Undersea & Hyperbaric Medicine Journal Volume 43, Issue #2

Course overview

Learner Objectives: As a result of having attended the meeting, the participants should have had the opportunity to: 1. To understand the importance of appropriate first aid, medical treatment, early cardio-respiratory investigations and recommendations for SDPE patients. 2. To explain how age and other predisposing factors contributed to immersion pulmonary edema - incorporating both swimming induced pulmonary edema (SIPE) and scuba divers pulmonary edema (SDPE). 3. Undersand vasomotion – important physiological phenomenon. 4. Understand how HBO2 acts on vasomotion. Subject Matter: 1. The evolution of scuba divers pulmonary edema 2. Changes in vasomotion – effect of hyperbaric oxygen in patients with diabetes Type 2 Learner Objectives: •Journal Reading • Examination of material • Evaluation of activity Evaluation Methods: Evaluation is offered through the online educational portal with 3 graded questions each UHM Journal paper and an overall evaluation at completion of the Journal-based activity. References: 1. Wilmshurst P, Nuri M, Crowther A, Betts I, Webb- Peploe MM. Forearm vascular response in subjects who develop recurrent pulmonary oedema when scuba diving: a new syndrome. Br Heart J. 1981;45:349. 2. Edmonds C. Scuba divers pulmonary oedema. Chapter 30 in Diving and Subaquatic Medicine, 5th ed. Ed. C. Edmonds, M. Bennett, S. Mitchell, J. Lippmann. Taylor and Francis. 2015. 3. Wilmshurst PT, Nuri M, Crowther A, Webb-PeploeMM. Cold-induced pulmonary edema in scuba divers and swimmers and subsequent development of hypertension. Lancet. 1989; i: 62-65. 4. Pons M, Blickenstorfer D, Oechslin E, Hold G, Greminger P. Pulmonary oedema in healthy persons during scuba diving and swimming. Eur Respir. 1995; 8: 762-767. 5. Hampson NB, Dunford RG. Pulmonary edema of scuba divers. Undersea Hyperb Med. 1997; 24(1): 29-33. 6. Weiler-Ravell D, Shupak A, Goldenberg I, et al. Pulmonary oedema and haemoptysis induced by strenuous swimming. 1995. BMJ; 311 (7001): 361-362. 7. Adir Y, Shupak A. Gil A, et al. Swimming-induced pulmonary edema: clinical presentation and serial lung function. 2004. Chest; 126 (2): 394-399. 8. Edmonds C. Pulmonary oedema, dyspnoea and diving. South Paci¿c Underwater Medical Society J. 2001; 31(2):75-78. 9. Slade JB, Hattori T, Ray CS, Bove AA, Cianci P. Pulmonary oedema associated with scuba diving. Chest. 2001; 120: 1686-94. 10. Koehle MS, Lepawsky M, McKenzie DC. Pulmonary oedema of immersion. Sports Med. 2005; 35(3): 183-190. 11. Cochard G, Arvieux J, Lacour J-M, Madouas G, Mongredien H, Arvieux CC. Pulmonary edema in scuba divers. Recurrence and fatal outcome. Undersea Hyperb Med. 2005;32(1):39-44.