Diving and Hyperbaric Medicine
More bubbles form after wet than dry dives
Doppler studies need more observations over a longer time
Time to treatment in neurological decompression sickness
Does diving contribute to dental alloy corrosion?
HBOT for acute retinal artery occlusion
The proceedings of the inaugural meeting of the European Undersea Bio-Medical Society 1971Held at the Royal Society of Medicine, London, at 1930 h on 30 September 1971
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Peter Germonpré, President, EUBS
Mike Bennett, President, SPUMS
Observation of increased venous gas emboli after wet dives compared to dry divesAndreas Møllerløkken, Toni Breskovic, Ivan Palada, Zoran Valic, Zeljko Dujic and Alf O Brubakk
Depth (msw) Bühlmann US Navy Norwegian DCIEM12 2 - - 69 5 1 5 66 9 5 10 83 27 17 15 25Total decompression (min) 43 23 30 45
Risk factors and clinical outcome in military divers with neurological decompression sickness: influence of time to recompressionJean-Eric Blatteau, Emmanuel Gempp, Pascal Constantin and Pierre Louge
Univariate analysis Multivariate analysisVariable Full recovery Sequelae P OR (95% CI) P adj OR (95% CI)Total (n = 59) 44 15Age (yr) 0.26 2.64 (0.7–10.1) N/A
< 35 37 10≥ 35 7 5
Bottom time (min) 0.94 1.15 (0.35–3.7) N/A< 15 25 8≥ 15 19 7
Depth (msw) 0.41 1.97 (0.6–6.5) N/A< 40 25 6≥ 40 19 9
Repetitive dive 1 0.97 (0.17–5.42) N/Ano 38 13yes 6 2
Controlled ascent 1 0.71 (0.07–6.9) N/Ano 4 1yes 40 14
Delay onset of symptoms (min) 0.82 1.04 (0.32–3.37) N/A< 15 21 7≥ 15 23 8
Initial symptoms 0.017 0.032 4.1 (1.12–14.92)Paraesthesia 17 0 N/ASensory deficit 8 4 1Motor impairment 19 11 1.16 (0.28–4.76)
Bladder dysfunction 0.002 14 (2.42–80.95) 0.017 9.99 (1.5–66.34)no 42 9yes 2 6
Delay onset of symptomsto recompression (min) 0.15 3 (0.82–10.86) 0.03 1.01 (1–1.02)≤ 90 36 9> 90 8 6
Treatment table regimen (kPa) 0.7 1.32 (0.29–5.92) N/A405 37 12283 7 3
Studies Population n Recompression % recovery at P - value delay (h) dischargeKizer 198210 Neurological DCS 26 12–24 84% < 0.05 > 24 54%Van Hulst 199011 Neurological DCS 48 34 < 12 77% 0.052 14 > 24 43% Méliet et al 19908 Neurological DCS 50 < 1 92% NS > 2 86% Ball 19933 Spinal cord DCS 49 21 < 12 73% NS 20 > 24 56% Severe cases 24 9 < 12 55% 0.008 12 > 24 18% Blatteau et al 201014 Spinal cord DCS 279 197 ≤ 6 73% 0.023* 82 > 6 42.3% OR 1.8 (1–3.3) Median delay (min)Boussuges et al 199623 Neurological DCS 96 full recovery 185 NS incomplete recovery 203Stipp 200715 Neurological DCS 343 243 < 0.05
Retinal artery occlusion: visual outcome after treatment with hyperbaric oxygenAustin Cope, Joan V Eggert and Erin O’Brien
The need for optimisation of post-dive ultrasound monitoring to properly evaluate the evolution of venous gas emboliS Lesley Blogg and Mikael Gennser
Maintenance of negative-pressure wound therapy while undergoing hyperbaric oxygen therapySi Jack Chong, Meng Kwan Tan, Weihao Liang, Soo Joang Kim and Chai Rick Soh
The influence of a hyperbaric environment and increased oxygen partial pressure on the corrosion of dental alloysChristian Mehl, Frank Heblich, Rudolf Lenz, Klaus Ludwig and Matthias Kern
The database of randomised controlled trials in hyperbaric medicine maintained byDr Michael Bennett and colleagues at the Prince of Wales Hospital
Diving and Hyperbaric Medicine Unit is at: <www.hboevidence.com>
British Sub-Aqua Club (BSAC) diving incidents report 2010Compiled by Brian Cumming, Diving Incidents Advisor
Hyperbaric oxygen therapy improved pain and range of motion for patients with Ficat stage II idiopathic femoral head necrosis
Hyperbaric nursing and wound careValerie Larson-LohrCo-editors: Helen Norvell, Laura Josefsen and James Wilcox
TheDiving and Hyperbaric Medicine
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Interesting articles from the literature
1. Hyperoxia for brain injury
2. Exercise-induced pulmonary oedema
3. Diving injuries in rebreather divers
Advertising guidelines for Diving and Hyperbaric Medicine
The decision was made recently to invite commercial advertising within the pages of Diving and Hyperbaric Medicine. Companies and organisations within the diving, hyperbaric medicine and wound-care communities who might wish to advertise their equipment and services are welcome. The advertising policy of the parent Societies – EUBS and SPUMS – is set out above and appears on the journal website <www.dhmjournal.com>.
Details of advertising rates and formatting requirements for publication may be obtained on request to this office at:E-mail: <[email protected]>Fax: +64-(0)3-329-6810
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38th EUBS Annual Scientific Meeting 2012First Announcement
Dates: 11–16 September 2012Venue: Sava Centre, Belgrade, Serbia
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Minutes of the SPUMS Executive Committee Meeting 06 November 2010 at Prince of Wales Hospital, Sydney
Minutes of the Annual General Meeting of SPUMS held at The Hilton Hotel, Guam, on Thursday 27 May 2011
Treasurer’s report
Education Officer’s reportChairman’s Report, Australia and New Zealand Hyperbaric Medicine Group
South Pacific Underwater Medicine Society41st Annual Scientific Meeting 2012
Preliminary announcement
TheDiving and Hyperbaric Medicine
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Royal Australian Navy Medical Officers’ Underwater Medicine Course 2011
The Australia and New Zealand Hyperbaric Medicine Group
Introductory Course in Diving andHyperbaric Medicine
Royal Adelaide Hospital
E-mail: <[email protected]>
Inter-university Diploma in Diving and Hyperbaric Medicine, France
German Society for Diving and Hyperbaric Medicine (GTUeM)
Scott Haldane Foundation
British Hyperbaric AssociationAnnual Scientific Meeting 2011
Dates: 20–22 October 2011Venue: QinetiQ Haslar, Haslar Marine Technology Park, Gosport
Hosts: QinetiQ Hyperbaric Medicine Unit, St Richard’s Hospital, Chichester
Full information will be on the BHA website in the near future <http://www.hyperbaric.org.uk>
Contact for further information:Dr Mark GloverE-mail: <[email protected]>Phone: +44-(0)1243-776621
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Editorials
SPUMS notices & news
Diving and Hyperbaric Medicine is indexed on MEDLINE, SciSearch® and Embase/Scopus
Diving and Hyperbaric Medicine Volume 41 No. 3 September 2011
EUBS notices & news
Original articles
Technical reports
Letters to the Editor
Review article
The world as it is
Critical appraisal
Book review
Obituary
117 The Editor’s offering118 The foundations for today’s future
David Elliott120 The proceedings of the inaugural meeting of the European
Undersea Bio-Medical Society 1971122 The Presidents’ pages
124 Observation of increased venous gas emboli after wet dives compared to dry divesAndreas Møllerløkken, Toni Breskovic, Ivan Palada, Zoran Valic, Zeljko Dujic and Alf Brubakk
129 Risk factors and clinical outcome in military divers with neurological decompression sickness: influence of time to recompressionJean-Eric Blatteau, Emmanuel Gempp, Pascal Constantin and Pierre Louge
135 Retinal artery occlusion: visual outcome after treatment with hyperbaric oxygenAustin Cope, Joan V Eggert and Erin O’Brien
139 The need for optimisation of post-dive ultrasound monitoring to properly evaluate the evolution of venous gas emboliS Lesley Blogg and Mikael Gennser
147 Maintenance of negative-pressure wound therapy while undergoing hyperbaric oxygen therapySi Jack Chong, Meng Kwan Tan, Weihao Liang, Soo Joang Kim and Chai Rick Soh
151 The influence of a hyperbaric environment and increased oxygen partial pressure on the corrosion of dental alloysChristian Mehl, Frank Heblich, Rudolf Lenz, Klaus Ludwig and Matthias Kern
156 British Sub-Aqua Club (BSAC) diving incidents report 2010
158 Hyperbaric oxygen therapy improved pain and range of motion for patients with Ficat stage II idiopathic femoral head necrosisMichael Bennett
159 Hyperbaric nursing and wound careYvonne Denny
Continuing professional development160 Acute carbon monoxide poisoning
Daniel Mathieu
162 Mal ignant ot i t is externa: experience with hyperbaric oxygen therapyMihaela Ignatescu
162 ReplyMichael Bennett, Alex Saxby and Joanne James
164 Advertising guidelines for Diving and Hyperbaric MedicinePeter Germonpré and Michael Bennett
165 Lithium batteries – intravenous in fus ion pumps used in hyperbaric facilitiesDavid Smart and Corry Van der Broek
165 William Brook Filer
167 38th EUBS Annual Scientific Meeting 2012First announcement
168 Diploma of Diving and Hyperbaric Medicine
169 Minutes of the SPUMS Executive Committee Meeting 6 November 2010 at POW Hyperbaric Unit
170 Minutes of the Annual General Meeting of SPUMS held at The Hilton Hotel, Guam, on Thursday 27 May 2011
176 SPUMS 41st Annual Scientific Meeting 2012Preliminary announcement
176 Election of Office BearersThird Ordinary Committee Member
177 ANZCA Certificate in Diving and Hyperbaric Medicine
178 Courses and meetings
180 Instructions to authors(short version)