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Advanced
Diving/Hyperbaric |
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| Program Director: | Dick Rutkowski
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| Medical Group: | James Loewenherz,
M.D. Robert Price, M.D. Jeff Bertsch, DMT, CHT
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| Contact: | Dick Rutkowski Hyperbarics International, Inc. 522-A Caribbean Drive Key Largo, FL 33037
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| CME's: |
40 hours, AMA
category 1 for physicians.
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| Description: | This program is designed to teach physicians, allied medical personnel, dive supervisors, rescue personnel, military and commercial divers and all chamber personnel to medically evaluate and treat all dive accidents. This program includes introduction, evaluation and treatment of the fourteen approved hyperbaric clinical indicators, including Transcutaneous Oximetry and hands on chamber operation for both mono-place and multi-place chambers |
| FEE: |
$845.00
(includes CMEs, Text materials and Manuals) |
| DESIGNATION STATEMENT: |
The UHMS
designates this continuing medical education NBDHMT/IBUM
Module 16, for Allied Medical Personnel Recertification Hours for NBDHMT/IBUM CEUs Available for Medical and NAUI |
| ACCREDITATION STATEMENT: |
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the Undersea & Hyperbaric Medical Society (UHMS) and Hyperbarics International, Inc. The UHMS is accredited by the ACCME to provide continuing medical education for physicians and takes responsibility for the content, quality, and scientific integrity of the CME activity. |
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Program curriculum covers:
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| Course Introduction and
Registration
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Introduction to Hyperbaric
Chambers:
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Calculation of Pressure
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Mathematical Formulas of Dalton's Law
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Barotrauma of Ears and Sinuses
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Barotrauma of the Lungs, Extra
Alveolar Air Syndrome (E.A.A.S.)
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Extra Alveolar Air
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Scene Management of E.A.A.
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Treatment of E.A.A.
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Physiological Implications of Oxygen and Oxygen Life Support Ranges for Diving and Recompression Therapy (Patient/Observer) (Recompression Chamber Manual page 33-44)
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Oxygen Life Support Limits
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| Central Nervous System Oxygen
Toxicity (CNS O2 Toxicity)
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| Pros and Cons of In-Water Use
of Oxygen for Therapy and Decompression
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Pulmonary Oxygen Toxicity (Recompression Chamber Manual page 45-59)
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Pathophysiology of Pulmonary Oxygen Toxicity Understanding the Pulmonary O2 Clock for Operational Diving and Therapy
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Using the Unit Pulmonary Toxicity Dose
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Determining the percentage of
Vital Capacity Decrement at the Dive Site O2 Consumed
During the Dive During Decompression Treatment at Dive Site
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| Signs and Symptoms of
Pulmonary O2 Toxicity
Pathophysiology of Pulmonary O2 Toxicity Arithmetic Method for Predicting Percentage of Vital Capacity Decrement Pulmonary Symptom Reversal and Restart Times of the Pulmonary O2 Clock Lowering the Partial Pressure of Oxygen on the Pulmonary Clock
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Decompression Sickness (DCS) Physiological Considerations Found in the Development of DCS History of DCS Factors that Predispose Certain Tissues to DCS Types, Signs and Symptoms of DCS Scene Management of DCS Factors that Contribute to DCS
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| Clinical Manifestations and
Diagnosis of DCS
Physiological Basis for Dive Table Development Critical Care of DCS in Hyperbaric Chamber Treatment Table Selection for All Types of DCS Medications for Field and Hyperbaric Treatment of DCS
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Medications in Diving and Hyperbaric Environments Medications and Underlying Diseases that Medications Used in Hyperbaric Therapy Common Medications Used for Field
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Physical Fitness for Diving An Overview of the Physical Requirements for Divers Physical Conditions and Medical Problems Which Present Hazards to Divers and Chamber Observers
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Physiological and Operational Implications of Carbon Dioxide (CO2) (Recompression Chamber Manual page 65- 78)
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Carbon Dioxide Life Support Ranges Maximum PCO, for Patients on 2-3 ATA of O2 Mechanism ofPCO2 and PO2
Contributing Ventilation Rate Requirements
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Ventilation of Respiratory
Dead Space
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Ventilation Rate Requirements for Chamber With or Without Overboard Dump Continuous and Interrupted Venting Procedures Venting ACF, SCF and Liters to Ensure Adequate Flow Chamber Life Support Duration Without Venting Before Physiology Becomes Life Threatening Note: CO2 scrubbers, scrubbing agents and closed circuit systems will be discussed during special advanced programs.
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Nitrox Therapy Gas Mixtures (N2/O2) (Recompression Manual page 79-86)
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Why Diving Accident Victims May Require Nitrox Nitrox Mixtures Nitrox Tables Physiological Implications of N2/O2 Avoiding CNS and Pulmonary O2 Toxicity Nitrox Advantages for Decompression of Observers Equating a N2/O2 Observer to the USN Deco Tables Therapeutical and Operational Advantages
for
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Nitrox (N2/O2 )vs. Heliox (He/O2) Isobaric Bubble Growth Isobaric Gas Switching Resulting in Super Switching to He/O2 While
Increasing or
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Chamber Gas Supply Requirements (Free Flow System) (Recompression Manual page 89)
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Determining Internal Volume of Chamber, Cylinder, Flask in Cubic Feet, Gallons and Liters. Determining How Many Actual Cubic Feet (ACF) Determining Compressor Output (SCF) Determining Volume of Gas Required to Pressurize Chamber at Least Twice Determining Primary/Secondary Gas Supply Requirements for Treatment Tables How CO, Scrubbers Can Assist Primary and Emergency Procedures for Storing
Personnel
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Chamber Cylinder Gas Suddenly Required for Masks, Hoods Ventilators (Open Circuit Demand/Free Flow) (Recompression Chamber Manual page 93)
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Determining SCF of Gas to Conduct a Dive Determining How Many Cylinders of O2 is Needed to Conduct a Treatment or Decompression of Observers Determining How Many SCF of Air, O, or Nitrox is Required by Mask for Emergency Breathing. Determining How Many SCF of Air or Nitrox is Required for Observers to Make Bounce Dives in the Chamber
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Decompression of Observers from Air or Oxygen Treatment Tables (Recompression Chamber Manual page 99)
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Decompression of Observers from Air or Oxygen Treatment Tables Pro's and Con's of USN, USAF, NOAA, Civilian and Foreign Treatment Tables Decompression of Observers
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Treatment Tables and Viable Treatment Table Options for DMO's (Recompression
Chamber Manual page 105)
This portion of the program describes how to
successfully treat a patient and observer when the patient loses
vital signs and it becomes necessary to increase pressure to
restore the vital signs. Ideally, we would recompress the patient
on a single treatment table. However, it is important to know the
next slower table to use to ensure the safety of the patient and
observer. The deeper the recompression depth is, the faster the
CNS, Pulmonary Oxygen and Decompression Clocks are running,
therefore it is necessary to know other treatment table options
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Critical Care and Medical Equipment in the Hyperbaric Environment (Practical Hands On)
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Fluid Management (I.V.'s), Catheters, Suction, E.K.G.'s, Hoods, Ventilators, Masks Neurological Evaluation Adjusting Treatment Tables for Reoccurrence of Symptoms Tension Pneumothorax,
Pneumocardium and Pneumomediastinum
Protocol for Pre-Screening
Patients for Safety Before Note: Daily hands on use of this equipment and procedures
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Recompression Chamber Safety Pre-Screening Medical Equipment for Hyperbaric Environment Chamber Life Support Systems Preventing Chamber Fires
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| Types
of Cleaning Materials, Clothing and Painting for Interior Chamber Safety
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Pressure Vessel
Integrity
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| Emergency Breathing
Gases and Their Importance
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Practical Use of Multi-Place, Multi-Lock Hyperbaric Chambers Each participant will receive
2-3 hours hands on use of the Venting Procedures and Requirements Logs and Timekeeping Lock-In/Lock-Out Procedures Use of All Calculations for Gas Supply, Pressures and Venting Scenarios to Practice Skills Outlined Under Critical Care and Medical Equipment Numerous Chamber Dives from 30 FSW to 130 FSW Using All Breathing Gases (Air, Oxygen, Nitrox Therapy Gas)
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Course Registration
Hyperbarics
International, Inc.
522-A Caribbean Drive
Key Largo, Florida, 33037
USA
Phone (305) 451 2551
Fax (305) 451 5765