On the surface, panic or loss
of consciousness rarely leads to
death, but underwater, death
from drowning is often the
result. In fact, panic and loss of
consciousness account for up to
80 percent of recreational scuba
diving deaths.
Some Australian researchers,
  Drs. Carl Edmonds, Douglas
  Walker, and Brian Scott, felt
  there was more to learn about
  the causes of these dive deaths
  and ways in which they might be
  prevented. They analyzed 100
  drowning deaths and 48 neardeath
  accidents in which the
  diver survived. Their report,
  which appeared in the South
  Pacific Underwater Medicine Society
  Journal, forms the basis for this
  article. We’ve included the facts
  from their analysis while adding
  some of our own commentary.  
Water Conditions  
More than half the
  drownings and 60 percent of the
  near-drowning survivals occurred
  in calm water, although
  in 4 percent of the deaths, these
  calm conditions later deteriorated.
  Moderately rough seas
  were associated with 25 percent
  of deaths and 40 percent of the
  survivals, and very rough conditions
  — hardly ideal diving
  conditions — were associated
  with 15 percent of the deaths.
  Currents were associated with 46
  percent of the deaths and 31
  percent of the survivals. Almost
  two-thirds of the deaths occurred
  at depths of ten feet or
  less; half occurred on the
  surface or while ascending.  
Air Supply 
In all but the most extreme
  circumstances, there is no reason
  for a diver to allow his air supply
  to get unnecessarily low or to run
  out of air. Yet 60 percent of the
  divers who didn’t survive either
  were completely out of air or ran
  so low on air that they were
  unable to make a safe ascent.
  Survivors were more likely than
  non-survivors to have retained
  enough air to cope with an emergency. Sadly — or even
stupidly — it was common for
divers in both groups to ignore or
pay little attention to their air
gauge. (I’ve often thought that one
way to prevent this is to ask divers
who sign up for scuba classes if
they’ve ever run out of gas while
driving. Answer yes, and you’re
promptly shown the door.)
Eight percent of deaths and 13
  percent of survivals were attributable
  to divers failing to turn on
  their tank valve. Although the
  diver had plenty of air, it was not
  available. Some divers who either
  jumped off a boat or kicked down
  from the surface descended as
  much as 10 feet before they
  became aware that they couldn’t
  suck air. In none of these cases had
  the diver breathed from the
  regulator before getting in the
  water, nor had there been an
  equipment check or a buddy-check
  of equipment prior to descent. In a
  few cases, after checking the tank
  pressure and turning it off, divers
  failed to fully turn their air back
  on, resulting in a partial restriction
  of the air supply that became
  obvious only later in the dive or at
  depth.  
Buoyancy Compensators  
A filled BC can keep a diver
  from drowning: a floating diver
  with his head out of the water
  does not drown. Yet, sizable
  numbers in both groups (52
  percent of deaths, 32 percent of
  near-drowning survivals) failed to
  inflate their buoyancy compensators.  In a few instances, the
  buoyancy compensator failed to
  inflate for mechanical reasons;
  this accounted for 5 percent of
  deaths and 8 percent of neardrowning
  survivals. However, it is
  noteworthy that 12 percent of the
  deaths involved divers who had
  inflated their buoyancy compensators,
  and in the survivor group,
  the BC was inflated by the victim
  or rescuer in twice as many cases
  as in the fatality group.  
Weights  
Study after study has found
  that divers are reluctant to drop a
  weight belt. After all, they cost
  money, and the divemaster or
  guide may chide divers who drop a
  belt. But a dropped belt may mean
  a fast ascent and could prevent
  drowning. In this study, 86 percent
  of the deceased divers and 74
  percent of the survivors had not
  dropped their belts. A few unfortunate
  divers dropped their belts but
  then became entangled (deaths 3
  percent, survivals 2 percent).  
When the victim and buddy
  were both in difficulty (usually
  because of an air shortage), the
  overweighted diver tended to be
  the one who died, even if he was
  not the one whose problem
  developed first. Out of 14 such
  cases, 12 of the survivors were the
  buoyant diver.  
— Ben Davison  
Next issue: Solo Diving, Buddies, and
  Buddy Responses