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.
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
We have also secured a limited amount of rooms at the government per diem rate for active military - please contact us at uhms@uhms.org to get in this block.
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.
Natural Beauty & Tranquility: The sapphire Atlantic Ocean, verdant golf courses, and lush El Yunque Rain Forest 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 hosts 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 Rain Forest. The inspiring, otherworldly beauty of Bioluminescent Bay is in the waters just off its coast, with Bio Bay tours in Puerto Rico that can be arranged with the on-site tour company for effortless convenience. The resort is 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 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
NOTICE: (2/5/2019) NOW IS A GOOD TIME TO MAKE YOUR AIRLINE RESERVATIONS - AIRFARES ARE EXPECTED TO INCREASE MARCH 1
AIRPORTS:
San Juan International Airport (SJU)
TRANSPORTATION FROM/TO THE AIRPORT HOTEL PREFERRED SHUTTLE SERVICE: Guest Services Inc.: Contact Group Services, Inc. at 787-888-6000 ext. 6318 for more information, or click here and book your transportation online.The Current charge for airport concierge and transportation services is $88 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) - HBO2 Theory and Mechanisms
Session B (Thurs) - Clinical HBO2
Session C (Fri) - Decompression Theory and Mechanisms
Session D (Fri) - Diving Medicine
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.
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.
Hyperbaric Facility Accreditation Program Design I & II
Derall Garrett
1145-1245
Lunch
1245-1330
Physician point of view
TBA
1330-1415
Nurse point of view
TBA
1415-1500
Technologist point of view
TBA
1500-1515
Break
1515-1545
Organizational Planning
Tom Workman
1545-1600
Discussion/Questions
1600
Adjourn
Hyperbaric Oxygen Safety: Clinical and Technical Issues
TIME
LECTURE
FACULTY
0800 - 0815
Introductions: / Welcome
Marc Robins, DO Andrew Melnyczenko, CHT
0815 - 0915
Hyperbaric Safety and Risk Assessment: Lessons Learned from Aerospace History
Gary Toups, MD
0915 - 1015
The Role of the Medical Director in the Safety Program
Marc Robins, DO
1015 - 1030
Break
1030 - 1050
Safety and the Hyperbaric Nurse Guidelines of Care,
Annette Gwilliam, RN, BSN, CWON, CWS, ACHRN
1050 - 1110
Human Factors Affecting Hyperbaric Safety
Richard “Gus” Gustavson, MPH, RN, CHRNC-A, CWCN, CHT-A, CRT
1110 - 1130
Tandem Therapy in the Monoplace Chamber: Pediatric Considerations
Nicholas Marosek, CHRN, ACCRN
1130 - 1200
Panel Q&A from the morning session
Moderator: Andrew Melnyczenko, CHT
1200 - 1300
Lunch
1300 - 1345
Safety-Related Trends Revealed from the UHMS Facility Accreditation Program
Tom Workman, CHT
1345 - 1430
Assessing the Safety of Diver Recompression Chamber Facilities: A retrospective review of the most common safety concerns encountered at a range of recompression facilities over a period of 13 years
Francois Burman
1430 - 1445
Break
1445 - 1530
Compliance versus Safety
Kip Posey, CHT
1530 - 1600
National survey of equipment used in hyperbaric facilities
Marc Pullis, EMT, CHT
1600 - 1645
Biomedical devices in the hyperbaric environment
Ian Millar, MD
1645 - 1715
Panel Q & A from the afternoon session
Moderator: Ian Millar, MD
1715 - 1730
Closing/ Course evaluations / Questions
Marc Robins, DO Andrew Melnyczenko, CHT
Treatment of Decompression Illness in Recreational Diving
Time
Lecture
Faculty
08:00-08:30
Current UHMS guidelines
Nick Bird
08:30-09:00
Polling, hidden results: DCI treatment principles (see the list of Q&A in Appendix)
Petar Denoble
09:00-09:30
Current practice in France
Sébastien de Maistre
09:30-10:00
Current practice in China
Wei-gang Xu
10:00-10:30
Coffee Break
10:30-11:00
Australian experience
David Wilkinson
11:00-11:30
Could normobaric oxygen be accepted as a definitive treatment?
Richard Moon
11:30-12:00
Use of short tables in treatment of DCI
Brenna Derksen
12:00-12:30
Treatment of severe DCS cases
Ian Grover
12:30-13:30
Lunch break
13:30-13:45
Use of deep tables in US Navy
David Southerland
13:45-14:30
Is it ever too late to treat?
Jake Freiberger
14:30-15:00
Flying after treatment
Jim Chimiak
15:00-15:30
Return to diving after DCI
Jake Freiberger
15:30-15:45
coffee break
15:45-16:45
Polling, public results: DCI treatment principles. Discussion of each question. Comparison of pre- and post- answers
LECTURE TITLE: HBO2 in Chronic Radiation-Injured Tissue and Osteoradionecrosis in Today’s Radiation Schemes: Needed Now Even More
ABOUT THE LECTURE:
Today’s radiotherapy schemes, particularly intensity modulated radiation therapy (IMRT), are often used as primary therapy for head and neck cancers. Used together with chemotherapy it has produced a higher incidence of radiation-induced complications. The wider fields, higher doses, and radio sensitizing chemotherapy has caused a more severe and wider spread of osteoradionecrosis (ORN), now even including the previously rare ORN of the maxilla as well as permanent mucositis, skin necrosis, dysphagia, and even some facial nerve palsies.
The role of HBO2 remains the same adjunct to surgical debridements but requires the full 30/10 HBO2 protocol to be conducted at the proven parameters at 2.4 ATA , 90 minutes on 100% O2 with air breaks and without interruption in the treatment sequence.
After resection or debridement of the necrotic bone, the resultant bony defect can be reconstructed today using tissue engineering in most cases as a single modality or together with a smaller amount of autogenous bone, thereby reducing the morbidity of treatment. Additionally, these bone grafting techniques produce a quality of normal viable bone suitable for dental implants to replace teeth lost in the ORN disease process, aiding the patient’s return to a more normal quality of life.
ABOUT DR. MARX:
Robert E. Marx, DDS, is Professor of Surgery and Chief of the Division of Oral and Maxillofacial Surgery at the University of Miami Miller School of Medicine as well as Chief of Surgery at Jackson South Community Hospital in Miami. He is well known as an educator, researcher, and innovative surgeon. Dr. Marx has pioneered new concepts and treatments for pathologies of the oral and maxillofacial area as well as new techniques in reconstructive surgery, including stem cell therapies.
His many prestigious awards, including the Harry S. Archer Award, the William J. Giles Award, the Paul Bert Award, the Donald B. Osbon Award, and the Daniel Laskin Award, attest to his accomplishments and commitment to the field of oral and maxillofacial surgery.
His textbook “Oral and Maxillofacial Pathology: A Rationale for Diagnosis and Treatment” has won the American Medical Writers Associations Prestigious Book of the Year Award. His other textbooks, “Platelet Rich Plasma: Dental and Craniofacial Applications,” “Tissue Engineering,” “Oral and Intravenous Bisphosphonates Induced Osteonecrosis” and an “Atlas of Bone Harvesting” have been best sellers. He is also a writer of fiction medical mystery novels. His first publication “Deadly Prescription” is currently an Amazon best seller.
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.
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CHRISTIAN J. LAMBERTSEN MEMORIAL LECTURE
FRIDAY, JUNE 28: 1:00 pm - 2:00 pm
GUEST SPEAKER: SIMON MITCHELL, MBBS, PHD
LECTURE TITLE: Decompression Sickness As An Inflammatory Disease
ABOUT THE LECTURE:
It has long been considered that decompression sickness (DCS) is a disorder in which bubbles formed from dissolved gas in blood and / or tissue during or after ascent from a compressed-gas dive are the primary vectors of injury. The existence of such bubbles and their potential to cause or contribute to at least some of the manifestations of DCS have been proven. However, uncertainties remain. While the risk of developing symptoms of DCS correlates with numbers of venous bubbles detected using Doppler or echocardiography after diving, the correlation is not as strong as one might expect if bubbles were the only contributor to tissue injury. There are various potential explanations for this, including the possibility that a variably expressed secondary process of inflammation may contribute to the clinical picture. We have known for some time that intravascular bubbles, or the damage they may cause to vascular endothelium, appear to activate formed elements of blood and plasma proteins. Thus, bubbles may directly or indirectly activate platelets, leukocytes, the complement and kinin systems, and coagulation. There is some evidence that these activations contribute to development of some manifestations of DCS. More recently there has been intense interest in the role of proinflammatory intravascular microparticles (circulating fragments of formed elements of blood) in the pathophysiology of DCS. Microparticles may form during diving and increase after any dive, but perhaps moreso in divers exhibiting DCS symptoms. The relationship between bubble and microparticle formation is uncertain. There is some evidence that microparticles may produce harmful effects relevant to the pathophysiology of DCS, and there has been controversial speculation that microparticles may be a primary cause of some DCS manifestations. This presentation will review the pathophysiology of DCS with a particular focus on the potential role of inflammatory processes. Related unanswered questions and uncertainties will be identified.
ABOUT DR. MITCHELL: Professor Simon Mitchell, MB ChB, PhD, DipAdvDHM, DipOccMed, FUHM, FANZCA. Professor of Anesthesiology, School of Medicine, University of Auckland
Dr. Mitchell is a physician and scientist with specialist training in diving medicine and anesthesiology. He is widely published, with more than 150 papers or book chapters. He co-authored the 5th edition of “Diving and Subaquatic Medicine” and has two chapters on decompression illness in the most recent edition of Bennett and Elliott. He has twice been Vice President of the Undersea and Hyperbaric Medical Society and in 2010 received the society’s Behnke Award for contributions to the science of diving and hyperbaric medicine. In the past Simon was a naval diving medical officer and medical director of the Wesley Centre for Hyperbaric Medicine in Brisbane. He now works as a consultant anesthesiologist at Auckland City Hospital, and Professor in Anesthesiology at the University of Auckland. He provides on-call cover for diving and hyperbaric emergencies at the North Shore Hospital Hyperbaric Unit in Auckland. Simon is Editor-In-Chief of Diving and Hyperbaric Medicine Journal.
Simon’s diving career has included more than 6,000 dives spanning sport, scientific, commercial, and military diving. He has been a lead member of teams that were the first to dive and identify three deep wrecks of high historical significance in Australia and New Zealand. At the time of one of these dives (2002) the 600-foot depth represented the deepest wreck dive ever undertaken. He was elected to Fellowship of the Explorers Club of New York in 2006, and was the DAN Rolex Diver of the Year in 2015.
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.
Controversies in the Hyperbaric Management of Late Radiation Injuries
8:30-9:00:
Late Radiation Tissue Injury Below the Clavicles: Considerations with IMRT and the Fibroatrophic Model John Feldmeier, MD
9:00-9:30:
Answering the criticism and challenges to HBO2 in the treatment of radiated patients Richard Marx, DDS
9:30-10:00:
Panel discussion
Physiology and Science in Hyperbaric Medicine
4:00-4:30:
Stem cells and hyperbaric oxygen therapy Stephen Thom, MD
The first scientific papers reporting effects of hyperbaric oxygen therapy (HBOT) on stem cell biology were published just 12 years ago and now they number over 100. This presentation will summarize the latest data on stem cell physiological responses to HBOT. Oxygen acts as a critical regulator of stem cells, and HBOT has a variety of effects on stem cell mobilization dynamics, metabolism, engraftment, and can influence paracrine roles with tissue repair. Some effects appear with the initial HBOT exposure while others develop when repeated hyperoxia-normoxia cycling occurs. Mechanisms and data on clinical utilization will be presented, as well as current questions and future directions.
About Dr. Thom: Dr. Thom received his MD and PhD (microbial physiology) degrees from the University of Rochester in 1981. He served as professor of emergency medicine and chief of hyperbaric medicine at the University of Pennsylvania for 27 years and in July 2013 took a position at University of Maryland. He is a practicing emergency medicine physician and also carries out research in several areas. He is lead/senior author on over 130 peer reviewed papers and 40 reviews or textbook chapters on oxygen and other gas toxicities. Research interests include the role of stem cells in diabetic wound healing and cell responses to hyperoxia, pathophysiology of decompression sickness, carbon dioxide and carbon monoxide (CO). His lab group was the first to describe vasculogenic stem cell mobilization by hyperbaric oxygen therapy and he currently directs projects to assess the role of stem cells in diabetic skin wound healing. He was president of the UHMS from 1996-1998, and chair of the hyperbaric oxygen therapy committee from 1991-1993. Dr. Thom has been the recipient of the Albert R. Behnke award of the UHMS in 1996 and 2008, the Paul Bert award from UHMS in 2007, the Edgar End award of the Gulf Coast Chapter of the UHMS in 1988, and the C. Longoni award from the Italian Undersea and Hyperbaric Medical Society in 1998.
4:30-5:00:
Research topics that need to be done for our field John Feldmeier, MD
Friday, June 28
DCI Theory & Mechanisms
8:00-9:00
Oxygen toxicity: Where are we now? Jay Dean, PhD
9:00-9:30
Navy dive operations: Lessons learned about planning, DCS prevention and treatment Pete Witucki, MD
9:30-10:00
Wearable diving technology John Florian, PhD
Altitude Decompression Sickness
4:00-4:30
Combating flier’s “bends” during unpressurized flight and explosive decompression in World War II Jay Dean. PhD
Dr. Dean will summarize the early years of DCS research as follows: begin with Harry Armstrong at Wright Field (1935ff); first O2 masks and development of oxygen prebreathe method to prevent DCS at altitude (OPB: Walter Boothby and Randy Lovelace at the Mayo Clinic and Lockheed Aircraft Co., 1938-40); collaborative high-altitude research w/OPB at Wright Field & Mayo Aero Medical Unit with Lockheed and Boeing Aircraft Companies (1940-45—incidentally, the USAAF Aero Med Lab’s high altitude research B-17E Flying Fortress was named “the Nemesis of Aeroembolism;” oversight of DCS research during WWII by Nat’l Res. Council’s SubComm. on DCS (1940-45; Chair, John Fulton, Yale U.); Dr. Fred Hitchcock’s research on explosive decompression and risk for DCS, Ohio State Laboratory of Aviation Physiology, complete with movies (1940-45); incidence of DCS in bomber and fighter aircrews during WW2; and USAAF's conclusions about mitigation of DCS by war's end.
About Dr. Dean: Professor (with tenure), Dept. of Molecular Pharmacology & Physiology, College of Medicine, Adjunct Professor, Department of Military and Emergency Medicine, Professor, College of Medicine Molecular Pharmacology & Physiology.
4:30-5:00
USAF hypobaric exposures experience Marc Robins, DO
Dr. Robins will speak on DCS altitude current problems faced and U2 case reports recently collected.
About Dr. Robins: Dr. Robins started his career in medicine working for the Ski Patrol in Southern Oregon at age 19 which soon led to employment as a nurses aide then as a Registered Nurse. Prior to medical school he worked as an RN in the Emergency Department at a level 1 Trauma Center, graduating with his Doctorate in Osteopathy in 1988. Receiving a Health Professions Scholarship to pay for Medical School he did his first Residency in Family Practice at the David Grant USAF Regional Medical Center at Travis AFB, California, and then a second Residency in Aerospace Medicine with Fellowship in Occupational Medicine and a Masters in Public Health from Harvard University School of Public Health. He was awarded the Malcom Grow Air Force Outstanding Flight Surgeon of the Year Award in 1995, and completed a 20-year career as an Air Force Flight Surgeon. His assignments included European Aeromedical Evacuation Squadron, and command positions for Fighter Base Aeromedical Squadrons and the High Altitude U2 program in Beale, California, commanding medical services in six major deployments and one Humanitarian Mission. Dr. Robins culminated his career as the US Aerospace Medicine Consultant to the Australian Defence Force Medical Chief (US Surgeon General equivalent), retiring as a Colonel. He attended the NOAA Dive Medical course in 2010 and maintains an avid interest in recreational scuba diving, certifying in 2003. He is a pilot, enjoys skiing, mountain biking, motorcycle riding and rock climbing.
Saturday, June 29
The Regulatory And Reimbursement Challenges Facing Nations And How These Have Been Addressed
8:00-8:25
Canada Ken LeDez, MD
8:25-8:50
United Kingdom Pieter Bothma, MD
8:50-9:15
United States Caroline Fife, MD
9:15-9:40
Australia Michael Bennett, MD
9:40-10:00
Panel discussion
1:00-1:30
HBO2 and Inflammatory Bowel Disease Update Jay Buckey, MD
This talk will cover new developments in the treatment of inflammatory bowel disease with hyperbaric oxygen. Inflammatory bowel disease involves both hypoxia and inflammation, and hyperbaric oxygen can have effects on both of those factors. Also, hyperbaric oxygen can affect the microbiome, which is another potential mechanism for HBO2’s effects in IBD.
About Dr. Buckey: Jay C. Buckey, MD is a Professor of Medicine at the Geisel School of Medicine at Dartmouth and the medical director of the Center for Hyperbaric Medicine at Dartmouth-Hitchcock Medical Center.
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.
Hyperbaric Oxygen Safety: Clinical and Technical Issues WEDNESDAY, JUNE 26: 8am-5:30pm
Hear from the foremost medical and technical leaders in hyperbaric safety as we discuss past and present safety considerations. This event is suitable for all disciplines, as we blend the experience of physicians, nurses, and technical staff to formulate a unique safety course to suit your needs.
The purpose of this course is to provide current information related to the clinical and technical safety of clinical hyperbaric oxygen therapy. This course is organized by both regular and associate members. The sessions will be of special interest to clinicians and technical staff and is provided in response to requests from the membership for a pre-course related to safety aspects of clinical hyperbaric oxygen therapy. MOC/CME and CEU credits will be available for this course.
SCHEDULE Subject to change: posted: 2/5/19
TIME
LECTURE
FACULTY
0800 - 0815
Introductions: / Welcome
Marc Robins, DO Andrew Melnyczenko, CHT
0815 - 0915
Hyperbaric Safety and Risk Assessment: Lessons Learned from Aerospace History
Gary Toups, MD
0915 - 1015
The Role of the Medical Director in the Safety Program
Marc Robins, DO
1015 - 1030
Break
1030 - 1050
Safety and the Hyperbaric Nurse Guidelines of Care,
Annette Gwilliam, RN, BSN, CWON, CWS, ACHRN
1050 - 1110
Human Factors Affecting Hyperbaric Safety
Richard “Gus” Gustavson, MPH, RN, CHRNC-A, CWCN, CHT-A, CRT
1110 - 1130
Tandem Therapy in the Monoplace Chamber: Pediatric Considerations
Nicholas Marosek, RN, CHRN
1130 - 1200
Panel Q&A from the morning session
Moderator: Andrew Melnyczenko, CHT
1200 - 1300
Lunch
1300 - 1345
Safety-Related Trends Revealed from the UHMS Facility Accreditation Program
Tom Workman, CHT
1345 - 1430
Assessing the Safety of Diver Recompression Chamber Facilities: A retrospective review of the most common safety concerns encountered at a range of recompression facilities over a period of 13 years
Francois Burman
1430 - 1445
Break
1445 - 1530
Compliance versus Safety
Kip Posey, CHT
1530 - 1600
National survey of equipment used in hyperbaric facilities
Marc Pullis, EMT, CHT
1600 - 1645
Biomedical devices in the hyperbaric environment
Ian Millar, MD
1645 - 1715
Panel Q & A from the afternoon session
Moderator: Ian Millar, MD
1715 - 1730
Closing/ Course evaluations / Questions
Marc Robins, DO Andrew Melnyczenko, CHT
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 & Hyperbaric Medical Society designates this live course for a maximum of 8AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing CEU: This live course is approved for 8 contact hours provided by Florida Board of Registered Nursing/RRT Provider #50-10881
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 course is approved for 8 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.
Treatment of Decompression Illness in Recreational Diving: Is reconciliation of different treatment practices necessary?
WEDNESDAY, June 26: 8am-5pm Program chairs: Peter Denoble, MD and Jim Chimiak, MD
Standard treatment for decompression illness (DCS) and arterial gas embolism (AGE) both dive-related and iatrogenic, is recompression and hyperbaric oxygen administration. Treatment practices around the world have been mostly derived from the experience of various navies and commercial companies. In the United States, the UHMS provides guidelines based on the U.S. Navy practices with minor adjustments for the recreational diving environment. The mainstay of UHMS recommendations for initial treatment is U.S. Navy Treatment Table 6 for serious cases and Treatment Table 5 for mild cases. Both treatment tables apply maximum pressure of 2.8 bars (equivalent to 18 msw or 60 fsw depth). Some medical centers in the United States like Hawaii, NASA and Catalina use greater treatment pressures while others that operate monoplace chambers use less pressure and shorter treatment times. In another part of the world, current practice may differ. In France, treatment tables are derived from the French Navy and COMEX tables, and use nitrox and various pressure levels. COMEX 12 and U.S. Navy Table 9 are examples of short and shallow tables. In Russia, treatment pressure sometimes goes higher than 6 bars. Practitioners in China may follow U.S. practice but they have extensive experience with severe and delayed cases in fish farming. Cairns in Australia has extensive experience in treating cases from the Great Barrier Reef and flying after treatment.
A decision to recompress in a case when symptoms resolve before admission may vary. Beyond initial treatment, there are major differences in approach to follow-up treatments, auxiliary treatments and physical rehabilitation of injured divers. Additional differences appear in the recommendation for flying after treatment.
The aim of this workshop is to review variants of current clinical practices, to discuss the rationale for such practices and to consider a need for harmonization of practices.
Poll: DCI Treatment Principle
We will invite participants to take the pre-poll after the intro talk. The results will be withheld until after the post-poll is done after all talks. We have posted the questions in advance below, with hopes that it may motivate more people to register for the pre-course and that attendees may do some homework ahead. At the end of the lectures, the poll will be repeated with instantaneous show of results and discussion of each topic.
The questions to try to answer are:
Do all cases of DCI require recompression?
Are protocols shorter and/or shallower than Table 6 acceptable?
Are deeper tables justifiable or necessary?
How does delay to treatment affect decision to treat?
Follow-up treatment: when, how and for how long?
How long does patient need to be observed before discharge?
How long to wait before flying after treatment?
Poll topics and statements
Normobaric vs. hyperbaric oxygen treatment
Mild DCS cases may be treated with normobaric oxygen only, even when HBO is available
All DCI cases require HBO treatment
Mild cases that resolve with normobaric oxygen, and are symptom-free for at least six hours, do not need HBO
Serious cases that have completely resolved and have been already symptom-free for 6 hours, may be administered surface oxygen and observed for 24 hours without recompression if there is no recurrence of symptoms.
Short (Comex 12, USN T9, Kindwall) vs. standard (USN T5-T6, and equivalent) treatment protocols
Short tables are not acceptable as initial treatment for DCI
In the case when standard treatment is not available, shorter and/or shallower HBO protocols are acceptable if administered by trained personnel.
Deep tables (deeper than 60 ft)
Deep tables are not justified for any case of DCI
Deep tables are acceptable for DCI in technical diving
Deep tables are acceptable for severe DCI cases with a short delay to treatment
B & C true
Follow up treatment
There is no limit on number or protocol of follow up treatments
In mild cases, one treatment table and up to two follow up standard HBO sessions
In severe cases, two treatment tables, and standard HBO sessions as long as there is a daily improvement
In severe cases, repeat treatment tables until no improvement is achieved
B & C
B & D
Flying after treatment
If symptom-free, wait 24 hours. If with residual symptoms, wait 72 hours
Wait at least 72 hours
Wait for at least a week
Treatment of symptoms recurring during or after FAT
Any symptom during flight even if resolved on landing should be treated with HBO
Only cases with persistent symptoms on landing should be treated
Any symptom occurring within 24 hours after landing should be treated
A & C
B & C
SCHEDULE
Subject to change: posted 1/29/19
Time
Lecture
Faculty
08:00-08:30
Current UHMS guidelines
Nick Bird
08:30-09:00
Polling, hidden results: DCI treatment principles (see the list of Q&A in Appendix)
Petar Denoble
09:00-09:30
Current practice in France
Sébastien de Maistre
09:30-10:00
Current practice in China
Wei-gang Xu
10:00-10:30
Coffee Break
10:30-11:00
Australian experience
David Wilkinson
11:00-11:30
Could normobaric oxygen be accepted as a definitive treatment?
Richard Moon
11:30-12:00
Use of short tables in treatment of DCI
Brenna Derksen
12:00-12:30
Treatment of severe DCS cases
Ian Grover
12:30-13:30
Lunch break
13:30-13:45
Use of deep tables in US Navy
David Southerland
13:45-14:30
Is it ever too late to treat?
Jake Freiberger
14:30-15:00
Flying after treatment
Jim Chimiak
15:00-15:30
Return to diving after DCI
Jake Freiberger
15:30-15:45
coffee break
15:45-16:45
Polling, public results: DCI treatment principles. Discussion of each question. Comparison of pre- and post- answers
Petar Denoble
16:45-17:00
Concluding remarks
Petar Denoble
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 TBAAMA 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.
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 MAY 1 – AFTER MAY 1: 50% of registration fee. NO REFUNDS AFTER JUNE 10.
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.
OUR EXHIBIT COMPANY THIS YEAR IS: Expo Displays Caribbean Sabana Gardens Industrial Park, Lot. 13-178 Calle B Esq. Calle A, Ofic. 2 Bo. Sabana Abajo, Carolina, PR 00985 PO Box 195457, San Juan, PR 00919
Information to ship to the Wyndham Grand: 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: Exhibt hall: Rio Mar 5 + Cord A 7:00am-3:00pm: 3:00pm: Exhibitors Move in 7:00pm-9:00pm: Welcome Reception (all welcome) at the Ocean Terrace/Rio Mar Foyer
Thursday, June 27: Conference Sessions: 8am-6pm Exhibit Times:
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
2021: June 10-12: Astor Crowne Plaza French Quarter, New Orleans, LA Room Rate: $209 Room reservations: 1-877-408-9661 (online link coming soon) Cutt-off date: May 18, 2021; 5 PM CST
LIVE STREAMING of the 2019 Annual Scientific Meeting
-REGISTRATION WILL OPEN JUNE 20-
Please login or register to sign up for these events
New for 2019... In addtion to live streaming the annual meeting, we will be live streaming the Safety pre-course (Wed, June 26) and the Non-physician Breakout (Sat, June 29).
HYPERBARIC OXYGEN SAFETY: CLINICAL AND TECHNICAL ISSUES: Wednesday, June 26: 8:00 am - 5:30 pm
The meeting will be broken down in two sessions, morning and afternoon, with two 15 minute breaks during each session (10:15 am and 2:30 pm). Once you register, you will be sent a Webex invite with instructions to include a unique login for each individual session you register for. Participants will be required to download the Webex application onto their device. Participants will need a computer with internet connection and speakers so they can listen to the audio (most laptops and tablets have built-in speakers). You will be required to complete an evaluation upon completion of the entire program to receive CME/CEU credits for your participation. Registration link below.
The Safety Pre-Course schedule can be viewed here: pdf of schedule
ANNUAL SCIENTIFIC MEETING: Thursday, June 26 thru Saturday, June 29:
We will be live streaming our 2019 UHMS Annual Scientific Meeting. Each day will be broken down in two sessions, morning and afternoon (Note there will be breaks within the session time frame). Once you register, you will be sent a Webex invite with instructions to include a unique login for each individual session you register for. Participants will be required to download the Webex application onto their device. Participants will need a computer with internet connection and speakers so they can listen to the audio (most laptops and tablets have built-in speakers). You will be required to complete an evaluation upon completion of the entire program to receive CME/CEU credits for your participation. Registration link below. The three day Annual Meeting schedule can be viewed here: pdf of schedule
NON-PHYSICIAN BREAKOUT SESSION: Saturday, June 29: 8:00 am - 5:00 pm (not approved for physician cme credits).
Today’s radiotherapy schemes, particularly intensity modulated radiation therapy (IMRT), are often used as primary therapy for head and neck cancers. Used together with chemotherapy it has produced a higher incidence of radiation-induced complications. The wider fields, higher doses, and radio sensitizing chemotherapy has caused a more severe and wider spread of osteoradionecrosis (ORN), now even including the previously rare ORN of the maxilla as well as permanent mucositis, skin necrosis, dysphagia, and even some facial nerve palsies.
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.
The first scientific papers reporting effects of hyperbaric oxygen therapy (HBOT) on stem cell biology were published just 12 years ago and now they number over 100. This presentation will summarize the latest data on stem cell physiological responses to HBOT. Oxygen acts as a critical regulator of stem cells, and HBOT has a variety of effects on stem cell mobilization dynamics, metabolism, engraftment, and can influence paracrine roles with tissue repair. Some effects appear with the initial HBOT exposure while others develop when repeated hyperoxia-normoxia cycling occurs. Mechanisms and data on clinical utilization will be presented, as well as current questions and future directions.
Dr. Dean will summarize the early years of DCS research as follows: begin with Harry Armstrong at Wright Field (1935ff); first O2 masks and development of oxygen prebreathe method to prevent DCS at altitude (OPB: Walter Boothby and Randy Lovelace at the Mayo Clinic and Lockheed Aircraft Co., 1938-40); collaborative high-altitude research w/OPB at Wright Field & Mayo Aero Medical Unit with Lockheed and Boeing Aircraft Companies (1940-45—incidentally, the USAAF Aero Med Lab’s high altitude research B-17E Flying Fortress was named “the Nemesis of Aeroembolism;” oversight of DCS research during WWII by Nat’l Res. Council’s SubComm. on DCS (1940-45; Chair, John Fulton, Yale U.); Dr. Fred Hitchcock’s research on explosive decompression and risk for DCS, Ohio State Laboratory of Aviation Physiology, complete with movies (1940-45); incidence of DCS in bomber and fighter aircrews during WW2; and USAAF's conclusions about mitigation of DCS by war's end.
Dr. Robins will speak on DCS altitude current problems faced and U2 case reports recently collected.
