Tuesday, July 24, 2018

Thai Cave Rescue - a Feel and Glimpse

A leisure caving that quickly turned into survival scenario.  Java Indonesia

Disclaimer:  I am not a cave-diving specialist.  The fiction narrative below is based on my experience as a Scuba Dive Master, limited wreck and cave-diving experience, and a few spelunking (caving) trips – including 1 major trip in Java where my team got lost for 6 hours with no map, guide and extra provisions.  And although part of mountain and water - Search & Rescue team, hands-on experience are mostly reef-diving related.

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Invite me to participate in the Thai cave rescue and there will be no second thoughts to say NO!  Or I’ll think 100 times, 99% saying No.  That 1%? – It’ll be ”If there’s no other choice” and/or a loved one was trap in there.  It will be a big life risk – equally, if not more dangerous than climbing a high-altitude mountain ridge with a sudden squall.  Caving alone is dangerous, but mixed with diving will be something else.  Further mix it with a complex task to rescue teenagers – that’ll be a perfect recipe for disaster.  There’s very little margin for error, if at all.

Now, inspired by Discovery Channel’s feature -  here’s to provide a (fake) story to give some audience a ‘feel and glimpse’ of what it could be like for the rescue divers…. The fear, the daunting tasks, the thankless job.



There’s no other choice! (fiction)
Incidentally on a business trip in Bangkok (naks) and after hearing the news – going to the incident site – Chiang Rai, could be a good side trip for an adventure-tour.  The place was chaotic as expected with more than 60% people having no direct relevant skills for the actual rescue.  Mostly with good intent to help of course.

International cave-dive specialists, and local military divers (who in my guess are not cave specialists as well – as it’s usually expensive for military personnel to get extra certifications and so much more to get a professional license) take turns in the difficult task to setup the ‘route’ with guide rope, safety tanks along the route, underwater light markers, provisions for the survivors including specialized full-face mask and scuba units.  The full-face mask should eliminate the primary issue of breathing thru the mouth (vs. naturally thru the nose), although will most likely fog up the mask making the near-zero visibility route – miserably invisible.

Constant breathing of compressed air will consequentially bring large amount of ‘air bubbles’ in one’s system forcing each diver to take a long rest to ‘gas off’.   A rescue diver cannot just dive forever lest he risk DCS or decompression sickness which could lead to paralysis or death.  Use of special gas like Nitrox may lessen the risk.  (Discovery feature kept mentioning ‘oxygen tank’ – this may have been used for recovery breathing post-dive, or used in the survivors’ chamber (unlikely?) but note that rescue divers cannot use pure O2 lest they risk convulsions due to O2 poisoning).

Down to few more ‘available divers’ and the growing risk of further flooding shortening the safe window for the survivors – I convinced myself to volunteer and help (naks).  i.e. After lingering for 3 hours and hesitating for like – forever.  It is a scary job.  But there’s a higher principle here.
The rescue command lead hesitated to accept new volunteers especially someone who has not gone thru route familiarization dive (in real life, they will not take the risk, he he) – but believing in short ‘qualification narrative’ he reluctantly gave in.

As a rescue diver, one needs to be 100% familiar with the route – at least via map, distance estimates, known points in the route (air chamber, safety tanks, narrow points, current surge points, etc.)  and 100% familiar with your equipment, gears and what-nots, equally important is the dive procedure and communication.  Even in a near-zero, if not zero visibility.  Military divers will have an advantage in the darkness as they are trained to operate without artificial light.

Getting inside the non-submerged cave was already difficult with tight wetsuit, booties with insufficient sole thickness to tolerate sharp limestone rocks, with heavy scuba unit (BCD, tank, regulator), helmet (required to avoid hitting stalactites or other sharp stones), while also carrying your fins, lead weights, 3 torches (at least), dive knife, and in my case – a spare tank for the paranoid.  A spare air tank could be a size of a big water bottle carried on the side for emergency, with small mouth regulator attached to the top-end to suck in air on demand.

If you’re claustrophobic, or just a bit – this will be a nightmare scenario.
Reaching the submerged section – heart skipped 2 or 3 beats out of fear and anxiety.  Even navy seals would have felt a little scared. 

The first 5 to 10mins will be the most crucial.  It will tell you what kind of shit you’re in – and give you doubting question on why the hell did you even go there.
The water temperature was (I"m guessing) 27 if not 26C.  COLD for a tropical Asian guy especially if he’s wearing 3mm neoprene wetsuit.  Submerging, you were suddenly enveloped in darkness, with little light reflection from the lead diver.  Adjusting the ‘zoom’ of the torch to high beam revealed a murky, turbid water – instantly bouncing back white light (think car headlight’s high beam on a foggy road), and forcing one to switch back to low beam mode.  With little navigational use in a very dark cave.   
This is a reef dive in Mabini, with bad (5m) visibility.  5x better already than cave diving!

The first 5-10 minutes is like a ‘test and adjustment’ – building self-confidence and comfort in a dangerous environment.  There will be an air packet not far from the start – so there’s a possible ‘adjustment point’ for failing gears, or to recover from built-up fear.  Large bubbles blobbed here and there making the eerie environment a bit lively – but also a bad indicator of hyperventilation – out of fear and discomfort.  Control!

Contrary to popular belief, even professional divers have their own ‘fear reminders’ from time to time.   Stop-think-act.  Don’t just react in panic. Be in control.   Easier said than done.
With usual 6lbs of lead weight, I favored 8+2lbs to ‘sink well' and avoid hitting the sharp ceiling, the +2lbs is for the survivor in case he becomes a bit buoyant.
Reef diving in darkness is pleasant, with night creatures all around.  But doing it in a tight cave is a total nightmare, with no surface to ‘surface to’ in case of emergency.  One just need to accept and resign to this fact, a mental process.

After like forever, the lead diver swam up and surfaced to the first (and maybe last in the route) air chamber.  The monsoon rain was still flooding the cave system filling up other potential rest-points.  Quickly followed -and relieved that you made this far.  A big milestone!  And it was probably just 1/5 or ¼ of the entire route, just going in!  I removed mask to ‘relieve my nose’ and breath thru it.   Mask is always my problem, exhaling thru the nose will fog it up, a little leak will send trickle of water in one’s nose causing panic or at least discomfort.  Control!  Exhale thru the nose if there’s water to displace it and clear the mask.   I quickly composed myself and ask the lead diver “You good?”  Here’s a tip:  Always ask this question first to show that you are the braver one!  The reality could be – that both of you are shit-scared!

Put back the mask and “reg” and started the short descent to the next section, anxiety never seems to go away.  There’s several kilometers to go.  The ‘torpedo’ - propeller-aided swimming device was a help in the long swim section, especially when there was a backward surge (current).  Still, both of you are in a dangerous place with no choice but to reach the survivors’ chamber no matter what. 

Started to relax a bit more, controlling breathing while silently singing “and now, the end is near, and so I face….”, consequently producing smaller bubbles doing blop-(pause)-blop-(pause)-blop.  One needs to always conserve his/her air supply by doing continuous but controlled breathing. The little trickle of water in the mask didn’t seem to bother anymore even.  It’s probably the only section of the entire dive that was ‘ok’ generally.  Going back will be different.
Finally, the distance counter (if there’s even an underwater Magellan version) or rather, the last underwater marker was visible from a short distance.  It was a blinking red light.  A bad choice for bad viz, but a welcome news anyway.

Surfacing and finally reaching the last chamber – it was predominantly a feeling of relief mixed with forced triumph.  “Hello! Swasdi!” - then answered with a chorus of the same words.  4 more boys left and the one in line was a frail-looking 13 year-older who seemed to have lost 10 lbs of weight.  Relaxing a bit, and giving many words of comfort (critical for any face-to-face rescue effort), the words of comfort were like 3 positive adjectives for every noun.  “Such a great-looking, confident, brave boy you are” – but which were briefly translated to 2 words in Thai by another local diver.

While this was happening, you start the notice the poor condition that the survivors had to endure for +10days!  Unthinkably miserable!  With urine and poops mixing with the environment – it was an added misery and health risk to everyone. Not counting the large presence of CO2 (toxic if inhaled) and the depleting amount of oxygen.  Elon Musk could have donated a space-X’s portable CO2 absorber, or better a portable algae-based CO2-to-O2 recycling system used by NASA.  

Back to the survivors - establishing connection, via glove-less touch and/or eye-to-eye will be crucial to build trust.  Doing a long, clear pre-dive briefing is extra important.  The medical team somehow administered a ‘relaxant’ drug so the boy didn’t seem to be overly nervous.  But that doesn’t remove the risk, just lessen the possible panic.

Instantly on a rescue mode, professional training comes back and you were down to task-by-task effort.  Put on the gear on the boy – in 1,2,3 manner, making sure an important step is not missed.  Then re-checked. While still giving words of comfort to bring up the confidence.  You can never say “we might die if you don’t do this”, you have to give it a spin to come up with a positive version.
A few tests in shallower water will bring a bit of confidence.  Then finally, we all submerged.  With great anxiety.  One failure in the deep, middle section will prove catastrophic not just for the survivor – but to both divers as well.  "This is it!"

The lead diver has a more critical task. To closely monitor the situation, constantly checking any signs of problems, side-flashing his light to see the boy’s eye (a wide-eye scenario is a panic scenario that needs to be controlled immediately).  Given the near-zero visibility, a momentary blinding light is the only option to check the survivor’s eye.  He flashed an “ok” sign, and the boy seems to respond the same. Good so far! 

Lead diver will be more exhausted as he ensures that their leash was a bit tight, constantly giving a good, controlled pull to aid the boy’s swimming.  With extra exertion - a sudden cramp attack in this environment is another nightmare scenario waiting to happen.  Failing to notice signs of an impending cramp could lead to panic, to disaster.  Now as a safety, rear diver – you have to watch for both lead diver and the boy, constantly flashing torch to check for any signs of problems.  It was a tiring task to closely and constantly monitor what was going on, in a very dark place.  Underwater.  Inside a freaking cave!

Pulling in to check from the side, all gear parts seems to be ok.  Air gauges also indicated good amount of air left, enough for the trip back. The expected large and frequent bubbles indicated a heightened sense of fear or anxiety, although didn’t seem to be out of control.  The movement seems relaxed enough with no signs of constant, violent struggles.   Perhaps the sedative was taking a good effect.  I hope it doesn’t have a long-term effect on his system – being young and in a bad state for so long.

The same, long submerged section seems to be quiet and uneventful – and you started to relax.  Somehow you felt comfortable now that this seems to be working as planned! That you will all survive!
And just as you prayed, you finally reached the air pocket section, almost celebrating that you’ve succeeded.    The tight section proved to be a difficult going however.   You wished that Mr. Musk really did fill his technology or opportunity gap and made a good drill to make use of that capsule-gamow bag.  In my mind – if that was designed to have a flexible, segmented, non-rigid hull – with Bot-controlled navigation equipped with infrared and sonar, and small battery to drive a small propeller – that will be a superb rescue tool!  Actually,  all these techs are already available – just a matter of assembling them in a useful unit. (I should get a sales commission for suggesting this).

But that was ideal, reality is that – you go back to basics, old-school if you call it – to win the day!
Finally, the last submerged part was reached, and the stand-by cave rescuers were all but excited and ready to continue the next rescue effort.  6 to 1 ratio will be ideal for typical surface rescue – and there are hundred non-divers ready to help.  They quickly snatched the survivor and move in a quick rescue motion – professionally done in all manners.  No one seems to even notice you or your lead diver.  The task was done.  You were no longer the focus.  You have a mixed feeling, of triumph, and of incompleteness – you’d want to see it thru, to bring the survivor to his family, or at least to the medical van.  But that is not the procedure. You break the difficult effort into chunks. And your chunk was done. Great job!  Now be quiet and rest.

It’s after all, a thankless job.  
No award, no rewards, not even a TV interview. :)  But to the men and women who directly contributed to the rescue effort – they are silent heroes.  Deep in their hearts, they know they did well, spectacularly well.  
They risked their lives to save others.  The boys will be more famous than any of them.   But that doesn’t matter.  What matters is that – the 13 boys survived.  It was a sad incident to lose a rescuer– but all other rescuers selflessly risked their lives and succeeded.  Good job!

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