent Open, as in "a patent airway." fish. Pathogenic Optic Nerve air-filled cavities in the cra- bones accessory to the nose; the paranasal sinuses comprise nial Tachycardias plate covering the gills of a bony The Administration Parenteral Drug the sense of smell. The Inflammation of the pancreas. of sensation, in the lower body. plane. Oculomotor Nerve the in the frontal, sphenoidal, ethmoidal, Paraparesis terized by repeated, involuntary, to same action camera angle. Oxidized hemoglobin and maxillary of physiological condition charac- term used reshooting the arterial blood. cm) A breathing gas mixture that supplies a diver with the same partial pressure of oxygen as that prevailing in a "normal" atmos- A In photography, a from a different at a distance of 3 feet (0.9 m). Nystagmus that transfers exhaled gas out of the chamber. mean feet (18.3 meters) per minute. Normoxic system built into a hyperbaric chamber and The ascent this rate Normal Lens A The second cranial nerve; controls Organisms that produce disease. Organisms sight. Peduncle Oropharyngeal Airway humans of the mouth and That part of the airway that consists in Organisms Osteomyelitis Inflammation of the bone marrow. Osteonecrosis The death (Dysbaric Osteonecrosis) stalklike structure that sup- ports another structure or organ. Pelagic the pharynx {see Pharynx). Any Plants and animals that live in the open sea and that are not associated with the shore or sea floor. of cells in the long bones, such as the humerus, femur, or tibia; osteonecrosis Perfusion can be caused by exposure to compressed than atmos- air at pressures greater The passage of fluid through spaces. pH A measure of the acidity or alka- linity of a solution; a pheric pressure. pH neutral, while one with a Otitis Externa Otitis Media Otterboards Inflammation or superficial infection of the auditory canal. Inflammation of the middle Door-shaped boards that are Pharynx at- October 1991 of two membranecovered openings in the cochlea of the inner ear {see Cochlea). The upper — NOAA Diving Manual pH is 1 strongly acidic and one of 11.5 to 14 is strongly ear. tached to trawling nets to keep the Window with a is of alkaline. nets open during trawling. Oval to 4.5 of 7 pH That portion of the digestive and respiratory tract situated back of the nose, mouth, and larynx and extending from the base of the skull to a point opposite the sixth vertical vertebra, where it becomes contiguous with the esophagus. E-9 Appendix E Phase Measurement System A method for determining the Word Lists Photogrammetry words that are selected each list contains a balanced and equal cross-representation of speech sounds. These lists can then be read by experimental subjects, e.g., divers, to compare the effectiveness of different communication systems. Lists of to ensure that The application of photographic The field; Pneumo- Pneumothorax Polycythemia Prosthesis A man-made replacement for a missing body part. Protozoa One of the lowest classes of the animal kingdom, the protozoa are organisms that consist of simple cells or colonies of cells possess no nervous or circulatory to use the eyes in strong light. system. Minute marine plants that drift and are usually micro- Provenance Data PSIG An underwater A locating device gland, located in humans at the Psychosis base of the brain, that influences growth, metabolism, sexual cycles, and many other bodily functions. surveying instrument used to locate and map topographical Pulmonary Edema features. Abbreviation for pounds per A disease of the mind characterized by loss of contact with Pertaining to or affecting the lungs. An accumulation of fluid in the lungs. Plant and animal organisms (usually original data. reality. Pulmonary A The and that square inch gauge; a term used to express the difference between absolute pressure and the specific pressure being measured. that emits an acoustic signal. microscopic) that float or Purse Seine A component of blood that its ability to clot. A fishing net that is made vertically in the water drift in fresh or salt water. Platelet condition characterized by an excessive number of corpuscles (usually red) in the blood. of a few cells. Plankton A Literally, a fear of light; in prac- scopic; phytoplankton are either Plane Table of gas within the tice, a disinclination or inability single-celled or loose aggregates Pituitary The presence chest cavity but outside the lungs. lifetime. in the sea Pinger See Mediastinal emphysema. photons have zero mass, no electric charge, and an indefinitely long hollow tube that has one end connected to a gauge at the surface and another end that is open under water. Pneumofathometers are used to measure the water pressure at the submerged end mediastinum basic unit (quantum) of the electromagnetic A of the tube. map- photogrammetry involves the use of special cameras to photograph the earth's surface to produce mosaic pictures or scale maps. Phytoplankton Pneumofathometer ping; Photophobia at the base kelp plants and that cause the fronds to float up to form a canopy. principles to the science of Photon found floats floor that uses a single transponder platform. Phonetically Hollow of the blades or fronds of certain placed on the object and three receiving elements located on the underside of the surface support Balanced Pneumatocysts position of an object on the sea- at the lower edge and the top and that affects into the to hang by weights is floats at pursed or drawn shape of a bag to enclose the catch. Pleura The serous membrane lops the lung cavity. E-10 and that enve- lines the thoracic Pyrolytic Decomposition NOAA Chemical change caused by heat or fire. Diving Manual —October 1991 Glossary Quadrat A which device, is usually a square Resolution of polyvinyl chloride tubing, that placed on the seafloor and used is marine a defined In photography, the amount of detail (lines per inch) in a photo- graph. to estimate the density of area. The process by which gases, oxygen, and carbon dioxide are interchanged among the tissues of the Partial quadriplegia. body and the atmosphere. plants or animals in Quadriparesis Quadriplegia Respiration Loss of function, and occasionally Retinitis from the neck or chest Pigmentosa sensation, down. Radiometer An instrument, which is essentially is Rip Current used and measure long wave Minute teeth that are imbedded horny strip on the floor of the mouth of a snail and that are used to scrape up food. in a Rebreather A all of the retina layers of the semi-closed-circuit or closed- A strong surface current of short duration that flows seaward from the shore. Rip currents usually appear as a visible band of agitated water; they are generated by the return movement of the water that is piled up on the shore by incoming waves and radiation and solar radiation. Radular Teeth that involves retina. a heat flow meter, that to detect An inflammation wind. A removes the carbon dioxide ex- swaying of the body and an when the eyes are closed and the feet are placed haled by the diver and adds oxygen close together; the presence of as required. this sign indicates neurological Romberg's Sign circuit breathing apparatus that inability to stand impairment. Refraction The bending of light rays as they pass from one medium to another Round Window of different density. The lower of two covered openings membrane- in the cochlea of the inner ear (see Cochlea). Remotely Operated Vehicle (ROV) An unmanned, tethered or unis designed tethered vehicle that Saturation Any dive conducted within 1 2 hours of a previous dive. Repetitive Group Designation A letter that is used in decom- pression tables to designate the amount of nitrogen remaining in a diver's body term used in diving to denote have absorbed all the nitrogen or other inert gas they can hold at that particular depth. Once saturation has occurred, the amount of decompression time required at the end of the dive does not increase even if the diver spends additional time at or sample collection. Repetitive Dive A a state in which the diver's tissues underwater observation, work, for for 12 hours that depth. after the completion of a dive. SCFM Residual Air The amount in of air that remains A theoretical concept that describes the amount of nitrogen that remains in a diver's tissues abbreviation for standard cubic SCFM are commonly used to express the output volume of air compressors. the lungs after a person volun- tarily expels all of the air possible. Residual Nitrogen An feet per minute; Scrubber A component of an atmospheric control system that removes car- bon dioxide from the breathing after a hyperbaric exposure. gas by absorbing it with chemical absorbents. Residual Nitrogen Time The time is added bottom time when calculating the decompression (in minutes) that to the actual schedule for a repetitive dive. October 1991 — NOAA Diving Manual Seborrheic An Dermatitis of the scalp, face, and, occasionally, inflammatory scaling disease of other areas of the body. E-11 Appendix E Seismic Waves Shock waves caused by earthquakes or explosions that travel inside the earth or on its surface. Spectrometer Seismic Profiling A method Circuit Breathing System lengths of various kinds of radi- sediment and rock below the seafloor; seismic profiling uses a strong energy source from the surface and then measures the ation, Spectroradiometer A self-contained underwater breathing apparatus in which the breathing gas recirculated is is Sphygmomanometer Spina Bifida into the surrounding water. Spirit Level not free-moving. A is navigational instrument that used to measure the altitude of celestial bodies. A force that lies in the plane of slide Stadia on the adjacent A congenital anomaly in which the spinal membranes protrude A level that is used in combination with a telescope to compute the difference in elevation between points. Deformation of tissue or some A method of surveying distances lines to intercept intervals on a calibrated rod; the intervals are In photography, the amount of time a camera shutter exposes a A instrument used to measure blood pressure. that involves the use of two parallel proportional to the intervening distance. film to light. Side-Scan Sonar An difference in pressure. planes. Shutter Speed instrument used to measure portion of the body caused by a an area or a parallel plane and an area to gamma. the spectral distribution of radiant two Squeeze that tends to cause the plane of to through a congenital cleft (split) in the lower part of the vertebral column. discharged Permanently attached or fixed; An from infrared energy. replenishing systems and a portion Shear instrument used to measure of the seafloor or of the layers of of the exhaled gas Sextant An spectra or to determine the wave- through purifying and oxygen- Sessile the for obtaining a profile strength of the reflected energy. Semi-Closed- medium minus point in a static pressure at that point. search system in which acoustic beams are directed laterally and downward in planes perpendicular to the line of the advance of a towed transponder-receiver unit. Stage Decompression A decompression procedure in- volving decompression stops of specific durations at given depths. Stapedectomy Removal bone of the stirrup-shaped middle in the ear. Return signals are then processed to present a picture of the seafloor Stipe The flexible stemlike structure of seaweeds, such as kelp, that serves on both sides of the towed as the shock absorber unit. between the upper leafy parts of the plant Single Lens Reflex (SLR) A camera that has a movable mirror and a series of prisms and the anchored holdfast at the bottom. that allow the subject to be viewed through the camera's Solubility Coefficient of Gases Sound Pressure E-12 Stratigraphy Under the experimental condiand temperature, the volume of gas dissolved by a of rock strata, and especially of their distribution, The study deposition, and age. tions of pressure unit Sonic Pinger lens. volume of Strike solvent. See Pinger. In geology, the compass direction that a rockbed would take if it were projected to a horizontal plane on the earth's surface. In the presence of a sound wave, Sub-Bottom the instantaneous pressure at any Profile NOAA See Seismic Profiling. Diving Manual — October 1991 Glossary Subcutaneous Emphysema A condition in which air enters the tissues beneath the skin of the neck and extends along the facial planes from the mediasti- Theodolite An Thermistor An num; the presence of subcutaneous that air has escaped from the lungs through a Substernal An A Thermocline adjective meaning beneath more gas than solution that holds Thoracentesis would be possible at the same temperature and pressure at equi- The period elapsing between the Thrombus Maps showing the two-dimen- sional character and distribution In photography, the interval be- tween the opening of the shutter and the burst of light from the Tinnitus Topographic Chart fluid. Incision of the thorax or chest wall. A stationary plug or clot in a blood The volume of air inspired and expired by a person during rest. A ringing, roaring, or hissing A in the ears. chart that graphically repre- sents the exact physical configuration of a place or region. Torr A unit of pressure equal to 1/760 and very nearly equal to the pressure of a column of mercury 1 millimeter high at 0°C (32 °F) and standard gravity. of an atmosphere The rhythmic contraction of the heart that drives the blood through the aorta and pulmonary arteries. Pressure medical procedure involving sound strobe. Systolic Blood A the heart. of material comprising the seafloor Systole transition zone of rapid temperature change between contig- vessel or in one of the cavities of Tidal Air of an area. Synchronization A accumulated Thoractomy dive. Maps in a puncturing of the thorax to remove time a diver surfaces from a dive and the time the diver leaves the surface to perform a subsequent Surflcial of a uous layers of water. librium. Surface Interval made sharply with temperature known manner. the breast-bone. Supersaturated Solution electrical resistor to material whose resistance varies emphysema means rupture of the alveoli. optical instrument used measure angles and distances. The blood pressure recorded Total Bottom during systole (contraction of the Time The total amount of time between the time a diver leaves the surface and the time (next whole minute) heart). that the diver begins ascent (in Talus The mass of coarse rock fragments minutes). that accumulates at the foot of a weathering Toynbee Maneuver In taxonomy, a category, such Trachea cliff as a result of and Taxa gravity. the That portion of the breathing apparatus that extends from the posterior oropharynx (the posterior as a species or genus. Telemetry The act of swallowing while mouth and nose are closed. The science and technology of portion of the mouth) to the chest the measurement and transmission cavity. of data by wire, radio, acoustic, Tracheobronchitis or other means. Inflammation of the trachea and bronchi. Temporal Mandibular Joint (TMJ) Pain Pain area of the temple and pain is often caused by grinding the teeth or by gripping a mouthpiece too firmly. in the the jaws; TMJ Transducer A device capable of being actuated by waves from one or more transmission systems or media, differentiated into root, stem, or mechanical, or and of supplying related waves to another trans- leaf. mission system or media. e.g., Thallus October 1991 A plant that has a — NOAA body that Diving Manual is not electrical, acoustical, E-13 Appendix E Transect In diving, a reference line attached to the seafloor and designed Vasovagal Effects to provide directional orientation or to serve as a base line for scientific observations or surveys. Transponder An A group of physiological effects caused by fright, trauma, pain, and other stress-inducing situations; vasovagal effects include nausea, sweating, paleness, decreased cardiac output, and related electronic device consisting symptoms. of a receiver of signal impulses and a responder that automatically returns signal impulses to the Vector A Ventricle A interrogator-responder. Trigeminal Nerve The fifth cranial nerve; controls A method it of determining the the heart left ventricle of receives arterial blood into the aorta. The and pumps right ventricle of the heart receives venous blood more and that involves treating relative positions of three or points small anatomical cavity or chamber, as in the heart or brain. The motion and sensation of the face, teeth, and tongue. Trilateration quantity completely specified by a magnitude and direction. and pumps it through the pulmonary artery into the lungs. these points as vertices of a triangle and then measuring and sides. Trochlear Nerve The their angles Ventricular A Fibrillation of the heart develop an irregular and chaotic rhythm and the electrical activity of the heart becomes fourth cranial nerve; controls the superior oblique muscles of disorganized. If ventricular the eye. Turbulent Flow A lation it is type of flow in which the fluid velocity at a fixed point fluctuates with time in a nearly Venturi Effect random way; Tympanic The thin membranous partition In coastal areas, the replacement Venule A Vertigo A caused by winds that Valsalva Dry Suit is caused by damage and is somesymptom of serious decom- pharynx, larynx, heart, lungs, esophagus, and other parts of pression sickness. act of attempting to exhale mouth and times a Vestibular Decompression sickness involving Decompression the inner ear; inner-ear decompression sickness is often asso- Sickness ciated with vertigo. nose are closed. Variable-Volume disoriented state in which the individual perceives himself or herself, or the surroundings, as sensation and motion of the ear, forcefully while the restriction small vein. neurological The by a rotating; vertigo tenth cranial nerve; controls the body. Maneuver lower; venturi effects of an area through which gas or transport surface waters offshore. The is liquid flows. of surface waters by deeper waters; Vagus Nerve type of flow in which the flow is higher and the relative tion in a pipe or eardrum) that separates the external ear from is fatal. pressure (also called the upwelling fibril- not stopped immediately, are caused by a smooth constric- the middle ear. Upwelling A is rate contrasts with laminar flow. Membrane condition in which the ventricles A type of dry suit that has both an inlet gas valve and an exhaust Vestibule of the Ear The common central cavity of communication between the parts of the internal ear. valve. The vestibule situated on the inner side of the eardrum, behind the cochlea, and in front of the semicircular is Vascular Vasomotor Control E-14 Consisting of, pertaining to, or provided with vessels; usually refers to blood or lymph vessels. Regulation of the tension of blood canals. Viewfmder In photography, a device used to vessel walls. NOAA aim the camera. Diving Manual —October 1991 Glossary Virtual Image An image from which that a given species rays of to diverge, as in a Viscosity from an image seen plane mirror. Weir Resistance to flow, a property of fluids. Vital Capacity A dam or bulkhead over which water flows, or a bulkhead containing a notch through which water flows; weirs can be used to measure volume in a flow of water. In respiratory physiology, the maximal volume that can be expired after maximal inspiration. Vortex was collected from a certain place. reflected or refracted light appear A Wet Submersible A free-flooding submersible de- signed so that exposed ment. type of flow that involves roan axis, such as occurs to the occupants are ambient environ- its tation about Zooplankton in a whirlpool. Drifting marine animals that range and complexity from microscopic single-celled animals to in size Voucher Specimen A specimen collected to provide species identification or evidence large multicellular ones. ) October 1991 — NOAA Diving Manual E-15 i i ( i ( ( REFERENCES Adams, G., R. Williamson, C. Harvey, R. Murray, and R. Hester. 1978. Shallow habitat air diving with excursions between 5 and 25 fswg: a review of four simulated dives. In: C.W. and M.W. Beckett, Shilling Underwater Physiology VI. Proceedings of the Symposium on Underwater Physiology. Bethesda, Md.: Federation of American Societies for eds. Sixth Experimental Biology. 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B.C. roundup, Part II: 21 tankmounted and wraparound compensators. Skin Diver 29(ll):49-58. Somers, L.H. 1972. Research Diver's Manual. MS-222 as an anesthetic on four salmonids. Investigations R-8 J. NAUI Shilling, eds. Hydro-Lab Smith, R., and C. Allen. 1978. Scuba Lifesaving and 252-261. the sand nia. Island. of contact lens wear during decompression. squeeze. Skin Diver 31(2):6. Ryan, Seiff, S.R. Grand Bahama Ed. Technical Report 16. Ann 1st Rev. Arbor: Sea Grant Program, University of Michigan. NOAA Diving Manual —October 1991 — References Somers, L.H. 1986. Diver Education Series: Physiology of Breath-Hold Diving. Sea Grant College Program, University of Michigan, Ann Arbor, Mich. Somers, L.H. 1986. Diver Education Series: The First Responder. Sea Grant College Program, University of Michigan, Ann Arbor, Mich. Somers, L.H. 1986. Thermal Stress and the Diver. NAUI News, Sept./Oct. Strauss, M.B., and W.S. Vaughan. 1981. Rewarming experiences with hypothermic scuba divers. Undersea Biomed. Res. 8(1):25. Surgeon General. 1986. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, 1986. The Health Consequences of Involuntary Smoking: A Report of the Surgeon General. Tate, B., T. Moen, and B. Severson. rotenone for the recovery of 1965. The use live fish. Progress. of Fish Cultur. 27(3):156-160. new potent anesthetic in fish. Int. R7464A, Zoo. Yearbook 1965. 5:202-205. A.M. Gronell. 1978. Subcutane- ous tagging of small reef fishes. Copeia 2:352-353. Am. Bull. Littoral Soc. 4(3): 12-1 5. Tzimoulis, P. 1982. Divers don't do drugs. Skin Diver 31(2):4. U.S. of Engineers. 1984. Shore Protection Manual, Volume Coastal Engineering Research II. Center, Department of the Army, Waterways Experi- Station, Corps of Engineers, Vicksburg, Miss. U.S. Coast Guard. 1973. National Search and Rescue Manual. Department of Transportation. WashingGovernment Printing Office. ton, D.C.: U.S. U.S. Coast Guard. 1975. A Pocket Guide to Cold Water Department of Transportation. Washington D.C.: U.S. Government Printing Office. Survival. U.S. Department of Navy. 1971. U.S. Gas Manual. 2nd Ed. NAVSHIPS Navy Diving- 00994-009-6010. Washington, D.C.: U.S. Government Printing Office. U.S. Department of the Navy. 1985. U.S. Navy Diving Manual, NAVSEA 0994-LP-001-9010, Revision 1. Washington, D.C.: U.S. Government Printing Office. Government Diving lication OP-5. Vol. 1, Change Government Printing 14. Hampshire. 1972. Manned Underwater Platforms. U.S. Department of Commerce Technical Report No. 111. Durham, N.H.: Univer- New sity of Hampshire. VanDerwalker, J., and B. Littlehales. 1971. Tekite II: Science's window on the sea. National Geograph. 140(2):256- 289. Part I. Vaughan, W.S., and J.A.S. Kinney. 1980. VisionPerception Research and Analysis Relevant to Display Design for Underwater Applications. Office of Naval Research Technical Report No. N0001474-C-0602;NR 196-157. Vaughan, W.S., and J.A.S. Kinney. 1981. 2, Navy Diving Mixed-Gas Diving. Revision Washington, D.C.: U.S. Government Printing Office. October 1991 — NOAA Diving Manual Human Engi- neering Guides to Design of Displays for Underwater Applications. Office of Naval Research Techni- Report No. N00014-74-C-0602; NR 196-157. Wachholz, C. 1986. The high cost of diving injuries the need for diver insurance. Ascent Lines. Young Men's Christian Association (YMCA) Scuba Program, Norcross, Georgia. and W. Rainnie. 1971. Project FLARE. Aquanaut Research Expedition Program Plan. Woods Hole, Mass.: Woods Hole Oceanographic B., Florida Institution. in the hyperbaric environment. Undersea Medical Society Workshop Report No. 21 (DR), 10-1-80. Bethesda, Md.: Undersea Medical Society. Walsh, J.M., and H.M. Ginzburg. 1984. Use of drugs and related substances under diving conditions In: C.W. Shilling, C.B. Carlston, The Physician's Guide York: Plenum Press. eds. Webb, P., ed. to and R.A. Mathias, Diving Medicine. New 1985. Prolonged and repeated work in cold water. Undersea Medical Society Workshop Report No. 68. Bethesda, Md.: Undersea Medical Society. Weeks, A. 1972. FLARE. Exploring the Coral Reefs. National Oceanic and Atmospheric Administration, Washington, D.C. Wells, J.M. 1986. Diving operations in heated/contami- of the UJNR In: Proceedings of the Eighth Meeting Panel of Diving Physiology and Tech- nology. Rockville, Md.: NOAA Undersea Research Program. Office. U.S. Department of the Navy. 1987. U.S. Manual, Volume Washington, Office. New University of nated water. U.S. Department of the Navy. 1986. Operations PubD.C.: U.S. ington, D.C.: U.S. Navy Diving 2. Wash- Air Diving. Revision Walsh, J.M. 1980. Interaction of drugs Army Corp ment 1, Walden, Tutschulte, T.C. 1968. Monitoring the nocturnal move- ment of abalones. Manual, Volume cal Thienpoint, D., and C. Niemegeers. Thresher, R.E., and U.S. Department of the Navy. 1988. U.S. 2. Wickham, D.A., and J.W. Watson, Jr. 1976. SCUBA diving methods for fishing systems evaluation. Marine Fish. Rev. 38(7): 15-23. R-9 References Wicklund, R., G. Wenz, and R. Clarke. 1972, 1973, 1975. Bulletin of the Hydro-Lab Underwater Research Program. Vols. 1, 2, and 3. Riviera Beach, Fla.: Wood, thelial keratopathy from commerical agents. Am. J. « mask defogging Ophthalmol. 93: 470-472. Perry Foundation. Urethane as a carcinogen. Progress. E. 1956. Fish Cultur. 18(3): 135-136. Woods, Wright, W.L. 1982. Scuba diver's delayed toxic epi- J., and ence. London: J. Press. Woodward, R. 1982. Microprocessor-controlled diver navigation. Underwater Sys. Des. J. erties of Lythgoe, eds. 1971. Underwater Sci- Oxford University Zumrick, 4(2). 1985. A comparison of the insulating prop- two commercially available dry suit under- garment combinations. In: P. Webb, ed. Prolonged and Repeated Work in Cold Water. Undersea Medical Society Workshop Report No. 68. Bethesda, Md.: Undersea Medical Society. 4 i R-10 NOAA Diving Manual — October 1991 i i i INDEX Page Absolute Zero Temperature 2-1 Absorbent 15-8, 16-9 Absorption of Light Under Water 2-15 Accident Causes of 19-1, 19-5 Management 19-1, 19-19, 19-25 of 19-2 Prevention of Reporting Procedures for 19-28 Acoustic Communication Systems 9-4 for 7-8 Anatomical Differences Between Males and Females . 13-1 9-42 to 9-48 Anesthetics (for Fish) Animals Capture Techniques for Geographic Distribution of Hazardous Aquatic 9-41 10-1 to 10-7 10-2, 12-11 Anxiety 19-2 Aquaplane 8-29 5-26 Grids Methods Page American Red Cross Underwater Search Aquarius Underwater Habitat 17-17 8-1 8-17, 17-20 Pingers 8-16 Telemetry Transmission Under Water Archeological Diving 9-36 Argon 2-7 2-16 Artifacts (Underwater) 17-14 Aegir Underwater Habitat Aging and Diving 13-2 Air Analysis of 4-1 9-40 Preservation of 9-40 13-1, 14-8, 14-12 14-20 Ascent by Surface-Supplied Diver 8-6 20-13 6-6, 8-9 14-18 8-6, 19-4 4-1 Pressure Effects During 14-19 Problems During Rate of 14-20 Uncontrolled 19-15 Aseptic Bone Necrosis 3-20 Asphyxia 20-2 15-12 6-6 8-9 16-7 Atmospheric Contaminants Diving Systems 2-2 Autonomic Dysreflexia 18-1, 18-3 Bag- Valve-Mask Resuscitator Algae 9-17,9-20 Bailout Unit Alligators 12-11 5-24 Barnacles 10-25 Barometric Pressure Units Alveoli 3-2 Barotrauma {see Squeeze) Ama 1-1 Barracuda Diving Tables for Divers American Academy of Underwater Sciences American Heart Association — NOAA Diving Manual 7-10 7-8 Bathymetric 1 18-5 Bang Stick 20-12 10-24 for A-l 5-8 Barium Hydroxide (Baralyme Altitude Diving 4-1 17-18 Pressure Airway Obstruction October 1991 19-4 14-16 8-27, 9-38, 9-40 No-Decompression Limits 19-6 16-8 for Saturation Diving Decompression Treatment 8-7 Emergency for Surface-Supplied Diving Airlifts 9-20 Reefs Resuscitation {see Resuscitation) Limits for Saturation Diving Loss of, Diver's Low-Pressure Warning Operational Requirements Purity of Supply, Chamber Use of 9-38 Artificial 15-13 Compressed Compressors {see Compressors) Consumption Decompression Tables Embolism {see Embolism) Emergency Supply of Evacuation, Emergency Flow Requirements High-Pressure Storage Systems Systems Excavation of Ownership of R ) 15-9, 16-9 12-1 2-3 12-10 Map 9-1 Bell Diving {see Diving Bells) 1-1 Index Page Bends (see Decompression Sickness) Breath-hold Diving Bends Watch (Emergency Phone Numbers) 14-3 Biological Sampling 9-8 Surveys 9-6 Birth Control Methods and Diving Page 13-2 Birth Defects from Diving 13-3 Bites 12-8 1-1 and Hyperventilation Uses of 3-8 14-2 Bristleworms 12-4 Bubble Formation and Contact Lenses During Rewarming Following Hypothermia 3-16 3-27 Buddy Breathing Diving During Wire Dragging 19-5, A-8 8-25 18-7 Bleeding Built-in-Breathing System (BIBS) 17-2 Blood 3-2 Circulation Color of, in Water 2-15 Bloodworms 12-4 Blowout Plugs 4-10 Blowup 8-6, 16-1 Blue-Water Diving 10-14 Body Fat 13-2 Bond, George 16-1 Botanical Sampling Buoyancy Compensation Compensator (see Flotation Devices) 5-12, 19-4 A-l, A-7 Control for Disabled Divers 2-3 Definition of Burns Sunburn Treatment of 18-10 , 18-10 Caisson Disease (see Decompression Sickness) Cameras, Underwater Lenses and Housings Motion Picture Areas of Field Procedures for 9-17 9-18 Still Specimen Preparation 9-19 Telephoto Lens 8-33 8-42 8-33 9-7 8-44 Television Bottom 8-2 Conditions Surveys 9-4 Timer 5-20 Box Cores Boyle's 9-24 Law 2-8 Carbon Dioxide Appendix E 5-12 Cartridges for Flotation Devices Definition of 2-6 Excess of 3-5 Gas Exchange in Bradycardia 15-14 Analyzer 3-2 16-8 Saturation Diving 20-1 Poisoning Removal Breathing 15-8, 16-9 Shark Darts Transport of, 5-25 Bag 3-8 Hoses 5-4 Media 4-1 Rate 3-2 Analyzer Resistance 3-8 Definition of 2-6 Filtration 4-4 Breathing Gas (see also Air) Air Analysis of Chamber for Saturation Diving Helium-Oxygen Mixing Moisture in Nitrogen-Oxygen Oxygen Purity of 1-2 4-1 15-13 6-6 16-7 15-1, 15-4, 16-8 15-14 2-12 15-1, 15-7, 15-10, 16-7 in Blood 3-2 Carbon Monoxide 15-14 in Ambient Air in Saturation Diving 4-1 16-8 3-6, 20-2 Poisoning 18-5 Cardiac Arrest Cardiopulmonary Resuscitation (CPR) Cartridges (C0 2 18-6, 19-16 5-12 ) Catheters for Disabled Divers A-10 Cave Diving 10-17 15-5 15-12 NOAA Diving Manual — October 1991 1 1 Index Page Central Nervous System Chamber Charles' {see (CNS) Oxygen Toxicity.. 15-3 Hyperbaric Chamber) Page Compressors, Air Air Intake Filtration Law 2-10 Chart, Topographic 9-1 1-2 Chemical Hazards of Diving 1 Chokes 3-18 12-12, 18-13 Ciguatera Circulatory System, Human 3-1 4-4 Habitats 4-2 Hyperbaric Chambers Lockout Submersibles Lubricants Maintenance of Rating of Shipboard 6-5 Condensation Cone Closed Circuit Rebreather {see Rebreather) 4-1, 4-4 System (in 4-2 4-2 4-5 4-2 10-32 Breathing Tubes or Mask) Shells 12-4 Description Closed-Circuit Scuba Oxygen Poisoning 20-2 Uses of 14-2 Coast Guard Search and Rescue Units 19-21 12-1 Coelenterates Poisoning by 18-12 Contact Lenses 3-16, 5-7 Contaminated Water {see Polluted Water) 12-2, 18-13 Coral, Fire (Stinging) Wounds Cold Water Diving in 10-3, 10-6, 10-19 3-4 Effects of Performance in Protection Against Rewarming Techniques Box Devices 5-14 Samples 3-26 Survival in Color 6-9 Cylinders 4-7 2-15 8-35 Photography 8-34 Counterdiffusion 2-15 Crabs 6-14 Crocodiles Combustion COMEX Treatment Table CX COMEX Treatment Table CX 30 Appendix C 30A Appendix C Cable 5-9 for Disabled Divers A-4 Habitats Loss of 16-1 in 8-7 Systems Underwater for for 5-25 3-19, 15-4 9-13 12-1 Currents Diving in Geographical Variation 8-2, 10-9, 14-5 in 10-1 to 10-7 9-34 10-9 Rip River Search and Recovery Shore 19-19 10-31 in 8-13 10-9 Cutting, Underwater 8-22 Cyanosis 18-3 2-17 Navigation Search 8-17 8-16 Wrist 5-21 Compressed Gas Airborne Pollutants Cylinders Production of 4-1 4-5, 14-18 4-3 15-12 Purity of 4-1 Safety Precautions October 1991 Costs of Diving Medical Treatment Measurement of Communication Compass Use of, Use of, 9-9,9-27 Chambers Filters Under Water 9-24,9-30 9-9, 9-10, 9-26, 9-30 Corrosion Prevention Coding Vision 18-13 Coring 3-25 3-27, 18-9 2-13 — NOAA Diving Manual Cylinders Aluminum Capacity of Charging of Color Coding of Handling of High-Pressure Hydrostatic Tests for Inspection of Low-Air Warning Device 4-6 4-7, 14-14 4-2 4-2 4-2 14-18 4-6, 4-9 4-6, 4-9, 7-1 4-1 1-3 1 Index Page Cylinders (Cont.) 4-7 Maintenance of 4-10, 10-18 Manifolding of Marking of Pressure 4-5 to 4-8 Gauge 4-1 4-5, 14-14 Steel Storage of 4-9 Law 2-7 Dalton's Page Depth Measurement of 8-2 Depth Gauges Bourdon Tube Capillary 5-21 Tube 5-21 10-26 Correction for Altitude Pneumofathometer 5-21 Descent Line DAN (see Divers Alert Network) David (Remotely Controlled Vehicle) 17-23 Dam 10-28 and Reservoir Diving 8-4,8-7 Pressure Effects During 3-10 Problems During Rate for Surface-Supplied Diver 19-3 8-5 19-15 Uncontrolled Dark Adaptation 2-15 Diluent Gases Dead 15-1 Limitations of 8-16 Reckoning Space 15-12 Purity of 3-8 Dip (of Rock Bed) Deck Decompression Chamber (DDC) 9-26, 9-28 16-1 A-l Disabled Diver Decompression After Air Diving After Air or Nitrogen-Oxygen Dives 14-21 After Helium-Oxygen Dives After Repetitive Dives After Saturation Dives 15-4 14-23 16-13 Chamber 16-1 Definitions of 14-20 During Night Diving In-Water Omitted 10-28 20-13 14-26,20-13 Oxygen 15-4 Surface (Air) Tables Flags 14-9 Ladders Master 10-13 7-8, 10-32, 14-2 Planning for Supervisor Team for Surface-Supplied Diving 14-1 8-2 8-2 Timekeeper 8-2 Diver 14-25 Certification 14-20 Communication 16-12 3-17 13-3 A-l Disabled Divers Female Divers Pretreatment Procedures in 7-1 5-26, 9-5 A-l 20-13 16-12, 20-8, 20-12 for 20-11, 20-15 Decompression Tables (see U.S. Navy) Decontamination Procedures for PollutedWater Diving 1 7-11, 11-6 Propulsion Vehicle 9-5, 17-18 7-1 Selection of 8-15, 8-27, 10-34 1 3-18, 20-9 of Physical Examination for Sled 13-2 in Treatment of Treatment Tables Dive Disabilities Decompression Sickness After Excursions from Habitats Causes of Impact of, on Fetus Symptoms Distress Signals (see Signals) 16-13 1-5 Standby Support Tender Towing 8-2 14-3 8-2 8-27 Divers Alert Network (DAN) .... 7-9, 14-3, 19-20, 19-28 Diving After Decompression from Saturation Air Regulators Demolition, Underwater Density, Definition of Department of Transportation Emergency Medical Technician Training 1-4 5-1 8-31 2-1 7-8 14-1 10-24 at Altitude Demand 12-13 at Dams and at Water Withdrawal and Pumping 10-28 Reservoirs Sites 10-30 17-1 Bells 16-13 Excursions Freshwater from a Coral Reef 10-13 from a Pier 10-10 NOAA 10-10 Diving Manual — October 1991 11 11 Index Page Page Diving (Cont.) from a Ship from a Small Boat from a Stationary Platform from Shore Gases in Cold Water in Contaminated Water in Open Ocean Locker Medical Officer Medical Technician 10-32 8-27, 10-1 10-10 10-7, 10-9 2-6 10-19 Cleaning Procedures for Clearing of 1-6 1 A-6 Drum 20-7 Dysfunction 20-3 Fullness 20-3 11-1 Infection 4-11, 16-12 Medication Plugs 5-24 10-14 Round Window Rupture 20-7 10-32 Squeeze 11-1 14-3 3-10, 20-3, 20-6 Eardrum Rupture 3-1 14-3 Mixed Gas Oxygen 15-1 15-1 9-1 Scientific 14-8 Signals Edalhab Underwater Habitat 17-10 Edema, Pulmonary 3-13 18-11 Electrocution Suits (see Suits) Supervisor Training 7-8 Surface-Supplied 8-1, 9-6 Systems 17-18 Through Surf Under Ice While Under Way Women and 10-7 Embolism 3-15, 20-9 Causes of Treatment of 3-15, 3-16, 20-8 Emergencies 10-21 Associated with Surface-Supplied Diving 10-33 Causes of 13-1 Diving Bells 1-1, 17-1 Diving Equipment for Smaller Divers for Surface-Supplied Diving 13-4 8-3 14-1 Selection of Emergency Aid 9-27 Drilling 14-3, 19-8, 19-20 8-6 Air Supply Assistance Breathing Station Evacuation Gas Supply 8-27, 8-30 Drift Diving 19-21 17-1 19-27 5-8 (Bailout) Medical Technician Training Procedures for Habitats (see Telephone Numbers Near Drowning) Drugs and Diving 3-28 for Equalization Dry Suit Duke Problems 3-1 (see Suits) University Medical Center 19-20 7-8 16-10 19-20, 19-22 Signals Drowning 8-5 19-4 for 14-3 Emphysema 3-14, 20-17 Entanglement 19-7, 19-15 Entry (into Water) by Disabled Divers by Surface-Supplied Divers Problems During A-5 8-4 19-3 Dye for Core Samples Flow Patterns Marking Coral Marking Dive Sites Observing Currents Specimen Identification Tagging Fish 9-24 for Detecting 9-32 for 9-17 for for for for 10-15 Envenomation by Marine Animals Environmental Conditions Surface 9-10 9-9 Epifauna 9-16 9-33 Dysbaric Osteonecrosis (see Aseptic Bone Necrosis) 3-1 Equalization of Pressure Equipment A-l for Disabled Divers Ear for Diving in Polluted Care 3-10, 20-8 of of, in 16-12 Habitats October 1991 — NOAA Diving Manual 14-4 14-4 Underwater 10-14 Tracers Anatomy 18-12 Water Smaller Divers for Surface-Supplied Diving for 1 1-3 13-4 5-6, 8-3 1-5 Index Page Equivalent Air Depth Page Flag Definition of 15-7 Diver's Nitrogen 15-7 Signal 14-8 Weather Warning 14-4 Eustachian Tube 3-1 Evacuation, Emergency 19-27, 20-13 Examination Neurological 19-23 of Injured Diver Flares 5-23 Floats 5-24 Flotation Devices 5-11, 19-4 19-19, 19-23 Physical (of Divers) 7-1 Excavation Techniques 8-27, 9-37 Flying After Diving After Saturation Decompression 14-28 16-14 Fogging (Mask) Excursion Diving Decompression Sickness After 7-7, from Habitats Using Air Exit from 5-24, 14-9 16-12 2-13, 5-8 Fractures 18-1 16-7, 16-11 to 16-13 16-7 Free Diving {see Breath-hold Diving) Free-Flooded Submersibles {see Submersibles) Water A-9 by Disabled Divers Problems During with a Victim 19-3 19-18 Explosives, Underwater 8-31 Free Flow/ Demand Mask {see Mask) 10-13 Freshwater Diving Gas 15-12 Analysis Eye Law Charles' Law 2-8 Boyle's Glasses (Underwater) 5-7 Infections 11-1 Squeeze 20-6 2-10 15-15 Compressibility of Dalton's Law 2-7 15-1 Diluents Face Mask {see Mask) 2-6 Diving 8-11 Fathometer 8-38,8-42 Film 1-5, 5-14, Fins A-l Management Prevention Chamber Chamber of, in of, in -Resistant Materials 6-10 6-14 Supply of, for Hyperbaric Chamber Supply Hose 20-20 Fish 9-42 Anesthetics Screens Venomous 1-6 15-14 2-12 3-16 15-1 Gatewell Diving {see Dam 6-3 5-9 and Reservoir Diving) Gauge Kits Tagging of Traps 2-1 6-14 18-1 Basic Principles Rake 15-1 Law Quality of Aid Capture of Poisoning by 2-1 6-10 6-17 16-10 Safety for Saturation Diving Systems 3-8,2-12 Mixing of Moisture in Overexpansion of Stomach and Intestine 12-2 Coral Detection of Extinguishment of 3-2, 3-16 Flow General Law Handling of Henry's Fire First Embolism {see Embolism) Exchange (in Blood) 9-41, 9-46 12-1 1, 18-13 5-20 Depth A-2 for Disabled Divers Submersible Cylinder Pressure Surface Cylinder Pressure 5-21, 14-14 4-12 Testing of General Gas 4-11,5-21,14-12 Law 2-1 9-7 10-30 9-14 9-41 12-5, 18-12 Geology, Underwater Coring 9-27 Drilling 9-27 Experimentation 9-31 NOAA Diving Manual — October 1991 11 1 Index Page Geology, Underwater (Cont.) Mapping Hemoglobin 9-1,9-22 9-11, 9-26 9-22 9-23 Sampling Study Techniques Surveying Page Henry's 2-1 Air Storage System Air Supply for Hyperbaric Chamber Nervous Syndrome (HPNS) 5-16, 10-19 Gloves, Diver's Law High Pressure 9-31 Testing 3-2 14-18 6-5 3-22, 15-4 Hopcalite Hose Goosefish 10-2, 10-3 Gulf Stream 10-2, 10-3 Definition of 16-1 Design Features of Emergency Procedures for 17-7 16-10 1-7 History of Life Support Systems for 17-17 Saturation 17-10 Shelters 17-17 9-32, 17-7 Uses of 14-8 Signals Hard-Hat (see Helmet) Hazardous Marine Animals Materials in 5-5 Hot-Water Hose 5-10 Suit 5-18 Hydrogen 2-7, 15-2, 15-12 Hydrographic Operations 8-24 Hydroids 12-2 Hydrolab Underwater Habitat 9-32, 9-41, 17-1 Hydrostatic Pressure Test (of Cylinders) 2-2 4-5 Hyperbaric Chamber (see Animals) Combustion 16-12 Habitats Loss 20-4 UnderWater 2-17 6-14 in Deck 16-1 Design and Certification of 6-3 System Equipment for 6-9 Electrical for 6-2 6-10 Fire Safety for Heat Exhaustion 18-8 (see Suits) Heatstroke 3-27, 18-8 y Gas Supply Heimlich Maneuver 18-3 Helicopter Rescue 19-27 6-3, 6-6 for Maintenance of 6-9 Multiplace Operation of Operator Training for 6-2 Overboard Oxygen Dump 6-3 7-7 Decompression Definition of Paints for 16-1 Pressure Test of 6-1 20-14,20-18 Transportable 6-2 2-6 Ventilation of 6-6 Hyperbaric Physician Training 7-9 Hypercapnia 3-5 15-1, 15-4, 16-8 15-2, 15-4 Helmet Air Supply 8-9 Diving Lightweight Free-Flow 1-2,8-4 5-8 Maintenance of — NOAA 6-10 Personnel Transfer 15-4 15-4 Effects of, on Speech Oxygen Mixtures Thermal Effects of 6-7 for Tender Helium October 1991 5-9 Regulator Hearing Heated Suits 5-9 5-10, 5-18 16-9 7-7 Special Problems of 5-2, 5-4 Gas Supply Hot Water Pneumofathometer 16-8 Non-Saturation Operational Procedures for (see also Umbilical) Breathing Habitats Hand 4-4 5-24 Goggles, Diver's 8-8 Diving Manual Hyperthermia from Diving in Superheated Water from Encapsulation in Diving Suits from Heatstroke Symptoms and Treatment of 1 1-3 1 1-3 18-8 3-27 1-7 Index Page Hyperventilation and Breath-holding 3-8 Hypocapnia 3-9 Hypothermia {see also Cold Water) Causes of in Cold Water Near-Drowning 3-24 Disabled Divers A-10 3-25 Symptoms of 3-25 Treatment of 18-9 Hypoxia Causes of During Altitude Diving 20-1 3-5 15-10, 15-11 Treatment of 20-1 Ice Diving 8-13, 10-6, 10-21 Immunizations Inert Gas Narcosis Lake Diving 10-13 Lake Lab Underwater Shelter 17-18 10-10 Lambertsen/Solus Ocean Systems Treatment Table 7A Appendix Laminar Flow 1 1-6 {see Narcosis) 3-8 Leeway 8-1 Lifeline 5-24 Life Support Aid Procedures Systems for Underwater Habitats 18-2 First 16-8 Life Vest {see Flotation Devices) Lift Bags 8-26, 9-40 Lifting Devices 8-26 Light Absorption 2-14 9-10 Infauna Infections from Diving in Polluted Water from Wounds in Underwater Habitats 1 1-1 18-10 7-7 Chemical Tube 5-23 Color of 2-16 5-22, 10-18 Diver's A-2 for Disabled Divers Injuries Physics of Head and Neck 18-9 Spinal Cord 18-9 8-23, 9-32 Instrument Implantation Under Water 2-13 Refraction 2-14 Scatter Underwater Measurement of Aircraft-to-Surface-Craft Signals 19-22 Communication Distress Signals 19-20 Descent or Shot Distance for Disabled Divers Isobaric Counterdiffusion {see Counterdiffusion) 9-7, 9-19 5-25 8-5, 8-13 8-5 A-9 Ground Jellyfish Hazard During Diver Towing Poisoning by Portuguese Man-o-War Sea Wasp JIM One-Atmosphere Diving System 10-36 18-12 12-2 8-13 8-4 Life 5-24, 10-15, 10-18, 10-24 Safety Search 8-12 8-4, 14-8 12-2 Signal 17-18 Lionfish 12-6 16-9 J-Valve 4-11 Lithium Hydroxide K-Valve 4-11 Liveboating 8-15, 8-27 Lobsters Kelp 10-22 in Geographic Variation Sampling of in Knife, Diver's La Chalupa Underwater Habitat 1-8 2-13 Line International Diving C 10-27 Effects of when Using Rebreathers 10-13 18-8 Protection Against in Page Ladders on Small Boats on Stationary Platforms 10-1, 10-5 9-17, 9-18, 9-19 5-14 17-1 Collection of 9-13 Study of Tagging of 9-13 9-15 Lockers, Shipboard 10-32 Lockout Submersible {see Submersible) NOAA Diving Manual —October 1991 1 1 1 Index Page Lost Diver 16-1 Low-Pressure Air Compressors Air Supply for Hyperbaric Air Warning System Definition of 4-3 Chamber 6-5 4-1 4-3 Lungs Capacity of Compression of 2-3 15-1 15-7 15-13 for 15-1 1-3 Mixing Techniques for Rebreather (see Rebreather) Surface-Supplied Equipment 15-15 15-12 for Training for 7-6 3-13 3-14, 20-17 Overpressurization of Squeeze (see Squeeze) Maintenance and Repair NOAA Modified Nitrox Saturation Treatment Table Moisture Chambers 6-9 of Cylinders 4-7 Masks 5-8 of Equipment for Gas Analysis for Gas Composition History of Lubricants, Compressor of Page Mixed Gas Diving of Regulators 5-5 of Umbilicals 5-10 Tasks 8-23 Training in 7-1 Moray in Appendix Breathing Gas C 2-12 Eels 12-9 Motion Picture Photography 8-42 Motion Sickness (see Seasickness) Mouthpieces 5-4 Mouth-to-Mouth Resuscitation 18-5 Mapping Archeological 9-37 Geological 9-22 Maps, Bathymetric 9-1 Mask 12-11 Narcosis Adjustment Causes of 3-21, 15-2 to 3-20 Symptoms Breathing Clearing of 6-7,6-17 Face 5-7, 5-1 A-6 Flooding of 19-7 2-13, 5-8, 10-19 Fogging of for Disabled Divers Free-Flow Demand A-l 5-6 3-21, 20-3 National Association for Cave Diving 10-19 National Association of Diver Medical Technicians 7-8 National Speleological Society's Cave Diving Section 10-19 9-6 Full-Face Lightweight 5-8 Maintenance of 5-8, 8-8 Oral-Nasal 5-7 Squeeze Mediastinal Muskrats 20-6 Emphysema 3-14 Medical Navigation, Underwater 8-24 Hazards to Using Bottom Lines Using Dead Reckoning Using Sonar Using Sound 16-1 8-16 8-17 2-17 18-8, 19-8 Near Drowning 20-20 Kits 7-9, 14-3 Officer Standards for Diving Technician 5-24 Neckstrap 7-2 7-8, 14-3 Appendix E Terms Menopause and Diving 13-2 Menstrual Period and Diving 13-1 12-2, 18-12 Nematocysts Neon 2-7, 15-2, 15-12 Nets Diving Near Gill Metric to English Conversion Units 2-2 Plankton Seine 1-1 Trawl Microbial Hazards 1 Midwater Sampling 9-1 October 1991 — NOAA Diving Manual Neurological Examination of Injured Diver 10-34 9-42,9-46 9-8,9-42 9-42 9-42 19-23 1-9 1 Index Page Night Diving 10-27, 16-12 Night Vision 2-15 Nitrogen 2-6 Definition of Limits for Saturation Diving Narcosis (see Narcosis) Oxygen Mixtures 16-7, 16-8 15-1, 15-2, 15-7, 15-10, 16-7 Purity of Residual Time Uptake and Elimination of Page Oxygen 6-8, 15-14 Analyzer Blood Transport of Breathing Combustion in 3-2 6-7, 14-31, 15-5 Chamber Concentration Consumption Decompression 3-2 14-26, 15-4 2-6 15-12 Definition of 14-23 Depth-Time Limits Dissolved in Seawater Dump System Exposure Time 14-19 Nitrox Mixtures (see Nitrogen-Oxygen Mixtures) Saturation Diving 16-8 Nitrox-I Mixture 15-7 NOAA 6-14 6-6, 15-4, 15-5, 15-9 15-5 9-35 6-7 15-3 Flammability of Handling of Impact of, on Fetus 6-14 Limits 15-5 15-5 13-3 15-2 Mixtures Nitrox-I Diving 15-7, D Appendix Weather Information 14-4 14-21 No-Decompression Diving No-Decompression Limits and Repetitive Group Designation Table for No-Decom- 15-12, 15-13 Purity of Rebreather Replacement 15-5, 15-10 in Semi-Closed-Circuit Scuba Safety Precautions for Service, Cleaning for Appendix B pression Air Dives 15-3, 15-9, 15-10, 16-7 Partial Pressure Normoxic Breathing Mixtures 15-3 Notice to Mariners 14-4 Tissue Requirements for Tolerance Tests Instrumentation 9-32 Micro-Techniques 9-33 15-7 3-4 3-24, 15-3, 20-19 3-22, 15-2, 15-3, 15-5, 15-12, 16-7, 20-2 Toxicity Oceanography (Physical) 15-9 6-11, 15-5, 15-10 Transport of, in Blood Use in Saturation Diving 3-2 16-8 8-23 Paint, Toxic Panic Occupational Safety and Health Administration (OSHA) Diving Bell Regulations Diving Regulations Octopus Regulator System 19-1 Signs of 19-1 17-2 7-10 19-5, Octopuses Causes of A-l Paralyzed Tissue A-8 Paraplegia (Paraparesis) 12-5 Partial Pressure Blood 14-26, 20-13 Omitted Decompression 5-1 Mixed Gas Systems 15-7 Uses of 14-2 Law 2-7 Gas Mixing by 15-15 Law 2-1 Carbon Dioxide of Oxygen 3-4 of Open 10-14 Ocean Diving Oral-Nasal Mask (see also Mask) 5-7 4-10 O-Ring Seals Orthopedic Disabilities A-l Osteonecrosis (see Aseptic Bone Necrosis) Otitis Externa (Swimmer's Ear) Overboard 1-10 Dump System 20-5 6-7 15-10 2-3, 15-15 Definition of Henry's A-l 3-4 Closed-Circuit Scuba Dalton's Open-Circuit Scuba Description of 1 3-2 Pathogens 11-1 Personnel Transfer Capsule (PTC) 16-1,17-1 Phase Measurement 9-5 Photogrammetry 9-4 Photography, Underwater Film for Flash Units for NOAA Diving Manual 8-38, 8-42 8-36 — October 1991 1 Index Page Page Photography, Underwater (Cont.) Pregnancy and Diving 9-12 for Estimating Planktonic Density Macro Method 8-34, 8-36 of Motion Picture of 8-42 Dyed Water Mass 9-34 Still 8-33 Time Lapse 8-41 Physical Examination of Decompression Sickness Patients 20-13 7-1, 11-6 of Divers Physical Oceanography 9-32 Pingers Attached to Remotely Operated Vehicle for Navigation 17-20 for Relocation of Instruments for Shellfish for 10-4 Density Estimation of 9-12 Nets 9-42 9-9 Sampling of 9-8, 9-33 Planning for Dives 8-1, 14-1 2-2 Atmospheric Barometric 2-2 Conversions to Altitude and Depth 2-4 2-2 2-1 Definition of Effects of 3-10 Equalization of 3-1 Gauge 2-3 Hydrostatic 2-2 Chamber Waves Under Water 6-1 2-17 Pressure Points 18-7 Propulsion of Disabled Divers A-8 Prostheses for Divers A-3 Protective Clothing (see also Suits) Pulmonary Oxygen Toxicity PVHO (Pressure (see Pneumofathometer Hose Vessel for (see Oxygen Toxicity) Human Occupancy) Hyperbaric Chamber) Quadrats 9-7, 9-9 5-9 Gauge Pressure Absolute Tests for Blooms 13-3 Pressure 8-24 Plankton Preservation of 13-4 Partial (see Partial Pressure) 9-4 Surveys 13-3 Diving While Pregnant Physiological Effects on Fetus 8-17 9-15 Tracking Birth Defects 5-21 Quadriplegia (Quadriparesis) 10-14 Quarries Pneumothorax Causes of Treatment of 3-14 A-l Quinaldine (Fish Anesthetic) 9-43 20-17 Radio Poiseuille's Equation for Gases 2-12 Band VHS Poisoning Weather Carbon Dioxide Carbon Monoxide 20-2 12-11, 18-13 12-11, 18-12, 18-13 Fish (see Oxygen 19-20 19-21 14-6, 19-21 20-1 Ciguatera Oxygen Citizens' Toxicity) 12-11, 18-14 Shellfish Pollutants, Airborne 4-1 Rays 12-5 Rebreather Closed-Circuit 15-10 Mixed Gas Oxygen 15-10 15-5, 15-10 15-8 Semi-Closed-Circuit Recompression Chamber (see Hyperbaric Chamber) Polluted-Water Diving Chemical Hazards of Equipment for Immunizations for Microbial Hazards of 11-1 1 Recompression Tables Appendix C 1-2, 11-3 11-6 Recording Methods 11-1 Slates 9-5 Procedures for 11-5 9-6 Thermal Hazards of 11-3 Tape Recorders Underwater Paper Training for . Portuguese Man-o-War 7-6 12-2 Reefs Artificial Coral Power Head October 1991 5-24 — NO A A Diving Manual 9-5 Fish Collection on 9-20 10-10 9-44 1-11 Index Page Refraction of Light Under Water Regional Diving 2-13 10-1 to 10-7 Regulator Antifreeze Agent 10-19 Demand 4-10, 5-1 for Disabled Divers A-l, A-6 10-19 Freezing of Loss of 19-7 Maintenance of Neckstrap Octopus One-Stage Page Round Window (see Ear) Royal Navy Treatment Table 71 Appendix C Royal Navy Treatment Table 72 Appendix C Safety Diver (Open Ocean) 10-15 5-24, 10-18, 10-21, 10-24 Line Reel 10-18 5-5 5-24 19-5 5-2 Single-Hose 5-2 Two-Hose 5-2 Two-Stage 5-2 Remotely Operated Vehicles (ROV's) 17-20 Salvage Methods 8-26,9-38 9-40 Rights Sam (One Atmosphere Sampling Advantages of Airlift Reptiles Diving System) 17-18 9-8 8-27, 9-1 , 9-37 Archeological Alligators 12-11 Benthic 9-9 Crocodiles 12-11 Biological 9-8 Turtles 12-10 Botanical Rescue Chambers 6-2 9-17 9-27 to 9-30 9-11, 9-26 Core Geological Rescue Procedures Assessing the Problem Do-Si-Do for Removing a Victim from Water for Towing a Diver for Uncontrolled Descent or Ascent for Victim on the Surface 19-10 19-18 Rock 19-15 Substrate 19-16 Water Mouth-to-Snorkel 19-12 9-11 9-8,9-33 9-26 9-29 9-10 9-34 Plankton Sediment 19-27 Sanctuaries, Marine 10-5, 10-7 Saturation Research Diver Selection Training 7-10 Decompression from 7-10 Diving from Underwater Habitats Excursions During Flying After Gas Mixtures History of Life Support Systems for 14-23 Residual Nitrogen Appendix B 16-13 Principles of Respiration Mechanism of Minute Volume During Work Summary Midwater 19-11, 19-17 Helicopter Residual Nitrogen Timetable for Repetitive Air Dives 9-10 Infauna 19-8, 19-10 3-2 14-12 3-4 of Process 17-7 16-9 to 16-12 16-14 16-7 1-6 16-8 16-1 Sanitary and Health Measures for Summary of Exposures Surface-Based Diving System Training for 16-12 16-2 16-1 7-7 Resuscitation Artificial Bag-Valve-Mask Cardiopulmonary (CPR) Mouth-to-Mouth Mouth-to-Snorkel River Diving 18-5, 19-10 18-6 1-12 Science Coordinator 10-32, 14-3 18-5, 19-10 < 19-12 Scorpionfish 12-6 10-31 Scripps Institution of Oceanography 7-10 Rock Outcrop Samples 2-14 Scatter (Light) 18-5 18-14 Scrombroid Poisoning 9-27 9-26 15-8, 16-9 Scrubber Systems NOAA Diving Manual — October 1991 Index Page Scuba 14-16 Air Requirements 19-5 Auxiliary Cylinders 9-37 Location of 9-37 1-4 Closed-Circuit Closed-Circuit Shipwrecks Excavation of Oxygen 1-4 Duration of Air Supply Open-Circuit Semi-Closed-Circuit {see Rebreather) Training 14-13 Electric, by Marine Animals Trauma 5-1 Following 7-3 from Electrical Equipment Hypovolemic Treatment of 12-6 Sculpins Shock Sea Wave 12-11 18-7 18-11 3-19 18-7 8-31 Signals Anemones 12-3 Lions 10-4, 12-1 Sickness 18-1 12-7, 18-13 Snakes 14-6 States Urchins 12-5, 18-13 Wasps 12-3 Seafood Poisoning 12-1 12-11 Seals 14-8 Aircraft Aircraft to Surface Audio 14-8 Devices for 5-22 19-20 Distress Diving 14-8 Emergency Visual 19-22 Flag 14-9 Flare 5-23 for Disabled Divers Hand Search and Recovery Acoustic Methods 19-22 A-4 14-10 14-8 8-10 Line Arc Method Circular Method in High Currents Jackstay Method 8-13 Radio 19-21 8-13 Recall 14-8 8-13 Surface Whistle 5-23 Patterns 8-10 Under 8-13 8-13 Ice Using a Tow Bar 8-15 Seawater, Characteristics of 14-8 Sinus Anatomy of 3-12 Squeeze {see Squeeze) 2-1 Site Sediment Coring of Sampling of Marking Relocation 9-29 Selection 9-1 Survey 9-1 9-42, 10-34 Seines Skip-Breathing Self-Contained Diving 14-13 Emergency Gas Supply Slate (Underwater) 3-6 5-22, 9-5 5-8 Sled (Diver) Sextant 8-15, 10-34 9-1 Sharks Dangerous Defense Against Encountered During Open Ocean Diving Slurp 12-8 5-24 10-17 Shellfish Gun 9-13 Poisoning by Study of 12-11, 18-14 9-13 9-15 Tagging of Effects of in Hyperbaric Chambers Snorkel and Breathing Resistance Description of for Artificial Resuscitation Underwater {see Habitats) Shipboard Diving (Under Way) October 1991 — NOAA Diving Manual for Disabled Divers 10-32 9-46 Smoking Snakes Collecting of Shelters, 9-1 9-31 9-30 Soda Lime (Sodasorb R ) 3-7 6-1 12-7 3-8 5-19 19-12 A-l, A-6 15-8, 16-9 1-13 1 1 Index Page Sonar Danger to Divers Hand Held Page Protective 2-17 9-4 Side Scan Use for Diver Navigation 8-1 Suit 5-14 Under Suit (SUS) Dry Suit 1-4 1 Variable- Volume 5-17, 10-19 Wet 5-15, 10-19 8-17 Sunburn 18-10 Sound Navigation Under Water Transmission of, Under Water Velocity in 2-17 2-16 Water Support Divers 14-3 Support Platforms Definition of 2-1 of Seawater 2-2 9-19 Specimen Preparation Intelligibility in 3-17 9-4 Specific Gravity Speech Supersaturation (of Blood and Tissues) 7-7 Habitats Spinal Cord 18-5 Cervical Control 10-10, 10-32 Unanchored Underwater 8-27 17-1 Surf Diving Through Exiting with Injured Diver Geographical Variation in Surface Decompression 10-7 19-19 10-1 to 10-6 14-26 18-3, 18-9 Injury Squeeze External Ear 20-8 Eye 20-6 Face Mask 20-6 Surface Decompression Table Using Air Appendix B Surface Decompression Table Using Oxygen Appendix B Lung 3-13,20-8 Middle Ear 3-10, 20-6 Surface Interval Sinus Tooth 3-12,20-7 3-14 Surface-Supplied Diving (see also Umbilical Diving) Staggers 3-18 Standard Air Decompression Table Appendix B Stinging Marine Animals Stingrays 8-1 Communications 8-9, 14-18 8-7 9-6 for Dressing for 8-2 8-5 12-5 Emergencies Environmental Checklist for 12-6 Stonefish Advantages of Air Requirements for Ascent During 12-1 12-1, 18-12 Stings 14-24 Equipment 5-6 from Diving Bell 17-2 History of 1-2 Water Mixed Gas Equipment in Polluted Strike (of Rock Bed) 9-26, 9-28 Subcutaneous Emphysema 3-15 Subigloo Underwater Shelter 17-18 Sublimnos Underwater Shelter 17-18 1 for Planning for Post-Dive Procedures Shipboard Team Under 4-11, 5-21 for 1-7, 16-1, 17-3 5-16 '. Cold Water 5-16 A-l for Disabled Divers for Polluted-Water Diving History of Hot-Water 1-14 8-8 7-5 10-22 Ice 5-1 for 17-5 Suits Dry 8-1 8-4, 14-3 for Weighting 15-12 8-2 Selection for Tender 1-4 10-33 Training for Submersible Cylinder Pressure Gauge Free-Flooded Lockout (Wet) 8-1 for 1 1-3, 1 12-7 Surgeonfish Surveys Acoustic Archeological Bathymetric 9-4 9-37 9-3 1-4 Biological 9-6 1-3 Bottom Direct Methods 9-3 5-18, 10-19 NOAA 9-2 Diving Manual — October 1991 1 1 Index Page Page Surveys (Cont.) Tidal Methods Indirect Oceanographic Phase Measurement 3-2 9-3 Air Current 10-9 9-32 Volume 10-9 9-23 Geological 9-5 Photographic 9-3 Timing Devices 5-20 Underwater 9-2 Tinnitus 20-4 Survival (in Cold Water) Swimmer Propulsion Unit Swimmer's Ear Swimming 3-26 Tools (Underwater) 17-18 Topographic Charts (see Otitis Externa) Appendix E Tachycardia 9-14 Tagging Techniques 9-1 Torpedo Ray 7-3 Skills 8-18, 9-27, 9-29 12-11 Tourniquet 18-7 Towing Diver 10-34 to 10-37 19-17 Rescue Techniques Tanks A-2 for Disabled Divers Tape Recording Under Water 9-6 3-14 Teeth Tektite Underwater Habitat Telemetry 17-1 8-16 Telephone, Emergency Numbers Telescope (Underwater) 14-3 9-7 Underwater Equipment Selection Low-Light Level Television, 8-44 8-46, 14-7 Toxic Substances in Habitats Oxygen 3-24 2-1 Geographic Variation Regulation in 10-1 to 10-7 in Women 13-2 Water 5-16, 14-5 Chamber Operator 7-7 Disabled Diver Diving Medical Technician Diving Supervisor for Contaminated Water Diving Equipment Maintenance and Repair Mixed-Gas Diving Use of Special Equipment Use of Variable- Volume Dry Suit for for Hyperbaric Physician Research Diver Saturation Diver Scuba Diver Surface-Supplied (Umbilical) Diver Women Temporal Mandibular Joint (TMJ) Pain Appendix E Training for Definition of 7-7 Oxygen) Trachea for Temperature Core (see 7-8 7-8 7-6 7-1 7-6 7-6 7-6 7-9 7-10 7-7 7-3, 19-2 7-5 13-4 Divers 5-4 Transect for Estimating Population Density Tender Hyperbaric Chamber A-4 20-19 Ice Diving 10-21 Shipboard Surface-Supplied Diving Training and Qualifications 10-33 8-2, 8-4 9-12 9-4 Photography for 9-4 Transponder Transportable Rescue Chamber 6-2 14-3 9-41 Traps Tether for Open-Ocean Diving 10-15 Under-Ice Diving Shipboard for Trawls 10-22 Description of 10-33 Diving Near Measurement Thermal Protection (see also Suits) 9-42 10-34 of Efficiency 10-36 3-25 Treatment Thermocline Geographical Variation in Impact of, on Selection of Equipment Measurement of October 1991 — NOAA Diving Manual at Site of 10-1 to 10-7 Accident Costs of Airway Obstruction 14-5 of 9-34 of Bleeding 19-22 19-19 18-3 18-7 1-15 11 1 Index _ 51751*5 Page USIC Treatment (Cont.) of Blowup Victims 18-10 of Cardiac Arrest 18-5 Wounds 18-13 20-8, 20-12 of Decompression Sickness 20-6 of Ear Squeeze of Embolism of Emphysema 20-8 20-17 of Fractures 18-5, 18-1 of Injuries and Infection of of of 18-9 Lung Squeeze Near Drowning of Otitis Externa 20-8 18-8 (Swimmer's Ear) Pneumothorax of Poisoning 20-5 20-17 18-12, 18-14, 20-1, 20-2, 20-3 of Seasickness of Sea Urchin of 18-1 Wounds 18-13 Shock 18-7 of Sinus Squeeze 20-7 18-12 20-4 of Stings of Vertigo of 9-32 8-6 of Burns of Coral (Undersea Instrument Chamber) Wounds Treatment Tables 18-10 Appendix C 19-22 Trendelenberg Position Tropical Diving 10-6 12-10 Turtles Tympanic Membrane U.S. Navy Air Purity Guidelines Decompression Tables Experimental Diving Unit Gas Analysis Equipment 15-1 Appendix B 14-3 15-14 Gas Mixing 15-15 16-7 Helium-Oxygen Diving 14-3 National Naval Medical Center No-Decompression Limits and Repetitive Group Designation Table for No-Decompression Air Dives Appendix B Recompression Treatment Tables Appendix C Residual Nitrogen Timetable for Repetitive Air Dives Appendix Standard Air Decompression Table Surface Decompression Table Using Air Surface Decompression Table Using B Appendix B Appendix B Appendix B Appendix C Appendix C Appendix C Appendix C Appendix C Appendix C Appendix C Appendix C Oxygen Treatment Table 5 Treatment Table 6 Treatment Table 6A Treatment Table 7 Treatment Table 1A Treatment Table 2A Treatment Table 3 Treatment Table 4 Underwater Tools.... 8-20 3-11 Valsalva Maneuver 3-11, 20-4 Umbilical Valves Air Inlet Assembly 5-8 Hoses Maintenance 5-9 5-10 Check Storage 5-10 Cylinder Weighting 5-11 Demand (History Demand (Scuba) Umbilical Diving Air Supply Dressing for 8-3 8-5 8-8 8-1, 8-8 Procedures for 14-3 for 7-5 Training for 14-2 Uses of Unconscious Diver 19-10, 20-18 Upwelling 4-10 5-2 5-5, 5-17 Exhaust Flapper in 5-5 Chamber 6-6 4-11 J K 4-11 Mushroom 5-3, 5-5 Non-Return 5-2 Pilot 5-3 5-2 Piston 4-1 Reserve Undersea and Hyperbaric Medical Society, Inc Underwater Classroom Habitat 1-4 of) Downstream 8-9 Emergencies from Small Boats Tending 5-3 5-5,5-8 4-10 7-9 , 5-2 Upstream 17-17 Vane Sheer Test 10-5 Variable- Volume 9-31 Dry Suit (see also Suits) 5-17 Description of U.S. Coast Guard Diving Bell Regulations Emergency Assistance from 1-16 Training in Use 7-6 of 17-2 19-20 Venomous 12-5 Fishes NOAA Diving Manual—jOfttober 1 99 1 Index Page Page Ventilation Chamber 6-6 to 6-8 Pulmonary 3-2 20-4 Veiugo Vestibular Balance System Decompression Sickness 3-10 3-12 Polluted 11-1 Samples 9-34 Specific Gravity of 2-1 Temperature Withdrawal and Pumping Sites 2-1, 10-1 to 10-6 10-30 Waves Geographic Variation Surface in 10-1 to 10-7 10-7 Viscosity and Gas Flow of Seawater 2-12 2-2 Weather 14-4 Conditions Information 14-4, 14-6, 19-21 Visibility Geographical Variation of Colors 10-1 to 10-7 in Under Water 2-14 Underwater Physics of 2-13 Under Water 2-1, 2-15, 5-7 Vital Capacity WASP One-Atmosphere Diving System Watch, Diver's Wet Sub Wet {see Submersible) Suit {see Suits) 12-11 17-19 Whistle 5-23 Wire Dragging 8-25 Women 13-1 2-1 Density — NOAA 8-22 Whales Water October 1991 A-2 3-2, 16-8 5-20 Entry and Exit Jet Excavation of Welding, Underwater 5-14, 8-2,14-5,14-6 Underwater Conditions Affecting Vision Weight Belt Divers Wounds 18-10 10-7, 10-10, 10-1 9-38 Diving Manual Wreck Diving 9-37, 10-23 1-17 I To order additional subscriptions to the I NO AA DIVING MANUAL, please use the order form below. Superintendent of Documents Subscription Order Form Order Processing Code: *6193 — YES, enter my subscription as follows: I Charge your order. It's To I subscriptions to NO A A DIVING MANUAL (NODM) for $56.00 per year ($70.00 foreign). includes the basic The total cost of my Easy! fax your orders (202) 512-2233 order Service manual plus updates. is $. .. Price includes regular domestic postage and handling and is subject to change. (Company or Personal Name) Please Choose Method of Payment: (Please type or print) Check Payable I Q (Additional address/attention line) 1 1 - Documents to the Superintendent of GPO Deposit Account VISA or MasterCard Account (Street address) III (City, State, _D_LJ 1 Thank you ZIP Code) (Credit card expiration date) for your otutrl (Daytime phone including area code) 2i\>Z (Authorizing Signature) (Purchase Order No.) Y£S NQ May we make your name/address available to other mailers? Mail To: Superintendent of Documents f~\ I P.O. j 'or Box 371954, Pittsburgh, PA 15250-7954 order from your nearest Government Bookstore Government Bookstores are located in the following cities: Atlanta, Denver, New York, Birmingham, Ala., Detroit, Philadelphia, Boston, Houston, Pittsburgh, Chicago, Jacksonville, Fla., Portland, Ore., Cleveland, Kansas City, Mo., Pueblo, Colo., Columbus, Laurel, Md., San Francisco, Dallas, Los Angeles, Seattle, Milwaukee and Washington, D.C. (See your yellow pages.) U.S. Photocopies of this order form are acceptable. For sale by the U.S. Governmenl Printing Office Superintendent of Documents, Mail Stop: SSOP, Washington, DC 20402-9328 ISBN 0-16-035939-2 ISBN 0-16-035939-2 9 0000 < D00nfll75M5 9 780160"359392 ! ;riM; PENN STATE UNIVERSITY LIBRARIES ADDDDM3Eb313M


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Title                           : NOAA diving manual : diving for science and technology
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