The caustic cocktail, a personal experience.

 

 

Many of us have heard the term used in rebreather diving called the “caustic cocktail”.  From stories of just a bad taste in the mouth all the way to a lung full of nastiness. Until yesterday I had just experienced the bad taste in the mouth variety and then only once.  Yesterday I was doing a dive with my friend Kent, we hadn’t made any formal buddy arrangements (I think divers in the PNW invented the term “same ocean buddies”) but just happened to run into each other a couple minutes into the dive. We were poking around the bottom of a wall at about 145 fsw, looking at very large urchin shells that were no longer occupied.  I had about a minute of NDL left and began to move up the wall, Kent was about 20 feet away and 10 feet deeper than me. Its Interesting how fast things can change.  With absolutely no warning, one breath of gas changed into a breath of liquid.  I instantly had a mouth and throat full of sodalime dissolved in sea water.  My trachea spasmed (that probably kept me from drowning) and blocked the mixture from my lungs but sent some into my stomach.  Pulling the mouth piece out and closing the DSV took a couple seconds and I was holding my breath and spitting up into the water while the panic was rising in my brain.  Fighting that off I knew I needed to breathe soon and took hold of my Air 2 that was plumbed to my air diluent cylinder and put that into my mouth, cleared it of water and took a tentative breath.  Air is good.  I looked over at Kent and waved my light at him a few times, no response, he was looking the other way.  With only a 13 cf diluent cylinder, that was not full when I started this dive (mistake one)  I knew that I only had a few breaths at the 135 foot depth I was at.  I had neglected to bring along a larger bailout cylinder (mistake two) as I was not expecting to do any deco diving this trip.  I headed for the surface, keeping my airway open and exhaling any time I was not inhaling off my very limited gas supply.  At that point I wasn’t sure if I had the gas to make it to the surface, but I decided that I was going to make it, no ifs, ands or buts about it.  I ascended the 135 feet in about 90 seconds, not the safest ascent rate in the world but the options were, as you might guess, limited.  I hit the surface and waved to the skiff, not the usual diver OK but the two hands crossing above the head distress wave.  Al wasted no time getting the skiff over to me and I climbed aboard all the while coughing, spitting and vomiting my lunch out, and gasping for breath.  I washed my mouth out repeatedly with fresh water and asked for the onboard oxygen bottle, which Al handed down quickly.  I cranked it up to 15lpm and started sucking it down.  I was not feeling any symptoms of DCI but wanted to nip it in the bud if I could.  The length of my bottom time, 17min, the fact I didn’t enter deco, 18 hours since my last dive and the relatively controlled ascent was evidence that I probably wasn’t going to get bent, hard.  I wasn’t taking any chances, I used the whole cylinder.  Then swapped my dil reg over to my O2 cylinder and started using that. By that time most of the divers were up, but some had not heard the recall and were still diving.  I had this horrible burning sensation in my throat and mouth, swallowing was near to impossible and coughing hurt like hell.  This was not fun.  Still no DCI symptoms, Colby, the divemaster was coming by to check on my frequently and when Donny, the other divemaster, returned to the boat from his dive, he took over my looking after.  He holds up three fingers and says, “how many?”  I crossed my eyes and held up one finger back at him.  His reply, “you’re back”.  Donny knows my sense of humor.

 

A boat ride back to the Nautilus, off with the dry suit, plenty of water, some medical attention from Kim, a nurse who was a guest on the boat and a very sweet lady, (thanks Kim) and things gradually headed back to normal.  My throat was still sore, everything, including water, tasted like crap, but with no signs of DCI, I figured the worst was over.

 

Its now the next day and my throat is still sore, my voice is mostly gone, similar to a case of laryngitis, and I am sitting out the morning dive and writing this article.

 

I took the unit apart last night and found that my scrubber lid was leaking.  Either from not being tight enough, or something caught under the seal.  The unit had passed the positive and negative pressure checks, but I'm thinking that when it hit the cold water it may have shrunk the rubber seal enough to allow water to trickle in, slowly filling up the canister until it overflowed into the inhale loop.  I felt no increase in work of breathing, heard no gurgling, and tasted no difference in the loop, until I had a mouthful.

 

My lessons learned:  Either fill the dil bottle before every dive, or carry a bailout cylinder with enough gas to ascend at a slower rate.  (This is of course only for recreational, no deco, diving, I still carry 2 sling bottles on deco, deep, trimix dives).

 

In the end, the only thing that saved me was my training and just plain stubborn determination to not die.  I thank my original drager instructor, Alan Studley, for the training that put me on this course of discovery into rebreathers and provided me the tools to stay alive when the shit hit the fan.  Thanks Alan.

 

My advice to my fellow RB divers, previous performance is no guarantee of continued results.  I told someone the day before this happened that I had never had a flood of my loop.  I should have added the word, yet.  My mistake was not in having a loop flood, but in not being prepared for that eventuality, yes I had some onboard dil accessible from OC, but not near enough. If I had been delayed in my ascent for any reason, I probably would not be here today to tell this story.  The absolute number two thing in RB diving is HAVE A BAILOUT PLAN.  Number one is of course know your PPO2.  Don’t just assume you will never have a flood.  I HAD BECOME COMPLACENT!!!!!  Don’t let this happen to you.  I was lucky, and I had a survival mindset, its what brought me back.  Don’t depend on luck, have a plan that you know will work.  How will you know it will work?  Test it, see how long it takes you to bailout, you can do this shallow and have a buddy time you, then do the math for the same thing at depth, calc your OC bailout gas and then double that number, carry it every dive, even when you are feeling lazy.

It is said that what does not kill you makes you stronger.

 

Thanks to Mike Lever and the crew of the Nautilus Explorer for their timely help, care and professionalism.

 

Ron Micjan

4 June 2004

Port Hardy, Canada