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.
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 PennsylvaniaDr.
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 AssociatesSandy manages the program organization. She is responsible for organizing hotel, travel, and diving arrangements, and assuring that the program runs according to plan.
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TEMPLE UNIVERSITY UNDERWATER MEDICINE 2008 |
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ACADEMIC SCHEDULE |
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Sunday, January 13 |
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8:00 a.m. |
Introduction Safe Diving Practices |
Bove |
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9:00 |
Adjourn |
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3:00 p.m. |
Diving Physics and Physiology |
Bove |
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4:00 |
Decompression Sickness Pathophysiology |
Bove |
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5:00 |
Pulmonary Barotrauma |
Neuman |
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6:00 |
Forum - Diagnosing DCS |
Faculty |
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6:30 |
Adjourn |
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Monday, January 14 |
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3:00 p.m. |
DCS/AGE therapy |
Cianci |
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4:00 |
Forum - Diagnosing DCS and AGE - SANDHOG criteria |
Neuman |
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5:00 |
Disaster Medicine - Preparing hospital and practice |
Wolf |
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6:00 |
Pulmonary Disorders and Diving |
Neuman |
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6:30 |
Adjourn |
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8:30 p.m. |
Marine environment |
Lynch |
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10:00 |
Adjourn |
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Tuesday, January 15 |
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3:00 p.m. |
Marine Toxicology (invertebrates) |
Cianci |
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4:00 |
Ingested Marine toxins |
Bove |
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4:30 |
Diving Tables and Computers |
Neuman |
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5:30 |
Forum Children, Handicapped, Elderly |
Faculty |
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6:30 |
Adjourn |
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Wednesday, January 16 |
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3:00 p.m. |
Hyperbaric Oxygen Therapy Basics |
Cianci |
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4:30 |
Disaster medicine - Managing Mass Casualties |
Wolf |
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5:30 |
Marine toxicology (vertebrates) |
Cianci |
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6:30 |
Case Studies - Marine Envenomations |
Faculty |
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7:00 |
Adjourn |
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Thursday, January 17 |
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3:00 p.m. |
Cardiac Disorders and diving |
Bove |
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4:30 |
Hyperbaric Oxygen Therapy II |
Cianci |
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6:00 |
Near Drowning |
Neuman |
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7:00 |
Adjourn |
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8:30 p.m. |
Marine Environment |
Lynch |
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10:00 |
Adjourn |
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Friday, January 18 |
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3:00 p.m. |
PFO and Diving |
Bove |
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4:00 |
Final examination |
Faculty |
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5:00 |
Examination review |
Faculty |
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6:00 |
Adjourn |
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MEXICO
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.
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., PhDDr. 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 DiegoDr. 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, MDDr. 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