June 18-20, 2015 Annual Scientific Meeting
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How to Make Solo Rebreather Diving Safer
technical So,what’s Say that you dive on your own with wrong about a rebreather and wait for the reactions. matters bringing a Rubiks cube You’ll hear some nasty comments about along on a dive? you being an accident waiting to happen Discussions about diving never did a solo dive. The other 92 percent have done at least a few Column by are very often boring— solo dives, with 33 percent doing Cedric Verdier always the same stories mostly solo diving. about numerous sharks Of course, a poll only represents dangerously close, strong the opinion of a few individuals current ripping a mask off who want to answer the questions. It cannot be considered as the “big or friendly dolphins play- picture” of the entire rebreather ing during a deco stop. diver community. Nevertheless, it We heard them so many shows that some rebreather divers times. keep on diving solo, even if the perceived risk is so high… So, if you want to have some Why people don’t dive fun, simply say that you dive on solo with a rebreather? your own with a rebreather and Simply because that’s one wait for the reactions. You’ll hear of the most basic rules some nasty comments about one learns during the you being an accident waiting Open Water Diver to happen, and some people course: “Never dive will clearly show you their option alone”. It’s so famous about your mental health. that it’s almost a dogma. And it sounds Why? Because everybody so logical? knows that CCR Solo diving is the most stupid thing to do on Earth 1. -
ANZHMG) & the Hyperbaric Technicians and Nurses Association (HTNA)
The Australian and New Zealand Hyperbaric Medicine Group (ANZHMG) & The Hyperbaric Technicians and Nurses Association (HTNA) COVID-19 Guidelines 1 | ANZHMG/HTNA COVID - 19 v1.1 2020 - 03- 27 Published by the South Pacific Underwater Medicine Society (SPUMS), c/- Australian and New Zealand College of Anaesthetists (ANZCA), 630 St Kilda Road, Melbourne VIC 3004, Australia. E-mail: [email protected] Website: spums.org.au This document is based upon the Australian and New Zealand Intensive Care Society (2020) ANZICS COVID-19 Guidelines. Melbourne: ANZICS, with permission. THE ANZHMG/HTNA COVID-19 Working Group gratefully acknowledge the kindness of the Australian & New Zealand Intensive Care Society in permitting the use of their guidelines as a template for our own. © Australian and New Zealand Hyperbaric Medicine Group 2020. Not for sale. This work may be reproduced, free of charge, in whole or in part for clinical, study, training, research or any other fair purpose, subject to the inclusion of an acknowledgment of the source. SPUMS requests that you attribute this publication (and any material sourced from it) using the following citation: Australian and New Zealand Hyperbaric Medicine Group and the Hyperbaric Technicians and Nurses Association (2020), ANZHMG/HTNA COVID-19 Guidelines. Melbourne: SPUMS. Disclaimer The Australian and New Zealand Hyperbaric Medicine Group (ANZHMG) and Hyperbaric Technicians and Nurses Association (HTNA) COVID-19 Guidelines have been developed to assist hyperbaric clinicians prepare and plan for the maintenance of hyperbaric services during a pandemic, and provide a safe working environment for staff and patients. Considerable effort has been made to ensure the information contained within the recommendations is correct at the time of publication. -
99B Pgd.Indd
Report on Comments — Copyright, NFPA NFPA 99B Report of the Committee on Report of the Committee on Electrical Systems (HEA-ELS) Health Care Facilities (HEA-AAC) Douglas S. Erickson, Chair Hugh O. Nash, Jr., Chair American Society for Healthcare Engineering, VI [U] Rep. American Society for Healthcare Engineering Nash Lipsey Burch, LLC, TN [SE] Constance Bobik, B&E Fire Safety Equipment Inc., FL [IM] Scott C. Brockman, Post Glover LifeLink, KY [M] Wayne L. Brannan, Medical University of South Carolina, SC [U] Dan Chisholm, Healthcare Engineering Network, FL [IM] Rep. American Society of Safety Engineers James H. Costley, Jr., Newcomb & Boyd, GA [SE] Michael A. Crowley, The RJA Group, Inc., TX [U] Rep. NFPA Health Care Section Rep. NFPA Health Care Section Richard E. Cutts, US Air Force, TX [E] Richard E. Cutts, US Air Force, TX [E] Herbert Daugherty, Electric Generating Systems Association, NJ [U] Joshua W. Elvove, US Department of Veterans Affairs, CO [U] Rep. Electrical Generating Systems Association Rep. US Department of Veterans Affairs James R. Iverson, Onan Corporation, MN [M] Marvin J. Fischer, Monroe Township, NJ [SE] Larry Lau, US Department of Veterans Affairs, DC [U] Thomas W. Gardner, Schirmer Engineering Corporation, GA [I] Rep. US Department of Veterans Affairs James R. Grimm, CDi Engineers, WA [SE] William E. Koffel, Koffel Associates, Inc., MD [SE] Edward A. Lobnitz, TLC Engineering for Architecture, FL [SE] George F. Stevens, US Department of Health & Human Services, AZ [E] James E. Meade, US Army Corps of Engineers, MD [U] Rep. US Dept. of Health & Human Services/IHS Joseph P. Murnane, Underwriters Laboratories Inc., NY [RT] Mayer D. -
Heat Stroke Heat Exhaustion
Environmental Injuries Co lin G. Ka ide, MD , FACEP, FAAEM, UHM Associate Professor of Emergency Medicine Board-Certified Specialist in Hyperbaric Medicine Specialist in Wound Care The Ohio State University Wexner Medical Center The Most Dangerous Drug Combination… Accidental Testosterone Hypothermia and Alcohol! The most likely victims… Photo: Ralf Roletschek 1 Definition of Blizzard Hypothermia of Subnormal T° when the body is unable to generate sufficient heat to sustain normal functions Core Temperature < 95°F 1979 (35°C) Most Important Temperatures Thermoregulation 95°F (35° C) Hyper/Goofy The body uses a Poikilothermic shell to maintain a Homeothermic core 90°F (32°C) Shivering Stops Maintains core T° w/in 1.8°F(1°C) 80°F (26. 5°C) Vfib, Coma Hypothalamus Skin 65°F (18°C) Asystole Constant T° 96.896.8-- 100.4° F 2 Thermoregulation The 2 most important factors Only 3 Causes! Shivering (10x increase) Decreased Heat Production Initiated by low skin temperature Increased Heat Loss Warming the skin can abolish Impaired Thermoregulation shivering! Peripheral vasoconstriction Sequesters heat Predisposing Predisposing Factors Factors Decreased Production Increased Loss –Endocrine problems Radiation Evaporation • Thyroid Conduction* • Adrenal Axis Convection** –Malnutrition *Depends on conducting material **Depends on wind velocity –Neuromuscular disease 3 Predisposing Systemic Responses CNS Factors T°< 90°F (34°C) Impaired Regulation Hyperactivity, excitability, recklessness CNS injury T°< 80°F (27°C) Hypothalamic injuries Loss of voluntary -
NATO HANDBOOK on MARITIME MEDICINE Amedp-11(A)
NAT/PfP UNCLASSIFIED AMedP-11(A) NATO HANDBOOK ON MARITIME MEDICINE AMedP-11(A) ORIGINAL NAT/PfP UNCLASSIFIED NAT/PfP UNCLASSIFIED AMedP-11(A) INTENTIONALLY BLANK ORIGINAL NAT/PfP UNCLASSIFIED NAT/PfP UNCLASSIFIED AMedP-11(A) NATO HANDBOOK ON MARITIME MEDICINE AMedP-11(A) NOVEMBER 2008 i ORIGINAL NAT/PfP UNCLASSIFIED NAT/PfP UNCLASSIFIED AMedP-11(A) INTENTIONALLY BLANK ii ORIGINAL NAT/PfP UNCLASSIFIED NAT/PfP UNCLASSIFIED AMedP-11 (A) NORTH ATLANTIC TREATY ORGANIZATION NATO STANDARDIZATION AGENCY (NSA) NATO LETTER OF PROMULGATION 24 November 2008 1. AMedP-11(A) - NATO HANDBOOK ON MARITIME MEDICINE is a NATO/PfP UNCLASSIFIED publication. The agreement of nations to use this publication is recorded in STANAG 1269. 2. AMedP-11 (A) is effective on receipt. It supercedes AMedP-11, which shall be destroyed in accordance with the local procedure for the destruction of documents. Juan . MORENO Vice dmiral, ESP(N) Dir tor, NATO Standardization Agency III ORIGINAL NAT/PfP UNCLASSIFIED NAT/PfP UNCLASSIFIED AMedP-11(A) INTENTIONALLY BLANK IV ORIGINAL NAT/PfP UNCLASSIFIED NAT/PfP UNCLASSIFIED AMedP-11(A) THIS PAGE IS RESERVED FOR NATIONAL LETTER OF PROMULGATION V ORIGINAL NAT/PfP UNCLASSIFIED NAT/PfP UNCLASSIFIED AMedP-11(A) INTENTIONALLY BLANK VI ORIGINAL NAT/PfP UNCLASSIFIED NAT/PfP UNCLASSIFIED AMedP-11(A) RECORDS OF CHANGES Change No Date inserted NATO Signature Rank/Rate/ Effective Date Grade VII ORIGINAL NAT/PfP UNCLASSIFIED NAT/PfP UNCLASSIFIED AMedP-11(A) INTENTIONALLY BLANK VIII ORIGINAL NAT/PfP UNCLASSIFIED NAT/PfP UNCLASSIFIED AMedP-11(A) RECORD OF RESERVATIONS BY NATIONS CHAPTER RECORD OF RESERVATIONS BY NATIONS General FRA 2 TUR 3 TUR 4 TUR 14 TUR 16 TUR 20 TUR Annex A TUR IX ORIGINAL NAT/PfP UNCLASSIFIED NAT/PfP UNCLASSIFIED AMedP-11(A) INTENTIONALLY BLANK X ORIGINAL NAT/PfP UNCLASSIFIED NAT/PfP UNCLASSIFIED AMedP-11(A) RECORD OF SPECIFIC RESERVATIONS COUNTRY SPECIFIC RESERVATIONS France considers AMedP‑11 as an interesting guide, but this publication does not constitute a national technical guideline. -
Nursing in a Critical Care Hyperbaric Unit at Merida, Yucatan, Mexico: Report of a Case of an Acute Pediatric Burn Patient
Case Report Page 1 of 6 Nursing in a critical care hyperbaric unit at Merida, Yucatan, Mexico: report of a case of an acute pediatric burn patient Judith Ruiz-Aguilar, Rodrigo Diaz-Ibañez, E. Cuauhtemoc Sanchez-Rodriguez Hyperbaric Medicine Service, Hospital Centro de Especialidades Médicas del Sureste (CEM) and Hospital Agustín O’Horan, Merida, Yucatan, Mexico Correspondence to: Judith Ruiz-Aguilar, RN, MEd. Chief of Nursing, Hyperbaric Medicine Service, Hospital Centro de Especialidades Médicas del Sureste (CEM) and Hospital Agustín O’Horan, Merida, Yucatan, Mexico. Email: [email protected]. Abstract: Hyperbaric oxygen therapy (HBOT) for intensive care unit (ICU) patients places special technical and knowledge-based skills demands on nurses inside hyperbaric chambers. Probably the best clinical contributions of HBOT are in the acute cases, in the ischemia reperfusion injury. Nevertheless in the last years, hyperbaric units have focused more in chronic wounds. The first golden rule to treat an ICU patient in a hyperbaric chamber is that you can maintain the same quality of care inside the chamber as in the ICU. This means that the hyperbaric unit has to have the technology means as well as the proficiency and competency of its personnel to provide intensive care inside the chamber. These require competent nursing personnel. We present a case of a 5-year-old pediatric patient who suffered a deep second-degree thermal burn that compromised 32% of the total body surface; including the face, neck, thorax and both arms. The patient received medical support, HBOT and daily wound care. He received a total of 14 treatments and underwent complete healing of the burned areas. -
Aerospace Physiology
AEROSPACE PHYSIOLOGY ALTITUDE CHAMBER Human Factors in Flight Introductory Course Manual Revised: March 30, 2009 TABLE OF CONTENTS INTRODUCTION ............................................................................................................ v SYMBOLS USED ............................................................................................................ vi CHAPTER I PHYSICS OF THE ATMOSPHERE ............................................................... 1 Objectives ................................................................................................. 1 Functions of the Atmosphere .................................................................... 1 Main Component Gases and Percentages ................................................. 1 Atmospheric Pressure ............................................................................... 2 Measurement of Altitude .......................................................................... 2 Physical Divisions of the Atmosphere ...................................................... 3 Physiological Divisions of the Atmosphere .............................................. 4 The Gas Laws ........................................................................................... 5 II RESPIRATION/CIRCULATION .................................................................... 7 Objectives ................................................................................................. 7 Definition ................................................................................................. -
Ecological and Socio-Economic Impacts of Dive
ECOLOGICAL AND SOCIO-ECONOMIC IMPACTS OF DIVE AND SNORKEL TOURISM IN ST. LUCIA, WEST INDIES Nola H. L. Barker Thesis submittedfor the Degree of Doctor of Philosophy in Environmental Science Environment Department University of York August 2003 Abstract Coral reefsprovide many servicesand are a valuableresource, particularly for tourism, yet they are suffering significant degradationand pollution worldwide. To managereef tourism effectively a greaterunderstanding is neededof reef ecological processesand the impactsthat tourist activities haveon them. This study explores the impact of divers and snorkelerson the reefs of St. Lucia, West Indies, and how the reef environmentaffects tourists' perceptionsand experiencesof them. Observationsof divers and snorkelersrevealed that their impact on the reefs followed certainpatterns and could be predictedfrom individuals', site and dive characteristics.Camera use, night diving and shorediving were correlatedwith higher levels of diver damage.Briefings by dive leadersalone did not reducetourist contactswith the reef but interventiondid. Interviewswith tourists revealedthat many choseto visit St. Lucia becauseof its marineprotected area. Certain site attributes,especially marine life, affectedtourists' experiencesand overall enjoyment of reefs.Tourists were not alwaysable to correctly ascertainabundance of marine life or sedimentpollution but they were sensitiveto, and disliked seeingdamaged coral, poor underwatervisibility, garbageand other tourists damagingthe reef. Some tourists found sitesto be -
Safety Manual Program/Monthly Safety Awearness
2014 Safety Manual/Monthly Safety Awareness Program Serena Group Hyperbaric Medicine Centers Page 1 Confidential and Proprietary Information SerenaGroup Hyperbaric Medical Center Do not copy or distribute 2014 Fire Safety Plan 1. Purpose To provide hyperbaric personnel a predetermined plan in the event of a fire in the hyperbaric area in order to reduce injury and/or catastrophic outcomes. 2. Policy 2.1. In the event of an emergency, the Hyperbaric Medicine Center personnel will be prepared to respond. 2.2. The Safety Director shall be designated by the Program Director / Manager or designee. NOTE: NFPA 99 Health Care Facilities, 1999 edition, (page 131) “19-3.1.3.2 A safety director shall be designated in charge of all hyperbaric equipment. The safety director shall work closely with facility management personnel and the hyperbaric physician(s) to establish procedures for safe operation and maintenance of the hyperbaric facility. He or she shall make necessary recommendations for departmental safety policies and procedures. The safety director shall have the authority to restrict or remove any potentially hazardous supply or equipment items from the chamber.” 2.3. Each plan shall be collaboratively developed with the hospital fire safety policy in conjunction with NFPA standards. 2.4. There will be no smoking or open flames in the hyperbaric area. 2.5. The area will be kept exceptionally clean and free of fire hazards according to the NGPA for Hyperbaric health care facilities. 2.6. The chamber itself will be kept exceptionally clean of lint and dust particles as these are hazardous when inside the chamber. -
Similan Islands 9 – 19 May 2021
THAILAND LIVEABOARD SIMILAN ISLANDS 9 – 19 MAY 2021 BOAT INFORMATION: Manta Queen 8 is running a 5 days & 5 nights trip to Thailands premier dive site - Similan Islands, Koh Bon, Koh Tachai, Surin Islands, Richelieu Rock and Boon Sung Wreck. The boat accommodates 24 guests in comfortable air conditioned double ensuite, twin ensuite, twin non ensuite cabins. The vessel is a 28 meters long and 7 meters wide wooden hull built boat that is manned with 5 dive staff and 6 boat crew. There is plenty of space to enjoy the time in between dives in the saloon with HD-TV, the open dining area or on the large sundeck. All meals on board are served buffet style freshly cooked by the on board chef. Snacks and fruits are served in between dives. The dinghy gives you the opportunity to spend some time on the beautiful beaches. DIVE - EAT - SLEEP – REPEAT DIVES SITE INFORMATION: RICHELIEU ROCK (called in Thai Hin Plo Naam) is a famous dive site in the Andaman Sea near the Surin Islands. The site is marked by the top with a pinnacle which is 1m above the sea level during low tide, and disappears underwater during high tide. The horseshoe-shaped reef was discovered by Jacques-Yves Cousteau and is known for its purple corals (it reminded Jacques Cousteau of Cardinal Richelieu´s purple robe) as well as diverse marine life ranging from small fish and harlequin shrimp to large pelagics like whale shark, manta ray, barracuda and grouper. The pinnacle falls steeply to the surrounding sand bottom at a maximum depth of 35m. -
(ANZHMG) & the Hyperbaric Technicians and Nurses Association
The Australian and New Zealand Hyperbaric Medicine Group (ANZHMG) & The Hyperbaric Technicians and Nurses Association (HTNA) COVID-19 Guidelines 1 | ANZHMG/HTNA COVID - 19 v1.1 2020 - 03- 27 Published by the South Pacific Underwater Medicine Society (SPUMS), c/- Australian and New Zealand College of Anaesthetists (ANZCA), 630 St Kilda Road, Melbourne VIC 3004, Australia. E-mail: [email protected] Website: spums.org.au This document is based upon the Australian and New Zealand Intensive Care Society (2020) ANZICS COVID-19 Guidelines. Melbourne: ANZICS, with permission. THE ANZHMG/HTNA COVID-19 Working Group gratefully acknowledge the kindness of the Australian & New Zealand Intensive Care Society in permitting the use of their guidelines as a template for our own. © Australian and New Zealand Hyperbaric Medicine Group 2020. Not for sale. This work may be reproduced, free of charge, in whole or in part for clinical, study, training, research or any other fair purpose, subject to the inclusion of an acknowledgment of the source. SPUMS requests that you attribute this publication (and any material sourced from it) using the following citation: Australian and New Zealand Hyperbaric Medicine Group and the Hyperbaric Technicians and Nurses Association (2020), ANZHMG/HTNA COVID-19 Guidelines. Melbourne: SPUMS. Disclaimer The Australian and New Zealand Hyperbaric Medicine Group (ANZHMG) and Hyperbaric Technicians and Nurses Association (HTNA) COVID-19 Guidelines have been developed to assist hyperbaric clinicians prepare and plan for the maintenance of hyperbaric services during a pandemic, and provide a safe working environment for staff and patients. Considerable effort has been made to ensure the information contained within the recommendations is correct at the time of publication. -
Diving and Hyperbaric Medicine
Diving and Hyperbaric Medicine 7KH-RXUQDORIWKH6RXWK3DFL¿F8QGHUZDWHU0HGLFLQH6RFLHW\ ,QFRUSRUDWHGLQ9LFWRULD $% ISSN 1833 - 3516 Volume 37 No. 4 ABN 29 299 823 713 December 2007 Diving expeditions: from Antarctica to the Tropics Diving deaths in New Zealand Epilepsy and diving – time for a change? Mechanical ventilation of patients at pressure Print Post Approved PP 331758/0015 9^k^c\VcY=neZgWVg^XBZY^X^cZKdajbZ(,Cd#)9ZXZbWZg'%%, PURPOSES OF THE SOCIETY IdegdbdiZVcY[VX^a^iViZi]ZhijYnd[VaaVheZXihd[jcYZglViZgVcY]neZgWVg^XbZY^X^cZ Idegdk^YZ^c[dgbVi^dcdcjcYZglViZgVcY]neZgWVg^XbZY^X^cZ IdejWa^h]V_djgcVa IdXdckZcZbZbWZghd[i]ZHdX^ZinVccjVaanViVhX^Zci^ÄXXdc[ZgZcXZ OFFICE HOLDERS EgZh^YZci 9g8]g^h6Xdii (%EVg`6kZcjZ!GdhhancEVg` :çbV^a1XVXdii5deijhcZi#Xdb#Vj3 Hdji]6jhigVa^V*%,' EVhiçEgZh^YZci 9gGdWncLVa`Zg &'7VggVaa^ZgHigZZi!<g^[Äi] :çbV^a1GdWnc#LVa`Zg5YZ[ZcXZ#\dk#Vj3 68I'+%( HZXgZiVgn 9gHVgV]H]Vg`Zn E#D#7DM&%*!CVggVWZZc :çbV^a1hejbhhZXgZiVgn5\bV^a#Xdb3 CZlHdji]LVaZh'&%& IgZVhjgZg 9g<jnL^aa^Vbh E#D#7dm&.%!GZY=^aaHdji] :çbV^a1hejbh5[VhibV^a#cZi3 K^Xidg^V(.(, :Y^idg 6hhdX#Egd[#B^`Z9Vk^h 8$d=neZgWVg^XBZY^X^cZJc^i :çbV^a1hejbh_5XY]W#\dki#co3 8]g^hiX]jgX]=dhe^iVa!Eg^kViZ7V\),&%!8]g^hiX]jgX]!CO :YjXVi^dcD[ÄXZg 9g;^dcVH]Vge ').XC^X]dahdcGdVY!H]ZcidcEVg` :çbV^a1h]Vge^Z[5YdXidgh#dg\#j`3 LZhiZgc6jhigVa^V+%%- EjWa^XD[ÄXZg 9gKVcZhhV=VaaZg E#D#7dm-%'(!8Vggjb9dlch :çbV^a1kVcZhhV#]VaaZg5XYbX#Xdb#Vj3 K^Xidg^V('%& 8]V^gbVc6CO=B< 9g9Vk^YHbVgi 9ZeVgibZcid[9^k^c\VcY=neZgWVg^XBZY^X^cZ :çbV^a1YVk^Y#hbVgi5Y]]h#iVh#\dk#Vj3 GdnVa=dWVgi=dhe^iVa!=dWVgi!IVhbVc^V,%%% LZWbVhiZg