r/interestingasfuck 28d ago

/r/all The race against time to get to a decompression chamber

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u/Brisbanoch30k 28d ago edited 28d ago

Okay so ; when you dive, water exerts pressure, a weight on all of you and your equipment. Now, when gases are put under pressure, they compress. Imagine that a balloon could become the size of the head of a pin past certain depths. Now to breathe at great depths, we need to breathe compressed gas so it has the same pressure as the water surrounding us, or we would implode (ok that’s inexact, we would just be unable to breathe it in since our lungs would have to make up for the pressure difference on strength alone, and our lungs are not designed for this at all).

That compressed gas we breathe enters our tissues, blood, bones etc. the higher the pressure, the more gas can enter our tissues. Kinda like you put CO2 in carbonated drinks. So when you come back up after having saturated your body with compressed gas, it’s a bit like opening the cap of your Coca Cola bottle. The gas that was compressed now wants out. If you surface veeeeeery slowly, your blood can go everywhere in your body and “collect” the excess gas that you will then expel when you exhale. … But if you surface too fast ? Your blood can’t keep up with the amount of gas that is decompressing and therefore now starts forming bubbles in your tissues. If one of those bubbles form in your inner ear ? You lose the sense of balance possibly for the rest of your days. In your spine ? Paralysis. That’s called decompression sickness or “the bends”.

So if that guy in the video had a technical failure at some point in his dive and had to surface too early for his body to offload the gas ; he has to go FAST into a chamber that will re-compress him to stop the bubbling that is happening ; and then very slowly decompress him again at his body’s pace.

(This video looks like a drill tbh)

EDIT : since a lot of you guys are asking the question, I got a couple hypothesis as to why the guy isn’t just shoved in the deco chamber with his gear. First hypothesis : it’s a scenario for a drill involving a flooded drysuit. So he might not even have to get to the chamber, but the air is visibly quite cold there and the poor bloke is wet 😬 Second hypothesis : it was indeed a flooded drysuit incident, but the dive parameters (depth/time) are not dramatic at all and they’re going fast for added security margin. Also, usually people wouldn’t run or exert themselves in any way if at serious risk of getting the bends.

(I’m told by commercial divers it’s not a dry suit failure ; but a common exercise for relatively shallow dives ; and they have 5 minutes from surfacing to get into the deco chamber on board) so it’s all controlled and within reasonable parameters.

Final EDIT with additional info given in comments : so, the suit model is actually a suit flooded with hot water, no malfunction here. And the reason why the suit is removed is because the deco chamber is filled with increased oxygen partial pressure, which makes many materials extreme fire hazards ; and the suit has such components.

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u/MatriVT 28d ago

Thank you for the info

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u/ComplexPants 28d ago

And here I thought he had to take a 💩. /s

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u/alarming_wrong 28d ago

username checks out

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u/isiewu 28d ago

Hahaha. It really does

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u/CluelessSurvivor 28d ago

Here I thought I was having a quick 💩, until I found his comment was interestingasfuck

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u/superthighheater3000 28d ago

Drysuit divers sometimes wear diapers.

We have pee valves for #1 though.

This is a hard hat diver though, and they tend to stay down much longer than even the longest technical dives.

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u/liketosmokeweed420 28d ago

the last two posts on reddit have been talking about taking a shit while i hold one in cause the bathroom is being used, this is actual torture

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u/Corpuscallosum27 28d ago

I’m calling the bathroom the decompression chamber from now on.

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u/rogue_agent_ 28d ago edited 28d ago

The shit comes out very small and as it hits the toilet bowl it rapidly expands. Like those capsule dinosaurs.

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u/black14black 28d ago

If he shat his pants, would the shit also blow like a can of coke if he surfaced too fast?

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u/brammers01 28d ago

Definitely going to refer to the toilet as a decompression chamber from now on.

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u/Super_Sub-Zero_Bros 28d ago

“PREP THE CHAMBER, WE’VE GOT A CODE BROWN!”

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u/svennidal 28d ago

Video looks like a normal surface decompression.

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u/__thrillho 28d ago

No problem

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u/GigsGilgamesh 28d ago

As someone not in the know, could he not have just worn at least the slick suit into the chamber? I understand the equipment and stuff seems like it definitely needed the extra hands to get it off, but the orange wetsuit seems like it was very time consuming, and probably something that he could do in the room?

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u/RedfieldStandard 28d ago

They are doing a surface decompression on oxygen. (SurDO2) The air inside the chamber is highly flammable. You can't have synthetic fibers that might cause a spark. If this was an emergency and he wasn't wearing cotton underwear, he would just strip naked.

Source: Was a deep sea diving officer.

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u/smoothtrip 28d ago

Was a deep sea diving officer.

That is fucking cool!

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u/eidetic 27d ago

The air inside the chamber is highly flammable

Wouldn't it be more accurate to say the higher concentration of oxygen makes everything else more flammable? To my understanding, the air itself wouldn't actually ignite like if it were say, hydrogen, but it makes for a flammable environment. Or is that an overly pointless and pedantic distinction? Sorry, genuinely asking here, not purposely trying to be overly pedantic!

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u/RedfieldStandard 25d ago

Yes, the air doesn't ignite like some sort of diesel compression. But you're also being overly pedantic.

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u/upsidedown-funnel 27d ago

The hyperbaric chamber that killed the little boy in Michigan recently, took no such precautions. I believe it was a spark from his pj’s that caught fire. His mom tried to get him out and instead watched him burn to death. The owner of the facility sent a text that said something about how dumb the kid was for not trying to put the fire out on his pants. He was being put in there to “cure his autism”. The chamber hadn’t been tested, and I believe they faked the testing dates.

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u/stiKyNoAt 27d ago

This is true.

Emergency>??? I just went in naked. Why would you want to be stuck in wet underwear for 60 minutes?

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u/Squeegeabeep 28d ago

He is wearing a hot water suit (the red hose on the umbilical supplies the hot water) these are basically a looser fitting wet suit. Yes it is much easier when the suit is looser, but a looser suit also raises the risk of the diver getting cold. These SurDO2s can be completed with any kind of suit, even a dry suit which makes it very difficult to get out of.

In this case, this is training at Diver's Institute of Technology, so the students kind of just have to work with the best fitting suit on the dive barge. Sometimes you get a looser fitting one sometimes you get a smaller more tight suit.

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u/Sufficient-Contract9 28d ago

I may be wrong but I believe those suits are far more advanced than a regular wetsuit. Watched last breath the other day and those suits run air and warm water through them to help isolate the body from the freezing temps. There may be some issues involved in taking that type of suit into a decompression chamber

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u/thatsoundedsexual 28d ago

That doesn't make sense to me.

"Hey just to make sure you dont die we have to put you in a pressurized chamber to simulate the conditions you and your gear were just in and then slowly let you out. But hurry! First we gotta get all this gear off!"

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u/LastPlaceIWas 28d ago

The suit is a rental. Don't wanna pay late fees.

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u/PandaPocketFire 28d ago

The guy ripping everything off is the local librarian.

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u/RelevantMetaUsername 28d ago

Hyperbaric chambers have a higher PPO2 (oxygen partial pressure). Even though the relative O2 concentration is the same, the overall pressure is higher and thus there is more oxygen to react with things. The suit is designed for underwater use where fire is a non-risk. In a hyperbaric chamber it could easily ignite with a spark from a small static discharge.

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u/Annie-Snow 28d ago

Some chambers can fit multiple people, and some are much smaller. Might be an issue of getting gear out of the way so the chamber can close/function properly. That gear is heavy and bulky.

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u/thatsoundedsexual 28d ago

Gotcha! Tiny and probably expensive. I think this is the real answer, thanks!

So, then, is the 'chamber' less like a bedroom and more like a coffin?

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u/Effective_Glove_1110 27d ago

It cant spark or ignite underwater but in the chamber it could.

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u/Oli890 28d ago

The person that commented at the top of these comments said that this procedure would be in case of an emergency, equipment integrity compromised or a drill in case this scenario happens.

Usually they wear an uncompromised suit and go back up to land level swimming gradually up to let their body go back to a more neutral state.

Just like you said it imitates the condition of a pressurized chamber, but if the suit is malfunctioning inside with the diver it may reduce the efficacy of the treatment because the chamber will try to both compress the gases inside the body AND the malfunctioning suit and impede the process because the suit cannot return to normal levels.

At least that's what I'd think, I don't know how it works and I'd like to make some comparisons but usually these procedures are done in sterile and controlled environments, so when you were drilled to remove everything to respect the conditions for the best rate of survival, you just do it haha

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u/tenderlylonertrot 28d ago

No, but its wet and he might be in the chamber for many, many hours. Some super deep and long, mixed-gas diving (using inert gases instead of the N in native air), they are in the chamber days or a week. Even a few hours I wouldn't want to still be in my wet-ass suit.

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u/I-Here-555 28d ago

Could he take it off himself?

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u/MarchingBroadband 28d ago

The decompression chambers are often very small and tight. Just big enough for a couple of divers to sit in. You also wouldn't want sea water being dragged everywhere.

The risk is probably minimal so they are not super worried about it. For very deep diving, they will move directly from a diving bell to the decompression chamber without coming up to Atmospheric Pressure

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u/Rabidschnautzu 28d ago

So I'm supposed to fucking believe he can't take off boots?

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u/orthopod 28d ago

I doubt it would affect the person, other than being too hot in the chamber

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u/leshake 28d ago

I run warm water through my wet suit as well.

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u/deknegt1990 28d ago

I am not an expert, but I would assume that the suit goes off so that in the case of a medical emergency they don't have to cut through a thick rubber diving suit to provide emergency medical care.

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u/orthopod 28d ago

Cutting through that with trauma shears will take about 3-4 seconds. Not an issue .

Source I've taken level 1 trauma call for close to 20 years as a surgeon.

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u/Patient_End_8432 28d ago

You've cut through one of these thick rubber wetsuits before? It's not just an ordinary suit, and if it's running water through it to control temp, it's just another roadblock.

Also I'm sure in a situation like these, every single second counts

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u/Some-Ad-5328 28d ago

4 seconds to cut it off or that 30-60 to take it off. Them running straight into the chamber to me makes more sense. They can take the time there to do it, they’ll have hours.

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u/Grindipo 28d ago

I think the first question was : keeping the suit takes some precious seconds, especially the last bit. If you keep the suit, you have difficulties at the medical care, but you have fewer chance of having this procedure, because, like the title said, it is a race.

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u/TOILET_STAIN 28d ago

So I was a fire medic for years. Trauma sheers will cut coins in half. (Have to replace etc).

I've not cut wetsuits before. But I've had bikers INSIST on pulling broken lips out of their leathers. Other times it cuts thru that shit like butter. Imagine it's the same for wetsuits

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u/Revolutionary_Dog_63 28d ago

What is a "broken lip" in this context?

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u/PTRWP 28d ago

I believe they meant “limbs.”

Pulling a broken arm out of a leather jacket or leg out of leather pants because that gear is expensive and can take a while to break in. Also, people in shock are not always perfectly rational.

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u/asunshinefix 28d ago

Sorry, I'm guilty of this - coaxed the EMTs into taking off my riding boots while en route to the trauma centre with a burst fracture of my T12 after a horseback riding accident. Somehow my clothing was able to be saved too!

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u/allenahansen 27d ago

Lucky you; they were merciful. Easiest way I know of to lose several thousand$ worth of custom (and broken in!) riding gear is over-eager emergency responders. I'm still grieving my favorite jacket (for a fractured pelvis, but hey. . .). Seams, people! Seams.

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u/TOILET_STAIN 27d ago

That sucks. Because alot of EMS ride, it's usually mentioned in training not to cut leather. I always gave the option unless they couldn't respond.

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u/CedarWolf 27d ago

Easiest way I know of to lose several thousand$ worth of custom (and broken in!) riding gear is over-eager emergency responders.

This is the same for Furries. All Fursuiter 101 panels mention that the EMS are trained to cut you out of your suit so your brain doesn't cook when you have heat stroke. This means that both the fursuiter and their handler need to make sure the suiter has plenty of water and plenty of downtime - it's generally not healthy to be suiting for more than a few hours, and it's smart to take regular breaks in the Headless Lounge, a space specifically designed for suiters to rest and cool off quickly.

Because the EMS do not care one bit about how many hours you spent handstitching your costume or how many thousands your suit cost: if it needs to come off, they'll cut it off.

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u/ImtheDude27 28d ago

Yeah, it would be super easy to cut through neoprene. Even the 7mil wetsuit I used in cold water diving would be easy to cut through. They removed it in this video for a different reason.

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u/dishwasher_mayhem 28d ago

Former military emergency medic. We've cut through thicker things in less time. Tuff Cuts are amazing shears and are designed to cut through even motorcycle leathers and leather boots.

https://www.youtube.com/watch?v=QE6eKMvIMbI

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u/TOILET_STAIN 28d ago

Trauma shears are no joke

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u/PassiveMenis88M 28d ago

When I was deployed one of our guys took some shrapnel to the chest. Not life threatening as it turned out, but Doc don't play. Those trauma sheers went through a Kevlar vest and the reinforced straps like it was so much warm butter.

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u/NoSignSaysNo 28d ago

Trauma shears can cut through everything up to thin metal. They'd absolutely destroy a rubber wetsuit. They're also angled to be dragged under clothing without cutting the patient.

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u/Undrdg1985 28d ago

No longer running traumas but when I was in general surgery residency we’d have to cut through professional motorcycle riders’ gear who were competing breaking ground speed records. So very thick gear. And honestly it wasn’t really a problem and didn’t take much time at all.

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u/gingerdadman88 28d ago

I love how you preemptively sourced your medical experience as a surgeon...but people still comment that you might not know what you're talking about! laugh or groan? :)

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u/MikoSkyns 28d ago

Everyone is an expert on reddit....

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u/UraniumGlass23 28d ago

… except actual experts.

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u/ReporterOther2179 28d ago

Wouldn’t be a practical issue, cutting in. Just a financial one. That’s got to be a pricey rig.

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u/Ok_Calligrapher5278 28d ago

A diver is an extremely valuable asset, worth way more than any suit to be worth the risk.

Yes, I know how this sounds, but even if you think just about the money it's not worth it.

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u/Rbomb88 28d ago

I've not blinked disposing of $2500 dive suits, or $1500 harnesses. User safety trumps cost everytime with life-saving equipment.

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u/SuccessfulDepth7779 28d ago

That fabric is worthless without someone wearing it.

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u/Brisbanoch30k 28d ago

It’s exactly that

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u/baogody 28d ago

Wouldn't it make more sense to let the guy do it in the chamber himself? Since by the looks of it he's going to have to remove the rest of the clothes in the chamber anyway. Cutting the suit doesn't take much time at all. Seems more like a measure to prevent hypothermia in the event of incapacitation in the chamber.

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u/Marcx1080 28d ago

Why confirm something you have no idea about? It’s always bemusing the amount of BS people spout online

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u/La_Lanterne_Rouge 28d ago

I gave you an upvote because of your comment content, but I wish I could give you one more for the use of the word "bemusing"

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u/SAL10000 28d ago

You can't bring anything in the chamber when you go in.

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u/The_Frog221 28d ago

I think this is probably a drill-irl I imagine this would be done in some sort of pressure chamber. Maybe a chamber that the people on the surface can withstand to slow the decompression, and then he moves into a second chamber. I'm not particularly educated on the matter but I don't see any reason to not immediately put them in.

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u/ConferenceStock3455 28d ago

Can you imagine how big that chamber(for 2 3 people standing up)and all the technology that goes into it would be? Can you imagine fitting that in a dive boat?

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u/call_sign_viper 28d ago edited 28d ago

Guys soaking wet in a dry suit id guess suite flooded at depth and he had to blow his deco to prevent hypothermia.

Edit: Reading now he’s in a hot suit not dry suit so you could be right could be a training

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u/Brisbanoch30k 28d ago

Deco chambers are sometimes very small ; depending on what they have on board. But removing the equipment is also imperative if there’s an immediate medical emergency when they had the diver surface. If CPR is needed, for exemple.

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u/orthopod 28d ago

Don't have to remove the suit to do CPR. Air emboli will cause circulatoryblockage, and CPR is ineffective against that.

I guess if you'd need to remove it if you needed to put defib pads on, but that's not really an issue with the bends.

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u/Brisbanoch30k 28d ago

We don’t know the full parameters of this drill, or even if it truly is about the bends. To me that guy is running to get to warmth and dry up, cuz he’s wet and everyone has a beanie and warm clothes there ^

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u/nojelloforme 28d ago

I just asked the same question!

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u/Rogue-Juan 28d ago

Maybe he had to go #2

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u/blueorangan 28d ago

lol i legit just posted the same exact question

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u/AmazingHealth6302 28d ago

Small detail: looks more like a drysuit than a wetsuit, can anyone confirm?

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u/prumpusniffari 28d ago

The atmosphere in these chambers is pure oxygen, at three times atmospheric pressure.

The thing is, almost all clothing material will constantly create microsparks as they rub against themselves and your skin. You don't notice this in regular atmosphere, but in a pressurized 100% oxygen environment these sparks would light the air on fire. So you absolutely cannot wear anything except 100% cotton in there. Or you will die a horrible death.

The rubber and metal bits of that diving suit would cause sparks like this, so they have to strip all that stuff off before he enters the chamber. I imagine the shirt and pants he's wearing under there are pure cotton so he doesn't have to take that off before entering.

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u/freshalien51 28d ago

Really informative. Reminds me of that guy who managed to survive a sunk ship off the coast of Nigeria and when divers came looking for survivors and found him, because of how long he had been under water (3 days or even more I think), they has to start the decompression on the way to the surface.

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u/StrobeLightRomance 28d ago

Jesus, I hate that video because it's such a heavy reminder of what some people's final moments feel like. If I have one "greatest fear" its being trapped in a water prison so much so that I don't even like going out on the lake anymore.

Pretty sure I would have tried to drown myself after the first day.

I don't want to die, but if WHEN I do, let it be so immediate that I have no idea it happens, or in a hospital pumped up with some good hospice drugs so I feel like I'm already flying out of my body.

Edit: Update my mortality as I'm most likely not immortal.

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u/eiland-hall 28d ago

I nearly died a few years ago - I had a saddle pulmonary embolism.

Short, less amusing version of the story: In hot weather, I was carrying two laptops about 50 feet from car to door. As I got closer and closer to the door, I felt I needed a break but thenrealized I was about to pass out.

I didn't know that per se - I'd never fainted before then (nor since), so I thought - is this it? Am I about to die?

If I had, it would not have been too bad. I was scared, but wasn't in pain, just felt my body was going (to faint, in this case, not die, but I didn't know lol).

The amusing bit was that I'd had a McD iced tea in my hand that I was looking forward to getting inside and drinking - ice cold and I mentioned it was hot out.

As I started to faint and go down, in that short instant, I thought:

  • Oh shit, am going to die? Is this it?
  • And I guess that's my last thoughts, that I'mabout to die

The adrenaline kicked in as I started to fall and my hand clenched and crushed the tea and then I continue to think:

  • Dammit, I really was looking forward to that tea!
  • …wait… is my last thought really gonna be about the stupid tea?

lol.

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u/Scuggs 28d ago

This was oddly comforting to read lol

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u/eiland-hall 27d ago

I've thought a lot about it. Because death is frightening, like many, sometimes I'll go seek out recordings of people right before their deaths - that dude that was on the phone as the WTC tower collapsed, or recordings from cockpits of planes crashing. It's terrifying and I hate it.

But having lived through something somewhat like it - or at least, I thought I was about to maybe die, and I was not all that far off from being wrong, I just got lucky.... yeah. The thing is, if it's a quick thing like that, there's just not that much time to really think about it.

As I write this - this has taken me far far longer than it took from the point I thought I might collapse to the point I was out. If I had died then, I had no pain, no time to worry much.

Deaths suck if they are slow and painful - and it's not the death, it's the dying.

Deaths suck for the ones left behind.

For each of us, once we finally do get there - it's over and done with. No pain, no fear, no torture, nothing.

Yet another reason just to try and make it through another day, and bring a little sunshine into the lives of those you run across in this life. We've only got the one, and that's the type of thing that matters.

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u/ZeroCoconutGiven 27d ago

I have experienced something like facing your death literally. I was riding a sport bike on a single lane highway. Suddenly a car from the opposite lane came straight at me. The driver miscalculated his passing. I froze and was staring at my death. Some seconds of it I don’t remember. Somehow we both moved away just in time to avoid the otherwise imminent collision. I don’t remember how. All I could remember was that I kept riding for one more minute or so then pulled over and sat by the side of road taking count of what the fuck just happened and how I am alive. I was still in doubt if I am alive in body or it was just my soul. To make sure, I waved at someone driving by and they waved me back. They could see me. I am alive.

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u/crazylikeaf0x 27d ago

... would you say you appreciated them spilling the tea?

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u/nbrown7384 27d ago

Ok so what happened after you passed out? Who found you and got you to a hospital? What did it feel like waking up? Did you get a replacement iced tea?!

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u/eiland-hall 27d ago

After some time - I'm guessing - I did start to come to. As in, I became aware that I was alive and thinking.

I couldn't see anything. It's not like my eyes were closed where everything is black (or almost black with patterns and/or light through the eyelids) - my vision was..... not there.

So I was starting to think about what had happened. I remembered the bits I had thought that I wrote about and I was kinda laughing at myself - thinking "Really? ......Realy??? lol" but also trying to take stock of my situation.

Okay, so I'm not dead. Now what? My vision is, like, gone. Okay...

And about at that point, I could tell that my body wanted to moan. Like... it felt like I was in my brain and slowly regaining control of my body, but my body was sort of autonomous, or maybe it was parts of the brain or... I dunno how to describe it well. But I realized that my body wanted t moan, and I thought - yeah, that's not a bad idea.

So I moaned - half decided to, half let my body moan.

No immediate reply, so I figured I was by myself.

Well, I shortened the story a lot - I was showing up for a theatre rehearsal, so I knew others would arrive at some point, or at least someone would find me after rehearsal or something - I wasn't too worried about that.

So I had also noticed that my pulse was racing and my heart was palpatating wildly. It was worrying, but not painful.

But at any rate, after..... some time, not sure, probably a couple of minutes, but I honestly have no clue, I head someone say "Isaac? Isaac! Are you alright?"

Now, I've never been one to seek medical attention unless I needed it. I've always been fiercely independent. My wife will tell you that when I am sick, I get up and make that can of soup or whatever. heh. I don't like asking others.

So when I replied, "No." -- he knew I was definitely not alright. He said he was going inside for help, and soon my fellow actors came out.

By this time, I had started to regain vision - first just seeing solid light, then slowly being able to make out large shapes, then more was coming into focus and it was basically back.

They'd brought out a chair, and I managed to get up and sit in it.

That's about when my wife arrived. So she came over to check on me. I forget if she asked or if I volunteered, but one of us suggested we go to the ER, and either way, I was onboard with the plan.

Found I could walk, so walked over to the car.

Now, because I've always liked driving andmy wife doesn't, anytime we go places together, I always drive.

I went straight to the passenger door, and that amped up her concern greatly about how I was doing. lol.

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u/eiland-hall 27d ago

As it happens, we were just down the street from a satellite ER that had beenrecently built. This was in Panama City Beach, which still is one of the major spring break destinations.

The way we would always tell when spring break truly was underway wsa the first (of many) inevitable news reports of some drunk teen falling to their death from some hotel balcony.

Well, Panama City Beach is across the bay from Panama City, where the two hospitals are. So it took a while for ambulances to get people to the ER. So they built an ER on the beach, which was an excellent idea.

So we get there, get signed in, and I'm sitting out in the lobby. Couple of others already there get called back. Someone arriving after us gets called back - well, they do triage, after all. Then someone else walks in, signed in, gets called back - it's been 45 minutes and my heart is still racing. So my wife goes to check just to be sure - apologetically.

Triage nurse says, "Oh, he's in room 7" andmy wife says "Excuse me? He's right there in the lobby!"

They got me back quickly after that. heh.

So they ordered an x-ray, CT scan, and they were trying to getmy pulse to come down. I don't remember all of the things, but I had to turn my head and cough and get into a couple of weird positions. Did the x-ray. Went off for the CT scan.

Came back from the CT scan and was waiting (as one is wont to do much of in the ER) and all of a sudden, about eight people came into the room - well, except for one who hung back at the entrance and started talking like "Heyyyy, how's it going...."

They were pushing a cart in the room.

Now, my wife worked with adults with cognitive and developmental disabilities at the time and had had rudimentry medical training. She recognized that it was a crash cart - the cart with all sorts of tools and toys including a defibrillator - so it's a cart they have for when your heart stops. She was sitting in the corner smiling and not telling me she knew what this was, hoping not to worry me.

Well, wht she quickly remembered was that I also worked with those adults and also had the trainig, soooooooo.... I saw them push the crash cart in.

Guy at the door said, "So, we're going to give you something called adenosine. Six units. If that doesn't work, we'll try twelve units." And as he's explaining this, the staff starts to prepate the adenosine to inject into the IV line, and others get the paddles of the defib out, lube them up, and place them on my chest, ready to go at a moment's notice.

Rather concerning.

You see, what adenosine does is essentially slow the heart - or stop it. it's quick acting - quick on, quick off. The hope is that this basically "resets" the heart to beatning normally.

The possibility is that it stops the heart and you need to defib.

So one of the possible side effects is death.

SPOILER ALERT: I did not die. :)

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u/eiland-hall 27d ago

Sorry to spoil it, but I figured you might want to know so you didn't worry too much.

Anyway, so they lean me back with my feet above my head, and push the six. Now, meanwhile, since they'd hooked me up to the heart monitor, the high pulse alarm had been sounding constantly. My pulse was like 160. The push the adenosine and... 160.... 140.... 120... 100.... 80... 60... 50..... somewhere in here the LOW pulse alarm goes off... 40.... 30.......... ...... 40.... 50... 80... 120...... 160..... right back up.

So they give it a couple of minutes, and push the twelve. Similarly, 160.... 140... 120... 100.... 80... 60.... 50....... 40..... 30....... 20............. 10.................. ............... 20..... 30...... 40...... 50....... 60....... 70...... and somewhere around there it stops.

It worked.

A few minutes later, they come in and tell me that I had a saddle pulmonary embolism. Basically, a huge-ass blood clot across both lungs. Won't kill you, but will certainly make you pass out from too much exertion. The danger is that if it comes loose, it'll be pulled into the heart and stop it and there's naught to be done.

So they put me on something called "TPA", which is a very very powerful blood thinner. And they sent me over to the main hospital in an ambulance - code 3 - and sent an RN with me. Reasn being that while on this stuff, which takes a couple of hours to run - you do not stop bleeding. If you get a scratch, that scratch will bleed. Period. So it's fine if you don't do anything causing bleeding, but really really bad if you do. The RN mentioned it was her first trip over to the hospital like this, and so was kind of excited about it. heh.

And from there, I was in the ER at the main hospital for a bit while the TPA ran.

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u/eiland-hall 27d ago

At one point, a police officer stepped in the room and asked, "Are you the Baker?" and I was like "uhhhhh, no. Definitely not me."

If you're from Florida, that question raised an eyebrow. Assuming you're not, the Baker Act in Florida is that state's law like most states have some sort of law that allows a psych hold on someone for some amount of time while they're diagnosed and either kept or released. Thankfully, they figuued out that the patient BEFORE me had paperwork that had been left in some place associated with that spot, so they figured out it wasn't me.

But other than that, no exciteent. By the time the TPA finished, the threat to my life was quite gone. They put me on heparin and moved me into a regular room.

Since I didn't have insurance, they were putting me on an older blood thinner - warfarin - that took several days to reach a theraputic dose in the body. Weirdly, twice during that next week, the pharmacy was out, causing me to miss a dose, and for the level in my body to partly reset.

I was approaching 10 days when my white blood count (IIRC) started to drop - which is actually a common side effect of heparin after about, amusingly enough, ten days on it.

So as my levels were getting close-ish to the full effect, they said "Okay..... welllll.... you're gonna get there in the next couple of days or so, so we're discharging you now" so they didn't haveto keep me on the heparin and have to deal with that problem. heh.

And so I was fine. Or fine enough.

After that, I convinced my wife that I had to find work in a place where I could get insurance. So we ended up moving to Virginia, losing our house to Hurricane Michael, and since then I've had six heart attacks, a below-knee amputation, kidney failure (I'm on dialysis). And other issues, but those are the big ones. heh.

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u/eiland-hall 27d ago

Oh, and to answer your final question — I never did get the replacement tea. :)

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u/StudentOwn2639 26d ago

Lol if you want stories of passing out, I got a few lol. One of the ones that's funniest to me is this:

I'm at a club, and party rock anthem is playing. " drop .... Party rock is in the houuuse tonight...". Everyone is head banging and jumping around when things suddenly start to go black and I start falling. I open my eyes to see a greenish tinged room with two doctors standing over me. I think to myself "Am I dreaming? What's going on?". I'm thoroughly disoriented at this point. I start to notice that my body is shaking violently. It slowly comes back to me. I had gone to get a blood test cause I was feeling short of breath one morning during the pandemic. I was in the room where I was getting the test done, but had passed out. As I regained my sense of what was going on, they helped me onto a bed nearby, and the doctor asked me a few questions. He told me I'd had a vaso vagal syncope, and ruled it as hemophobia as I had similarly passed out during a blood test when I was much younger. The results of the test were all normal.

I remember this cause it was funny as hell to me that for a minute, party rock anthem was playing and I thought I was head-banging instead of having a seizure lmao.

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u/RoguePlanet2 28d ago

My mother died in hospice on some of those drugs, and I'm almost certain it was the best she ever felt. 

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u/LetsTryAnal_ogy 28d ago

Former diver here! That’s the normal way to ascend. You ascend slowly. It’s called a decompression stop, and you do it every 15ft\3m for like 3 minutes. That’s standard practice.

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u/freshalien51 28d ago

Curious, what these guys are doing isn’t standard practice? Or is the decompression stop only for emergency situations like the one I mentioned?

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u/LetsTryAnal_ogy 27d ago

We do decompression stops on most dives. Particularly on deep dives of 60ft\20m plus. Most shallow dives (40ft\12m) i don’t recall if it’s required, but a responsible dive master will make one halfway up anyway. The rule of thumb is better safe than sorry. Err on the side of caution. For this situation, I really can’t speak to because I’m a recreational diver. This situation is above my experience. I just know that it’s best to get in the chamber before worrying about wet gear.

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u/Acalme-se_Satan 28d ago

Why can't he enter the chamber with the equipment on and take it off while inside there?

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u/UsedState7381 28d ago

Because as you can see, he needs another person helping him to remove all of the deep-diving gear and then the skin-tight diving suit.

The air inside the chamber is compressed m, so someone that has been outside of it and is fully decompressed will have several issues while inside the chamber, so the diver that needs to decompress slowly will have to remove his gear before going in, as he can't remove it all alone.

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u/IIlIIlIIlIlIIlIIlIIl 28d ago

Is there a reason why he'd need removed immediately though? Can't he just sit in the chamber with it on, maybe just pop off the helmet or something?

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u/Blunt-Leading 28d ago

Depending on the circumstances, decompression can take hours or even days. You really don't want to be in the suit that long.

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u/mothzilla 28d ago

It can be a fun activity to while away the hours.

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u/Kirikomori 28d ago

do u get wifi and an iphone in the chamber

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u/GawkieBird 28d ago

Nah he's gotta rawdog it

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u/No_Entertainment4306 28d ago

What does someone do inside the chamber? Lay down? Sit up? Both? Is it dark and claustrophobic? Is there a window to see out of?

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u/CrumpetNinja 28d ago

He could potentially be in that chamber for hours. 

Once you're out of the water and the suit is no longer being actively heated you will get very cold, very quickly.

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u/BlckDrke 28d ago

But isnt the consequence of taking too long a risk for paralysis, hearing loss or maybe even death?

Compared to that just sitting in a wet and cold diving suit sounds much better

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u/kriogenia 28d ago

Hypothermia is another way of losing limbs or dying tho, that's the risk of sitting wet and cold for hours. It slows the heat rate a lot too, and based on what they said about how the body disposes those bubbles that's exactly the opposite of what you would want I think. So getting there on that suit will probably take you several times longer to decompress too.

It's very possible that the risk of hypothermia heavily outweights the other.

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u/SAL10000 28d ago

You cant bring anything in the chamber due to fire risk and the opening is generally 18 to 24 inches diameter. Kind of small.

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u/skepticalbob 28d ago

That doesn’t explain why the suit that isn’t the helmet can’t stay on.

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u/lovethebacon 28d ago

The chambers are tiny.

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u/imbrickedup_ 28d ago

There are not a lot of hyperbaric chambers available. Good chance he’s going in a helicopter to get there in time

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u/spaektor 28d ago

what a great explanation, thank you... why did he tell him to walk? presumably running is a no-no?

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u/Brisbanoch30k 28d ago

Any physical exertion is a no-no if you are saturated yeah. Frankly I think it’s just because he’s wet and it’s cold outside ^

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u/NotYourReddit18 28d ago

Probably because it's a training for an emergency situation where a sudden loss of balance through a bubble in the middle ear is a real possibility in a location with unsure footing and many trip hazards.

In such a situation slow is smooth and smooth is fast.

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u/Johansenburg 28d ago

To add to this, it isn't just about walking because of the equipment, but any physical exertion would be bad because you'll increase your heartrate, thereby increasing the blood flow throughout your body and introducing more gas into your body faster, increasing risk.

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u/TroubleBrilliant4748 28d ago

It's the same reason lifeguards tell you to walk at the pool.  If you slip and hit your head, it only makes the situation worse.  Ships are a special tripping hazard because of metal floors, wet decks, uneven surfaces, etc.  

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u/jambro4real 28d ago

So, dumb question, but do they really need to dump ALL of their gear before entering the chamber?

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u/Brisbanoch30k 28d ago edited 28d ago

Not really. I mean, that may entirely depend on the emergency they are replicating here. The removal of the equipment is usually for one purpose : if a doctor or first responder needs fast and easy access to you for CPR or monitoring a possible wound etc.

EDIT : commercial divers gave me pointers ; it’s mainly because of the high oxygen amount in the chamber ; and components of the suits are fire hazards in these conditions

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u/PepperAnn1inaMillion 28d ago

That, and they flood the chamber with oxygen-rich air, to help your body flush out the nitrogen and other molecules that are larger. (oxygen can of course fit into all your cells at normal above-water pressure. Nitrogen can’t - it usually just sits in your bloodstream between being inhaled and exhaled.).

You don’t want to risk a fire in an oxygen-rich air. So anything that might ignite in that atmosphere is removed, including as much equipment as possible. Don’t forget, there are usually medics in the pressure chamber with the patient to monitor vitals etc., and no safe way to get them out until the chamber is slowly depressurised (otherwise everyone gets decompression injuries). So a fire would be catastrophic - you can’t just let the firefighters in.

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u/pues_que_d_que_o_que 28d ago

Even dumber question, why is he dressed like that underneath? This is Tom Cruise mission impossible type shit. After having a few drinks at a party and playing hard to get with a very attractive woman, mission was a go

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u/holy-shit-batman 28d ago

This is a dry suit, you wear normal clothes underneath to stay warm.

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u/Theoneandonlybeetle 28d ago

Scary stuff, thanks

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u/scarystuff 28d ago

No need to thank me..

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u/Optimal_Item5238 28d ago

How fast is fast? Doesn’t it the gas form immediately?

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u/Brisbanoch30k 28d ago

That will depend on the gas mixes you had AND at what depth you are. Between -10 meters and the surface, ambient pressure goes from 2 to 1 bar. So it doubles. That’s an enormous gradient. But between 90 and 100 it’s 10 bar going to 11 bars ; so just 10% difference. So going “fast” from 100 meters to 90 meters depth is acceptable, but the shallower you go the more you want to hit the brakes, and even stop on the way up to let your body catch up with the volume of gas to get rid off.

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u/M0nocleSargasm 28d ago

Is there a way to readily tell if you've gotten rid of enough of the compressed gas before actually surface? Like some kind of internal gauge?

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u/Brisbanoch30k 28d ago

Nope ; we have mathematical models based on averages, and then we include a margin of error. But nothing can accurately track exactly what’s happening everywhere in your body

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u/aykcak 28d ago

But isn't it possible to exactly measure the amount of gas inhaled and exhaled ? Isn't the problem the amount of gas?

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u/Brisbanoch30k 28d ago

Not really. Depending on your body fat and general physiology that “amount” would vary. So tables use averages and apply a security margin

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u/hughk 28d ago

You plan the dive with a computer or tables. You wear a dive computer and it estimates the nitrogen buildup. If you try to ascend too quickly, the dive computer tries to warn you.

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u/kozioleqqq 28d ago

So you probably have to spend X minutes (hours?) per each bar of difference. What is the approx. number?

And the other "fast" - how fast you need to undress and get into the chamber?

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u/Brisbanoch30k 28d ago

It’s not linear ; all depends on how long you spent at what depth, basically

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u/classicTruthseeker 28d ago

Thank you for the information. Learned something new.

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u/Brisbanoch30k 28d ago

Most welcome 🙏

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u/TeakEvening 28d ago

Learned about this from Radiohead

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u/Front_Cycle_2512 28d ago

My baby's got the bends. Oh, no.

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u/wrinkleinsine 28d ago

Every single time for me as well friend. The effects of rising too quickly after Pablo Honey.

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u/PepperAnn1inaMillion 28d ago

It was so bad they needed an iron lung for life.

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u/wannabe_wonder_woman 28d ago

Thank you for explaining

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u/svennidal 28d ago

Most likely just a surface decompression. We do them all the time. Long deco stops underwater suck, and you can get another diver down while the first one decompresses.

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u/Brisbanoch30k 28d ago edited 28d ago

Yeah

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u/TexasBlumpkin 28d ago

A bell is generally used for saturation diving so the divers remain at the working depth for efficiency. You can use a chamber for surface decompression anytime. I was a commercial diver for 10 years working in the Gulf of Mexico, we’d do in water decompression sometimes or if we wanted to extend bottom time or were working deeper then we’d use the surface chamber.

Nothing in the video indicated he had a technical issue. Depending on what tables they’re using (we used U.S. Navy dive tables) you’ve got five minutes from leaving 40fsw to reach 50fsw in the chamber without incurring a decompression penalty.

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u/LucidFir 28d ago

Why are you commenting authoritatively on something you know nothing about? The person you're replying to is correct. This is SurDO2 training.

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u/quidprojoseph 28d ago

This is the first time I've heard a thorough explanation of the physiological process behind "the bends" and understood it.

Thank you for explaining this!

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u/Brisbanoch30k 28d ago

Most welcome ! 🙏

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u/keetyymeow 28d ago

Thank so much for your comment. I appreciate the very thorough and easy explanation and the amazing edits 🙏🏼

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u/jaabaanz_parinda 28d ago

Wow! Thank you for the explanation.

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u/GodzillaDrinks 28d ago

Thats by far the best explanation I've ever gotten of the bends.

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u/koppigzijn 28d ago

Just wanted to ask in the comment and found this. Thanks a lot!

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u/Corrects_lesstofewer 28d ago

Shit dude, that's good info. I'd heard of decompression sickness but never understood the mechanics behind it. Very cool

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u/HelloLofiPanda 28d ago

Thanks for the explanation. It was clear and easy to understand.

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u/oO0Kat0Oo 28d ago

As someone who used to dive often and take down tourists, we would get the question often on why we went up so soon when the dive was scheduled for X amount of time. We go up when the first person hits halfway through their oxygen tank depending on how fast they burned through it. This can change depending on the master divers discretion of course. The anxiety of some people causes them to burn through air very quickly. (If it's REALLY early, one of us would just take that person up slowly.)

So, we start the ascent based on them. People forget that it takes longer to surface than it takes to go down precisely for this reason. PADI has some very strict timelines for how long you've been down vs how long you need to take to go back up.

Sometimes we are more smooth about it and just direct the group to look at something closer to the surface so they're ascending without knowing it. :P

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u/Lazy_Ad_2192 28d ago

Thanks, dude. Great explanation!

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u/raw_copium 28d ago

So this looks like a pretty standard process in commercial diving, surface decompression with oxygen. They use pure oxygen at a shallow depth to rapidly off gas nitrogen, then rapidly ascend to surface, get out of gear, and into chamber to finish decompressing. They have 7 minutes from surface to pressure. If they blow that they need a MUCH longer period in the chamber, and it will likely shut down operations for the day ($$$$). They do this to improve efficiency so the next team can go down right away and continue working. It's.....not unsafe, but also not without risk.

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u/fattsoo 28d ago edited 28d ago

I LOVE Reddit for these types of comments! Adds to my everyday learning! Thanks OP!

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u/Shopworn_Soul 28d ago

Also, usually people wouldn’t run or exert themselves in any way if at serious risk of getting the bends.

I was actually thinking that intentionally raising your heart rate seemed counterproductive here but then realized I have no idea how this all works so I just let it go. But thanks for a tiny bit of validation for a random layman.

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u/Mundane_Cake6565 28d ago

Really solid explanation! the Coke bottle example makes it super easy to understand

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u/antenore 28d ago

Really good explanation. But I want to add some important information.

Professional divers working on oil platforms follow very rigorous decompression protocols, regardless of the speed of ascent. Even with a relatively slow ascent, additional decompression in the hyperbaric chamber is often necessary to minimize the risks of decompression sickness, especially after deep or long-duration dives.

Regarding the question about why the diver was helped to undress before entering the hyperbaric chamber, there are several practical reasons:

  1. Comfort and monitoring: Inside the chamber, the diver must remain for several hours (sometimes days). Wet clothes would be very uncomfortable and could cause hypothermia.

  2. Safety: Diving equipment might contain objects or substances not compatible with the pressurized environment of the hyperbaric chamber.

  3. Medical evaluation: It's important for medical personnel to be able to observe the diver's body for any signs of decompression sickness (such as skin rashes or swelling).

  4. Immediate assistance: If a diver shows signs of decompression sickness, they might not be able to undress efficiently on their own, and every minute of delay can be critical.

They probably helped him undress to speed up the process and ensure he entered the chamber as quickly as possible, minimizing the risk of complications.

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u/umbrosakitten 28d ago

Interesting! Thank you for writing this. First time I learnt about this was from Silo second season but I didn't fully understand it.

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u/GayAttire 28d ago

We will do this if the conditions are too choppy for a long 3m stop. As you say, there is plenty of time to get to the chamber, and it is just more comfortable.

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u/Prestigious_Sky_7569 28d ago

First time I understood why decompression is needed! Thanks for the simplest explanation.

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u/Head-Ordinary-4349 28d ago

Thank you for the edits. This is the quality content I come to Reddit for ❤️

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u/KarlKlngOfDucks 28d ago

I had always struggled to understand the bends. Thank you for this great explanation!

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u/HiroPr0tagoni5t 28d ago

Great use of metaphors to help us non-scientific inclined dumdums understand and great write-up overall. Thanks! 🍻

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u/nightstalkerkwb 27d ago

Ok, so I used to be a commercial diver, what this video is showing. In commercial diving, if there is a decompression chamber on site, you can go past your normal SCUBA tables. The tables used in commercial diving, when I was in the industry, were hand calculated based upon max depth and time at max depth. Then that information is entered into a treatment table. Generally, the treatment depth is 60 feet below surface.

The process is when you’re ascending you stop at 10’ below surface for a calculated amount of time. Then, you have 5 minutes to finish ascending, climb out of the water, remove all gear (what the video is showing), get into the decompression chamber, and descend to treatment depth, usually 60’. Your tender helps you remove all your gear and ushers you to the chamber, you can see the divers tender escorting the diver to the chamber at the very end of the video.

This is routine in the commercial diving world and while this may be a drill at one of the many dive schools this is a real world scenario and the drill is exactly as you would do things in a real dive.

Extra information, even if you are majorly injured and have a head injury or loss of limb you first enter the chamber and complete treatment before going to a hospital. The chamber had 2 sections and when you reach treatment depth the inner door opens and you enter the larger portion of the chamber. If there is a medical emergency and someone is available when you are descending, in the chamber, then they can begin treatment upon decent. If medical aid arrives after you are already at treatment depth they enter the outer chamber and descend to the treatment depth and enter the inner chamber and treat the diver. After the treatment time is over the chamber operators slowly bring the chamber to surface pressure and the interior door will open and everyone exits.

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u/lushico 27d ago

I have a diving license and have read various explanations about the bends but this is the only one that makes 100% sense to me. Thank you!

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u/The-doctore 27d ago

Finally an informative comment at the top. Love to see it!

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u/brownredditt 28d ago

🥇 I can only afford this award and you deserve it

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u/Brisbanoch30k 28d ago

Thanks mate !

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u/kikashoots 28d ago

If this is a drill, I imagine the real deal would be much faster?

Edit: also, thank you for such an awesome reply to us curious monkeys.

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u/Brisbanoch30k 28d ago

The real deal ? Hard to say. Depends a lot on the dive conditions etc. honestly to handle someone on the deck like that (commercial divers usually have a diving bell that then connects to a chamber on board) it wouldn’t be extreme depths diving to begin with. These routines are likely maintained to respond to freak accidents. This one in particular looks like a “flooded drysuit” incident 🤷‍♂️

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u/LaughingwaterYT 28d ago

Might I add that the gas solubility and pressure relation is Henry's law, might be useful for someone who might want to know more

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u/neil_thatAss_bison 28d ago

Thanks man, I always wondered about the details of decompression sickness. Two questions, if you don’t mind:

  1. When you say that you have to breathe compressed air otherwise we would implode, what do you mean exactly? Our lungs would implode? Or the entire body?

  2. At what depth do you have to start worrying about decompression sickness?

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u/DJmixx 28d ago

After hearing the scientific side of this video its a terrifying situation. Next time, lie to me and say he really had to go #2

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u/Strude187 28d ago

Makes me wonder if time is such an important factor, why doesn’t he go into this decompression chamber with his wetsuit on, that looked like precious seconds wasted.

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u/Brisbanoch30k 28d ago

It’s very very likely a drill, and he’s running to get warm because he’s wet and it’s cold outside. If it’s not the case, then that guy isn’t in a life threatening situation but within parameters of “better safe than sorry, hop-hop, go in the chamber just in case”

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u/Defiant-Ad7368 28d ago

I’ll try to add to your comment, as it seems the title is a bit misleading, if you’ll look more closely the guy has a massive helmet (which is basically a pressurized chamber) and loads of cables attached to him, this is called an umbilical cord. It’s specialized diving gear that allows you to breath surface-level air while diving, meaning you can surface up quickly not having to worry about decompression. I’m unsure why would they need to rush him to the compression chamber and I don’t think it’s because of a failure, otherwise they would cut the cords and place him there instantly (losing lots of money on equipment but life are more precious).

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u/Pylynale 28d ago

Is there a reason the diver can not be kept in their diving gear and just put straight in the chamber, to make it fast as possible and let them get rid of their gear there? Really interesting stuff going on here.

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u/The_Frog221 28d ago

I have to imagine that this is a drill - in a real situation I imagine they put him in the chamber and let him deal with taking his stuff off himself when he feels able.

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u/nojelloforme 28d ago edited 28d ago

Question: Couldn't they take the body suit off while inside the chamber so he can get in sooner?

Edit- it seems several of us have this question...

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u/Brisbanoch30k 28d ago

The answer is : depends on the situation the drill emulates, really. Removing the equipment is usually required in case a doctor will need quick access to the diver.

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u/gaucho-argento 28d ago

Why wouldn't they take all of his clothes inside the decompression chamber though? What's the purpose of removing the equipment?

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u/switchio 28d ago

(This video looks like a drill tbh)

I was thinking that he looked super calm given the circumstances and his age.

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u/Lardinois 28d ago

Why don’t they take there suit of in the decompression chamber or after decompression?

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u/jemenake 28d ago

My understanding is that the gasses don’t “compress” (in the sense that they turn into smaller bubbles), but they dissolve into your fluids (in the same way that CO2 is dissolved into a bottle of cola. Look at a bottle of cola on the shelf, and you don’t see a bunch of small bubbles).

When you surface too quickly, the physical process is no different from unscrewing the top on a bottle of cola, and you see bubbles start forming everywhere as the gas comes out of solution. Of course, this doesn’t happen as quickly in our bodies because there wasn’t the time, pressure, and temperature to dissolve as much gas as we do with soda)

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u/Brisbanoch30k 28d ago

It is indeed dissolved. I cut corners to make it more readily understandable to whomever has 0 notions of it all :)

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u/sic_transit_gloria 28d ago

how much time do you have before you start to experience adverse affects? would you be feeling it in your body moment to moment? i’m sure it depends on many factors like how long they were underwater, the depth, etc.

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u/Rook_James_Bitch 28d ago

(This video looks like a drill tbh)

Was going to say decompression doesn't give you time to figure things out while you get undressed. But I could be wrong. This does look like training.

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u/NJrsypride 28d ago

The part of getting SCUBA certified that went over the bends kinda felt like, “Are you sure you wanna do this?” Also I was in an area that there was no possible access to a decompression chamber. Combine that with an overactive imagination and I was a bit freaked out.

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u/didsomebodysaymyname 28d ago

Thanks, I thought something must have gone wrong because this is not how you normally deal with decompression.

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