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Improving the Health of Your Clinical Practice
Jun
04

Gas Gangrene: Antibiotics vs. HBO2

Gas Gangrene and HBO2

Although the incidence of clostridial myonecrosis infections has dropped precipitously in recent decades, it always remins a threat in injuries where contamination and severe tissue disruption have occurred.

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Dennis Karuzas
Monday, 10 June 2019 15:34
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Mar
20

Are there prerequisites for taking the CHT course?

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We often get the question, "Are there pre-requisites for taking the CHT course?"

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Oct
16

Job Opening in Delaware - Physician - Wound Care - Full-time

PHYSICIAN - WOUND CARE (FT)

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Sep
07

How to become certified in hyperbaric medicine

 

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Anita Benson
Learned a lot about HBO
Sunday, 04 August 2019 15:42
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Jun
15

Meet the Challenges Ahead: Hyperbaric Facility Accreditation

In the late 1970s, there were fewer than 30 hyperbaric facilities operational in the United States. Most were either military, commercial or highly specialized research facilities. Today an estimated 1,350-plus facilities are in operation. Growth means change. We have seen the primary role of hyperbaric facilities transition from the treatment of diving-related disorders to providing essential primary and adjunctive treatments for multiple medical conditions. Refined research efforts will no doubt validate the continued effectiveness of HBO2 therapy, and perhaps even support new indications for treatment.

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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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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
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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© Wound Care Education Partners

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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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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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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
08

A Giant in the Field of Hyperbaric Medicine

A Giant in the Field of Hyperbaric Medicine
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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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Aug
08

The Mechanisms of Barotrauma in Hyperbaric Oxygen Therapy

The Mechanisms of Barotrauma in Hyperbaric Oxygen Therapy
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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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© Wound Care Education Partners. All Rights Reserved.

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

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© Wound Care Education Partners. All Rights Reserved.

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Feb
11

Myocardial Irritability

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

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© 2014 Wound Education Partners

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Feb
07

Managing Cardiac Arrest in Hyperbaric Treatment

Managing Cardiac Arrest in Hyperbaric Treatment
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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
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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
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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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Jan
22

Winter Weather: A Barrier to Treatment

Winter Weather: A Barrier to Treatment

Question: Many hyperbaric oxygen therapy patients have had difficulty this winter getting to their scheduled treatments due to inclement weather. What recommendations do you have for helping keep patients' treatment schedules on track when the weather is a barrier to treatment?

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