The UHMS Annual Scientific Meeting's primary goal is to provide a forum for professional scientific growth and development of the participants to improve knowledge and competence in order to further patient outcome. The meeting provides a basis for exchange of ideas, both scientific and practical, among physicians, researchers, and other health care professionals.The UHMS Annual Scientific Meeting consists of abstract and poster presentations, plenary sessions, the annual Kindwall and Lambertsen Lectures, and other social events. There will be exhibits from a number of hyperbaric, diving and wound care vendors. The Annual Meeting also affords an opportunity for participants to meet and interact with past and present leaders of the Society and to become active in Society affairs.
Wyndham Grand Rio Mar Puerto Rico Golf & Beach Resort 6000 Rio Mar Blvd Rio Grande, Puerto Rico 00745
LIVE WEB CAM:
Ideally Located, Totally Unforgettable:Experience the magic of this extraordinary island from the Wyndham Grand Rio Mar Puerto Rico Golf & Beach Resort beachfront location in northeast Puerto Rico. Just steps from a private beach along the majestic Atlantic Ocean, they are the closest resort in Puerto Rico to El Yunque Rainforest. Venture just off the coast to explore the mesmerizing beauty of Bioluminescent Bay, or hop in the car for a quick ride to the historic attractions and shopping of Old San Juan and Ponce.
"The Society has negotiated a special discounted room rate (room-block) with the hotel. Your patronage of this meeting hotel makes it possible for the Society/Chapter to secure the space necessary for this event at a greatly reduced cost. The hotel not only offers a discounted rate and the best networking opportunities, but staying in the group block helps the Society/Chapter meet its obligation to the hotel, avoid penalties, and keep meeting registration prices down. Any attendee who does not book under the UHMS room block will not receive the special discounted amenities."
ROOM RATE: $182.31* Reservation Cut of date: Friday, May 31, 2019 Call in reservations: 800-474-6627 Online reservations: CLICK HEREor paste the following link in your web browser address bar:https://book.passkey.com/e/49746356
You must identify yourself as being part of the Undersea and Hyperbaric Medical Society Annual Scientific Meeting.
Group rate will be offered 3 days pre and 3 days post based on last room availability.
When reservations are made, the hotel will require a deposit equal to the room rate, tax, and Resort Fee for the first and last night for each reservation. Each guest will be required to present a valid credit card upon check-in, on which an amount of sufficient pre-authorization can be obtained to cover the room, tax, and Resort Fee charges for the length of the guest’s stay, plus the anticipated use of the Resort’s ancillary services.
*Group room rate shall be subject to prevailing 2019 tax (current tax is 11%) and, should all 2019 hotel guests be subject to a mandatory resort fee, an applicable flat resort fee of no greater than $14 per room per day, also subject to tax, shall apply. Likewise, should hotel policy no longer include the mandatory levy of a one time per adult person porterage fee and a mandatory daily housekeeping gratuity then such fees shall no longer apply to UHMS meeting attendees. Should policy remain in place, said mandatory fees shall be no greater than originally (c-below) contracted:
$7 per person porterage $2.50 per room per night houskeeping gratuity
CANCELLING INDIVIDUAL RESERVATIONS: Individual room reservation cancellations will be accepted up to seven (7) days prior to the guest’s reservation arrival date without penalty. Advance deposits are refundable to guest if timely notice of cancellation is given and a cancellation number is obtained. Cancellations that occur inside the seven (7) day period shall forfeit an advanced deposit equal to the first night’s room and applicable tax.
CHECK-IN I CHECK-OUT: Guest accommodations will be available at 4:00 pm on arrival day and reserved until 11:00 am on departure day. Any attendee wishing special consideration for early arrival should call the toll free number, 888-474-6627. Any attendee wishing special consideration for late check-out should inquire at the front desk on the day of departure. Group members staying in their rooms beyond the check-out time without Resort authorization will be charged for an additional room night.
Children's Policy: There is no charge for children under the age of 17 when sharing same room with parents. Refrigerators are available upon request for an additional $10.00 per night plus tax per refrigerator. Parking: Daily self-parking fee of $15.00 plus tax. Daily valet parking fee of $20.00 per car plus tax. Smoking and Vaping Policy: The Wyndham Grand Rio Mar Beach Resort is a smoke-free and vaping-free property as prohibited by law. Airport transportation: Round trip shuttle service is provided to our guests through Rico Sun Tours. Please visit http://riomarexpress.com/ for reservations. Rollaways: Available upon request for an additional $20.00 per night plus tax per rollaway.
Natural Beauty & Tranquility: The sapphire Atlantic Ocean, verdant golf courses, and lush El Yunque Rainforest border the 500-acre Wyndham Grand Rio Mar Puerto Rico Golf & Beach Resort, ensuring stunning vistas all around. Our laid-back beach hotel & resort in Puerto Rico is comprised of 400 spacious guest rooms and suites, endless activities, an array of delicious restaurants and lively bars, sparkling pools, a secluded sandy beach, and the ideal setting and services for memorable meetings and celebrations.
Perfect Paradise: Enjoy all that Wyndham Grand Rio Mar Puerto Rico Golf & Beach Resort has to offer. Renowned golf and tennis are here on site, along with myriad water sports, exciting activities for both kids and adults, a casino featuring a variety of games, and sparkling lagoon-style swimming pools. Looking for a little relaxation? Visit the serene Mandara Spa or unwind on the one-mile stretch of soft golden sand just outside our doors.
A BREATHTAKING ISLAND PLAYGROUND OF ACTIVITIES IN PUERTO RICO
Endless sunshine and warm tropical breezes complement Puerto Rico’s perfect mix of laid-back beaches and outdoor adventures. The Wyndham Grand Rio Mar Puerto Rico Golf & Beach Resort features a premier location mere steps away from a private stretch of golden sand along the Atlantic, and is the closest resort in Puerto Rico to El Yunque Rainforest. The inspiring, otherworldly beauty of Bioluminescent Bay is in the waters just off their coast, with Bio Bay tours in Puerto Rico that can be arranged with their on-site tour company for effortless convenience. They are also a short drive from the historic attractions of Old San Juan, the “Second City” of Ponce, and one of the island’s most popular activities – ziplining. Renowned golf and tennis are right on site, fun and engaging activities for kids and adults alike, and sparkling lagoon-style swimming pools. When you’re ready for a break from fun in the sun, try your luck at their casino, or wind down at the luxurious, tranquil Mandara Spa.
DISCOVER PUERTO RICO
FAMILY FUN IN THE SUN
Discover the perfect tropical playground for kids at the Wyndham Grand Rio Mar Puerto Rico Golf & Beach Resort. Our secluded beachfront setting offers countless ways to delight kids of all ages, with various kids activities in Puerto Rico. Play Marco Polo or zoom down the water slide in the Activity Pool. Experience bird watching and seasonal turtle nesting. Visit the playground or swim up to a dive-in movie. There’s no shortage of ways to make memories to last a lifetime with the most important people in your life.
At our Puerto Rico family resort, you will receive our Weekly Guest Activity schedule full of fun activities when you check in. Activities vary from day to day, possibilities include:
Island Hair Braiding
Nature Walks
Face Painting
Iguana Feeding
Dance Aerobics
Arts & Crafts
Kids’ Cooking Class
Salsa Dancing
Aqua Aerobics
Bingo
Bird Walks
SO MUCH TO DO…RIGHT AT THE RESORT
Puerto Rico offers an abundance of exciting activities across the island, but you can easily fill your days and nights with fun without ever leaving Wyndham Grand Rio Mar Puerto Rico Golf & Beach Resort. From challenging rounds of golf on breathtaking courses, to authentic and delicious dining, to pampering, relaxing treatments at Mandara Spa, there’s so much to do right here that you may never want to leave.
Discover one of Puerto Rico’s natural wonders – turtle nesting – just outside your guest room door. Seeing these remarkable sea creatures nesting and, depending upon time of year, hatching is truly extraordinary and fun for all ages. Be sure to ask about Turtle Nesting and Turtle Nest Hatching when you check in.
When you check in you’ll also get our Weekly Guest Activity schedule detailing how you can enjoy all of the interesting activities in Rio Grande, Puerto Rico that we offer. Activities vary from day to day, and may include:
Yoga Classes
Aqua Aerobics
Island Hair Braiding
Sand Sculpture
Iguana Feeding
Obstacle Race On the Beach
Volleyball
Salsa Lessons
Bingo
Papiros Cigars*
*See cigar rolling in action as you learn about and sample Puerto Rico’s own Papiros Cigars. Adults only, additional charge applies. See the concierge for details.
CHAMPIONSHIP GOLF IN PUERTO RICO WITH A PICTURESQUE SETTING
Bordered by El Yunque Rainforest’s scenic mountains, the Mameyes River, and the shimmering Atlantic Ocean, Wyndham Grand Rio Mar Puerto Rico Golf & Beach Resort is the only resort on the island to offer two championship golf courses managed by Troon Golf, the industry leader in golf club management. Our 18-hole courses are gorgeous, challenging, and absolutely perfect for a Caribbean golf vacation getaway.
The Ocean Course: Award-winning golf course architects Tom and George Fazio kept the unique features of our location in mind when designing the spectacular Ocean Course. This 6,716-yard course is situated between the mountains of El Yunque Rainforest and the majestic Atlantic Ocean, and winds languorously through lakes and the natural contours of the island with Sand Iguanas and seaside vistas at every tee. The signature 16th hole is considered one of the best in the Caribbean. Grab your clubs and get ready for formidable, breathtaking play at every turn.
The River Course: Two-time Major Champion Greg Norman designed our River Course along the serene Mameyes River. Inspired by the natural terrain of the land, the holes are integrated into existing foliage creating a lush, verdant course with stunning views of El Yunque’s mountains and the Atlantic Ocean. Ideal for all skill levels of golf in Puerto Rico, this 6,945-yard course features open greens, wide fairways, light rough, and shallow bunkers.
With an ideal combination of laid-back beaches and tropical adventure, Wyndham Grand Rio Mar Puerto Rico Golf & Beach Resort is the perfect home base from which to explore the breathtaking natural beauty of Puerto Rico. We’re steps from a blissfully private one-mile stretch of sand along the Atlantic, and are also the closest resort in Puerto Rico to El Yunque Rainforest.
Ready for an El Yunque Rainforest hike or ziplining in Puerto Rico? Our concierge is ready and waiting to connect you with the adventure of a lifetime through Group Services, Inc. (GSI), our onsite tour company. Experts on everything Puerto Rico, GSI will handle everything you need for the following exciting tours:
Spend a day getting to know the fascinating history and culture of this beautiful island. GSI provides trips to the Puerto Rico’s cultural centers, and some of the best spots to shop. Tours include:
Old & New San Juan with Historic District Shopping
TRANSPORTATION FROM/TO THE AIRPORT HOTEL PREFERRED SHUTTLE SERVICE: The Resorts in house DMC is Dragonfly. Their contact information is as follows: Carolina Molina I Sales Manager Dragonfly Adventures DMCGroups, Meetings & Incentives Tel: 787-889-7430 / Cell: 787-643-0090 / carolina@dragonflyadventurespr.com The Current charge for airport concierge and transportation services is $65.00 per person, round trip. Airport transportation is subject to a 15% service charge.
IF YOU NEED A WORD COPY of Abstract Submission Form, PLEASE CONTACT lisa@uhms.org
On behalf of the Undersea and Hyperbaric Medical Society, the UHMS Program Committee is pleased to announce its call for abstract submission to the 2019 UHMS Annual Scientific Meeting, June 27-June 29, 2019. The meeting will be held at the Wyndham Grand Rio Mar Puerto Rico Golf & Beach Resort, 6000 Rio Mar Blvd., Rio Grande, PR 00745.
For your convenience, the formatting and submission guidelines have been reprinted in the below section entitled “Abstract Formatting Guidelines.” Abstracts should be submitted via the UHMS website at www.uhms.org. For those unable to access the UHMS website or having difficulty with the online submission format, additional assistance with the submission process can be obtained by contacting the UHMS home office. Authors should ensure that all submission requirements are met, as incomplete submissions may be returned for modification or declined. Deadline for submission is April 1, 2019. Acknowledgment of receipt will be provided normally within one week.
TERMS AND CONDITIONS:
Abstract acceptance is at the full discretion of the UHMS Annual Scientific Program Committee. Only non-published works at the time of abstract submission will be considered, however, novel analysis/interpretation of published data are acceptable.
Notification regarding abstract final acceptance will be provided via e-mail no later than April 22, 2019.
The presenting author will be required to register and attend the meeting.
UHMS is will continue using digital poster presentations in lieu of the traditional cork board and printed posters. All abstracts which have been approved and accepted will be presented in PPT or PDF format and uploaded to the UHMS Poster website. Instructions for upload, FAQ and templates for poster presentations will be emailed to the presenting author upon acceptance. This information can be found at the following link, under the “Call for Abstract” section. https://www.uhms.org/asm-new
Also at the discretion of the UHMS ASM Program Committee, presenters may be invited to present their abstract orally in the general meeting, resident/trainee competition (if eligible) or the Associates session (if eligible). Notification regarding selection for oral and poster presentations will be provided no later than Monday, April 22, 2019.
ABSTRACT USE PERMISSIONS AND RIGHTS:
All abstracts submissions for presentation at the Annual Scientific Meeting constitutes consent by the author(s) for the UHMS to use the materials submitted in whole or part as it sees fit. All abstracts posters (including required PowerPoint/PDF submissions) and oral presentations (including PowerPoint slides) accepted by the UHMS Program Committee for presentation at the Annual Scientific Meeting will be published in the UHMS’ Undersea and Hyperbaric Medicine Journal and may be subsequently used and/or published by the Society in various electronic media at the discretion of the UHMS. Once accepted, no abstract, poster or oral presentation may be withdrawn or excluded from being subject to this agreement.
DEADLINES:
REGULAR ABSTRACT SUBMISSION: MONDAY, APRIL 1, 2019; MIDNIGHT ET
NOTIFICATION OF ACCEPTANCE by ASM Program Committee: APRIL 22, 2019.
NO CHANGES to an abstract will be accepted after MAY 1, 2019.
PDF OF ABSTRACT must be submitted to the UHMS website by JUNE 3, 2019.
ABSTRACT FORMATTING GUIDELINES:
LANGUAGE: All abstracts are to be written in English. The Program Committee reserves the right to alter abstracts where the English structure makes comprehension difficult.
ABSTRACT BODY FORMAT:
Must be 300 words or less, exclusive of title, author(s) names, and institutional affiliation(s). See examples at end of this document.
All submissions should be in Microsoft Word format
Only text and text tables will be accepted. No references, graphs or images may be submitted. References, graphs and images may be included on your poster submission.
Contents should include the following sections – please use these exact terms for uniformity:
Introduction / Background
Materials and Methods
Results
Summary / Conclusions
One question / Must be specific to your abstract/final poster presentation (The Q/A will be used for Evaluation of the participants for CME/Maintenance of Certification Credits (MOC) at the UHMS Online CME Portal).
TOPICS FOR PRESENTATION
You will specify one of the following categories, A thru E, that best characterizes your presentation:
Session A (Thurs): Diving/Decompression Illness: Theory & Mechanisms
Session B (Thurs): HBO2 Therapy Mechanisms
Session C (Fri): Diving and Decompression Illness
Session D (Fri): Clinical HBO2 Therapy
Session E (Sat): HBO2 Operations, Chambers and Equipment
Session F (Sat): Top Case Reports: This session will be composed of case reports submitted for Sessions A thru E.
There you’ll find suggestions on determining whether your idea merits and abstract presentation by posing questions such as: Is this experience useful? Did we learn something from it? Does it cover an unusual aspect of an illness or suggest a novel method of treatment?
There’s much more included in the ACP link to help you compose your abstract within the parameters of introduction/background, materials/methods, results and summary/conclusions.
Remember to take your time in writing your abstract; then take a day off. Share it with your colleagues. Often you’ll receive good suggestions in refining your presentation. When you come back to draft your final version, you’ll have a fresh perspective.
UHMS has advanced into the future of digital poster presentations. No long will you need to print or tote your poster to the Annual Scientific Meeting!
Collect your files: Be sure to include your poster file, as well as any video files, as videos sometimes do not embed properly. Your file should be saved as “your abstract#.lastname.v1” (A1.Tidd.v1) in a PPTX file (Microsoft Power Point) or a PDF file.
If your files is an update from version 1, please be sure to add the version at the end of your file (A1.Tidd.v2).
You should be using the latest version of the Internet browsers: Firefox, Google Chrome or
In the “special instructions” section, please include any information that the UHMS program committee staff will need to know regarding your
If you have already submitted a poster, and this is an update, please specify that in the “special instructions” text
Upload all of your files, including videos, with the upload button. Note the maximum size for an upload is 100MB. If your files are greater than 100MBs, contact us at uhms@uhms.org and we will work with you directly to upload your
When the upload completes, you will see a submission confirmation page. You will also receive an email confirmation (within 15 minutes). If you don’t see either confirmation, try
For any questions or problems, please contact us at: uhms@uhms.org or 919-490-5140 x 101.
How to upload your poster to the UHMS website (pdf) Poster Formatting Guidelines (pdf) Template 1 (ppt) Template 2 (ppt) Template 3 (ppt) - has video-to view as attendees will, go to "slideshow" to view
Poster Formatting Guidelines
IMPORTANT: Due to difference in operating system standards and character sets, mathematical formulas created in Windows often do not display correctly on MAC OS, even in PowerPoint. Please convert formulas to images.
General Guidelines:
Recommended fonts: Calibri, Arial, Times New Roman
Recommended font size: any large size font as long as it fits the slide/poster ratios below.
Slide/Poster size: 40.97x23.04 - you will need to create as a "custom size"
Single or multiple pages slides/may be used for poster (max 5 Slides)
Multiple slides/pages should be used if additional content such as images, graphs and videos need to be displayed on your poster.
Videos, graphs and images can be embedded into your poster. No more than 5 minutes of videos should be included in your presentation.
Embedded video may be displayed in the following formats:
.mp4 files and .mov files encoded with the H264 codec
The poster layout should be landscape orientation.
Poster PPT templates are available for download above.
Any presentations with embedded videos should be saved as a PPTX file and the video files should be submitted along with the presentation
Kiosk Guidelines
Your poster sessions will be done in Kiosk Mode. Kiosk mode means that we receive the presentation ahead of time, then combine multiple presentations into a single presentation with a menu and navigation buttons. This ensures that it’s easy to swap between different posters that are on the same screen. There are some things to consider:
We will disable the ‘click to advance’ feature, and instead place navigation buttons in the upper-right corner of the presentation.
Please ensure that your poster is the correct size. If not, it will be forced into the correct size, and the poster may be distorted.
Making the Most of Your Presentation
Posters offer a very flexible format, and there are several methods you can use to optimize your presentation. The goal of your presentation should always be readability. You are no longer constrained to a single-page poster, so if you have a lot of information, it’s a good idea to split it up across multiple pages. You may than 5 slides. You will have 30 minutes to present your poster. There are a few key methods that can be used in conjunction with multiple pages to make your presentation interactive and flexible.
Videos
Videos can be used to add animation and content density to a presentation. Consider the following use cases:
Show a rotating molecule or some other scientific model
Make a looping video of multiple tables or charts
Show a video of your work in progress
You may embed a link to a youtube or other Internet video, which will launch in a browser.
NOTE: No more than 5 minutes of videos to be included in your presentation.
Qr Tag Creation
If you wish to include a QR tag in your poster with embedded information, you can easily find a free website to create one. These sites take text input, and generate a QR tag image that you can download and import into your presentation.
The scholarship fund is sponsored by Sechrist Industries & WECP.
Purpose: The $2,000.00 scholarship is intended to assist the recipient to be able to attend and present an abstract at the UHMS Annual Scientific Meeting (ASM).
Requirements:
The applicant must be a current Associate member in good standing of the UHMS Associates.
The applicant must submit this application with resume and color photograph via email.
The applicant must submit an abstract to the UHMS Scientific Committee by the deadline, be accepted by the UHMS Scientific Committee and present the abstract (poster and/or oral) at the ASM for that year.
The complete scholarship application packet must be received no later than noon Eastern Time (ET) of the established deadline date which is 60 days prior to the ASM of that calendar year; no exceptions. The packet must be submitted electronically.
If selected, the scholarship recipient grants permission to the UHMS to post his or her biographical sketch and photograph on the UHMS webpage.
The applicant agrees to pay the difference for all fees associated with attending the ASM that exceed the $2,000.00 scholarship. This may include transportation, poster, food, lodging, and registration.
Selection Criteria:
Be relatively new to the field, and who has already shown great promise (enthusiastic and self-motivated, who has obviously spent non-compensated time furthering their knowledge-base). Preference will be given to those who have made "significant" contributions (published a pertinent article, assisted in the creation of the standards for hyperbaric staffing and patient care, acted as faculty for related training programs, etc.), or;
Has been employed in the field of diving/hyperbaric medicine/technology for some time and has yet to attend the ASM (the reason being lack of financial means rather than lack of interest). It would be considered that the early opportunity to attend the meeting might further motivate and stimulate this individual to achieve administrative and clinical advancement, or;
A long-standing member who has worked tirelessly, and without expectation, to further the missions of the UHMS and to advance the field.
Selection Process:
Applications must be signed off by the applicant’s supervisor assuring approval for time-off to attend the ASM. Only complete application packets with abstracts attached will be accepted for consideration. The deadline for submitting the application packet is noon ET, April 29, prior to the ASM of that calendar year.
The justification statement on the application form must include how the applicant fulfills the selection criteria (stated above). Application packets must be emailed to Stacy Handley of the UHMS Awards Committee:uhms@uhms.org Subject line: ‘Achievement Recognition Scholarship Application’. All applications will be screened for validity under the Requirements and Selection Criteria. Partially completed applications will not be accepted for consideration. The UHMS Associates Scholarship Committee will review all approved application packets and vote for the scholarship recipient. The recipient will be notified within 30 days of the deadline submission. Formal announcement will be made in ‘Pressure’ and via the UHMS E-Blast. The recipient will also be mentioned in the program at the UHMS Annual Meeting awards dinner. A photograph and bio of the recipient will be posted on the UHMS webpage.
If the recipient fails to follow through with the obligation to submit and present (poster and/or oral) an abstract and/or attend that year’s annual scientific meeting, then the scholarship money paid to recipient is to be paid back in full to the UHMS within 14 days following the ASM.
CHRISTIAN J. LAMBERTSEN MEMORIAL LECTURE THURSDAY, JUNE 27: 1:00 pm - 2:00 pm
GUEST SPEAKER: LECTURE TITLE:
ABOUT THE LECTURE:
ABOUT DR. :
CHRISTIAN J. LAMBERTSEN, MD, DSc (Hon) MEMORIAL LECTURE About Dr. Lambertsen:
Dr. Christian J. Lambertsen received a B.S. Degree from Rutgers University in 1938 and a M.D. Degree from the University of Pennsylvania in 1943. During his medical school period, he invented and first used forms of the initial U.S. self-contained closed-circuit oxygen rebreathing apparatus, for neutral buoyancy underwater swimming and diving. As a student, he aided the early Office of Strategic Services (O.S.S.) in establishing the first cadres of U.S. military operational combat swimmers. Dr. Lambertsen became a U.S. Army medical officer on graduation from medical school in early 1943, and immediately joined the O.S.S. Maritime Unit on active duty through its period of function in World War II. He joined the University of Pennsylvania Medical Faculty in 1946, and became Professor of Pharmacology in 1952. While a faculty member he combined diving research and further underwater rebreathing equipment developments for the Army and Navy. In 1967 he served as Founding President of the Undersea Medical Society (now Undersea and Hyperbaric Medical Society.) Dr. Lambertsen is recognized by the Naval Special Warfare community as "The Father of U.S. Combat Swimming.” His hand has touched every aspect of military and commercial diving. Dr. Lambertsen’s active contributions to diving began during WWII and became even more progressive in the post-war period through the evolutions of the U.S. Navy Deep Submergence and Naval Special Warfare developmental programs.
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ERIC P. KINDWALL, MD MEMORIAL LECTURE FRIDAY, JUNE 28: 1:00 pm - 2:00 pm
GUEST SPEAKER: LECTURE TITLE:
ABOUT THE LECTURE:
ABOUT DR.:
ERIC P. KINDWALL, MD MEMORIAL LECTURE About Dr. Kindwall:
Dr. Kindwall is known by so many as the "Father of Hyperbaric Medicine.” Whether you knew him personally or simply by reputation, we have all benefited from his efforts, passion, wisdom, knowledge, energy and vision. Dr. Kindwall has played a great role in growing and shaping the specialty of Undersea and Hyperbaric Medicine. He was likewise instrumental in molding the UHMS into what it is today. Dr. Kindwall began diving in 1950. He cultivated his interest in the field and during the Vietnam War served as the Assistant Director of the U.S. Navy School of Submarine Medicine. He also was the Senior Officer responsible for the Diving Medicine Program. In 1969, after leaving the Navy, Dr. Kindwall became Chief of the Department of Hyperbaric Medicine at St. Luke’s Medical Center, Milwaukee, Wis. Shortly after the Undersea Medical Society was created in the mid-1960s, Dr. Kindwall identified the need for standardized education in the field. He created the UMS Education and Standards Committee to help elevate course content and ensure instructor competence. This committee later became our Education Committee. When the AMA initiated its Continuing Medical Education program, Dr. Kindwall persuaded the organization to recognize the UMS as a grantor of CME credits. In 1972, Dr. Kindwall felt that the Society’s members would benefit from improved communication. He created our first newsletter and was named editor. Dr. Kindwall chose the name Pressure because clinical hyperbaric medicine was rapidly developing. Even though the UHMS had not yet incorporated "Hyperbaric” into the Society’s name, he wanted a title for the newsletter that would encompass all who worked with increased atmospheric pressure. He stated: "The Society’s goal then, as it is now, is to serve all who deal with the effects of increased barometric pressure.” That same year, Dr. Kindwall recognized the need to have a relationship with Medicare to help provide insight on reputable clinical management. The UMS followed this lead, and a Medicare Panel was created. The recommendations were presented to the U.S. Public Health Service. The challenge was that no reliable hyperbaric medicine clinical guidelines were available that addressed appropriate applications of Hyperbaric Medicine. To remedy this deficit, the UMS Executive Committee created an Ad Hoc Committee on hyperbaric oxygen therapy. Dr. Kindwall was named Chair. The committee created the first Hyperbaric Oxygen Therapy Committee Report. Again, this text was published 10 years before the UHMS incorporated "Hyperbaric” into its name. The report was sent to HCFA and the Blues and became their source document for reimbursement. Dr. Kindwall updated the text two more times and thus was the Editor and Chair of the Committee and text for three of its 12 editions. Dr. Kindwall later worked to expand the available information on the specialty by creating one of the first complete texts on the field. He created Hyperbaric Medicine Practice in 1994 and later updated and revised his text two more times. The Society’s first journal, Hyperbaric Oxygen Review, has also has been influenced by Dr. Kindwall. His love for research and education was clear: He became the initial editor, creating a journal that at first consisted of review articles and one original contribution. Over the years,it has grown to one full of original research. Dr. Kindwall’s presence is felt in so many of the UHMS’ activities and initiatives. Much of what we all take for granted – what is just "there” and "available” – has his touch and influence. Some of us have been blessed to have had a closer impact by Dr. Kindwall’s life, but I think that I can easily say that each of us has been influenced in some way.
HYPERBARIC MEDICINE AND CANCER PLENARY 8:30 AM - 10:00 AM
0830-0915 John Feldmeier, DO "Hyperbaric oxygen and cancer treatment with emphasis on its potential role combined with ketogenic diet and chemotherapy."
At the same time, other researchers have advocated hyperbaric oxygen as a primary treatment for malignant conditions, though the support is limited here. A number of studies done in the late 1950s through the 1970s even on review many years later firmly establish simultaneous hyperbaric oxygen as a radiosensitizer. There are reasons to believe that sequential hyperbaric oxygen followed immediately by can enhance cancer cell kill. The pioneering work by several Japanese authors have reported encouraging results in applying this combined treatment in high-grade brain tumors. More recently, a similar study supported in part by the Baromedical Research Foundation has shown the feasibility of applying these principles to head and neck cancers receiving both chemotherapy and radiation therapy with impressive results and no unexpected toxicities. There is a strong rationale and a bit of research that also suggest that chemotherapy’s antitumor effects can be enhanced by hyperbaric oxygen as well. Certainly, the logistics of delivering chemotherapy in the hyperbaric chamber are much easier than delivering radiation with HBO2. In this session, Dr. John Feldmeier will introduce an overview of the above issues. These will include a discussion of the Warburg effect and its implications for combined HBO2 and chemotherapy and HBO2 combined with the ketogenic diet. A brief update will be presented on the status of HBO2 alone and how it effects malignant growth. Other mechanisms by which chemotherapy delivery and tumoricidal effects can likely be enhanced will be considered. Mr. Richard Clarke will follow with a lecture updating the experience in a multi-center trial using sequential HBO2 and radiation with chemotherapy in advanced head and neck cancer patients.
0915-1000 Dick Clarke, CHT "Hyperbaric Oxygen Radiation Sensitization of Squamous Cell Carcinomas of the Oropharynx"
This presentation summarizes the first study of hyperbaric oxygen chemo-radiation sensitization for locally advanced squamous cell carcinomas of the oropharynx. It took the form of a Stage I dose escalation trial, designed to determine safety, feasibility and tolerability when hyperbaric oxygen was added to standard care: namely intensity modulated radiation therapy and cisplatinum chemotherapy. The presentation will describe the biological plausibility and physiologic basis for pre-radiation hyperbaric hyperoxia, and the rationale for selection of this tumor type and tumor grade. The hyperbaric dosing regimen, one based upon previous human tumor oxygen response curves, is discussed, and the critical time window for radiation therapy “beam on” from exiting the chamber discussed. Evolution from earlier sensitization studies that employed concurrent hyperbaric oxygen-radiation therapy to the modern sequential approach are described, as well as its inherent advantages. A staging protocol employed to titrate hyperbaric dose against possible acute toxicities is described. Acute toxicities and five-year follow-up results are presented, as is a Stage III study design, in the form of a randomized, sham controlled clinical double-blind trial.
MECHANISMS OF HBO PLENARY 4:00 PM - 5:00 PM
1600-1700 Stephen Thom, MD "Hyperbaric Oxygen Therapy Cell Signaling & Mechanisms of Action"
This lecture will summarize current knowledge on mechanisms of action for hyperbaric oxygen (HBO2) therapy. Information will include findings from peer-reviewed publications involving both animal and human studies. It will emphasize data from human investigations, with a focus on those actions most relevant to clinical HBO2 indications.
RESEARCH AND REGISTRIES FOR HYPERBARIC OXYGEN THERAPY PLENARY 8:00 AM - 10:00 AM
0800-0830 Caroline Fife, MD "The Hyperbaric Oxygen Therapy Registry and the role of a Qualified Clinical Data Registry in protecting reimbursement" The field of hyperbaric oxygen therapy and hyperbaric practitioners are under unprecedented scrutiny, with a resulting 50% decrease in HBO2 utilization nationally. Most practitioners are now subject to The Merit Based Incentive Payment System (MIPS), which requires the submission of quality measures. Qualified Clinical Data Registries (QCDRs) can develop specialty-specific quality measures and transmit data to CMS on behalf of clinicians, increasing the opportunity for bonus payments. The HBOTR, through the USWR, offers specialty registry participation as part of MIPS. Registry participation is possible via automated transmission of Continuity of Care Documents (CCDs) which can enable national benchmarking of many key parameters and can address patient selection bias for other types of registry participation by providing a “denominator” for patients/conditions treated. QCDRs manage identified data and can link to the Medicare data warehouse, facilitating HBO2 cost effectiveness research. Patient-reported questionnaires can be enshrined as quality measures, enabling practitioners to realize a small reimbursement benefit for performing them. Provider scores on specialty-specific quality measures are publicly available via the USWR website linked to “Physician Compare,” a welcome alternative to star ratings derived only from standard (and irrelevant) MIPS measures. Hyperbaric Centers may also benefit from quality measure reporting. The HBOTR leverages current mandatory reporting quality requirements and available electronic health record technology to automate registry participation, an important consideration given the lack of funding for HBO2 research. The HBOTR has already saved physician payment from a substantial reduction and can be harnessed for clinical research. Since January 2012, data on 27,404 patients has been captured. Among the 62,843 DFUs with data, 9,908 DFUs (15.7%) were treated with HBO2 therapy, although in 2017, the benchmark rate for HBOT was 7.3%, with an average of 28 treatments per patient. There are 2,100 providers who report data to the USWR by transmitting CCDs from their EHR and 688 who submit quality measure data, 300 (43.6%) of whom transmit HBO2 quality measure data.
0830-0900 Jay Buckey, MD "The hyperbaric medicine registry at Dartmouth"
The value of hyperbaric oxygen is being questioned even for well-established UHMS-approved indications. Although every hyperbaric center treats cases for established indications, the outcomes are not gathered together at a central site, analyzed, and published. As a result, outcome data for hyperbaric oxygen are limited and hard to find. An outcomes registry collects outcomes data from multiple sites consistently, which could allow for more powerful analyses, and more widely accessible results. This talk will describe the outcomes-focused hyperbaric registry currently in use at Dartmouth, and how it could be used to advance the field of hyperbaric medicine.
0900-0930 Judy Rees, MD, PhD "The role of registries in medicine" The goal of a disease or treatment registry is to document important data systematically from a sample of patients and use it to make inferences to a larger population. This presentation will consider how registries can be used, some of the pitfalls awaiting the unsuspecting registry researcher; and approaches that will give the best chance of success.
0930-1000 Panel Discussion
HBO AND DFU PLENARY 4:00 PM - 5:00 PM
1600-1630 Dirk Ubbink, MD "The effectiveness and costs of hyperbaric oxygen therapy for diabetic ischemic ulcers: results of the DAMOCLES multicenter trial" This trial was conducted in 9 hyperbaric centers and 25 referring hospitals to find out whether additional HBOT would benefit patients with diabetes and ischemic leg ulcers. We randomized 120 diabetic patients with an ischemic wound to standard care without (SC) or with HBOT (SC+HBOT). Primary outcomes were limb salvage and wound healing, amputation-free survival (AFS), and direct and indirect medical costs. Limb salvage was achieved in 47 patients in the SC group vs. 53 patients in the SC+HBOT group. After 12 months, 28 index wounds were healed in the SC group vs. 30 in the SC+HBOT group. AFS was achieved in 41 patients in the SC group and 49 patients in the SC+HBOT group. In the SC+HBOT group 21 patients (35%) were unable to complete the HBOT-protocol as planned. Those who did had significantly fewer major amputations and higher AFS. Overall costs were slightly higher in the SC+HBOT-group.
1630-1700 Michael Strauss, MD "The Long Beach Wound Score as a Validated Tool for Comparative Effectiveness Research of Wounds and Objectifying the Indications for Hyperbaric Oxygen" The Long Beach Wound Score (LBWS) is a validated wound scoring system that is user-friendly, intuitively obvious and applicable for all wounds - not just diabetic foot ulcers. Five assessments, each graded from 2-points (best possible) to 0-points using objective criteria to grade each, are summated to generate 0 to 10-point scores. The scores then quantify three wound categories; "Healthy" 7.5 to 10 points, "Problem" 3.5 to 7 points and "End-stage" 0 to 3 points. The assessments include 1) Appearance of the wound base, 2) Size--including undermining, 3) Depth--to wound base or bottom of a tract, 4) Infection and 5) Perfusion. For wounds in the "Healthy" category only simple wound care and, occasionally, biologics are needed for management. Deep infection, deformity, and/or ischemia are invariable present in the "Problem" wound category. These require debridements and antibiotics plus revascularization and/or hyperbaric oxygen (HBO2). Juxta-wound transcutaneous oxygen measurements in room air and with HBO2 objectify when this modality is indicated for wound management. Wounds in the "End-stage" category require amputation or revascularization if salvage is indicated. The decision for amputation versus salvage in a "Transition" zone (LBWS in the 2.5 to 4 point range) require information about the patients' wellness and goals, both quantified by 0 to 10 scores as intuitively obvious and easy to use as the LBWS. With 24 billion dollars a year being spent in the USA for management of chronic wounds, comparative effectiveness research (CER) is needed to evaluate the effectiveness, cost benefits, and convenience of wound care. The essential consideration for CER is using a wound scoring system that objectifies the evaluation so "like can be compared with like." The LBWS is the reliable (similar scores by two or more observers) and validated tool that meets this requirement. With the LBWS the UHMS has the potential to establish a registry, document the effectiveness of interventions and become the "go to" source for payers to justify authorizations for wound management including HBO2 treatments.
EMERGING INDICATIONS FOR HYPERBARIC OXYGEN THERAPY PLENARY 8:00 AM - 10:00 AM
0800-0830 Enrico Camporesi, MD "Hyperbaric Oxygen Therapy for Aseptic Necrosis of the Femoral Head andof the Femoral Condyli"
Osteonecrosis of the knee (ONK) is a form of aseptic necrosis resulting from ischemia to subchondral bone tissue. Typically, common surgical treatments are invasive and palliative or time-limited. Hyperbaric oxygen (HBO2) therapy may provide a non-invasive alternative by improving oxygenation and reperfusion of ischemic areas, both for distal femoral condyli, as recently described, or for a similar malady of the femoral head, previously published. We recently described 37 ONK patients (29 male, 8 female; mean age ±1 SD: 54±14). 83.7% of patients presented with Aglietti stage I-II; 16.3% presented with Aglietti Stage III. Patients were treated with HBO2 once a day, five days a week, at 2.5 ATA with 100% inspired oxygen by mask for an average of 67.9±15 sessions. Magnetic resonance imaging was performed before HBO2, within one year after completion of HBO2, and in 14 patients, 7 years after treatment. Oxford Knee Scores (OKS), an index of functionality, where 60 is normal, were recorded before HBO2 and at the end of each HBO2 treatment cycle. After the 30 sessions of HBO2, 86% of patients experienced improvement in their OKS, 11% worsened, and 3% did not change. All patients improved in OKS after 50 sessions. MRI evaluation 1 year after HBO2 completion showed that edema at the femoral condyle had resolved in all but one patient. MRI at 7 year after completing therapy were all normal. In conclusion, HBO2 is beneficial in ONK. Patients experienced improvements in pain and mobility as demonstrated by improvement in OKS. Radiographic improvements were also seen upon post treatment follow-up. Aglietti staging for the entire sample saw an aggregate decrease (p < 0.01) from 1.7 ± 0.7 to 0.3 ± 0.6.
0830-0900 Gerardo Bosco, MD "Hyperbaric pre-conditioning" Pre-conditioning (PC) has been described as the hyperbaric oxygen (HBO2) experience before a critical event, with the aim to prevent a specific clinical condition, and its development as a valuable complement both in diving medicine (Bosco, 2010) as well as prior to ischemic or inflammatory situations. PC is a preventive treatment that triggers endogenous cascades, which can protect from stress-activated and stress-reactive responses. A possible mechanism of HBO-PC mediating beneficial effects has been described as attenuation of the production of proinflammatory cytokines in response to an inflammatory stimulus such as surgery and modulation of the immune response. HBO-PC protocols are performed at 2.0–2.5 atmospheres absolute (ATA), and usually only applied for one or a few days. The physical adaptations in response to alterations in atmospheric oxygen appear to extend not only to survival, but also a preconditioned state. Similar to ischemic and stress preconditioning, many different paradigms have been used to demonstrate that either rapid or delayed tolerance is affected by the HBO2 therapy. Irrespective of the cause of injury, inflammatory cytokines released after the primary event trigger leukocyte activation and free radical release, causing secondary damage and extension of injury. Thus, modulating inflammatory molecules has the potential benefit of limiting leukocyte-mediated extension of injury. Many studies demonstrated a protective mechanism of HBO-PC in the injured brain, heart, or liver. Previous data by Yang and colleagues on animals demonstrated that HBO2 inhibits TNF-α production during intestinal, brain and muscle ischemia-reperfusion and it has a beneficial effect, mediated by decreased production of IL-6, IL-1β, dopamine and lactate (Bosco, 2007; Yang, 2001;2006;2010). Studies on animals showed that HBO-PC can protect the brain from ischemia-reperfusion injury and that Sirt1 is a potential molecular target for therapeutic approaches (Ding, 2017). In man, HBO-PC induces endogenous cardioprotection subsequent to ischemic reperfusion injury (Allen, 2014). Additionally, clinical HBO-PC showed effects before surgery. A single preoperative hyperbaric oxygen treatment on the day before surgery may reduce the complication rate in pancreatic resection (Bosco, 2014). In liver surgery, studies demonstrated to increase the number of new cells and the density of microcirculation in the regenerating liver after HBO-PC (Theodoraki, 2011). Furthermore, hyperbaric oxygen preconditioning improves postoperative dysfunctions by reducing oxidant stress and inflammation (Gao, 2017). A recent experimental paper has identified an important mechanism involved in triggering the beneficial effect of HBO-PC, as the intracellular induction of heme-oxygenase-1 in hepatic IR injury. Moreover, in dive medicine HBO-PC reduced bubble formation and platelets activation; HBO-PC might enhance lymphocyte antioxidant activity and reduce reactive oxygen species levels. Pre-breathing oxygen in water may also preserve calcium homeostasis, suggesting a protective role in the physiological lymphocyte cell functions (Bosco, 2010; Morabito, 2011). Whether the various preconditioning protocols contribute to the different results should be investigated in further studies and applied to diverse surgical procedures, especially major surgeries leading to postoperative ICU admission. Therefore, HBO-PC is an encouraging and feasible therapeutic strategy for protecting organs from the subsequent lethal stimulus. References
Ding P, Ren D, He S, He M, et al (2017). Sirt1 mediates improvement in cognitive defects induced by focal cerebral ischemia following hyperbaric oxygen preconditioning in rats. Physiological research, 66(6).
Yang ZJ, Bosco G, Montante A, Ou XL and Camporesi EM (2001) Hyperbaric O2 reduces intestinal ischemia-reperfusion-induced TNF-a production and lung neutrophil sequestration. Eur J Appl Physiol 85: 96-103
Yang Z, Nandi J, Wang G, Bosco G, et al. (2006) Hyperbaric Oxygenation ameliorates indomethacin-induced enteropaty in rats by modulating TNF-a and IL-1 b production. Dig Dis Sci 34(1-2):70-6.
Bosco G, Zj Yang, J Nandi, Jp Wang, et al. (2007) Effects of hyperbaric oxygen on glucose, lactate, glycerol and antioxidant enzymes in the skeletal muscle of rats during ischemia and reperfusion. Clin Exp Pharmacol Physiol 34, 70-76.
Yang Zj, Bosco G, Xie Y, Chen Y, Camporesi EM. (2010) Hyperbaric oxygenation alleviates MCAO-induced brain injury and reduces hydroxyl radical formation and glutamate release. Eur J Appl Physiol. Feb;108(3):513-22.
Bosco G, Yang Zj, Di Tano G, Camporesi EM, et al. (2010) Effect of in-water versus normobaric oxygen pre-breathing on decompression-induced bubble formation and platelet activation. J Appl Physiol. May;108(5):1077-83.
Morabito C, Bosco G, Pilla R, Corona C, et al. (2011) Effect of pre-breathing oxygen at different depth on oxydative status and calcium concentration in lymphocytes of scuba divers. Acta Physiol (Oxf). May;202(1):69-78.
Bosco G, Casarotto A, Nasole E, Camporesi E, et al. (2014). Preconditioning with hyperbaric oxygen in pancreaticoduodenectomy: a randomized double-blind pilot study. Anticancer research, 34(6), 2899-2906.
Theodoraki K, Tympa A, Karmaniolou I, Tsaroucha A, et al. (2011). Ischemia/reperfusion injury in liver resection: a review of preconditioning methods. Surgery Today, 41(5), 620.
Gao Z. X, Rao J, & Li Y. H. (2017). Hyperbaric oxygen preconditioning improves postoperative cognitive dysfunction by reducing oxidant stress and inflammation. Neural regeneration research, 12(2), 329.
Allen M, Golembe E, Gorenstein S, Butler G. Protective effects of hyperbaric oxygen therapy (HBO2) in cardiac care-A proposal to conduct a study into the effects of hyperbaric pre-conditioning in elective coronary artery bypass graft surgery (CABG) Undersea Hyperb Med. 2014;42:107–114.
0900-0930 Shai Efrati, MD "Brain injury"
Objectives:
Basics pathophysiological cascade of non-recoverable brain injuries.
The neuroplasticity effect of hyperbaric oxygen therapy
Selecting the optimal candidate for the treatment
Clinical studies published in recent years present convincing evidences that hyperbaric oxygen (HBO2) therapy can be the coveted neurotherapeutic method for brain repair of neurological incidents like traumatic brain injury and stroke. This new understanding leads to a paradigm change in the way that we refer to chronic brain injuries; from now these should be thought of like other non-healing wounds in other parts of the body. The classical candidate for HBO2 is a patient with unrecovered brain injury where tissue hypoxia is the limiting factor for the regeneration process. In this patient, HBO2 may induce neuroplasticity in the stunned regions where there is a brain anatomy/physiology mismatch (as for example PET/MRI). In this lecture we will discuss the multifaceted role HBO2 can play in neurotherapeutics based on recent persuasive evidence demonstrating HBO2 efficacy in brain repair as well as a new understanding of brain energy management and response to brain damage. We will also discuss how to select suitable candidates and how to choose the optimal HBO2 protocol for the selected candidate.
0930-1000 Panel Discussion
NEW PEARLS OF WISDOM IN THE DIVING AND HYPERBARIC MEDICINE LITERATURE PLENARY 1:00 PM - 2:00 PM
1300-1330 Brian Keuski, MD; Fellow, Duke Hyperbarics "Diving medicine literature update"
Take a whirlwind tour through the last 12 months of diving medicine literature. Major topics include: decompression illness, fitness to dive issues, immersion pulmonary edema, and diving physiology.
1330-1400 Lince Varughese, MD; Fellow, LSU Hyperbarics "Hyperbaric medicine literature update" Dr. Varughese will give a brief update on key articles in recent hyperbaric medicine literature; novel ideas and newfound wisdom.
CLINICAL AND METABOLIC ASPECTS IN BREATH-HOLD DIVING PLENARY 4:00 PM - 5:00 PM
1600-1620 Gerardo Bosco, MD "Adaptive mechanisms in breath-hold divers"
The human body faces extreme physiological challenges while immersed with voluntary breath-holding. Breath-hold diving is potentially associated to extreme environmental factors such as increased hydrostatic pressure, hypoxia, hypercapnia, hypothermia and strenuous exercise. Physiological adaptations can depend among the time of breath suspension and the depth of diving. While descending chest squeeze and blood redistribution occur. Indeed, blood as being an incompressible fluid from peripheral circulation is shifted to the chest. The intrathoracic blood volume increases. Moreover, face immersion results in induced bradycardia, due to the diving reflex. Conversely, breath-holding at rest, out of water, induces non-significant changes in heart rate. Breath-hold swimming, even on the surface, instead causes pronounced bradycardia. During deep diving a higher O2 consumption and a fall in alveolar and blood O2 content was observed. Consequently, alveolar CO2 pressure increases due to chest compression while descending. It was supposed that the maximum reachable depth in breath-hold diving was determined by the relationship between total lung capacity and residual volume. Craig suggested a compensatory physiologic mechanism to explain why thoracic implosion does not occur and hypothesized that a certain amount of blood was diverted from the peripheral circulation into the chest. Intrathoracic pressure in such a condition represented the elastic behavior of the chest wall when exposed to high hydrostatic pressure. The increased hydrostatic pressure at depth reduces pulmonary gas volumes and consequently increases intrathoracic blood volume, with enlargement of the right heart chambers and pressures. On the contrary, the left sections of the heart do not undergo any enlargement, and do not show any sign of pressure increase. The systolic stroke volume is the consequence of Starling’s law: the blood shift stretches the heart and increases the intracardiac volume. This certainly means that, although rarely exploited in nature, anaerobic metabolic reserve represents a resource for survival of the animal. The same can be said for high-altitude hypoxic environments. Another consideration is the “graded response” to breath-hold diving in relation to the level of physiological stress and to the control by the central nervous system. The diving response is a strategic adaptation to hostile environmental conditions common to many animals but human breath-hold divers require knowledge for the safe and health of participants.
1620-1640 Peter Lindholm, MD "Pulmonary pathophysiology in deep breath-hold diving"
Deep breath-hold diving may expose the lungs to the limits of known human physiology. We will discuss barotrauma of descent with pulmonary edema, glossopharyngeal hyperinsufflation and arterial gas embolism.
1640-1700 Alessandro Marroni, MD "Breaking news on breath-hold diving research"
Recent data from field research on pathophysiology of breath-hold diving will be presented, with a particular focus on breath-hold diving-induced pulmonary edema, Taravana, epidemiology, mechanisms, pathogenetic hypotheses and data on genetic predisposing factors.
In order to receive continuing education for the UHMS ASM you must complete and submit an evaluation.
Accreditation Statement: The Undersea and Hyperbaric Medical Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statements: The Undersea and Hyperbaric Medical Society designates this live activity for a maximum of TBD AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing CEU is approved by the Florida Board of Registered Nursing Provider #50-10881. ASM Credit hours TBD. Licenses Types Approved:
Advanced Registered Nurse Practitioner
Clinical Nurse Specialist
Licensed Practical Nurse
Registered Nurse
Certified Nursing Assistant
Respiratory Care Practitioner Critical Care
Respiratory Care Practitioner Non-Critical Care
Registered Respiratory Therapist
Certified Respiratory Therapist
NBDHMT: This live activity is approved for TBD Category A credit hours by National Board of Diving and Hyperbaric Medical Technology, 9 Medical Park, Suite 330, Columbia, South Carolina 29203. Full Disclosure Statement: All faculty members and planners participating in continuing medical education activities sponsored by Undersea and Hyperbaric Medical Society are expected to disclose to the participants any relevant financial relationships with commercial interests. Full disclosure of faculty and planner relevant financial relationships will be made at the activity.
Disclaimer: The information provided at this CME activity is for Continuing Medical Education purposes only. The lecture content, statements or opinions expressed however, do not necessarily represent those of the Undersea and Hyperbaric Medical Society
MAINTENANCE OF CERTIFICATION (MOC):
“MOC ABPM: This activity has been approved by the American Board of Preventive Medicine for up to 18 MOC credits. Claiming ABPM MOC credit is appropriate for those who are ABPM diplomates.”
WEDNESDAY, JUNE 26: 8am-5pm Program Chair: Derall Garrett, CHT
The purpose of this course is to provide an overview of the UHMS Clinical Hyperbaric Facility Accreditation Program, its structure, survey processes and "insider tips” on preparing to undergo an accreditation survey. Experienced surveyor faculty members will provide a comprehensive overview of the process to streamline preparation.
SCHEDULE: subject to change posted: 4/19/2018
TIME
0800-0815
Welcome/Introductions
Garrett
0815-1015
Why Accredit Clinical Hyperbaric Facilities?
Garrett
1015-1045
Break
1045-1145
Hyperbaric Facility Accreditation Program Design I & II
Garrett
1145-1245
Lunch
On Own
1245-1330
Physician point of view
Schwartz
1330-1415
Nurse point of view
Bello
1415-1500
Technologist point of view
Mize
1500-1515
Break
1515-1545
Organizational Planning
Workman
1545-1600
Discussion/Questions
1600
Adjourn
CONTINUING EDUCATION CREDITS:
Accreditation Statement: The Undersea and Hyperbaric Medical Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statements: The Undersea and Hyperbaric Medical Society designates this live activity for a maximum of TBA AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing CEU is approved by the Florida Board of Registered Nursing Provider #50-10881. ASM Credit hours 6.25.
Licenses Types Approved:
Advanced Registered Nurse Practitioner
Clinical Nurse Specialist
Licensed Practical Nurse
Registered Nurse
Certified Nursing Assistant
Respiratory Care Practitioner Critical Care
Respiratory Care Practitioner Non-Critical Care
Registered Respiratory Therapist
Certified Respiratory Therapist
NBDHMT: This live activity is approved for 6.25 Category A credit hours by National Board of Diving and Hyperbaric Medical Technology, 9 Medical Park, Suite 330, Columbia, South Carolina 29203.
MOC ABPM: This activity has been approved by the American Board of Preventive Medicine for up to TBA MOC credits. Claiming ABPM MOC credit is appropriate for those who are ABPM diplomates.”
Full Disclosure Statement: All faculty members and planners participating in continuing medical education activities sponsored by Undersea and Hyperbaric Medical Society are expected to disclose to the participants any relevant financial relationships with commercial interests. Full disclosure of faculty and planner relevant financial relationships will be made at the activity.
Disclaimer: The information provided at this CME activity is for Continuing Medical Education purposes only. The lecture content, statements or opinions expressed however, do not necessarily represent those of the Undersea and Hyperbaric Medical Society (UHMS), its affiliates or its employees.
SAFETY WEDNESDAY, JUNE 26: 8am-5pm
SCHEDULE subject to change: posted:
CONTINUING EDUCATION CREDITS:
Accreditation Statement: The Undersea and Hyperbaric Medical Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statements: Physician CME: The Undersea and Hyperbaric Medical Society designates this live activity for a maximum of TBDAMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing CEU is approved by the Florida Board of Registered Nursing Provider #50-10881. ASM Credit hours TBA
Licenses Types Approved:
Advanced Registered Nurse Practitioner
Clinical Nurse Specialist
Licensed Practical Nurse
Registered Nurse
Certified Nursing Assistant
Respiratory Care Practitioner Critical Care
Respiratory Care Practitioner Non-Critical Care
Registered Respiratory Therapist
Certified Respiratory Therapist
NBDHMT: This live activity is approved for TBA Category A credit hours by National Board of Diving and Hyperbaric Medical Technology, 9 Medical Park, Suite 330, Columbia, South Carolina 29203.
Full Disclosure Statement: All faculty members and planners participating in continuing medical education activities sponsored by Undersea and Hyperbaric Medical Society are expected to disclose to the participants any relevant financial relationships with commercial interests. Full disclosure of faculty and planner relevant financial relationships will be made at the activity.
UHMS Disclaimer: The information provided at this CME activity is for Continuing Medical Education purposes only. The lecture content, statements or opinions expressed however, do not necessarily represent those of the Undersea and Hyperbaric Medical Society (UHMS), its affiliates or its employees.
DIVING WEDNESDAY, June 26: 8am-5pm
SCHEDULE Subject to change
CONTINUING EDUCATION CREDITS:
Accreditation Statement: The Undersea and Hyperbaric Medical Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statements: The Undersea and Hyperbaric Medical Society designates this live activity for a maximum of 7.5AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing CEU is approved by the Florida Board of Registered Nursing Provider #50-10881. ASM Credit hours 7.5.
Licenses Types Approved:
Advanced Registered Nurse Practitioner
Clinical Nurse Specialist
Licensed Practical Nurse
Registered Nurse
Certified Nursing Assistant
Respiratory Care Practitioner Critical Care
Respiratory Care Practitioner Non-Critical Care
Registered Respiratory Therapist
Certified Respiratory Therapist
NBDHMT: This live activity is approved for 7.5 Category A credit hours by National Board of Diving and Hyperbaric Medical Technology, 9 Medical Park, Suite 330, Columbia, South Carolina 29203.
MOC ABPM: This activity has been approved by the American Board of Preventive Medicine for up to TBA MOC credits. Claiming ABPM MOC credit is appropriate for those who are ABPM diplomates.”
Full Disclosure Statement: All faculty members and planners participating in continuing medical education activities sponsored by Undersea and Hyperbaric Medical Society are expected to disclose to the participants any relevant financial relationships with commercial interests. Full disclosure of faculty and planner relevant financial relationships will be made at the activity.UHMS
Disclaimer: The information provided at this CME activity is for Continuing Medical Education purposes only. The lecture content, statements or opinions expressed however, do not necessarily represent those of the Undersea and Hyperbaric Medical Society (UHMS), its affiliates or its employees.
CANCELLATION / REFUND POLICY: $100.00 administrative fee will be held on all cancellations before JUNE 1 – AFTER June 1: 50% of registration fee. NO REFUNDS AFTER JUNE 16.
AP After Party: Saturday, June 29 (10pm-12 midnight): $25
CANCELLATION / REFUND POLICY: $100.00 administrative fee will be held on all cancellations before JUNE 1 – AFTER June 1: 50% of registration fee. NO REFUNDS AFTER JUNE 16.
Information to ship directly to the hotel: Click here
INVITATION TO SPONSOR/EXHIBITOR
The 2018 UHMS Annual Scientific Meeting offers an excellent opportunity for your organization to gain visibility, network with other professionals, and to promote its products and services to a target audience of physicians, scientists, technicians, nurses and other allied health professionals. Reinforce your corporate image by signing up today.
THE UHMS 2019 ANNUAL SCIENTIFIC MEETING
The Undersea and Hyperbaric Medical Society (UHMS) is holding their 2019 Annual Scientific Meeting. The Conference venue is the Wyndham Grand Rio Mar Puerto Rico Golf & Beach Resort, 6000 Rio Mar Blvd, Rio Grande, Puerto Rico 00745. Room Rate: $182.31; Call in reservations: 800-474-6627, Online reservations: CLICK HERE or paste the following link in your web browser address bar: https://book.passkey.com/e/49746356
The meeting program will feature a number of outstanding, widely recognized professional local and international speakers and poster presentations. Our meeting attracts researchers and practitioners from all around the world and provides a wonderful opportunity to meet and extend contacts.
The meeting program will feature a number of outstanding, widely recognized professional local and international speakers and poster presentations. Our meeting attracts researchers and practitioners from all around the world and provides a wonderful opportunity to meet and extend contacts.
BACKGROUND ON THE UHMS
The Undersea and Hyperbaric Medical Society (UHMS) is an International, non-profit organization serving over 2,200 members from more than 50 countries.
Our diverse membership ranges from hyperbaric, diving and wound care physicians, scientists, nurses technicians, respiratory therapists and other allied health care professionals who work in the field of hyperbaric, wound care or diving medicine.
The UHMS is the primary source of information for hyperbaric, diving medicine and physiology worldwide. The Society was founded as the Undersea Medical Society in 1967 but in 1986 changed the name to Undersea and Hyperbaric Medical Society. The name change reflected the rapidly growing interest in hyperbaric oxygen therapy.
The UHMS' Mission is to:
improve the scientific basis of hyperbaric oxygen therapy
provide scientific information to protect the health of sport, military, public safety, and commercial divers
promote sound treatment protocols and standards of practice
provide continuing education credits.
CANCELLATION / REFUND POLICY
BEFORE MAY 1: $100 administrative fee will be held
AFTER MAY 1: 50% of registration fees will be held
NO REFUND after start of meeting
EXHIBITS
There will be exhibits running in conjunction with the meeting from Thursday, June 27, 2019 until Saturday June 29, 2019. Move in time for Exhibitors will be 3pm, Wednesday, June 26, 2019. Breakdown will be Saturday, June 29 at 4:00 pm.
You are invited to exhibit at the meeting and take the opportunity to network, make new contacts and show your products and services to attendees during morning and afternoon breaks, also, you are invited to our welcome reception (Wednesday evening – casual attire), another great networking opportunity.
OUR EXHIBIT COMPANY THIS YEAR IS:
ANNUAL SCIENTIFIC MEETING FORMAT
Wednesday, June 26: 7:00am-3:00pm: BH&L Decorators Exhibit Company Set-Up 3:00pm: Exhibitors Move in 7:00pm-9:00pm: Welcome Reception (all welcome) at the Casita Courtyard
Thursday, June 27: Conference Sessions: 8am-6pm Exhibit Times:
7-8am (Continental Breakfast) 10-10:30am (Break) 12:00-1:00pm: LUNCH on own 3-3:30pm (Break) 6pm-7pm: Meet the Exhibitors "Wine & Cheese” Reception
Friday, June 28: Conference Sessions: 8am-6pm Exhibit Times:
7-8am (Continental Breakfast) 10-10:30am (Break) 12:00-1:00pm: LUNCH on own 3-3:30pm (Break)
Saturday, June 29: Conference Sessions: 8am-5:30pm Exhibit Times:
7-8am (Continental Breakfast) 10-10:30am (Break) 12:00-1:00pm: LUNCH on own 3-3:30pm (Break) 4:00: Breakdown
**Schedule subject to change **
ANNUAL SCIENTIFIC MEETING PROMOTION
The UHMS meeting provides extensive marketing, promotion and networking opportunities. To take advantage of these, UHMS offers you the following range of sponsorship opportunities. Sponsorship packages have been structured to ensure your company will be clearly identified as a leader in the industry.
SPONSOR OPPORTUNITIES
As one of our " Sponsors" you will not only be an integral part of the meeting's social events, but will also gain significant promotion. These events provide an excellent opportunity for networking in a relaxed, but professional setting. These sponsorship opportunities offer unmatched, excellent exposure to an audience of the industry professionals.
Sponsorship acknowledgment on website and any printed material
Signage displayed during the meeting
An opportunity to display promotional material (supplied by Sponsor) at the meeting
** ALL artwork must be supplied by the sponsor and emailed to lisa@uhms.org **
PLATINUM SPONSOR: $6,500
GOLD SPONSOR: $4,500
SILVER SPONSOR: $3,500 BRONZE SPONSOR: $2,500
WELCOME RECEPTION SPONSOR: $2,500
ASSOCIATES LUNCHEON SPONSOR: $1,000
ASSOCIATES SCHOLARSHIP SPONSOR (2 needed): $1,000
ASM ACCESSORIES SPONSORS
SATCHEL SPONSOR:
YOU PURCHASE
Distributed to every delegate upon registration, satchels are constantly used by delegates throughout the meeting to carry their notes and belongings and often retained as a memento after the event. Sponsorship of the satchels therefore offers excellent exposure, as the sponsor will be a constant presence for the duration of the event and beyond.
Sponsorship acknowledgment on website and any printed material
Opportunity to include promotional material in delegate satchels (this must be sent to UHMS one month prior).
500 SATCHELS MUST BE MAILED TO UHMS OFFICE ONE MONTH PRIOR TO MEETING
NOTE PADS AND PENS SPONSOR:
YOU PURCHASE
Sponsorship acknowledgment on website and any printed material
Opportunity to include promotional material in delegate satchels (this must be sent to UHMS one month prior).
500 SATCHELS MUST BE MAILED TO UHMS OFFICE ONE MONTH PRIOR TO MEETING
SATCHEL INSERT:
$ 350.00
One insert of your design. (i.e.: brochure, flyer, mug, keychain, etc...)
Opportunity to include promotional material in delegate satchels (this must be sent to UHMS one month prior).
500 SATCHELS MUST BE MAILED TO UHMS OFFICE ONE MONTH PRIOR TO MEETING
DIGITAL DISPLAY AD:
$ 450 Why not display your organization’s mission, job openings or product information on a digital display? This would be a great opportunity to promote your business! Your ad will be display on two displays, one will be featured at the registration desk and the other outside of the meeting room doors for all to view during the meeting dates. Send us your ppt, jpeg or gif.
ASM EXHIBIT BOOTHS/TABLES
Sponsors, companies and organizations are invited to exhibit at the ASM and have the opportunity to make contacts and show their products / services to a target audience during morning & afternoon breaks and the Welcome Reception.
For your benefit we are offering two types of exhibition space. Three representatives per booth/two representatives per table. An additional fee of $150 (before April 1), $180 (after April 1) per representative will be required for more than the allotted (Welcome Reception, break coffee & food). Tickets for the Banquet and any Accompany Persons tickets can be purchased at an additional fee. This information is on the online registration form, if submitting hard copy registration and wish to add additional, please contact us.
SPECIAL PACKAGE EXHIBIT DEALS: REGISTER FOR THE FOLLOWING UHMS 2018 MEETINGS AT ONE TIME AND RECEIVE AN OVERALL VALUED DISCOUNT!
Annual Scientific Meeting : June 27-29: Wyndham Grand Rio Mar Puerto Rico
Gulf: August
Midwest: September
Northeast: October
Pacific: November
OPTION # 1: includes 10x10 booth at the Annual Meeting & table tops at all other meetings: FEE:$3,900 before May 1 after May 1: $4,200 OPTION # 2: includes table tops at all meetings: FEE:$2,900 before May 1 after May 1: $3,200
10X10 BOOTH PACKAGE: Annual Meeting Only FEE: $2,500
This package includes:
10’ high back drape
3’ high side rails
1 – 7” x 44” identification sign
1 – 6’ draped table
2 – Plastic side chairs
1 – Wastebasket
3 – Representatives.
Please note: Any additional requirements are at the exhibitor’s expense
Booth exhibition packages will include the following benefits: -Your organization’s exhibition details included in the printed material distributed at the ASM
TABLE TOP PACKAGE: Annual Meeting Only FEE: $1,500 This package includes:
1 – 6’ draped table
2 – Plastic side chairs
1 – Wastebasket
2 – Representatives
Please note: Any additional requirements are at the exhibitor’s expense
Table exhibition packages will include the following benefits: -Your organization’s exhibition details included in the printed material distributed at the ASM
June 27th, 2019 7:00 AM through June 29th, 2019 4:30 AM
EXHIBITOR REGISTRATION
SPECIAL PACKAGE DEAL (10X10 Booth Package) SPECIAL PACKAGE DEAL (Table top Package) BASIC EXHIBIT RATES: 10x10 Booth Package (3 reps)
$3,900.00 $2,900.00 $2,500.00
BASIC EXHIBIT RATES: Tabletop Package (2 reps)
$1,500.00
SPONSORSHIP OPPORTUNITIES
PLATINUM SPONSOR (includes booth exhibit package)
$6,500.00
GOLD SPONSOR (includes table top exhibit package)
$4,500.00
SILVER SPONSOR (includes table top exhibit package)
$3,500.00
BRONZE SPONSOR (includes table top exhibit package)
$2,500.00
Welcome Reception Sponsor
$2,500.00
Associate business lunch sponsor
$1,000.00
Associate Scholarship Sponsor
$1,000.00
SATCHELS
NOTE PADS AND PENS SPONSOR: YOU PURCHASE
$0.00
SATCHEL INSERT
$350.00
Satchel Sponsor
$0.00
Exhibitor: Additional Representative for exhibit display
2019: June 27-29: Wyndham Grand Rio Mar Beach Resort & Spa, PR* *UHMS recommends that you not make your flight arrangements until 90-120 days before the meeting
Dr. Kindwall is known by so many as the "Father of Hyperbaric Medicine.” Whether you knew him personally or simply by reputation, we have all benefited from his efforts, passion, wisdom, knowledge, energy and vision. Dr. Kindwall has played a great role in growing and shaping the specialty of Undersea and Hyperbaric Medicine. He was likewise instrumental in molding the UHMS into what it is today. Dr. Kindwall began diving in 1950. He cultivated his interest in the field and during the Vietnam War served as the Assistant Director of the U.S. Navy School of Submarine Medicine. He also was the Senior Officer responsible for the Diving Medicine Program. In 1969, after leaving the Navy, Dr. Kindwall became Chief of the Department of Hyperbaric Medicine at St. Luke’s Medical Center, Milwaukee, Wis. Shortly after the Undersea Medical Society was created in the mid-1960s, Dr. Kindwall identified the need for standardized education in the field. He created the UMS Education and Standards Committee to help elevate course content and ensure instructor competence. This committee later became our Education Committee. When the AMA initiated its Continuing Medical Education program, Dr. Kindwall persuaded the organization to recognize the UMS as a grantor of CME credits. In 1972, Dr. Kindwall felt that the Society’s members would benefit from improved communication. He created our first newsletter and was named editor. Dr. Kindwall chose the name Pressure because clinical hyperbaric medicine was rapidly developing. Even though the UHMS had not yet incorporated "Hyperbaric” into the Society’s name, he wanted a title for the newsletter that would encompass all who worked with increased atmospheric pressure. He stated: "The Society’s goal then, as it is now, is to serve all who deal with the effects of increased barometric pressure.” That same year, Dr. Kindwall recognized the need to have a relationship with Medicare to help provide insight on reputable clinical management. The UMS followed this lead, and a Medicare Panel was created. The recommendations were presented to the U.S. Public Health Service. The challenge was that no reliable hyperbaric medicine clinical guidelines were available that addressed appropriate applications of Hyperbaric Medicine. To remedy this deficit, the UMS Executive Committee created an Ad Hoc Committee on hyperbaric oxygen therapy. Dr. Kindwall was named Chair. The committee created the first Hyperbaric Oxygen Therapy Committee Report. Again, this text was published 10 years before the UHMS incorporated "Hyperbaric” into its name. The report was sent to HCFA and the Blues and became their source document for reimbursement. Dr. Kindwall updated the text two more times and thus was the Editor and Chair of the Committee and text for three of its 12 editions. Dr. Kindwall later worked to expand the available information on the specialty by creating one of the first complete texts on the field. He created Hyperbaric Medicine Practice in 1994 and later updated and revised his text two more times. The Society’s first journal, Hyperbaric Oxygen Review, has also has been influenced by Dr. Kindwall. His love for research and education was clear: He became the initial editor, creating a journal that at first consisted of review articles and one original contribution. Over the years,it has grown to one full of original research. Dr. Kindwall’s presence is felt in so many of the UHMS’ activities and initiatives. Much of what we all take for granted – what is just "there” and "available” – has his touch and influence. Some of us have been blessed to have had a closer impact by Dr. Kindwall’s life, but I think that I can easily say that each of us has been influenced in some way.
At the same time, other researchers have advocated hyperbaric oxygen as a primary treatment for malignant conditions, though the support is limited here. A number of studies done in the late 1950s through the 1970s even on review many years later firmly establish simultaneous hyperbaric oxygen as a radiosensitizer. There are reasons to believe that sequential hyperbaric oxygen followed immediately by can enhance cancer cell kill. The pioneering work by several Japanese authors have reported encouraging results in applying this combined treatment in high-grade brain tumors. More recently, a similar study supported in part by the Baromedical Research Foundation has shown the feasibility of applying these principles to head and neck cancers receiving both chemotherapy and radiation therapy with impressive results and no unexpected toxicities.
This presentation summarizes the first study of hyperbaric oxygen chemo-radiation sensitization for locally advanced squamous cell carcinomas of the oropharynx. It took the form of a Stage I dose escalation trial, designed to determine safety, feasibility and tolerability when hyperbaric oxygen was added to standard care: namely intensity modulated radiation therapy and cisplatinum chemotherapy. The presentation will describe the biological plausibility and physiologic basis for pre-radiation hyperbaric hyperoxia, and the rationale for selection of this tumor type and tumor grade. The hyperbaric dosing regimen, one based upon previous human tumor oxygen response curves, is discussed, and the critical time window for radiation therapy “beam on” from exiting the chamber discussed. Evolution from earlier sensitization studies that employed concurrent hyperbaric oxygen-radiation therapy to the modern sequential approach are described, as well as its inherent advantages. A staging protocol employed to titrate hyperbaric dose against possible acute toxicities is described. Acute toxicities and five-year follow-up results are presented, as is a Stage III study design, in the form of a randomized, sham controlled clinical double-blind trial.
The value of hyperbaric oxygen is being questioned even for well-established UHMS-approved indications. Although every hyperbaric center treats cases for established indications, the outcomes are not gathered together at a central site, analyzed, and published. As a result, outcome data for hyperbaric oxygen are limited and hard to find. An outcomes registry collects outcomes data from multiple sites consistently, which could allow for more powerful analyses, and more widely accessible results. This talk will describe the outcomes-focused hyperbaric registry currently in use at Dartmouth, and how it could be used to advance the field of hyperbaric medicine.
The goal of a disease or treatment registry is to document important data systematically from a sample of patients and use it to make inferences to a larger population. This presentation will consider how registries can be used, some of the pitfalls awaiting the unsuspecting registry researcher; and approaches that will give the best chance of success.
Osteonecrosis of the knee (ONK) is a form of aseptic necrosis resulting from ischemia to subchondral bone tissue. Typically, common surgical treatments are invasive and palliative or time-limited. Hyperbaric oxygen (HBO2) therapy may provide a non-invasive alternative by improving oxygenation and reperfusion of ischemic areas, both for distal femoral condyli, as recently described, or for a similar malady of the femoral head, previously published.
Objectives:
