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2017 June;47(2):75-81.) Introduction: Important Developments in the Diagnosis of Scuba Diving Fatalities Have Been Made Thanks to Forensic Imaging Tool Improvements

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Diving and Hyperbaric Medicine The Journal of the South Pacific Underwater Medicine Society and the European Underwater and Baromedical Society Volume 47 No. 2 June 2017 Oxygen explosion at a remote dive site Post-mortem cardiac gas analysis: can it help diagnosis? Otology 101: diving problems and their management Decompression illness: no clear consensus in Singapore HBO and ischaemia-reperfusion injury: a paradox Transcutaneous oximetry: normal values in healthy adults Hospital coding of HBOT: not fit for purpose Print Post Approved PP 100007612 ISSN 1833-3516, ABN 29 299 823 713 Diving and Hyperbaric Medicine Volume 47 No. 2 June 2017 PURPOSES OF THE SOCIETIES To promote and facilitate the study of all aspects of underwater and hyperbaric medicine To provide information on underwater and hyperbaric medicine To publish a journal and to convene members of each Society annually at a scientific conference SOUTH PACIFIC UNDERWATER EUROPEAN UNDERWATER AND MEDICINE SOCIETY BAROMEDICAL SOCIETY OFFICE HOLDERS OFFICE HOLDERS President President David Smart <[email protected]> Jacek Kot <[email protected]> Past President Vice President Michael Bennett <[email protected]> Ole Hyldegaard <[email protected]> Secretary Immediate Past President Douglas Falconer <[email protected]> Costantino Balestra <[email protected]> Treasurer Past President Sarah Lockley <[email protected]> Peter Germonpré <[email protected]> Education Officer Honorary Secretary David Wilkinson <[email protected]> Peter Germonpré <[email protected]> Chairman ANZHMG Member-at-Large 2016 John Orton <[email protected]> Bengusu Oroglu <[email protected]> Committee Members Member-at-Large 2015 Jen Coleman <[email protected]> Karin Hasmiller <[email protected]> Tamara Ford <[email protected]> Member-at-Large 2014 Ian Gawthrope <[email protected]> Robert van Hulst <[email protected]> Cathy Meehan <[email protected]> Liaison Officer Peter Smith <[email protected]> Phil Bryson <[email protected]> Webmaster Joel Hissink <[email protected]> ADMINISTRATION ADMINISTRATION Honorary Treasurer and Membership Secretary Membership Kathleen Pye <[email protected]> Steve Goble <[email protected]> MEMBERSHIP MEMBERSHIP For further information on EUBS and to complete a membership For further information on SPUMS and to complete a membership application, go to the Society’s website: <www.eubs.org> application, go to the Society’s website: <www.spums.org.au> The official address for EUBS is: The official address for SPUMS is: Kathleen Pye c/o Australian and New Zealand College of Anaesthetists, Chantrey, Hillside Road 630 St Kilda Road, Melbourne, Victoria 3004, Australia Stromness, Orkney KW16 3HR SPUMS is incorporated in Victoria A0020660B EUBS is a UK Registered Charity No. 264970 DIVING AND HYPERBARIC MEDICINE <www.dhmjournal.com> Editor: Editorial Board: Michael Davis <[email protected]> Michael Bennett, Australia PO Box 35 David Doolette, USA Tai Tapu 7645 Christopher Edge, United Kingdom New Zealand Ingrid Eftedal, Norway Phone: +64-(0)3-329-6857 Peter Germonpré, Belgium European (Deputy) Editor: Jane Heyworth, Australia Lesley Blogg <[email protected]> Jacek Kot, Poland Simon Mitchell, New Zealand Editorial Assistant: Claus-Martin Muth, Germany Nicky Telles <[email protected]> Neal Pollock, Canada Journal distribution: Monica Rocco, Italy Steve Goble <[email protected]> Martin Sayer, United Kingdom Erika Schagatay, Sweden Journal submissions: David Smart, Australia Submissions should be made at http://www.manuscriptmanager.com/dhm Robert van Hulst, The Netherlands Diving and Hyperbaric Medicine is published jointly by the South Pacific Underwater Medicine Society and the European Underwater and Baromedical Society (ISSN 1833-3516, ABN 29 299 823 713) Diving and Hyperbaric Medicine Volume 47 No. 2 June 2017 73 ExCom has been assisted by Steve Goble, SPUMS The Presidents’ pages Administrator who has weathered the many changes resulting from the new website. Steve has again assisted David Smart, President SPUMS with and contributed a paper to the 2017 ASM. SPUMS website development has been managed by Nicky Telles, The Annual General Meeting (AGM) this year completes a who has been our operational expert and linkage with the three-year term in my role as SPUMS President. I have been IT groups, working with Joel Hissink, Webmaster. Peter privileged to lead our society supported by a very motivated Smith, Treasurer, has been intensively involved with most Executive committee (ExCom). 2017 will be our first processes. Peter has played a key strategic financial role, general election since adopting our new purposes and rules producing reports that provide an accurate picture of both in 2014. ExCom positions up for election are: President, the SPUMS and Journal finances. Secretary, Treasurer, and five General Committee Members. There are five non-elected executive members: Immediate SPUMS finances are healthy, but we should not be Past President, Editor of Diving and Hyperbaric Medicine complacent. Costs have risen faster than our income base. (DHM), Education Officer, ANZHMG Subcommittee Last year produced a significant trading deficit, requiring Chair and Webmaster. The Journal Editor is appointed as a drawing upon our reserves. More than half of the loss was separate joint process by SPUMS and EUBS. The Education from Website investment, but moving to a new electronic Officer, ANZHMG Chair and Webmaster will be appointed, format also has increased recurrent costs (servers, hosts, following expressions of interest, after the AGM. financial linkages and security). Journal costs are up significantly, as are our administrative expenses. SPUMS Recruitment of a future Editor commenced December ExCom has a number of strategies in place to reduce costs. 2016. SPUMS and EUBS are currently working to achieve We also expect that the investment in the website will reduce a smooth transition process. Mike Davis has indicated his costs as manual processes are automated. intention to retire at the end of 2018. We hope to move to e-journal publication commencing 2018. I offer my We also need to increase our income. There will be a modest personal thanks to Mike for his outstanding contribution to increase in subscriptions, and a membership recruitment our Society, academically via the Journal, and to diving and drive. SPUMS membership numbers have plateaued at hyperbaric medicine in general. around 440. Everyone is called on to assist with recruitment of more members. All members would know a colleague Over the last three years the ExCom has delivered: who dives or has some medical involvement with divers. • New Purposes and Rules 2014; One idea for increasing membership is to “recruit a friend”. • A Journal Governance Committee for DHM; Our initial target is 500 members. A downloadable, one-page • Three successful Annual Scientific Meetings; flyer about SPUMS is available on the SPUMS website to • Movement of SPUMS banking from St George to ANZ; pass on to potential members. • Identifying the cost structure of DHM for accurate budgeting; Following the SPUMS ExCom elections, ExCom General • Investigation and reporting of a future e-Journal; Members will each have specific roles to assist corporate • Complete rebuild of the SPUMS website; continuity: assistant treasurer, recruitment and marketing, • Subscriptions and banking linkages to website; ASM planning, national committee representation, the • Revision of membership processes; Tricontinental scientific meeting, and special projects. • Rationalisation of SPUMS membership database; • Updated Diving Doctors List; I wish to thank SPUMS members for your continued support • Linkages to the SPUMS ASM; of SPUMS. Please tell your medical colleagues about the • SPUMS history and archives section (in development); benefits of membership and encourage them to join! • Processes for SPUMS position statements; • SPUMS terms and conditions of membership; Key words • SPUMS governance and other essential policies; Medical society; General interest • SPUMS ExCom members (Bennett, Mitchell, Smart and Wilkinson) have helped to complete the rebuilding of the ANZCA DHM training for launch in July 2017 as a Front page photo by Dr Martin Sayer shows Dr Neal Diploma of Advanced Diving and Hyperbaric Medicine. Pollock holding a rebreather in the type of small dive boat used in Chuuk, Micronesia and on which the rebreather The SPUMS DHM Diploma is integrated with the ANZCA explosion reported in this issue occurred. DipAdvDHM. The new post-fellowship training in DHM will produce world standard graduates. 74 Diving and Hyperbaric Medicine Volume 47 No. 2 June 2017 Jacek Kot, President, EUBS sets standards of medical care in professional diving as well as education in diving medicine, mostly related to Europe is one, but Europeans are many … in most cases, professional diving. An additional role is in the accreditation the two Presidents address our messages to our respective and certification of courses in this field. Society. This time, I would like to reach SPUMS members, who share the same enthusiasm and dedication in jointly The Diving Medical Advisory Committee (DMAC) is an publishing this Journal but have different organisational independent body, comprising of diving medical specialists systems. The paper on clinical indications for hyperbaric from across Northern Europe, that seeks to provide advice oxygen treatment (HBOT),
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  • K Robinson, M Byers. Diving Medicine

    K Robinson, M Byers. Diving Medicine

    J R Army Med Corps 2005; 151: 256-263 J R Army Med Corps: first published as 10.1136/jramc-151-04-07 on 1 December 2005. Downloaded from Diving Medicine K Robinson, M Byers with diving. This article aims to review the physics and physiology of diving, discuss the common medical conditions that occur whilst diving, and consider the current thinking in relation to aetiol- ogy and treatment. A Brief History of Diving Breath-hold diving has probably been around from before written history. Divers were reportedly used in the Trojan Wars (1194-1184 BC) to disrupt the enemy navies. Aristotle described ruptured tympan- ic membranes and ear infections in sponge divers, and Marco Polo wrote of pearl divers reaching depths of 27 metres. Alexander the Great is supposed to have made a dive in a primitive diving bell, Roger Bacon described men walking on the seabed in 1240, and in 1535 Guglielmo de Lorena developed the first true diving bell (3). In 1774 Freminet used a bellows to deliv- er air from the surface to a diver and Siebe Introduction developed the diving suit in 1819 (3). This It could be argued that diving is the most consisted of a copper helmet and jacket, extreme sport of all. Survival in such a which was modified in 1839 to resemble the hostile underwater environment is waterproof suit recognised and in regular use http://militaryhealth.bmj.com/ dependent on sophisticated breathing to the present day. apparatus and an understanding of the Self-contained underwater breathing inherent risks. Diving incidents are well apparatus (SCUBA) was also developed in publicised, not least because of the the 19th century and in 1943 Jacques severe injuries that ensue, but remain an Cousteau and Emile Gagnan demonstrated uncommon occurrence.