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May
03

4 Reasons Why Some Wounds Become Chronic

Textbook of Chronic Wound Care
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Various theories have been proposed to explain why some wounds become chronic and nonhealing. Although the complete answer isnot yet available, a great deal has been learned in recent years that sheds light on this phenomenon.

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Feb
28

Problem Wounds - "E" Edema

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Case study - Edema

History: This patient presents to the wound care clinic with a history of alcohol abuse, tobacco use, and congestive heart failure. Patient states that her legs are prone to swelling. 

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Jan
20

[Video] CME/CEU courses in Florida in Winter, take a look

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Practitioners Conference 2017
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2017 North Palm Beach FL
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ICHM Feb 2017 North Palm Beach FL

South Florida in winter . . . doesn't that sound great?!

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Jan
19

How to convince your leadership team to send you to Florida next month

Practitioners Conference 2017
HBO Updates February
2017 North Palm Beach FL
Wound Care Review
2017 North Palm Beach FL web
ICHM Feb 2017 North Palm Beach FL

Let’s face it . . . with clinic budgets being tight, it can be really hard to request funds to attend a conference.

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Sep
21

Course Day Preparations - Introductory Course in Hyperbaric Medicine

We get a lot of questions from students as to how they can prepare for their attendance at the Introductory Course in Hyperbaric Medicine. 

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Jun
13

[Free Webinar] How to Save Thousands on Hyperbaric Staff Training This Year - Information Session

[Free Webinar] How to Save Thousands on Hyperbaric Staff Training This Year - Information Session

This Friday, January 27 at 12:00 Noon EST we are hosting a live free webinar information session to discuss affordable solutions for hyperbaric staff training.

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Eric vanBok
Please register me for this Webinar.
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Hello Rose! Thank you for your interest in joining us on the webinar! Please enter your name and email address in the boxes above ... Read More
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May
18

The Biggest Event in Hyperbaric Medicine - Coming This June!

The Biggest Event in Hyperbaric Medicine -  Coming This June!
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ASM 2015 Social Event
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UHMS ASM 2015 Conference Room

The Undersea and Hyperbaric Medical Society (UHMS) is holding their Annual Scientific Meeting (ASM) on June 9-11 in Las Vegas, NV. The ASM is the place to meet the top industry experts and leaders in the field of the undersea and hyperbaric medicine (and no they didn't pay us to say that!).

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Mar
03

[Free Webinar] Introduction to the Role of Hyperbaric Safety Director

[Free Webinar] Introduction to the Role of Hyperbaric Safety Director
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Mar
03

Physician Supervision of Hyperbaric Oxygen Therapy

Physician Supervision of Hyperbaric Oxygen Therapy
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A question that we get frequent phone calls about is regarding physician supervision of Hyperbaric Oxygen Therapy (HBO). Here are the answers to some of the most frequently asked questions . . .

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Mar
02

New Clinical Classroom Opens in North Palm Beach, FL

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We have just opened a new clinical classroom in North Palm Beach, FL! Here are a few photos to give you the "insider scoop".

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Feb
22

The Path to Become a Certified Hyperbaric Technologist (CHT)

We receive a number of phone calls each week from folks inquiring how to become a Certified Hyperbaric Technologist (CHT). To start, the certification of CHT is administrated by the National Board of Diving and Hyperbaric Medical Technology (NBDHMT).

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Jaclyn Mackey
Good Day, Guest-SW: Thank you for your question. Although you have a background in healthcare and a hospital setting, you will sti... Read More
Wednesday, 10 April 2019 12:24
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Jan
25

Society Membership Can Save you Hundreds on Online CME/CEU Courses

Society Membership Can Save you Hundreds on Online CME/CEU Courses
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Register Today
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Our industry partner, the Undersea and Hyperbaric Medical Society (UHMS) is running a "Join and Save" campaign that will save you hundreds of dollars on online CME/CEU courses.

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Jan
06

How to Save Thousands on Hyperbaric Staff Training This Year

How to Save Thousands on Hyperbaric Staff Training This Year

Clinic and Hospital Administrators: Do you need to get your staff trained in hyperbaric medicine but have a limited budget?

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Jul
01

Air Breaks During Hyperbaric Treatment by Darren Mazza, EMT, CHT

Air Breaks During Hyperbaric Treatment by Darren Mazza, EMT, CHT
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Hyperbaric-Safety-Director-Course email-sign-up 750

When treating patients with hyperbaric therapy in the monoplace chamber using 100% oxygen, the supervising hyperbaric physician may order air breaks to be provided to the patient at certain intervals during the treatment.

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© Best Publishing Company WCHM magazine V6 I2. 2015. Reprinted with permission from the publisher. All rights reserved.

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Jun
25

Liquid Oxygen: Hyperbaric Oxygen Breathing Gas Systems

Liquid Oxygen: Hyperbaric Oxygen Breathing Gas Systems
Hospital liquid oxygen converter with backup converter.
Evaporator for a liquid oxygen converter

This article will provide you with some background on liquid oxygen, which is the most common form of bulk storage for this gas. The manufacture, storage, basic design of a liquid oxygen converter, and general safety practices will be covered. Again, keep in mind that working around oxygen has its hazards, but working around a liquid oxygen system can be outright deadly if you have not been properly trained.

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May
18

Sinus and Ear Disorders That Take Place During Hyperbaric Oxygen Therapy

Sinus and Ear Disorders That Take Place During Hyperbaric Oxygen Therapy
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Sinus and internal and external ear disorders are the most common side effects of hyperbaric oxygen therapy (HBO2).1 These spaces are the cranium’s pneumatic sockets and, particularly those of the middle and inner ear, are most frequently involved in the pressure stress caused by compression and decompression maneuvers during exposure to altered pressures in the hyperbaric chamber. Barotrauma is the mechanical tissue damage produced by environmental pressure variation, and the middle ear is the most frequently involved structure in this kind of damage. According to Boyle’s law (the product of pressure and volume is a constant for a given mass of confined gas) it is easy to understand why all enclosed air cavities are more susceptible to this kind of lesion. Barotraumas can occur due to an increase or decrease of gas volume. To avoid gas volume decrease during the compression phase, the patient must perform some compensatory maneuvers aimed at inhaling and forcing gas (air or oxygen) into the nasal and sinus cavities. During decompression in the chamber or even underwater, the body’s gas expands and is expelled from cavities to the outside, usually without any active maneuver. It is essential to teach the patient about the functions of the hyperbaric chamber and the correct maneuvers of baro compensation. In this article, we will describe the main barotraumas that can occur during hyperbaric oxygen therapy.

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© This article first appeared in Wound Care & Hyperbaric Medicine Magazine, Vol 6 Issue 1 (Spring), 2015. Copyright Best Publishing Company.

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Apr
29

The Secret to Saving Money on Your Staff's CME/CEUs This Year

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Did you know that you can purchase online CME/CEU courses in bulk at a reduced rate? Save money by purchasing a course package to address all of your continuing education needs this year, or the needs of your clinic staff members!

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Feb
23

A new hyperbaric medicine course in the Pacific Northwest—is it right for you?

We conduct and announce a lot of courses in hyperbaric medicine throughout the year. Each course is a little different, with unique aspects we would like to highlight to help you decide which course might be a good fit for you to attend.

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Feb
18

4 Benefits of Hyperbaric Team Training at Your Facility

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ICHM

We get a lot of questions from hospital administrators and clinic directors asking what makes our Introductory Course in Hyperbaric Medicine unique. While there are many benefits to hosting hyperbaric team training through Wound Care Education Partners (WCEP), we have broken out the four most valuable reasons why hosting a live, classroom-based Introductory Course in Hyperbaric Medicine with WCEP may be right for your facility. Watch this short, insightful video to find answers before you book hyperbaric team training with any organization.

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Jan
30

2 Tips to Increase Patient Load

Do you worry about not having a big enough patient load at your wound care and hyperbaric medicine clinic? Do you struggle with marketing due to low budget and not enough resources?

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© Reprinted with permisison from Best Publishing Company. All Rights Reserved.

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Jan
14

[Video] Debridement: Learn How, When, and Why

[Video] Debridement: Learn How, When, and Why

We have big news to share with you...

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Jan
08

A Giant in the Field of Hyperbaric Medicine

A Giant in the Field of Hyperbaric Medicine
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Hyperbaric Medicine Practice 3rdEdition
Hyperbaric-Medicine-Practice-3rd-Edition

Many refer to Dr. Eric Kindwall at the "Father of Hyperbaric Medicine," and his contributions to hyperbaric medicine are legendary. Dr. Kindwall was born on January 17, 1934 and passed away on January 18, 2012. For this reason, we find it fitting to highlight his contributions to the field of hyperbaric medicine during the month of January.

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© Republished with permission from Best Publishing Company. All Rights Reserved.

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Nov
19

How to Get Exactly What You Want in a CME/CEU Course

How to Get Exactly What You Want in a CME/CEU Course

Do you have trouble finding a CME/CEU course that fits your exact needs? Do you find that the topics never quite apply to you, or that the format of the course doesn't fit your schedule and/or budget? Is it difficult finding a course that offers the hours you need, without charging you for extra hours that you don't need?

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Oct
30

FAQs: Diabetes and Wound Care 21-Day Challenge

FAQs: Diabetes and Wound Care 21-Day Challenge

Today is a special blog post, not our normal format. That said, as you may know, we are co-hosting a 21-Day Diabetes and Wound Care Challenge with Best Publishing Company. Registration for the 21-Day Diabetes and Wound Care Challenge opened on Wednesday and it has been very well received! There is a lot of excitement and enthusiasm among our colleagues! Have you accepted the challenge?

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Oct
29

Question: How should I manage a patient that has a low pre-Hyperbaric treatment blood sugar?

Question: How should I manage a patient that has a low pre-Hyperbaric treatment blood sugar?
21DAYDWCC

Ideally, an HBO program should have a detailed policy for the diabetic patient and the immediate steps that one should take to elevate the patient’s blood sugar. However, for the patient who has a recurring problem with blood sugars that are less than the recommended pretreatment level, there are several options. One option is to contact the managing physician and explain the need for relaxed glycemic control while receiving hyperbaric therapy.

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Oct
09

5 questions to help you plan your CME/CEU credits for 2015

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"Before anything else, preparation is the key to success." - Alexandar Graham Bell

Start planning now to earn your 2015 CME/CNE/CEU credits. Don't know how to start? Below are five questions to help you start the planning process, and watch the short video to get all the details.

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Aug
08

The Mechanisms of Barotrauma in Hyperbaric Oxygen Therapy

The Mechanisms of Barotrauma in Hyperbaric Oxygen Therapy
Intro HBOT 6
Intro HBOT 4

We all learn about barotrauma in the Introductory Course in Hyperbaric Medicine. The question we have for you today is whether or not you remember the mechanisms of what causes barotrauma and how to properly pre-screen HBOT patients.

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Jun
24

Impact of the revised Novitas LCD Policies for Hyperbaric Medicine

Impact of the revised Novitas LCD Policies for Hyperbaric Medicine
pdf
pdf

There has been a lot of communication in the marketplace, as well as confusion and misunderstanding, over the past few weeks regarding the final publication details and implementation notice of the Medicare Administrator Contractor’s, Novitas LCD on hyperbaric medicine for hospitals and physicians. The LCD takes effect July 24th, 2014. A major development with MAC’s and commercial insurance products recently, is their taking a stance on practice requirements. They are dictating credentialing standards. This most recent LCD from Novitas reflects that positioning as well. In this blog post we give you straight answers that will provide clarity and assist you in understanding how the revised requirements will impact you and your program staff.

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Jun
05

100% Credentialed

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Is it a goal of your clinic to achieve 100% staff credentialing? If not, your facility is missing a huge opportunity. Having a fully credentialed staff sends the message to referring physicians, patients, and your local community that meeting a national standard of high quality health care is your clinic's #1 priority. Being fully credentialed also sends the message that your clinic has a very competent clinical team. And when faced with making a patient referral, wouldn't you rather refer a patient to a facility that you trust to be competent and provide the highest quality of care?

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May
21

4 Easy Tips to Improve Your Clinic's Community Education Initiatives

4 Easy Tips to Improve Your Clinic's Community Education Initiatives

By providing community education to potential patients you are, in the words of John Peters, incoming Executive Director of UHMS and Managing Partner of Wound Care Education Partners, “building awareness, and with that awareness we’re able to impact healing outcomes for patients in our community.”

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Eric vanBok
That sounds like a good thing for a clinic to do. I've been thinking about getting our local clinic more involved in the community... Read More
Wednesday, 15 April 2015 19:05
Eric vanBok
I read it carefully and good to know all the tips so i would like to thanks for wound care management organization. I am joined ... Read More
Sunday, 13 September 2015 03:16
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May
15

Question: I am currently a DMT and would like to take the course(s) necessary for the CHT certification. Which courses will lead me in that direction?

Question: I am currently a DMT and would like to take the course(s) necessary for the CHT certification. Which courses will lead me in that direction?

We recently recieved this question from a prospective student. If you find yourself asking this same question, read on to learn the course of action we recommend.

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May
13

Question: Does a Safety Director Course designate someone as a Hyperbaric Safety Director?

Hyperbaric Facility Safety
NFPA-99-2015-code
NFPA-99-2015-handbook
Hyperbaric-Safety-Director-Course

We are often asked the question, "Does participation in a safety director course automatically designate me as a hyperbaric safety director?" There seems to be some midunderstanding around this issue.

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Eric vanBok
Thanks so much for sharing all with the awesome info! I am looking forward to checking out far more posts! dcbeekceaagakdek
Monday, 26 October 2015 15:48
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Apr
21

Is the Introductory Course in Hyperbaric Medicine right for me?

Is the Introductory Course in Hyperbaric Medicine right for me?

Below you'll find some of the questions we get asked about the Introductory Course in Hyperbaric Medicine (ICHM) - along with our honest answers. We'll tell you everything about the program and what it takes so you can make the best enrollment decision for you.

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Mar
18

Question: Why is a hyperbaric facility maintenance program necessary?

Question: Why is a hyperbaric facility maintenance program necessary?
Hyperbaric Facility Safety
NFPA facilities code
NFPA-handbook
Hyperbaric-Safety-Director-Course
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The development of a comprehensive maintenance program for a hyperbaric system and its supporting equipment is essential for a safe and cost-effective operation. The chamber and its operational systems, the chamber room, and the equipment used in and around the chamber should be maintained at the highest operational level. This should also include the cleanliness of all elements of the interior and exterior systems.

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Feb
25

Question: (Dive Medicine) Can you explain the transfer of gases into and out of a scuba diver's body?

Question: (Dive Medicine) Can you explain the transfer of gases into and out of a scuba diver's body?
Clinic-Poster-on-Critical-Events-During-HBOT
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NOAA 5TH Edition Diving Manual
Hyperbaric Medicine Practice 3rdEdition
The Science of Wound Care, Diving & Hyperbaric Medicine
Intro HBOT 6
Intro HBOT 4

Henry's law can be used to examine the transfer of gases into and out of a scuba diver's body. 

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Feb
18

Question: What is the Current Perspective Regarding Supervision of Hyperbaric Dives by Nurse Practitioners?

Question: What is the Current Perspective Regarding Supervision of Hyperbaric Dives by Nurse Practitioners?
Laura-Josefsen
Nick-Bird-MD-MMM
Clinic-Poster-on-Critical-Events-During-HBOT
pdf
Hyperbaric Medicine Practice 3rdEdition
Hyperbaric-Surgery
HyperbaricNursing WC
Intro HBOT 6
Intro HBOT 4

Question: "I would be interested in the current perspective regarding supervision of hyperbaric dives by Nurse Practitioners.

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Feb
11

Myocardial Irritability

Myocardial Irritability
Hyperbaric-Surgery
Hyperbaric Medicine Practice 3rdEdition
HyperbaricNursing WC
Intro HBOT 6
Intro HBOT 4

Question. Is myocardial irritability a complication frequently experienced by patients with clostridial myonecrosis?

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Feb
07

Managing Cardiac Arrest in Hyperbaric Treatment

Managing Cardiac Arrest in Hyperbaric Treatment
Hyperbaric-Surgery
Hyperbaric Medicine Practice 3rdEdition
HyperbaricNursing WC
Intro HBOT 6
Intro HBOT 4

Cardiac arrest is a rarity in the chamber, as most arrhythmias seem to improve under hyperbaric conditions. Anecdotally, it can be noted that one patient with a myocardial infarction, who was being treated with hyperbaric oxygen as part of a research study, suffered 30 cardiac arrests during the 48 hours he was being treated with the chamber. The schedule being followed called for two hours at pressure in the chamber followed by one hour on the surface. This cycle was repeated for two days. It can be seen that the patient spent only 1/3 of his time breathing air on the surface. During the study, the patient suffered 28 cardiac arrests while breathing air on the surface, but only two arrests while at pressure in the chamber. The patient eventually recovered and returned to work. (Thurston, J. Westminster Hosp, London, Personal Communication, 1973.)

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Feb
06

Cardiovascular Issues and Management of the Critically Ill Patient in a Hyperbaric Setting: Nursing Considerations and Preventions, as described by Julio R. Garcia, RN

Cardiovascular Issues and Management of the Critically Ill Patient in a Hyperbaric Setting: Nursing Considerations and Preventions, as described by Julio R. Garcia, RN
Hyperbaric-Surgery
HyperbaricNursing WC
Intro HBOT 6
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The cardiovascular assessment of a critical care patient receiving hyperbaric oxygen therapy is similar to any cardiovascular assessment of a critical care patient. Cardiac rhythm should be assessed and monitored during the treatment. If the patient would experience a cardiac emergency during HBO treatment, the staff should be trained to handle such an emergency. It is important to remember that a patient at depth is well oxygenated and will remain so for 5 to 8 minutes. The safest way to bring a patient that has had a cardiac arrest to the surface is to bring them up at 5 psig (fastest rate on a monoplace chamber), while the staff prepares to deliver emergency care. Performing a rapid ascent using the emergency ascent button on monoplace chambers places the person at grave risk for air embolism due to expansion injuries. Once the patient has surfaced, move them to the point farthest away from the open chamber, remove the hyperoxygenated clothing, and if appropriate, defibrillate. Cold oxygen will fall to the floor and dissipate in 30 seconds, so do not place the area at an increased fire risk with the use of a defibrillator. The staff needs to be able to respond quickly and appropriately to such an emergency, so it is our recommendation that the staff be Advanced Cardiac Life Support (ACLS) certified.

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Feb
05

Cardiovascular Effects of Hyperbaric Oxygen Treatment, as described by Robert A. Warriner III, MD

Cardiovascular Effects of Hyperbaric Oxygen Treatment, as described by Robert A. Warriner III, MD
Clinic-Poster-on-Critical-Events-During-HBOT
pdf
Hyperbaric-Surgery
HyperbaricNursing WC
Intro HBOT 6
Intro HBOT 4

Hyperbaric oxygen exposure can produce significant hemodynamic changes. An increase in systemic afterload due to hyperoxic vasoconstriction in well perfused tissues can lead to a decrease in left ventricular function and a decrease in ejection fraction in some patients. When this decrease in left ventricular function occurs in the setting of pulmonary arterial vasodilatation due to improved alveolar oxygenation with increased left atrial and left ventricular filling, acute left ventricular dysfunction and pulmonary edema can result. Cases have been reported in patients with a history of pulmonary edema or low left ventricular ejection fractions or in patients with sudden fluid shifts from volume overload. Acute pulmonary edema appears to be more common in monoplace than multiplace treatment settings, perhaps because of the requirement for patients to be in a more supine position in the monoplace chamber rather than the sitting position with legs dependent available in the multiplace chamber.

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Feb
04

Cardiac Surgery and Hyperbarics

Cardiac Surgery and Hyperbarics
Hyperbaric-Surgery
Intro HBOT 6
Intro HBOT 4

Question. What sparked the dawn of the modern hyperbaric era?

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