PRE-COURSES
Wednesday, June 17, 2020
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Thoracic and Pulmonary Issues in Diving
The Thoracic and Pulmonary Issues in Diving pre-course will present the current understanding of diving related pulmonary and thoracic (P&T) issues using the most current diving medical guidance. Injury management, fitness to dive determination, best diagnostic practice and pathophysiology will be covered. P&T issues specific to the type of diving will be outlined. Identifying differences among various diving medical authorities will also be included.
Topics to be covered:
- Imaging
- Surgical and Traumatic Injuries
- Work of Breath/Lung Mechanics
- Pulmonary Edema
- Acute Non-fatal Drowning/Aspiration
- Chest Pain
- Asthma, exercise/cold induced
- Chronic Lung Disease
- Pulmonary Infection
- Autopsy Findings
FEES:
EARLY-BIRD til 2/15: $225
ADVANCE: 2/16 – 6/11: $275
AT-THE-DOOR: $325
Schedule
Date: Wednesday, June 12
Time: 8am - 5:00pm
Agenda posted: Click the Agenda tab below2024 Thoracic and Pulmonary Issues in Diving Pre-course
Event Properties
Event Start Date 06-12-2024 Event End Date 06-12-2024 Location Crowne Plaza New Orleans French Qtr - Astor Categories UHMS Directly Provided Course Bruce Derrick
MD
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Dr. Bruce Derrick, MD is a undersea & hyperbaric medicine specialist in Durham, NC. He currently practices at Duke Hyperbaric Medicine Clinic and is affiliated with Duke University Hospital. Dr. Derrick is board certified in Emergency Medicine. He is an Assistant Professor of Surgery, Dept. of Emergency Medicine; Attending Physician - Center for Hyperbaric Medicine & Environmental Physiology, and Emergency Department, Duke University Medical Center, Durham, NC.
Dick Sadler
MD
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Dr. Sadler is an Undersea & Hyperbaric Medicine Specialist, Medical Director for Dive Rescue International, Ft. Collins, CO & works with Delta P Medical Consultants LLC in La Jolla, CA
Frauke Tillmans
PhD
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Dr. Frauke Tillmans is the Research Director at Divers Alert Network (DAN), adjunct assistant professor in the Department of Biomedical Engineering at the University of North Carolina in Chapel Hill and a visiting scientist at the University of California, San Diego. She holds a Master’s degree in Neuroscience, and a PhD in Human Biology. Dr. Tillmans now oversees DAN’s research initiatives in diving injury and fatality monitoring, population health, and diving physiology including acute diving injuries as well as long-term health effects of extreme exposures. Throughout her career she has participated in numerous projects covering a variety of medical aspects in recreational, professional, and military diving. Starting in 2019 when she left a position at the German Naval Medical Institute to relocate to the United States, she has become DAN’s point of contact for global scientific collaborations and is in charge of DAN’s research grant program and STEM-focused internship program, inspiring young scientists and prospective physicians to pursue a career in diving and hyperbaric medicine.
James Caruso
MD
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Dr. Caruso graduated from the Univ Illinois,University of Illinois At Chicago College of Medicine in 1988. He works in Denver, CO and specializes in Pathology and Forensic Pathology.
James Mucciarone
MD
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US Navy, Honolulu, HI
Jim Chimiak
MD
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Dr. Chimiak is the Chief Medical Officer for DAN. He is triple boarded in Anesthesiology, Pain Management and Hyperbaric Medicine. Qualified as US Navy Special Operations, Flight Surgeon and Undersea/Saturation Diving Medical officers. He is co-chair of the dive committee for the UHMS.John R. Clarke
PhD
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John R. Clarke, Ph.D., FUHM, is an American scientist, private pilot, author, and inventor. He served the U.S. Navy for 39 years, 27 years as Scientific Director of the Navy Experimental Diving Unit (NEDU). Before that, he conducted pulmonary research at the Navy Medical Research Institute (NMRI) in Bethesda, MD. Clarke is recognized as a leading authority on rebreather engineering. He has an extensive academic career in biological and physiological sciences and graduated from the U.S. Navy/NOAA Scientist in the Sea Program. At NMRI, he researched the effects of saturation at great depth (1000 feet and deeper) on Navy divers. He conducted pulmonary research on dives to 1500 feet of seawater at NEDU in Florida and 450 meters at GUSI in Germany. In 2020, he assisted the Covid Task Force and Wilcox Industries in designing, testing, and producing an FDA-approved ventilator. Twenty years before, he assisted in developing and testing a novel SCBA for use by Navy SEALs. In 2022, he received the Academy of Underwater Arts and Sciences NOGI Award for Science.
Joy Dierks
CDR, MD
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Joy Dierks, MD, MPH, MSTI
Commander
Medical Corps
United States NavyCDR Joy Dierks was commissioned in 2000 and selected to attend the Uniformed Services University of the Health Sciences School of Medicine in Bethesda Maryland. She graduated in 2004 with her Doctorate of Medicine and completed a transitional internship at Portsmouth Naval Hospital in Norfolk, VA in 2005.
Following internship CDR Dierks was selected for the Diving Medical Officer program. She completed school at Naval Diving and Salvage Training Center, Panama City, FL and Undersea Medicine at the Naval Undersea Medical Institute, Groton, CT. Upon graduation she received Surgeons General’s award for the outstanding graduate.
Her first assignment was as the Diving and Undersea Medical Officer, assigned to the USS Emory S. Land (AS-39) home ported in La Maddalena, Italy. During this assignment she completed a deployment to the Gulf of Guinea and executed the base closure/change of homeport to Naval Base Kitsap in Bremerton, WA. The base closure involved one of the largest salvage operations in naval history, CDR Dierks served as Medical Support Supervisor for this operation, providing medical treatment and care coordination for visiting naval and civilian divers in addition to participating in the clean up working as a salvage diver. During this tour she earned her surface warfare device.
In April 2008, CDR Dierks reported to Explosive Ordnance Disposal (EOD) Group ONE to serve as Senior Medical Officer/ Force Surgeon. Her responsibilities included medical oversight of seven subordinate EOD Mobile Units and Mobile Diving Salvage Unit ONE with several thousand sailors scattered throughout the Pacific. During her tenure she over saw the creation of the new Expeditionary Support Unit ONE Medical department, standardized of medical training for EOD operators at Training and Evaluation Unit ONE, Hanta virus control/abatement at Darwin Wash training area on Naval Weapons Station China Lake. She jointly presented her Hanta virus work with NEPMU-5 at the Navy Marine Corps Public Health Conference.
In June 2013 CDR Dierks completed Preventive Medicine residency and earned a Master’s in Public Health from Johns Hopkins University School of Public Health in Baltimore, MD. In addition, she completed the Public Health Emergency Officer (PHEO) course and served as the resident representative on the Johns Hopkins Residency Advisory Council.
Following residency, CDR Dierks reported as the Preventive Medicine Officer to III Marine Expeditionary Force (III MEF) in Okinawa, Japan. Additionally, she served as the acting III MEF Surgeon (May 2014- August 2014). Subsequently as Deputy III MEF surgeon and 3rd Marine Expeditionary Battalion (3rd MEB) Surgeon for the remainder of her tour. She was responsible for health care and force health protection for approximately 27,000 Marines and Sailors operating throughout the Pacific. CDR Dierks served as the JTF-505 forward surgeon for Operation Sahayogi Haat, the 2015 Nepal Earthquake response. She was instrumental in the identification and repatriation of the US Marines, Nepalese civilians and army personnel involved in a helicopter crash. In addition she spearheaded several initiatives at III MEF to improve force health protection through a quality improvement project targeting increased reporting of heat casualties and quantifying contributing human factors. She facilitated new provider orientation for III MEF medical providers and collaborated with Naval Hospital Okinawa to develop monthly grand rounds for all Okinawa military medical providers. CDR Dierks led the investigation of largest leptospirosis outbreak in US military history coordinating with both military and local Japanese health officials. She was the lead author on a publication detailing this outbreak and the lessons learned. Finally, CDR Dierks earned board certification in Preventive Medicine, Occupation and Environmental Medicine, completed USMC Command and Staff (JPME-1) and earned the Fleet Marine Force (FMF) warfare device.
From August 2015 – August 2018 CDR Dierks served as the Personnel Reliability Program (PRP) Competent Medical Authority (CMA) Community Manager at the Bureau of Medicine and Surgery (BUMED). She was the first full-time person to hold this position and brought Navy Medicine support to the nuclear weapons community to the next level. In this role she oversaw medical support to the Navy Nuclear Deterrence Mission directly serving as the Surgeon General’s liaison to Strategic Systems Programs. She was only the second Navy medically trained person to serve as a Nuclear Weapons Technical Inspector/subject matter expert to Strategic Systems Program (SSP). Additionally she worked with the Head of Undersea Medicine (UM) to increase medical student recruitment and mentorship for Undersea Medicine Programs. In this roles, she oversaw the preparation of UM packages for the Graduate Medical Education Selection Board resulting in the highest undersea medical officer candidate recruitment in the past 10 years. She completed the requirements for her submarine medical officer warfare device. Finally, she graduated in July 2018 with a Masters in Science and Technology Intelligence from National Intelligence University with a concentration is Weapons of Mass Destruction.
In August of 2018 CDR Dierks reported to Naval Hospital Yokosuka Japan. She served as Director, Branch Health Clinics and Preventive Medicine/ Occupational Medicine/ Undersea Medicine Staff Physician. CDR Dierks was responsible for six branch health clinics in two countries and one territory with over 600 personnel and a budget in excess of $ 11 million dollars and travel funds in excess of $400 thousand dollars. Additionally, she served as the Public Health Emergency Officer and Preventive Medicine consultant to Seventh Fleet. For the April-May 2019 American College of Occupational Medicine Conference, CDR Dierks gave two presentations- “Bio-security and Gene editing technologies” and “The Navy’s response to climate change.” She served as the co-champion for telehealth initiatives at the command.
In March of 2020 CDR Dierks returned to BUMED and served as acting Head, Undersea Medicine and Radiation Health from April 2020 – August 2020. During this time she led the Undersea Medicine clinical community that produced return to diving guidance for U.S. Navy diving personnel. In her current position she serves as deputy, for waivers and standards, and is the senior medical reviewer for all special duty (submarine, diving, nuclear field duty, and special warfare) waivers for all Navy and Marine Corps personnel, U.S. Coast Guard, and Department of the Navy (DoN) civilians. She assists with case reviews for the radiation effects advisory board (REAB) for DoN civilians and active duty members in the radiation health program. Additionally, she current leads the effort to revise the Manual of the Medical Department chapter 15 sections on special duty. She maintains her clinical currency through regular clinic hours at Fort Belvoir Community Hospital serving as Occupational and Diving Medicine Physican.
CDR Dierks’ personnel awards include the Meritorious Service Medal with two gold stars, the Joint Commendation Medal, Humanitarian Service Medal and the Navy Commendation Medal with gold star. She holds the following warfare devices: Submarine Medical Officer device, Surface Warfare Medical Officer device, and Fleet Marine Force. She holds an active TS-SCI clearance.
Juan Valdivia-Valdivia
MD
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Dr. Juan Valdivia-Valdivia's expertise lies in neurosurgery. He obtianed his medical degree from Universidad Peruana Cayetano Heredia Facultad de Medicina Alberto Hurtado in Peru. Dr. Valdivia-Valdivia practices at BayCare Medical Group in Tampa, Florida and is board certified by the American Board of Neurological Surgery. He is well-versed with English, French, Spanish, and Portuguese. Dr. Valdivia-Valdivia is efficient, decisive, and meticulous. He always ensures quality and believes in openly communicating with his patients.
Keith Van Meter
MD
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Keith Van Meter, MD completed his undergraduate education at Miami University at Oxford, Ohio in 1968 with a degree in chemistry and English. He graduated from George Washington University School of Medicine in 1973 with a degree in medicine. He trained at Tulane University School of Medicine/Charity Hospital in New Orleans, Louisiana. He is board certified in Emergency Medicine with subspecialty board certification in Pediatric Emergency Medicine and Diving and Hyperbaric Medicine. From 1989 to the present, Dr. Van Meter has served as the Chief of the Section of Emergency Medicine in the Department of Medicine at LSU Health Sciences Center in New Orleans, Louisiana. He is the Medical Director of a 140-physician Emergency Medicine group in south Louisiana and Mississippi (Keith Van Meter & Associates). He acted as the Medical Director of the Jo Ellen Smith Medical Center Multiplace Hyperbaric Medicine Unit from 1978 until the hospital closed in 1998. He has served as the Medical Director of the Baromedical Research Institute Hyperbaric Laboratory in New Orleans, Louisiana since 1980. Dr. Van Meter served on a task force under Dr. Sam Poole and Dr. Norman McSwain to develop medical support planning for NASA for astronauts aboard a space station from 2000-2002. In his private practice, he has treated over 600 hundred commercial divers in the Gulf of Mexico who suffered from acute decompression sickness or arterial gas embolism. Dr. Van Meter’s primary research interest is the application of hyperbaric oxygen in the ACLS, PALS and ATLS in cardiopulmonary arrest utilizing a swine model.
Michael Ott
MD
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Dr. Michael Ott is a Colorado native who received his undergraduate degree from Davidson College, followed by his medical degree from Wake Forest University. He then studied Internal Medicine/Pulmonary Medicine/Critical Care Medicine at Mayo Clinic. He is a Clinical Associate Professor of Medicine at the Uniformed Services University Of The Health Sciences, F. Edward Hebert School of Medicine. Ott has been an active dive instructor since 1994 and a Diving Medical Officer with NOAA since 1998, serving on the USS Monitor and Aquarius saturation missions. He continues to serve on the NOAA Diving Medical Review Board. Ott has served as a faculty member and course director for numerous diving medical programs for NOAA and the military. He is the medical director for the Ocean Corporation. He serves as the Chief of Pulmonary/CCM/UHM at Eglin Air Force Base and is also a Flight Surgeon in the USAF working as the Chief of Aerospace Medicine for the 44th Fighter Group (F35). He has logged hours on more than 30 airframes with the Air Force.
Peter Lindholm
MD
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Peter Lindholm, MD, PhD is Professor in Residence, Gurnee Endowed Chair of Hyperbaric and Diving Medicine Research, Department of Emergency Medicine, University of California San Diego. He is a radiologist (licensed in Sweden), and associate professor in physiology and radiology from the Karolinska Institutet in Sweden. He has also served as director of thoracic radiology at the Karolinska University Hospital. His research interest is in the field of diving and hyperbaric medicine with focus on the pathophysiology of breath-hold diving. He has published studies on hypoxia and loss of consciousness as well as the pulmonary effects of lungsqueeze. He has described the physiology of how glossopharyngeal breathing extends the amount of gas in the lungs beyond total lung capacity, including the first case series suggesting cerebral arterial gas embolism from glossopharyngeal insufflation (lungpacking). He published the first study suggesting “tracheal squeeze” as an alternative to pulmonary edema in divers bleeding after deep dives. He has showed that exercise and fasting prior to diving increases the risk of loss of consciousness similar to hyperventilation. He has also developed a new method to use magnetic resonance imaging to diagnose pulmonary embolism. Current focus is on immersion pulmonary edema and lungsqueeze, as well as new methods to measure hyperbaric oxygen therapy. He also enjoys exercise and his saltwater aquarium.
Richard Moon
MD
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Dr. Richard Moon earned BSc and MD degrees at McGill University. He trained in internal medicine and biomedical engineering at the University of Toronto, then in pulmonary and critical care medicine, followed by anesthesiology at Duke University. He joined the Duke University faculty in 1983. He is Professor of Anesthesiology, Professor of Medicine and Medical Director of the Duke Center for Hyperbaric Medicine & Environmental Physiology. His research has included physiology of immersion and predictors of arterial PCO2 during underwater exercise. He has been particularly interested in causes and prevention of immersion pulmonary edema, use of an experimental breathing gas (perfluoromethane) to decrease decompression requirements after heliox dives, mechanisms of death during triathlons, causes of perioperative opioid-induced respiratory depression, and improved monitoring techniques for monitoring patients to detect it. His awards include the Mentorship Award from the AMA-Women Physicians Congress Physician Mentor Recognition Program, Leonard Palumbo Jr, MD Faculty Achievement Award for compassionate patient care and excellence in the teaching and mentoring of young physicians, Duke awards for Excellence in Medical Student Education and two awards as Duke Anesthesiology Teacher of the Year.
Simon Mitchell
PhD
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Professor Simon Mitchell MB ChB, PhD, DipDHM, DipOccMed, FUHM, FANZCA
Simon is an anesthesiologist and diving physician and is the Head of the Department of Anaesthesiology at the University of Auckland. He has been a lifelong passionate diver and was a lead member of teams that were the first to locate, dive and identify 3 deep shipwrecks of high historical significance in Australia and New Zealand. At the time of one of these dives it was the deepest (600’) ever undertaken to a wreck. He is widely published, particularly in the area of diving medicine, with over 130 scientific papers or book chapters which include the chapter on hyperbaric and diving medicine in Harrison’s Principles of Internal Medicine. Simon was elected to Fellowship of the Explorers’ Club of New York in 2006. He received the Albert R Behnke Award (the highest American award for scientific contributions to the field) in 2010, the Eurotek Discovery Award in 2014, and was the DAN / Rolex Diver of the Year in 2015.0730 COFFEE
0755-0805 Introduction: Pulmonary and Thoracic Issues in Diving
Jim Chimiak, MD
0805-0835 Imaging: Peter Lindholm, MD, PhD
About the Lecture
An overview from the radiologist perspective on what imaging options are available to diagnose or better classify pathology related to diving related physiology and pathology0835-0905 Surgical and Traumatic Injuries: Dick Sadler, MD
About the Lecture
0905-0920 Panel Discussion
0920-0950 Pulmonary Edema: Richard Moon, MD
About the Lecture
0950-1020 Diving after Pulmonary Infection; Michael Ott, MD
About the Lecture
1020-1050 Aspiration/Non-fatal Drowning: James Mucciarone, MD
About the Lecture
1050-1105 Panel Discussion
1105-1205 Lunch (on own)
1205-1300 Chest/Thoracic Pain: Cardiac / Non-Cardiac: Keith Van Meter, MD
About the Lecture
1300-1330 Pulmonary Fitness to Dive: Joy Dierks, MD
About the Lecture
Discuss common disqualifying conditions and how the US Navy evaluates and makes decision on fitness for Diving1330-1400 Exercise/Cold Induced Asthma: Richard Moon, MD
About the Lecture
1400-1415 Panel Discussion
1415-1445 Pulmonary Oxygen Toxicity: Bruce Derrick, MD
About the Lecture
Will discuss the underlying etiology, clinical presentation, and management of pulmonary oxygen toxicity.1445-1505 Lung Squeeze (pulmonary barotrauma): Workshop 2023: Frauke Tillmans, PhD
About the Lecture
The San Diego Center of Excellence in Diving at UC San Diego and the Divers Alert Network convened the Barotrauma and SIPE in Freediving workshop on 27-28 October 2023 in San Diego, California to provide a synthetic overview of the current knowledge of barotrauma and swimming-induced immersion pulmonary edema (SIPE). This workshop was an international, interdisciplinary effort to examine the prevalent emerging issues with freediving and different types of swimming-, immersion-, and altitude-related pulmonary edema. This volume presents 21 papers and panel discussions with particular focus on the definition, symptomatology, mechanics, prevention and treatment of SIPE and squeeze, a colloquial term amongst freedivers for lung barotrauma of descent. Immersion pulmonary edema is considered cardiogenic edema from increased transcapillary pressure. Fluid generated in the pulmonary interstitium or alveoli is dependent on inflow (arterial pressure); outflow (venous pressure); and, lymphatic drainage. Barotrauma of descent is coupled to a relative negative pressure in the airways and/or alveoli triggering anatomical distortion of lung parenchyma that presents as tears to the structures with bleeding. New data suggests that infection may be present providing permeability and inflammation as a contributing component. Mechanisms for individual sensitivity, influence of gender, and genetic predisposition are poorly known but hypertension has been identified as a factor. Workshop presentations spanned lung squeeze and DCI in freediving education, review of emergent freediving cases, current medical procedures at competitions, pathophysiology of SIPE, pulmonary capillary stress failure, infection as a risk factor, biomechanics of SIPE, sex and age difference prevalence, mechanisms of SIPE, pathophysiology and clinical course of HAPE (high-altitude pulmonary edema), patent foramen ovale in freediving, hemoptysis, diagnosis of SIPE in recreational swimmers, lung damage and long-term consequences of barotrauma. Finally, terminology, treatment, and return to freediving or swimming were addressed in a panel discussion format. A consensus was reached to introduce a new term to describe the multiple pulmonary injury types connected with freediving. Freediving-induced pulmonary syndrome (FIPS) was suggested, acknowledging that the classification of severity and recognizable symptoms of each subcategory of FIPS is not currently possible due to a lack of reliable data. Further discussion and collection of data is warranted from retrospective as well as prospective applied research. Workshop Proceedings can be downloaded at www.dan.org.1505-1525 Lung Squeeze (pulmonary barotrauma): Management: Juan Valdivia-Valdivia, MD
About the Lecture
1525-1545 The Work of Breathing: What it IS, and What it Isn’t: John Clarke, PhD
About the Lecture
Building on clinical manifestations of obstructed breathing, we see how physiological Work of Breathing is defined and how it affects decision-making in divers and diving medical supervisors based on actual diving incidents. We review how basic respiratory physiology can explain bad diving outcomes and reveal how to remedy bad decision-making. Those ameliorations can also be used to remedy Work of Breathing problems in military SCBA and tactical aircraft oxygen delivery systems.1545-1605 Work of Breathing/lung mechanics: Simon Mitchell, MBBS, PhD
About the Lecture
1605-1635 Autopsy Findings: Jim Caruso, MD
About the Lecture
1635-1650 Panel Discussion
1650-1705 Conclusion
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Advances in Wound Management
Get ahead in the field of wound management...
With the increase in Hyperbaric (HBO2) chamber management organizations and hospitals that have identified a professional practice gap due to the lack of experienced/competent clinicians to employ as staff, many physicians, nurses and allied health professionals have limited knowledge regarding HBO2 medicine, including the equipment and processes related to diagnosis and treatment, especially associated with the UHMS Indications. There is also a practice gap with lack of referrals between specialties to support hyperbaric medicine and wound care treatment that is backed by evidence-based research.
FEES:
EARLY-BIRD til 2/15: $225
ADVANCE: 2/16 – 6/11: $275
AT-THE-DOOR: $325
SCHEDULE
Date: Wednesday, June 12
Time: 8am-5pm
Agenda Posted: 10/19/23 (subject to change): See agenda tab below2024 Advances in Wound Management Pre-course
Event Properties
Event Start Date 06-12-2024 Event End Date 06-12-2024 Location Crowne Plaza New Orleans French Qtr - Astor Categories UHMS Directly Provided Course Brenda Freymiller
BSN, CWOCN, CWS
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Brenda Freymiller is a Wound, Ostomy, and Continence Nurse from Salt Lake City, UT. She has been a WOC Nurse for 20 years.Caroline Fife
MD
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Dr. Fife completed a Family Medicine residency at the University of Texas, Southwestern in Dallas followed by a two year Fellowship in Undersea and Hyperbaric Medicine at Duke University. Until 2013 she was a Professor of Medicine at the University of Texas Health Science Center, Houston where she initiated the Memorial Hermann Center for Wound Healing and Hyperbaric Medicine and the Lymphedema Center. She is now a Professor of Geriatrics at Baylor College of Medicine in Houston, and the Medical Director of the CHI St. Luke's Wound Clinic in The Woodlands, Texas. She is also the Chief Medical Officer of Intellicure, Inc., a health information technology company, and the Executive Director of the U.S. Wound Registry, a non-profit organization recognized by CMS as a qualified clinical data registry. The USWR develops quality measures and helps wound care and hyperbaric practitioners meet the requirements of Medicare’s new Quality Payment Program. She has been a Certified Wound Specialist since 1998 and is a past president of the Undersea and Hyperbaric Medical Society. Past and present board activities include the Alliance of Wound Care Stakeholders (current co-chair), the American Academy of Wound Management, the Association for the Advancement of Wound Care and the American Professional Wound Care Association. She is the clinical editor of Today’s Wound Clinic, and has authored more than 100 peer reviewed articles and book chapters as well as editing 3 textbooks (the Textbook of Chronic Wound Care, Wound Care Practice, and Women and Pressure: Diving and Flying.). Her research contributions include altitude decompression studies that enabled the construction of the International Space Station by decreasing the time needed for oxygen pre-breathe as part of a NASA lead research consortium, the development of real time lymphatic imaging with Dr. Eva Sevick using near infrared technology, and more recently, the use of real world data for comparative effectiveness studies to understand what works best for patients with chronic wounds and ulcers.Dick Clarke
CHT-ADMIN
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Dick assumed the position of president of the National Board of Diving & Hyperbaric Medical Technology in January, 2009, having previously held this position from 1989-1995. Dick’s background includes service in the British Navy, diving instructor and underwater photographer at the International Underwater Explorers Society and assistant director of the seabed living program ‘Hydrolab’. In 1976, Dick was instrumental in the development of the diver medic program at the Commercial Diving Center, while employed as a saturation diving superintendent with Oceaneering International. Dick taught the diving medicine section from 1976 - 1983 and helped establish the National Association of Diver Medic Technicians, the fore runner of the NBDHMT. He wrote the Board’s first CHT exam. Over the past two decades Dick remains involved in all aspects of undersea and hyperbaric medicine, technology, education and research. His organization has trained over 6,000 healthcare professionals and he has served as a faculty member for the annual NOAA-UHMS Diving Medical Officer Training Course for the past 25 years. Dick has been active within the UHMS, chairing numerous committees and was the UHMS Associates first elected chairman. He heads a research foundation dedicated to the scientific advancement of hyperbaric medicine, and has developed an international consortium that undertakes wide-ranging controlled clinical trials.
Drue Orwig
DO, MBA
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Drue Orwig, DO, MBA is a board-certified physician specializing in Wound Care, Undersea and Hyperbaric Medicine, and Emergency Medicine. She has been practicing Wound and Hyperbaric Medicine at CoreWell Health Hospital System and has served as the Section Chief for Wound and Hyperbaric Medicine since 2017. She serves as the Councilor for the Undersea and Hyperbaric Medicine Chapter for the American College of Emergency Physicians and sits on the Education Committee for the Undersea and Hyperbaric Medicine Society. She serves as the Medical Staff Secretary for the Corewell Health West Grand Rapids Hospital System.
Her expertise include: Limb loss prevention, Hyperbaric and Dive Medicine, Advanced technologies in Wound Care.
Helen Gelly
MD
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Dr. Gelly has been involved in hyperbaric medicine and wound care since 1991. Past positions have included Medical Directorships at academic and community hyperbaric medicine and wound care programs. She started a non-hospital affiliated hyperbaric medicine center which was one of the first UHMS accredited centers. She has been actively involved in billing and reimbursement issues for both facilities and physicians. Until recently, she was the Medical Director of Hyperbaric Physicians of Georgia, a group of physicians dedicated to the practice of hyperbaric medicine and wound healing, with 5 subspecialty boarded physicians in its membership. In addition to lecturing nationally on hyperbaric medicine and wound healing for many years, she was the president of the Gulf Coast Chapter of the UHMS from 2005-2007. Currently, she serves as the Emeritus Medical Director of Hyperbaric Physicians of Georgia, and as C.E.O. for HyperbaRXs.
Shai Efrati
MD
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Dr. Shai Efrati is a professor at the School of Medicine and the Sagol School of Neuroscience at Tel Aviv University. He also serves as the director of the Sagol Center for Hyperbaric Medicine and Research at Shamir (Assaf-Harofeh) Medical Center in Israel. Under Prof. Efrati's leadership, the center has grown to become the largest hyperbaric center worldwide, currently treating over 300 patients per day.
Dr. Efrati's expertise extends to internal medicine, nephrology, hyperbaric and diving medicine, and he holds the position of Director of Research & Development at the Shamir Medical Center, affiliated with Tel-Aviv University. Driven by his passion for physiology and thermodynamics, particularly in understanding the physiological barriers that hinder organ function, he initiated a research program focusing on neuroplasticity—the regeneration of damaged brain tissue. This research aims to treat the brain as a tissue, identifying and characterizing non-healing brain wounds and the bottlenecks that impede recovery.
Todd Vento
MD
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Experienced Medical Director and Physician with a demonstrated history of success at all levels of the healthcare system. Skilled in Clinical Medicine (Infectious Diseases/Internal Medicine), Program Development, Healthcare Leadership, Population and Global Health, and Medical Education. Strong healthcare professional with a Master of Public Health (MPH) in Epidemiology/International Health from Johns Hopkins School of Public Health. Retired Army Medical Officer with extensive operational and leadership experience, providing infectious diseases/public health expertise in support of military and civilian healthcare programs on five continents.0755-0815 Introduction / CE Requirements
0815-0900 Continued Importance of Transcutaneous Oximetry in the Current Era and Evidence-Based Interpretation: Dick Clarke, CHT-Admin
About the Lecture
This lecture will review the evidence-based performance and continued relevance of transcutaneous oximetry during hyperbaric consultation and case management of lower extremity healing deficient wounds. The lecture will provide guidance to sequential testing and conclude by summarizing data interpretation.0900-0930 Use of DNA assay to identify bacterial populations / Noncontact Fluorescent imaging to determine bacterial load and guide antibiotic stewardship: Todd Vento, MD
About the Lecture
0930-1000 DNA assay: Drue Orwig, DO, MBA
About the Lecture
Learn a new and effective way to diagnosis a biofilm and explore a very effective treatment regimen through case reviews. This technology is a game-changer and will allow you to heal some of the most difficult wounds out there!1000-1100 The Development of Hyperbaric Medicine from Decompression to Regeneration: Shai Efrati, MD
About the Lecture
Hyperbaric medicine utilizes variations in environmental pressure and gas composition to achieve specific biological outcomes. In this field, pressure serves as the primary agent in treating decompression sickness and gas emboli, while oxygen is pivotal in addressing acute ischemic conditions such as for example carbon monoxide poisoning or acute retinal artery occlusion. Recent years have seen emerging evidence that certain fluctuations in pressure and gas levels can initiate a biological cascade essential for regeneration in multiple damaged organs. This phenomenon, known as the Hyperoxic-Hypoxic Paradox, stimulates stem cell proliferation and migration, mitochondrial activation, angiogenesis, and gene expression integral to regenerative processes. In this lecture, we will explore the various 'active ingredients' of hyperbaric medicine and discuss the range of pathologies that can benefit from each therapeutic modalities1100-1130 DME coverage requirements and getting dressings that patients need: Brenda Freymiller, BSN, CWOCN, CWS
About the Lecture
1130-1200 The vascular origin of pressure injuries/ulcers and implications for prevention and treatment: Caroline Fife, MD
About the Lecture
1300-1400 Audit survival in the wound center: review of various audit types, risk associated with and reasons for recoupment provided by various MACs: Helen Gelly, MD
About the Lecture
1400-1430 Pyoderma gangrenosum – using the PARACELSUS score instead of biopsies: Caroline Fife, MD
About the Lecture
1445-1515 Compression bandaging
About the Lecture
1515-1615 Compression bandaging-hands on
1615-1645 Offloading
About the Lecture
1645-1745 Total Contact casting hands on
1745-1800 Course Wrap Up, Q&A with Faculty