Undersea and Hyperbaric Medical Society

The Undersea and Hyperbaric Medical Society (UHMS) is the primary source of information for diving and hyperbaric medicine physiology worldwide.

History

The UHMS was founded as the Undersea Medical Society in 1967, but in 1986 changed its name to the current one. The name change reflected the rapidly growing interest in hyperbaric oxygen physiology and therapy. The UHMS's purpose is to provide scientific information to protect the health of sport, military and commercial divers and to improve the scientific basis of hyperbaric oxygen therapy, promote sound treatment protocols and standards of practice and provide CME accreditation within its field.

Indications for hyperbaric oxygen

UHMS definition of Hyperbaric Oxygen Therapy (HBO):The patient breathes 100% oxygen intermittently while the pressure of the treatment chamber is increased to greater than one atmosphere absolute (atm abs). Current information indicates that pressurization should be at least 1.4 atm abs. This may occur in a single person chamber (monoplace) or multiplace chamber (may hold 2 or more people). Breathing 100% oxygen at 1 atm abs or exposing isolated parts of the body to 100% oxygen does not constitute HBO therapy.

UHMS approved Indications:The following indications are approved uses of hyperbaric oxygen therapy as defined by the Hyperbaric Oxygen Therapy Committee. [The Undersea and Hyperbaric Medical Society (UHMS), Hyperbaric Oxygen Therapy Committee. Guidelines: Indications for Hyperbaric Oxygen. Kensington, MD: UHMS; 2000.] The Committee Report can be purchased directly through the [http://old.uhms.org/Publications/publicat.htm UHMS]
*Air or gas embolism [cite web |url=http://www.uhms.org/ResourceLibrary/Indications/AirorGasEmbolism/tabid/271/Default.aspx |title=Air or Gas Embolism |author=Undersea and Hyperbaric Medical Society |accessdate=2008-05-19 ]
*Carbon monoxide poisoning [cite web |url=http://www.uhms.org/ResourceLibrary/Indications/CarbonMonoxidePoisoning/tabid/272/Default.aspx |title=Carbon Monoxide |author=Undersea and Hyperbaric Medical Society |accessdate=2008-05-19 ] cite journal |author=Piantadosi CA |title=Carbon monoxide poisoning |journal=Undersea Hyperb Med |volume=31 |issue=1 |pages=167–77 |year=2004 |pmid=15233173 |url=http://archive.rubicon-foundation.org/4002 |accessdate=2008-05-19]
**Carbon Monoxide Poisoning Complicated by Cyanide Poisoning [cite web |url=http://www.uhms.org/ResourceLibrary/Indications/CarbonMonoxidePoisoning/CyanidePoisoning/tabid/284/Default.aspx |title=Cyanide Poisoning |author=Undersea and Hyperbaric Medical Society |accessdate=2008-05-19 ] [cite journal |author=Hall AH, Rumack BH |title=Clinical toxicology of cyanide |journal=Ann Emerg Med |volume=15 |issue=9 |pages=1067–74 |year=1986 |month=September |pmid=3526995 |url=http://linkinghub.elsevier.com/retrieve/pii/S0196-0644(86)80131-7 |accessdate=2008-05-19] [cite journal |author=Takano T, Miyazaki Y, Nashimoto I, Kobayashi K |title=Effect of hyperbaric oxygen on cyanide intoxication: in situ changes in intracellular oxidation reduction |journal=Undersea Biomed Res |volume=7 |issue=3 |pages=191–7 |year=1980 |month=September |pmid=7423657 |url=http://archive.rubicon-foundation.org/2888 |accessdate=2008-05-19]
*Clostridal Myositis and Myonecrosis [cite web |url=http://www.uhms.org/ResourceLibrary/Indications/ClostridalMyositisandMyonecrosis/tabid/273/Default.aspx |title=Clostridal Myositis and Myonecrosis (Gas gangrene) |author=Undersea and Hyperbaric Medical Society |accessdate=2008-05-19 ] (Gas gangrene [cite journal |author=Hart GB, Strauss MB |title=Gas Gangrene - Clostridial Myonecrosis: A Review |journal=J. Hyperbaric Med |volume=5 |issue=2 |pages=125-144 |year=1990 |url=http://archive.rubicon-foundation.org/4428 |accessdate=2008-05-16] [cite journal |author=Zamboni WA, Riseman JA, Kucan JO |title=Management of Fournier's Gangrene and the role of Hyperbaric Oxygen |journal=J. Hyperbaric Med |volume=5 |issue=3 |pages=177-186 |year=1990 |url=http://archive.rubicon-foundation.org/4431 |accessdate=2008-05-16] )
*Crush Injury, Compartment syndrome, and other Acute Traumatic Ischemias [cite web |url=http://www.uhms.org/ResourceLibrary/Indications/CrushInjury/tabid/274/Default.aspx |title=Crush Injury, Compartment syndrome, and other Acute Traumatic Ischemias |author=Undersea and Hyperbaric Medical Society |accessdate=2008-05-19 ] [cite journal |author=Bouachour G, Cronier P, Gouello JP, Toulemonde JL, Talha A, Alquier P |title=Hyperbaric oxygen therapy in the management of crush injuries: a randomized double-blind placebo-controlled clinical trial |journal=J Trauma |volume=41 |issue=2 |pages=333–9 |year=1996 |month=August |pmid=8760546 |url=http://meta.wkhealth.com/pt/pt-core/template-journal/lwwgateway/media/landingpage.htm?issn=0022-5282&volume=41&issue=2&spage=333 |accessdate=2008-05-19]
*Decompression sickness [cite web |url=http://www.uhms.org/ResourceLibrary/Indications/DecompressionSickness/tabid/275/Default.aspx |title=Decompression Sickness or Illness and Arterial Gas Embolism |author=Undersea and Hyperbaric Medical Society |accessdate=2008-05-19 ] [cite book |title=Bennett and Elliott's physiology and medicine of diving, 5th Rev ed. |last=Brubakk |first=A. O. |coauthors=T. S. Neuman |year=2003 |publisher=Saunders Ltd. |location=United States |isbn=0702025712 |pages=800 ] [cite journal |last=Acott |first=C. |title=A brief history of diving and decompression illness. |journal=South Pacific Underwater Medicine Society journal |volume=29 |issue=2 |date=1999 |issn=0813-1988 |oclc=16986801 |url=http://archive.rubicon-foundation.org/6004 |accessdate=2008-03-18 ]
*Enhancement of Healing in Selected Problem Wounds [cite web |url=http://www.uhms.org/ResourceLibrary/Indications/ProblemWounds/tabid/276/Default.aspx |title=Enhancement of Healing in Selected Problem Wounds |author=Undersea and Hyperbaric Medical Society |accessdate=2008-05-19 ] [cite journal |author=Zamboni WA, Wong HP, Stephenson LL, Pfeifer MA |title=Evaluation of hyperbaric oxygen for diabetic wounds: a prospective study |journal=Undersea Hyperb Med |volume=24 |issue=3 |pages=175–9 |year=1997 |month=September |pmid=9308140 |url=http://archive.rubicon-foundation.org/2279 |accessdate=2008-05-16] [cite journal |author=Kranke P, Bennett M, Roeckl-Wiedmann I, Debus S |title=Hyperbaric oxygen therapy for chronic wounds |journal=Cochrane Database Syst Rev |volume= |issue=2 |pages=CD004123 |year=2004 |pmid=15106239 |doi=10.1002/14651858.CD004123.pub2 |url=http://dx.doi.org/10.1002/14651858.CD004123.pub2 |accessdate=2008-05-16]
*Exceptional Blood Loss [cite web |url=http://www.uhms.org/ResourceLibrary/Indications/ExceptionalBloodLossAnemia/tabid/277/Default.aspx |title=Exceptional Blood Loss - Anemia |author=Undersea and Hyperbaric Medical Society |accessdate=2008-05-19 ] [cite journal |author=Hart GB, Lennon PA, Strauss MB. |title=Hyperbaric oxygen in exceptional acute blood-loss anemia |journal=J. Hyperbaric Med |volume=2 |issue=4 |pages=205-210 |year=1987 |url=http://archive.rubicon-foundation.org/4352 |accessdate=2008-05-19 ] (Anemia)
*Intracranial Abscess [cite web |url=http://www.uhms.org/ResourceLibrary/Indications/IntracranialAbscess/tabid/278/Default.aspx |title=Intracranial Abscess |author=Undersea and Hyperbaric Medical Society |accessdate=2008-05-19 ] [cite journal |author=Lampl LA, Frey G, Dietze T, Trauschel M. |title=Hyperbaric Oxygen in Intracranial Abscesses |journal=J. Hyperbaric Med |volume=4 |issue=3 |pages=111-126 |year=1989 |url=http://archive.rubicon-foundation.org/4352 |accessdate=2008-05-19 ]
*Necrotizing Soft Tissue Infections [cite web |url=http://www.uhms.org/ResourceLibrary/Indications/NecrotizingSoftTissueInfections/tabid/279/Default.aspx |title=Necrotizing Soft Tissue Infections |author=Undersea and Hyperbaric Medical Society |accessdate=2008-05-19 ] (Necrotizing fasciitis [cite journal |author=Escobar SJ, Slade JB, Hunt TK, Cianci P |title=Adjuvant hyperbaric oxygen therapy (HBO2) for treatment of necrotizing fasciitis reduces mortality and amputation rate |journal=Undersea Hyperb Med |volume=32 |issue=6 |pages=437–43 |year=2005 |pmid=16509286 |url=http://archive.rubicon-foundation.org/4061 |accessdate=2008-05-16] )
*Osteomyelitis [cite web |url=http://www.uhms.org/ResourceLibrary/Indications/OsteomyelitisRefractory/tabid/280/Default.aspx |title=Refractory Osteomyelitis |author=Undersea and Hyperbaric Medical Society |accessdate=2008-05-19 ] [cite journal |author=Mader JT, Adams KR, Sutton TE |title=Infectious diseases: pathophysiology and mechanisms of hyperbaric oxygen |journal=J. Hyperbaric Med |volume=2 |issue=3 |pages=133–140 |year=1987 |url=http://archive.rubicon-foundation.org/4339 |accessdate=2008-05-16] [cite journal |author=Kawashima M, Tamura H, Nagayoshi I, Takao K, Yoshida K, Yamaguchi T |title=Hyperbaric oxygen therapy in orthopedic conditions |journal=Undersea Hyperb Med |volume=31 |issue=1 |pages=155–62 |year=2004 |pmid=15233171 |url=http://archive.rubicon-foundation.org/4000 |accessdate=2008-05-16] (Refractory)
*Delayed Radiation Injury [cite web |url=http://www.uhms.org/ResourceLibrary/Indications/DelayedRadiationInjury/tabid/281/Default.aspx |title=Hyperbaric Ocxgen Treatments for Complications of radiation Therapy |author=Undersea and Hyperbaric Medical Society |accessdate=2008-05-19 ] (Soft Tissue and Bony Necrosis [cite journal |last=Zhang |first=L. D. |coauthors=J. F. Kang; H. L. Xue. |title=Distribution of lesions in the head and neck of the humerus and the femur in dysbaric osteonecrosis |journal=Undersea Biomed. Res. |volume=17 |issue=4 |pages=353-358 |date=1990 |issn=0093-5387 |oclc=2068005 |pmid=2396333 |url=http://archive.rubicon-foundation.org/2570 |accessdate=2008-04-06 ] [Lafforgue, P., Pathophysiology and natural history of avascular necrosis of bone. Joint Bone Spine, 2006. 73(5): p. 500-7.] )
*Skin Grafts & Flaps [cite web |url=http://www.uhms.org/ResourceLibrary/Indications/SkinGraftsFlaps/tabid/282/Default.aspx |title=Skin Grafts and Flaps Compromised |author=Undersea and Hyperbaric Medical Society |accessdate=2008-05-19 ] [cite journal |author=McFarlane RM, Wermuth RE |title=The use of hyperbaric oxygen to prevent necrosis in experimental pedicle flaps and composite skin grafts |journal=Plast. Reconstr. Surg. |volume=37 |issue=5 |pages=422–30 |year=1966 |month=May |pmid=5327032 ] (Compromised)
*Thermal Burns [cite web |url=http://www.uhms.org/ResourceLibrary/Indications/ThermalBurns/tabid/283/Default.aspx |title=Thermal Burns |author=Undersea and Hyperbaric Medical Society |accessdate=2008-05-19 ] [cite journal |author=Cianci P, Lueders H, Lee H, Shapiro R, Sexton J, Williams C, Green B |title=Adjunctive Hyperbaric Oxygen Reduces the Need for Surgery in 40-80% Burns. |journal=J. Hyperbaric Med |volume=3 |issue=2 |pages=97-101 |year=1988 |url=http://archive.rubicon-foundation.org/4369 |accessdate=2008-05-16]

Training

Training in Hyperbaric Medicine occurs through a post graduate medical fellowship. The Hyperbaric medicine fellowship was approved by the Accreditation Council for Graduate Medical Education (ACGME) under the American Board of Preventive Medicine (ABPM). [cite journal |author=Vorosmarti J |title=A "Certificate of Added Qualifications" by the American Board of Preventive Medicine |journal=Undersea Biomed Res |volume=17 |issue=2 |pages=93 |year=1990 |month=March |pmid=2321321 |doi= |url=http://archive.rubicon-foundation.org/2728 |accessdate=2008-07-22] Information on approved HBO fellowships may be obtained through the [http://www.abprevmed.org/uhm.cfm ABPM] .

Library

The UHMS Charles W. Shilling Library is the largest repository of diving and hyperbaric research and clinical information –current and historical–in the world. The library is located at the Duke University Medical Center (DUMC) Library in Durham, NC. The collection consists of books, journals, reports, workshops, symposia, conference proceedings, and annotated bibliographies spanning the fields of diving, hyperbaric, and marine medicine. There is a small journal and newsletter collection dealing with diving safety and diving medicine. The library has extensive reprint files of articles, cataloged by author, related to diving and hyperbaric medicine and dating back to the 1930's.

Many of the UHMS publications have been scanned and are available online at the Rubicon Research Repository. Other articles can be found in the DUMC Archive finding aids.

References

Other external links

* [http://www.uhms.org/ Undersea and Hyperbaric Medical Society]
* [http://www.hboevidence.com/ HBO evidence]
* [http://rubicon-foundation.org Rubicon Research Repository]
* [http://archives.mc.duke.edu/programs/uhms.html DUMC Archive]