DECOMPRESSION CONTROVERSIES

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

Пікірлер: 120

  • @The_NoBrainer
    @The_NoBrainer3 жыл бұрын

    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 жыл бұрын

    Thank you for sharing your experience and your support.

  • @basementchemistry2334
    @basementchemistry23342 жыл бұрын

    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 жыл бұрын

    Glad to know you enjoyed the presentation.

  • @stanmoderate4460
    @stanmoderate44603 ай бұрын

    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!

  • @hiimpercy
    @hiimpercy2 жыл бұрын

    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 жыл бұрын

    Glad you enjoyed it.

  • @Acid741981
    @Acid7419812 жыл бұрын

    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 жыл бұрын

    Thank you for your feedback.

  • @mattg3191
    @mattg31915 жыл бұрын

    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 жыл бұрын

    Thank you for your feedback.

  • @snarf9455
    @snarf94552 жыл бұрын

    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 жыл бұрын

    Thank you for your positive feedback.

  • @nateelliot3759
    @nateelliot37592 жыл бұрын

    Very informative, well illustrated and explained! This answered so many questions I had on deco theory. Thank you!

  • @DANSouthernAfrica

    @DANSouthernAfrica

    2 жыл бұрын

    Glad it was helpful!

  • @richardmooney8378
    @richardmooney83784 жыл бұрын

    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 жыл бұрын

    Only a pleasure and thank you for sharing your insights.

  • @alexandros8361
    @alexandros8361 Жыл бұрын

    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

    Жыл бұрын

    Thank you for your comment.

  • @ATAtudeDiving
    @ATAtudeDiving7 жыл бұрын

    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 жыл бұрын

    The following article by the DAN America Team may offer some additional insights: www.ncbi.nlm.nih.gov/pmc/articles/PMC5351842/

  • @mohamedamr875
    @mohamedamr8757 жыл бұрын

    You just have to like Simon Mitchell :) Great presentation!

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    Thank you for your feedback.

  • @scubaengineering
    @scubaengineering7 жыл бұрын

    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 жыл бұрын

    Thank you for your feedback.

  • @DanielRicardo42
    @DanielRicardo422 жыл бұрын

    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 жыл бұрын

    Good to know you enjoyed the lecture. Here is a YouTune link to consider kzread.info/dash/bejne/dp6D2pOkk6zYhMY.html

  • @AndreiAstrakharchik
    @AndreiAstrakharchik4 жыл бұрын

    Great presentation! Easy to follow and understand.

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    Wonderful!

  • @welwellwell71
    @welwellwell713 жыл бұрын

    Thanks very much, that was excellent. Easy to understand.

  • @DANSouthernAfrica

    @DANSouthernAfrica

    3 жыл бұрын

    You are welcome!

  • @mustanggun
    @mustanggun3 жыл бұрын

    Very interesting, good info. Thank you

  • @DANSouthernAfrica

    @DANSouthernAfrica

    3 жыл бұрын

    Glad it was helpful!

  • @marcelohernandez7215
    @marcelohernandez7215 Жыл бұрын

    What an impressive way of presenting a complex topic in a simple way. Thanks for sharing!!!!!

  • @DANSouthernAfrica

    @DANSouthernAfrica

    Жыл бұрын

    Glad you enjoyed the presentation.

  • @HealthCareUndelegated
    @HealthCareUndelegated5 жыл бұрын

    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 жыл бұрын

    Thank you for your comment. Its good to know the lecture is still relevant.

  • @amgoldi
    @amgoldi7 жыл бұрын

    What an excellent lecture! Thanks a lot!

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    Only a pleasure!

  • @TnEEn
    @TnEEn4 жыл бұрын

    very informative, thanks!

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    Thank you for your feedback.

  • @adamfilipovich6553
    @adamfilipovich65532 жыл бұрын

    this is a fantastically interesting video. true science

  • @DANSouthernAfrica

    @DANSouthernAfrica

    2 жыл бұрын

    Glad you think so!

  • @subsurface3102
    @subsurface31026 жыл бұрын

    Very interesting and informative talk. Thanks!

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    Good to know the lecture was helpful.

  • @karlmarx7450
    @karlmarx74508 жыл бұрын

    thanks a million

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    Only a pleasure!

  • 8 жыл бұрын

    nice presentation, thanks!!

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    Only a pleasure!

  • @Raphael_NYC
    @Raphael_NYC8 жыл бұрын

    Thank you. Raphael Santore

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    Only a pleasure!

  • @robertcavoli4351
    @robertcavoli43512 жыл бұрын

    Excellent video! Very informative.

  • @DANSouthernAfrica

    @DANSouthernAfrica

    2 жыл бұрын

    Glad you enjoyed it!

  • @thedarkplayer
    @thedarkplayer2 жыл бұрын

    Excellent video and presentation.

  • @DANSouthernAfrica

    @DANSouthernAfrica

    2 жыл бұрын

    Thank you kindly!

  • @Sombre____
    @Sombre____2 жыл бұрын

    Great video. It demonstrate than trying to be smarter than the rules are not always a good idea.

  • @DANSouthernAfrica

    @DANSouthernAfrica

    2 жыл бұрын

    Glad you enjoyed it!

  • @Igzanda135
    @Igzanda135 Жыл бұрын

    great presentation, super informative!

  • @DANSouthernAfrica

    @DANSouthernAfrica

    Жыл бұрын

    Glad you liked it!

  • @12336992
    @123369927 жыл бұрын

    This is really useful info!!! Excellent presentation.

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    Thank you for the great comment!

  • @grp1294
    @grp12945 жыл бұрын

    Lovely to hear you again Simon after your helpful advice back in 2012 re my son's lung problem!

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    Wow that is amazing! Thank you for your comment.

  • @piradapearisc4496
    @piradapearisc44962 жыл бұрын

    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

  • @quintindeboer2075
    @quintindeboer20758 жыл бұрын

    Awesome presentation and well illustrated!

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    Thank you for your comment!

  • @ReefPatrol
    @ReefPatrol8 жыл бұрын

    great content...

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    Good to know you enjoyed the lecture.

  • @AdamReidBSc
    @AdamReidBSc2 жыл бұрын

    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 жыл бұрын

    Thank you for your feedback.

  • @seymourpro6097
    @seymourpro60972 жыл бұрын

    I'll suggest that the tables should ensure that the first stop is a decompression stop NOT a continuing absorption stop.

  • @DANSouthernAfrica

    @DANSouthernAfrica

    2 жыл бұрын

    Thank you for sharing your opinion and experience.

  • @InternationalScubaDiversClub
    @InternationalScubaDiversClub2 жыл бұрын

    This is just GREAT!

  • @DANSouthernAfrica

    @DANSouthernAfrica

    2 жыл бұрын

    Thank you!

  • @dataf0rce
    @dataf0rce8 жыл бұрын

    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 жыл бұрын

    The best review of the current analysis of PDE / DSL is summarised in the following article: www.ncbi.nlm.nih.gov/pmc/articles/PMC5610843/

  • @tamarugodive
    @tamarugodive7 жыл бұрын

    Excelente presentación.

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    Good to know you enjoyed the lecture!

  • @marcdennis6374
    @marcdennis63748 жыл бұрын

    Hello Simon. Thanks very much for the brilliant presentation.

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    Thank you for your comment.

  • @pmiron
    @pmiron2 жыл бұрын

    Awesome presentation, I'm not an expert at all and could follow everything clearly!

  • @DANSouthernAfrica

    @DANSouthernAfrica

    2 жыл бұрын

    Good to know your found the video helpful.

  • @funcionando
    @funcionando8 жыл бұрын

    Are there any kind of studies of this type (bülhman) for recreational divers profiles? Very very interesting indeed.

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    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
    @johnchatterton46457 жыл бұрын

    Very well done, Simon. I provide this to my students, as part of their Basic Trimix training course.

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    Good to know that you are able to use the lecture for your students.

  • @mattg3191
    @mattg31914 жыл бұрын

    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 жыл бұрын

    Thank you for your feedback.

  • @timblomeke5249
    @timblomeke52498 жыл бұрын

    Thank you for uploading.

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    Only a pleasure!

  • @deepprey2776
    @deepprey27762 жыл бұрын

    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 жыл бұрын

    Thank you for sharing.

  • @nickieshadowfaxbrooklyn5192
    @nickieshadowfaxbrooklyn51926 жыл бұрын

    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 жыл бұрын

    Thank you for your feedback.

  • @MrUdtabn
    @MrUdtabn8 жыл бұрын

    fantastic vid much information how do i get a copy ?

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    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.

  • @PaulAnthonyDuttonUk
    @PaulAnthonyDuttonUk3 жыл бұрын

    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 жыл бұрын

    Hi Paul. Can I refer you a KZread clip that may help a lot by David Doolette kzread.info/dash/bejne/onxp3NmYlsybgqg.html. It is brilliant! Dr Frans Cronje

  • @louis840
    @louis840 Жыл бұрын

    Hi, at the end he says that he likes GF 50/75 ... but without saying for what deco gases ...?

  • @Spacefish007
    @Spacefish0075 жыл бұрын

    Does the navy use gradient factors in their gas content models? Probably not right?

  • @DANSouthernAfrica

    @DANSouthernAfrica

    4 жыл бұрын

    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

  • @rangerdanger9485
    @rangerdanger94852 жыл бұрын

    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 жыл бұрын

    Thank you for your feedback.

  • @sadrhogollsodia9505
    @sadrhogollsodia95053 жыл бұрын

    Could this be used in the development of drug delivery or treatment procedures?

  • @DrFJCronje

    @DrFJCronje

    2 жыл бұрын

    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
    @morleymichael5 жыл бұрын

    44:25 - GF 50/75 -> 50/70

  • @DANSouthernAfrica

    @DANSouthernAfrica

    2 жыл бұрын

    Thank you for your feedback and support.

  • @uncatila
    @uncatila Жыл бұрын

    I'm working on the jab deco tables. We must cut down on clotting.

  • @DANSouthernAfrica

    @DANSouthernAfrica

    Жыл бұрын

    Thank you for your comment.

  • @adamrogers9386
    @adamrogers9386 Жыл бұрын

    Am i the only one who is watching this and then all of a sudden my left ear gets blocked rofl

  • @frankdieber7090
    @frankdieber70905 жыл бұрын

    I can’t believe theirs no discussion on this!

  • @DANSouthernAfrica

    @DANSouthernAfrica

    2 жыл бұрын

    Thank you for your feedback and support.

  • @elliottoppenheim9871
    @elliottoppenheim98718 жыл бұрын

    If you dive deeper than 40m, recreational dept, listen and learn.

  • @DANSouthernAfrica

    @DANSouthernAfrica

    2 жыл бұрын

    Thank you for your feedback and support.

  • @qubei
    @qubei5 жыл бұрын

    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 жыл бұрын

    No comments are deleted... unless bad language is associated with a comment.

  • @HealthCareUndelegated
    @HealthCareUndelegated5 жыл бұрын

    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 жыл бұрын

    Not sure what to make f this comment.

  • @johnmilsom2179
    @johnmilsom21792 жыл бұрын

    Nope way toooo much talk………KISS theory mate

  • @DANSouthernAfrica

    @DANSouthernAfrica

    2 жыл бұрын

    Thank you for your feedback.

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