Undersea and Hyperbaric Medicine

 

1	Fundamentals
1.1	Physics of Diving
1.1.1	Units
1.1.2	Gas law, Buoyancy
1.1.3	Vision and acoustics
1.1.4	Phys properties of gases (density, solubility, etc.)
1.2	Rec/trtmnt of phys/pharm effects/tox of gases
1.2.1	Oxygen
1.2.1.1	CNS
1.2.1.2	Pulmonary
1.2.1.3	Ocular
1.2.1.4	Blood
1.2.2	Carbon Dioxide
1.2.3	Other Gases
1.3	Equipment
1.3.1	Chamber systems design, construction & maintenance
1.3.2	ASME and NFPA regulations
1.4	Decompression Theory
1.4.1	Decompression tables
1.4.2	Decompressing chamber attendants
1.4.3	Altitude effects of decompression
1.4.4	Saturation
1.4.5	Repetitive
1.4.6	Bubble Detection
1.5	Pathophysiology, clinical manifestations, and management of dysbarism
1.5.1	Barotrauma
1.5.2	Signs and symptoms of DCS
1.5.3	Signs and symptoms of AGE
1.5.4	Signs and symptoms of venous gas embolism
1.5.5	Long‐term diving effects (dysbaric osteonecrosis, etc.)
1.5.6	Management of pressure related diving accidents
1.5.7	Effects of bubbles
1.5.8	Mechanism of gas entry and distribution
1.5.9	Diving casualties

 

2	Diving Medicine
2.1	Physiologic effects of diving
2.1.1	High Pressure Nervous Syndrome
2.1.2	Breath‐hold diving
2.1.3	Physiology of immersion
2.1.4	Surface Decompression
2.1.5	Mixed gas diving
2.2	Diving operations
2.2.1	Bounce diving
2.2.2	Saturation diving and fire safety
2.2.3	Caisson and tunnel work
2.2.4	Surface decompression
2.2.5	Flying after diving
2.2.6	Mixed gas diving
2.3	Medical and Technical Support of Diving
2.3.1	Medical Standards
2.3.2	Hazardous marine life
2.3.3	Other medical disorders
2.3.4	Psychology of closed spaces
2.3.5	Chambers, bells, habitats, and sat systems
2.3.6	Underwater breathing apparatus
2.3.7	Thermal

 

3	Clinical Hyperbaric Medicine
3.1	Indications for Hyperbaric Oxygen Therapy
3.1.1	Carbon Monoxide Poisoning‐Carbon Monoxide Complicated by Cyanide Poisoning
3.1.2	Clostridial Myositis and Myonecrosis (Gas gangrene)
3.1.3	Crush Injury, Comp Synd, & Other Acute Traumatic Ischemias
3.1.4	Enhancement of Healing in Selected Problem Wounds
3.1.5	Exceptional Anemia
3.1.6	Intracranial Abscess
3.1.7	Necrotizing soft tissue infections
3.1.8	Osteomyelitis  (refractory)
3.1.9	Delayed radiation injury (soft tissue and bony necrosis)
3.1.10	Skin grafts and flaps (compromised)
3.1.11	Thermal burns
3.1.12	Other
3.2	Patient Management
3.2.1	Patient selection and care
3.2.2	Treatment protocols
3.2.3	The physiological effects of hyperbaric oxygen
3.2.4	Pharmacological effects of HBO
3.2.5	Management of O2 toxicity
3.2.6	Patient monitoring and equipment
3.2.7	Complications of HBO therapy