Hypoxia: Insights to a silent killer
When we use mixed gases for deep diving, and / or rebreathers, we almost inevitably create opportunities for mistakes that might lead to us inspiring a gas that contain insufficient oxygen to maintain normal body oxygenation. Examples include operation of a rebreather with the oxygen cylinder turned off, or mistakenly using a hypoxic bottom gas during shallow decompression on open circuit. The result of such mistakes is progressive reduction of oxygen levels in the blood (hypoxia). Hypoxia is an insidious condition. It often gives little warning of onset, particularly if there are other distractions. Unlike hypercapnia (high CO2), which usually produces unpleasant symptoms, a diver can easily pass through a stage of confusion and lapse into unconsciousness with little or no sense that anything is wrong. We have recently been conducting experiments in which human subjects are intentionally rendered very hypoxic whilst trying to perform a mental task, and the video records of these events are educational viewing for divers. In this presentation we will discuss how hypoxia can occur in diving, and how failure to recognize its onset is common. We will illustrate these principles with video and results of our recent experiments. Finally, we will discuss the safety and usefulness of intentional "dry hypoxia experiences" that have occasionally been advocated for divers, and why we doubt these are a good idea.