One thing you realize when you begin egress training: there’s a lot of medical
information involved, born of the interrelated physics of air pressure and water pressure and your body’s responses to each. And frankly, it’s all bad news. How’s your knowledge of arterial gas embolisms? T ey’re the result of air in
your lungs bursting out of tiny alveoli, where that air normally exchanges its oxygen for carbon dioxide. (Blame the ruptures on the interrelated physics.) If the alveoli are ruptured during your time escaping an underwater emergency, bubbles of air can enter your bloodstream and move on to block blood fl ow in the brain or lungs. Neither result is good and, by the way, the two can occur simultaneously. Ever heard of pneumothorax? T at’s when those bubbles escape into the
space around the outside of the lungs. Air that collects inside your chest but outside your lungs can form large bubbles that compress the lungs and, thus, reduce the volume of air they can contain. Mediastinal emphysema is a pocket of air, again from ruptured alveoli, that forms adjacent to the heart, reducing its ability to pump. At this point, you’ll have covered four medical conditions related to underwater
egress that can range from painful to debilitating to fatal. How do you avoid those conditions? T e very abbreviated answer is to exhale
as you rise through the water. By allowing breath to escape your lungs during your ascent, you prevent overpressurizing the lungs and damaging the alveoli. But fi rst, you’ve got to get out of the aircraft. T us far, you’ve experienced no more than a chilly meeting room and some
hot coff ee. Now, it’s time to really learn how to survive an emergency egress—so, grab your swimsuit and your enthusiasm for introducing water into your sinuses, and head to the pool.
Opposite: Mike Mulford of Survival Systems USA delivers the classroom portion of the emergency egress training at HAI HELI-EXPO 2020 in Anaheim, California.
Right: In the pool, students cluster around the training devices, known as “chairs,” for the practical exercises.
2020 Q2 ROTOR 61
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