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DECOMPRESSION CONTROVERSIES 

DAN Southern Africa
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Author: Dr Simon Mitchell
A presentation by Dr Simon Mitchell on decompression controversies. I must watch!

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1 июн 2024

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Комментарии : 120   
@The_NoBrainer
@The_NoBrainer 3 года назад
I'm from Panama City and I have a story for this: "The navy divers were falling over themselves [to participate in the NEDU study]" - My SCUBA instructor was a retired Navy Dive Instructor. He has a tattoo on his calf of a rat wearing SCUBA gear with the caption "Sat Rat." I asked about it and he said he was part of study that gave him the bends, and he and his fellow participants all got commemorative tattoos. I just realized - THIS was the study he participated in, the NEDU study. The Navy divers who participated in that were so proud of their courage (I'm proud of them too) that they went out and got tattoos! I'm proud to have trained with one. Also excellent work as always, Dr. Mitchell. Your talks are always as informative as they are entertaining.
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Thank you for sharing your experience and your support.
@basementchemistry2334
@basementchemistry2334 2 года назад
Dr. Simon Mitchell is such a fantastic presenter and a treasured resource to us all. To have a renowned and leading expert in hyperbaric medicine who is also an experienced and avid diver himself is valuable beyond measure to the entire diving community. This video is so incredibly useful, from building a basic knowledge of decompression theory to going into recent advances in our physiological understanding. It's all here. A well put-together presentation that is truly useful to all skill levels and experiences. Thank you sir!
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Glad to know you enjoyed the presentation.
@hiimpercy
@hiimpercy 2 года назад
I don't dive and don't ever want to, and this was FASCINATING. I love this kind of in-depth analysis of life-threatening issues.
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Glad you enjoyed it.
@stanmoderate4460
@stanmoderate4460 3 месяца назад
I'm 79 now and no longer dive but about 20 years ago my VR3 (latest technology at the time) got me bent following a deep dive on tri-mix, now I understand why!
@Acid741981
@Acid741981 2 года назад
Probably the best visualisation I have ever seen in a comparison of deco models! I wish there was a dive software available that gave you this exact output in your dive planning... You could arguably tinker around with your (GF-)settings until you are okay with the "graphic" of saturation you desire. What a wonderful tool that would be in decompression planning and informing yourself before the dive of what your different settings do to your tissues... I really hope someone comes up with something like this! Great work!
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Thank you for your feedback.
@mattg3191
@mattg3191 5 лет назад
extremely interesting and informative! this gave me a better understanding of the Models used and clarified WHY deep stops don't appear to be beneficial. similar to another presentation, i can't believe no one has commented and thanked you for this presentation! all divers should watch this (especially Technical divers, rebreather divers and those interesting in Technical Diving). i appreciate this presentation very much! thank you!
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Thank you for your feedback.
@snarf9455
@snarf9455 2 года назад
I am not even a diver (nor do i really aspire to be one) but listening to theese presentations is really interesting. It’s a pleasure to listen to a passioned professional talk.
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Thank you for your positive feedback.
@richardmooney8378
@richardmooney8378 4 года назад
This is a great presentation! Most divers don't get the differences in the compartments and their effects. The five minute compartment fills rapidly and limits a 100' air dive to 20 minutes. But it also off-gasses just as fast. Slower compartments fill more slowly and may not control the 100' dive, but they also off-gas more slowly. Simply put: This is why deep stops can be a problem.
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Only a pleasure and thank you for sharing your insights.
@nateelliot3759
@nateelliot3759 2 года назад
Very informative, well illustrated and explained! This answered so many questions I had on deco theory. Thank you!
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Glad it was helpful!
@alexandros8361
@alexandros8361 Год назад
Trouble is that the theory never fully worked like that for me. Getting 1st or 2nd degrees of bent seemed to relate far more to my emotional state on diving, seasickness, cold, dramas and traumas (fears, lost, tangled in guideline etc) than the depth involved. (on air to 30-55m). Best wishes. Dr Alex.
@DANSouthernAfrica
@DANSouthernAfrica Год назад
Thank you for your comment.
@mohamedamr875
@mohamedamr875 7 лет назад
You just have to like Simon Mitchell :) Great presentation!
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Thank you for your feedback.
@ATAtudeDiving
@ATAtudeDiving 7 лет назад
Excellent talk. It could have done with a note on how gas choices might influence supersaturation under various profiles, as air dives dominated the discussion, but really a really good discussion.
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
The following article by the DAN America Team may offer some additional insights: www.ncbi.nlm.nih.gov/pmc/articles/PMC5351842/
@scubaengineering
@scubaengineering 7 лет назад
Agreed with all conclusions at 39:42. The proceeding heat charts are fantastic in showing whats really going as to the cause of the DCS. The simple solution is to add 3 missing 'hyper fast tissues' into Buhlmann ZLH16 and and use this model to generate the dive profile and all will be good without having to use gradient factors to devine a model that actually works. Here's the tissues :- #1(t=1.1mins, m=2bars), #2(t=1.8mins, m=2.72bars), #3(t=3mins, m=2.94bars) Cheers.
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Thank you for your feedback.
@DanielRicardo42
@DanielRicardo42 2 года назад
This was the best explanation of deco models I've ever seen. Have there been any updates on the matter in the past 5 years since this talk? Where would one look for new publications in this field?
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Good to know you enjoyed the lecture. Here is a YouTune link to consider ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-DjOx1kcIrTc.html
@AndreiAstrakharchik
@AndreiAstrakharchik 4 года назад
Great presentation! Easy to follow and understand.
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Wonderful!
@HealthCareUndelegated
@HealthCareUndelegated 5 лет назад
Excellent, succinct statement of the physics of what is happening during compression at 6:40. Good enough for a five year old, good enough for me. :)
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Thank you for your comment. Its good to know the lecture is still relevant.
@mustanggun
@mustanggun 3 года назад
Very interesting, good info. Thank you
@DANSouthernAfrica
@DANSouthernAfrica 3 года назад
Glad it was helpful!
@subsurface3102
@subsurface3102 6 лет назад
Very interesting and informative talk. Thanks!
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Good to know the lecture was helpful.
@welwellwell71
@welwellwell71 3 года назад
Thanks very much, that was excellent. Easy to understand.
@DANSouthernAfrica
@DANSouthernAfrica 3 года назад
You are welcome!
@marcelohernandez7215
@marcelohernandez7215 Год назад
What an impressive way of presenting a complex topic in a simple way. Thanks for sharing!!!!!
@DANSouthernAfrica
@DANSouthernAfrica Год назад
Glad you enjoyed the presentation.
@piradapearisc4496
@piradapearisc4496 2 года назад
Can you explain more about how deep is shallow and deep stop in meters and how long should we wait until surfacing? Can we trust our dive com for each stop it tells us ? Excellent presentation indeed
@amgoldi
@amgoldi 7 лет назад
What an excellent lecture! Thanks a lot!
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Only a pleasure!
@TnEEn
@TnEEn 4 года назад
very informative, thanks!
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Thank you for your feedback.
@12336992
@12336992 7 лет назад
This is really useful info!!! Excellent presentation.
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Thank you for the great comment!
@thedarkplayer
@thedarkplayer 2 года назад
Excellent video and presentation.
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Thank you kindly!
8 лет назад
nice presentation, thanks!!
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Only a pleasure!
@Raphael_NYC
@Raphael_NYC 8 лет назад
Thank you. Raphael Santore
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Only a pleasure!
@robertcavoli4351
@robertcavoli4351 2 года назад
Excellent video! Very informative.
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Glad you enjoyed it!
@adamfilipovich6553
@adamfilipovich6553 2 года назад
this is a fantastically interesting video. true science
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Glad you think so!
@karlmarx7450
@karlmarx7450 8 лет назад
thanks a million
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Only a pleasure!
@Sombre____
@Sombre____ 2 года назад
Great video. It demonstrate than trying to be smarter than the rules are not always a good idea.
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Glad you enjoyed it!
@quintindeboer2075
@quintindeboer2075 8 лет назад
Awesome presentation and well illustrated!
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Thank you for your comment!
@seymourpro6097
@seymourpro6097 2 года назад
I'll suggest that the tables should ensure that the first stop is a decompression stop NOT a continuing absorption stop.
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Thank you for sharing your opinion and experience.
@Igzanda135
@Igzanda135 Год назад
great presentation, super informative!
@DANSouthernAfrica
@DANSouthernAfrica Год назад
Glad you liked it!
@grp1294
@grp1294 5 лет назад
Lovely to hear you again Simon after your helpful advice back in 2012 re my son's lung problem!
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Wow that is amazing! Thank you for your comment.
@ReefPatrol
@ReefPatrol 8 лет назад
great content...
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Good to know you enjoyed the lecture.
@AdamReidBSc
@AdamReidBSc 2 года назад
This is brilliant! So many questions answered in an excellent and clearly presented way. I’ll try some dive plans based on GF50/75 and see if I like ‘em 😀
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Thank you for your feedback.
@InternationalScubaDiversClub
@InternationalScubaDiversClub 2 года назад
This is just GREAT!
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Thank you!
@tamarugodive
@tamarugodive 7 лет назад
Excelente presentación.
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Good to know you enjoyed the lecture!
@marcdennis6374
@marcdennis6374 8 лет назад
Hello Simon. Thanks very much for the brilliant presentation.
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Thank you for your comment.
@dataf0rce
@dataf0rce 8 лет назад
Great overview! Is this still true today or are there already new studies suggesting/proofing otherwise? Is there a number telling us how many Tec Divers do use GF / VPM ?
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
The best review of the current analysis of PDE / DSL is summarised in the following article: www.ncbi.nlm.nih.gov/pmc/articles/PMC5610843/
@pmiron
@pmiron 2 года назад
Awesome presentation, I'm not an expert at all and could follow everything clearly!
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Good to know your found the video helpful.
@funcionando
@funcionando 8 лет назад
Are there any kind of studies of this type (bülhman) for recreational divers profiles? Very very interesting indeed.
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
For a rather exhaustive review on Decompression the following article by Bruce Wienke may be useful: www.researchgate.net/publication/335368243_DOWNS_AND_UPS_OF_DECOMPRESSION_DIVING_A_REVIEW For a slightly less intimidating article, the following reference is recommended by the DAN Europe Team: www.ncbi.nlm.nih.gov/pmc/articles/PMC5610843/
@johnchatterton4645
@johnchatterton4645 7 лет назад
Very well done, Simon. I provide this to my students, as part of their Basic Trimix training course.
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Good to know that you are able to use the lecture for your students.
@nickieshadowfaxbrooklyn5192
@nickieshadowfaxbrooklyn5192 6 лет назад
But alas deep stops give several times more frequent DCS and larger bubbles. I stick to shallow stops with the upper GF’s. Statistics is such. Btw, There were 11 DCS with bubble model, but that case was considered as inconsistent.
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Thank you for your feedback.
@deepprey2776
@deepprey2776 2 года назад
It seems like everyone wants that 1 magical answer that tells them what profile to dive. From my perspective there seems to be too many variables to nail down a “one size fits all” answer. It seems the best answer (at least to me) is to learn the model you use and stick with it. I’ve had older tec divers tell me they been using the same profile for 20 years and to not break what works.
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Thank you for sharing.
@mattg3191
@mattg3191 4 года назад
Thank you so much for this presentation. Very interesting and informative. Definitely makes me want to stick with GCM over Bubble Models. I've watched this at least 3x
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Thank you for your feedback.
@timblomeke5249
@timblomeke5249 8 лет назад
Thank you for uploading.
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Only a pleasure!
@PaulAnthonyDuttonUk
@PaulAnthonyDuttonUk 3 года назад
Am not a diver but the notion of fast tissue vs slow tissue rate absorption has been known for so long I can not for the life of me understand how the dive community could not see the issue with deep deco stops. It’s elementary and even surprised the navy chased the theory because it was an incomplete theory that surely could have been exposed by modelling known slow tissue deco profiles. Very strange.
@DrFJCronje
@DrFJCronje 2 года назад
Hi Paul. Can I refer you a RU-vid clip that may help a lot by David Doolette ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-pH5zw_fi5RE.html. It is brilliant! Dr Frans Cronje
@rangerdanger9485
@rangerdanger9485 2 года назад
Imo especially in the military decompression is simple u make ur stops at the proper depths for your body and the depth u dived def make sure u have enough fuel(air/oxy/helium/trimix/etc) def don’t dive alone if possible and def plan dives on the surface with plan abcd
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Thank you for your feedback.
@MrUdtabn
@MrUdtabn 8 лет назад
fantastic vid much information how do i get a copy ?
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
You can use a tool to download it from You Tube or simply download it to your device using the mobile phone or tablet You Tube app.
@louis840
@louis840 Год назад
Hi, at the end he says that he likes GF 50/75 ... but without saying for what deco gases ...?
@Spacefish007
@Spacefish007 5 лет назад
Does the navy use gradient factors in their gas content models? Probably not right?
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
The Navy has been developing Wayn Gerth's probabilistic model of immediate vs. eventual decompression sickness: www.ncbi.nlm.nih.gov/pmc/articles/PMC5351842/. This article (abstract) addresses the issue: www.ncbi.nlm.nih.gov/pubmed/29161578
@sadrhogollsodia9505
@sadrhogollsodia9505 3 года назад
Could this be used in the development of drug delivery or treatment procedures?
@DrFJCronje
@DrFJCronje 2 года назад
Inhalation therapies are used to deliver certain medications, but uptake makes the delivery a bit unpredictable and the exhaled gas still contains active medication which poses different challenges. Great question though. Dr Frans Cronje
@morleymichael
@morleymichael 5 лет назад
44:25 - GF 50/75 -> 50/70
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Thank you for your feedback and support.
@uncatila
@uncatila Год назад
I'm working on the jab deco tables. We must cut down on clotting.
@DANSouthernAfrica
@DANSouthernAfrica Год назад
Thank you for your comment.
@adamrogers9386
@adamrogers9386 Год назад
Am i the only one who is watching this and then all of a sudden my left ear gets blocked rofl
@elliottoppenheim9871
@elliottoppenheim9871 8 лет назад
If you dive deeper than 40m, recreational dept, listen and learn.
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Thank you for your feedback and support.
@HealthCareUndelegated
@HealthCareUndelegated 5 лет назад
I'm afraid the # of forum hits alone is not a relevant metric for determining the popularity of anything. Much like the number of pages Google serves up in response to any given key phrase: it is simply not indicative of anything by itself. Most sites don't track "hits" anymore for this reason. More than half of that traffic is robotic anyway.
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
Not sure what to make f this comment.
@qubei
@qubei 5 лет назад
You should turn off comments instead of deleting them (assuming that's happening because there's 48k views and 0 comments). Please do it to stop people wasting their time commenting.
@DANSouthernAfrica
@DANSouthernAfrica 4 года назад
No comments are deleted... unless bad language is associated with a comment.
@frankdieber7090
@frankdieber7090 5 лет назад
I can’t believe theirs no discussion on this!
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Thank you for your feedback and support.
@johnmilsom2179
@johnmilsom2179 2 года назад
Nope way toooo much talk………KISS theory mate
@DANSouthernAfrica
@DANSouthernAfrica 2 года назад
Thank you for your feedback.
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