Diving and Hyperbaric Medicine The Journal of the South Pacific Underwater Medicine Society and the European Underwater and Baromedical Society Volume 48 No. 3 September 2018 Subclavian Doppler bubble monitoring Australian snorkelling and diving fatalities 2012 Inner ear barotrauma – a tool for diagnosis Which tooth restoration for divers? HBOT for large bowel anastomosis problems ISSN 2209-1491 (online); ISSN 1833-3516 (print) ABN 29 299 823 713 CONTENTS Diving and Hyperbaric Medicine Volume 48 No.3 September 2018 Editorials 198 Baltic Symposium on Diving and Hyperbaric Medicine 2018 129 The Editor’s offering Fiona Sharp 130 Decompression sickness, fatness and active hydrophobic spots Pieter Jan AM van Ooij Book review 199 Gas bubble dynamics in the human body Original articles John Fitz-Clarke 132 Reliability of venous gas embolism detection in the subclavian area for decompression stress assessment following scuba diving Julien Hugon, Asya Metelkina, Axel Barbaud, Ron Nishi, Fethi Bouak, SPUMS notices and news Jean-Eric Blatteau, Emmanuel Gempp 141 Provisional report on diving-related fatalities in Australian 201 ANZ Hyperbaric Medicine Group waters in 2011 Introductory Course in Diving John Lippmann, Chris Lawrence, Andrew Fock, Scott Jamieson and Hyperbaric Medicine 2019 168 Impact of various pressures on fracture resistance and 201 Australian and New Zealand microleakage of amalgam and composite restorations College of Anaesthetists Diving Elnaz Shafigh, Reza Fekrazad, Amir Reza Beglou and Hyperbaric Medicine Special 173 Meta-analysis on the effect of hyperbaric oxygen as Interest Group adjunctive therapy in the outcome of anastomotic healing 202 SPUMS Diploma in Diving and of experimental colorectal resections in rats Hyperbaric Medicine Robin J Brouwer, Alexander C Engberts, Boudewijn LS Borger van der 203 The SPUMS President’s message Burg, Thijs TCF van Dongen, Rob A van Hulst, Rigo Hoencamp 203 SPUMS 48th Annual Scientific Meeting 2019 203 Honours for Richard Harris and Review article Craig Challen 186 Inner ear barotrauma in divers: an evidence-based tool for evaluation and treatment EUBS notices and news Stefan W Rozycki, Matthew J Brown, Macario Camacho 204 Jacek Kot, President, EUBS 204 EUBS 2019 − First Announcement Case report 204 EUBS Member-at-Large 194 A recurrent, ischaemic ileocolonic anastomosis ulcer refractory to surgery treated with hyperbaric oxygen 128 Notices and news Puraskar Pateria, Andre Chong 205 Diving and Hyperbaric Medicine: Letter to the Editor Instructions for Authors 197 Fatty diet, active hydrophobic spots, and decompression sickness Ran Arieli Diving and Hyperbaric Medicine is indexed on MEDLINE, Web of Science® and Embase/Scopus Articles from 2017 are deposited in PubMed Central 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] Peter Germonpré [email protected] Treasurer Past President Sarah Lockley [email protected] Costantino Balestra [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. 3 September 2018 129 The Editor’s offering decompression stress has remained a work in progress. The retrospective review9 by scientists from Canada and France of the large Canadian Doppler database suggests This year is the tenth anniversary of the joint publication that the value of subclavian monitoring has been somewhat of Diving and Hyperbaric Medicine (DHM) by SPUMS overlooked in the past by researchers. Their results suggest and EUBS. Both the societies and DHM have come a long that this should become a routine part of all Doppler studies way in that time, most especially this publication. Since in the future and that the guidelines10 promulgated recently 2008, DHM has achieved indexation on Medline and the for the conduct of Doppler research in diving may now Web of Science® (with a steadily climbing Impact Factor; need revision. see page 200), established an international Editorial Board with a wide diversity of expertise and moved with the times References to become an electronic publication. This journey has not always been smooth and there remain unresolved issues 1 Smith R. Travelling but never arriving: reflections of a retiring between the Editor and EUBS, which hopefully can be editor. BMJ. 2004;329:242–4. settled soon. TRICON20018 offers a time and venue for the 2 Rozycki SW, Brown MJ, Camacho M. Inner ear barotrauma society executive committees to take stock of this progress in divers: an evidence-based tool for evaluation and treatment. Diving Hyperb Med. 2018;48(3):186–93. doi: 10.28920/ and to plan for DHM’s future. dhm48.3.186-193. PMID: 30199891. 3 Elliott EJ, Smart DR. The assessment and management of Stop press news is that complete articles from DHM have inner ear barotrauma in divers and recommendations for now been accepted for deposit in PubMed Central (PMC), returning to diving. Diving Hyperbaric Med. 2014;44:208–22. the most important medical scientific database in the public PMID: 25596834. domain. This is retrospective to the March 2017 issue. 4 Edmonds C. Inner ear barotrauma: a retrospective clinical PMC complies with our one-year embargo policy, so you series of 50 cases. SPUMS Journal. 2004;34:11–9. will be able to access all articles from the March, June and 5 Edmonds C. Diving and inner ear damage [Editorial]. SPUMS September 2017 issues on PMC very soon. This markedly Journal. 2004;34:2–4. 6 Mitchell SJ, Doolette DJ. Pathophysiology of inner ear increases DHM’s visibility to the international medical and decompression sickness: potential role of the persistent scientific online readership and, enhancing the worth for foramen ovale. Diving Hyperb Med. 2015;45:105–110. SPUMS and EUBS members of submitting to your very PMID: 26165533. own journal. 7 Wong R, Walker M. Diagnostic dilemmas in inner ear decompression sickness. SPUMS Journal. 2004;34:5−10. Inner ear injury from diving represents an uncommon but 8 Spencer MP, Johanson DC. Investigation of new principles challenging problem of diagnosis (is it barotrauma (IEBt) or for human decompression schedules using the Doppler decompression sickness (DCS)?), treatment (is conservative ultrasonic blood bubble detector. Tech Report to ONR on care or surgery indicated?) and outcome (should patients Contract N00014-73-C-0094. Seattle, WA: Institute for Environmental Medicine and Physiology; 1974. Available return to diving?). In this issue, three medical officers from: http://archive.rubicon-foundation.org/3788. [cited 2017 from the US Navy present their ideas for a tool (for which December 10]. they have allocated the acronym HOOYAH) to help with 9 Hugon J, Metelkina A, Barbaud A, Nishi R, Bouak F, distinguishing between inner ear barotrauma and