Atmospheric Pressure - Pressure's Ups & Downs
- Weight of air column; sea level standard: 760 mmHg (1 atm). Directly impacts inspired partial pressure of oxygen ($P_I O_2$).
- Altitude Effects:
- Pressure ↓ exponentially with ↑ altitude.
- 18,000 ft (5500m): Barometric Pressure (P_B) ≈ 380 mmHg (1/2 atm).
- 30,000 ft: P_B ≈ 226 mmHg (0.3 atm).
- Armstrong limit (63,000 ft): P_B = 47 mmHg (water boils at body temp).
- Diving Effects (Depth):
- Pressure ↑ by 1 atm per 10m (33ft) descent in seawater.
- At 10m depth: Total pressure ≈ 2 atm (1 atm ambient + 1 atm water).
- Measured by barometer.
⭐ Barometric pressure halves to ~380 mmHg at 18,000 ft, a critical threshold for hypoxia due to reduced oxygen availability.
, 18,000 ft (380 mmHg), and Armstrong limit (47 mmHg))
Boyle's & Dalton's Laws - Squeeze & Share Show
-
Boyle's Law (The "Squeeze")
- States: Constant temp: a gas's volume is inversely proportional to its pressure.
- Formula: $P_1V_1 = P_2V_2$
- 📌 Mnemonic: "Boyle's: Pressure & Volume Inverse."
- Clinical Relevance:
- Barotrauma: Pressure changes cause volume shifts in gas-filled body cavities.
- Descent (↑P, ↓V): Middle ear/sinus squeeze.
- Ascent (↓P, ↑V): Lung overexpansion, dental barotrauma.
- Air Embolism: Gas bubbles expand with ↓ ambient pressure (rapid ascent).
- Pneumothorax: Volume increases with altitude (↓ ambient pressure).

- Barotrauma: Pressure changes cause volume shifts in gas-filled body cavities.
-
Dalton's Law (The "Share")
- States: Total pressure of a gas mixture is sum of its components' partial pressures.
- Formula: $P_{total} = P_1 + P_2 + ... + P_n$
- 📌 Mnemonic: "Dalton's Divides Pressure Pie."
- Clinical Relevance:
- Altitude Hypoxia: ↓ Total atm. pressure → ↓ inspired $PO_2$ (e.g., 5500m: $P_{atm} \approx \textbf{380 mmHg}$, $PIO_2 \approx \textbf{80 mmHg}$).
- Diving:
- Nitrogen Narcosis: ↑ $PN_2$ at depth impairs cognition.
- Oxygen Toxicity: ↑ $PO_2$ at depth (e.g., >1.4 ATA $O_2$) → seizures.
- Gas Exchange: Drives $O_2$/$CO_2$ diffusion via partial pressure gradients.
- ⭐ > At sea level (Atm. pressure = 760 mmHg), inspired $PO_2$ from dry air (21% $O_2$) is $\approx \textbf{159.6 mmHg}$ ($760 \times 0.21$).
Henry's Law & Other Gas Laws - Soluble Gases & Temp Tales
- Henry's Law: Dissolved gas $\propto P_{gas}$ above liquid.
- Formula: $C = k \cdot P_{gas}$
- ↑$P_{gas}$ → ↑Gas dissolved (e.g., N₂ in tissues (diving)).
- Temperature Effects:
- Gases: ↑Temp → ↑Volume (Charles' Law) or ↑Pressure (Gay-Lussac's Law).
- Solubility: ↑Temp → ↓Gas solubility in liquids (Critical for DCS).
- Key Soluble Gases (Diving):
- N₂: Moderately soluble; narcosis, DCS.
- CO₂: Highly soluble.
- He: Low solubility; Heliox for deep dives: ↓narcosis.

⭐ Nitrogen narcosis ("rapture of the deep") is primarily caused by the increased partial pressure of nitrogen dissolving in neuronal membranes, typically significant below 30 m (4 ATA).
High‑Yield Points - ⚡ Biggest Takeaways
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