Decompression Sickness (DCS) Explained: Prevention for Recreational Divers

July 1, 2026

Decompression Sickness (DCS) Explained: Prevention for Recreational Divers

July 1, 2026
Diving Skills & Marine Life

Out-of-Air Emergency Procedures: What Every Open Water Diver Must Know

Four procedures, in order of preference. Practise them until they're reflex.

📍 Tioman Island, Malaysia 🤿 TDB SunBeach 📅 2026
Quick answer If you run out of air while scuba diving, follow this priority order: (1) signal 'out of air' to your buddy and breathe from their alternate air source (octopus), (2) perform a Controlled Emergency Swimming Ascent (CESA) — exhale continuously while ascending, (3) buddy breathing sharing one regulator, (4) buoyant emergency ascent (drop weights) as a last resort. Never hold your breath while ascending — risk of lung over-expansion injury.

How common is running out of air?

Extremely rare among certified divers — under 1% of dives. When it does happen, the cause is almost always inattention to the SPG (pressure gauge), not equipment failure. Modern regulators are remarkably reliable; the human checking them is the variable.

The 4 emergency procedures, ranked

1. Alternate air source (octopus): signal your buddy 'out of air', take their octopus, breathe normally. Both ascend together. Preferred method.

2. CESA (Controlled Emergency Swimming Ascent): if no buddy nearby, exhale a continuous 'aaaah' sound while finning straight up. Works from depths up to 9m.

3. Buddy breathing: two divers share one regulator, alternating breaths. Falls behind octopus method but useful if buddy's octopus fails too.

4. Buoyant emergency ascent: drop your weight belt, exhale continuously, ride buoyancy to the surface. Last resort — risks rapid ascent injuries.

Hand signals you must know

'Out of air': flat hand sliced horizontally across throat. 'Share air': two fingers pointed to mouth. 'Going up': thumbs up. 'Low on air': closed fist tapped on chest. Practise these on every dive — in an emergency you have no time to remember them.

How to prevent out-of-air situations

Check SPG every few minutes — not 'occasionally'. Plan turns at 100 bar on a single tank, exit water at 50 bar. Rule of thirds: 1/3 out, 1/3 back, 1/3 reserve. Stay with your buddy within reach. Don't push depth or time beyond your computer's limits. Service regulators annually.

After an air emergency

At the surface, signal the boat, inflate BCD, drop weights if needed. Don't dive again that day — you've been through a stress event. Brief your dive operator on what happened so they can review with you. Log it in your dive log honestly — future buddies need to know about close calls.

Frequently Asked Questions

Why is buddy breathing ranked below CESA?

Because most modern divers have a clearly visible octopus. Buddy breathing single-regulator is harder under stress. PADI now teaches CESA before single-regulator sharing.

Can I do CESA from 18m?

Not safely. CESA is rated for up to 9m. Beyond that, your air expansion calculations get tight and lung-over-expansion risk rises. From deeper, alternate air source is the only safe option.

How often should I practise these?

Every refresher dive and every Advanced OW or higher course. Skill decay is real — even certified divers forget under stress.