UNDERWATER MEDICINE

2010

Little Cayman

February 20-27

 

 

A training program in diving and hyperbaric  medicine, certified for 22 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 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 hyperbaric oxygen therapy, and marine injury and toxicology.  In addition, two lectures will be devoted to preparing for mass casualties in hospital and practice settings. Upon completion of the course, participants should have a general knowledge of diving medicine and physiology, marine toxicology, medical standards for diving, and hyperbaric oxygen therapy.

     The program will be held at the Little Cayman Beach Resort, a deluxe ocean front resort on Little Cayman.   The hotel provides a conference center with space for  up to 50 persons in a comfortable 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 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. Dr. Bove is the current president of the American College of Cardiology.

 

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

Dr Butler is a Navy undersea medical officer and an ophthalmologist who served as a Navy SEAL platoon commander prior to his medical career. He currently 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 H _, M.D.

Professor of Medicine

University of Pennsylvania

Dr.  

 

 

 

 

Nelson M. Wolf, MD.
Director, Cardiac Catheterization Laboratories
Professor of Medicine.
Cardiology Section,
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 2008

 

 

 

 

 

ACADEMIC SCHEDULE

 

 

 

 

 

Sunday, January 13

 

8:00 a.m.

Introduction – Safe Diving Practices 

Bove

9:00    

Adjourn

 

 

 

 

3:00 p.m.

Diving Physics and Physiology 

Bove

4:00    

Decompression Sickness Pathophysiology

Bove

5:00

Pulmonary Barotrauma 

Neuman

6:00

Forum - Diagnosing DCS

Faculty

6:30

Adjourn

 

 

 

 

 

Monday, January 14

 

3:00 p.m.

DCS/AGE therapy

Cianci

4:00    

Forum - Diagnosing DCS and AGE - SANDHOG criteria

Neuman

5:00

Disaster Medicine  - Preparing hospital and practice

Wolf

6:00

Pulmonary Disorders and Diving

Neuman

6:30

Adjourn

 

 

 

 

8:30 p.m.

Marine environment 

Lynch

10:00

Adjourn

 

 

 

 

 

Tuesday, January 15

 

3:00 p.m.

Marine Toxicology (invertebrates)

Cianci

4:00    

Ingested Marine toxins 

Bove

4:30

Diving Tables and Computers

Neuman

5:30

Forum – Children, Handicapped, Elderly  

Faculty

6:30

Adjourn

 

 

 

 

 

 

 

 

Wednesday, January 16

 

3:00 p.m.

Hyperbaric Oxygen Therapy Basics  

Cianci

4:30    

Disaster medicine - Managing Mass  Casualties

Wolf

5:30

Marine toxicology (vertebrates)

Cianci

6:30    

Case Studies -  Marine Envenomations 

Faculty

7:00

Adjourn

 

 

 

 

 

 

 

 

Thursday, January 17

 

3:00 p.m.

Cardiac Disorders and diving

Bove

4:30

Hyperbaric Oxygen Therapy II

Cianci

6:00

Near Drowning  

Neuman

7:00

Adjourn

 

 

 

 

8:30 p.m.

Marine Environment  

Lynch

10:00

Adjourn

 

 

 

 

 

Friday, January 18

 

3:00 p.m.

PFO and Diving 

Bove

4:00       

Final examination  

Faculty

5:00

Examination review  

Faculty

6:00

Adjourn

 





 



TEMPLE UNIVERSITY UNDERWATER MEDICINE
2009
COZUMEL

MEXICO

JANUARY 17-24, 2009

A training program in diving and hyperbaric  medicine, certified for 24 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. With over 4 million sport divers in the United States alone, diving candidates with chronic disorders frequently request medical clearance for sport diving. The program provides a review of 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. We will pay special attention to women and diving, children and diving, and will also cover medical emergiecies, disaster medicine and bioterrorism.

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.

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

Dr Butler is a Navy undersea medical officer and an ophthalmologist who served as a Navy SEAL platoon commander prior to his medical career. He currently 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.

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

Dr. Neuman was trained as a Naval undersea medical officer, and has made many original contributions to diving medicine and physiology.  He retired from the Naval Reserve with the rank of Captain (O-6). 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, and is the co-editor of the 5th Edition of the textbook Bennett and Elliott’s Physiology and Medicine of Diving. In 2007 Dr. Neuman was presented with the Albert Behnke Award for outstanding scientific contributions to the field of Undersea Medicine. In addition to the above, Dr Neuman has received the Link-Stover award for his contributions to diving safety and the Merrill Spencer Award for lifetime achievement. Dr. Neuman has recently been a member of a variety of committees of the National Academies of Sciences to advise NASA on the medical problems associated with deep space missions including the planning for 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.  He recently retired from the University of California San Diego and now holds the rank of Emeritus Professor.

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 2009

 

Sunday, January 18

8:00 a.m.

Introduction and welcome

Bove

8:30    

Practical Diving Safety

Bove

3:00 p.m.

Applied Physics and Physiology  of diving

Butler

4:00    

Barotrauma

Neuman

5:00

DCS/AGE Treatment

Bove

6:00

Forum - Diagnosing DCS

Faculty

7:00

Adjourn

           

Monday, January 19

3:00 p.m.

Diving Tables and Computers

Neuman

4:00    

Breath-Hold Diving: A New Approach

Butler

5:00

Disaster Medicine  - Preparing hospital and practice

Wolf

6:00

Pulmonary Disorders and Diving   

Neuman

6:30

Adjourn

8:30 p.m.

Marine environment                                                        

10:00

Adjourn

Tuesday, January 20

3:00 p.m.

Marine Toxicology (invertebrates)                                  

Bove

4:00    

Ingested Marine toxins                                                    

Bove

4:30

Technical diving and rebreathers

Butler

5:30

PFO and Diving                                                               

Bove

6:30

Adjourn

Wednesday, January 21

3:00 p.m.

Dysbaric Eye Disorders

Butler

4:30    

Disaster medicine - Managing Mass  Casualties

Wolf

5:30

Marine toxicology (vertebrates)

Bove

6:30    

Diagnosing Decompression Sickness - SANDHOG criteria

Neuman

7:00

Adjourn

Thursday, January 22

3:00 p.m.

Cardiac Disorders and diving

Bove

4:30

Management of Diving Accidents from the USS Oriskany Dive Site

Butler

6:00

Near Drowning     

Neuman

7:00

Adjourn

8:30 p.m.

Marine Environment                                                                                          

10:00

Adjourn

Friday, January 23

3:00 p.m.

Decompression - rethinking a 100 year old theory

Neuman

4:00    

Final examination 

Faculty

5:00

Examination review    

Faculty

6:00

Adjourn