objective of the trial is to determine the benefit of HBO in the prevention
of osteoradionecrosis (ORN) subsequent to a surgical procedure in the
Experimental arm is Standard management plus HBO: Patients will undergo
20 HBO treatments prior to surgery followed by a further 10 daily HBO
treatments. For details of the standard management please visit the
HOPON webpage at: http://www.lctu.org.uk/trial/trial_info.asp?id=49&tgcode=2&menuid=30
Sites involved will be awarded £200 for each patient who completes
the trial. For more information please contact Mr. Matthew Bickerstaff
(Trial Coordinator - firstname.lastname@example.org)
or Mr. Richard Shaw (Chief Investigator - email@example.com)
for Hyperbaric Oxygen in Lower Limb Trauma. HOLLT
is an international multi-centre, randomised controlled trial which
aims to assess the benefit of providing hyperbaric oxygen therapy (HBO)
during the acute stages of management of severe lower leg injuries,
as an adjunct to normal trauma care. It is being conducted by an international
network of trauma centres with hyperbaric treatment facilities that
are suitable for treating severely injured patients. The HOLLT Study
Coordinating Centre is within the Department of Epidemiology and Preventive
Medicine at Monash University, Melbourne, Australia.
study design is based upon a pilot study previously undertaken by The
Alfred Hyperbaric Service which is located on the same campus. Patients
who have suffered an open fracture of the tibia with severe soft tissue
injury are enrolled within 48 hours of injury to receive either normal
orthopaedic trauma care or normal care with the addition of an intensive,
week long course of hyperbaric oxygen. Enrolments commenced in Melbourne
in 2007 and a range of collaborating sites have since joined the study.
The study aims to enrol its target of 120 subjects by sometime in 2013
and each subject will be followed up for two years minimum. Although
the study started slowly, it is now progressing steadily towards completion.
HOLLT study initially received research grant funding from Victoria's
Transport Accident Commission and subsequently was awarded a Project
Grant by Australias National Health and Medical Research Council
for five years of funding to cover the costs of operation of the research
coordination centre. This is a collaborative, investigator led study;
however most of the costs of enrolling patients at each study site are
dependent upon collaborators having local resources or achieving local
funding to enable participation. All the investigators are indebted
to their institutions for the support provided to conduct clinical research
in addition to their normal hyperbaric unit operations.
is hoped that the collaboration formed to enable this study will provide
the basis for further studies in the future. At this stage, further
collaborators could still be integrated into the research group if suitably
equipped and experienced.
to download the June 2012 HOLLT Newsletter
Investigator : Dr Ian Millar, The Alfred Hospital, Melbourne, Australia
(0)3 9903 0926
Fax: +61 (0)3 9903 3052
Marie Curie FP7-PEOPLE-2010-Initial Training Network program aims to
foster knowledge of decompression phenomena.
of the project are as follows:
an educational and research framework for cross-fertilization of research
activities focused on the physiopathology of decompression specifically
focusing on the formation of intravascular bubbles with their pathophysiological
and clinical consequences.
exchanges of fellows in mixed industrial-academic Research & Development
trajectories, thereby giving young researchers opportunities to share
research techniques and resources, and jointly participate in courses,
seminars, workshops and congress.
the career prospects of young researchers by embracing the whole chain
of research applied to decompression: epidemiological, clinical and
fundamental research, ground experimentation with professional divers
and applied research in industry for the management of decompression.
began in January 2011 and will finish in 4 years at the end of 2014.
It unites academic partners, international not-for-profit associations,
hyperbaric medical centres and industrial partners on an international
scale to provide a collaborative training and research programme for
Early Stage (ESR) and Experienced (ER) researchers.
Additional information is available at http://www.phypode.org/
Foundation, The Netherlands
Haldane Foundation (SHF) is an international institute for the training
and education of diving medical examiners and diving medicine physicians.
It was founded in 1976 to spread diving medical know-how among physicians
and to provide support for those wishing to attend international diving
medical meetings. In those old days, SHF also published a booklet about
diving medicine and issued a magazine for a short period of time.
After hibernating for a while, in 2003 a revived SHF started to develop
regular courses in diving and hyperbaric medicine (DHM). In the past
decade, over 2,000 physicians have participated in SHF courses. Though
SHFs origins lie in The Netherlands, courses have been run in
more than 20 countries, from Honduras to Indonesia and Tanzania to Belgium.
The SHF faculties consist of world-renowned specialists in diving medicine,
from Australasia, the USA and Europe.
The SHF courses also laid the fundamentals for a certification system
in The Netherlands for diving medical examiners and diving physicians.
Since 2011, SHF has been certified by the European College of Baromedicine
as providing internationally accredited courses in DHM. All courses
meet EDTC/ECHM guidelines, leading to certification as Medical Examiner
of Divers (level 1) or Diving Medicine Physician (DMP) (level 2d). The
programmes have a modular structure allowing students to attain certification
in several steps. Thanks to this modular design and the varied topics,
the courses also meet CME requirements.
As well as the diving medicine courses, SHF also organizes two internships
for the DMP certification. The first is in hyperbaric medicine and the
second focuses on the various diving systems used in both recreational
and professional diving. SHF is also involved in the organisation of
international conferences in DHM, most recently the very successful
first Tricontinental conference on Réunion Island in September
2013 for the EUBS, SPUMS and SAUHMA.
To learn more about the SHF courses and activities, please visit: www.scotthaldane.org.
course calendar 2014
25 January: Refresher course Fitness to dive. AMC, Amsterdam, The Netherlands
29 March04 April: Basic course (med. exam. of divers) Part 1.
05, 11 & 12 April: Basic course (med. exam. of divers) Part 2. AMC,
1724 May: Basic course (med. exam. of divers) Part 2. Al Sawadi,
October: (dates tba): Refresher course. AMC, Amsterdam
0815 November Basic course (med. exam. of divers) Part 1. tba,
1522 November: 22nd In-depth course Diving medicine. tba, tropical
2229 November: 22nd In-depth course Diving medicine. tba, tropical
Duik Research, The Netherlands
school of the AMC offers advanced courses and master classes in diving
medicine. The organization is executed by the Foundation of Dive Research
(Stichting Duik Research, SDR). Low budget one-day-courses are given in
the AMC, Amsterdam and one-week-courses abroad.
Coming courses: January 12, Hearing and diving, Amsterdam (in Dutch);
May 9-16, Decompression strategies, Doppler assessment and DCI treatment,
Marsa Shagra, Egypt (in English, master class); September 9, 2013, Diving
medicine of the older diver, Amsterdam (in Dutch); November 23, Prevention
of DCI' Amsterdam (in English, master class).
Diploma in Diving and Hyperbaric Medicine, France
Course (1 year duration) in diving and hyperbaric medicine, organised
concurrently by 13 French universities (Angers, Antilles-Guyane, Besançon,
Bordeaux II, Lille 2, Lyon II, La Réunion, Marseille, Nancy,
Nice, Paris XIII, Strasbourg, Toulouse).
Information on www.medsubhyp.com
for Diving and Hyperbaric Medicine (GTUEM)
of basic and refresher courses in diving and hyperbaric medicine, endorsed
by the GTUEM in Germany, can be found on http://www.gtuem.org/212/Kurse_/_Termine/Kurse.html