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Saturday, June 15


9 am - 9:30 am: Plenary: Randomized Controlled Blinded Trial Design & Conduct: Challenges-Pitfalls-Solutions

Plenary: “Randomized Controlled Blinded Trial Design & Conduct: Challenges-Pitfalls-Solutions”
Dick Clarke, CHT-Admin


About the Lecture:
Much of the practice of hyperbaric medicine lacks supportive high-quality efficacy and even compelling effectiveness evidence. Treatment decisions are based on various combinations of basic science research, other pre-clinical data, some prospective but mainly retrospective case reporting (invariably uncontrolled), textbook chapters, meeting Abstracts, and the essential matching of disease pathophysiology with one or more hyperbaric mechanisms, arguing biological plausibility. Except for one historic close call involving Blue Cross Blue Shield, the practice of hyperbaric medicine within the United States continues to skirt evidence-based medicine’s increasingly focused microscope.

The goals of this presentation, then, are twofold. First it is to provide something of a tutorial on how hyperbaric medicine trial design and conduct can best be optimized. Several studies will be critiqued in the context of what lessons can and should be learned. The second and more vital goal is to stimulate research interest in addressing hyperbaric medicine’s fragile scientific evidence footing through development of clinical trials that employ “Gold Standard” methodology.
 

About the Speaker:
Dick ClarkePresident National Baromedical Services
President National Board of Diving & Hyperbaric Medical Technology

Dick assumed the position of president of the National Board of Diving & Hyperbaric Medical Technology in January, 2009, having previously held this position from 1989-1995. Dick’s background includes service in the British Navy, diving instructor and underwater photographer at the International Underwater Explorers Society and assistant director of the seabed living program ‘Hydrolab’. In 1976, Dick was instrumental in the development of the diver medic program at the Commercial Diving Center, while employed as a saturation diving superintendent with Oceaneering International. Dick taught the diving medicine section from 1976 - 1983 and helped establish the National Association of Diver Medic Technicians, the fore runner of the NBDHMT. He wrote the Board’s first CHT exam. Over the past two decades Dick remains involved in all aspects of undersea and hyperbaric medicine, technology, education and research. His organization has trained over 6,000 healthcare professionals and he has served as a faculty member for the annual NOAA-UHMS Diving Medical Officer Training Course for the past 25 years. Dick has been active within the UHMS, chairing numerous committees and was the UHMS Associates first elected chairman. He heads a research foundation dedicated to the scientific advancement of hyperbaric medicine, and has developed an international consortium that undertakes wide-ranging controlled clinical trials.

10:30 am - 11 am: Plenary: Shortage of 24/7 Facilities

Plenary: Shortage of 24/7 Facilities


About the Lecture

About the Speaker

11 am - 11:15 am: Plenary: How many 24/7 facilities actually treat divers

Plenary: How many 24/7 facilities actually treat divers


About the Lecture: 

About the Speaker:

11:15 am - 12:15 pm: Plenary: For Treatment of Decompression Illness, Hart/Kindwall Tables are preferable (Weaver) vs. USN Tables are the Gold Standard (Moon)

Plenary: DCI treatment debate: Shorter oxygen exposures vs US Navy treatment tables
Lin Weaver, MD (Pros)
Richard Moon, MD (Cons)


About the Lecture:


About the Speakers:

Lin Weaver, MD

Richard Moon, MD

12:15 pm - 1 pm: Plenary: Techs going off the reservation: Or, Upholding the CHT Code of Conduct

Plenary: Techs going off the reservation: Or, Upholding the CHT Code of Conduct
Dick Clarke, CHT-Admin


About the Lecture

This presentation will summarize the genesis of the National Board of Diving & Hyperbaric Medical Technology (www.nbdhmt.org) and describe its certification programs. It will address Certification in Hyperbaric Technology in the context of a history of inappropriate professional behaviors that prompted introduction of the CHT Code of Conduct, in 2009. This Code outlines a set of rules that collectively represent responsibilities and practice expectations that reflect positively on the NBDHMT, the practice of hyperbaric medicine, and related patient safety.  CHTs are required to document their Code of Conduct attestation upon initial certification and during each instance of recertification.   

The presentation will then describe instances and provide examples where violations of the Code of Conduct appear to have taken place. The process by which the NBDHMT investigates these reports, holds hearings, and makes sanction determinations (which range from Reprimand to Revocation), is then summarized. 

Abourt the Speaker
Dick ClarkeDick assumed the position of president of the National Board of Diving & Hyperbaric Medical Technology in January, 2009, having previously held this position from 1989-1995. Dick’s background includes service in the British Navy, diving instructor and underwater photographer at the International Underwater Explorers Society and assistant director of the seabed living program ‘Hydrolab’. In 1976, Dick was instrumental in the development of the diver medic program at the Commercial Diving Center, while employed as a saturation diving superintendent with Oceaneering International. Dick taught the diving medicine section from 1976 - 1983 and helped establish the National Association of Diver Medic Technicians, the fore runner of the NBDHMT. He wrote the Board’s first CHT exam. Over the past two decades Dick remains involved in all aspects of undersea and hyperbaric medicine, technology, education and research. His organization has trained over 6,000 healthcare professionals and he has served as a faculty member for the annual NOAA-UHMS Diving Medical Officer Training Course for the past 25 years. Dick has been active within the UHMS, chairing numerous committees and was the UHMS Associates first elected chairman. He heads a research foundation dedicated to the scientific advancement of hyperbaric medicine, and has developed an international consortium that undertakes wide-ranging controlled clinical trials.

2 pm - 2:30 pm: Plenary: Practical challenges of administering hyperbaric care in the mono-place environment

Plenary: Practical challenges of administering hyperbaric care in the mono-place environment


About the Lecture

About the Speaker