2025 Management of Decompression Illness in Remote Settings

Management of Decompression Illness in Remote Settings

Originally hosted June 1, 2025
www.courses-uhms.org 

The workshop will provide effective recommendations for managing decompression illness in remote settings.  With increasing opportunities of accessible remote areas to explore and the decreasing number of hyperbaric chambers available for treatment, the content will become increasingly important to both the injured explorer and those that provide emergency care to them. This workshop will be especially helpful for the expedition medical team where lengthy on-site medical support may be required prior to definitive care. Prevention, diagnosis, and treatment issues will be addressed. Specific topics will include mild DCS management, in-water recompression, telemedicine, and diagnostic modalities. Attention will also be given to the unique management of altitude and space decompression illness. Important insight for those engaged in operations involving diving, altitude and space exploration. Panel discussions will allow interaction with the presenters. 

Lecture Title & Faculty Name

Field Neurologic Exam - Wayne Massey, MD
Practical and Jurisdictional Challenges in Telemedicine (DAN'S Approach) - Brandon Trapp, MD & Matias Nochetto, MD
Medical Diagnostic Medical Kit for Management of DCS in the Remote Environment - Bruce Derrick, MD
Medical Evacuations in Diving Medical Emergencies - Camillo Saraiva, MD, MBA
Panel Summary  
The Efficacy in the Use of a Hyperlite Hyperbaric Stretcher for the Treatment of Serious Decompressions Illness - Doug Kesling, BSN
Expedition Medical Direction - Matias Nochetto, MD
Medical Officer for Science Diving Expeditions - Craig Cook, MD
Management of Mild Decompression Illness in Remote Settings - Simon Mitchell, MB, ChB, PhD
In Water Recompression - Aaron Rubin, MD
Pre-Hospital Hyperbaric Treatment Capability (My Experience with SOS Hyperlite 1) - Jon Clark, MD, PhD
Altitude (Subatmospheric) Decompression Disorders Overview - Jon Clark, MD, PhD
Management of Decompression Illness in Remote Settings: Space DCS - Alex Garbino, MD, PhD
Current and Future DCI Adjunctive Therapies - Richard Moon, MD, CM, FRCPC, FACP, FCCP
Panel Summary 

Estimated time to complete this activity: 6.5 hours

Termination Date: December 16, 2028

Registration:
Non-Member: $146.25
Regular UHMS Member: $113.75
Associate UHMS Member: $81.25

Accreditation Statement: The Undersea and Hyperbaric Medical Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statements:

Physician CME: The Undersea and Hyperbaric Medical Society designates this enduring material for a maximum of 6.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing/RRT Contact Hours: This enduring material is approved for 6.5 CE hours provided by Florida Board of Registered Nursing/RRT Provider #50-10881. License types: RN, LPN, CNS, ARNP, CNA, CRT, RRT, RCP Provided through the Florida State Board of Nursing and the CE credits are reciprocal and approved for nurses within all states. Receiving credit for Florida providers is simple, attend the course and our staff will upload your credits directly to the Florida State database. For out of state credit, we provide this letter for you to file with the respective nursing board.

NBDHMT: This enduring material is not recognized for NBDHMT credits.

Full Disclosure Statement: All faculty members and planners participating in continuing medical education activities sponsored by Undersea and Hyperbaric Medical Society are expected to disclose to the participants any relevant financial relationships with ineligible companies. Full disclosure of faculty and planner relevant financial relationships will be made at the activity.

A financial relationship, in any amount, exists between the person in control of content and an ineligible company and;

• The content of the education is related to the products of an ineligible company with whom the person has a financial relationship and;

• The financial relationship existed during the past 24 months.

• All of the relevant financial relationships listed for these individuals have been mitigated

None of the individuals in control of content (planners/faculty/reviewers/authors) for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

No commercial support was received for this activity.

Disclaimer: The information provided at this CME activity is for Continuing Medical Education purposes only. The lecture content, statements or opinions expressed however, do not necessarily represent those of the Undersea and Hyperbaric Medical Society.

CME For MOC Program Guide Designation Statements for ABMS Boards

Required instructions to learners on how to obtain CME for MOC

CME For MOC points are earned through completing a comprehensive evaluation component that assesses individual learner competence, performance, and/or the impact on patient outcomes. Some boards require evaluation feedback that will include a summary of what was discussed and the best next steps for the learner. The evaluation feedback will be provided to you upon submitting the evaluation form.

As an accredited ACCME provider, the UHMS is now responsible to submit physician learner CME credits into the ACCME PARS system. However, it is the physician’s responsibility to submit the necessary information required to match with the ACCME PARS system. It is also the physicians responsibility to check with their respective board(s) to see that the credits were applied accordingly.

American Board of Anesthesiology (ABA)

“This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.”

American Board of Internal Medicine (ABIM)***

“Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 6.5 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.”

American Board of Otolaryngology – Head and Neck Surgery (ABOHNS) ***

“Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn their required annual part II self-assessment credit in the American Board of Otolaryngology – Head and Neck Surgery’s Continuing Certification program (formerly known as MOC). It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of recognizing participation.”

American Board of Orthopaedic Surgery (ABOS) ***

“Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Orthopaedic Surgery’s Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABOS credit."

American Board of Pathology (ABPath)

This activity has been registered to offer 6.5 AMA PRA Category 1 CreditsTM towards the American Board of Pathology’s Continuing Certification program Lifelong Learning credits.

American Board of Pediatrics (ABP) ***

“Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 6.5 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.”

American Board of Surgery (ABS) ***