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A diving chamber is a vessel for human occupation, which may have an entrance that can be sealed to hold an internal pressure significantly higher than ambient pressure, a pressurised gas system to control the internal pressure, and a supply of breathing gas for the occupants. [1]
There are two main functions for diving chambers:
There are two basic types of submersible diving chambers, differentiated by the way in which the pressure in the diving chamber is produced and controlled.
The historically older open diving chamber, known as an open diving bell or wet bell, is in effect a compartment with an open bottom that contains a gas space above a free water surface, which allows divers to breathe underwater. The compartment may be large enough to fully accommodate the divers above the water, or may be smaller, and just accommodate head and shoulders. Internal air pressure is at the pressure of the free water surface, and varies accordingly with depth. The breathing gas supply for the open bell may be self-contained, or more usually, supplied from the surface via flexible hose, which may be combined with other hoses and cables as a bell umbilical. An open bell may also contain a breathing gas distribution panel with divers' umbilicals to supply divers with breathing gas during excursions from the bell, and an on-board emergency gas supply in high-pressure storage cylinders. This type of diving chamber can only be used underwater, as the internal gas pressure is directly proportional to the depth underwater, and raising or lowering the chamber is the only way to adjust the pressure.[ citation needed ]
A sealable diving chamber, closed bell or dry bell is a pressure vessel with hatches large enough for people to enter and exit, and a compressed breathing gas supply which may be used to raise the internal pressure. Such chambers provide a supply of breathing gas for the user, and are usually called hyperbaric chambers, whether used underwater, at the water surface or on land. The term submersible chamber may be used to refer to those used underwater and hyperbaric chamber for those used out of water. There are two related terms that reflect particular usages rather than technically different types:
When used underwater there are two ways to prevent water flooding in when the submersible hyperbaric chamber's hatch is opened. The hatch could open into a moon pool chamber, and then its internal pressure must first be equalised to that of the moon pool chamber. More generally the hatch opens into an underwater airlock, in which case the main chamber's pressure can stay constant, while it is the airlock pressure that is equalised with the exterior. This design is called a lock-out chamber, and is also used in submarines, submersibles, and underwater habitats.[ citation needed ]
When used underwater all types of diving chamber are deployed from a diving support vessel suspended by a cable for raising and lowering and an umbilical cable delivering, at a minimum, compressed breathing gas, power, and communications. They may need ballast weights to overcome their buoyancy.[ citation needed ]
In addition to the diving bell and hyperbaric chamber, related Pressure Vessels for Human Occupancy (PVHOs) includes the following: [3]
As well as transporting divers, a diving chamber carries tools and equipment, high pressure storage cylinders for emergency breathing gas supply, and communications and emergency equipment. It provides a temporary dry air environment during extended dives for rest, eating meals, carrying out tasks that cannot be done underwater, and for emergencies. Diving chambers also function as an underwater base for surface supplied diving operations, with the divers' umbilicals (air supply, etc.) attached to the diving chamber rather than to the diving support vessel.[ citation needed ]
Diving bells and open diving chambers of the same principle were more common in the past owing to their simplicity, since they do not necessarily need to monitor, control and mechanically adjust the internal pressure. Since internal air pressure and external water pressure on the bell wall are almost balanced, the chamber does not have to be as strong as a pressurised diving chamber (dry bell). The air inside an open bell is at the same pressure as the water at the air-water interface surface. This pressure is constant and the pressure difference on the bell shell can be higher than the external pressure to the extent of the height of the air space in the bell.[ citation needed ]
A wet diving bell or open diving chamber must be raised slowly to the surface with decompression stops appropriate to the dive profile so that the occupants can avoid decompression sickness. This may take hours, and so limits its use.
Submersible hyperbaric chambers known as closed bells or personnel transfer capsules can be brought to the surface without delay by maintaining the internal pressure and either decompressing the divers in the chamber on board the support vessel, or transferring them under pressure to a more spacious decompression chamber or to a saturation system, where they remain under pressure throughout the tour of duty, working shifts under approximately constant pressure, and are only decompressed once at the end. The ability to return to the surface without in-water decompression reduces the risk to the divers if the weather or compromised dynamic positioning forces the support vessel off station.[ citation needed ]
A diving chamber based on a pressure vessel is more expensive to construct since it has to withstand high pressure differentials. These may be bursting pressures as is the case for a dry bell used for saturation diving, where the internal pressure is matched to the water pressure at the working depth, or crushing pressures when the chamber is lowered into the sea and the internal pressure is less than ambient water pressure, such as may be used for submarine rescue.[ citation needed ]
Rescue bells are specialized diving chambers or submersibles able to retrieve divers or occupants of submarines, diving chambers or underwater habitats in an emergency and to keep them under the required pressure. They have airlocks for underwater entry or to form a watertight seal with hatches on the target structure to effect a dry transfer of personnel. Rescuing occupants of submarines or submersibles with internal air pressure of one atmosphere requires being able to withstand the huge pressure differential to effect a dry transfer, and has the advantage of not requiring decompression measures on returning to the surface, allowing a more rapid turnaround to continue the rescue effort. [4] [5]
Hyperbaric chambers are also used on land and above the water:
Hyperbaric chambers designed only for use out of water do not have to resist crushing forces, only bursting forces. Those for medical applications typically only operate up to two or three atmospheres absolute, while those for diving applications may go to six atmospheres or more.[ citation needed ]
Lightweight portable hyperbaric chambers that can be lifted by helicopter are used by military or commercial diving operators and rescue services to carry one or two divers requiring recompression treatment to a suitable facility.[ citation needed ]
A decompression chamber, or deck decompression chamber, is a pressure vessel for human occupancy used in surface supplied diving to allow the divers to complete their decompression stops at the end of a dive as the surface decompression rather than underwater. This eliminates many of the risks of long decompressions underwater, in cold or dangerous conditions. A decompression chamber may be used with a closed bell for decompression after bounce dives, following a transfer under pressure, or the divers may surface before completing decompression and be recompressed in the chamber following stringent protocols to minimise the risk of developing symptoms of decompression sickness in the short period allowed before returning to pressure. [7] [8]
A hyperbaric treatment chamber is a hyperbaric chamber intended for, or put into service for, medical treatment at pressures above the local atmospheric pressure.
A hyperbaric oxygen therapy chamber is used to treat patients, including divers, whose condition might improve through hyperbaric oxygen treatment. [9] Some illnesses and injuries occur, and may linger, at the cellular or tissue level. In cases such as circulatory problems, non-healing wounds, and strokes, adequate oxygen cannot reach the damaged area and the body's healing process is unable to function properly. Hyperbaric oxygen therapy increases oxygen transport via dissolved oxygen in serum, and is most efficacious where the haemoglobin is compromised (e.g. carbon monoxide poisoning) or where the extra oxygen in solution can diffuse through tissues past embolisms that are blocking the blood supply as in decompression illness. [10] [9] Hyperbaric chambers capable of admitting more than one patient (multiplace) and an inside attendant have advantages for the treatment of decompression sickness (DCS) if the patient requires other treatment for serious complications or injury while in the chamber, but in most cases monoplace chambers can be successfully used for treating decompression sickness. [11] Rigid chambers are capable of greater depth of recompression than soft chambers that are unsuitable for treating DCS.
A recompression chamber is a hyperbaric treatment chamber used to treat divers suffering from certain diving disorders such as decompression sickness. [12]
Treatment is ordered by the treating physician (medical diving officer), and generally follows one of the standard hyperbaric treatment schedules such as the US Navy treatment Tables 5 or 6. [13]
When hyperbaric oxygen is used it is generally administered by built-in breathing systems (BIBS), which reduce contamination of the chamber gas by excessive oxygen. [8]
If the diagnosis of decompression illness is considered questionable, the diving officer may order a test of pressure. [14] This typically consists of a recompression to 60 feet (18 m) for up to 20 minutes.[ citation needed ] If the diver notes significant improvement in symptoms, or the attendant can detect changes in a physical examination, a treatment table is followed.[ citation needed ]
U.S. Navy Table 6 consists of compression to the depth of 60 feet (18 m) with the patient on oxygen. The diver is later decompressed to 30 feet (9.1 m) on oxygen, then slowly returned to surface pressure. This table typically takes 4 hours 45 minutes. It may be extended further. It is the most common treatment for type 2 decompression illness.[ citation needed ]
U.S. Navy Table 5 is similar to Table 6 above, but is shorter in duration. It may be used in divers with less severe complaints (type 1 decompression illness).[ citation needed ]
U.S. Navy Table 9 consists of compression to 45 feet (14 m) with the patient on oxygen, with later decompression to surface pressure. This table may be used by lower-pressure monoplace hyperbaric chambers, or as a follow-up treatment in multiplace chambers.[ citation needed ]
A hyperbaric environment on the surface comprising a set of linked pressure chambers is used in saturation diving to house divers under pressure for the duration of the project or several days to weeks, as appropriate. The occupants are decompressed to surface pressure only once, at the end of their tour of duty. This is usually done in a decompression chamber, which is part of the saturation system. The risk of decompression sickness is significantly reduced by minimizing the number of decompressions, and by decompressing at a very conservative rate. [15]
The saturation system typically comprises a complex made up of a living chamber, transfer chamber and submersible decompression chamber, [16] which is commonly referred to in commercial diving and military diving as the diving bell, [17] PTC (personnel transfer capsule) or SDC (submersible decompression chamber). [8] The system can be permanently installed on a ship or ocean platform, but is usually capable of being transferred between vessels. The system is managed from a control room, where depth, chamber atmosphere and other system parameters are monitored and controlled. The diving bell is used to transfer divers from the system to the work site. Typically, it is mated to the system utilizing a removable clamp and is separated from the system by a trunking space, through which the divers transfer to and from the bell.[ citation needed ]
The bell is fed via a large, multi-part umbilical that supplies breathing gas, electricity, communications and hot water. The bell also is fitted with exterior mounted breathing gas cylinders for emergency use. The divers operate from the bell using surface supplied umbilical diving equipment.[ citation needed ]
A hyperbaric lifeboat, hyperbaric escape module or rescue chamber may be provided for emergency evacuation of saturation divers from a saturation system. [16] This would be used if the platform is at immediate risk due to fire or sinking to get the occupants clear of the immediate danger. A hyperbaric lifeboat is self-contained and self-sufficient for several days at sea.
The process of transferring personnel from one hyperbaric system to another is called transfer under pressure (TUP). This is used to transfer personnel from portable recompression chambers to multi-person chambers for treatment, and between saturation life support systems and personnel transfer capsules (closed bells) for transport to and from the worksite, and for evacuation of saturation divers to a hyperbaric lifeboat.[ citation needed ]
Diver training and experimental work requiring exposure to relatively high ambient pressure under controllable and reproducible conditions may be done in a water-filled or partially water-filled hyperbaric chamber, referred to as a wet pot, usually accessed via a dry hyperbaric chamber at the same pressure, with airlock access to the outside. This allows convenient monitoring and instrumentation, and facilities for immediate assistance. A wet pot allows decompression algorithm validation with the divers immersed and working at specified rates while their metabolic rates are monitored.
It is sometimes necessary to transport a diver with severe symptoms of decompression illness to a more suitable facility for treatment, or to evacuate people in a hyperbaric environment which is threatened by a high risk hazard. A hyperbaric stretcher may be useful to transport a single person, a portable chamber is intended for use transporting a casualty with a chamber attendant, and hyperbaric rescue and escape systems are used to transfer groups of people. Occasionally a closed bell may be used to transfer a small number (up to about 3) of divers between one hyperbaric facility and another when the necessary infrastructure is available.
A hyperbaric stretcher is a lightweight pressure vessel for human occupancy (PVHO) designed to accommodate one person undergoing initial hyperbaric treatment during or while awaiting transport or transfer to a treatment chamber. [18]
A transportable decompression chamber is a relatively small chamber in which a diver and an inside attendant can be transported under pressure by land, sea or air at a pressure suitable for hyperbaric treatment. The chamber is designed for transfer under pressure to a full-side decompression chamber at the destination, either directly or via a transfer chamber The US Navy Transportable Recompression Chamber System (TRCS) is an example of this type. TRCS Mod0 comprises a conical chamber called the Transportable Recompression Chamber (TRC) and a cylindrical Transfer Lock (TL), which can be connected by a NATO flange coupling, and is provided with a compressed air and oxygen supply system. The component chambers are mounted on wheeled trolleys and have a design pressure of 110 pounds per square inch (7.6 bar) gauge which is suitable for most of the US Navy treatment schedules that are relevant for bounce dives. At 1,268 pounds (575 kg) It is not truly portable by manpower in most circumstances, but the wheels make it fairly easy to move around on a horizontal surface. [10] [19]
This section needs expansionwith: other portable chambers?. You can help by adding to it. (September 2022) |
A saturated diver who needs to be evacuated should preferably be transported without a significant change in ambient pressure. Hyperbaric evacuation requires pressurised transportation equipment, and could be required in a range of situations: [20]
A hyperbaric lifeboat or rescue chamber may be provided for emergency evacuation of saturation divers from a saturation system. [16] This would be used if the platform is at immediate risk due to fire or sinking, and allows the divers under saturation to get clear of the immediate danger. A hyperbaric lifeboat is self-contained and can be operated by a surface pressure crew while the chamber occupants are under pressure. It must be self-sufficient for several days at sea, in case of a delay in rescue due to sea conditions. It is possible to start decompression after launching if the occupants are medically stable, but seasickness and dehydration may delay the decompression until the module has been recovered. [21] : Ch. 2
The rescue chamber or hyperbaric lifeboat will generally be recovered for completion of decompression due to the limited onboard life support and facilities. The recovery plan will include a standby vessel to perform the recovery. [22]
Bell to bell transfer may be used to rescue divers from a lost or entrapped bell. A "lost" bell is a bell which has been broken free of lifting cables and umbilical; the actual position of the bell is usually still known with considerable accuracy. This will generally occur at or near the bottom, and the divers transfer between bells at ambient pressure. [20] It is also possible in some circumstances to use a bell as a rescue chamber to transport divers from one saturation system to another. This may require temporary modifications to the bell, and is only possible if the mating flanges of the systems are compatible. [20]
Experimental compression chambers have been used since about 1860. [23]
In 1904, submarine engineers Siebe and Gorman, together with physiologist Leonard Hill, designed a device to allow a diver to enter a closed chamber at depth, then have the chamber – still pressurised – raised and brought aboard a boat. The chamber pressure was then reduced gradually. This preventative measure allowed divers to safely work at greater depths for longer times without developing decompression sickness. [24]
In 1906, Hill and another English scientist M Greenwood subjected themselves to high pressure environments, in a pressure chamber built by Siebe and Gorman, to investigate the effects. Their conclusions were that an adult could safely endure seven atmospheres, provided that decompression was sufficiently gradual. [25]
A recompression chamber intended for treatment of divers with decompression sickness was built by CE Heinke and company in 1913, for delivery to Broome, Western Australia, in 1914, [26] where it was successfully used to treat a diver in 1915. [27] That chamber is now in the Broome Historical Museum. [28]
The construction and layout of a hyperbaric diving chamber depends on its intended use, but there are several features common to most chambers.
There will be a pressure vessel with a chamber pressurisation and depressurisation system, access arrangements, monitoring and control systems, viewports, and often a built in breathing system for supply of alternative breathing gases. [29]
The pressure vessel is the main structural component, and includes the shell of the main chamber, and if present, the shells of fore-chamber and medical or supply lock. A forechamber or entry lock may be present to provide personnel access to the main chamber while it is under pressure. A medical or stores lock may be present to provide access to the main chamber for small items while under pressure. The small volume allows quick and economical transfer of small items, as the gas lost has relatively small volume compared to the forechamber. [29]
In the United States, the engineering safety standards is the American Society of Mechanical Engineers (ASME) Pressure Vessels for Human Occupancy (PVHO). There is a design code (PVHO-1) and a post-construction, or maintenance & operations, code (PVHO-1). The pressure vessel as a whole is generally to the ASME Boiler and Pressure Vessel Code, Section VIII. These PVHO safety codes focus on the systems aspect of the chambers such as life support requirements as well as the acrylic windows. The PVHO code addresses hyperbaric medical systems, commercial diving systems, submarines, and pressurized tunnel boring machines. [30] [3]
An access door or hatch is normally hinged inward and held closed by the pressure differential, but it may also be dogged for a better seal at low pressure. There is a door or hatch at the access opening to the forechamber, the main chamber, both ends of a medical or stores lock, and at any trunking to connect multiple chambers. A closed bell has a similar hatch at the bottom for use underwater and may have a side hatch for transfer under pressure to a saturation system, or may use the bottom hatch for this purpose. The external door to the medical lock is unusual in that it opens outward and is not held closed by the internal pressure, so it needs a safety interlock system to make it impossible to open when the lock is pressurised. [29]
Viewports are generally provided to allow the operating personnel to visually monitor the occupants, and can be used for hand signalling as an auxiliary emergency communications method. The major components are the window (transparent acrylic), the window seat (holds the acrylic window), and retaining ring. Interior lighting can be provided by mounting lights outside the viewports. These are a pressure vessel feature specific to PVHOs due to the need to see the people inside and evaluate their health. Section 2 of the engineering safety code ASME PVHO-1 is used internationally for designing viewports. [3] This includes medical chambers, commercial diving chambers, decompression chambers, and pressurized tunnel boring machines. Non-military submarines use acrylic viewports for seeing their surroundings and operating any attached equipment. Other material have been attempted, such as glass or synthetic saphhire, but they would consistently fail to maintain their seal at high pressures and cracks would progress rapidly to catastrphophic failure. Acrylic is more likely to have small cracks the operators can see and have time to take mitigation steps instead of failing catastrophically. [31]
Furniture is usually provided for the comfort of the occupants. Usually there are seats and/or bed facilities. Saturation systems also have tables and sanitary facilities for the occupants.[ citation needed ]
The internal pressure system includes a primary and reserve chamber gas supply, and the valves and piping to control it to pressurise and depressurise the main chamber and auxiliary compartments, and a pressure relief valve to prevent pressurisation beyond the design maximum working pressure. Valves are generally duplicated inside and outside and are labelled to avoid confusion. It is usually possible to operate a multiple occupant chamber from inside in an emergency. The monitoring equipment will vary depending on the purpose of the chamber, but will include pressure gauges for supply gas, and an accurately calibrated pressure gauge for the internal pressure of all human occupied compartments. [29]
A clearly visible dedicated pressure gauge and vent valve must be provided for all hyperbaric trunking and locks that may be closed at both ends, so that outside support staff can be sure that the internal space is depressurised before attempting to disconnect joints.
There will also be a voice communications system between the operator and occupants. This is usually push to talk on the outside, and constantly transmitting from the inside, so that the operator can better monitor the condition of the occupants. There may also be a backup communications system. [29]
Firefighting equipment is necessary as a chamber fire is extremely dangerous to the occupants. Either fire extinguishers specially made for hyperbaric environment with non-toxic contents, or a pressurised internal water spray system can be used. Water buckets are often provided as additional equipment. [29]
Life support systems for saturation systems can be fairly complex, as the occupants must remain under pressure continuously for several day to weeks. Oxygen content of the chamber gas is constantly monitored and fresh oxygen added when necessary to maintain the nominal value. Chamber gas may be simply vented and flushed if it is air, but helium mixtures are expensive and over long periods very large volumes would be needed, so the chamber gas of a saturation system is recycled by passing it through a carbon dioxide scrubber and other filters to remove odours and excess moisture. Multiplace chambers that may be used for treatment usually contain a built-in breathing system (BIBS) for supply of breathing gas different from the pressurisation gas, and closed bells contain an analogous system to supply gas to the divers' umbilicals. Chambers with BIBS will generally have an oxygen monitor. BIBS are also used as an emergency breathing gas supply if the chamber gas is contaminated. [29]
Sanitation systems for washing and waste removal are required. Discharge is simple because of the pressure gradient, but must be controlled to avoid undesired chamber pressure loss or fluctuations. Catering is generally provided by preparing the food and drink outside and transferring it into the chamber through the stores lock, which is also used to transfer used utensils, laundry and other supplies.[ citation needed ]
Non-portable chambers are generally constructed from steel, [29] as it is inexpensive, strong and fire resistant. Portable chambers have been constructed from steel, aluminium alloy, [29] and fibre reinforced composites. In some cases the composite material structure is flexible when depressurised. [32] [33]
Details will vary depending on the application. A generalised sequence for a stand-alone chamber is described. The operator of a commercial diving decompression chamber is generally called a chamber operator, and the operator of a saturation system is called a life support technician (LST). [34]
A large range of working pressures are used, depending on the application of the chamber. Hyperbaric oxygen therapy is usually done at pressures not exceeding 18 msw, or an absolute internal pressure of 2.8 bar. Decompression chambers are usually rated for depths similar to the depths that the divers will encounter during planned operations. Chambers using air as the chamber atmosphere are frequently rated to depths in the range of 50 to 90 msw, and chambers, closed bells and other components of saturation systems must be rated for at least the planned operational depth. The US Navy has Heliox saturation decompression schedules for depths up to 480 msw (1600 fsw). [8] Experimental chambers may be rated for deeper depths. An experimental dive has been done to 701 msw (2300 fsw), so at least one chamber has been rated to at least this depth. [35]
There are three grades of safety inspection required for windows and viewports: [36]
The window is examined to detect crazing, cracks, blisters, discolouration, scratches or pits. [36]
This section needs expansionwith: Pressure and leak testing. You can help by adding to it. (November 2024) |
Decompression sickness is a medical condition caused by dissolved gases emerging from solution as bubbles inside the body tissues during decompression. DCS most commonly occurs during or soon after a decompression ascent from underwater diving, but can also result from other causes of depressurisation, such as emerging from a caisson, decompression from saturation, flying in an unpressurised aircraft at high altitude, and extravehicular activity from spacecraft. DCS and arterial gas embolism are collectively referred to as decompression illness.
Saturation diving is diving for periods long enough to bring all tissues into equilibrium with the partial pressures of the inert components of the breathing gas used. It is a diving mode that reduces the number of decompressions divers working at great depths must undergo by only decompressing divers once at the end of the diving operation, which may last days to weeks, having them remain under pressure for the whole period. A diver breathing pressurized gas accumulates dissolved inert gas used in the breathing mixture to dilute the oxygen to a non-toxic level in the tissues, which can cause potentially fatal decompression sickness if permitted to come out of solution within the body tissues; hence, returning to the surface safely requires lengthy decompression so that the inert gases can be eliminated via the lungs. Once the dissolved gases in a diver's tissues reach the saturation point, however, decompression time does not increase with further exposure, as no more inert gas is accumulated.
In-water recompression (IWR) or underwater oxygen treatment is the emergency treatment of decompression sickness (DCS) by returning the diver underwater to help the gas bubbles in the tissues, which are causing the symptoms, to resolve. It is a procedure that exposes the diver to significant risk which should be compared with the risk associated with the available options and balanced against the probable benefits. Some authorities recommend that it is only to be used when the time to travel to the nearest recompression chamber is too long to save the victim's life; others take a more pragmatic approach and accept that in some circumstances IWR is the best available option. The risks may not be justified for case of mild symptoms likely to resolve spontaneously, or for cases where the diver is likely to be unsafe in the water, but in-water recompression may be justified in cases where severe outcomes are likely if not recompressed, if conducted by a competent and suitably equipped team.
A diving bell is a rigid chamber used to transport divers from the surface to depth and back in open water, usually for the purpose of performing underwater work. The most common types are the open-bottomed wet bell and the closed bell, which can maintain an internal pressure greater than the external ambient. Diving bells are usually suspended by a cable, and lifted and lowered by a winch from a surface support platform. Unlike a submersible, the diving bell is not designed to move under the control of its occupants, or to operate independently of its launch and recovery system.
A diving support vessel is a ship that is used as a floating base for professional diving projects. Basic requirements are the ability to keep station accurately and reliably throughout a diving operation, often in close proximity to drilling or production platforms, for positioning to degrade slowly enough in deteriorating conditions to recover divers without excessive risk, and to carry the necessary support equipment for the mode of diving to be used.
Diver rescue, usually following an accident, is the process of avoiding or limiting further exposure to diving hazards and bringing a diver to a place of safety. A safe place generally means a place where the diver cannot drown, such as a boat or dry land, where first aid can be administered and from which professional medical treatment can be sought. In the context of surface supplied diving, the place of safety for a diver with a decompression obligation is often the diving bell.
The decompression of a diver is the reduction in ambient pressure experienced during ascent from depth. It is also the process of elimination of dissolved inert gases from the diver's body which accumulate during ascent, largely during pauses in the ascent known as decompression stops, and after surfacing, until the gas concentrations reach equilibrium. Divers breathing gas at ambient pressure need to ascend at a rate determined by their exposure to pressure and the breathing gas in use. A diver who only breathes gas at atmospheric pressure when free-diving or snorkelling will not usually need to decompress. Divers using an atmospheric diving suit do not need to decompress as they are never exposed to high ambient pressure.
To prevent or minimize decompression sickness, divers must properly plan and monitor decompression. Divers follow a decompression model to safely allow the release of excess inert gases dissolved in their body tissues, which accumulated as a result of breathing at ambient pressures greater than surface atmospheric pressure. Decompression models take into account variables such as depth and time of dive, breathing gasses, altitude, and equipment to develop appropriate procedures for safe ascent.
Hyperbaric treatment schedules or hyperbaric treatment tables, are planned sequences of events in chronological order for hyperbaric pressure exposures specifying the pressure profile over time and the breathing gas to be used during specified periods, for medical treatment. Hyperbaric therapy is based on exposure to pressures greater than normal atmospheric pressure, and in many cases the use of breathing gases with oxygen content greater than that of air.
There are several categories of decompression equipment used to help divers decompress, which is the process required to allow divers to return to the surface safely after spending time underwater at higher ambient pressures.
The following outline is provided as an overview of and topical guide to underwater diving:
The NOAA Diving Manual: Diving for Science and Technology is a book originally published by the US Department of Commerce for use as training and operational guidance for National Oceanographic and Atmospheric Administration divers. NOAA also publish a Diving Standards and Safety Manual (NDSSM), which describes the minimum safety standards for their diving operations. Several editions of the diving manual have been published, and several editors and authors have contributed over the years. The book is widely used as a reference work by professional and recreational divers.
Diving support equipment is the equipment used to facilitate a diving operation. It is either not taken into the water during the dive, such as the gas panel and compressor, or is not integral to the actual diving, being there to make the dive easier or safer, such as a surface decompression chamber. Some equipment, like a diving stage, is not easily categorised as diving or support equipment, and may be considered as either.
A built-in breathing system is a source of breathing gas installed in a confined space where an alternative to the ambient gas may be required for medical treatment, emergency use, or to minimise a hazard. They are found in diving chambers, hyperbaric treatment chambers, and submarines.
The US Navy has used several decompression models from which their published decompression tables and authorized diving computer algorithms have been derived. The original C&R tables used a classic multiple independent parallel compartment model based on the work of J.S.Haldane in England in the early 20th century, using a critical ratio exponential ingassing and outgassing model. Later they were modified by O.D. Yarborough and published in 1937. A version developed by Des Granges was published in 1956. Further developments by M.W. Goodman and Robert D. Workman using a critical supersaturation approach to incorporate M-values, and expressed as an algorithm suitable for programming were published in 1965, and later again a significantly different model, the VVAL 18 exponential/linear model was developed by Edward D. Thalmann, using an exponential ingassing model and a combined exponential and linear outgassing model, which was further developed by Gerth and Doolette and published in Revision 6 of the US Navy Diving Manual as the 2008 tables.
Hyperbaric evacuation and rescue is the emergency hyperbaric transportation of divers under a major decompression obligation to a place of safety where decompression can be completed at acceptable risk and in reasonable comfort.