UNDERWATER MEDICINE
2008
Dominica
JANUARY 12-19
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 Fort Young Hotel, a deluxe oceanfront resort on Dominica. The Resort is located in the town of Roseau. The hotel provides a conference center with space for up to 90 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, he was awarded the NOGI award for science from the Academy of Underwater Arts and Sciences. He is a past president of the Undersea Medical Society. 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 board certified in Internal Medicine, Cardiology and Undersea and Hyperbaric Medicine, and is a certified YMCA and NAUI diving instructor. He is the co-editor of the textbook Bove and Davis’ Diving Medicine, fourth edition, and is an avid sport diver.
Paul Cianci, MD, F.A.C.P., faculty Professor of Medicine University of California, Davis Director, Diving and Hyperbaric Medicine Brookside Hospital, Brookside, Ca.
Dr. Cianci was president of the Undersea and Hyperbaric Medical Society in 1991. He is an internationally recognized expert in diving and hyperbaric medicine. He is a retired U.S. Naval Reserve Diving Medical Officer. He has published several important articles on treatment of burns and poorly healing wounds with hyperbaric oxygen. Dr. Cianci is board certified in Internal Medicine, and in Undersea and Hyperbaric Medicine. He was trained in the use of surface supplied and scuba diving equipment in the U.S. Navy, and is an avid scuba diver.
Peter R. Lynch, PhD Professor emeritus of Physiology and Radiology Temple University Medical School
Dr. Lynch recently retired from the chair in Physiology at Temple University Medical School where he was actively engaged in research in diving physiology, cardiovascular physiology, radiology and pharmacology. He has published over a hundred scientific articles on these subjects. He was trained as a diver with a Navy underwater demolition team during World War II and has spent time as a commercial diver. He studied in the laboratory of Dr. A.A. Buhlmann in Zurich Switzerland, doing research in deep diving. Dr. Lynch has a special interest in toxic marine animals. He is a member of the Undersea and Hyperbaric Medical Society, where he has served on the Education Committee.
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, 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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NETHERLAND ANTILLES
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.
Maida Taylor, MD , MPH, FACOGDr. Taylor received her medical degree from Stanford University Medical School and completed a residency in obstetrics and gynecology at the University of California, San Francisco. After her residency she joined the UC faculty practice, and then entered private practice in San Francisco in 1982, where she practiced for 23 years. In 2001, she joined Eli Lilly to work in pharmaceutical research and development and later joined Novo Nordisk Inc. She is now consulting medical director at Esprit Pharma in East Brunswick NJ. Maida began diving in 1974. In the late 80's, she designed a program on women and diving for the NOAA physicians course and is the author of an acclaimed chapter on women and diving in the text, Diving Medicine, edited by Dr. Bove She has lectured at numerous diving medicine courses, consults with DAN on women's issues, and contributes to the Alert Diver. Her interests have expanded to include divers with special needs, children and diving, and mental fitness to dive.
Dr. Muller is a well recognized Otolaryngologist with extensive experience in diving and flight medicine. He attended the Air Force Academy and after active duty as an aviator he completed pre-med training at Austin College. He attended Jefferson Medical School, and returned to the Air Force to complete his military career. He is a retired flight surgeon who has been providing care and consultation for aviators and divers for over 25 years. He has lectured on a number of diving medicine programs in the past, and is an expert on diving related ear injuries, dizziness evaluation in divers, and effects of altitude and hypoxia on audio-vestibular function. Dr. Muller will provide a series of lectures on the otolaryngologic aspects of diving and altitude exposure.
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.
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2007ACADEMIC SCHEDULE |
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Sunday, January 14 |
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8:00 a.m.
9:00
3:00 p.m.
4:00
5:00
6:00
7:00
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Introduction: Safe Diving Practices
Adjourn
Diving Physics and Physiology
Diving Fatalities
The Ear and Diving
DCS/AGE therapy
Adjourn
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Bove
Bove
Taylor
Muller
Bove
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Monday, January 15
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3:00 p.m.
4:00
5:00
5:30
6:30 p.m.
8:30
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Sinusitis and Barotrauma Children and Diving Forum: What is the diagnosis? Tratment? Nuclear, biologic, Chemical Exposures Adjourn Marine Environment |
Muller Taylor Faculty Wolf Lynch |
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Tuesday, January 16
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3:00 p.m. 4:00 4:30 5:30 6:30 |
Marine Toxicology (invertebrates) Marine Toxicology (Vertebrates) Diabetes and Diving The Dizzy Diver Adjourn |
Bove Bove Taylor Muller |
Wednesday, January 17 |
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3:00 p.m. 4:00 5:00 6:00 6:30 |
Narcosis and Disorientation when Diving Seasickness Assessing Cardiovascualr Risk for Diving Case Review Adjourn |
Muller Taylor Bove Faculty |
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Thursday, January 18
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3:00 p.m. 4:00 5:00 6:00 7:00 |
Women and Diving Altitude and Hypothermmia Patent formane Ovale Case Studies - Fitness for Diving Adjourn |
Taylor Muller Bove Faculty |
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Friday, January 19
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3:00 p.m. 4:00 5:00 6:00 |
Disaster Medicine - Managing Mas Casualties Final Examination Examination Review Adjourn |
Wolf Faculty Faculty |