History of diving and hyperbaric medicine
- Diving history
- Recompression history
- Air and oxygen treatment
- Current accepted indications
- Non-accepted indications
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Diving physiology
- Compression of solids and liquids
- Respiratory changes on immersion
- Cardiovascular response to immersion
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Marine envenomation
- Common dangerous sea creatures
- Management
- Sources of expert advice
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Practical aspects of hyperbaric therapy
- Chamber types
- Operational safety
- Emergency procedures
- Oxygen delivery systems
- Environmental systems
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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
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Human performance and diving
- Human performance underwater
- Women in diving
- Diving by the elderly and the young
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Physics of hyperbaric medicine
- Gas laws
- Pressure conversion
- Adiabatic temperature variation
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Diving injuries
- Decompression Illness
- Barotrauma
- Salt water aspiration
- Decompression theory
- Rationale of dive tables
- Retrieval of the injured diver
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Diving supervision
- Medical supervision of diving operations
- Principles of saturation diving
- Common medical problems in saturation diving
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Mechanisms of action in hyperbaric hedicine
- Compression of bubbles
- Hyperoxia
- Immune system modulation
- Enhancement of healing
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Diving-related disorders
- Inert gas narcosis
- High pressure nervous syndrome
- Aseptic necrosis of bone
- Ear and sinus problems
- Neurologic consequences
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Toxicity of respired gases
- Oxygen toxicity
- Carbon Dioxide toxicity
- Carbon Monoxide
- Cyanide, H2S
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Treatment tables
- Historical review
- Oxygen as a drug
- Rational choice
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Other immersion disorders
- Hypothermia
- Near Drowning
- Pulmonary disorders
- Cardiovascular disorders
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Problem wounds
- Mechanisms of wound healing
- Assessment of wounds
- Treatment of problem wounds
- Multidisciplinary wound clinics and the role of HBO
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Hyperbaric safety and emergency procedures
- Operational, fire and electrical safety
- Safety codes and standards
- Emergency procedures
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Cerebral arterial gas embolism
- Diving related
- Iatrogenic
- Management
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Radiation tissue damage
- Pathophysiology of radionecrosis
- Prevention and treatment of osteoradionecrosis
- Soft-tissue radionecrosis
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Physical aspects of diving
- Diving physics
- Diving equipment
- Mixed-gas diving
- Breath-hold diving
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Assessment of fitness to dive
- Professional
- Recreational
- Attendant staff
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Hyperbaric and intensive care
- Patient selection and preparation
- Mechanical ventilation under pressure
- Management of lines and infusions
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Ischaemia-reperfusion injury
- Pathology of I-R Injury
- Treatment of I-R Injury
- Role of HBO
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Complications and contra-indications in hyperbaric medicine
- Risk factors
- Absolute contraindications
- Relative contraindications
- Management of complications
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Transcutaneous oxygen tensions
- Physiology
- Patient selection for therapy
- Practical aspects of mapping
- Role as endpoint
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Ethics of hyperbaric practice
- Approach to 'off list' indications
- Research methods
- nternational register of unusual cases
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Patient management
- Admission and discharge criteria
- Infection control
- Diabetic control under pressure
- Planning a treatment course
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Record keeping
- Database issues
- Transcutaneous oxygen mapping
- Medical photography
- Quality assurance
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Standards
- Standards relating to facility
- Standards relating to staffing
- Standards for 'Fitness to dive'
- Local and international
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Evidence-based medicine and hyperbarics
- Concepts
- Resources available
- Using the internet
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Administrative issues
- Reimbursement
- Professional societies
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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
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