scubadoc Ten Foot Stop

August 31, 2005

Don’t Miss the Annual ‘Dive Industry Bash’, from Dan Leigh, DAN

Filed under: Uncategorizedscubadoc @ 4:44 pm

Come to the second annual ‘Dive Industry Bash’, Tuesday, Oct. 4 from 6 to
8 p.m. at the Las Vegas Hilton Hotel Grand Ballrooms A & B (ground floor).

Enjoy food, drink and some great door prizes, all courtesy of your friends
at the Bahamas Diving Association, DAN, Dive Center Business magazine and
NAUI.

Your DEMA badge gets you in. The first 1,000 persons get two free drink
tickets for beer or wine! For a chance to win great door prizes such as
dive trips, equipment and accessories, present your business card.

For more information, visit the Bahamas Pavilion (#940 - 950 isle), Dive
Center Business / Dive Training magazines (booth #2835), DAN (booths #1539
& #1639) or NAUI (booth #1729). You must be present to win.

Great Lakes Chapter — Undersea and Hyperbaric Medical Society

Filed under: Uncategorizedscubadoc @ 9:53 am

Great Lakes Chapter -
Undersea and Hyperbaric Medical Society

DIVING MEDICINE UPDATE - 2005

Saturday Oct. 22, 2005

Program
Alcohol and Diving - Fact and Folklore
Drugs and Diving
A New Diving Emergency Network in Quebec
DAN Data and Dive Computers
Diving with Computers and Avoiding DCS
Hyperbaric Services Around the Great Lakes
Human Factors and Diving
Rescue Diver - Real World vs Training
Myths of Diving Panel

We have outstanding speakers, interesting topics, our traditional Myths of Diving Panel and opportunities to make new friends in the diving and diving medical community. Lunch is provided, plus refreshments after the meeting.

Who is this for?
Recreational and Tech Divers
Professional Divers
Dive Masters & Instructors
Diving & Hyperbaric Medicine Professionals

For info & to register
Complete and mail attached registration form
Check our website www.uhms-glc.ca
Contact Ron Nishi glc-r.nishi@sympatico.ca

Time
0800 Register & Coffee
0830 to 1730 Symposium

Cost
$45.00 Cdn / $40.00 US before Oct. 7
$60.00 Cdn / $50.00 US after Oct. 7

Location
Again this year, we are in Burlington at the Canada Centre for Inland Waters.

Sponsors
Radiometer http://www.radiometer.com/
Environmental Tectonics Corporation http://www.etcbiomedical.com/
Hyperbaric Medical Unit - Toronto General Hospital http://www.uhn.ca/programs/hyperbaric/
Ontario Underwater Council http://www.underwatercouncil.com/
ACUC http://www.acuc.ca/
Sechrist Industries http://www.sechristind.com/

Where Diving and Medicine Meet

This Newsletter
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August 30, 2005

NORTHEAST CHAPTER Of the UHMS Conference/Chapter Meeting

Filed under: Uncategorizedscubadoc @ 12:12 pm

NORTHEAST CHAPTER Of the UHMS

Conference/Chapter Meeting

October 15-16, 2005

Cape Codder Resort & Spa
Route 132 & Bearse’s Way
1225 Iyanough Road
Hyannis, MA 02601

This year’s Northeast Chapter Meeting will be held October 15th and 16th at the beautiful Cape Codder Resort & Spa in Hyannis, MA.

Saturday, October 15: 8:00am-5:00pm

“Hyperbaric Oxygen: A Clinically Useful Drug to Ameliorate Extreme Reperfussion Injury” Keith Van Meter, MD
“Useful Hyperbaric Oxygen Protocols” John Wassel, MD
“Diving Medical Standards for Commercial, Scientific and Public Safety Divers” John Wassel, MD
Case Presentations
Panel Discussions
Short Paper Presentations
Sunday, October 16: 8:00am-12noon

TBA
Saturday Breakfast Buffet, Saturday Lunch Buffet and Sunday Continental Breakfast are included with Registration.

Room rate at the Cape Codder will be $119.00. All guest rooms are subject ot 9.7% tax. Check in time is 4:00 p.m., and check out is 11:00 a.m. Individuals are requested to make their reservations no later than September 14th to receive this special conference room rate. To make your reservations, please call their toll free reservation number at 888-297-2200. When making your reservations, you must identify yourself as part of the “NORTHEAST CHAPTER of UHMS.” A one night’s deposit is due with each reservation. The Cape Codder Resort accepts American Express, MasterCard and Visa.

From the Logan (Boston) Airport, there is a bus service (Plymouth & Brockton Street Railway Co., Inc.) that goes to Hyannis. This services starts at 6:45 am then every hour 15 minutes before the hour from 7:45 am to 9:45 pm with a late bus at 11:15pm. The fare is $21 one way and $38 round trip. Ticket may be purchased at the Hyannis terminal in baggage claim or when boarding the bus.

NBDHT CHT/CHRN Exam will be held Friday, October 14th at 5pm. If you sit for this test and attend the NE Chapter meeting, you will receive the credit hours towards your license. You will be required to sign-in daily.

CME Credits will be available.

TO REGISTER go to website: http://www.uhms.org/Chapters/NORTHEAST/NORTHEAST.asp

Legal Aspects of Wound Care and Hyperbaric Medicine

Filed under: Uncategorizedscubadoc @ 11:59 am

Legal Aspects of Wound Care and Hyperbaric Medicine

Pre-Course to the UHMS Gulf Coast Chapter

Annual Scientific Meeting

Sea Turtle Inn, Jacksonville, Florida

Wednesday, September 28, 2005

CLICK HERE FOR BROCHURE
http://www.uhms.org/Chapters/GCC/GCC 2005 Updates/GCC_2005_PreCourse.htm

Get answers to these questions:

· What should every medical professional know about the legal system?

· Why do medical professionals get sued?

· How do I avoid being sued?

· What do chart auditors look for?

· What are some ethical considerations for a hyperbaric medicine practice?

Schedule / Wednesday, September 28, 2005

1:30
p.m.
-
2:30
p.m.
What You Need To Know About The Legal System
Barry E. Swartz, MD, JD

2:30
p.m.
-
3:30
p.m.
Why Providers Get Sued: How to Avoid Being Sued
J. Martin Smith, MD

3:30
p.m.
-
4:30
p.m.
Ethics in Hyperbaric Medicine
Caroline E. Fife, MD

4:30
p.m.
-
5:00
p.m.
Common Finding in Chart Audits
Craig L. Broussard, PhD, RN

5:00
p.m.
-
5:30
p.m.
Findings of the OIG Hyperbaric Chart Audit
Thomas M. Bozzuto, DO

5:30
p.m.
-
6:30
p.m.
Panel Discussion
All Faculty

Who Should Attend

This program is appropriate for physicians, nurses, and others practicing wound care and hyperbaric medicine.

Faculty

Thomas M. Bozzuto, DO

Craig L. Broussard, PhD, RN

Caroline E. Fife, MD

J. Martin Smith, MD

Barry E. Swartz, MD, JD

Program Location

This seminar will be held at the Sea Turtle Inn in Jacksonville, Florida. The Sea Turtle Inn is located at One Ocean Blvd, Atlantic Beach, Florida 32233. To contact the hotel for Reservations call (904) 249-7402 or (800) 874-6000. In order to receive group rate please identify yourself with the UHMS GCC.

Registration Fee

Tuition for the Legal Aspects of Wound Care and Hyperbaric Medicine seminar is $100 for physicians, $75 for nurses and other practitioners, and $50 for students. Fees can be paid by cash, check, American Express, Discover, MasterCard, or VISA and should be received prior to course date.

For More Information Please Contact

International ATMO, Inc.

Education Department

414 Navarro, Suite 502

San Antonio, Texas 78205

(210) 614-3688 • FAX (210) 223-4864

education@hyperbaricmedicine.com

www.hyperbaricmedicine.com

CLICK HERE FOR BROCHURE
http://www.uhms.org/Chapters/GCC/GCC 2005 Updates/GCC_2005_PreCourse.htm

August 22, 2005

31st Annual Meeting, Pacific Coast Chapter, UHMS

Filed under: Uncategorizedscubadoc @ 11:13 am

Here is a letter from Jim Holm, MD, concerning the upcoming PacUHMS meeting in Colorado Springs:

Dr. Campbell,

I have attached some info about our PacUHMS meeting in Colo Springs next month as well as info for potential exhibitors and sponsors (although I don’t know that that will of much use to you.) The details of the conference will be on the websites www.hbodoctor.com click PacUHMS conference and www.pacificuhms.org

I hope you can attend or at least post it on your website. It won’t be a big one but will be a good one. The dates and info for the 2006 Winter HBO Symposium (and even the dates for the 2007 Winter HBO Symposium are posted on the www.hbodoctor.com website FYI.

Hope all is well.

Jim

James R. Holm, MD, FACEP
President PacUHMS

***************************************************

Diving & Hyperbaric Medicine Conference
September 23 & 24, 2005 in Colorado Springs, CO

31st ANNUAL MEETING
Pacific Coast Chapter
Undersea and Hyperbaric Medical Society

Friday, September 23: The hyperbaric medicine scientific symposium will provide an update about current knowledge of mechanisms of action and clinical applications. Presentations will include new research topics and reviews of clinical hyperbaric and underwater medicine.

Saturday, September 24: Diver’s Day presentations, will cover diving safety and medical care for the scuba diver. Presentations during this session will be of interest to hyperbaric professionals and members of the commercial, scientific and recreational diving communities. Topics will include fitness to dive, recognition and treatment of dysbaric disorders, and other important information.

The conference site is the Wyndham Hotel, Colorado Springs, Colorado

The NBDHMT exam will be offered on the evening of Friday, September 23rd. Medical and Diving professionals are eligible for continuing education credits. Final CME approval is pending.

For meeting information contact:

James Holm, MD
President, Pacific Chapter UHMS
2570 Dunfries Ct.
Colorado Springs, CO 80919
hbodoctor@yahoo.com

Phone: 719-365-5592
Fax: 719-365-5630
Make your room reservations early at:

Wyndham Hotel
5580 Tech Center Drive
Colorado Springs, CO 80919

Reservations: 877-999-3223 or 719-260-1800
Identify yourself as a member of the “Pacific UHMS” (Group #0922783PAC)

*A special meeting rate of $89 per night, single or double occupancy. Attendees arriving up to 3 days prior to and three days after the meeting dates will be extended the special rate on a space available basis. There is no charge for parking.

Please visit our web site periodically for meeting updates: www.PacificUHMS.org or www.hbodoctor.com

August 19, 2005

Interesting Links

Filed under: Uncategorizedscubadoc @ 11:51 am

United Companies Signs Exclusive Distribution Agreement
http://snipurl.com/gp60
The Rapid Entry System is a mini scuba system that can quickly be donned over a uniform or street clothes, allowing a first responder, such as a police officer or firefighter, to initiate the location and extraction of victims of shallow water submersion accidents.

South African Sets World Scuba Depth Record
http://snipurl.com/fk47

NOAA Cites Threats to US, Pacific Coral Reefs
http://snipurl.com/h2k7

Negative neurofunctional effects of scuba diving
http://snipurl.com/h0k4

Nature VideoClip Octopus/Shark Encounter
http://snipurl.com/gtlf
Surprised?

DocVikingo’s Diver Resources
http://snipurl.com/fmsw

Caritas Operating Wound Care Centers
http://snipurl.com/gyjw

Impulse-Adventure/Free Diving Lung Squeeze
http://www.impulseadventure.com/freedive/lung-squeeze.html
Excellent discussion of free diving lung squeeze.

HBOT for CRVO?

Filed under: Uncategorizedscubadoc @ 11:42 am

I am looking for a treatment for CRVO - Central Retinal Vein Occlusion in my left eye. Through a CRVO support group on the internet, I have found that HBOT helps in some cases.

Our Answer:

There have been reports of benefit from HBOT for CRVO
http://snipurl.com/f4zt .
Hyperbaric oxygen treatment combined with a blood vessel widening drug
(vasodilator) has been shown to improve visual function among individuals
experiencing retinal artery occlusion. (European Journal Ophthalmology 3;
89-94, 1993)

Hyperbaric oxygen treatment has been successfully used to improve vision
among patients with retinal swelling (macular edema) and retinal vein
occlusion. (Survey of Ophthalmology 39; 347-66, 1995)

Hyperbaric oxygen treatment has been administered successfully to patients
with central retinal swelling (macular edema) resulting from retinal vein
occlusion. Among 12 patients who were treated, 10 experienced visual
improvement, with median visual acuity improving from 20/100 to 20/25. The
hyperbaric oxygen treatment is believed to constrict retinal capillaries and
thus decrease leakage of fluid that causes edema. (Ophthalmologica 210;
168-170, 1996)

Treatment of CRVO with hyperbaric oxygenation is an off label indication
[not Medicare approved] and it might be difficult to find a local chamber
who would be willing to treat you. However, I’ll ask around and try to find
someone who may know where you can be evaluated and possibly get treatment
and get back with you.

Best regards:

Ernie Campbell

Letter from Dr. Frank Butler:

Don’t have any personal experience with treating CRVO with HBO. You have done a very nice job of summarizing the current literature. I’d add just one thing - if I had a patienet with an ACUTE (less than 4 hours old) CRVO - I would try recompressing them. Absolutely no data to support this (yet), but it might have some merit. After 4-6 hours without oxygen, the retina suffers ischemic damage that is ot reversible.

Is diving with hypertension dangerous?

Filed under: Uncategorizedscubadoc @ 11:35 am
What could happen to a scuba diver who uses DIOVAN HCT 80/12.5mg for treating hypertension. Is it OK to dive? Are there any problems by using this medication? What about the diuretic substance? I have read that someone who is using diuretics may not off gas nitrogen which could lead to bends and DCS. Is it true and how can someone prevent this?

Our answer:

Hello Diver:
Controlled hypertension is not a contraindication to scuba diving. The drugs you mention are usually not risky, particularly if you maintain a good blood volume and avoid salt depletion. The HCTZ is a diuretic that can cause dehydration if a person is not aware or careful to replenish body fluids. Side effects from the valsartan are few and not adverse to diving.
Of course, hypertension with target organ damage is a contra-indication to scuba diving, particularly if there is any coronary artery disease.
So, you may dive with the understanding that HCTZ can cause dehydration - which is a risk factor for decompression illness.
More about this on my web site at http://www.scuba-doc.com/hyptdiv.htm .

Be sure you have the right dive accident insurance!

Filed under: Uncategorizedscubadoc @ 11:33 am

Divernet News, dateline 13 August 2005
Diver faces £40,000 bill for treatment

A holidaying Briton could face a medical treatment bill of some £40,000 after suffering decompression illness off Marsa Alam, in the Egyptian Red Sea.

The diver’s holiday insurer is refusing to meet treatment costs because, it says, the diver broke a requirement of his insurance policy.

Anthony Allen, from Solihull, carried out a dive to 49.5m, a depth confirmed by his tour company. The dive is reported to have been carried out correctly, in terms of profile requirements stipulated by his diving computer.

Despite this the 68-year-old, a PADI Advanced Open Water diver, suffered major ‘Type II’ decompression illness. He is hospitalised for recompression treatment that could last for several weeks.

In Britain, Allen’s family has put in a claim to the insurer, LloydsTSB, only for it to be rejected because, says the company, Allen exceeded a depth limit of 30m imposed by his policy.

The family are pursuing the claim, saying that documentation in Egypt cites dehydration as the cause of the DCI. They believe the depth to which Allen dived is irrelevant.

LloydsTSB has stated that its own information from doctors treating Allen is that his illness is “directly related to him participating in a dive to that depth”. But it added: “Should any additional medical evidence come to light we would of course reassess the situation.”

Scuba Diving With Port in place

Filed under: Uncategorizedscubadoc @ 10:57 am
Hello scubadoc,

Would you be able to tell me if diving is permitted while a port a cath is in place? I am going to Roatan in November. I hate the thought of not diving, but if I can’t, I’m sure there is a hammock with my name on it. I am receiving chemo therapy and so far, doing quite well. My doctor has told me that he will cater my treatment to my trip.

********************************************************************************

Hi Diver:

There would be no reason why a person should not be allowed to dive with a portacath or any other indwelling drug delivery system, given the fact that there is no air in the system to enlarge or change in size due to the changes in pressure. [Remember Boyle’s Law?]

However, there might be other caveats that would prevent a person diving, such as medication effects on the individual in the underwater milieu.

A person should not dive who has been immuno-suppressed, due to the possibility of infection from marine organisms that are not ordinarily pathogens - but which can overwhelm a person on anti-cancer drugs.

In addition, a person who is on anti-cancer meds is often weakened physically and cannot manage the ordinary requirements of scuba diving entries, currents, self and buddy rescue and exits. Anemia is another problem, there being an increased risk from hypoxia. Lung changes are also a consideration in persons taking some anti-cancer drugs. Pulmonary functions would then become important to the diver.

So - if you’re between treatments and have no pulmonary problems, anemia or bone marrow suppression - scuba diving can be considered safe.

Dr. Sally Bauer writes and adds one more caveat to our list of cautions for the diver: that he/she takes care that the scuba gear does not chafe or erode the thin skin over the port’s injection site.

Best regards:

Ern Campbell, MD

scubadoc Diving Medicine
http://scuba-doc.com/

Reactivated and Maintained by Centrum Nurkowe Aquanaut Diving