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Diving and Hyperbaric Medicine Diving and Hyperbaric Medicine The Journal of the South Pacific Underwater Medicine Society and the European Underwater and Baromedical Society Volume 48 No. 2 June 2018 In-water recompression Air breaks during HBOT in Australasian units Maxillo-facial problems in diving Does stored soda lime lose its absorbtive capacity? Glass drug ampoules tolerate multiple recompressions Bleak future for diving research in Norway Variable performance of the Dräger Oxylog® under pressure ISSN 2209-1491 (online); ISSN 1833-3516 (print) ABN 29 299 823 713 CONTENTS Diving and Hyperbaric Medicine Volume 48 No.2 June 2018 Editorials From the recent literature 71 The Editor’s offering 116 Hyperbaric oxygenation 72 The future of diving research in Norway for tumour sensitisation to radiotherapy Bennett MH, Feldmeier J, Smee R, Original articles Milross C 117 An evidence-based system 73 Audit of practice in Australasian hyperbaric units on the for health surveillance of incidence of central nervous system oxygen toxicity occupational divers Susannah Sherlock, Mandy Way, Alexis Tabah Sames S, Gorman DF, Mitchell SJ, Sandiford P 118 Immersion pulmonary edema Review articles and comorbidities: case series and updated review 79 Rhinologic and oral-maxillofacial complications from scuba Peacher DF, Martina SD, Otteni CE, diving: a systematic review with recommendations Wester TE, Potter JF, Moon RE Devon M Livingstone, Beth Lange 84 In-water recompression David J Doolette, Simon J Mitchell Professional development meeting summary Technical reports 119 DCI study day – optimising outcomes 96 Storage of partly used closed-circuit rebreather carbon Lesley Blogg, Gerard Laden dioxide absorbent canisters Neal W Pollock, Nicholas Gant, David Harvey, Peter Mesley, Jason Hart, Simon J Mitchell 120 TRICON2018 102 Performance of the Oxylog 1000® portable ventilator in a hyperbaric environment Lie Sui An, Loy Shun Ting, Lee Cheng Chuan, Kim Soo Joang, Soh SPUMS notices and news Chai Rick 107 Repeated hyperbaric exposure and glass ampoule safety 121 ANZCA Diving and Hyperbaric Soon Yee Teoh, Venkat Narasimham Vangaveti Medicine Special Interest Group 122 SPUMS Diploma in Diving and Hyperbaric Medicine Case reports 123 The SPUMS President’s message 125 A new hyperbaric facility for 110 Problems with an intrathecal pump in a paraplegic scuba Tasmania diver Brahim Hacene, Nathalie Draulans, Tom Theys 112 Acute ophthalmic artery occlusion in decompression EUBS notices and news illness with underlying anterior cerebral artery A1 segment hypoplasia Ahmad Razif Omar, Mohtar Ibrahim, Adil Hussein 126 The EUBS President’s message 126 EUBS Executive Committee Letter to the Editor 2018 elections 127 EUBS Affiliate Society agreements 114 Do skin rash and cutis marmorata stem from lamellar bodies within the skin? 127 European Data Protection Ran Arieli Law: General Data Protection Regulation Comment 128 Notices and news 115 Evidence brief: hyperbaric oxygen therapy (HBOT) for traumatic brain injury and/or post-traumatic stress disorder M H Bennett Diving and Hyperbaric Medicine is indexed on MEDLINE, SciSearch® and Embase/Scopus 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 2017 Neil Banham [email protected] Rodrigue Pignel [email protected] Committee Members Member-at-Large 2016 Jen Coleman Bengusu Oroglu [email protected] Tamara Ford Member-at-Large 2015 Ian Gawthrope Karin Hasmiller [email protected] Cathy Meehan Liaison Officer Peter Smith 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 register to become a application, go to the Society’s website: www.eubs.org member, 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, United Kingdom 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 European (Deputy) Editor David Doolette, USA Lesley Blogg [email protected] Christopher Edge, United Kingdom Associate Editor Ingrid Eftedal, Norway Simon Mitchell [email protected] Peter Germonpré, Belgium Editorial Assistant Jacek Kot, Poland Nicky Telles [email protected] Simon Mitchell, New Zealand Claus-Martin Muth, Germany Submissions: https://www.manuscriptmanager.net/dhm Neal Pollock, Canada Monica Rocco, Italy Subscriptions and print copies of back issues to 2017: Martin Sayer, United Kingdom Steve Goble [email protected] Erika Schagatay, Sweden David Smart, Australia 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 2209-1491 (online); ISSN 1833-3516 (print); ABN 29 299 823 713 Diving and Hyperbaric Medicine Volume 48 No. 2 June 2018 71 The Editor’s offering Two issues that have been poorly addressed in the hyperbaric • Download a pdf and save it to file in its entirety so it can literature feature in this issue. Sherlock and her colleagues also be read in pdf format instead of web-based format from Brisbane focus on the diversity of delivery in Australia (you cannot extract pages from this pdf version, only and New Zealand hyperbaric units of the standard elective from the on-line version); hyperbaric oxygen treatment (HBOT) at 243 kPa (‘TT14’) • Select specific articles from the on-line version for either and the incorporated ‘air breaks’.1 Their data suggest saving to file or printing; these variations do little to influence the incidence of acute • Print the saved-to-device version in its entirety for central nervous system oxygen (O2) toxicity and argue that personal use); there is a strong need for standardisation for multicentre • Select any web or email address and DOI, PMID and research. Another risk factor that needs consideration before PMCID numbers listed in references − these are all the Antipodean hyperbaric community could agree on a now active hyperlinks. standard protocol would be to look at whether the risks of decompression sickness (DCS) in chamber attendants are Therefore, the need for members to have access to a separate influenced by these variations which also include differences print copy is superfluous as the reader has greater flexibility in the total time at depth and the rate of ascent. For a true of use and many more features than there were with print. epidemiological assessment of this issue, the database Potential options for the future are additional material would need to be much larger, since the incidence of DCS in associated with articles, including data and other appendices, attendants appears to be much lower than that for O2 toxicity. photos and video links. We were tasked by the society It would be interesting to know whether similar variations ExComs (and by acclimation at an EUBS General Assembly occur amongst European units. a few years ago) to deliver an electronic journal – we have delivered what was asked for. It is time to retire DHM as a In-water recompression (IWR) for DCS in recreational print journal and both I and my successor, Professor Simon diving has been rubbished by many diving physicians for Mitchell are disappointed that EUBS has not followed decades as too dangerous, delaying definitive treatment SPUMS in moving entirely to the electronic format. Please and potentially worsening outcome. Nevertheless, this let us know what you think of the new format and ways that technique is used, especially by indigenous commercial and we might improve it for you. recreational technical diving communities around the world, and there is a genuine need for its consideration for diving Breaking news emergencies in remote areas. Therefore, the detailed review of IWR by Doolette and Mitchell is invaluable and timely. I am delighted to announce that our application to have They present the evidence base for its efficacy and risks and articles in DHM stored permanently on PubMed Central® of the historical experimental evidence for shorter, shallower has been successful. This is a huge bonus for authors to HBOT protocols for DCS generally.2 Some of
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