National Board Of Diving And Hyperbaric Medical Technology
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National Board Of Diving And Hyperbaric Medical Technology
National Board of Diving and Hyperbaric Medical Technology (NBDHMT), formally known as the National Association of Diving Technicians, is a non-profit organization devoted to the education and certification of qualified personnel in the fields of diving and hyperbaric medicine. History The professional divers of the United Brotherhood of Carpenters and Joiners of America sponsored an Undersea and Hyperbaric Medical Society workshop in 1975 to look at the needs for Emergency Medical Technicians (EMT) for the treatment of diving related injuries. This workshop established a need for medically trained personnel in offshore diving operations as well as suggested training standards for EMT divers. Following this workshop, attempts were made to incorporate a "Diver Medic Training Program" into existing paramedic curricula. This proved to be impossible due to the "esoteric nature of undersea medicine, and its geographically and medically remote applications. In response to this need, ...
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Columbia, South Carolina
Columbia is the capital of the U.S. state of South Carolina. With a population of 136,632 at the 2020 census, it is the second-largest city in South Carolina. The city serves as the county seat of Richland County, and a portion of the city extends into neighboring Lexington County. It is the center of the Columbia metropolitan statistical area, which had a population of 829,470 in 2020 and is the 72nd-largest metropolitan statistical area in the nation. The name Columbia is a poetic term used for the United States, derived from the name of Christopher Columbus, who explored for the Spanish Crown. Columbia is often abbreviated as Cola, leading to its nickname as "Soda City." The city is located about northwest of the geographic center of South Carolina, and is the primary city of the Midlands region of the state. It lies at the confluence of the Saluda River and the Broad River, which merge at Columbia to form the Congaree River. As the state capital, Columbia is the s ...
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Harvey, Louisiana
Harvey is a census-designated place (CDP) in Jefferson Parish, Louisiana, United States. Harvey is on the south side (referred to as the "West Bank") of the Mississippi River, within the New Orleans–Metairie, Louisiana, Metairie–Kenner, Louisiana, Kenner New Orleans metropolitan area, metropolitan statistical area. The majority-minority population was 20,348 at the 2010 United States Census, 2010 census, down from 22,226 at the 2000 United States Census, 2000 census. The 2020 United States census, 2020 census determined 22,236 people lived in the CDP. History During the French colonial era, the first owner of this land was Jean Baptiste d'Estrehan, Jean-Baptiste d'Estrehan de Beaupre, royal treasurer and comptroller for the Louisiana (New France), French Louisiana colony. He established a plantation here. He used his History of slavery in Louisiana, slaves to dig the ditch that would become the Harvey Canal, cutting south from the banks of the Mississippi River to the ...
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Diving Medicine Organizations
Diving most often refers to: * Diving (sport), the sport of jumping into deep water * Underwater diving, human activity underwater for recreational or occupational purposes Diving or Dive may also refer to: Sports * Dive (American football), a type of play in American football * Diving (association football), a simulation of being fouled * Diving (ice hockey), embellishing an infraction in an attempt to draw a penalty * Sport diving (sport), competitive scuba diving using recreational techniques in a swimming pool * Taking a dive, or match fixing, intentionally losing a match, especially in boxing Film and television Film * ''Dive'' (film), a 1929 German silent film * ''The Dive'' (1990 film), a Norwegian action thriller * ''Dive!'' (film), a 2010 documentary film by Jeremy Sefert * ''Dive'', a 2014 New Zealand short film written and directed by Matthew J. Saville * ''The Dive'' (2018 film), an Israeli film TV * ''Dive'' (TV series), a 2010 British drama * "The Dive" ...
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Divers Alert Network
Divers Alert Network (DAN) is a group of not-for-profit organizations dedicated to improving diving safety for all divers. It was founded in Durham, North Carolina, United States, in 1980 at Duke University providing 24/7 telephonic hot-line diving medical assistance. Since then the organization has expanded globally and now has independent regional organizations in North America, Europe, Japan, Asia-Pacific and Southern Africa. The DAN group of organizations provide similar services, some only to members, and others to any person on request. Member services usually include a diving accident hot-line, and diving accident and travel insurance. Services to the general public usually include diving medical advice and training in first aid for diving accidents. DAN America and DAN Europe maintain databases on diving accidents, treatment and fatalities, and crowd-sourced databases on dive profiles uploaded by volunteers which are used for ongoing research programmes. They publish rese ...
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Hyperbaric Nursing
Hyperbaric nursing is a nursing specialty involved in the care of patients receiving hyperbaric oxygen therapy Hyperbaric medicine is medical treatment in which an ambient pressure greater than sea level atmospheric pressure is a necessary component. The treatment comprises hyperbaric oxygen therapy (HBOT), the medical use of oxygen at an ambient pressure .... The National Board of Diving and Hyperbaric Medical Technology offers certification in hyperbaric nursing as a Certified Hyperbaric Registered Nurse (CHRN). The professional nursing organization for hyperbaric nursing is the Baromedical Nurses Association. Hyperbaric nurses are responsible for administering hyperbaric oxygen therapy to patients and supervising them throughout the treatment. These nurses must work under a supervising physician trained in hyperbarics who is available during the treatment in case of emergency. Hyperbaric nurses either join the patient inside the multiplace hyperbaric oxygen chamber or oper ...
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Registered Nurse
A registered nurse (RN) is a nurse who has graduated or successfully passed a nursing program from a recognized nursing school and met the requirements outlined by a country, state, province or similar government-authorized licensing body to obtain a nursing license. An RN's scope of practice is determined by legislation, and is regulated by a professional body or council. Registered nurses are employed in a wide variety of professional settings, and often specialize in a field of practice. They may be responsible for supervising care delivered by other healthcare workers, including student nurses, licensed practical nurses (except in Canada), unlicensed assistive personnel, and less-experienced RNs. Registered nurses must usually meet a minimum practice hours requirement and undertake continuing education to maintain their license. Furthermore, there is often a requirement that an RN remain free from serious criminal convictions. History The registration of nurses by nursi ...
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Subspecialty
A subspecialty (US English) or subspeciality (international English) is a narrow field of professional knowledge/skills within a specialty of trade, and is most commonly used to describe the increasingly more diverse medical specialties. A subspecialist is a specialist of a subspecialty. In medicine, subspecialization is particularly common in internal medicine, cardiology, neurology and pathology, and has grown as medical practice has: # become more complex, and # it has become clear that a physician A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...'s case volume is negatively associated with their complication rate; that is, complications tend to decrease as the volume of cases per physician goes up. See also * Notes and references Medical specialties {{med-stu ...
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Hyperbaric Chamber
A diving chamber is a vessel for human occupation, which may have an entrance that can be sealed to hold an internal pressure significantly higher than ambient pressure, a pressurised gas system to control the internal pressure, and a supply of breathing gas for the occupants. There are two main functions for diving chambers: * as a simple form of submersible vessel to transport divers underwater and to provide a temporary base and retrieval system in the depths; * as a land, ship or offshore platform-based hyperbaric chamber or system, to artificially reproduce the hyperbaric conditions under the sea. Internal pressures above normal atmospheric pressure are provided for diving-related applications such as saturation diving and diver decompression, and non-diving medical applications such as hyperbaric medicine. Basic types of diving chambers There are two basic types of submersible diving chambers, differentiated by the way in which the pressure in the diving chamber is pr ...
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Medical Device
A medical device is any device intended to be used for medical purposes. Significant potential for hazards are inherent when using a device for medical purposes and thus medical devices must be proved safe and effective with reasonable assurance before regulating governments allow marketing of the device in their country. As a general rule, as the associated risk of the device increases the amount of testing required to establish safety and efficacy also increases. Further, as associated risk increases the potential benefit to the patient must also increase. Discovery of what would be considered a medical device by modern standards dates as far back as c. 7000 BC in Baluchistan where Neolithic dentists used flint-tipped drills and bowstrings. Study of archeology and Roman medical literature also indicate that many types of medical devices were in widespread use during the time of ancient Rome. In the United States it wasn't until the Federal Food, Drug, and Cosmetic Act (F ...
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Decompression Sickness
Decompression sickness (abbreviated DCS; also called divers' disease, the bends, aerobullosis, and caisson disease) is a medical condition caused by dissolved gases emerging from solution as bubbles inside the body tissues during decompression. DCS most commonly occurs during or soon after a decompression ascent from underwater diving, but can also result from other causes of depressurisation, such as emerging from a caisson, decompression from saturation, flying in an unpressurised aircraft at high altitude, and extravehicular activity from spacecraft. DCS and arterial gas embolism are collectively referred to as decompression illness. Since bubbles can form in or migrate to any part of the body, DCS can produce many symptoms, and its effects may vary from joint pain and rashes to paralysis and death. DCS often causes air bubbles to settle in major joints like knees or elbows, causing individuals to bend over in excruciating pain, hence its common name, the bends. Individu ...
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Barotrauma
Barotrauma is physical damage to body tissues caused by a difference in pressure between a gas space inside, or contact with, the body and the surrounding gas or liquid. The initial damage is usually due to over-stretching the tissues in tension or shear, either directly by an expansion of the gas in the closed space or by pressure difference hydrostatically transmitted through the tissue. Tissue rupture may be complicated by the introduction of gas into the local tissue or circulation through the initial trauma site, which can cause blockage of circulation at distant sites or interfere with the normal function of an organ by its presence. Barotrauma generally manifests as sinus or middle ear effects, lung overpressure injuries and injuries resulting from external squeezes. Decompression sickness is indirectly caused by ambient pressure reduction, and tissue damage is caused directly and indirectly by gas bubbles. However, these bubbles form out of supersaturated solution from ...
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Transcutaneous Oxygen Measurement
Transcutaneous oxygen measurement (TCOM or TcPO2) is a non-invasive method of measuring the oxygen level of the tissue below the skin. Since oxygen is carried by the blood, TCOM can be used as an indirect measure of blood flow to the tissue. Since blood flow is important for wound healing, TCOM is often used to gauge the ability of tissue to effectively heal. To perform the test, one set of electrodes are placed on viable tissue (e.g. the chest) as a control and a second set is placed around the tissue in question (e.g. legs or feet). The electrodes may mildly heat the skin to increase blood flow into the area. Oxygen may also be given to the patient to see if that increases oxygen levels in the tissue. The test takes about 45 minutes. Results are reported either as the absolute values of the tissue in question (in mmHg) or as a ratio of the tissue in question to the control tissue. The normal oxygen tension in the foot is approximately 60 mmHg, and the normal chest/foot ratio is a ...
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