The Laboratory of Hyperbaric Physiology of the Medical Clinic of the University of Zurich came into existence in 1960 thanks to private initiative and a readiness to undertake risks; the success ful start was made possible with help from the French Navy and the United States Navy. A prerequisite for the development of the laboratory was also the benevolence of the authorities of the University of Zurich toward a research project from which scarcely any practical use could be expected for the land-locked country of Switzerland. The development of the laboratory and the systematic research were supported generously from 1964 by Shell Intemationale Petroleum Maatschappij of The Hague. The basic theme of the research was always the well-being and functional ability of the human being in an atmosphere of abnor mal pressure and or abnormal composition. Many connections became obvious with respiratory physiolo gy, circulatory physiology, and physiology at great heigts, and close contact with other special laboratories of the Medical Clin ic proved very valuable. With a relatively small number of steady collaborators it was possible to master an extensive experimental program. Special thanks are due to Mr. Benno Schenk, who as technical head was responsible for the exact performance of all the hyperbaric experiments.
This text blends theoretical and scientific aspects with practical and directly applicable diving physiology and medical information. It is divided into three sections - the underwater environment, physiological responses to the underwater environment, and medical problems associated with the sport.
This comprehensive volume captures the latest scientific evidence, technological advances, treatments and impact of biotechnology in hyperbaric oxygen therapy. Divided into three distinct sections, the book begins with basic aspects that include history, equipment, safety and diagnostic approaches; this is followed by clinical applications for hyperbaric oxygen therapy in various modalities; the last section provides an overview of hyperbaric medicine as a specialty with best practices from around the world. Integration of multidisciplinary approaches to complex disorders are also covered. Updated and significantly expanded from previous editions, Textbook of Hyperbaric Medicine, 6th Edition will continue to be the definitive guide to this burgeoning field for students, trainees, physicians and specialists.
This book provides a systemic approach to acute trauma care in line with the ABCDE paradigm and up-to-date information on assessing and managing major trauma from the pre-hospital to the rehabilitation phase. The book's early sections are dedicated to identifying and managing pathology caused by massive haemorrhage, airway, breathing, circulation or neurological trauma and examining the current evidence base relating to their management. The book then builds from fundamental skills to advanced interventions so that each level of responder can identify and implement aspects of clinical practice that will be of benefit to them at their stage. This approach also explains advanced interventions that may be executed subsequently, explaining how each phase of care sits together. This has a further benefit of producing seamless care for patients by practitioners of different levels using this book as a reference point. Later sections deal with specifics of in-hospital trauma care by speciality, including the explanation of decision making processes by specialities, use of diagnostic and interventional radiology, rehabilitation and psychological aspects of trauma care. The Textbook of Acute Trauma Care also focuses on non-clinical issues relevant to trauma such as training and logistics of retrieval and repatriation, aviation considerations in HEMS, legal and forensic evidence considerations and ethical issues dealing with trauma patients. In addition, the book contains chapters from international experts on cognitive and human factors relating to healthcare and suggests strategies for training and minimising errors. This book is an essential resource for all grades of practitioner, from first responders to Consultant/Attending Physician level providers.
Covers basic diving physiology; the pathophysiology of decompression sickness; maritime toxicology; assessment of fitness for diving; special considerations for female, elderly, and pediatric divers; diving-related problems in people with pre-existing medical conditions such as pulmonary, cardiac, and neurologic disease, and much more, with new chapters on the kinetics of intert gas, marine poisoning and intoxication, and diabetes and diving.
Written by internationally recognized leaders in hyperbaric oxygen therapy (HBOT) research and practice, this exciting new book provides evidence-based, practical, useful information for anyone involved in HBOT. It outlines the physiologic principles that constitute the basis for understanding the clinical implications for treatment and describes recent advances and current research, along with new approaches to therapy. This book is an essential tool for anyone who cares for patients with difficult-to-heal wounds, wounds from radiation therapy, carbon monoxide poisoning, and more. Provides comprehensive coverage of pathophysiology and clinically relevant information so you can master the specialty. Covers the relevance of HBOT in caring for diverse populations including critical care patients, infants and pediatric patients, and divers. Features a section on the technical aspects of HBOT to provide insight into the technology and physics regarding HBO chambers. Presents evidence to support the effectiveness of HBOT as well as the possible side effects. Describes situations where HBOT would be effective through indication-specific chapters on chronic wounds, radiation and crush injuries, decompression sickness, and more.
This book is designed to be a physician's guide for those interested in diving and hyperbaric environments. It is not a detailed document for the erudite researcher; rather, it is a source of information for the scuba-diving physician who is searching for answers put to him by his fellow nonmedical divers. Following the publication of The Underwater Handbook: A Guide to Physiology and Performance for the Engineer there were frequent requests for a companion volume for the physician. This book is designed to fill the void. Production of the book has been supported by the Office of Naval Research and by the Bureau of Medicine and Surgery, Research and Development Command, under Navy Contract No. NOOOOI4-78-C-0604. Our heartfelt thanks go to the many authors without whose contributions the book could not have been produced. These articles are signed by the responsible authors, and the names a~e also listed alphabetically in these preliminary pages. Every chapter was officially reviewed by at least one expert in the field covered and these reviewers are also listed on these pages. Our thanks go to them for their valuable assistance. We are grateful to Marthe Beckett Kent for editing Chapter III. Our thanks also go to Mrs. Carolyn Paddon for typing and retyping the manuscripts, and to Mrs. Catherine Coppola, who so expertly handled the many fiscal affairs.
This book focuses on hyperbaric oxygenation (HBO) therapy from the molecular biology perspective and its clinical applications, including molecular mechanisms of HBO’s positive effect on cellular function in hypoxic tissues. HBO is a therapeutic tool that enhances oxygen supply to hypoxic tissues and improves wound healing/tissue remodeling. Currently HBO therapy is applied to a wide range of clinical cases, which include not only acute hypoxic diseases but also many chronic and refractory diseases involving tissue hypoxia or intractable infection. HBO therapy is a well-recognized regimen for many researchers and clinicians. The first half of the book outlines basic molecular mechanisms of HBO and their potential applications for clinical activities, while the second half describes the rationale behind introducing HBO therapy into suitable clinical cases and presents successful clinical reports. It is primarily written for HBO clinicians, physiologists and basic research scientists, but is also of interest to clinicians who have an interest in this field considering introducing HBO therapy.
If you are a diver, what you learned about topics such as decompression sickness and narcosis in your scuba diving classes is unlikely to have been as complete as you thought. Most of it will have been over-simplified and some of it will just have been plain wrong, as diver training agency texts have not kept pace with the science. Scuba Physiological gives you a chance to catch up. A recent book called The Science of Diving was a collation of work done by scientists in the field of decompression research as part of a three-year project called PHYPODE (Physiology of Decompression). The book did not reach the diving public; mainly because it was written by scientists for other scientists and they speak a different language than most of us. Simon Pridmore is not an expert on diving medicine but he knows something good when he sees it. When Simon read The Science of Diving (with help from Google), he thought it was worthwhile working on it to try to make it more accessible. The original authors agreed that this was a good idea and Scuba Physiological is the result. There have been great advances to make diving safer, but, despite nearly 170 years of research, the fundamental nature of decompression sickness and decompression stress remains unknown and there are still glaring gaps in our knowledge. Scuba Physiological provides a good summary of what we know, as well as a glimpse of where the science is taking us and some invaluable tips to make you a safer diver now. Among many other things, you will learn: 1. Pre-dive hydration, exposure to heat, whole body vibration and oxygen breathing may reduce the risk of DCS. 2. Post-dive, our bodies have most bubbles running around them 30 to 40 minutes AFTER we have surfaced. Post-dive hydration and certain other post-dive behaviours are therefore also essential. 3. The effects of nitrogen narcosis continue for a period of time AFTER a dive. 4. All dive computers have a known DCS risk rate. 5. Exercise during the period up to 120 minutes after surfacing may increase your risk of DCS. 6. Never use a weightlifter's breath-hold and release technique when pulling yourself into the boat post-dive. 7. A little dark chocolate before a dive may be a good thing for you. What the experts say: “With this latest volume, Simon Pridmore makes a significant contribution to the body of practical knowledge in the science of scuba diving. If you are looking for a thorough understanding of the science of diving and how it might be impacting your safety and enjoyment of diving, this book is a must read.” Dan Orr, President, Academy of Underwater Arts & Sciences and President Emeritus, Divers Alert Network Foundation "This book makes it easy to understand the latest discoveries in diving research and our current understanding of what happens to our bodies when we dive." JP Imbert: Decompression designer and technical diving pioneer "There are some lovely thought-provoking ideas and questioning of current dogma. This book is well worth the read. " Dr Ian Sibley-Calder, HSE Approved Medical Examiner of Divers, Occupational Health Physician "This book is an excellent discussion of the issues. It is an enjoyable, simplified read of a complex subject and easy for a non-scientist to comprehend. I consider this an essential text for every diver's shelf." Joseph Dituri PhD (c), CDR, US Navy Saturation Diving
