ABPM Undersea and Hyperbaric Medicine case studies
ABPM Undersea and Hyperbaric Medicine · Put your knowledge to work in context.
Undersea and Hyperbaric Medicine (UHM) is a subspecialty certification offered by the American Board of Preventive Medicine (ABPM) for physicians whose work involves high-pressure environments and hyperbaric oxygen therapy. ABPM describes the discipline as dealing with prevention of injury and illness from exposure to increased ambient pressure - diving, hyperbaric chamber exposure - and with the therapeutic use of high environmental pressure and oxygen under pressure to treat disease. The ABPM Undersea and Hyperbaric Medicine case studies are 5 cases and about 2,244 words.
1Transient Vertigo and Hand Numbness After Two Air Dives
A 41-year-old recreational diver completed two air dives: 32 msw for 25 minutes, a 90-minute surface interval, then 18 msw for 40 minutes. Within 10 minutes of surfacing he had vertigo, nausea, and tingling of the left hand.
497 words, about 2 min2Mandibular Osteoradionecrosis, Bleomycin, and a Cochlear Implant
A 62-year-old woman with a history of Hodgkin lymphoma treated with mantle radiation 20 years ago develops mandibular osteoradionecrosis after a tooth extraction. She is referred for 30 hyperbaric sessions at 2.4 ATA.
468 words, about 2 min3Oxygen Concentration Rise During a Multiplace Treatment
During a multiplace chamber treatment at 2.4 ATA with six patients, the chamber oxygen concentration rises to 23.8% shortly after a patient removes his oxygen mask to vomit. One patient has a chest tube with a Heimlich valve, another has an external fixator, and a third is receiving an antibiotic infusion via a pressure-rated IV pump.
447 words, about 2 min4Shoulder Pain After a Compressed-Air Shift With Prior DCS
A 38-year-old compressed-air tunnel worker is decompressed after a 6-hour shift at 1.6 bar gauge. Two hours later he reports right shoulder pain that is worse with movement and partially relieved by ibuprofen.
422 words, about 2 min5Carbon Monoxide Poisoning in a Third-Trimester Pregnancy
A 29-year-old woman at 30 weeks' gestation is rescued from a house fire. She is drowsy but arousable, with headache and nausea.
410 words, about 2 min