UNDERSEA AND HYPERBARIC MEDICAL SOCIETY PROGRAM & ABSTRACTS "Raising the Quality of Practice One Member at a Time" 2018 UHMS Scientific Meeting June 28 – June 30 Lake Buena Vista, Florida Wednesday, June 27: How to Prepare for Accreditation: Fiesta 4 Differential Diagnosis of Decompression Illness: Yucatan 1-2 Mapping a course through the Reimbursement Quagmire: Yucatan 3 Welcome Reception: 7pm-9pm: Casita Courtyard Thursday, June 28: Exhibits/Continental Breakfast/Breaks: Fiesta 6 Poster Sessions: Fiesta 7-10 General Session: Fiesta 5 Non-Physician Breakout Session: Yucatan 1-3 Friday, June 29: Exhibits/Continental Breakfast/Breaks: Fiesta 6 Poster Sessions: Fiesta 7-10 General Session: Fiesta 5 Saturday, June 30: Exhibits/Continental Breakfast/Breaks: Fiesta 6 Poster Sessions: Fiesta 7-10 General Session: Fiesta 5 UNDERSEA AND HYPERBARIC MEDICAL SOCIETY TABLE OF CONTENTS Subject Page No. UHMS Committee Leadership Listing .......................................................................................................................... 6 Schedules Pre-Courses ......................................................................................................................................... 7 Non-Physician Breakout Track ............................................................................................................. 8 General Session.............................................................................................................................. 9-26 Thursday: (Sessions A/B) .............................................................................................................. 9-13 Friday: (Sessions C/D) ................................................................................................................. 14-21 Saturday: (Sessions E/F) .............................................................................................................. 22-26 Committee Meetings ........................................................................................................................ 27 Continuing Education .............................................................................................................................. 28-29 Evaluation / MOC Credit Information ........................................................................................................ 29-30 Disclosures............................................................................................................................................... 31-35 Exhibitors................................................................................................................................................. 36-38 SESSIONS/ABSTRACTS THURSDAY GENERAL SESSION ................................................................................................................. 39-80 President’s Address ......................................................................................................................................... 41 Plenary: Hyperbaric Medicine and Cancer ...................................................................................................... 42 Session A: Diving / Decompression Illness: Theory & Mechanisms ............................................................ 43-59 Lambertsen Memorial Lecture .................................................................................................................... 60-61 Session B: HBO2 Therapy Mechanisms ....................................................................................................... 63-79 Plenary: Mechanisms of HBO2 ........................................................................................................................ 80 FRIDAY GENERAL SESSION ................................................................................................................. 81-154 Plenary: Research and Registries for Hyperbaric Oxygen Therapy ............................................................. 83-84 Session C: Diving and Decompression Illness .......................................................................................... 85-117 Kindwall Memorial Lecture .................................................................................................................... 118-120 Session D: Clinical HBO2 Therapy ........................................................................................................... 121-152 Plenary: HBO2 and DFU ................................................................................................................................. 153 SATURDAY GENERAL SESSION ........................................................................................................... 155-197 Plenary: Emerging Indications for Hyperbaric Oxygen Therapy ............................................................ 157-159 Session E: HBO2 Operations, Chambers, and Equipment ...................................................................... 161-177 Plenary: New Pearls of Wisdom in the Diving and Hyperbaric Medicine Literature .................................... 178 Session F: Top Case Reports ................................................................................................................... 179-195 Plenary: Clinical and Metabolic Aspects in Breath-Hold Diving ............................................................. 196-197 Author Index ..................................................................................................................................................... 198-200 2019 Annual Meeting: Save the Date ...................................................................................................................... 201 2019 Meetings/Courses: Save the Dates .......................................................................................................... 202-204 ANNUAL SCIENTIFIC MEETING PROGRAM AND ABSTRACTS ** JUNE 28-30, 2018 5 UNDERSEA AND HYPERBARIC MEDICAL SOCIETY Undersea & Hyperbaric Medical Society Committees Board of Directors Paul J. Sheffield: 1990-1991 Enoch Huang, President – 2018 Paul Cianci: 1991-1992 Gerardo Bosco, Vice President – 2018 Jon T. Mader: 1992-1993 Nicholas Bird, President-Elect – 2018 James M. Clark: 1993-1994 Jim Holm, Immediate Past President – 2018 Richard E. Moon: 1994-1996 John Feldmeier, Past President – 2018 Stephen R. Thom: 1996-1998 Laurie B. Gesell, Treasurer – 2018 Caroline Fife: 1998-2000 Tracy LeGros, Member at large – 2018 Enrico Camporesi: 2000-2002 Sandra K. Wainwright, Member at large – 2019 Neil Hampson: 2002-2004 Peter J. Witucki, Member at large – 2020 Lindell K. Weaver: 2004-2006 R.B. Gustavson, Assoc. Nurse Rep. – 2018 Bret Stolp: 2006-2008 Kaye Moseley, Assoc. Tech. Rep. – 2019 Laurie Gesell: 2008-2010 Bradley Walker, Assoc. Nurse Rep-Elect. – 2020* Brett Hart: 2010-2012 Phil Schell, Assoc. Tech. Rep. – 2021* John Feldmeier: 2012-2014 John Peters – UHMS Executive Director* James Holm: 2014-2016 * (non-voting) Committee Chairpersons 2018 Organizing & Scientific Program Committee Accreditation Council: Brett Hart Enoch Huang ASM Program: Enoch Huang & Heather Murphy-Lavoie Heather Murphy-Lavoie Associates Council: Gus Gustavson & Kaye Moseley John Feldmeier Awards: Gerardo Bosco Laurie Gesell Audit/Finance: Laurie Gesell Bruce Derrick By-Laws: Nick Bird Stephen Thom DCI & Adjunctive Therapy: Richard Moon & Frank Butler Sandra Wainwright Diving: Tony Alleman Nick Bird Education: Heather Murphy-Lavoie Gus Gustavson, Associates Program FUHM: James Holm Kaye Moseley, Associates Program GME: Enoch Huang Heather Murphy-Lavoie, CME Representative Registry: Jay Buckey Lisa Tidd, Meeting Planner QUARC: Caroline Fife/Helen Gelly/Marc Robins Stacy Harmon, CME Coordinator Safety: Jim Bell & Bill Gearhart Hyperbaric Oxygen Therapy: Richard Moon 2018 ASM Staff Material Testing Advisory (Ad Hoc): Richard Barry Renée Duncan Membership-Chapters/Affiliate: Nick Bird Cinda Hart Nominations: Nick Bird Sherrill White-Wolfe Publications: Marvin Heyboer Dawn Salka Research: John Kirby & John Feldmeier Beth Hands Derall Garrett Tom Workman (photographer) Chapter Presidents Gulf Coast: Kevin “Kip” Posey Past Presidents Mid-West: vacant Christian J. Lambertsen: 1967-1968 Northeast: Dawn Salka Robert D. Workman: 1968-1969 Pacific: Davut Savaser Edward L. Beckman: 1969-1970 Heinz R. Schreiner: 1970-1971 Earl H. Ninow: 1971-1972 Affiliates David H. Elliott: 1972-1973 Canadian Undersea and Hyperbaric Medical Association (CUHMA) Johannes A. Kylstra: 1973-1974 European Underwater and Baromedical Society (EUBS) Dennis N. Walder, 1974-1975 Sociedade Brasileira de Medicina Hiperbárica (SBMH) Peter B. Bennett: 1975-1976 Società Italiana di Medicina Subacquea ed Iperbarica (SIMSI) Arthur J. Bachrach: 1976-1977 South Pacific Underwater Medicine Society (SPUMS) James Vorosmarti, Jr.: 1977-1978 Herbert A. Saltzman: 1978-1979 Jefferson C. Davis: 1979-1980 Paul Webb: 1980-1981 Eric P. Kindwall: 1981-1982 John Hallenbeck: 1982-1983 Alfred A. Bove: 1983-1984 Paul G. Linaweaver: 1984-1985 Mark E. Bradley: 1985-1986 Joseph C. Farmer: 1986-1987 George B. Hart: 1987-1988 Richard D. Heimbach: 1988-1989 Tom S. Neuman: 1989-1990 ANNUAL SCIENTIFIC MEETING PROGRAM AND ABSTRACTS ** JUNE 28-30, 2018 6 UNDERSEA AND HYPERBARIC MEDICAL SOCIETY SCHEDULES PRE-COURSES: WEDNESDAY, JUNE 27 DIFFERENTIAL DIAGNOSIS OF MAPPING A COURSE THROUGH THE HOW TO PREPARE FOR ACCREDITATION DECOMPRESSION ILLNESS REIMBURSEMENT QUAGMIRE FIESTA 4 Yucatan 1-2 Yucatan 3 8:00-8:15 Welcome and Introductions