2021 Mid-West Chapter Meeting

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Mid-West Chapter Meeting: August 21-22
Virtual meeting will be on CT

FEES:
Physician or equivalent:  $110: Member   /   $135: Non-Member 
Non-physician: $85: Member   /   $110: Non-Member

CHAPTER CANCELLATION/REFUND POLICY: $50 administrative fee will be held on all cancellations three (3) months prior to start of meeting date. 50% of fees will be held on all cancellations one (1) month to two weeks prior to start of meeting date. NO REFUNDS two weeks prior to or after the meeting date.

Event Properties

Event Start Date 08-21-2021
Event End Date 08-22-2021
Location Virtual platform
Categories UHMS Directly Provided Meeting

We are no longer accepting registration for this event

Andrew Melnyczenko

CHT

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Andrew Melnyczenko's combined military and civilian experience in Hyperbaric Medicine spans 23 years. He is the Technical and Safety Director of the Hyperbaric and Altitude Medicine Program at the Mayo Clinic. He is also a UHMS member and serves as the chair of the UHMS safety committee. Andrew’s professional interests lie in education, emergency preparedness, and advancing the practical use of Hyperbaric Oxygen Therapy.

Dennis Allin

MD

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Dr. Dennis Allin is certified by the American Board of Emergency Medicine with a subcertification in hyperbaric medicine. He earned his medical degree from the University of Kansas School of Medicine and completed his residency at R.E. Thomason General Hospital.

Itamar Gnatt

MD

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A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

John Felder

MD

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Dr. Felder specializes in adult and pediatric reconstructive surgery following trauma or cancer, including reconstruction for injuries of the hand, upper extremity and face, reconstruction of complex wounds in any part of the body, and peripheral nerve surgery.

John Feldmeier

DO

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Dr. Feldmeier received his D.O. degree from The Philadelphia College of Osteopathic Medicine in 1979 with USAF sponsorship and completed residency training in Radiation Oncology at the University of Texas Health Science Center at San Antonio, Texas in 1985. He received a fellowship certificate from the USAF Hyperbaric Medicine Fellowship Training Program at Brooks Air Force Base in San Antonio, Texas and was a staff physician there from 1980 to 1982. Dr. Feldmeier was simultaneously the Chief of Radiation Oncology and Chairman of the Hyperbaric Medicine Department at Wright-Patterson Air Force Base Medical Center in Dayton, Ohio before separating from the USAF in 1985. Dr. Feldmeier has served as the Chief of Radiation Oncology at the University of Texas Health Science Center in San Antonio, Grace Hospital in Detroit, MI and the Chairman of Radiation Oncology at the University of Toledo Medical Center from which he retired in 2013 with the award of Professor Emeritus. Dr. Feldmeier has authored numerous publications in both radiation oncology and hyperbaric medicine. He has been the editor of the Undersea & Hyperbaric Medical Society (UHMS) Hyperbaric Oxygen Therapy Committee Report. He served as review editor of Undersea and Hyperbaric Medicine. He is a Fellow of Undersea and Hyperbaric Medicine and Past- President of the UHMS. He currently co-chairs the UHMS Research Committee. He is a Fellow of the American College of Radiation Oncology.   He is a medical consultant to International ATMO. He is the only physician in the U.S. board certified in both Radiation Oncology and Undersea and Hyperbaric Medicine.

John Kirby

MD

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Dr. Kirby focuses his practice on trauma, acute care surgery, wound healing, necrotizing fasciitis,  multisystem organ dysfunction, organ failure, sepsis, and shock. Dr. Kirby is the Medical Director of the Wound Care Center at Barnes-Jewish Hospital.

Kyle DuBose

DO

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Kyle DuBose graduated from the West Virginia School of Osteopathic Medicine in 2013. He completed his primary training in Family Medicine and Osteopathic Manipulative Treatment at Broward Health Medical Center in Fort Lauderdale, FL. Subsequently, he completed his fellowship training in Hyperbaric and Undersea Medicine at Kent Hospital in Warwick, RI. He has worked at Advocate Aurora Health since August 2017 as the lead physician at Aurora Medical Center Kenosha’s Comprehensive Hyperbaric Medicine and Wound Care Clinic. He chairs the Utilization Review Committee for the Hyperbaric Medicine Department at Advocate Aurora Health. He was involved in helping create the Hyperbaric and Undersea Medicine Fellowship at Advocate Aurora Health and is currently one of the faculty attendings for the program. In 2017, he helped create and leads the Limb Salvage Team at Aurora Medical Center Kenosha. Dr. DuBose also served on the Medical Executive Committee at Aurora Medical Center Kenosha.

Laurie Gesell

MD

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Dr. Gesell is the System Director for Hyperbaric Medicine and Wound Care with Advocate Aurora Medical Group and Section Chair for Undersea and Hyperbaric Medicine. She is board certified in Emergency Medicine and Undersea & Hyperbaric Medicine. Dr. Gesell is a Fellow of the American College of Emergency Physicians, as well as, the Undersea and Hyperbaric Medical Society. Dr. Gesell is a Past President of the Undersea and Hyperbaric Medical Society, Past Chair of the UHMS Board of Directors, and former Chair of the UHMS Hyperbaric Oxygen Therapy Committee. Dr. Gesell represents the medical specialty as the UHMS Delegate in the AMA House of Delegates and is the elected American Board of Preventive Medicine Undersea and Hyperbaric Medicine Sub-Board Chair.

Marc Robins

DO

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Marc Robins, DO, MPH, FUHM is the Senior Medical Director for the Wound & Hyperbaric Shared Services for the Intermountain Healthcare System in Utah. He is the current President of the UHMS and has served as Co-Chair for the Quality Utilization, Authorization and Reimbursement Committee and on the Education Committee for the UHMS.  He is an Associate Fellow of the Aerospace Medical Association (AsMA) and has served on the Science and Research committee AsMA since 2001-20. He is boarded in Hyperbaric Medicine, Aerospace and Occupational Medicine and Family Practice and retired as a Colonel from the USAF after a 20-year career in Aerospace Medicine.

Nick Marosek

BSN, RN, ACHRN

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Nick Marosek is the Nurse Manager of the Hyperbaric and Altitude Medicine program at Mayo Clinic in Rochester, Minnesota, and is an Advanced Certified Hyperbaric Registered Nurse. He has 15 years’ experience in critical care nursing and nine in hyperbaric medicine. Marosek says he loves his job and the people that he is privileged to work with.

Omar Aljitawi

MD

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Dr. Omar Aljitawi is an Associate Professor in the Division of Hematology/Oncology at the University of Rochsester Medical Center. His research is focused on the development of translational research approaches and strategies to improve hematopoietic stem cell (HSC) homing and engraftment during HSC transplantation for the treatment of hematological malignancies. He has specific expertise in umbilical cord blood (UCB) stem cell homing and engraftment and the application of hyperbaric oxygen therapy as a modality to improve HSC engraftment. In fact, he discovered the importance of erythropoietin (EPO) signaling through its receptor on UCB stem cell homing and engraftment. Also, he was the PI on the first two published human studies involving the use of hyperbaric oxygen as a modality to reduce EPO and EPO-EPOR signaling in HSC transplantation. During the last decade, he have moved this project and concept from the lab and translated it to a bedside intervention. They are now conducting phase II randomized clinical trial in autologous stem cell transplantation treating multiple myeloma, a phase II randomized clinical trial in UCB transplantation, and a pilot study in allogeneic stem cell transplantation. 

Piroska K. Kopar

MD

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Dr. Piroska K. Kopar is a general surgeon in Saint Louis, Missouri and is affiliated with Barnes-Jewish Hospital. She received her medical degree from Emory University School of Medicine and has been in practice between 6-10 years.

Specialty Areas:

  • Clinical ethics in surgery and intensive care unit. Surgical critical care, trauma and acute care surgery, hemodynamic monitoring in shock

Rob Sheffield

CHT

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Rob is the Director of Education for International ATMO in San Antonio, TX.   He started his career in hyperbaric medicine in 1985.  He is an expert in wound center design and development, reimbursement, hyperbaric safety, and transcutaneous oximetry.  He is a certified hyperbaric technologist (CHT). 

Scott Schlenner

CHT

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Scott is the HBO System Safety Manager for Advocate Aurora Health and brings 13 years of experience with both multiplace and monoplace chambers. He has also served 23 years in the fire service and continues to do so. Along with an associate’s degree designing electronics, hydraulics and pneumatics, he has earned a bachelor’s degree in business management. Scott also carries hyperbaric manufacturer certification along with certification in emergency management. He has gone through the safety director course and is certified as a CHT..

Vipul Khetarpaul

MD

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Dr. Vipul Khetarpaul is a Vascular Surgery Specialist in Saint Louis, Missouri. He graduated with honors in 2007. Having more than 14 years of diverse experiences, especially in vascular surgery, Dr. Vipul Khetarpaul affiliates with many hospitals including Alton Memorial Hospital, Barnes Jewish Hospital, Barnes-jewish West County Hospital, Christian Hospital Northeast-northwest, cooperates with many other doctors and specialists in medical group Washington University. 

Sat. Aug 21: 8:00-8:30

UHMS President's address

Marc Robins, DO

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Update on the state of the Society.
Sat., Aug 21: 8:30 - 9:30 am

Limb Salvage: The next step for wound care

Kyle DuBose, DO

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This lecture is a general overview of components of a limb salvage team, how to build a limb salvage team, and a review of clinical aspects of limb salvage with a multidisciplinary approach.
Sat., Aug 21: 9:30-10:00

Innovative TeleWound to optimize patient care and safety

Laurie Gesell, MD

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Sat., Aug 21:10:30-11:00

COVID-19: The refined approach to safe & effective chamber cleaning

Scott Schlenner, CHT

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Sat., Aug 21:11:00-12:00

The plastic surgery perspective: Safe and effective limb salvage with reconstructive surgery and hyperbaric oxygen

John Felder, MD

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This lecture will teach participants about innovative plastic surgery techniques that enable limb salvage in complex cases, and how plastic surgeons utilize hyperbaric oxygen therapy
Sat., Aug 21:12:30-1:15

Vascular surgery and limb preservation

Vipul Khetarpaul, MD

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Case presentations on the role and options of vascular surgery interventions for optimizing flow in wound healing.
Sat., Aug 21: 1:15-2:00

Critical Care Considerations: Safe, effective use of HBO2 for Critically Ill and Inpatient Based Indications

John Kirby, MD

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Overview of those HBO2 Indications commonly used in or recommended to be used in critical care medicine patients concentration on HBO2’s mechanisms to augment oxygenating flow to over come ischemia and infection.
Sat., Aug 21: 2:00-2:30

Scenario-based exercise planning for operational emergencies in the hyperbaric environment.

Andrew Melnyczenko/Nick Marosek:

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Developing emergency preparedness exercises can be difficult and time consuming. The burden of choosing interesting topics, creating realistic objectives, and finding staff to participate is a threat to the consistency of any safety-conscious hyperbaric program. This presentation aims to provide the learner with tools to engage their team in support of this effort.

Part I (Andrew Melnyczenko, CHT) – Developing a tabletop exercise and emergency drill for the topic of Code Blue in the Multiplace Hyperbaric Chamber.

Part II (Nick Marosek, R.N., ACHRN) – Assessing performance of scenario-based emergency preparedness exercises, recognizing continuous improvement opportunities, and enhancing response plans.

Sat., Aug 21: 2:30-3:00

Q/A

Faculty

Sun., Aug 22: 8:00-9:00

It takes a village to raise a necrotizing fasciitis patient

Itamar Gnatt, MD

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This lecture follows the clinical course of a necrotizing fasciitis patient previously hospitalized at St. Luke's Medical Center in Milwaukee, WI, from empiric multi-displinary management to advanced wound healing modalities, with special focus on the use of Hyperbaric Oxygen Therapy.
Sun., Aug 22: 9:00-10:00

Hyperbaric oxygen as adjunct in BMT

Dennis Allin, MD

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This lecture will cover the proposed mechanisms by which HBO will improve outcomes in patients undergoing BMT while reviewing our protocols, review of literature on the use of HBO in BMT, and discuss the results of our research
Sun., Aug 22: 10:30-11:30

Hyperbaric therapy: Ethical considerations

Piroska Kopar, MD

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My lecture will identify the main ethical tenants of physicians' obligations to their patients and their limitations. In particular, I will focus on delving more deeply into the limitations of informed consent for procedures, the question of futility, and the ethical considerations inherent in innovative treatments.
Sun., Aug 22: 11:30-12:00

Checklist: Not just a documentation exercise

Rob Sheffield, CHT

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The checklist is one of the most powerful tools in our hyperbaric safety toolbox. It is also underutilized in many hyperbaric facilities.
Sun., Aug 22: 12:00-12:30

Selecting materials for hyperbaric use

Rob Sheffield, CHT

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Material risk assessment (decision tree) in NFPA 99.
Sun., Aug 22: 1:00-2:00

Radiation Oncology Primer: Introduction to the biology of treatment and pathophysiology of complications

John Feldmeier, DO

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In many hyperbaric practices, delayed radiation injuries are the number one indication for treatment. In this lecture, Dr. Feldmeier will introduce the attendees to some basic principles of radiation biology and pathology. The intent of the lecture is to permit those who are seeing this group of patients to approach their treatment from a more informed position. With an enhanced understanding, the hyperbaric treatment facility will be able to recognize those injuries that are truly delayed radiation complications and design a course of treatment suited to the individual patient with an enhanced response and resolution rate. Serious radiation injuries are somewhat unique in that they are not usually expressed until several months or even years after the completion of radiation treatment.

Dr. Feldmeier will also review some of the newer radiation techniques that are designed to decrease complications. Because of significant advances in imaging and radiation treatment equipment, patients are receiving higher but more targeted doses. Several papers suggest that the result has been a lower complication rate while other experiences report a similar or even higher rate of radiation injury. The protective effect of targeted treatments is somewhat muted by the higher doses and the use of concurrent chemotherapy.in many cases. The net result of the increased but targeted doses has been a better impact on the tumor but a complication rate that is comparable to results from the past.

Finally, Dr. Feldmeier will briefly discuss the potential for hyperbaric oxygen in treating severe acute injuries.

Sun., Aug 22: 2:00-3:00

Q/A Panel Session: COVID related procedure considerations and HBO2 use for COVID

Panel

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