scubadoc Ten Foot Stop

September 28, 2006


Filed under: Uncategorizedscubadoc @ 7:33 am
Here is a query from a dive operator in El Salvador:

Thanks a lot for the continuous information, it is very useful for us.
Do you have any information regarding diving during electric storms on rainy days, how dangerous it is, how far do you have to be during diving to be safe???? So that the electricity of thunder lightning doesnt hurt you or kill you.
Thanks for the info
Werner Mena
PADI Course Director
5 Star Dive Center
El Salvador
Hello Werner:
I’m happy that you find my material useful!
There is a web page on my web site that specifically addresses your concerns. Go to ‘Lightning and Diving’ at  .
The page is part of a group of topics on Diving Safety at .
Hope this is helpful!
Best regards:
Ern Campbell, MD
scubadoc Diving Medicine Online


Filed under: Uncategorizedscubadoc @ 7:29 am
Hi -
Your observations on diving are interesting.
We are also Diving Docs (Surgeon and ER Doc) and have created a unique History of Diving Museum In the FL Keys.
Come and visit — you will find it interesting!
Hi Joe:
I’ve visited the site and find it to be marvellously well done! Readers should visit the site and the museum when in the area.Ern Campbell



Filed under: Uncategorizedscubadoc @ 7:21 am

Here is a question concerning non-diabetic hypoglycemia (adiving risk) and migraine with aura (a risk for PFO).

I am planning on getting certified to go scuba diving, however, I have hypoglycemia (not diabetes) and I get migraines (with auras). Will I still be allowed to go diving if I have these disorders?

Our answer:
Hypoglycemia is a risk due to the possibility of loss of consciousness underwater, which can lead to drowning. Hypoglycemia without diabetes is usually reactive, that is, the blood sugar responds excessively to a large secretion of insulin by the pancreas. This can often be easily managed by dietary control.

Migraine is not in itself a reason not to dive.
Migraine with aura is often associated with the presence of a patent foramen
ovale [a hole in the inner wall of the heart, allowing blood to flow from
venous to arterial]. PFO is also related to increased risk of stroke and
decompression illness. You might want to get checked for this condition
before taking scuba lessons.

Read more about PFO on my web site at .

Hope this is helpful!

Ern Campbell, MD
scubadoc Diving Medicine Online


September 27, 2006


Filed under: Uncategorizedscubadoc @ 10:44 am


  • Neil Hampson MD will speak on Osteoradionecrosis HBO treatment and CO poisoning and current HBO treatment and reimbursement.
  • Neil Pollock PhD will speak on Breathhold Diving and Diabetes and Diving.
  • George Perdrizet MD and Timothy Emhoff, MD will speak on “off-label” uses of HBO.
  • Presentation and Q+A session on T-Coms.
  • Interesting and wide-ranging case reports
  • Our traditional Break-out sessions for MD’s, RN’s and CHT’s.
  • A scheduled visit to the Hartford Hospital Center for Wound Healing and Hyperbaric Medicine.
  • A special Saturday evening reception for all.


Of the UHMS


Conference/Chapter Meeting  

NOVEMBER 4-5, 2006

(pre-courses: November 3)

Hartford Marriott Downtown

200 Columbus Blvd., Hartford, CT








This year’s Northeast Chapter Meeting will be held November 4-5 at the Hartford Downtown Marriott, Hartford, CT .  There will also be two pre-courses on November 3 (one on Acrylics & the other a CHT/CHRN Exam review course).

Friday, November 3: 8:00am-5:00pm: Acrylics Pre-course

Friday, November 3: 8:00am-4:00pm: CHT/CHRN Review Course

Friday, November 3: 5:00pm: CHT/CHRN Exam

Saturday, November 4: 8:00am -5:00pm  

                 Opening Reception: 6:00pm  (Sponsored by OxyHeal Health Group)

Sunday, November 5: 8:00am -12noon


Saturday Breakfast Buffet, Saturday Lunch Buffet and Sunday Continental Breakfast are included with Registration.


Room rate at the Hartford Marriott Downtown will be $139.00.  All guest rooms are subject to 12% State and local taxes.  Check in time is 4:00 p.m. , and check out is 11:00 a.m.     Individuals are requested to make their reservations no later than OCTOBER 4 to receive this special conference room rate.  To make your reservations, please call their toll free reservation number at 860-760-2212 .  When making your reservations, you must identify yourself as part of the “Undersea Hyperbaric Medical Society.”  A one night’s deposit is due with each reservation.  


NBDHT CHT /CHRN Exam will be held Friday, November 3 at 5pm . If you sit for this test and attend the NE Chapter meeting, you will receive the credit hours towards your license.  You will be required to sign-in daily.


CME Credits will be available.

The Undersea and Hyperbaric Medical Society (UHMS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The UHMS takes responsibility for the content, quality, and scientific integrity of this CME activity.  The UHMS designates this continuing medical education activity as Category I of the Physician’s Recognition Award of the American Medical Association.  The individual physician may claim one credit hour for each hour of participation.   (Up to  TBD  credit hours may be obtained). 

All faculty members participating in continuing medical education activities sponsored by (Name of responsible organization) are expected to disclose to the participants any real or apparent conflict of interest related to the content of their presentation.  Full disclosure of faculty relationships will be made at the activity.



South African Diving & Hyperbaric Staff Training

Filed under: Uncategorizedscubadoc @ 9:26 am

The Southern African Undersea and Hyperbaric Medical Association (SAUHMA) is proud to present the first course in diving and hyperbaric medicine in South Africa with international accreditation through the UHMS (Undersea and Hyperbaric Medical Society) as an Introductory Course in Hyperbaric Medicine

Diving Hyperbaric Staff

18 – 25 November 2006


Diving and Hyperbaric Medicine Staff Team Training is an intensive 8 day course in the practical aspects of diving and hyperbaric medicine and transcutaneous oximetry. It is aimed at physicians, nurses and emergency service personnel interested or wishing to pursue a career in diving or hyperbaric medicine and working with hyperbaric chambers.

This course, presented under the auspices of SAUHMA, also features hyperbaric therapy and wound care procedures as used extensively at the Eugene Marais Hospital. Attendees will be afforded the opportunity to study in an active hyperbaric unit, providing in excess of 200 patient treatments per month. The Program Director, Dr Frans Cronjé, has been actively involved in Hyperbaric Therapy since 1993 and has treated over 1200 patients involving more than 12,000 individual treatments.

The focus of this training is to promote a team approach in hyperbaric medicine and to meet the minimum academic and technical requirements for health care professionals to practice hyperbaric medicine. Instruction will consist of lectures, wound care practicum, and hands-on experience in chamber operation, patient care, equipment and hyperbaric exposures. All aspects of hyperbaric medicine practice will be addressed including hyperbaric medical referral and consultation, selection of patients, patient care, reimbursement, and providing medical community education


All Physicians, nurses & EMS personnel interested in the scientific application of hyperbaric medicine are welcome. Experience in anaesthetics, ICU, casualty or theatre is beneficial but not compulsory. EMS personnel must be minimum AEA (level 6).

PLEASE NOTE: Staff from non-hospital-based or informal hyperbaric facilities will only be allowed on an individualised and discretionary basis as determined by the program director and the Executive Committee of SAUHMA

All attendees must have a valid diving medical clearance certificate (such as the one included in this brochure) signed by a physician trained in diving medicine. Those, not in possession of a diving clearance certificate may participate in the academic sessions only. All attendees need to pass the pre-entry exam, based on pre-course materials that will be sent out upon receiving the required deposit for the course. Please allow at least 14 days for delivery and 5 days to study the materials

Class numbers

The maximum number of students is 15 on a first registered, first accepted basis. The course director reserves the right to deny admission to any applicant on hid discretion and with full refund of any deposits made.


The activity has been planned and implemented in accordance with the essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the Undersea & Hyperbaric Medical Society and SAUHMA. The UHMS is accredited by the ACCME to provide CME for physicians.

The Undersea and Hyperbaric Medical Society has designated this CME activity for 56 credit hours in Category 1 of the Physician’s Recognition Award of the American Medical Association. 56 CPD points in R.S.A. The DHMSTC has been recognised by the UHMS as a Designated Introductory Course in Hyperbaric Medicine – one of 4 courses so recognised in the World.

The National Board of Diving and Hyperbaric Medical Technology (NBDHMT) recognises the course as the minimum academic requirement to apply for writing the Certified Hyperbaric Technologist exam.


(Please detach and forward this form to us)

First Name: __________________________

Initials: _____________________________

Surname: ___________________________

Address: ___________________________

__________________ Zip Code: ________

Tel: Work ( ) __________________

Home ( ) _________________

Fax ( ) __________________

Cell ( ) __________________

Qualification/s: ________________________

SAMDC/AMA Reg No: _________________

Dive Qualification: _____________________

Date of last dive medical: ________________

Member of SAUHMA/ UHMS: Yes No

Will you require accommodation? Yes No

If you are working at an HBO facility at present, which facility is it: ______________________


Method of payment:

Fund Transfer/ Postal Order/ Bank Deposit /Cheque

Please return completed form with payment to:

DHMSTC; P O Box 30880; Wonderboom Poort; 0033; South Africa

Tel: +27(0)12 335 1577 Fax: +27(0)12 335 9994


Diving and Hyperbaric Medicine Staff Training Course

P O Box 30880





Course Fees

R7 000 ($1000) includes all lectures, chamber pressurizations, educational materials, training manuals and refreshments. SAUHMA or UHMS members receive R700 ($100) discount. Full payment received before 15 October’06 will qualify for an additional R300 ($50) discount.

Booking & Payment

A R1000 ($100) deposit (non-refundable) is payable before 15 October 06 to reserve a place on the course and receive the pre-course material required for the pre-entry exam. The full course fee is payable at the beginning of the course. Payment can be made by cheque or directly into the following account with a copy of the deposit slip faxed to: +27(0)12 335-9994. Bank details are:

Medilect CC; ABSA Bank; Current Account; Acc Number: 4052940973. Mailed cheques or money orders are payable to Medilect.

Travel & Accommodation

Attendees are responsible for their own travel, dinner, breakfast and lodgings. We can reserve rooms at a convenient Bed and Breakfast establishment at a preferential rate of about R200 ($35) B&B. Those interested may contact Ms Walters for more information

Full Disclosure Policy

The Faculty participating in this CME program sponsored by UHMS is expected to disclose to the audience any conflict(s) of interest related to the content of their presentation(s).

Program Location

Academics and practical sessions will be conducted at the Eugene Marais Hospital Training Centre; Les Marais; PRETORIA.

For any further information contact

Ms Antoinette Walters

Tel: +27 (0) 335 1577

Fax: +27 (0) 335 9994



P O Box 30880

Wonderboom Poort



Diving and D.B.S ? [Deep Brain Stimulation]

Filed under: Uncategorizedscubadoc @ 9:22 am


I have a variant of parkinsons and my neurolgist has recommended D.B.S. to stop my shaking. Can I still scuba dive if I have the procedure done?


DBS is a procedure that leaves electrodes in place in the brain to deliver continuous stimulation. The electrodes are powered by a programmable stimulator (like a pacemaker), which is implanted in the chest wall. The stimulator is connected to the electrodes by thin wires (leads) that are tunneled under the skin in the neck and scalp. Risks for DBS procedures include surgical risks (hemorrhage, infection) as well as hardware complications. These include leads breaking, electrode malfunction, stimulator failure and battery failure.
Diving variables include whether or not the stimulator is tested to depth (doubtful, if so - it usually is to 100 fsw). Check with the manufacturer.
Seizure activity would be a contraindication. EEG would need to be done post op.
Medications would have to be monitored for sedative action that might be additive to nitrogen narcosis.
If all of the above are OK and you have healed all surgical wounds - then there probably is no clinical evidence for you not to dive, particularly if your tremors have subsided.
Depth testing of the implanted stimulator would be the limiting factor. Even if tested safe to 100 fsw, it probably would be wise to maintain shallower diving no deeper than 60 feet and give yourself a cushion of safety with deeper, longer stops, longer surface intervals and restrict diving to warmer, friendly waters.

Neuropsychologic effects of sport diving.

Filed under: Uncategorizedscubadoc @ 9:01 am

In answer to a question if there were long term neuropsychiatric effects of sport diving we were unable to find any direct answers to the query. However, there are some studies about saturation diving.Here are a group of Medline abstracts about the neuropsychologic effects of saturation diving.

It is not known whether or not these findings can be translated into recreational scuba diving. There is a neurological section in our compilation of material about this on our web site a previously published on Medscape.

Another web page on our site is about chronic neurologic effects of sport diving.

Here is a note from Dr. Tom Millington about this subject: 

You might want to check the article by Karen Schiltz PhD and me on Neuropsychological Effects of Scuba Diving which was published in the SPUMS Journal several years ago-Unfortunately I don’t remember the exact date (too many bubbles) but our study found no abnormal affects on neuropsychological testing before, during and after a series of divers

Tom Millington, MD
Med Director
Wound Management and Hyperbaric Therapy Centers
Oxnard and Thousand Oaks, Ca


Paul Cianci, MD Partners with S.F. Area Wound Care Centers

Filed under: Uncategorizedscubadoc @ 8:46 am

Diversified Clinical Services Announces Partnership with Dr. Paul E.
Cianci to Provide Hyperbaric Oxygen Services at Three San Francisco Bay
Area Wound Care Centers


September 21, 2006

Great Lakes Chapter, UHMS, ‘Pearls Of Diving Wisdom’

Filed under: Uncategorizedscubadoc @ 7:53 am

Great Lakes Chapter -
Undersea and Hyperbaric Medical Society

                                        PEARLS OF DIVING WISDOM

                            Saturday Oct. 21, 2006

  • Pearls of Diving Wisdom — Some Practical Tips
  • The Risks and Benefits of Children Scuba Diving
  • Police Diving
  • Research Diving in Antarctica
  • PFOs and the Bends
  • Atrial Septal Defects — the PFO’s & Treatment
  • Diabetes and Recreational Diving
  • Diving-Doing it! for a Living
  • Myths of Diving Panel

We have outstanding speakers, interesting topics, our traditional Myths of Diving Panel and opportunities to make new friends in the diving and diving medical community. Lunch is provided, plus refreshments after the meeting.

Who is this for?                   
Recreational and Tech Divers
Professional Divers
Dive Masters & Instructors
Diving & Hyperbaric Medicine Professionals
                        For info & to register
      Complete and mail attached registration form
    Check our website
        Contact  Ron Nishi
0800                 Register & Coffee
0830 to 1730     Symposium
$50.00 Cdn / $45.00 US    before Oct. 6
$65.00 Cdn / $55.00 US    after Oct. 6

Again this year, we are in Burlington at the Canada Centre for Inland Waters.
    Reimers Systems Inc. 
    DAN — Divers Alert Network
    Hyperbaric Medical Unit - Toronto General Hospital
    Ontario Underwater Council
    Sechrist Industries
             Where Diving and Medicine Meet

September 20, 2006

EPCOT, DAN Plot Course to Develop Professional Divers Program

Filed under: Uncategorizedscubadoc @ 6:06 pm


20 September 2006   •   Divers Alert Network (DAN)


Through a unique cooperative venture with Disney/Epcot, DAN created a much-needed program to streamline courses and certifications aimed at dive professionals who go to work underwater.

The effort that began in 2004 will soon culminate in the rollout of DAN’s Dive First Aid for Professional Divers Program.

Several aquarium operations with large numbers of divers contacted DAN for assistance in streamlining their course offerings. They were using the existing DAN Diving Emergency Management Provider (DEMP) program and asked DAN to incorporate CPR and first aid into that program. They also wanted to continue offering the First Aid for Hazardous Marine Life and AEDs for Scuba Diving courses.

DAN Training Director Eric Douglas said one such aquarium operator was Barry Olson, Animal Programs manager from Epcot/Living Seas, Walt Disney World Co. “The Living Seas aquarium was using DAN courses (Oxygen First Aid and First Aid for Hazardous Marine Life Injuries), a separate CPR/first aid program and a Disney-created program on blood-borne pathogens,” Douglas said. “Each of the 200 divers at Disney in Orlando had to be current in each of those programs or they couldn’t get in the water.

“A staff member spent 20 hours a week coordinating, training and tracking certifications. And that was just at Disney in Orlando. Other operations experienced the same logistical problems and expressed the need for this program, but Olson lead the charge, was the initiator and the driving force behind it.”

To streamline the process, Olson sought a single program that incorporated all the key skills from each of those programs. He wanted a single certification to lessen their administrative headaches. That’s where DAN came in.

In December 2005, DAN training staffers met with Olson and his team, hammering out a program outline, video script and deadline for implementation. “We had numerous discussions over the content and structure of this program with Barry and his team,” Douglas said.

To incorporate the American Heart Association’s guidelines 2005 recommendations, DAN delayed actual development until early 2006. The video shoot occurred in 2006, with testing in the spring.

“Throughout the process, Barry and Disney have been involved and supportive and have worked with us to make sure this program meets their needs and the needs of the great professional diving community,” Douglas said, reflecting on the two-year project. “Barry has spread the word about the program to other aquariums in his association, and he plans to implement the program throughout the Disney system.”

Diving First Aid for Professional Divers
This program is designed for divers who dive as part of their job duties and is based on guidelines from the US Occupational Safety and Health Administration. It includes workplace CPR and first aid, along with three DAN courses including AEDs for Scuba Diving, Oxygen First Aid for Scuba Diving Injuries and First Aid for Hazardous Marine Life Injuries.

DAN will offer a series of crossovers specifically for Diving Safety Officers or Training Officers from these specialized dive operations. To qualify, the candidate must:
•         Have an affiliation with an aquarium, scientific diving program or a commercial diving operation
•         Be a CPR Instructor
•         Be a current DAN Member

Current DAN Instructor Trainers and Instructors for the three programs, who meet the other criteria, will be able to complete an online crossover that discusses the details and standards of the course and immediately offer this program. However, this online crossover will not be available until January 2007.

For more information about the course, call +1-919-684-2948 ext. 555  or 1-800-446-2671 from the U.S. and Canada.


Questions about this release or other DAN News should be directed to DAN Communications at +1-919-684-2948 ext. 626 or 629; or write

Reactivated and Maintained by Centrum Nurkowe Aquanaut Diving