Hmm, if a chamber is a few minutes away and available we aren't having an IWR discussion.
I have no problem doing additional deco and would have no problem trying IWR if the gas was available, the water conditions were appropriate and I was physically able.
Does driving home or to get your tanks filled while breathing off your O2 bottle count???![]()
"Is this thing on?"
Jim Wyatt
Cavediveflorida
I'm not so sure on that. The swelling is usually caused by edema from damage that has already occurred. I'm not sure IWR will be of much benefit, but I will say a cold plunge therapy pool and a good anti-inflammatory does work wonders for that type of hit. I've had the "slobitis" fixed up in a day with some heavy use of a cold therapy pool -- the first two minutes in a cold therapy pool are miserable, but then you go numb and it's better.
Of course, like anything you read on the internet, view my comments skeptically and not as an endorsement for any sort of first aid treatment.
Ken Sallot
I often wonder what would have happened had Chris and Chrissy Rouse gone back down to 60' and let someone bring them a couple of hours' worth of gas.
Whoever said money can't buy love never bought a puppy.
An In-Water Recompression study was just completed on Sept 27, 2014 at Hudson Grotto by Joe Dituri, IANTD, and an army of doctors. They even hauled in a sonar machine and operator. Volunteers from the NSS-CDS both for participants and support divers. In-water recompression works, Joe will be issuing a paper on it soon, and I have heard could make its way into some other resources for divers.
Swelling was a latent effect to tissue injury. If recompression was initiated quickly upon onset of symptoms,then more likely the these latent effects would have been lessened. There is a bigger picture to this story that I didn't relay since it too wordy and not completely relevant.
"Not all change is improvement...but all improvement is change" Donald Berwick
Look forward to that. The fb page
https://www.facebook.com/events/1529252724021803/
indicates that Dituri/IANTD may be offering an IWR provider class.
As others indicated, the trick is not to drown during IWR (which can be a tall order). If symptoms arise soon after a dive and a chamber is not "readily" available, I would hope a competent dive buddy will act as a safety diver while I recompress with an O2 bottle at 20 feet. Kinda like freedivers in case of shallow water blackout. But there's a lot of degree of freedom on whether to go down to 40-60 feet on nitrox, etc. without replicating the treatment schedule at a recompression chamber which may be infeasible.
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