Undersea Hyperbar M
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Undersea Hyperbar M · Jan 2014
Assessment of hemostaseologic alterations induced by hyperbaric oxygen therapy using point-of-care analyzers.
Exposure to hyperbaric conditions influences the coagulation system. Thromboembolic events and disseminated intravascular coagulation were observed. ⋯ ROTEM and Multiplate were able to detect an activation of platelets after HBO2 therapy via thrombin and arachidonic acid pathways. Previously reported fibrinolysis could not be confirmed.
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Undersea Hyperbar M · Jan 2014
Initial review of the U.S. Navy's pressurized submarine escape training outcomes.
The U. S. Navy reinstituted pressurized submarine escape training (PSET) for submarine sailors in 2009 after a nearly 30-year absence. ⋯ During the first 39 months of training, 7,025 students screened for PSET with 32% completing all phases, including two pressurized ascents. The most common reason for screening disqualification was presence of upper respiratory congestion. During training, middle ear barotrauma was responsible for 53% of attrition, primarily during the test of pressure.
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Undersea Hyperbar M · Nov 2013
Case ReportsPneumomediastinum following hyperbaric oxygen therapy for carbon monoxide poisoning: case report.
A 5-year-old boy trapped in a house fire was transported to the emergency department, unconscious with suspected carbon monoxide poisoning. The patient underwent a difficult intubation, but did not initially demonstrate any radiographic abnormalities. The patient remained intubated and underwent hyperbaric oxygen therapy using the carbon monoxide treatment protocol. ⋯ The patient was extubated on post-injury Day #2 and was discharged post-injury Day #4 with no residual clinical sequelae. The development of pneumomediastinum associated with hyperbaric oxygen therapy for carbon monoxide poisoning appears to be a rare phenomenon. However, clinicians should be aware of the risk factors that predispose patients to developing pneumomediastinum and have a low threshold for obtaining routine pre- and post-procedure screening chest radiographs in intubated and critically ill patients, particularly in children.
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Undersea Hyperbar M · Sep 2013
Fate of abstracts presented at the annual scientific meeting of the Undersea and Hyperbaric Medical Society.
The full-text publication of abstracts presented at any given scientific meeting in peer-reviewed journals is accepted as a measure of scientific quality of that particular meeting. The aim of this study is to determine the full-text publication rate of abstracts presented at the 2005 Scientific Meeting of the Undersea and Hyperbaric Medical Society (UHMS). ⋯ We found that only one-third of the abstracts presented at the 2005 UHMS meeting were published as full-text articles within the succeeding five years. Although this rate is consistent with similar studies from various disciplines, further research is needed to identify the specific barriers to full-text publication of abstracts in the field of underwater and hyperbaric medicine.