The occurrence and type of oxygen toxicity correlate with the O2 concentration, the ambient pressure, the length of time supplemental O2 is inhaled, and the diver's level of activity. Since air contains 21% oxygen, the amount of oxygen inhaled at sea level is .21 atm. O2; this amount is safe to breathe forever. From clinical experience it appears that patients can breathe .40 atm O2 indefinitely, and possibly up to .60 atm O2 for weeks at a time (equivalent to 40% O2 and 60% O2 at sea level, respectively), without apparent oxygen toxicity.
In healthy subjects, 100% oxygen at atmospheric pressure (1 atm. O2) causes chest discomfort, pain and cough after only a few hours. If inhaled continuously over 24 hours, 1 atm. O2 can lead to lung congestion (pulmonary edema) and, if continued, death. Obviously, doctors try not to use high concentrations of oxygen unless absolutely necessary. Patients who require 100% oxygen because of heart or lung disease are critically ill and will almost always be cared for in a hospital intensive care unit.
Although potentially toxic, 1 atm. O2 does not cause seizures. However, when 100% oxygen is delivered at pressures two or more times sea level pressure, the first toxic manifestation can be a seizure. A seizure is a sudden electrical discharge from the brain that causes uncontrolled muscle movement. If seizures occur under water the diver will likely be unable to breathe through the regulator and will drown (if rescue is not immediate).