Undersea and Hyperbaric Medical Society

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The Undersea and Hyperbaric Medical Society (UHMS) is an organization based in the US which supports research on matters of hyperbaric medicine and physiology, and provides a certificate of added qualification for physicians with an unrestricted license to practice medicine and for limited licensed practitioners, at the completion of the Program for Advanced Training in Hyperbaric Medicine. They support an extensive library and are a primary source of information for diving and hyperbaric medicine physiology worldwide.[ citation needed ]

Contents

History

The Undersea Medical Society (UMS) grew from the close associations of a small group of scientists. These men realized after a series of International Symposia on Underwater Physiology, initiated by the University of Pennsylvania and the Office of Naval Research that there was a need to stimulate in the field of undersea medicine. [1] [2] This group consisted of diving and aerospace Dr's Edward L. Beckman, Jack L. Kinsey, Christian J. Lambertsen, Walter F. Mazzone, Earl H. Ninow, and Robert D. Workman. [1] The key decision from this meeting was that Dr. Lambertsen was charged with writing the Constitution and establishing the society. [1] They also decided that the Aerospace Medical Association could be the initial home of the UMS. [1]

On 10 April 1967, a meeting was held in Washington, D.C. to introduce the charter membership and elect the society officers and executive committee. [1] There were 88 charter members and the founding Executive committee was made up of Dr's Edward L. Beckman, Albert R. Behnke, George F. Bond, Wallace O. Fenn, Jack L. Kinsey, Christian J. Lambertsen, Walter F. Mazzone, Earl H. Ninow, Heinz R. Schreiner, and Robert D. Workman. [1]

By 1973, the UMS had grown to the point of needing an office and hired Charles W. Shilling as the first Executive secretary. [1] By the next year, the UMS established its scientific journal, Undersea Biomedical Research . [1] [3] The journal continued under this name until 1993 when it was changed to Undersea and Hyperbaric Medicine Journal . [4]

In 1986, the UMS changed its name to the current one. The name change reflected the rapidly growing interest in hyperbaric oxygen physiology and therapy. [1] The UHMS's purpose is to provide scientific information to protect the health of sport, military and commercial divers and to improve the scientific basis of hyperbaric oxygen therapy, promote sound treatment protocols and standards of practice and provide CME accreditation within its field.

Indications for hyperbaric oxygen

UHMS definition of hyperbaric oxygen therapy (HBO): The patient breathes 100% oxygen intermittently while the pressure of the treatment chamber is increased to greater than one atmosphere absolute (atm abs). Current information indicates that pressurization should be at least 1.4 atm abs. This may occur in a single person chamber (monoplace) or multiplace chamber (may hold 2 or more people). Breathing 100% oxygen at 1 atm abs or exposing isolated parts of the body to 100% oxygen does not constitute HBO therapy.

UHMS approved Indications: The following indications are approved uses of hyperbaric oxygen therapy as defined by the Hyperbaric Oxygen Therapy Committee. [5]

Training

Medical training in Hyperbaric Medicine occurs through a post graduate medical fellowship. Hyperbaric medicine fellowships in the United States are approved by the Accreditation Council for Graduate Medical Education (ACGME) under the American Board of Preventive Medicine (ABPM), the American Board of Emergency Medicine (ABEM), and by the American Osteopathic Association under the American Osteopathic Association Bureau of Osteopathic Specialists (AOABOS). [41] [42] The UHMS provides a certificate of added qualification (CAQ) for physicians with an unrestricted license to practice medicine and for limited licensed practitioners, at the completion of the Program for Advanced Training in Hyperbaric Medicine (PATH). [43]

Training and certification for hyperbaric technology is also offered by the National Board of Diving and Hyperbaric Medical Technology. [44]

Library

The UHMS Charles W. Shilling Library is the largest repository of diving and hyperbaric research and clinical information—current and historical—in the world.[ citation needed ] The library is located at the Duke University Medical Center (DUMC) Library in Durham, NC. The collection consists of books, journals, reports, workshops, symposia, conference proceedings, and annotated bibliographies spanning the fields of diving, hyperbaric, and marine medicine. There is a small journal and newsletter collection dealing with diving safety and diving medicine. The library has extensive reprint files of articles, cataloged by author, related to diving and hyperbaric medicine and dating back to the 1930s.

Many of the UHMS publications have been scanned and are available online at the Rubicon Research Repository. Other articles can be found in the DUMC Archive finding aids.

Related Research Articles

<span class="mw-page-title-main">Hyperbaric medicine</span> Medical treatment at raised ambient pressure

Hyperbaric medicine is medical treatment in which an ambient pressure greater than sea level atmospheric pressure is a necessary component. The treatment comprises hyperbaric oxygen therapy (HBOT), the medical use of oxygen at an ambient pressure higher than atmospheric pressure, and therapeutic recompression for decompression illness, intended to reduce the injurious effects of systemic gas bubbles by physically reducing their size and providing improved conditions for elimination of bubbles and excess dissolved gas.

<span class="mw-page-title-main">Breathing gas</span> Gas used for human respiration

A breathing gas is a mixture of gaseous chemical elements and compounds used for respiration. Air is the most common and only natural breathing gas, but other mixtures of gases, or pure oxygen, are also used in breathing equipment and enclosed habitats. Oxygen is the essential component for any breathing gas. Breathing gases for hyperbaric use have been developed to improve on the performance of ordinary air by reducing the risk of decompression sickness, reducing the duration of decompression, reducing nitrogen narcosis or allowing safer deep diving

<span class="mw-page-title-main">Oxygen toxicity</span> Toxic effects of breathing oxygen at high partial pressures

Oxygen toxicity is a condition resulting from the harmful effects of breathing molecular oxygen at increased partial pressures. Severe cases can result in cell damage and death, with effects most often seen in the central nervous system, lungs, and eyes. Historically, the central nervous system condition was called the Paul Bert effect, and the pulmonary condition the Lorrain Smith effect, after the researchers who pioneered the discoveries and descriptions in the late 19th century. Oxygen toxicity is a concern for underwater divers, those on high concentrations of supplemental oxygen, and those undergoing hyperbaric oxygen therapy.

<span class="mw-page-title-main">Diving medicine</span> Diagnosis, treatment and prevention of disorders caused by underwater diving

Diving medicine, also called undersea and hyperbaric medicine (UHB), is the diagnosis, treatment and prevention of conditions caused by humans entering the undersea environment. It includes the effects on the body of pressure on gases, the diagnosis and treatment of conditions caused by marine hazards and how relationships of a diver's fitness to dive affect a diver's safety. Diving medical practitioners are also expected to be competent in the examination of divers and potential divers to determine fitness to dive.

Rubicon Foundation, Inc. is a non-profit organization devoted to contributing to the interdependent dynamic between research, exploration, science and education. The foundation, started in 2002, is located in Durham, North Carolina and is primarily supported by donations and grants. Funding has included the Office of Naval Research from 2008 to 2010. Gibson, Dunn & Crutcher has provided pro bono services to assist in copyright searches and support.

Peter B. Bennett was the founder and a president and CEO of the Divers Alert Network (DAN), a non-profit organization devoted to assisting scuba divers in need. He was a professor of anesthesiology at Duke University Medical Center, and was the Senior Director of the Center for Hyperbaric Medicine and Environmental Physiology at Duke. Bennett is recognized as a leading authority on the effects of high pressure on human physiology.

<span class="mw-page-title-main">Edward D. Thalmann</span> American hyperbaric medicine specialist and decompression researcher

Capt. Edward Deforest Thalmann, USN (ret.) was an American hyperbaric medicine specialist who was principally responsible for developing the current United States Navy dive tables for mixed-gas diving, which are based on his eponymous Thalmann Algorithm (VVAL18). At the time of his death, Thalmann was serving as assistant medical director of the Divers Alert Network (DAN) and an assistant clinical professor in anesthesiology at Duke University's Center for Hyperbaric Medicine and Environmental Physiology.

Hydrox, a gas mixture of hydrogen and oxygen, is occasionally used as an experimental breathing gas in very deep diving. It allows divers to descend several hundred metres. Hydrox has been used experimentally in surface supplied, saturation, and scuba diving, both on open circuit and with closed circuit rebreathers.

<span class="mw-page-title-main">William Paul Fife</span> US Air Force officer and hyperbaric medicine researcher

Colonel William Paul Fife USAF (Ret) was a United States Air Force officer that first proved the feasibility for U.S. Air Force Security Service airborne Communications Intelligence (COMINT) collection and Fife is considered the "Father of Airborne Intercept". Fife was also a hyperbaric medicine specialist who was known for his pioneering research on pressurized environments ranging from high altitude to underwater habitats. Fife was a Professor Emeritus at Texas A&M University.

<span class="mw-page-title-main">Albert R. Behnke</span> US Navy physician and diving medicine researcher

Captain Albert Richard Behnke Jr. USN (ret.) was an American physician, who was principally responsible for developing the U.S. Naval Medical Research Institute. Behnke separated the symptoms of Arterial Gas Embolism (AGE) from those of decompression sickness and suggested the use of oxygen in recompression therapy.

National Board of Diving and Hyperbaric Medical Technology (NBDHMT), formally known as the National Association of Diving Technicians, is a non-profit organization devoted to the education and certification of qualified personnel in the fields of diving and hyperbaric medicine.

<span class="mw-page-title-main">Charles Wesley Shilling</span> U.S. Navy physician, researcher, and educator

Captain Charles Wesley Shilling was an American physician who was known as a leader in the field of undersea and hyperbaric medicine, research, and education. Shilling was widely recognized as an expert on deep sea diving, naval medicine, radiation biology, and submarine capabilities. In 1939, he was Senior Medical Officer in the rescue of the submarine U.S.S. Squalus.

Hyperbaric nursing is a nursing specialty involved in the care of patients receiving hyperbaric oxygen therapy. The National Board of Diving and Hyperbaric Medical Technology offers certification in hyperbaric nursing as a Certified Hyperbaric Registered Nurse (CHRN). The professional nursing organization for hyperbaric nursing is the Baromedical Nurses Association.

The European Underwater and Baromedical Society (EUBS) is a primary source of information for diving and hyperbaric medicine physiology worldwide. The organization was initially formed as the European Underwater and Biomedical Society in 1971 and was an affiliate of the Undersea Medical Society for several years. Its purpose is promoting the advancement of diving and hyperbaric medicine and the education of those involved in the field; EUBS provides a forum and a journal for exchange of information and promotes research into diving medicine.

<span class="mw-page-title-main">Robert William Hamilton Jr.</span> American physiologist and researcher in hyperbaric physiology.

Robert William Hamilton Jr., known as Bill, was an American physiologist known for his work in hyperbaric physiology.

<span class="mw-page-title-main">Gene Hobbs</span> American technical diver and co-founder of the Rubicon Foundation

Eugene Weston Hobbs II, known as Gene Hobbs is an American technical diver and founding board member of the non-profit Rubicon Foundation. Hobbs has served as medical officer for the Woodville Karst Plain Project since 2004 and was named the 2010 Divers Alert Network/ Rolex Diver of the year. Hobbs was a hyperbaric technologist and simulation coordinator at Duke Medical Center before taking a position as the Director of Simulation for the University of North Carolina School of Medicine and Clinical Instructor in the Department of Pediatrics. As of 2018, Hobbs is the business manager for the UNC Health Care Department of Neurosurgery.

<span class="mw-page-title-main">Neal W. Pollock</span> Canadian researcher in diving physiology and hyperbaric medicine

Neal Pollock is a Canadian academic and diver. Born in Edmonton, Canada he completed a bachelor's degree in zoology; the first three years at University of Alberta and the final year at the University of British Columbia. After completing a master's degree he then served as diving officer at University of British Columbia for almost five years. He then moved to Florida and completed a doctorate in exercise physiology/environmental physiology at Florida State University.

Richard Deimel Vann is an American academic and diver.

References

  1. 1 2 3 4 5 6 7 8 9 Chandler, Donald. Undersea and Hyperbaric Medical Society 1967 - 2007: A history of 40 years. Undersea and Hyperbaric Medical Society. p. 59.
  2. ↑ staff. "Underwater Physiology Symposium Finding Aid". Rubicon Foundation. Archived from the original on February 26, 2012. Retrieved 2009-06-11.{{cite web}}: CS1 maint: unfit URL (link)
  3. ↑ UHMS. "Undersea Biomedical Research Journal collection". Rubicon Foundation, Inc. Archived from the original on January 13, 2013. Retrieved 2009-06-11.{{cite web}}: CS1 maint: unfit URL (link)
  4. ↑ UHMS. "Undersea and Hyperbaric Medicine Journal collection". Rubicon Foundation, Inc. Archived from the original on January 13, 2013. Retrieved 2009-06-11.{{cite web}}: CS1 maint: unfit URL (link)
  5. ↑ The Undersea and Hyperbaric Medical Society (UHMS), Hyperbaric Oxygen Therapy Committee. Guidelines: Indications for Hyperbaric Oxygen. Durham, NC: UHMS; 2009.
  6. ↑ Undersea and Hyperbaric Medical Society. "Air or Gas Embolism". Archived from the original on 2008-05-02. Retrieved 2008-05-19.
  7. ↑ Undersea and Hyperbaric Medical Society. "Carbon Monoxide". Archived from the original on 2008-07-25. Retrieved 2008-05-19.
  8. ↑ Piantadosi CA (2004). "Carbon monoxide poisoning". Undersea Hyperb Med. 31 (1): 167–77. PMID   15233173. Archived from the original on February 16, 2009. Retrieved 2008-05-19.{{cite journal}}: CS1 maint: unfit URL (link)
  9. ↑ Undersea and Hyperbaric Medical Society. "Cyanide Poisoning". Archived from the original on 2008-07-25. Retrieved 2008-05-19.
  10. ↑ Hall AH, Rumack BH (September 1986). "Clinical toxicology of cyanide". Ann Emerg Med. 15 (9): 1067–74. doi:10.1016/S0196-0644(86)80131-7. PMID   3526995.
  11. ↑ Takano T, Miyazaki Y, Nashimoto I, Kobayashi K (September 1980). "Effect of hyperbaric oxygen on cyanide intoxication: in situ changes in intracellular oxidation reduction". Undersea Biomed Res. 7 (3): 191–7. PMID   7423657. Archived from the original on February 13, 2009. Retrieved 2008-05-19.{{cite journal}}: CS1 maint: unfit URL (link)
  12. ↑ Butler FK, Hagan C, Murphy-Lavoie H (2008). "Hyperbaric oxygen therapy and the eye". Undersea & Hyperbaric Medicine. 35 (5): 333–87. PMID   19024664. Archived from the original on January 13, 2013. Retrieved 2010-11-09.{{cite journal}}: CS1 maint: unfit URL (link)
  13. ↑ Wright JK, Franklin B, Zant E (2007). "Clinical case report: treatment of a central retinal vein occlusion with hyperbaric oxygen". Undersea and Hyperbaric Medicine. 34 (5): 315–9. PMID   18019081. Archived from the original on January 13, 2013. Retrieved 2010-11-09.{{cite journal}}: CS1 maint: unfit URL (link)
  14. ↑ Undersea and Hyperbaric Medical Society. "Clostridal Myositis and Myonecrosis (Gas gangrene)". Archived from the original on 2008-07-05. Retrieved 2008-05-19.
  15. ↑ Hart GB, Strauss MB (1990). "Gas Gangrene - Clostridial Myonecrosis: A Review". J. Hyperbaric Med. 5 (2): 125–144. Archived from the original on September 26, 2008. Retrieved 2008-05-16.{{cite journal}}: CS1 maint: unfit URL (link)
  16. ↑ Zamboni WA, Riseman JA, Kucan JO (1990). "Management of Fournier's Gangrene and the role of Hyperbaric Oxygen". J. Hyperbaric Med. 5 (3): 177–186. Archived from the original on June 2, 2008. Retrieved 2008-05-16.{{cite journal}}: CS1 maint: unfit URL (link)
  17. ↑ Undersea and Hyperbaric Medical Society. "Crush Injury, Compartment syndrome, and other Acute Traumatic Ischemias". Archived from the original on 2008-05-08. Retrieved 2008-05-19.
  18. ↑ Bouachour G, Cronier P, Gouello JP, Toulemonde JL, Talha A, Alquier P (August 1996). "Hyperbaric oxygen therapy in the management of crush injuries: a randomized double-blind placebo-controlled clinical trial". J Trauma. 41 (2): 333–9. doi:10.1097/00005373-199608000-00023. PMID   8760546.
  19. ↑ Undersea and Hyperbaric Medical Society. "Decompression Sickness or Illness and Arterial Gas Embolism". Archived from the original on 2008-07-05. Retrieved 2008-05-19.
  20. ↑ Brubakk, A. O.; T. S. Neuman (2003). Bennett and Elliott's physiology and medicine of diving (5th Rev ed.). United States: Saunders Ltd. p. 800. ISBN   978-0-7020-2571-6.
  21. ↑ Acott, C. (1999). "A brief history of diving and decompression illness". South Pacific Underwater Medicine Society Journal. 29 (2). ISSN   0813-1988. OCLC   16986801. Archived from the original on June 27, 2008. Retrieved 2008-03-18.{{cite journal}}: CS1 maint: unfit URL (link)
  22. ↑ Undersea and Hyperbaric Medical Society. "Enhancement of Healing in Selected Problem Wounds". Archived from the original on 2008-07-05. Retrieved 2008-05-19.
  23. ↑ Zamboni WA, Wong HP, Stephenson LL, Pfeifer MA (September 1997). "Evaluation of hyperbaric oxygen for diabetic wounds: a prospective study". Undersea Hyperb Med. 24 (3): 175–9. PMID   9308140. Archived from the original on February 8, 2009. Retrieved 2008-05-16.{{cite journal}}: CS1 maint: unfit URL (link)
  24. ↑ Kranke, Peter; Bennett, Michael H; Martyn-St James, Marrissa; Schnabel, Alexander; Debus, Sebastian E; Weibel, Stephanie (2015-06-24). Cochrane Wounds Group (ed.). "Hyperbaric oxygen therapy for chronic wounds" (PDF). Cochrane Database of Systematic Reviews. 2015 (6): CD004123. doi:10.1002/14651858.CD004123.pub4. PMC   7055586 . PMID   26106870.
  25. ↑ Undersea and Hyperbaric Medical Society. "Exceptional Blood Loss - Anemia". Archived from the original on 2008-07-05. Retrieved 2008-05-19.
  26. ↑ Hart GB, Lennon PA, Strauss MB (1987). "Hyperbaric oxygen in exceptional acute blood-loss anemia". J. Hyperbaric Med. 2 (4): 205–210. Archived from the original on January 16, 2009. Retrieved 2008-05-19.{{cite journal}}: CS1 maint: unfit URL (link)
  27. ↑ Undersea and Hyperbaric Medical Society. "Intracranial Abscess". Archived from the original on 2008-07-25. Retrieved 2008-05-19.
  28. ↑ Lampl LA, Frey G, Dietze T, Trauschel M (1989). "Hyperbaric Oxygen in Intracranial Abscesses". J. Hyperbaric Med. 4 (3): 111–126. Archived from the original on January 16, 2009. Retrieved 2008-05-19.{{cite journal}}: CS1 maint: unfit URL (link)
  29. ↑ Undersea and Hyperbaric Medical Society. "Necrotizing Soft Tissue Infections". Archived from the original on 2008-07-05. Retrieved 2008-05-19.
  30. ↑ Escobar SJ, Slade JB, Hunt TK, Cianci P (2005). "Adjuvant hyperbaric oxygen therapy (HBO2) for treatment of necrotizing fasciitis reduces mortality and amputation rate". Undersea Hyperb Med. 32 (6): 437–43. PMID   16509286. Archived from the original on February 16, 2009. Retrieved 2008-05-16.{{cite journal}}: CS1 maint: unfit URL (link)
  31. ↑ Undersea and Hyperbaric Medical Society. "Refractory Osteomyelitis". Archived from the original on 2008-07-05. Retrieved 2008-05-19.
  32. ↑ Mader JT, Adams KR, Sutton TE (1987). "Infectious diseases: pathophysiology and mechanisms of hyperbaric oxygen". J. Hyperbaric Med. 2 (3): 133–140. Archived from the original on February 13, 2009. Retrieved 2008-05-16.{{cite journal}}: CS1 maint: unfit URL (link)
  33. ↑ Kawashima M, Tamura H, Nagayoshi I, Takao K, Yoshida K, Yamaguchi T (2004). "Hyperbaric oxygen therapy in orthopedic conditions". Undersea Hyperb Med. 31 (1): 155–62. PMID   15233171. Archived from the original on February 16, 2009. Retrieved 2008-05-16.{{cite journal}}: CS1 maint: unfit URL (link)
  34. ↑ Undersea and Hyperbaric Medical Society. "Hyperbaric Ocxgen Treatments for Complications of radiation Therapy". Archived from the original on 2008-05-05. Retrieved 2008-05-19.
  35. ↑ Zhang, L. D.; J. F. Kang; H. L. Xue. (1990). "Distribution of lesions in the head and neck of the humerus and the femur in dysbaric osteonecrosis". Undersea Biomed. Res. 17 (4): 353–358. ISSN   0093-5387. OCLC   2068005. PMID   2396333. Archived from the original on September 18, 2008. Retrieved 2008-04-06.{{cite journal}}: CS1 maint: unfit URL (link)
  36. ↑ Lafforgue P (2006). "Pathophysiology and natural history of avascular necrosis of bone". Joint Bone Spine. 73 (5): 500–7. doi:10.1016/j.jbspin.2006.01.025. PMID   16931094.
  37. ↑ Undersea and Hyperbaric Medical Society. "Skin Grafts and Flaps Compromised". Archived from the original on 2008-07-05. Retrieved 2008-05-19.
  38. ↑ McFarlane RM, Wermuth RE (May 1966). "The use of hyperbaric oxygen to prevent necrosis in experimental pedicle flaps and composite skin grafts". Plast. Reconstr. Surg. 37 (5): 422–30. doi:10.1097/00006534-196605000-00008. PMID   5327032.
  39. ↑ Undersea and Hyperbaric Medical Society. "Thermal Burns". Archived from the original on 2008-07-05. Retrieved 2008-05-19.
  40. ↑ Cianci P, Lueders H, Lee H, Shapiro R, Sexton J, Williams C, Green B (1988). "Adjunctive Hyperbaric Oxygen Reduces the Need for Surgery in 40-80% Burns". J. Hyperbaric Med. 3 (2): 97–101. Archived from the original on June 6, 2008. Retrieved 2008-05-16.{{cite journal}}: CS1 maint: unfit URL (link)
  41. ↑ "Specialties and Subspecialties". American Osteopathic Association. 2012. Retrieved 2 April 2013.
  42. ↑ Vorosmarti J (March 1990). "A "Certificate of Added Qualifications" by the American Board of Preventive Medicine". Undersea Biomed Res. 17 (2): 93. PMID   2321321. Archived from the original on July 13, 2012. Retrieved 2008-07-22.{{cite journal}}: CS1 maint: unfit URL (link)
  43. ↑ "Program for Advanced Training in Hyperbarics (PATH)". Undersea & Hyperbaric Medical Society. Retrieved 29 August 2017.
  44. ↑ "National Board of Diving and Hyperbaric Medical Technology". NBDHMT. Retrieved 2009-06-14.
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