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.
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.
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 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 2012 |
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ACADEMIC SCHEDULE |
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Sunday, January 22 |
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8:00 a.m. |
Introduction Safe Diving Practices |
Bove |
9:00 |
Adjourn |
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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 |
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Monday, Janaury 23 |
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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 |
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8:30 p.m. |
Marine environment |
Bove |
10:00 |
Adjourn |
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Tuesday, January 24 |
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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 |
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Wednesday, January 25 |
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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 |
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Thursday, Janury 26 |
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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 |
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Friday, January 27 |
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3:00 p.m. |
Adjunctive HBO therapy for Necrotizing Infections |
Hardy |
4:00 |
Final examination |
Faculty |
5:00 |
Examination review |
Faculty |
6:00 |
Adjourn |
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Little Cayman
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.
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., 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.
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 DiegoDr. 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, 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 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