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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 hedicine
  • 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 contraindications
  • Relative contraindications
  • 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


 

 

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