Eric P. Kindwall Memorial Lecture

THURSDAY, JUNE 10: 1:00 pm - 2:00 pm

GUEST SPEAKER: Gaylan Rockswold, MD

LECTURE TITLE: Hyperbaric Oxygen Brain Injury Treatment (HOBIT) Trial:  A Multicenter Phase II Adaptive Clinical Trial Funded by the NINDS

The lecture will define the nature of severe TBI and explain the role of oxygen in normal brain metabolism and the role of lack of oxygen (ischemia) in precipitating brain cell death and poor clinical outcome in severe TBI.  The potential efficacy of HBO2 in the treatment of severe TBI will be discussed.  A review of the pre-clinical and clinical data supporting the funding of the HOBIT Trial will be presented.  The structure of the HOBIT Trial and progress to date will conclude the lecture. 

Rockswold Gaylan013Dr. Rockswold received a Bachelor of Arts degree from St. Olaf College in Northfield, Minnesota in 1962.  He attended the University of Minnesota Medical School where he received his MD degree in 1966.  His internship was carried out at the Hennepin County General Hospital in Minneapolis, Minnesota from 1966 to 1967.  This was followed by two years in the United States Public Health Service where he was a general surgery resident for one year followed by one year as a medical associate at the National Cancer Institute Section of Neurosurgery in Baltimore, Maryland.  In 1976, Dr. Rockswold received his PhD in neurosurgery from the University of Minnesota.  He completed his neurosurgical residency at the University of Minnesota in 1974.  He was the Chief of Neurosurgery at the Hennepin County Medical Center for 37 years.  He achieved the rank of Professor of Neurosurgery at the University of Minnesota in 1992.  He has served as President of the Minnesota Neurosurgical Society.         

                Dr. Rockswold has achieved excellence in the three cornerstones of academic medicine; patient care, teaching, and research.  He has cared for thousands of patients with various neurosurgical problems, including traumatic brain injury, spinal cord injury, cerebrovascular disorders, and brain and spinal tumors and interacted with their families.  Dr. Rockswold has received special recognition from the Brain Injury Association of Minnesota on three separate occasions in recognition of his significant contribution to the cause of persons with traumatic brain injury through action and personal accomplishment.  Throughout his career, Dr. Rockswold has been extensively involved in mentoring and educating students and residents.  He has participated in the training of over 70 neurosurgical chief residents who have gone on to academic and private practice.  Dr. Rockswold is the foremost authority in the use of hyperbaric oxygen in traumatic brain injury and has received four National Institutes of Health grants to investigate this potential treatment for traumatic brain injury, including most recently, funding for a multicenter, adaptive, phase II, randomized clinical trial. 

                Outside of his professional work, Dr. Rockswold is an active St. Olaf alumnus and received their Distinguished Alumni Award in 2005.  He is also passionate about the environment and conservation and, in particular, preservation of wilderness areas.  He is very active in the Wilderness Society serving as a member of the President’s Council and giving financial support.  

About Dr. Kindwall:

KINDWALL PICDr. 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.