UNDERWATER MEDICINE

2012

Cayman Brac

January 21-28

 

 

A training program in diving and hyperbaric medicine, certified for 24 AMA PRA category 1 credits through Temple University School of Medicine. The program is offered in cooperation with the Undersea and Hyperbaric Medical Society.


 

 

COURSE DESCRIPTION AND OBJECTIVES

      Medical evaluation of a diver or diving candidate demands that the physician have a thorough knowledge of the state of health of the diver candidate and the unique physical qualifications needed for this sport.

     With over 4 million sport divers in the United States alone, diving candidates with chronic disorders  frequently appear in their physician’s office requesting medical clearance for sport diver training.  The program provides a review of common chronic diseases that require special consideration for divers, and criteria for fitness of sport diving candidates.  Differential diagnosis and treatment of diving disorders will be discussed in detail.

   This course will provide physicians of all specialties, nurse or physician’s assistant with a basic understanding of the physics, physiology and stresses produced by the diving environment, and the criteria for evaluating candidates for diving.

     In this year's program we will pay special attention to diagnosing diving disorders, and will provide a series of lectures on fitness for diving, example cases, trauma care and marine injury and toxicology. Upon completion of the course, participants should have a general knowledge of diving medicine and physiology, marine toxicology, hyperbaric oxygen therapy, and medical standards for diving.

    The program will be held at the Brac Reef Beach Resort on Cayman Brac. The hotel provides a conference center with a comfortable air conditioned classroom, and a variety of recreational activities in addition to diving.

 

FACULTY AND STAFF

Alfred A. Bove, M.D., PhD
Emeritus Professor of Medicine, Chief,
Cardiology Section, Temple University School of Medicine

Dr. Bove is actively engaged in research and consulting in diving medicine. He was trained as a diving medical officer in the Navy. Dr. Bove has published a number of studies on the pathophysiology of decompression sickness and with two other investigators, was awarded the Stover-Link diving research award of the Undersea Medical Society in 1975. In 1988, he was awarded the UHMS Craig Hoffman award for contributions to diving safety. In 1995, he received the NOGI award for science from the Academy of Underwater Arts and Sciences. He is a past president of the UHMS and has been a consultant in diving medicine to the National Research Council, US Department of Labor, NOAA. Dr. Bove is board certified in Internal Medicine, Cardiology and Undersea and Hyperbaric Medicine, and is a YMCA and NAUI diving instructor.? He is the editor of the textbook Bove and Davis' Diving Medicine, fourth edition, and is an avid sport diver.

 

Frank K. Butler, Jr., Capt., MC, USN (RET)
Director of Biomedical Research
Naval Special Warefare Command
Former Head of Ophthalmology
Naval Hospital, Pensacola

Dr. Butler is a retired Navy undersea medical officer and an ophthalmologist who served as a Navy SEAL prior to his medical career. He directs the Biomedical Research Program for the Naval Special Warfare Command. He spent five years at the Navy Experimental Diving Unit and has made numerous contributions to the literature of diving medicine, particularly directed toward eye problems in diving and SEAL diving techniques. Dr. Butler is a consultant in ophthalmology for the Diver's Alert Network and has also contributed to the literature in the prehospital management of combat trauma. He is an active diver both in the navy and as a sport diver.

 

Kevin R. Hardy, MD
Assistant Professor of Clinical Emergency Medicine
Investigator, Institute for Environmental Medicine, University of Pennsylvania

Dr. Hardy is a member of the faculty at the Institute for Environmental Medicine, and is involved in diving and hyperbaric research and clinical hyperbaric medicine.  He is a member of the executive committee of the Undersea and Hyperbaric Medical Society, and has served as the Chair of the Section of Hyperbaric Medicine of the American College of Emergency Physicians.  At Penn, he is the Educational Coordinator for Hyperbaric Medicine and Associate Director of the fellowship in Diving and Hyperbaric Medicine.  His research involves Clinical Hyperbaric Medicine, Carbon Monoxide poisoning, HBO in wound management.  He has published a number of peer reviewed papers on Hyperbaric Oxygen Therapy, and has written several reviews on therapy of Decompression Sickness and Air Embolism. He served in the U.S. Air Force from 1985 -1990 as a flight Surgeon.   As a boarded Emergency physician, Dr. Hardy has been in the unique position to develop applications for HBO in an emergency setting.

 

Nelson M. Wolf, MD.
Former Director, Cardiac Catheterization Laboratories
Professor of Medicine, Temple  University Medical School

Dr. Wolf is a member of the faculty in Medicine and Cardiology at Temple University Medical School.  He is trained as a Navy Undersea Medical Officer and was on active duty in the U.S. Navy for 3 years and reserve duty for 2. Dr. Wolf also has training in the area of  bioterrorism, and in disaster preparedness.  He is a member of the disaster management committee of Temple University Hospital.  Dr. Wolf was the director of Invasive and Interventional cardiology at the Medical College of Pennsylvania for over 20 years, and is the current acting director of Invasive and Interventional Cardiology at Temple University Medical Center. He has been a leader in application of newer technologies to invasive and interventional cardiology.  Dr. Wolf  has been an avid sport diver for many years.

Management Staff

Sandy Bove, R.N.
President and CEO, Underwater medicine Associates

Sandy manages the program organization.  She is responsible for organizing hotel, travel, and diving arrangements, and assuring that the program runs according to plan.

 

TEMPLE UNIVERSITY UNDERWATER MEDICINE 2012

 

 

 

 

 

ACADEMIC SCHEDULE

 

 

 

 

 

Sunday, January 22

 

8:00 a.m.

Introduction – Safe Diving Practices 

Bove

9:00    

Adjourn

 

 

 

 

3:00 p.m.

Applied Physics and Physiology of Diving

Butler

4:00    

Barotrauma

Butler

5:00

DSC/AGE Treatment

Bove

6:00

Forum - Diagnosing DCS

Faculty

7:00

Adjourn

 

 

 

 

 

Monday, Janaury 23

 

3:00 p.m.

Hyperbaric Oxygen Therapy - the Basics

Hardy

4:00    

HBO and the Eye

Butler

5:00

IThe Diver with a Cardiovascualr Intervention

Wolf

6:00

Diabetic Wounds

Hardy

7:00

Adjourn

 

 

 

 

8:30 p.m.

Marine environment 

Bove

10:00

Adjourn

 

 

 

 

 

Tuesday, January 24

 

3:00 p.m.

Marine Toxicology (invertebrates)

Bove

4:00    

Ingested Marine toxins 

Bove

4:30

Technical Diving and Rebreathers

Butler

5:30

Fundamentals of Hyperbaric Oxygen Therapy 

Hardy

6:30

Adjourn

 

 

 

 

 

 

 

 

Wednesday, January 25

 

3:00 p.m.

Dysbaric Eye Disorders 

Butler

4:00    

Marine toxicology (vertebrates)

Bove

5:00

Pathophysiology and Therapy of Carbon Monoxide Toxicity

Hardy

6:00    

PFO and Diving

Bove

7:00

Adjourn

 

 

 

 

 

 

 

 

Thursday, Janury 26

 

3:00 p.m.

Cardiac Disorders and diving

Bove

4:30

Trauma Care- focus on Combat Casualties

Butler

6:00

Efficacy of HBO Therapy for Wound Healing 

Hardy

7:00

Adjourn

 

 

 

 

 

 

 

 

Friday, January 27

 

3:00 p.m.

Adjunctive HBO therapy for Necrotizing Infections

Hardy

4:00       

Final examination  

Faculty

5:00

Examination review  

Faculty

6:00

Adjourn

 





 



TEMPLE UNIVERSITY UNDERWATER MEDICINE
2013
Littel Cayman Beach Resort

Little Cayman

JANUARY 12-19, 2013

A training program in diving medicine with special lectures on alatitude and zero gravity exposure and their relations to diving exposures, certified for 25 category I credits through  Temple University School of Medicine.  The program is offered in cooperation with the Undersea and Hyperbaric Medical Society.

COURSE DESCRIPTION AND OBJECTIVES

Medical evaluation of a diver or diving candidate demands that the physician have a knowledge of the unique physical qualifications needed for this sport. In this year’s program we will pay special attention to diagnosing diving disorders, and will provide a series of lectures on fitness for diving, marine injury and toxicology with emphasis on case examples. The program will feature a series of lectures on altitude and space physiology and its application to diving. Upon completion of the course, participants should have a general knowledge of diving medicine and physiology, space and altitude physiology, marine toxicology, assessment of fitness for diving, and medical standards for diving.

FACULTY
Alfred A. Bove, M.D., PhD
Emeritus Professor of Medicine, Chief,
Cardiology Section, Temple Univ. School of Medicine

Dr. Bove is actively engaged in research and consulting in diving medicine. He was trained as a diving medical officer in the Navy. Dr. Bove has published a number of studies on the pathophysiology of decompression sickness and with two other investigators, was awarded the Stover-Link diving research award of the Undersea Medical Society in 1975. In 1988, he was awarded the UHMS Craig Hoffman award for contributions to diving safety, and in 1995, the NOGI award for science from the Academy of Underwater Arts and Sciences. He is a past president of the Undersea Medical Society and for 20 years, was the medical editor of Skin Diver Magazine. He has been a consultant in diving medicine to the National Research Council, US Department of Labor, NOAA, and a variety of corporations. Dr. Bove is a certified YMCA and NAUI scuba instructor. He is the editor of a textbook on Diving Medicine, and is an avid sport diver.

Michael L. Gernhardt, PhD
Astronaut, Space and Altitude Physiology Center
Manager, Environmental Physiology Laboratory
NASA Johnson Space Center

Dr. Gernhardt received his PhD in Bioengineering from the University of Pennsylvania in 1993. He is an Astronaut and Project Manager of the Space Exploration Vehicle, Principal Investigator of the EVA PreBreathe (PB) reduction program, Manager of the Environmental Physiology Laboratory. He lead the development of the NASA DCS Risk Definition and Contingency Plan, and the development of reduced PB protocols for ISS, including integration of hardware and operational procedures. He worked a variety of technical jobs in the astronaut office including: the development of nitrox diving to support training for the HST repair mission, Space Station EVA, He flew on four space shuttle missions where he logged over 43 days in space, including 4 spacewalks totaling over 23 hours. He worked as Manager and then Vice President of Special Projects for Oceaneering International.  In 1988 he founded Oceaneering Space Systems, a company formed to transfer subsea technology and operational experience to the ISS program. From 1988 until his selection by NASA in 1992, he worked on the development of new astronaut and robot-compatible tools for performing maintenance on Space Station Freedom. Dr. Gernhardt worked as a commercial diver, diving supervisor and project engineer on oil-field construction and salvage projects in the Gulf of Mexico, South America, North Sea and Southeast Asia and made over 700 deep-sea dives, including surface supplied air and mixed gas dives, bounce bell dives to 420 FSW and helium-oxygen saturation dives.

Tom S. Neuman, M.D. FACP, FACPM
Professor of Medicine, Emeritus
University of California, San Diego

Dr. Neuman has made many original contributions to diving medicine. Trained as a Naval undersea medical officer, he retired from the Naval Reserve with the rank of Captain. Dr. Neuman was president of the Undersea and Hyperbaric Medical Society in 1989. He is the past editor-in-chief of the journal Undersea and Hyperbaric Medicine. He is the co-editor of the 5th Edition of Bennett and Elliott’s Physiology and Medicine of Diving. In 2007 Dr. Neuman received the Albert Behnke Award for outstanding scientific contributions to the field of Undersea Medicine. He also received the Link-Stover award for contributions to diving safety and the Merrill Spencer Award for lifetime achievement. Dr. Neuman served on a variety of committees of the National Academies of Sciences to advise NASA on the medical problems associated with deep space missions including the colonization of the moon and the trip to Mars. His most recent work has been related to the problems associated with diagnosing DCS and AGE. Dr. Neuman is an active diver, a PADI scuba instructor and is board certified in Internal Medicine, Pulmonary Medicine, Emergency Medicine, Undersea and Hyperbaric Medicine and Preventive Medicine.

Nelson M. Wolf, MD
Director, Cardiac Catheterization Cardiology Section,
Professor of Medicine, Temple Univ. Medical School

Dr. Wolf is a member of the faculty in Medicine and Cardiology at Temple University Medical School. He is trained as a Navy Undersea Medical Officer and was on active duty in the U.S. Navy for 3 years and reserve duty for 2. Dr. Wolf also has training in the area of bioterrorism, and in disaster preparedness. He is a member of the disaster management committee of Temple University Hospital. Dr. Wolf was the director of Invasive and Interventional cardiology at the Medical College of Pennsylvania for over 20 years, and is the current acting director of Invasive and Interventional Cardiology at Temple University Medical Center. He has been a leader in application of newer technologies to invasive and interventional cardiology. Dr. Wolf has been an avid sport diver for many years.

Management Staff

Sandy Bove, R.N.

Sandy manages the program organization. She is responsible for organizing hotel, travel, and diving arrangements, and assuring that the program runs according to plan.

 

 

 

 

 

 

 

 

 

 

 

 

ACADEMIC PROGRAM

TUUM 2013

 

 

 

Sunday, January 13

 

8:00 a.m.

Introduction and Welcome

Bove

8:30    

Practical Diving Safety

Bove

9:00  

Adjourn  

 

 

 

3:00 p.m.

Physics and Physiology  of Diving

Bove

4:00    

Barotrauma

Neuman

5:00

DCS/AGE

Bove

6:00

Physiology of Altitude and Space - Presssure and Gravity

Gernhardt

7:00

Adjourn

 

 

           

 

 

Monday, January 14

 

3:00 p.m.

Exercise Physiology –Cardiac Aspects

Bove

3:30    

Exercise Physiology – Pulmonary Aspects

Neuman

4:00

Disaster Medicine - Preparing Practice and Hospital

Wolf

5:00

From Oceans to Space - Adaptations and Consequences 

Gernhardt

6:00

Dyspnea and Immersion - Facts and Theories

Neuman/Bove

7:00

Adjourn  

 

 

 

8:30 p.m.

Health Care Reform - Impact on Clinical Practice  

Bove

10:00

Adjourn

 

 

 

 

 

Tuesday, January 15

 

3:00 p.m.

Marine Toxicology (invertebrates)                                  

Bove

4:00    

Ingested Marine Toxins                                                    

Bove

4:30

Optimizing Human Safety and Performance in Planetary Exploration

Gernhardt

5:30

Case Examples                                                            

Faculty

6:30

Adjourn

 

 

 

 

 

Wednesday, January 16

 

3:00 p.m.

Fitness for Diving

Neuman

4:00    

Marine toxicology (vertebrates)

Bove

5:00

Underwater Research for Space Exploration

Bove

6:00    

Case Studies

Faculty

7:00

Adjourn

 

 

 

 

 

Thursday, January 17

 

3:00 p.m.

Cardiac Disorders and diving

Bove

4:00

Diving Fatalities - Causes and Insights

Neuman

5:00

Application of Altitude Decompression Research to Diving

Gernhardt

6:00

Modern Concepts of Coronary Disease

Wolf

7:00

Adjourn

 

     

8:30 p.m.

Photo Review                                                                                      

Course Attendees

10:00

Adjourn

 

 

 

 

 

Friday, January 18

 

3:00 p.m.

Sudden Death in Sports

Bove

4:00    

Final examination 

Faculty

5:00

Examination review    

Faculty

6:00

Adjourn