NAUI Members Forum #24 - Passing Alternate Second Stages

Sources, July/Aug 1991, pp. 11 - 16

QUESTION: "When using an alternate second stage, should the alternate regulator or the primary (from the mouth) be passed? Why?

Compiled and edited by Jeffrey Bozanic

The possibility of running out of air, either through inadequate monitoring of the submersible pressure gauge or as a result of equipment failure, is one of the leading specters of the diving student. As part of their training, one of the basic emergency skills deals with how to cope with that eventuality. Yet, for such a widespread and seemingly "standard" skill a great deal of controversy still exists in the proper way to handle the scenario both during training and in the actual event.

The question of which second stage to pass, the one in use or the alternate, has been asked since the use of alternate or "octopus" second stages first came into use in the late 1970s. Most of the arguments have remained the same since the time their use was introduced. Those favoring passing the second stage in use, or the "primary" second stage believe it is best to do so for the following reasons: (1) It is the natural response of the panicky, out of air diver to grab for the nearest regulator known to be fully functional, (2) passing of this second stage is consistent with buddy breathing skills, (3) the "primary" second stage is generally tuned to breath better, further aiding the out of air diver, and (4) transfer of air is faster.

Those promoting passing the alternate second stage feel that this technique: (1) is safer for the donor, as at no time is the donor ever out of air, (2) minimizes the necessity for regulator passing between the two divers, and (3) places the burden of risk on the diver who "deserves" it, the one who ran out of air in the first place. A complete examination of both viewpoints were presented in different articles by Egstrom (1987) and Bozanic (1987).

I first presented this question top the membership in the May/June 1988 issue of NDA News (Bozanic, 1988). At that time the majority of the respondents supported passing the alternate second stage, by a margin of 5 to 4. However, based on this issue's sampling of members the pendulum has swung in the other direction. Of the fifteen replies, eleven of them favored passing the second stage in use by the donor. And of the four answering that the alternate be passed, several of them acknowledged that there were times that it was necessary to pass the primary unit as well. What has caused this change in attitude?

The primary impetus for the shift in attitudes seems to be the increasing use of alternate air sources which are integrated into the buoyancy compensator low pressure inflator hoses. Equipment like the Scubapro Air II, Sherwood Shadow, and Seaquest Source are proliferating in the marketplace. These units are designed to be used by the diver wearing them, and are nearly impossible for the buddy to use effectively. Because of this, many instructors, including many who were proponents of diametrically opposite opinions, now believe that the second stage in use should be passed.

A secondary argument advanced was one of legal liability. By passing the second stage in use, a donor may be avoiding potential implied legal covenants associated with passing the alternate second stage. As the second stage passed was definitely purchased and maintained for personal use, and not the buddy's use, there is in theory no legal responsibility to maintain it to some theoretical standard. While the validity of this conjecture is untested, it presents an interesting perspective.

Besides the issue of integrated alternate air source use, there was other common ground for the two factions with divergent opinions. Members of both groups agree that consistency in response is important, and that continued practice in out of air drills is critical.

References:

Bozanic, J.1987, "Standardizing air sharing techniques," NDA News, Nov/Dec, pp. 35-37.
-----, 1988, "Members Forum #5: Standardized octopus use," NDA News, May/Jun, pp. 6-10.
Egstrom, G., 1987, "Emergency procedure: Air sharing," NDA News, May/Jun, pp. 35-36.


QUESTION: "WHEN USING AN ALTERNATE SECOND STAGE, SHOULD THE ALTERNATE REGULATOR OR THE PRIMARY (FROM THE MOUTH) BE PASSES? WHY?

A. Simplicity and consistency almost demands that we "Pass the Primary." At least two manufacturers build systems that only work this way. In addition, it seems that many instructors have shared my experience with students that "take" your primary despite the obviously offered "octopus." It seems clear that the expected action from a panicked person should set the response.
--Peter Meyer, NAUI 4264; Vancouver, British Columbia, Canada (Insurance Broker handling diving instructional liability insurance. Member NAUI Canada Board of Directors. Has lectured extensively on risk management in scuba instruction.)

A. It depends in part on the system employed by the donor. Some alternate second stages are designed to be used a particular way, like the AIR II for example, where the donor must give up his/her primary and use the safe second to be effective. In the case where both the primary and secondary are on long enough hoses to extend to the individual in need, there is not a question in my mind that I would pass the alternate air source. My primary air source is mine, not to be confused with one I would donate. In a situation that might call for the need of an alternate air source, it is critical that the individual not in need be completely in control of the situation. If this individual gives up his/her primary air source, they are, for a brief period of time, in jeopardy of losing control, especially if the alternate is not immediately available. Which ever strategy is employed, the most important consideration is that the person donating air be prepared to use the same method they were trained in, and/or are most comfortable with, and not switch back and forth. It must be an immediate and effective response should the situation arise.
--Nicole Crane, NAUI 10435; Pacific Grave, CA (Diving Safety Officer for Stanford University. Has taught all levels of diving to Divemaster, including specialties such as Research Diving. Has Taught for the military at Fort Ord and at the Catalina Island Marine Institute.)

A. Before an answer is given, some preconditions must be made. The case of the Scubapro AIR II is different from the traditional "octopus" in that the donor must pass the primary and change to the AIR II.
If we consider only the secondary, I feel that the donor should offer the alternate air source for two reasons. First, the alternate air source normally has a longer hose to facilitate the passing of that second stage to the receiver. Second, by offering his alternate air source the donor never needs to remove his or her regulator and risk potential problems with placement and clearing of another regulator (remember that the donor may be as or more nervous than the receiver). By passing the alternate second stage, only one diver has to replace and clear a mouthpiece.
But despite my feelings stated above, I believe that there may be a time when the exercise may progress in an opposite manner. A nervous, anxious, or panicky "out of air" diver may simply take the primary regulator from the donor's mouth, leaving the donor no option but to use the alternate air source. All divers should be prepared for this eventuality. But when this "out of air" diver is seen coming and the donor has time to react, the alternate air source should be the one offered.
--Keith J. Sliman, NAUI 3417L; Baton Rouge, LA (Director of Training for SEVEN SEAS, a NAUI Pro Facility and winner of 1987 Affiliate Award. Received the Outstanding Service Award and Continuing Service Award. Member of NAUI Dive Table Review Committee, reviewer of Advanced Diving Techniques, contributor to upcoming Leadership Manual and frequent contributor to Sources. Has taught all levels from entry level to ITC.)

A. It seems from past experience that customers are more comfortable with my regulator, as it is obviously working.
--Tom Long, NAUI 2444; Akron, AL (President of Pro Diving Service, Inc., a commercial diving service; and President of Cruzan Divers, Inc., a tropical dive resort. Spent 10 years as a military diver.)

A. There are not many things that can be 100% guaranteed, but one thing is certain: the regulator in my mouth works! I agree with FAA. In the event there is a loss of pressurization in an aircraft, an adult should put the oxygen mask on first, and then tend any children. Completed in reverse sequence, an adult may become incapacitated, and may not be able to help. Why should it be different underwater?
Should a "leech" (out of air diver) come to me for air, why should I give up that which I know is functioning? It is true that the "leech" will not likely come up and ask, "Oh you hoo, can I borrow some of your air please," as is often implied in training. He will most likely hit like a ton of bricks, biting and scratching, with eyeballs dangling inside the mask like hard boiled eggs, and might try to rip the regulator out of my mouth. However, if my brightly colored backup regulator which is 99.99% working (I tried it before I went in, but not in the last minute prior to the incident), and is mounted in the golden triangle (upper center chest) which is a highly visible area; and is not dangling somewhere behind me, or dragging in the sand, or bouncing off the wreck, or what is worst, hidden inside the "octopus pocket" strapped with velcro and impossible to get out in a hurry; then I might have a chance to effectively pass the backup regulator to the out of air diver. Also, the out of air diver might take the regulator him/herself from the golden triangle, because it sits right in front of them.
If I pass my primary regulator, and the backup I take fails, then I would not be able to help the stressed diver. We both might end up dead. I must be in control all the time. Therefore, I pass my backup second stage. I teach my students to do the same. Should the backup regulator fail, there is still buddy breathing. There is the argument that a diver might swim up from behind and rip the regulator out of my mouth. Well, in that case I have no choice. If I loose number one, then I must go for number two, but not of my own free will, jeopardizing the safety of both of us. Some may try to convince me that the out of air diver needs the air more than I do. Guess again! And besides, it does not take any longer to pass the octopus than it takes to pass the primary, if it is mounted properly. (On the left side, so that when it is passed to the other diver, direct eye contact can be maintained, and the exhaust port will be in the down position. There is no way a regulator can be passed from the right side with out kinking the hose, using up the extra length or leaving the exhaust port pointing up.)
My opinion on this matter is: give the backup regulator to the "leech," keep the primary, and never ever give up control.
--George Safirowski, NAUI 8921L; Hackensack, NJ (Instructor Trainer, Head Sport Rescue Trainer for Lifeguard Systems, teaching all levels of diving to ITCs, as well as Underwater Photography, Video, and Diver Rescue specialties.)

A. The alternate second stage should be passed. This allows the diver with the air to remain in control of the situation by retaining the primary regulator.
--Ian Koblick, NAUI ????; Key Largo, FL (Director, Marine Resources Development Foundation. Has been heavily involved in underwater habitats and laboratories for almost thirty years.)

A. The primary second stage should be passed to the needy diver from the mouth of the donor diver. There at least two several reasons for this: this procedure starts off identical to buddy breathing and as a result confusion in the initiation of emergency procedures is minimized; with the numerous different types of alternative breathing devices that are available surrendering the primary and then being responsible for proper initiation of your own personal alternative air system is the only procedure that will provide divers with free choice of their backup system and not simultaneously endanger divers who are not identically trained or equipped.
Regardless of which regulator (device) one believes should be passed practicing emergency procedures is crucial. Except on dives when there is a severe bottom time limitation divers should conduct a safety drill of their emergency breathing procedures at the beginning of every dive.
--Phil Sharkey, NAUI ????; Narragansett, RI (Diving Officer for the University of Rhode Island Graduate School of Oceanography. Has taught all levels and served as an ITC Director. Member of the NAUI Technical Advisory Group. Recipient of the NAUI Outstanding Service Award.)

A. Before we proceed though, there is one clarification that needs to be made. I feel that the long hose needs to be used as the primary (in the mouth) regulator and the short hose as the safe second which I have placed under the sternum strap of the BC. This is done to avoid unwarranted maintenance due to the dragging of the regulator through the dirt or catching on the coral reefs, as well as providing easy access to the safe second (or octopus). Too many of the attachments are hard to get to, or through,or into, to get to the safe second, especially if you are in cold water, wearing gloves or in a panic situation. If the safe second is under the sternum strap of the BC then all the diver has to do is drop a hand and pinch the clip which can easily be done with or without gloves and then place the safe second in their mouth.
As to the original question, it is difficult to make a black and white statement or policy since not everyone is going to act the same way as someone else in the same emergency situation. We also make the mistake of teaching all of our students that the proper way to approach someone or that someone is going to approach them when you are out of air is to make a slashing motion across the throat and then pass the hand from mouth to mouth. However, those of us who have been diving for a while know that this does not always happen like in the textbooks or classrooms. In reality they often (the victim out of air) come out of no where and grab the regulator out of your mouth with only one intention, TO BREATH AIR, whose, is not the question, they just want TO BREATH. There have been two occasions where this has happened to me at a depth of 100 feet or more. An eye opening experience to say the least. The person that now 'owns' my regulator now has no intention of returning it to me, or trading for the safe second with the long hose, if you were breathing off of the short hose. I now have this panicked person on top of me and I finally do get to my safe second long hose which the panicked diver is now becoming entangled in and ripping out of mouth on the way to the surface.
As I mentioned earlier, by breathing off of the long hose it also stops it from dragging, but the primary reason is to allow the diver to make a choice depending on the circumstances. The first would be to allow the diver to keep the regulator which he just ripped out of your mouth (as described above) and then give him the distance needed to maintain your safety (yet still maintain control). However, if the diver who is out of air comes up to you and gives you the proper out of air signal all you have to do is take a quick inhale (if needed) and hand them your regulator and then reach down and pick up your safe second located in the middle of your chest.
I feel that this is a relatively simple solution to both the textbook and non textbook (also known as real life) situations that someone nay come across if they dive long enough. But let me also add that in all of the out of air emergency situations that I have come across or been involved in, each one could have been avoided if the divers had just been aware of their surroundings, air supply and most of all their training limitations. All these were certified divers and "knew what they were doing", yet they still ran out of air. There is no substitution for good training, discipline and practicing safe diving techniques.

Bob Pierce, NAUI 7118; Palm City, FL (Has worked as a divemaster and instructor for eight years.)

A. When using one's alternate second stage, it is usually because a nearby diver in difficulties and not necessarily your own buddy, if the dive site is a popular one has had some sort of interruption to his or her air supply and has seized literally on the nearest second stage that diver can see is working. The working regulator is the one that you are breathing from and in a real out of air situation, not a pool practice, divers must be prepared for someone in a somewhat concerned frame of mind to fin up and snatch your regulator out of your mouth without any warning. This person will then do their utmost to retain your regulator until such time as their panic has eased, so the question of which second stage to pass becomes academic.
Acceptance of the above statement as a realistic probability leads to the only sensible equipment arrangement which copes with this situation, and that is simply to have one's PRIMARY second stage, i.e. the one you normally use, coming over your RIGHT shoulder on a longer than usual intermediate hose. A suggested length for this hose would be 36" and these lengths are readily available from reputable dive stores. Your alternative second stage would be either Scubapro's A.I.R. II or Apeks Marine's "Octo +", which may be named differently in America. There are other varieties of the same thing, which may also be suitable whatever you buy and fit to your BC must be an efficient regulator COMBINED with a Direct Feed/Dump/Oral Inflator, and MUST be fitted to the Oral Inflation Hose on the LEFT side of your BC.
The whole procedure then becomes simple someone takes the regulator that they can see working from your mouth, so you immediately commence your breathing from your AIR II/Octo +, THEN you sort their problem out.
This system also does away with an extra air hose from your First stage, as all these alternative air sources use your BC's direct feed hose to supply their air. It also precludes the need for you to dangle an ordinary if brightly colored second stage in the sand or stow it in a BC pocket where the person who needs it cannot see it.
And the only opposition to this arrangement will be from diving equipment manufacturers who are still selling recolored but otherwise standard second stages as alternative air sources, when combination regulator and direct feed units are exactly what is required.
--Nick Herbert, NAUI N38911; Christchurch, Dorset, England

A. The primary should be passed to the person in need of air, because it would be the fastest source of air to get to. Also, many divers today are using Scuba Pro Air IIs and similar regulators by other manufacturers. These are not easily passed because of their short low pressure hoses. Thirdly, in many cases I have heard of, the decision was made by the person in need of air when he/she pulled the primary from the mouth of the "donor". in cases like this, a diver trained to pass the primary would automatically reach for his/her alternate second stage and proceed with whatever needs to be done.
--Jeff Lynam, NAUI 12195; Acworth, GA (Independent Instructor and Manufacturer's Representative. Has worked in resorts, attended I.T. Workshops, and staffed IQ '91.)

A. Four factors suggest that it is best that the donor to pass the primary regulator (the one being breathed) and pickup the alternate air supply. These are: (a) More often then not this is a high stress situation, with the out of air diver being particularly anxious. Thus that diver may have difficulty accepting an 'unknown' and attempt to grab the regulator that is visibly operating, the one in the south of the donor. (b) In the same vein, if the recipient receives the alternate air supply (AAS), the 'backup', and it does not operate in a manner that will instantly meet 100% of inspiratory requirements, either real or imagined, extreme distress, even panic could ensue. (c) Time the person in need of air has been out of air for an unknown period of time and any delay in receiving air will exacerbate that. Searching for the alternate air supply and fumbling with it to provide it at the right orientation may prove inordinately long from the standpoint of the victim.
The above points assume that the out of air diver could possibly lock composure and may not regard this situation an a pool drill. Those concerns should be the essential ingredients when deciding on standards. The fourth point is dictated by the market place: (d) Today there exists on the market backup breathing systems that are integral with the BC inflator hose. Irrespective of the debates on their merits, they are in fact in use and obligate the donor to relinquish their regulator and pickup the alternate air supply, which incidentally is located on the left side, an unconventional place for air.
--E. Esat Atikkan, PhD, NAUI 6274; Rockville, MD

A. I strongly recommend that the primary be passed. An out of air buddy is potentially panicky. He needs air quickly, and he needs a second stage that delivers air efficiently. Alternate second stages are often of poorer quality than primary second stages, are generally not maintained as well, and often are tuned to breath harder to prevent free-flow. Promoting passing the primary regulator will encourage divers to address these problems, and to conduct safety checks on both units prior to diving.

To utilize this method, the longer second stage hose should be on the primary second stage. This eliminate the need for any further exchange. It also makes it easier for the diver to recover his second stage should at any time it be lost from the mouth.

--Michael Aw, NAUI 11245L; ???, Australia (Professional Educator with Frog Dive Centres, teaching entry level courses through ITCs.)

A. I choose to give my own primary to an out of air buddy and use my own octopus. With this format, using an octopus starts in the same manner as the buddy breathing sequence (no now signals or procedures are introduced). The donor gives the primary to the needer, while maintaining control over the primary. At such time as the donor has retrieved and commenced to breathe from his own octopus, which should be located on the chest (primary hose length should be longer than standard), then they can relinquish control of their primary.
Rationale for this technique is a belief that regardless of what kind of alternate air source is present and available, in a real life out of air situation the needer is most likely to pursue acquiring the primary second stage from the donor (it is clearly accessible and visibly working) rather than patiently search for, and acquire, the alternate.
if the donor has not been trained lo give up the primary (expects to give the buddy his octopus) he'll be caught off guard and will instinctively fight to keep his primary. When It's obvious that It's gone, he'll have to search for the octopus, which may be located any number of places. Time is lost if the donor tries to regain the primary (which he has been trained to keep), and more time will be lost locating the octopus for their own use.
However, if the donor is trained to expect to give up the primary (worst case scenario), there is less likely to be a frantic fumbling or grabbing for an air source. You automatically have a more 'controlled' exchange. You've also given the out of air buddy the easier of the two second stages to breathe with (since octopuses are generally stiffer to breathe from to prevent free flow).
A further advantage of giving up your primary is that it is initiated in the same manner, signals and technique, as buddy breathing. This provides an easy teaching transition from buddy breathing to octopus breathing, You've expanded upon an already taught skill rather than resorted to teaching a now one.
There is some question In the courts regarding liability for those who use an octopus as an alternate air source. Much of the diving industry teaches that a donor never gives up their primary, but instead gives their octopus to the out of air buddy. If this is defined as a "standard of the community" then it means that you purchase an octopus for your buddy's use, not your own. Herein lies the rub. You may now have created a legal covenant with your buddy that:
1. You be close enough for them to have easy access to the octopus.
2. That it will be well maintained (you may have to prove it, ie. service records).
3. There be enough air for your buddy to use.

The method of preference that I have described at the beginning of this opinion may very well eliminate this legal covenant. If you and your buddy are clear that in the event of an out of air situation, the easier to breathe (make sure primary hose is long enough) primary goes to the out of air buddy, then you certainly did not purchase the octopus for your buddy, but purchased it for your own use.
--Pat Van Mullem, NAUI 5168L; San Jose, CA (ITC and Crossover Course Director, recipient of Outstanding Contribution to Diving Award and Continuing Service Award)

A. I have had many an argument with other instructors in the past on this question. My argument was, "why take a perfectly good regulator out of your mouth to put another one in, and have to clear it in the process?" But I feel this will change in the near future because as AASs (i.e. Air II) become cheaper, or more manufacturers make cheaper copies, there will only be one way to teach alternate air skills. If asked, I recommend my students to buy Air IIs or similar units. With this in mind I think the best teaching method would have to be to pass the primary.
--Wayne Christiansen, NAUI 8486; Cairns, Queensland, Australia (Teaches at various resorts along the Queensland coast.)

A. Most divers in an out of air situation are rushed in their efforts to obtain more air. They also tend to go straight for their buddy's regulator, the one source they know for sure is delivering air. This may catch the other diver by surprise! If people are trained not to depend on their primary in an air sharing situation this become less of a problem. Divers should carry AAS equipment to protect themselves in an out of air situation (having an air hungry buddy yank your primary out while you are busy prying an abalone off a rock from under a ledge, for example.)
Therefore I believe passing the primary makes more sense. It teaches people to automatically use their AAS in these situations which makes the above scenario much less of a problem. This technique also supports using the Scubapro Air II or Seaquest Source, which are increasingly popular types of AAS equipment.
--Rick Nare, NAUI 11921; Escondido, CA (Owner of Rick's Diving Locker, a NAUI Pro Facility. Active instructor training divers from OW I to leadership levels.)

[NOTE: The views expressed in this column are opinions held by the individual members referenced, and are not those of NAUI or the editors of Sources.]

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