Undersea and Hyperbaric Medical Society
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The Undersea and Hyperbaric Medical Society (UHMS) is the primary source of information for diving and hyperbaric medicine physiology worldwide.
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[edit] History
The UHMS was founded as the Undersea Medical Society in 1967, but in 1986 changed its name to the current one. The name change reflected the rapidly growing interest in hyperbaric oxygen physiology and therapy. 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.
[edit] 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.[1] The Committee Report can be purchased directly through the UHMS
- Air or gas embolism[2]
- Carbon monoxide poisoning[3][4]
- Clostridal Myositis and Myonecrosis[8] (Gas gangrene[9][10])
- Crush Injury, Compartment syndrome, and other Acute Traumatic Ischemias[11][12]
- Decompression sickness[13][14][15]
- Enhancement of Healing in Selected Problem Wounds[16][17][18]
- Exceptional Blood Loss[19][20] (Anemia)
- Intracranial Abscess[21][22]
- Necrotizing Soft Tissue Infections[23] (Necrotizing fasciitis[24])
- Osteomyelitis[25][26][27] (Refractory)
- Delayed Radiation Injury[28] (Soft Tissue and Bony Necrosis[29][30])
- Skin Grafts & Flaps[31][32] (Compromised)
- Thermal Burns[33][34]
[edit] Training
Training in Hyperbaric Medicine occurs through a post graduate medical fellowship. The Hyperbaric medicine fellowship was approved by the Accreditation Council for Graduate Medical Education (ACGME) under the American Board of Preventive Medicine (ABPM). Information on approved HBO fellowships may be obtained through the ABPM.
[edit] 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. 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 1930's.
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.
[edit] References
- ^ The Undersea and Hyperbaric Medical Society (UHMS), Hyperbaric Oxygen Therapy Committee. Guidelines: Indications for Hyperbaric Oxygen. Kensington, MD: UHMS; 2000.
- ^ Undersea and Hyperbaric Medical Society. Air or Gas Embolism. Retrieved on 2008-05-19.
- ^ Undersea and Hyperbaric Medical Society. Carbon Monoxide. Retrieved on 2008-05-19.
- ^ Piantadosi CA (2004). "Carbon monoxide poisoning". Undersea Hyperb Med 31 (1): 167–77. PMID 15233173.
- ^ Undersea and Hyperbaric Medical Society. Cyanide Poisoning. Retrieved on 2008-05-19.
- ^ Hall AH, Rumack BH (September 1986). "Clinical toxicology of cyanide". Ann Emerg Med 15 (9): 1067–74. PMID 3526995.
- ^ 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.
- ^ Undersea and Hyperbaric Medical Society. Clostridal Myositis and Myonecrosis (Gas gangrene). Retrieved on 2008-05-19.
- ^ Hart GB, Strauss MB (1990). "Gas Gangrene - Clostridial Myonecrosis: A Review". J. Hyperbaric Med 5 (2): 125-144.
- ^ 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.
- ^ Undersea and Hyperbaric Medical Society. Crush Injury, Compartment syndrome, and other Acute Traumatic Ischemias. Retrieved on 2008-05-19.
- ^ 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. PMID 8760546.
- ^ Undersea and Hyperbaric Medical Society. Decompression Sickness or Illness and Arterial Gas Embolism. Retrieved on 2008-05-19.
- ^ Brubakk, A. O.; T. S. Neuman (2003). Bennett and Elliott's physiology and medicine of diving, 5th Rev ed.. United States: Saunders Ltd., 800. ISBN 0702025712.
- ^ Acott, C. (1999). "A brief history of diving and decompression illness.". South Pacific Underwater Medicine Society journal 29 (2). ISSN 0813-1988. OCLC 16986801.
- ^ Undersea and Hyperbaric Medical Society. Enhancement of Healing in Selected Problem Wounds. Retrieved on 2008-05-19.
- ^ 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.
- ^ Kranke P, Bennett M, Roeckl-Wiedmann I, Debus S (2004). "Hyperbaric oxygen therapy for chronic wounds". Cochrane Database Syst Rev (2): CD004123. doi:. PMID 15106239.
- ^ Undersea and Hyperbaric Medical Society. Exceptional Blood Loss - Anemia. Retrieved on 2008-05-19.
- ^ Hart GB, Lennon PA, Strauss MB. (1987). "Hyperbaric oxygen in exceptional acute blood-loss anemia". J. Hyperbaric Med 2 (4): 205-210.
- ^ Undersea and Hyperbaric Medical Society. Intracranial Abscess. Retrieved on 2008-05-19.
- ^ Lampl LA, Frey G, Dietze T, Trauschel M. (1989). "Hyperbaric Oxygen in Intracranial Abscesses". J. Hyperbaric Med 4 (3): 111-126.
- ^ Undersea and Hyperbaric Medical Society. Necrotizing Soft Tissue Infections. Retrieved on 2008-05-19.
- ^ 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.
- ^ Undersea and Hyperbaric Medical Society. Refractory Osteomyelitis. Retrieved on 2008-05-19.
- ^ Mader JT, Adams KR, Sutton TE (1987). "Infectious diseases: pathophysiology and mechanisms of hyperbaric oxygen". J. Hyperbaric Med 2 (3): 133–140.
- ^ 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.
- ^ Undersea and Hyperbaric Medical Society. Hyperbaric Ocxgen Treatments for Complications of radiation Therapy. Retrieved on 2008-05-19.
- ^ 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. PMID 2396333. OCLC 2068005.
- ^ Lafforgue, P., Pathophysiology and natural history of avascular necrosis of bone. Joint Bone Spine, 2006. 73(5): p. 500-7.
- ^ Undersea and Hyperbaric Medical Society. Skin Grafts and Flaps Compromised. Retrieved on 2008-05-19.
- ^ 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. PMID 5327032.
- ^ Undersea and Hyperbaric Medical Society. Thermal Burns. Retrieved on 2008-05-19.
- ^ 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.

