Ask the Experts: What is the Current Perspective Regarding Supervision of Hyperbaric Dives by Nurse…

in Volume 06 - Issue 2

by The Wound Care Education Partners blog, Rx Pad

Question: “I would be interested in the current perspective regarding supervision of hyperbaric dives by nurse practitioners. Is it safe? What preparation for supervision is appropriate? How many centers across the nation are using NPs? What are the pros and cons to having an NP supervise dives? Other policy or…

Atypical Wounds Q&A

in Volume 07 - Issue 2

by Jayesh B. Shah, MD, CWSP, UHM

  QUESTIONS 1. A patient has a diabetic wound that probes to the bone. ESR -103, CRP - 6. An X-ray suggests changes of periosteal elevation and sclerosis suggestive of osteomyelitis. Which of the following would you do next?   A. radionuclide bone scan     B. MRI of right…

Baromedical Nurses Association (BNA)

in Volume 09 - Issue 1

by Laura Josefsen, RN, ACHRN

Hyperbaric nursing as a nursing specialty is a dream we had in June 1985 that became a reality. A specialty that would take an unknown field of nursing and develop an organization for nurses working in the hyperbaric field to create and provide professional support to nurses worldwide, dedicated to…

Baromedical Nurses Association (BNA)

in Volume 08 - Issue 4

by Laura Josefsen, RN, ACHRN

Exciting things are happening through the BNA! Let’s take a look! First, an important announcement from the November 2017 BNA Newsletter by Annette Gwilliam, BNA President. The BNA will have the 1st Annual BNA Day on April 3, 2018! More information is coming regarding online festivities and education. As a…

Baromedical Nurses Association (BNA)

in Volume 10 - Issue 3

by Laura Josefsen, RN, ACHRN

Baromedical Nurses Association (BNA) By Laura Josefsen, RN, ACHRN - Chairman, BNA Publications Committee Volume 10 - Issue 3 The BNA annual membership meeting was held at the Gulf Coast Chapter meeting this year and what an exciting meeting it was! There were familiar faces as well as many new…

Baromedical Nurses Association (BNA) - Letter from the President

in Volume 10 - Issue 2

by Annette M. Gwilliam, BSN, RN, CWON, ACHRN - President, BNA & Laura Josefsen, RN, ACHRN

Baromedical Nurses Association (BNA)Letter from the President Annette M. Gwilliam, BSN, RN, CWON, ACHRN & Laura Josefsen, RN, ACHRN Volume 10 - Issue 2 Hello Hyperbaric Nurses, Thanks to all who planned, presented, and listened to our 2nd Annual HBO Nurses’ Day in-service on April 2, 2019. (Next year the…

Baromedical Nurses Association (BNA) Announces Release of Updated Guidelines

in Volume 09 - Issue 3

by Jolene Cormier and Dana Winn

Information provided by Jolene Cormier and Dana Winn, Director at Large representatives in the BNA. The Baromedical Nurses Association (BNA) announces the release of the updated 2018 Guidelines of Nursing Care for the Patient Receiving Hyperbaric Oxygen Therapy. Find it at: http://hyperbaricnurses.org/nursing-guidelines/ It was formerly called the Nursing Standards of…

Baromedical Nurses Association (BNA) Updates

in Volume 09 - Issue 3

by Laura Josefsen, RN, ACHRN

Information compiled by Laura Josefsen, RN, ACHRN from the BNA Website: hyperbaricnurses.org Annette Gwilliam, president, continues to lead the Baromedical Nurses Association (BNA) to new heights and excitement. Kevin Kraft, vice president, is active in many projects of the board. Robin Ortega, as the administrative assistant and treasurer, also oversees the…

Baromedical Nurses Association (BNA) Updates

in Volume 09 - Issue 2

by Laura Josefsen, RN, ACHRN

The BNA—so many new and great accomplishments this year! The first successful and exciting Annual Hyperbaric Nurses’ Day on April 3 was enhanced by Annette Gwilliam (BNA President) starting off the webinar presentations with an impressive history of the BNA, followed by Sue Churchill’s excellent presentation of “Calciphylaxsis: A Case…

Baromedical Nurses Association News

in Volume 10 - Issue 1

by Annette M. Gwilliam, BSN, RN, CWON, ACHRN Baromedical Nurses Association, President

The Baromedical Nurses Association (BNA) has been working hard over the last 10 years to improve as an organization and provide better benefits with membership. We were founded in 1985 to provide registered nurses working in hyperbaric medicine a formal organization. The BNA was founded with a goal to provide…

Baromedical Nurses Association: Then and Now

in Volume 07 - Issue 3

by Laura Josefsen, RN, ACHRN (Founding Member), and Connie Hutson, ACHRN, CHWS, CWCN, RN, MS (Past President)

The Baromedical Nurses Association (BNA) was formally organized in 1985 by hyperbaric nurses who were leaders and pioneers in the hyperbaric industry. There was excitement in this new field, and goals were set with the intent to develop a strong infrastructure for this new organization. The first goal was to…

Basic Training

in Volume 06 - Issue 4

by Darren Mazza, EMT, CHT

Although National Fire Protection Association (NFPA) code 20.3.1.3 explains the role of hyperbaric safety directors and their responsibilities, an individual's job description may vary from one facility to the next. As the safety director for Swedish Edmonds Center for Wound Healing and Hyperbarics in Edmonds, Washington, I have a great…

Begin Summer Training by Understanding the History Components of Evaluation and Management

in Volume 08 - Issue 2

by Gretchen Dixon, MBA, RN, CCS, CPCP, ICD-10-CM/PCS Trainer

Summer is the time to relax and catch up on to-do list items. This fits in especially for the elements of clinical documentation in the Evaluation and Management (E/M) visit levels, which need reviewing. Now is the time to focus on this troubled topic of Evaluation and Management as they…

Best Publishing Company Announces Publication of 2nd Edition of Hyperbaric Facility Safety: A Practical Approach…

in Volume 09 - Issue 4

by Best Publishing Company

The first edition of Hyperbaric Facility Safety: A Practical Approach is an integral part of numerous hyperbaric facilities’ reference libraries, serving as the go-to standard for a hyperbaric safety program. W.T. “Tom” Workman’s experience with the U.S. Air Force’s hyperbaric medicine program and development of innovative pressure vessel systems, coupled…

Body Language

in Volume 09 - Issue 1

by Darren Mazza CHT

New patient education is provided to every patient prior to starting hyperbaric therapy, and being able to communicate with a patient is an absolute must in order to provide a safe treatment. Occasionally an interpreter may be required for patients who speak a primary language other than English, and other…

Breath-Hold Diving

in Volume 08 - Issue 4

by Michael B. Strauss, MD, Lientra Q. Lu, BS

Introduction and Uniqueness Breath-hold diving is a generic term for diving activities that does not utilize self-contained (SCUBA) or surface-supplied breathing apparatuses. It is a generic term because it includes snorkel diving with or without shallow, brief depth excursions, recreational breath-hold diving in lieu of using SCUBA gear, commercial foodstuff…

Carbon Monoxide Gets National Exposure

in Volume 09 - Issue 2

by UHMS Past President and CO Expert Dr. Neil Hampson Weighs In

Carbon monoxide poisoning is in the news again. This time it involves your car and your home. The New York Times recently published an article that described the death of a man who, after parking in his attached garage, simply forgot to turn off the car with his wireless key…

Challenges of Wound Healing

in Volume 10 - Issue 2

by Michael B. Strauss, MD, FACS, AAOS, Stuart S. Miller, MD, & Igor V. Aksenov, MD, PhD

Challenges of Wound Healing Michael B. Strauss, MD, FACS, AAOS, Stuart S. Miller, MD, & Igor V. Aksenov, MD, PhD Volume 10 - Issue 2 This article was originally published in WCHM during its second year of publication in 2010. Dr. Strauss has reviewed this content to ensure its current…

Clarity: The Importance of Patient Education

in Volume 06 - Issue 1

by Darren Mazza, EMT, CHT

One of the most important components of hyperbaric therapy is providing complete and informative patient education. Simply speaking to patients about risks and benefits alone doesn’t constitute thorough education or ensure that the patients understand their responsibilities. It is also necessary to educate patients on the importance of maintaining both good…

Classroom or Online CME Courses?

in Volume 06 - Issue 3

by WCHM Editors

Which Is More Effective?   The ultimate outcome of continuing medical education (CME), whether in person or online, is increased knowledge of current skills and practices, which should translate to better patient outcomes through the application of the information learned. But which CME activities are most effective for achieving these…

Clinic in Focus

in Volume 09 - Issue 2

by Milpark Hyperbaric Medicine Centre

As an accredited facility, how has seeking UHMS accreditation affected your clinic? In collaboration with the accreditation team, we were guided to see what we do well and what we could do better to improve, providing a safe and effective hyperbaric service. It helped us to resolve our shortcomings. What…

CLINIC IN FOCUS

in Volume 07 - Issue 4

by Hyperbaric Oxygen Therapy Unit at Mather Hospital

Hyperbaric Oxygen Therapy Unit at Mather Hospital   How long have you been in business? John T. Mather Hospital began as a vision of a local shipbuilder from Port Jefferson, NY, and in 1929 it became the first general medical hospital in the Town of Brookhaven. In the spirit of…

CLINIC IN FOCUS

in Volume 07 - Issue 1

by Abbott Northwestern Hospital Hyperbaric Oxygen Therapy Clinic

Continuing our series of interviews featuring outstanding hyperbaric and wound care centers around the world, we spotlight in this issue the Abbott Northwestern Hospital Hyperbaric Oxygen Therapy Clinic in Minneapolis, Minnesota. What are the most common indications treated at your clinic? Diabetic foot ulcer Radiation-related soft tissue injury including radiation…

CLINIC IN FOCUS

in Volume 06 - Issue 4

by Edward Hospital Wound Healing and Hyperbaric Center

  Continuing our series of interviews featuring outstanding hyperbaric and wound care centers around the world, we spotlight in this issue the Edward Hospital Wound Healing and Hyperbaric Center at Edward Hospital in Naperville, Illinois.   How has seeking UHMS accreditation affected your clinic? It has demonstrated our passion to…

Clinic in Focus

in Volume 06 - Issue 2

by Swedish Edmonds Center for Wound Healing and Hyperbarics

Continuing our series of interviews featuring outstanding hyperbaric and wound care centers around the world, we spoke with Susan Lowber at Swedish Edmonds Center for Wound Healing and Hyperbarics, a UHMS-accredited facility in Edmonds, Washington. How long has your clinic been in business? The hospital site has been here for…

CLINIC IN FOCUS

in Volume 07 - Issue 2

by Catholic Health Advanced Wound Healing Centers

    Continuing our series of interviews featuring outstanding hyperbaric and wound care centers around the world, we spotlight in this issue the Catholic Health Advanced Wound Healing Centers in Buffalo, New York. If an accredited facility, how has seeking UHMS accreditation affected your clinic? In 2010, Catholic Health opened…

Clinic In Focus

in Volume 06 - Issue 1

by Undersea and Hyperbaric Medical Society (UHMS)

Continuing our series of interviews featuring outstanding hyperbaric and wound care centers around the world, we spoke with Courtney S. Hoffbauer, RN, MSN, Clinical Nurse Manager of the Orthopedic/Neurosurgery Unit, HBO, and Wound Care at Memorial Hospital, University of Colorado Health, which is accredited with distinction by the UHMS. How has…

CLINIC IN FOCUS - Riverview

in Volume 08 - Issue 3

by Riverview Health Wound Care

If an accredited facility, how has seeking UHMS accreditation affected your clinic? The accreditation has affected the clinic by raising the bar and meeting the highest standards of care and patient safety set forth for hyperbaric treatment. The clinic is continuously streamlining processes to better help our patients and keep…

CLINIC IN FOCUS - The Center for Reconstruction and Wound Healing

in Volume 08 - Issue 3

by The Center for Reconstruction and Wound Healing

  What are the most common indications treated at the clinic? Late effects of radiation, diabetic lower-extremity ulcers, venous ulcers, arterial ulcers, pressure ulcers, skin cancers, surgical wounds (breast, colon, stomach), hand and wrist injuries, traumatic wounds, vasculitic wounds, foot and ankle conditions, complex reconstruction, decompression illness, compromised skin flaps…

CLINIC IN FOCUS: Milpark Hyperbaric Foundation

in Volume 09 - Issue 4

by Deane Nesbitt Jr.

This summer I sponsored a campaign to raise funds for the Milpark Hyperbaric Foundation. Some might wonder why a Canadian musician would be interested in doing this for a facility in Johannesburg, some 13,000 km away. I had hyperbaric oxygen therapy myself because of internal radiation burns following treatment for…

CLINIC IN FOCUS: MountainView Outpatient Wound Care & Hyperbaric Center

in Volume 10 - Issue 1

by Wound Care & Hyperbaric Medicine

Clinic Name: MountainView Outpatient Wound Care & Hyperbaric Center Location: 3150 N Tenaya Way, Suite 115, Las Vegas, NV 89128 Website/phone: https://mountainview-hospital.com / 702.962.7550 How long in business: 3+ years How many chambers: 2 Perry Sigma 40 mono-chambers How many physicians/nurses/CHTs: 15 Medical director: Naz Wahab, MD What are the most…

CO: It’s Not Just About the Gas

in Volume 08 - Issue 1

by Joseph C. White, MD

The Hyperbaric Oxygen Therapy Unit at John T. Mather Memorial Hospital in Port Jefferson, NY, is one of the few units still providing 24/7 care. It has effectively dealt with many dramatic situations. To illustrate the ongoing issues surrounding carbon monoxide (CO) as well as the global issues it raises,…

Complications Associated with Lymphedema

in Volume 07 - Issue 4

by Heather Hettrick PT, PhD, CWS, CLT-LANA, CLWT

Lymphedema is a chronic disease that requires lifelong management. Early recognition and diagnosis improve patient outcomes and reduce the likelihood of associated complications. This article will highlight the more common complications associated with lymphedema to enable the health-care provider to more readily identify these issues early. Most complications associated with…

Continuing Education in Wound Care: It’s A Big Deal

in Volume 07 - Issue 2

by Terry Treadwell, MD, FACS, Medical Director

    Almost everyone who provides health care has some basic “smarts” or they would not have made it through school to become a practitioner. I would be the first to agree that professional schools and postgraduate training programs are difficult, requiring significant dedication to finish. Once one walks out…

Critical Thinking Put to the Test and “Take Five to Stay Alive”

in Volume 10 - Issue 3

by Darren Mazza, EMT, CHT

Critical Thinking Put to the Test and “Take Five to Stay Alive” By Darren Mazza, EMT, CHT Volume 10 - Issue 2 This article was originally published in the inaugural year of WCHM 10 years ago. Darren Mazza has reviewed the content to ensure its applicability to today’s environment. As…

Development of a Wound Care and Hyperbaric Medicine Center

in Volume 06 - Issue 3

by Rudy C. Pruneda

Excerpted from Chapter 4: Development of a Wound Care and Hyperbaric Medicine Center in Hyperbaric Facility Safety: A Practical Guide by Rudy C. Pruneda. It is reprinted with permission of the publisher, Best Publishing Company.   CENTER ORGANIZATION The need for a center that specializes in healing diabetic, venous stasis, and…

Diabetic Ulcer Diagnosis and Management

in Volume 10 - Issue 3

by Javier La Fontaine, DPM, MS and Kathren McCarty, DPM, MS, FACFAS

Diabetic Ulcer Diagnosis and Management By Javier La Fontaine, DPM, MS and Kathren McCarty, DPM, MS, FACFAS Volume 10 - Issue 3 The Wound Care Certification Study Guide 2nd edition, editors Jayesh B. Shah, MD, Paul J. Sheffield, PhD, and Caroline E. Fife, MD is the perfect tool for anyone…

Diving with Disabilities - Part 1

in Volume 09 - Issue 1

by Michael B. Strauss, MD, Lientra Q. Lu, BS

This article, extracted from a chapter in the second edition of Diving Science by Michael B. Strauss, MD, is an excerpt from Part III of the text revision, which covers special diving types, situations and environments. This current article includes introductory information and definitions in addition to cardiovascular and endocrine-metabolic…

Diving with Disabilities - Part 2

in Volume 09 - Issue 2

by Michael B. Strauss, MD, Lientra Q. Lu, BS

This three-part series is extracted from a chapter in the second edition of Diving Science by Michael B. Strauss, MD, et al. which covers special diving types, situations and environments. Part 2 of this series in the current issue of WCHM discusses musculoskeletal disabilities, neuropsychiatric disorders, and respiratory problems. Musculoskeletal…

Diving with Disabilities - Part 3 of 3

in Volume 09 - Issue 3

by Lientra Q. Lu, BS, Michael B. Strauss, MD

This third article in the series on diving with disabilities is an excerpt from the extensive revision in progress of Dr. Michael Strauss and Dr. Igor Aksenov’s Diving Science textbook. This three-part series is extracted from a chapter in the second edition of Diving Science by Michael B. Strauss, MD,…

Do You Have the Perfect Drive? Perfecting Your Tee Off is Similar to Your Documentation…

in Volume 10 - Issue 1

by Gretchen Dixon CCS, CHCO, AHIMA Approved ICD-10 CM/PCS Trainer

Our challenge for 2019 is to perfect your golf drive by performing a mental checklist as you stand at your tee addressing the ball.   Clinical documentation improvement is very similar to your golf drive mental checklist. Before you begin your documentation, it is important to know the reason for…

Dry Run

in Volume 09 - Issue 4

by Darren Mazza, CHT

During the initial hyperbaric history and physical (H&P), the provider will prescreen each patient for contraindications as well as relative contraindications. Confinement anxiety or claustrophobia is fairly common. An estimated 10% of monoplace patients experience confinement anxiety. I, for one, am severely claustrophobic! A patient once asked the provider and…

Emergency and Critical Care Hyperbaric Medicine in the United States

in Volume 07 - Issue 3

by Enoch Huang, MD

The field of undersea and hyperbaric medicine has gone through an evolution since the day six U.S. Navy officers established the Undersea Medical Society in 1967. At that time, the focus of the field primarily involved the treatment of emergencies — decompression sickness, arterial gas embolisms, gas gangrene, and carbon-…

Emerging Paradigms Integrating the Lymphatic and Integumentary Systems: Clinical Implications

in Volume 09 - Issue 2

by Robyn Bjork MPT, CLWT, CWS, CLT-LANA

Introduction Ernest Starling, in the late 1880s, introduced a model of capillary fluid exchange, based on hydrostatic and oncotic pressures (Starling, 1894). It was thought that increased hydrostatic pressure on the arterial side of the blood capillaries forced fluid into the interstitium, while lower hydrostatic pressure, coupled with higher oncotic…

Evaluation and Management of Foot Skin and Toenails

in Volume 07 - Issue 4

by Lientra Q. Lu, BS; Michael B. Strauss, MD; and Anna M. Tan, DPM

Not only is the skin and its appendages, including nails and hair, the largest organ system in the body, it is the one that has the most contact with the external environment. Consequently, this organ system is the first line of defense in protecting the body from agents in the…

Experiences with Gentian Violet as a Wound Dressing Agent

in Volume 06 - Issue 3

by Mb Strauss, CK Jones, SS Miller, and A Daniller

ABSTRACT Introduction: More than 2,000 products are available for wound dressings, with prices ranging from a few cents to several thousand dollars per application. If one dressing agent is not successful, is a more costly one likely to be effective? This is not necessarily so. We have found that gentian…

Fox01Catcher

in Volume 06 - Issue 2

by WCHM

  An Interview with Dr. Dana Graves on the Role of FOXO1 in Diabetic Patients   WCHM had the good fortune to land an interview with Dr. Dana Graves, who led a team of researchers investigating the FOXO1 molecule’s role in promoting healing in patients with chronic wounds and diabetes.…

Fracture Healing and Roles of Hyperbaric Oxygen

in Volume 07 - Issue 4

by Michael B Strauss, MD, Anna M. Tan, DPM, and Lientra Q. Lu, BS

Hyperbaric oxygen (HBO) treatments for fracture healing is not an approved indication according to the guidelines formulated in the 13th edition of the Undersea and Hyperbaric Medical Society Hyperbaric Oxygen Therapy Indications.¹ Use of HBO for fracture healing is, therefore, considered an “off-label” therapy for this modality. Consequently, the Centers…

Give Me a Break

in Volume 06 - Issue 2

by Darren Mazza, EMT, CHT

Air Breaks During Hyperbaric Treatment When treating patients with hyperbaric therapy in the monoplace chamber using 100% oxygen, the supervising hyperbaric physician may order air breaks to be provided to the patient at certain intervals during the treatment. What is an air break? During a typical air break, the patient…

How to Make Your Hyperbaric Medicine Practice Stand out from the Pack

in Volume 06 - Issue 1

by Best Publishing Company DEPTH Blog

Each of us in the field of hyperbaric medicine wants to create an exceptional practice. Part of creating a practice that makes you “stand out from the pack”  is finding a continuing education program to keep you up-to-date on cutting edge medical advances in hyperbaric medicine and growing your network of…

Hyperbaric Facility Safety: A Practical Guide, Second Edition Will Be Available 2020

in Volume 10 - Issue 3

by W.T. “Tom” Workman and J. Steven “Steve” Wood, Editors

Hyperbaric Facility Safety: A Practical Guide, Second Edition Will Be Available 2020 W.T. “Tom” Workman and J. Steven “Steve” Wood, Editors Volume 10 - Issue 3 The first edition of Hyperbaric Facility Safety: A Practical Guide is an integral part of virtually every hyperbaric facility’s reference library, serving as the…

Hyperbaric Oxygen Therapy in Plastic and Reconstructive Surgery

in Volume 09 - Issue 2

by Dr. Marisse Venter, MBChB(UCT), FCS Plast Surg (CMSA), (WITS)

Ms. Debbie Dias is a breast cancer survivor. She was diagnosed with breast cancer in 2013 at the age of 44. She has a long period of chemotherapy, Debbie Dias is a breast cancer survivor. She was diagnosed with breast cancer in 2013 at the age of 44. She has…

Hyperbaric Oxygen Treatment for Stroke Patients

in Volume 06 - Issue 3

by Philip b. James, Emeritus Professor of Medicine

Stroke is an ill-defined lay term that has found its way into general use in medicine and derives from the old English word “stricken.” It relates to the abrupt onset of neurological symptoms, usually a “hemiplegia” with half of the body, most commonly the left side, developing weakness or paralysis.…

ICD-10-CM Wound Care Review Part 1

in Volume 06 - Issue 2

by Gretchen Dixon, MBA, CCS, CPCO

Bolstering Your Documentation for the Four Most Common Wound Diagnoses in the Clinical Setting Level of Acuity with Intensity of Services and Complexity of Care As we draw nearer to the ICD-10-CM go-live date of October 1, 2015, now is the time to identify and address any weaknesses that may…

Keeping Things Simple and . . . Speedy

in Volume 06 - Issue 2

by Michael B. Strauss, MD, FACS, AAOS and Steven La, DPM

A Dozen Paradigms About Toe Tenotomies INTRODUCTION While toe deformities may appear to be unimportant, they can have serious consequences. This is the situation especially in patients with diabetes who have neuropathies. A small ulcer can evolve to osteomyelitis of the phalanges, septic joints of the toes, ascending tenosynovitis and…

Meet the Challenges Ahead

in Volume 09 - Issue 2

by Renée Duncan, UHMS Communications Coordinator

  In the late 1970s, there were fewer than 30 hyperbaric facilities operational in the United States. Most were either military, commercial or highly specialized research facilities. Today, an estimated 1,350-plus facilities are in operation. Growth means change. We have seen the primary role of hyperbaric facilities transition from the…

New Study Documents Cost and Impact of Chronic Wounds

in Volume 08 - Issue 4

by Renée Duncan, UHMS Communications Coordinator

Medicare expenditures related to wound care are far greater than previously recognized. This is the conclusion of a recently published study by the Alliance of Wound Care Stakeholders, published online in the International Society for Pharmacoeconomics and Outcomes Research’s Value in Health journal. The study, the first comprehensive evaluation of…

Not All Swelling Is Equal: Differential Diagnosis of Edemas

in Volume 07 - Issue 2

by Heather Hettrick PT, PhD, CWS, CLT, CLWT

This article is the first in a series of three that will address the clinical importance of recognizing edema for differential diagnosis. The focus of this article will be on recognizing edema and performing appropriate clinical tests to help with clinical diagnosis. The second article will focus on the pathophysiology…

NOTE FROM THE EDITOR

in Volume 10 - Issue 1

by Lorraine Fico-White, Managing Editor, WCHM Magazine

WCHM celebrates its 10-year anniversary in 2019! Each issue will spotlight an archived article from the magazine’s prolific authors. This issue spotlights Gretchen Dixon’s archived article on compliance in the billing and coding section. First, however, to kick off this issue of WCHM, a brief explanation of what is in…

Notes From the Editor & Staff of WCHM

in Volume 10 - Issue 3

by WCHM Staff

Notes From the Editor & Staff of WCHM WCHM Staff VOLUME 10 - ISSUE 3 WCHM continues to celebrate its 10-year anniversary in 2019 and spotlight an archived article from the magazine’s prolific authors. This issue spotlights Darren Mazza, who has been a contributor to WCHM since its inception. Thank…

Offloading Diabetic Foot Ulcers Q&A

in Volume 07 - Issue 1

by Jayesh B. Shah, MD, CWSP, UHM

In anticipation of the publication and current presales of the Wound Care Certification Study Guide, Second Edition, we offer a sneak peek of several questions and answers from“Chapter 20: Offloading Diabetic Foot Ulcers – Orthotics” by Elias R. Cheleuitte, DPM, FACFAS. QUESTIONS 1. Which is a common etiology of diabetic…

Our Aquatic Affair: “Dolphin in the Womb”

in Volume 10 - Issue 1

by Dove Joans

Dove Joans is a creative conservationist who has been researching this evolutionary subject since 1977 through the sciences, arts, empirical evidence, and education, with a focus on protecting wildlife, oceans, and cultural heritages. The opinions expressed in this article are strictly hers based on her ongoing research. I began the…

Our Aquatic Affair: Remembering our original language with life through breath and water

in Volume 09 - Issue 4

by Dove Joans

Dove Joans is a creative conservationist who has been researching this evolutionary subject since 1977 through the sciences, arts, empirical evidence, and education, with a focus on protecting wildlife, oceans, and cultural heritages. The opinions expressed in this article are strictly hers based on her ongoing research. What do we do…

Over 10 Years of Practice-Relevant Content At Your Fingertips

in Volume 10 - Issue 2

by Note from the Editor

Over 10 Years of Practice-Relevant Content At Your Fingertips Note from the Editor Volume 10 - Issue 2 The staff at WCHM continues to recognize the advancements and accomplishments over the past 10 years in wound care and hyperbaric medicine. The magazine has launched its own website www.WoundEducationMagazine.com so past…

Overutilization of Antibiotics in the Outpatient Wound Care/Hyperbaric Program

in Volume 08 - Issue 2

by Laura Josefsen, RN, ACHRN

“If you cannot measure it, you cannot improve it.” — Lord Kelvin It is known that antibiotics are necessary and save lives. It is also known that the overutilization and/or inappropriate use of antibiotics may result in drug-resistant bacteria that can lead to complications resulting in less-than-optimal outcomes for the…

Oxygen and the Brain

in Volume 08 - Issue 2

by Philip B. James, MB, ChB, DIH, PhD, FFOM

Few people would dispute that the brain needs oxygen. Oxygen and the Brain, now released by Best Publishing Company for global distribution through Ingram, reinforces its importance. It gives long-overdue recognition of the brilliant Scottish scientist John Scott Haldane, who pioneered many of the discoveries that today we take for…

Oxygen, Hyperbaric Oxygen, and Free Radicals Wound Management Considerations

in Volume 06 - Issue 1

by Michael B. Strauss, MD and Stuart S. Miller, MD

Introduction No one questions the roles oxygen has in wound healing. In almost every aspect of wound healing, from the inflammatory process to remodeling and from tissue survival to infection control, adequate tissue oxygen tensions are essential. The roles of hyperbaric oxygen (HBO), however, are not as well defined. When…

Patent Foramen Ovale and Decompression Sickness

in Volume 06 - Issue 4

by Douglas Ebersole, MD, FACC, FACP

Patent foramen ovale (PFO) is a very popular topic in scuba diving as the appreciation of its relationship to decompression sickness (DCS) becomes more widespread in the diving community. Though the incidence of DCS in recreational diving is only about two episodes per 10,000 dives, DCS affects approximately 1,000 divers per…

Press Release

in Volume 09 - Issue 2

by Smith & Nephew

Smith & Nephew (LSE: SN, NYSE: SNN), the global medical technology business, announces the publication of a new meta-analysis of 16 studies that demonstrated the prophylactic application of PICO on surgical site incisions significantly reduced surgical site infections (SSIs), wound dehiscence and length of stay when compared to standard care.…

Press Release from Smith & Nephew

in Volume 10 - Issue 2

by Smith & Nephew

Press Release from Smith & Nephew Smith & Nephew Volume 10 - Issue 2 New NICE guidance recognizes that Smith & Nephew’s PICO™ sNPWT provides better outcomes than standard dressings in patients at high risk of surgical site infections, at similar overall cost Smith & Nephew (NYSE:SNN; LSE:SN), the global…

Press Release from Smith & Nephew:

in Volume 09 - Issue 3

by Smith & Nephew

UK’s NICE publishes a Medtech innovation briefing on PICO™ for the prophylactic use in surgically closed incisions to reduce surgical site complications June 29, 2018 As follow-up to previous news, Smith and Nephew would like to announce the first and only Medtech innovation briefing (MIB) published by the UK’s National…

Pressure Ulcers

in Volume 10 - Issue 2

by Aimee D. Garcia, MD, CWS, FACCWS

Pressure Ulcers Aimee D. Garcia, MD, CWS, FACCWS Volume 10 - Issue 2 Excerpt from Textbook of Chronic Wound Care The following is an excerpt from Textbook of Chronic Wound Care, editors Jayesh B. Shah, MD, Paul J. Sheffield, PhD, and Caroline E. Fife, MD. Introduction and epidemiology Pressure ulcers…

Prevention of New and Recurrent Foot Wounds

in Volume 07 - Issue 3

by Michael B. Strauss, MD; Anna M. Tan, DPM; Lientra Q. Lu

Part 2: Education In Part 1 of this five-part series, we introduced the subject of the prevention of new and recurrent foot wounds and discussed and dispelled a number of misconceptions about foot wounds.¹ In this article we discuss the education aspects of the prevention  of foot wounds and offer information…

Prevention of New and Recurrent Foot Wounds

in Volume 07 - Issue 2

by Michael B. Strauss, MD; Anna M. Tan, DPM; Lientra Q. Lu

Part 1: Introduction and Misconceptions In our previous articles in Wound Care and Hyperbaric Medicine we discussed the evaluation and management of "problem" wounds and the roles of hyperbaric oxygen for them (Figure 1).1-12 Regardless of immediate results, what really counts  is the durability of the healed wound and the restoration of…

Proactive Diabetic Foot Surgeries

in Volume 08 - Issue 3

by Lientra Q. Lu, Michael B. Strauss and Anna M. Tan

Commentary on our Prevention of New and Recurrent Diabetic Foot Wounds Series This article on proactive diabetic foot surgeries for the prevention of new and recurrent diabetic foot wounds completes our five-article series on the prevention of new and recurrent diabetic foot wounds.1-4,15 In the current atmosphere of intense scrutiny…

Protecting Patient Privacy

in Volume 08 - Issue 1

by Darren Mazza EMT, CHT

While trying to provide good patient care, the clinical environment can be chaotic at times due to time constraints. Many patients treated in the hyperbaric department are also treated in the wound center, requiring collaborative efforts between both departments. With the Health Insurance Portability and Accountability Act of 1996 (HIPAA),…

Protective Footwear

in Volume 08 - Issue 2

by Anna M. Tan, Michael B. Strauss, and Lientra Q. Lu

In the previous issue of WCHM, Part 4A in the Diabetic Wound Prevention series provided detailed descriptions of shoe characteristics and sock components along with various types of protective footwear, ranging from quality athletic walking shoes to Charcot restraint orthotic walker (CROW) boots. Now, in Part 4B, we continue to…

Protective Footwear

in Volume 08 - Issue 1

by Anna M. Tan, Michael B. Strauss, Lientra Q. Lu

Protective footwear is the second line of defense after skin and toenail care for prevention of new and recurrent wounds (Figure 1).1,2 Any patient who has one or more of the conditions recognized as risk factors for wound development — such as deformity, peripheral vascular disease, history of a previous wound,…

Providers: Are You Practicing Mismatching?

in Volume 07 - Issue 1

by Gretchen Dixon, MBA, RN, CCS, AHIMA ICD-10-CM/PCS Trainer, CPCO; and Johanna Legaspi, MBA, CPC, CPMA, AHIMA ICD-10-CM/PCS Trainer

Many people have been congratulating each other on how well the transition to the ICD-10 coding system has proceeded with little adjustments. From a compliance viewpoint, however, there is concern over the quality of clinical documentation supporting billed ICD-10-CM codes. Questions to ponder are: What is the true realization from…

Puzzled Over Coding Diabetic Foot Ulcers?

in Volume 07 - Issue 2

by Gretchen Dixon, MBA, RN, CCS, CPCO, AHIMA Approved ICD-10-CM/PCS Trainer

The following are a few slides excerpted from the online course, Wound Care Documentation and Coding ICD-10-CM Diabetic Foot Ulcer, that share the depth of information you will learn and be able to use in real time on your next wound-care clinical documentation improvement and coding opportunity. The six elements…

Q&A: Commonly Misdiagnosed Ulcers and Atypical Ulcers

in Volume 07 - Issue 4

by Jayesh B. Shah, MD, CWSP, UHM

 Excerpt from Textbook of Chronic Wound Care by Shah, Sheffield, and Fife. Coming in 2017 Textbook of Chronic Wound Care: An Evidence-Based Approach to Diagnosis and Treatment by Drs. Jayesh Shah, Paul Sheffield, and Caroline Fife, editors, is a companion reference book for the Wound Care Certification Study Guide, 2nd…

Q&A: Using Hyperbaric Oxygen Therapy as an Advanced Wound-Care Modality

in Volume 07 - Issue 3

by Jayesh B. Shah, MD, CWSP, UHM

The following Q&A is taken from Chapter 26, “Hyperbaric Oxygen Therapy” (by Yvette Ponce- Hall, CHT; E. Patricia Rios, RN, MSN, CHRN-C; and Jayesh B. Shah, MD) in the Wound Care Certification Study Guide, 2nd edition (Jayesh B. Shah, MD; Paul J. Sheffield, MD; and Caroline E. Fife, MD, editors).…

Qualified Clinical Data Registries Can Help with MIPS, MOCs and More

in Volume 10 - Issue 3

by Caroline E. Fife, MD, FUHM

Qualified Clinical Data Registries Can Help with MIPS, MOCs and More By Caroline E. Fife, MD, FUHM Volume 10 - Issue 3 A note from the UHMS QUARC Committee co-chair The Hyperbaric Oxygen Therapy Registry (HBOTR) provides much-needed national benchmarking and quality measurement services for hyperbaric medicine (https://clinicaltrials.gov/ct2/show/NCT02483650). One of…

Registered Respiratory Therapist: From Air to Ground

in Volume 08 - Issue 4

by Jeff Mize RRT, CHT, CWCA

In the spring of 1992, I was working as a Life Flight Registered Respiratory Therapist/Paramedic and enjoying every minute. I even liked flights in the cold or smothering heat. The hospital that sponsored the air medical program had taken an unconventional approach in determining the qualifications of the medical crew.…

Remembrances - Ronald Lee Samson, MD

in Volume 10 - Issue 2

by Michael B. Strauss, MD, FACS, AAOS

Remembrances - Ronald Lee Samson, MD Ronald Lee Samson, MDSeptember 22, 1940 - April 17, 2019 By Michael B. Strauss, MD, FACS, AAOS Ron Samson was a “special” person to many, many people. For me, he was a brother I never had. I first met Ron when we entered the Navy…

Respiratory Therapists and the Hyperbaric Medicine Service

in Volume 09 - Issue 1

by Jeff Mize RRT, CHT, CWCA

The use of a respiratory therapist in the hyperbaric medicine department is essential for the care of patients requiring mechanical ventilation. This is a common standard in facilities that provide 24/7 service for emergent indication(s) and the critically ill hyperbaric patients. As health care evolves, so has the role of…

Risk Management Analysis

in Volume 09 - Issue 3

by Jolene E. Cormier, BSN, RN, EMT-P, CHRN, CHT

Risk Management is defined by ISO 14971 as “the systematic application of management policies, procedures, and practices to the tasks of analyzing, evaluating and controlling risk” (Schmidt). The purpose of risk management is to identify risks, take steps to mitigate them, and evaluate whether the actions had the intended outcome. ISO…

Safety in Animal Hyperbaric Oxygen Systems

in Volume 10 - Issue 3

by Dennis Geiser, DVM, CHT-V and Shelena Hoberg, CHT, CHT-V

Safety in Animal Hyperbaric Oxygen Systems By Dennis Geiser, DVM, CHT-V and Shelena Hoberg, CHT, CHT-V Volume 10 - Issue 3 The following is a chapter of the soon-to-be-released second edition of Hyperbaric Facility Safety: A Practical Guide. Introduction Safety in the use of hyperbaric chambers for animal care is…

Scuba Diving and Coronary Artery Disease

in Volume 06 - Issue 4

by Douglas Ebersole, MD, FACC, FACP

It is estimated that there are about 3 million certified scuba divers in the United States. A large number of these individuals are middle-aged or older and at risk for coronary artery disease. Cardiovascular disease is the third most common cause of death while diving and remains the principal cause…

Sinus and Ear Disorders that Take Place during Hyperbaric Oxygen Therapy

in Volume 06 - Issue 1

by Emanuele Nasole, MD; Antonio Paoli, MD, BSc; Gerardo Bosco, MD, PhD; and Enrico Camporesi, MD

Sinus and internal and external ear disorders are the most common side effects of hyperbaric oxygen therapy (HBO).1 These spaces are the cranium’s pneumatic sockets and, particularly those of the middle and inner ear, are most frequently involved in the pressure stress caused by compression and decompression maneuvers during exposure…

Stresses in Scuba and Breath-Hold Diving

in Volume 06 - Issue 3

by Dr. Joe Alcock, MD, MSCr, FAAEM; Dr. Satkirin Khalsa, MD; and Dr. Michael Strauss, MD, FACS, AAoS

This series of Wound Care and Hyperbaric Medicine has focused on the various physiological and psychological stresses that affect divers. This section concerns the travel and surface stresses affecting divers in the predive phase of a dive trip. We will review the behavioral and physiological responses to travel and jet…

Stresses in SCUBA and Breath-Hold Diving

in Volume 06 - Issue 1

by Michael B. Strauss, MD; Phi-Nga Jeannie Le, MD; and Stuart S. Miller, MD

Part V: Near-drowning and Drowning In the four previous issues of Wound Care and Hyperbaric Medicine, we introduced the subject of stimulus/stress—response/resolution and used this as the basis for discussing the physical, physiological, psychological, and no-panic syndrome stresses of diving.1-4 In this article we will discuss the ultimate and most…

Textbook of Chronic Wound Care

in Volume 08 - Issue 4

by Jayesh B. SHAH MD, UHM(ABPM), CWSP, FAPWCA, FCCWS, FUHM, FACP, FACHM

The co-editors of this book, Paul J. Sheffield, PhD and Caroline E. Fife, MD, have also edited the Wound Care Practice’s first edition in 2004 and its second edition in 2007. Instead of a third edition of Wound Care Practice, we decided to write a new textbook focused on evidence-based…

Textbook of Chronic Wound Care: Chapter 1

in Volume 08 - Issue 1

by Herbert B. Slade MD, FAAAAI, and Jamie M. Slade, MD.

Textbook of Chronic Wound Care: An Evidence-Based Approach to Diagnosis and Treatment by Drs. Jayesh Shah, Paul Sheffield, and Caroline Fife, editors, is a companion reference book for the Wound Care Certification Study Guide, 2nd edition. Due for publication by Best Publishing Company in the first quarter of 2017, this…

The Advantage to Having Registered Nurses in Hyperbaric Facilities

in Volume 08 - Issue 1

by Janet Bello, RN, ACHRN, and Laura Josefsen, RN, ACHRN

The clinical world of hyperbaric medicine is truly team concept with each member (physicians, nurses, and technicians) bringing the best of each respective scope of practice. The Undersea and Hyperbaric Medical Society (UHMS) accreditation process utilizes physicians, registered nurses (CHRNs) and technicians (CHTs) to evaluate hyperbaric facilities as each professional…

The Benefits of UHMS Membership

in Volume 07 - Issue 1

by Enoch Huang, MD

The Undersea and Hyperbaric Medical Society (UHMS) is the oldest and most prominent scientific organization dedicated to the field of undersea and hyperbaric medicine (UHM). We represent physicians, nurses, allied health professionals and basic science researchers in the advancement of scientific and clinical knowledge in the specialty. Founded in 1967,…

The Effectiveness of Risk Mitigation Interventions in Divers with Persistent (Patent) Foramen Ovale

in Volume 10 - Issue 3

by Anderson G, Ebersole D, Covington D, Denoble PJ

The Effectiveness of Risk Mitigation Interventions in Divers with Persistent (Patent) Foramen Ovale Anderson G2, Ebersole D3, Covington D4, Denoble PJ5 Volume 10 - Issue 3 Abstract INTRODUCTION Persistent (patent) foramen ovale (PFO) is a recognized risk for decompression sickness (DCS) in divers, which may be mitigated by conservative diving…

The Pivotal Role of Oxygen in Pressure Injury Etiology and Prevention

in Volume 07 - Issue 2

by Glenn Butler, CHT; Jody C. DiGiacomo, MD, UHM, FACS; Edward Golembe, MD, UHM, FACCWS; Scott Gorenstein, MD, UHM, FACEP; Bok Lee, MD, FACS

In an effort to safely provide adjunctive hyperbaric oxygen therapy to a larger population of sick and postsurgical patients with compromised flaps/grafts, Life Support Technologies (LST) developed a research program to better understand the etiology of pressure injury (ulcers). (Note: The National Pressure Ulcer Advisory Board has elected to use…

The Sky Is Blue, the Wind Blows as Air Heals

in Volume 07 - Issue 3

by Gretchen Dixon, MBA, RN, CCS, CPCO, AHIMA Approved ICD-10-CM/PCS Trainer

Does your clinical documentation support the medical necessity for hyperbaric oxygen services? The Hyperbaric Oxygen (HBO) Therapy Services Webinar provides detailed information on clinical documentation, ICD-10-CM (diagnosis) code selection and billing for this service. Due to the amount of information, the webinar is broken into three parts with the understanding…

The Spinning World of Coding Updates

in Volume 09 - Issue 1

by Gretchen Dixon

Have you reviewed the added wound severity codes effective October 1, 2017? Do you sometimes second guess the diagnosis codes selected? Do the codes accurately reflect the patient’s medical condition? Are you comfortable the claim will not hit any edits and reimbursement will be timely? You may answer yes, no,…

The Younger-Aged Diver

in Volume 08 - Issue 1

by Lientra Q. Lu, BS, and Michael B. Strauss, MD

  Thriving in the aquatic environment Diving in the younger age group is a gray area, especially with respect to scuba diving. Little data exist, and most information deals with divers in their teens. Diving activities can range from swimming/snorkeling on the surface, to breath-hold diving, to scuba diving. There…

Trigeminal Trophic Syndrome

in Volume 08 - Issue 3

by Ellen H. de Moll, MD, Sandra Wainwright, MD, and Charles Halasz, MD

Trigeminal trophic syndrome (TTS) is defined by characteristic crescentic ulcers, predominantly of the nasal ala, extending to cheek and upper lip, which can also develop on the forehead and scalp with an associated sense of itch, formication or burning on the face. It is typically associated with damage to the…

UHM Journal Publishes Second Special Edition on Traumatic Brain Injury

in Volume 10 - Issue 3

by Compiled by Renée Duncan

UHM Journal Publishes Second Special Edition on Traumatic Brain Injury Compiled by Renée Duncan VOLUME 10 - ISSUE 3 The Undersea and Hyperbaric Medical Society has published a supplemental issue of its member publication, the Undersea and Hyperbaric Medicine Journal, to summarize results in studies on traumatic brain injury (TBI).…

UHMS Achieves ISO 9001 Certification

in Volume 09 - Issue 1

by Renée Duncan, UHMS Communications Coordinator

The UHMS has once again achieved ISO 9001:2015 certification. The announcement was made in early March by the UHMS Hyperbaric Facility Accreditation Department. “This was a big year for the HFA Office,” said Derall Garrett, Hyperbaric Facility Accreditation Director. “Not only have we made a lot of changes in and…

UHMS and US Wound Registry Offer Free Advice on Medicare Reimbursement

in Volume 07 - Issue 4

by Renée Duncan, Communications Coordinator, Undersea and Hyperbaric Medical Society

The Hyperbaric Oxygen Therapy Registry (HBOTR) has released an important paper detailing its work in Medicare reimbursement issues. The paper, “Rapid analysis of hyperbaric oxygen therapy registry data for reimbursement purposes: Technical communication,” by Caroline E. Fife, Helen Gelly, David Walker and Kristen Allison Eckert, is available as an epub-…

UHMS Announces a Cost-Effectiveness Study of HBO2 for Radiation-Induced Cystitis and Proctitis

in Volume 09 - Issue 4

by Renée Duncan, UHMS Communications Coordinator

In July 2018, a working group with members from two committees of the Undersea and Hyperbaric Medical Society (UHMS) initiated a cooperative study with Dobson DaVanzo & Associates, LLC, to carry out an investigation of the cost effectiveness of HBO2 when applied as a treatment for radiation-induced cystitis and proctitis.…

UHMS Hyperbaric Oxygen Therapy Indications 14th Edition Coming Summer 2019

in Volume 10 - Issue 1

by Best Publishing Company

The UHMS Hyperbaric Oxygen Therapy Indications has served as a guidance for practitioners and scientists interested in hyperbaric and undersea medicine since 1977. Additionally, this document continues to be used by the Centers for Medicare and Medicaid Services and other third-party insurance carriers in determining payment. To date, the committee…

UHMS Member Wound Scoring System Is Receiving Coverage

in Volume 09 - Issue 3

by Michael B. Strauss, MD

Long Beach Memorial Medical Center, Hyperbaric Medical Program, Long Beach, California U.S. Dear Editor: Our paper “Clinical applications and validation of an innovative wound score” was recently published in the journal Wounds: A compendium of clinical research and practice (Wounds 2018; 30(6):154-159; Epub 2018 March 21). To the best of…

UHMS Members Verify Reliability of Wound Score Tool

in Volume 07 - Issue 3

by Renée Duncan, Communications Coordinator, Undersea and Hyperbaric Medical Society

Updated assessment scoring improves upon existing systems.   (Based on communications with Dr. Michael Strauss and from the paper “Reliability assessment of an innovative wound score,” by Michael B. Strauss, MD; Hojin Moon, PhD; Jeremy A Busch, DPM; Christopher K. Jones, DPM; Lisa Nhan, DPM; Stuart Miller, MD; Phi-Nga Jeannie…

UHMS Program for Advanced Training in Hyperbarics Blocks 1-3

in Volume 08 - Issue 4

by UHMS

The UHMS Program for Advanced Training in Hyperbarics/PATH is open to MD, DO, NP and PA candidates who have previously completed a 40-hour introduction to hyperbaric medicine course. Candidates who deferred completion in the Stellenbosch CAQ program in undersea and hyperbaric medicine previously offered by UHMS will be enrolled automatically…

UHMS Releases the 14th Edition of Hyperbaric Oxygen Therapy Indications

in Volume 10 - Issue 2

by Renée Duncan

UHMS Releases the 14th Edition ofHyperbaric Oxygen Therapy Indications Compiled by Renée Duncan Volume 10 - Issue 2 The Undersea and Hyperbaric Medical Society announces the release of its newest book. Hyperbaric Oxygen Therapy Indications, now in its 14th edition, offers the most current and up-to-date information in undersea and…

UHMS Welcomes Derall Garrett as New UHMS Hyperbaric Facility Accreditation Director

in Volume 08 - Issue 4

by Renée Duncan, UHMS Communications Coordinator

Derall Garrett has been selected to join the Undersea and Hyperbaric Medical Society as Hyperbaric Facility Accreditation Director. His appointment is effective Monday, December 4, when he begins work with retiring accreditation director Tom Workman and HFA coordinator Beth Hands. Mr. Garrett has been working in the field of hyperbaric…

UHMS Welcomes Italian Medical Society

in Volume 08 - Issue 1

by Renée Duncan, Communications Coordinator, Undersea and Hyperbaric Medical Society

The Italian Diving and Hyperbaric Medicine Society, Società Italiana di Medicina Subacquea e Iperbarica (SIMSI), has joined the Undersea and Hyperbaric Medical Society (UHMS) as an affiliate organization. Founded in 1997, SIMSI is affiliated with the European Underwater and Baromedical Society (EUBS). Its mission is to be the “beating heart”…

UHMS Welcomes the Brazilian Society for Hyperbaric Medicine as an Affiliate

in Volume 07 - Issue 4

by Renée Duncan, UHMS Communications Coordinator,

The Sociedade Brasileira de Medicina Hiperbárica (SBMH) recently became an Affiliate of the Undersea and Hyperbaric Medical Society (UHMS), joining a number of like-minded organizations in support of undersea and hyperbaric medicine. The SBMH application was granted unanimous approval at the November 12, 2016, meeting of the UHMS Board of…

Understanding and Recognizing Lymphedema

in Volume 07 - Issue 3

by Heather Hettrick PT, PhD, CWS, CLT-LANA, CLWT

If you know what to look for, you will find it. Lymphedema is a chronic, incurable disease that can be readily managed with the appropriate interventions. It is a vascular disorder that is either due to congenital malformations of the lymphatic system (primary etiology) or related to an insult or…

Villa on Dunbar Rock Funds Hyperbaric Chamber Installation in Guanaja, Honduras

in Volume 07 - Issue 2

by WCHM Magazine

March 8 was a proud day for people of Guanaja and the Bay Islands when dignitaries gathered for the dedication ceremony of Guanaja's first hyperbaric chamber and clinic, Clinica Hiperbarica. This project began two years ago when Dr. Matías Nochetto, director of medical programs for Divers Alert Network (DAN), proposed…

WCHM Magazine Celebrates Its 10-year Anniversary in 2019

in Volume 10 - Issue 1

by Wound Care & Hyperbaric Medicine

The staff at WCHM have big plans for recognizing the advancements and accomplishments over the past 10 years in wound care and hyperbaric medicine. The magazine will launch its own website in the next few months so past articles can be readily found/accessed by all practitioners via keywords and google…

What We Can Expect from Hyperbaric Medicine Practice, 4th Edition

in Volume 08 - Issue 1

by Henry J.C. Schwartz, MD, FACP

Textbook may sometimes gain the unusual trait of longevity beyond all other books — it can be revised and remain a primary source of information for generations of students. Hyperbaric Medicine Practice by Eric P. Kindwall seems destined to become such a book. The 4th edition, to be published by…

Wound Geography and Tissue Types: Part 1

in Volume 06 - Issue 3

by Heather Hettrick, PT, PhD, CWS, ClT, ClWT

  This article (and the accompanying video course available at www.woundeducationpartners.com/ woundgeography) will introduce you to pictures and ask you to identify the correct answer as information is shared. Hyper- or Hypogranulation Tissue   FIGURE 1 Photos copyright Gordian Medical Inc. dba American Medical Technologies   These pictures represent different types…

Wound Geography and Tissue Types: Part 2

in Volume 06 - Issue 4

by Heather Hettrick, PT, PhD, CWS, CLT, CLWT

  This article (and the accompanying video course available at www.woundeducationpartners.com/ woundgeography) will introduce you to pictures and ask you to identify the correct answer as information is shared. Intact Tissue Let’s begin by looking at intact tissue. Figure 1 shows three different pictures of intact tissue that have some…

Your Double-Headed Dragon Requires Attention Wrangling Compliance and Documentation

in Volume 06 - Issue 1

by Gretchen Dixon

Working with compliance and documentation - your double-headed dragon - can call to mind the expectation of a challenge; however, getting both of these heads to work together is vital to each provider’s business survival. Often discovered through revenue cycle audit results is a valley of missing information necessary to…

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