Program & Abstracts
Total Page：16
File Type：pdf, Size：1020Kb
Load more
Recommended publications
-
Cartesio/ Neon Goa User Manual
CARTESIO/ NEON GOA USER MANUAL LONG LIFE HIGH CONTRAST WIDE DIAMETER EASY ACCESS MULTI MODE 35 BATTERY DISPLAY DISPLAY MENU English 3 Cressi congratulates you on the purchase of your GOA/CARTESIO/NEON scuba • function for dives without decompression calculation and resettable dive watch-computer, specially designed so that you can rely on maximum effi- depth. ciency, safety and reliability at all times. • function for free dives, with alarm disabling function. • Display with “PCD System” for perfect understanding and legibility of the values. MAIN CHARACTERISTICS • Battery replacement by the user. WATCH • Dive planning with manual scrolling of the safety curve. • 12/24 time format with minutes and seconds. • Possibility to change the units of measure, from metric system (metres - °C) to • Calendar. the imperial system (ft.-°F). • Precision stopwatch. • Acoustic and visual alarms. • Second time setting. • Graphic indicator of CNS toxicity level of oxygen. • Alarm clock. • High efficiency backlit display. • Logbook with possibility to store up to 50 dives per type. SCUBA DIVE COMPUTER • Historic dive memory. • CRESSI RGBM algorithm. A new algorithm born of Cressi’s collaboration with • Possibility to reset desaturation – useful for renting purposes. Bruce Wienke, is based on the Haldane model and uses RGBM factors for safe • PC/Mac interface with general data and dive profiles (option). decompression computations in repeated multi-day diving. • Tissues: 9 with saturation half times of between 2.5 and 480 minutes. • “Dive” program: Processor handling all dive data, and decompression data too, as applicable, for each Air and EAN (Enhanced Air Nitrox) dive made. • Possibility to use two different Nitrox hyper-oxygenated mixes selectable during GENERAL WARNINGS AND SAFETY STANDARDS. -
What Chamber Operators Should Know About Ear Barotrauma (And How to Prevent It) Robert Sheffield, CHT and Kevin “Kip” Posey, CHT / June 2018
LEARN.HYPERBARICMEDICINE.COM International ATMO Education What Chamber Operators Should Know About Ear Barotrauma (and How to Prevent It) Robert Sheffield, CHT and Kevin “Kip” Posey, CHT / June 2018 INTRODUCTION Ear barotrauma (i.e. “ear block”, “ear squeeze”) is the most common complication of hyperbaric treatment. It occurs when the pressure in the hyperbaric chamber is greater than the pressure in the middle ear. It is prevented by patient assessment, patient education, and the appropriate actions of the chamber operator. The chamber operator has an important role in preventing ear barotrauma in hyperbaric patients. OBJECTIVES At the conclusion of this article, the reader will be able to: Describe the anatomy of the middle ear Explain the mechanism of ear barotrauma Describe 3 techniques to equalize middle ear pressure ANATOMY OF THE MIDDLE EAR The middle ear is an air space that separates the external ear canal from the inner ear. The eardrum, called the tympanic membrane (TM), vibrates when sound enters the ear canal. The vibration is transmitted to a series of bones in the middle ear. These bones transmit vibration to another membrane (the oval window) that separates the air‐filled middle ear from the fluid‐filled inner ear, where sound is sensed in the cochlea. The nasopharynx is the area behind the nose and above the palate. The Eustachian tubes open into this area. Because of the location of the Eustachian tube openings, the same things that cause nasal congestion (e.g. allergies, upper respiratory infection) can cause swelling around the opening of the Eustachian tubes, making it more difficult to equalize pressure in the middle ear. -
Psdiver™ Monthly Issue 65
PSDiver™ Monthly Issue 65 ISSUE 65 PSDiver Monthly Volume Number 5 Issue Number 65 August 2009 Greetings, quite right. I fired up my laptop and reread my outline and This time of year seems to always be one of the busiest for presentation notes. It was not horrible but it was close. It me. I usually have classes to teach, last minute trips to was obvious I had gotten tunnel vision and somewhere plan, new projects beginning or even hurricanes and their gotten lost in the project. I hate admitting it but I had aftermath to deal with. So far this year the only thing become one of those experts who know everything and missing is the hurricanes. I can honestly say I am not failed to acknowledge otherwise. I should have asked for missing them. help ... but did not think I needed it. Big mistake … In reality the project was doomed from the beginning and the Recently I was tasked with the responsibility of developing a presentation could have / should have been made in 30 classroom Law Enforcement First Responder for Water minutes – if I had stayed true to my audience. Incidents program. When I accepted the task, I had no reservations that I could produce such a program. The time Tunnel vision set in without me realizing it. How often do we it took and the stress I found myself under was surprising to get tunnel vision on a call? Do we allow ourselves to get so me. Even though I found myself in unfamiliar territory I wrapped up in what we are doing we lose sight of the goal? thought I was doing OK and did not reach out for help. -
Laryngospasm Caused by Removal of Nasogastric Tube After Tracheal Extubation: Case Report
Yanaka A, et al. J Anesth Clin Care 2021, 8: 061 DOI: 10.24966/ACC-8879/100061 HSOA Journal of Anesthesia & Clinical Care Case Report pCO2: Partial pressure of carbon dioxide pO : Partial pressure of oxygen Laryngospasm Caused by 2 mmHg: Millimeter of mercury Removal of Nasogastric Tube mg/dl: Milligram per deciliter mmol/L: Millimole per litter after Tracheal Extubation: Case Introduction Report Background Laryngospasm (spasmodic closure of the larynx) is an airway Ayumi Yanaka1 and Takuo Hoshi2* complication that may occur when a patient emerges from general 1Department of Anesthesiology and Critical Care Medicine, Ibaraki Prefectur- anesthesia. It is a protective reflex, but may sometimes result in al Central Hospital, Japan pulmonary aspiration, pulmonary edema, arrhythmia and cardiac 2Department of Anesthesiology and Critical Care Medicine, Clinical and Edu- arrest [1]. It does not often cause severe hypoxemia in the patient, and cational Training Center, Tsukuba University Hospital, Japan our review of the literature revealed no previous reports of such cases that cause of the laryngospasm was the removal of nasogastric tube. Here, we describe this significant adverse event in a case and suggest Abstract ways to lessen the possibility of its occurrence. We obtained written informed consent for publication of this case report from the patient. Background: We report a case of laryngospasm during nasogastric tube removal. Laryngospasm is a severe airway complication after Case report surgery and there have been no reports associated with the removal of nasogastric tubes. A 54-year-old woman height, 157 cm; weight, 61 kg underwent abdominal surgery (partial hepatectomy with right partial Case Report: After abdominal surgery, the patient was extubated the tracheal tube, and was removed the nasogastric tube. -
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. -
Critical Care in the Monoplace Hyperbaric Chamber
Critical Care in the Monoplace Hyperbaric Critical Care - Monoplace Chamber • 30 minutes, so only key points • Highly suggest critical care medicine is involved • Pitfalls Lindell K. Weaver, MD Intermountain Medical Center Murray, Utah, and • Ventilator and IV issues LDS Hospital Salt Lake City, Utah Key points Critical Care in the Monoplace Chamber • Weaver LK. Operational Use and Patient Care in the Monoplace Chamber. In: • Staff must be certified and experienced Resp Care Clinics of N Am-Hyperbaric Medicine, Part I. Moon R, McIntyre N, eds. Philadelphia, W.B. Saunders Company, March, 1999: 51-92 in CCM • Weaver LK. The treatment of critically ill patients with hyperbaric oxygen therapy. In: Brent J, Wallace KL, Burkhart KK, Phillips SD, and Donovan JW, • Proximity to CCM services (ed). Critical care toxicology: diagnosis and management of the critically poisoned patient. Philadelphia: Elsevier Mosby; 2005:181-187. • Must have study patient in chamber • Weaver, LK. Critical care of patients needing hyperbaric oxygen. In: Thom SR and Neuman T, (ed). The physiology and medicine of hyperbaric oxygen therapy. quickly Philadelphia: Saunders/Elsevier, 2008:117-129. • Weaver LK. Management of critically ill patients in the monoplace hyperbaric chamber. In: Whelan HT, Kindwall E., Hyperbaric Medicine Practice, 4th ed.. • CCM equipment North Palm Beach, Florida: Best, Inc. 2017; 65-95. • Without certain modifications, treating • Gossett WA, Rockswold GL, Rockswold SB, Adkinson CD, Bergman TA, Quickel RR. The safe treatment, monitoring and management -
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. -
Consensus Conference, the ECHM
24 Diving and Hyperbaric Medicine Volume 47 No. 1 March 2017 Consensus Conference Tenth European Consensus Conference on Hyperbaric Medicine: recommendations for accepted and non-accepted clinical indications and practice of hyperbaric oxygen treatment Daniel Mathieu, Alessandro Marroni and Jacek Kot Abstract (Mathieu D, Marroni A, Kot J. Tenth European Consensus Conference on Hyperbaric Medicine: recommendations for accepted and non-accepted clinical indications and practice of hyperbaric oxygen treatment. Diving and Hyperbaric Medicine. 2017 March;47(1):24-32.) The tenth European Consensus Conference on Hyperbaric Medicine took place in April 2016, attended by a large delegation of experts from Europe and elsewhere. The focus of the meeting was the revision of the European Committee on Hyperbaric Medicine (ECHM) list of accepted indications for hyperbaric oxygen treatment (HBOT), based on a thorough review of the best available research and evidence-based medicine (EBM). For this scope, the modified GRADE system for evidence analysis, together with the DELPHI system for consensus evaluation, were adopted. The indications for HBOT, including those promulgated by the ECHM previously, were analysed by selected experts, based on an extensive review of the literature and of the available EBM studies. The indications were divided as follows: Type 1, where HBOT is strongly indicated as a primary treatment method, as it is supported by sufficiently strong evidence; Type 2, where HBOT is suggested as it is supported by acceptable levels of evidence; Type 3, where HBOT can be considered as a possible/optional measure, but it is not yet supported by sufficiently strong evidence. For each type, three levels of evidence were considered: A, when the number of randomised controlled trials (RCTs) is considered sufficient; B, when there are some RCTs in favour of the indication and there is ample expert consensus; C, when the conditions do not allow for proper RCTs but there is ample and international expert consensus. -
Hanging, Strangulation and Other Forms of Asphyxiation
Hanging, Strangulation and Other Forms of Asphyxiation Steven Campman, M.D. Chief Deputy Medical Examiner San Diego County 16 October 2018 Overview • Terms • Other forms of asphyxiation • Neck Compression –Hanging –Strangulation Asphyxia • The physical and chemical state caused by the interference with normal respiration. • A condition that interferes with cells ability to receive or use oxygen. General Effects • Decrease and cessation of breathing • Leads to bradycardia and eventually asystole • Slowing, then flattening of the EEG Many Terms • Gag: to obstruct the mouth • Choke: to compress or otherwise obstruct the airway • Strangle: asphyxia by external compression of the throat •Throttle: same as strangle; especially manual strangulation • Garrote: strangle; especially ligature strangulation •Burking: chest compression and smothering. Many Terms • Suffocate: (broad term) a layperson’s synonym for asphyxiation, sometimes used to mean smother. • Choke –a layperson’s term for strangulation –A medical term for internal blocking of the airway Classification of Asphyxia Neck Airway Mechanical Exclusion Compression Obstruction Asphyxia of Oxygen Airway Obstruction •Smothering •Gagging •Choking (laryngeal blockage, aspiration, food bolus) Suicide Kit Choking Internal obstruction of airway • Mouth: gag • Larynx or trachea: obstruction by foreign body, “café coronary,” anaphylaxis, laryngospasm, epiglottitis • Tracheobronchial tree: aspiration, drowning FOOD BOLUS Anaphylaxis from Wasp Stings Mechanical Asphyxia Ability to breath is compromised -
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. -
Biomechanics of Safe Ascents Workshop
PROCEEDINGS OF BIOMECHANICS OF SAFE ASCENTS WORKSHOP — 10 ft E 30 ft TIME AMERICAN ACADEMY OF UNDERWATER SCIENCES September 25 - 27, 1989 Woods Hole, Massachusetts Proceedings of the AAUS Biomechanics of Safe Ascents Workshop Michael A. Lang and Glen H. Egstrom, (Editors) Copyright © 1990 by AMERICAN ACADEMY OF UNDERWATER SCIENCES 947 Newhall Street Costa Mesa, CA 92627 All Rights Reserved No part of this book may be reproduced in any form by photostat, microfilm, or any other means, without written permission from the publishers Copies of these Proceedings can be purchased from AAUS at the above address This workshop was sponsored in part by the National Oceanic and Atmospheric Administration (NOAA), Department of Commerce, under grant number 40AANR902932, through the Office of Undersea Research, and in part by the Diving Equipment Manufacturers Association (DEMA), and in part by the American Academy of Underwater Sciences (AAUS). The U.S. Government is authorized to produce and distribute reprints for governmental purposes notwithstanding the copyright notation that appears above. Opinions presented at the Workshop and in the Proceedings are those of the contributors, and do not necessarily reflect those of the American Academy of Underwater Sciences PROCEEDINGS OF THE AMERICAN ACADEMY OF UNDERWATER SCIENCES BIOMECHANICS OF SAFE ASCENTS WORKSHOP WHOI/MBL Woods Hole, Massachusetts September 25 - 27, 1989 MICHAEL A. LANG GLEN H. EGSTROM Editors American Academy of Underwater Sciences 947 Newhall Street, Costa Mesa, California 92627 U.S.A. An American Academy of Underwater Sciences Diving Safety Publication AAUSDSP-BSA-01-90 CONTENTS Preface i About AAUS ii Executive Summary iii Acknowledgments v Session 1: Introductory Session Welcoming address - Michael A. -
(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.