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Curriculum

Components Components Components
History of Diving and Hyperbaric Medicine
  • Diving history
  • Recompression history
  • Air and oxygen treatment
  • Current accepted indications
  • Non-accepted indications
Diving Physiology
  • Compression of solids and liquids
  • Respiratory changes on immersion
  • Cardiovascular response to immersion
Marine Envenomation
  • Common dangerous sea creatures
  • Management
  • Sources of expert advice
Practical Aspects of Hyperbaric Therapy
  • Chamber types
  • Operational safety
  • Emergency procedures
  • Oxygen delivery systems
  • Environmental systems
Hyperbaric Medicine Accepted Indications
  • UHMS, EUBS and Australian Accepted Indications
  • Decompression illness
  • Cerebral arterial gas embolism
  • Carbon Monoxide poisoning
  • Acute necrotizing infections
  • Acute traumatic ischaemias
  • Problem wounds
  • Osteoradionecrosis
  • Soft tissue radionecrosis
  • Compromised flaps and grafts
  • Refractory osteomyelitis
  • Exceptional blood loss anaemias
  • Thermal burns
  • Intra-cranial abcess
  • Miscellaneous indications
Human Performance and Diving
  • Human performance underwater
  • Women in diving
  • Diving by the elderly and the young
Physics of Hyperbaric Medicine
  • Gas laws
  • Pressure conversion
  • Adiabatic temperature variation
 Diving Injuries
  • Decompression Illness
  • Barotrauma
  • Salt water aspiration
  • Decompression theory
  • Rationale of dive tables
  • Retrieval of the injured diver
Diving supervision
  • Medical supervision of diving operations
  • Principles of saturation diving
  • Common medical problems in saturation diving
Mechanisms of action in Hyperbaric Medicine
  • Compression of bubbles
  • Hyperoxia
  • Immune system modulation
  • Enhancement of healing

Diving-related disorders

  • Inert gas narcosis
  • High pressure nervous syndrome
  • Aseptic necrosis of bone
  • Ear and sinus problems
  • Neurologic consequences
  Toxicity of Respired Gases
  • Oxygen toxicity
  • Carbon Dioxide toxicity
  • Carbon Monoxide
  • Cyanide, H2S
Treatment tables
  • Historical review
  • Oxygen as a drug
  • Rational choice
Other Immersion Disorders
  • Hypothermia
  • Near Drowning
  • Pulmonary disorders
  • Cardiovascular disorders
Problem Wounds
  • Mechanisms of wound healing
  • Assessment of wounds
  • Treatment of problem wounds
  • Multidisciplinary wound clinics and the role of HBO
Hyperbaric Safety and Emergency Procedures
  • Operational, fire and electrical safety
  • Safety codes and standards
  • Emergency procedures
Cerebral Arterial Gas Embolism
  • Diving related
  • Iatrogenic
  • Management
Radiation Tissue Damage
  • Pathophysiology of  radionecrosis
  • Prevention and treatment of osteoradionecrosis
  • Soft-tissue radionecrosis
Physical Aspects of Diving
  • Diving physics
  • Diving equipment
  • Mixed-gas diving
  • Breath-hold diving
Assessment of Fitness to Dive
  • Professional
  • Recreational
  • Attendant staff
 Hyperbaric and Intensive Care
  • Patient selection and preparation
  • Mechanical ventilation under pressure
  • Management of lines and infusions
Ischaemia-reperfusion Injury
  • Pathology of I-R Injury
  • Treatment of I-R Injury
  • Role of HBO
Complications and contra-indications in Hyperbaric Medicine
  • Risk factors
  • Absolute contra-indications
  • Relative contra-indications
  • Management of complications
Transcutaneous Oxygen Tensions
  • Physiology
  • Patient selection for therapy
  • Practical aspects of mapping
  • Role as endpoint

 

Ethics of hyperbaric practice
  • Approach to 'off list' indications
  • Research methods
  • nternational register of unusual cases
Patient management
  • Admission and discharge criteria
  • Infection control
  • Diabetic control under pressure
  • Planning a treatment course
Record Keeping
  • Database issues
  • Transcutaneous oxygen mapping
  • Medical photography
  • Quality assurance
  •  
Standards
  • Standards relating to facility
  • Standards relating to staffing
  • Standards for 'Fitness to dive'
  • Local and international
Evidence Based Medicine and Hyperbarics
  • Concepts
  • Resources available
  • Using the internet

 

Administrative Issues
  • Reimbursement
  • Professional societies
Practical Skills
  • Transcutaneous oxygen measurement
  • Chamber operation
  • In-chamber attendance
  • Assessment of fitness to dive
  • In-water expired air resuscitation and diving safety
  • Ancillary equipment operation