Offgassing Febrary 2015

Transcription

No 71
February 2015
Brizneyland
Harbour City Highlights
Southern Sippings
40 Degrees South
The River City
Western Waffle
Tropical Townsville
From the President
There are three things that I would like to touch on and ask that all members consider them.
Firstly I would remind everyone that this years HTNA Conference is in Melbourne at the end of August. It promises to be an excellent conference with two renowned speakers giving interesting and pertinent presentations. I urge all members to plan their leave and travel so that we can all participate and
learn. Because we are an organisation comprising small groups geographically dispersed around Australia the annual conference provides an excellent learning opportunity as well as a forum to debate
contentious issues and everyone should make use of the occasion.
Secondly, we as an association need to work at keeping our association strong. It often falls on a few
stalwarts to produce most of the work whereas with a bit more involvement from members, the workload could be more equitably shared. Now is an excellent time to ask your staff members to become
involved both contributing to and benefiting from our association.
Lastly a recent incident at the Townsville Chamber has highlighted and reinforced the need for vigilance in chamber operations. It seems on the surface that the increased use of computer aided control
systems benefit us greatly and allows a greater workload but this should not be at the expense of the
need for constant surveillance of all chamber operations.
John Hardman
President HTNA
Objectives of the HTNA
The Hyperbaric Technicians and Nurses Association Inc. was formed on 29 August 1992 and incorporated on 4 March 1993. Its purpose is to provide
and encourage the exchange of information, standardise practice and protocols within technical and nursing, hyperbaric oxygen therapy communities,
educate and inform interested groups or individuals in hyperbaric oxygen therapy and diving safety and to encourage hyperbaric research in order to
advance the scientific basis of our practice.
Email: (Secretary) [email protected] ,
Website: www.htna.com.au
Postal Address:
Secretary HTNA
Townsville Hyperbaric Unit
The Townsville Hospital
PO Box 670
Townsville
Qld 4810
Australia
(Editor) [email protected]
Affiliation: Baromedical Nurses Association (BNA)
Undersea and Hyperbaric Medical Society (UHMS)
Southern African Undersea and Hyperbaric Medical Society (SAUHMS)
South Pacific Underwater Medicine Society (SPUMS)
Divers Alert Network South East Asia – Pacific (DAN SEAP)
OFFGASSING – Journal of the Hyperbaric Technicians and Nurses Association
February 2015– Page 2
Hyperbaric Technicians and
Nurses Association Inc.
Management Committee
Executive
President
John Hardman
Ph: (07) 4433 2082
Secretary
Fax: (07) 4433 2081
Peter Bisaro
Ph: (07) 4433 2082
Fax: (07) 4433 2081
Treasurer Czes Mucha
Ph: (08) 8222 5121
Editor
Fax: (08) 8232 4207
Steve Goble
Ph: (08) 8222 5514
Fax: (08) 8232 4207
State Representatives
Tasmania
Naomi Boyce
Ph: (03) 6222 8322
Fax: (03) 6222 8322
Victoria
Dwayne Cananzi
Ph: (03) 9076 2323
Fax: (03) 9076 3052
From the President
Contents
Harbour City Highlights
Auckland
Western Waffle
Southern Sippings
Brizneyland
100 years of treatments
Greetings from the River City
Tropical Townsville
40 Degrees South
Antarctic Diving
South of the Border
Conferences
Australasian Hyperbaric Facilities
2
3
4
5
6
8
9
12
14
15
16
17
21
23
24
New South Wales Mark Orkney
Ph: (02) 9382 3886
Fax: (02) 9382 3882
Queensland (North) Annie Brough
Ph: (07) 4433 2094
Fax: (07) 4433 2081
Queensland (South) Jo James
Ph: (07) 3636 4602
Front Cover:
The New RAH Chamber arriving at the New RAH
Fax: (07) 3636 0747
Northern Territory tbc
Ph: (08) 8922 8563
Fax: (08) 8922 8172
Western Australia
Ph: (08) 9431 2234
Russ Cronin
Fax: (08) 9431 2235
South Australia
Ph: (08) 8222 5514
Troy Pudney
Fax: (08) 8232 4207
New Zealand
Ph: +64 9 487 2213
International
Email:
Basil Murphy
Fax: +64 9 445 7016
Damien Tzavellas
[email protected]
Life Members
Sharon Keetley
John Kershler
Barrie Gibbons
Membership
OFFGASSING is the Journal of the Hyperbaric Technicians and Nurses
Association Inc. All articles for the following issue are to be sent to The
Editor - HTNA, Hyperbaric Unit, Royal Adelaide Hospital, North Terrace,
Adelaide, SA 5000 by May 15th 2015. All articles and submissions shall
automatically constitute an expression of warranty by the contributor that
the material is original. We assume no responsibility for unsolicited material. Articles and information may be reproduced without prior permission provided reprints are accredited to the authors and OFFGASSING.
Advertising for members is provided free of charge, other advertising by
arrangement with the editor. Opinions expressed in OFFGASSING are
those of the individual authors and are not necessarily those of the HTNA.
Editor – Steve Goble.
Full membership is open to any nurse or technician appropriately trained and currently working in the field of hyperbaric medicine. Associate membership is open to interested individuals and parties.
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January 2015 Prince of Wales update
Happy New Year!!!
After a rather busy Christmas, some of us where glad to see
the back of Santa this year! Best secret Santa present this year
was received by Mike … an axe! Which came in handy when
cutting cheese at Christmas dinner.
Just before the year ended the nursing staff where invited
round to HMAS Penguin, on the North side of Sydney. An
excellent afternoon had by all and we could not thank them
enough! A tour round the unit, cruise out onto the harbour
finished off with a barbie!! Many thanks to all involved!
Natalie, Hayley, Kate & Nicole watching Magic Mike in the
chamber.
Mark, John, Natalie, Joy, Hayley, Joel, Nicole, Kate
Doug, Monique & Brian
Last minute prep is being undertaken for the Doctors HBOT
Medicine Course by Gabby starting late February … question
is will Mike still be running the pirate themed Pub quiz crawl
or will Dr. Smart entertain us with a Hawaiian shirt night?
Brian, Nicole, Kate, Natalie, Hayley, Joy, John
Kirsten & Monique up front
Hayley, Nicole, Monique & Natalie
All had a fantastic time camping at Muzza-fest, out by Lake
Macquarie on Murray’s farm to celebrate his 50th. Over 80
family and friends were there to join the celebrations, and half
of that number camping!
Hope you’ve all had a fun summer
The Sydney Team
Slark Hyperbaric Unit
Hi all,
What a great summer we are having here at the moment with
light winds and plenty of sunshine for a change, not the normal
Auckland weather for this time of the year (Three seasons in
one day).
We had a reasonably quite period over the Christmas break
with only two divers requiring treatment. Now that most of us
are back on board we are full on with the chamber running at
full capacity twice a day and managing the odd diver and CO
to keep life interesting.
The last diver we treated had spinal DCI having carried out 3
dives to 146 metres in three days, the rest of his mates had no
problems following the dives.
Hope you all have returned safely from your Xmas break
without hangovers and sore sunburn. Now for Dave & Akas
are you ready for the rugby world cup. Go the AB’s.
I found some old photo’s from back in the day when we operated an old Siebe Gorman twin lock chamber at the Dive
Team, that you might get a giggle from.
Can’t believe we actually did 75 metre air work up dives in this
thing prior to actually getting wet and doing it for real. Check
out the view ports, clips on the doors and non over board dump
bibs mask.
Cheers Spud, Rob, Chris, Marion, Michelle and
Elise’s
The Slark team
Western Waffle
We have had the big move to a new hospital named Fiona
Stanley Hospital (FSH) in November 2014. This is a brand
new hospital of 650 beds which has mostly tertiary level services that have been relocated from the three tertiary hospital
of Perth. It’s been a huge undertaking with services and areas
being opened in stages (we moved early in November). The
last stage was the Emergency Department on 3 February with
the ED closing at Fremantle Hospital. At FSH they are already
seeing double the patients than Fremantle! What about Fremantle Hospital you ask? It is now mainly booked 1 – 3 day
admission surgery cases as well as some medical admissions,
so it will continue with bed numbers reduced by a third.
We campaigned very hard over the last 8 years to have our
service move to FSH and our efforts have been well worth it.
The new unit is so bright and new! However, we were down to
the wire to have everything working on day one and in fact the
first time the nurses had a go in the new chamber was with the
patients on our opening day. Bit nerve wracking! Helen Mullins was inside attendant in our chambers at Fremantle Hospital on the last day there (she was the first in that chamber 25
years ago). Helen and I shared the honours for the first treatment in our new chambers. Our HOD Neil Banham came with
us for the compression. The patients love the new chamber
with all the space and being so light and airy. We have increased our permanent staff numbers and welcome the addition of Dierdre Clarke, Rachel Byrne and Kris Hollmann as
Clinical Nurses and Sid Banevicius and Mick Oaklands for the
Techs.
With any new building there are going to be problems…well
we had a big one. The pong of sewerage. It started before we
opened and we were assured it was just that we weren’t using
the area and it was just stagnant water in the lines. Well no, it
wasn’t that as it progressively got worse after we opened. We
had workers checking out every few days as the odour was
escalating. Finally we had to call a Code Yellow and cancel
treatments as it was getting unbearable. Finally it was found
that the hospital sewerage lines under the chamber hadn’t been
sealed properly. Phew!
Then last week we had to call another Code Yellow as we had
chamber air contamination. The techs spent all evening flushing the system so that we didn’t have to cancel any treatments.
We have certainly tested the emergency responses in the new
hospital.
We moved our two monoplace chambers from
Fremantle and they have a nice large space specifically for
them instead of being all squeezey as at Fremantle.
During our first week we had our first deluge testing. We didn’t have inside deluge at our Fremantle chambers so it was an
interesting experience. The amount of water was amazing. So
much that we were able to do some synchronised swimming!
We still hadn’t received our wet and dry vacuum so cleaning
up took a long time.
We are planning another this week and yikes! still haven’t
received the wet and dry vacuum! FSH still haven’t got the
hang of imprest and ordering equipment. We still haven’t received our new hyperbaric chairs so using our old ones from
Fremantle. Also we still haven’t got our monitoring in place
and we only have our 20 year old faithful Propaq monitor ….
and the new IV pumps aren’t operational…the list goes on.
We do though; have our lovely brand new Marquet Servo-i
ventilators. They did take a bit of work having them work in
the chamber but all good now and just waiting now to use
them on a patient. Very nice to have a modern ventilator!
FSH was supposed to be ‘paper less’ with all electronic patient
records. Well we didn’t quite get there although progress notes
are electronic. To access the system while inside the chamber
we use a wireless keyboard inside chamber (pressure tested of
course) and a laptop at the porthole. It’s OK but we’re exploring having a slave monitor inside as you can see in pic on next
page it’s a bit fiddly at the moment.
Rachel Byrne and Fiona Sharp with our 1st DCI pt
Helen Mullins hard at work
We’ve already have had our first oxygen toxicity seizure and
only this week treated our first diver. Last year for the period
of November to February we had treated 9 for DCI so we are
surprised that this was our first DCI patient. Our only explanation is that the sharks are keeping the divers out of the water.
e had a visit from Mr and Mrs President, John and Helen Hardman. They gave our new HMU their presidential approval!
We are hoping for a couple of nurses, a tech and a doctor to
attend HTNA Melbourne.
Ciao
and FSH Team
Sue Thurston
Last Treatment at Fremantle
Hospital
1st Treatment at Fiona Stanley Hospital
Welcome to 2015 from RAdelaide.
A lot had happened since the last issue especially
around our new Chamber. The big white beast has
finally arrived and is now getting fitted out at the
New Royal Adelaide Hospital. As we speak we hold
the distinction of having the worlds oldest and the
newest steel square chambers in situ. Andrea Jones
and I went down to Port Road to greet the trucks as
they arrived from Queensland. Also there to greet it
was a much relieved Eric Fink. Looking over his babies you could tell he was happy with the arrival
condition of all the cargo. Learning a lesson or two
from the transport to the Fiona Stanley they had
placed a more durable tarp on the front so we have
no stone chips or bug splatter to deal with. Now the
fit out has commenced so for the staff here it is exciting times. We look forward to getting some one
on one time either the end of this year or start of next
to prepare for a seamless transfer mid 2016. As I am
sure Steve will include a selection of photos and his
thoughts I’ll leave it at that for now.
only having one patient. We have also taken over
full control of the DMT course and staff are busy
getting lesson plans and documentation read for
ADAS approval. Sally Tyler has taken the lead with
the course and is cracking the whip to push everyone forward.
Web site news.
We have three surveys that were advertised last
year but the participation was extremely poor. I am
going to reopen the surveys again and also provide
some direction as people have said they could not
locate the surveys. I have reactivated the surveys
until the 1st of July 2015. If you did all three surveys before you do not need to redo them. Once
completed I will collate the results for the executive
for presentation at the next AGM.
The conference page should be getting some attention this quarter so make sure you check the
webpage to see what is happening.
Like always my door is always open if you have an
ideas to improve the site or have any issues. Now if
I can just find the person who removed said door!
Regards Troy and the RAdelaide team.
Last year was a busy one for the unit, we had the
most divers treated for DCI’s since 2004 and the
number of treatments (648) was also at an all time
high. This was mainly due to the increase in infectious patients requiring separation. For some weeks
we were doing four treatment dives a day with two
BRIZNEYLAND
Why is it that our working life is so, so busy but when
you get that dreaded phone call from Steve Goble that
you struggle to think of something (anything) to
write!!???
There have been a few significant events in our unit of
the past few months.
Christmas was largely uneventful apart from a call out
to treat a diver at 10pm Christmas eve. It all worked
out OK with the diver being treated and out the door
and home by about 05:30.
Our workload has been constant over the past several
months with an average of around 280 treatments
since the beginning of the financial year. We had a few
Nursing staff move on and a slow transition for the
Nurses course participants to do their preceptorship
so they could help out on the on-call roster. This with
a vacant Registrar position had made staffing the unit
quite difficult.
Speaking about staff moving on, Jo James has accepted
a position in another part of the hospital (Outpatients
Clinics) after filling in for the NUM of our service-line
for many months. We wish Jo all the very best in the
new venture but I’m sure we will see her occasionally
for a coffee as her new job is only on the floor above
us!!
Jennie Abbey has moved to the Department of Medical
Imaging after sustaining some tympanic membrane
damage due to a nasty cold over Christmas. Jennie has
accepted a secondment to DMI for six months to give
her ear time to heal properly. We’re all hoping she’ll
return to us soon.
Pete’s Atkinson has gone under the knife to fix a problem that’s been giving him some grief in his shoulder.
All went well and he’s on the mend. After a couple of
weeks recuperating he is back at work and harassing
everyone again!!
strong enough to get a seal. After about 18 months,
something happened. We still don’t know what, but
what ever happened turned the tables and for some
still unknown reason I could get the seal & Pete couldn’t. Of course I didn’t give him a hard time about it at
all!!
About 3 months ago, I was finding that I was struggling to get the seal again. This had me stumped. I
looked closely and intently at the mechanism of the
door, pushing it from the inside, pulling from the outside, wondering why it just didn’t seem to be staying
closed against the door’s o-ring. It seemed to me that
I’d “lost my Mojo’ with the door. But I didn’t want to
confess this to Pete did I??!! Last week, after 2 or 3
months struggling to understand why it was that I
couldn’t get it closed, and hearing that Pete wasn’t
having any trouble with it, I asked him if he was having any problems closing the door. He said that he
was back to being able to close it with just a pull on
the handles from the outside but (Ha Ha) he’d heard
that I was having troubles again!!
Oh well, I just put it down to what-ever it was in the
first place and I could just hope that I would get the
‘Mojo’ back at some point!!
Enter the cunningly devious colleagues we used to
call our friends!!! It seems that for the last 2 or 3
months almost all of the staff had been participating
in a deceitful ploy to play with Pete & Dave’s mind!!!
They had either been pushing the outside of the door
so I couldn’t get the seal, or pulling on it so Pete could
get the seal. All done out of sight of the panel so we
had no idea!!! I don’t mind saying that we had been
RIGHT ROYALLY HAD!!! But don’t worry you BASTARDS, as all old Clearance Divers know – PAYBACKS
ARE A BITCH!!!
This brings us to the SAGA OF THE DODGY DOOR
SEAL.
When our unit opened in 2010 it was identified that
there was a knack to closing the main lock door in
such a way that the inside attendant didn’t need to
lean on it to get a seal. Pete seemed to have this
‘knack’ and I (Dave) didn’t. This went on for many
months and was a constant source of fun for Pete,
suggesting it was simply that I was too short or not
Below: Our heroes’ response on discovering that they’d been HAD!
Another version of Pete &
Dave on discovering the
trick that had been played
on them?
Or is this just a Navy Seal?
100 years of recompression treatment in Australia
Our industry had its 100th anniversary of the first time a diver was treated in a recompression
chamber in Australia on 19 February, see below article on left. Although this treatment was
with compressed air, the diver recovered. Thanks to Neil Banham and Aaron Irving EO of
WA Pearl Producers Association, we managed to have it publicised in the ‘West Australian’
seen on right.
Sue Thurston
CORPORATE MEMBERS
The HTNA gratefully acknowledges the support of the following companies.
Diamond
Wesley Centre for Hyperbaric Medicine
Fink Engineering
Platinum
Sechrist
Silver
Gold
Pacific Commercial Diving Supplies
Radiometer
Aspen
Device Technologies
Smith & Nephew
National Baromedical Services
Affiliate
DAN SEAP
Happy New Year and I hope that a very Merry Christmas was
had by one and all.
It appears that this Christmas and New Year period has gone
against the usual trend for us at the Wesley; instead of the usual wind down over the holiday period we have been increasing
our patient load and have had two full runs, with sufficient
new starters to open up a third run early in the year. I guess
that’s a nice problem to have to work with.
The Venous Leg Ulcer trial is due to finish up shortly, having
achieved the target 30 participants. Sadly though, the last of
the participants being treated by the WCHM passed away
(peacefully) over the Christmas period.
On a happier note, our staff Christmas party was held on
the 6th December. Our generous hosts Megan & Patrick
Weinrauch opened up their beautiful home as the venue
for the evening. The secret Santa game – which has become a tradition with staff, ran smoothly and within a
suitable time period (with only mildly inebriated participants) for the first time this year. This had not so much
to do with our Unit Manager Kirsten’s supervision, but
more the absence of Mouse! The most sought after gift
of the evening was the “selfie-stick” a sample of some
(heavily edited) photos are included.
On the work front, Bill (our new tech manager) has
been getting to know the chamber on an almost intimate
level. Our first project was to see if it was practicable to
get the environmental control system working effectively rather than installing another (newer) system.
The system which had been
idle for some time was
stripped back and given a
thorough once over. After
some tweaking and cleaning
of parts the cooling and
heating ability has been reestablished, and although
there is room for further
improvement it is now a
going concern once again.
Sometimes it’s interesting what you find when
a system has been sitting idle for a period:
the photo’s shows the
crud?? which has collected in one of the air
amplifiers and the
vanes on the head unit.
Until next issue, stay safe, stay happy and Cheers
from the Wesley Crew.
Team Townsville in the Tropics.
Greetings from sunny Townsville although, currently wet and
boggy due to the commencement of the wet season. Our
Christmas was relatively quiet although we did treat a diver
Recently, we had an extremely challenging patient transferring daily from the Mater hospital for treatments. The diabetic
patient was being treated for a non healing wound on an ankle
post surgery of a fracture.
Mobilising at the Mater involved a rollator and 2 physiotherapists with little effort from the patient who was quite fearful
of falling. Day one they arrived and we had a near miss fall
with the patient just letting go from fear, she was caught and
lowered to floor by staff. As a result of this event we purchased a fantastic piece of gear the ‘Romedic Return 7500’
stand transfer/pivot machine. So helpful for this type of patient who was motivated and almost completely healed at
discharge. It boosted her confidence in transferring no end. It
will be indispensable for our rehab patients and we have already had to label it carefully as other wards are wanting to
on Christmas and Boxing Day.
It has been business as usual in the unit with Sudden Hearing
loss the flavour of the month. We are experiencing increased
numbers of sudden hearing loss compared to Retinal Artery
occlusion.
We had our first oxygen toxicity seizure in six years last
weekend. The treatment table was an 18:60:30 with the event
occurring at 7 minutes into the second 25 minute oxygen episode. The patient initially experienced visual disturbances
where he reported to the nurse that the pages and words were
moving in his book. He then collapsed back in the chair into a
full seizure lasting approximately 2-3 minutes, became responsive and obeying commands after 10 minutes. The patient reported 30 minutes of amnesia after the event. He’s
now on three air breaks and restricted to 14 metres.
We are not sure of the validity of the extra air breaks as
prophylaxis against oxygen toxicity since the T14 Workshop.
It does however, provide shorter time intervals to remove the
hood and assess the patient if nothing else.
The Townsville Hospital is frantic and about to implement a
paperless system in regards to charts. So we have all been
‘trained up’ on the computer system IEMR. Derelle and
Vicky are trained as our SUPER users for our unit, we will let
you know how smoothly the transition goes!
After Christmas we bade farewell to our Registrar Craig Wilson who has moved to the Sunshine Coast with his fiancée, to
continue his emergency training at Nambour Hospital. We
wish him well and have our bags packed for a visit. Beware
Craig!
borrow it.
Our Romedic, with Craig as our model.
Cheers from the Tropical North Team.
Hello to all from the great Southern Land.
It has been a quiet quarter for all of us here in Hobart. We are
still working hard at securing a new chamber facility but nothing is for certain at this stage but we hope to be picking wall
colours soon?
We currently have key staff members away with Corry away
in Dutch Land carrying out a Doppler series for the Dutch
Navy. He will be away for five weeks in total.
Dr Lizzie Elliott is due to return shortly from her four month
Antarctica experience and no doubt we will be overwhelmed
with stories from the cool south. She is then off to Greenland.
David returned safely from his short time in Antarctica before
Christmas and enjoyed his time with a once in a lifetime experience. He was there to evaluate the diving program under the
ice.
Iestyn has completed a 90km run called the “Cradle to Coast”
under 10 hours, well done a very impressive effort. He will be
off later this year to race in the UK, which he is completing in
a cross country running race over several days.
We welcome two new registrars, Chris Nave from Sydney and
Juan Jascencio Lane both are keen to lap up the Tassie life
style whilst on board. Chris, a keen spear fisherman, will be
put to the test in the coolish waters around Hobart and he is
looking forward to catching his first crayfish by hand. The fish
are a great deal bigger than those fish you catch in Western
Australia RUSS!
Diving in Antarctica
Associate Professor David Smart was invited to Casey
Base Antarctica in November 2014 to oversee a significant diving program which assisted the Free Ocean Carbon Experiment (FOCE) project. Antarctic scientific diving under ice may be perceived as risky, but with appropriate planning, equipment, procedures, training, and
highly skilled personnel, the risks can be mitigated. The
weather needs to be at the better end of the spectrum, with
low winds otherwise the divers and tenders would be at
greater risk of hypothermia. Entry into the water is via 90
cm holes cut through the ice by a hydraulically driven
“brace and bit” auger. A cloverleaf pattern of 3 holes is
used with one of the holes cut about half depth, so a step
is created to facilitate entry and exit. An additional single
hole is cut about 15m away as an emergency exit point.
We also have a new casual Hyperbaric Technical Officer Jason Pepper who recently resigned from the
Navy, serving as a Petty Officer Clearance Diver. We
all welcome him to the team and looking forward to
working with him in the unit.
Congratulations to Pip who is one of our long standing nurses on the welcoming of her fourth addition a
little baby girl, Erika Claire.
We are all looking forward to the upcoming conference in Melbourne so see you all
there.
Antarctic divers require a minimum of ADAS part 2 professional diving qualification. Many have part 3 (50m)
and additional diver medical technician training; the latter
so they can manage emergencies if they occur. Additionally chamber operators if not part 3 have ADAS or IMCA
endorsement to enable them to be chamber operators. Divers wear dry suits with inner thermals to insulate
from the minus 1.8 degree water. Paradoxically, the effort
of getting into the suit often causes them to be excessively
warm. Because of the complexity of the dive gear and
need for back up redundancy, each diver has a surface
attendant, to assist with gearing up. In addition, their “3
finger” gloves significantly impair dexterity. The dive
supervisor checks and rechecks the gearing up process,
and supervises the panel, which delivers air to the divers
and also provides communications and direction to the
divers via a long bundled “umbilical”. The umbilical carries primary air supply hose, communications cable, a
strong cord for tethering and a further air hose known as a
“pneumo”. The umbilical is the diver’s life-line, and link
to the surface.
Once fully kitted in their dry suit, Antarctic divers then
don the rest of their gear. This includes a weight belt,
buoyancy compensator vest, including accessory air supply (via a separate cylinder and regulator), additional integrated weights, fins and a full face mask. The mask
doesn’t have a traditional scuba mouthpiece, but contains
almost a mask within a mask that covers the nose and
mouth. This is called an oronasal flange and permits the
diver to talk with the surface supervisor. Messages are
relayed from the surface through a speaker over one ear.
The vest and mask are connected to the umbilical for air
supply. The kit weighs as much as 35 kg, making it very
difficult to move on land, let alone ice. Assistance from a
tender is essential, as the centre of weight is behind the
diver. Once fully kitted, divers become quite worn out
and hot. Time to enter the water! The only way in is via
the hole in the ice, one at a time, assisted by their tender,
they sometimes need to get on all fours for the entry.
In the water effect of gravity is
suddenly removed and the divers
have a new sense of freedom; but
a very real perception of the intense cold. Despite its stunning
clarity, the water is quite dark under the ice. Now their professional
training and experience comes to
the fore. Their gear is complex to
operate, and on occasions, may
not function properly due to the
temperature. They continue close
communication with the dive supervisor. They have practiced
emergency procedures, and they
have back up air supplies and
buoyancy. Divers maintain strict
buoyancy control so as not to disturb the bottom. They dive well
inside established dive table nodecompression time limits, to increase their safety margin, and
prevent decompression illness
(DCI). A backup recompression
chamber is available at Casey Station, but the diving process is directed at preventing DCI, maintaining safety and diver health.
Hypothermia is always a risk, and
diver status is carefully monitored
by the supervisor. They undertake
their assigned tasks methodically.
After completing their work, divers return to the surface and
briefly stop at 3 metres on a
“safety stop”, before exiting via
the ice hole. Their tethering to the
surface via the “umbilical” is a
key safety component; not only
does it provide their air supply and
communications, but it allows direct return to the ice hole. Out of
the water, all of the weight returns, and their tender assists them
back onto the ice. Their gear is
removed, and out of their drysuit,
they quickly dress in their multilayered clothing to prevent hypothermia. This has described just
one dive in a series of many. Over
coming months, there will be
many underwater tasks to perform
as they set up the apparatus for the
FOCE project and collect samples.
Divers are the operational endpoint of a huge FOCE team effort.
Articles for the Next Offgassing
All Contributions Gratefully Received
On or before 15th May 2015
Hello to all
With future groups to follow in the coming 12 months as they
establish a hyperbaric facility in their hospital.
It seems like a blink of an eye and March is upon us. It’s been
a busy time in the unit with several firsts. January saw us use
the monoplace facility out of hours with great success. After
two months without an ICU patient February bought us two
referrals within 48hrs of each other and the unit treating two
ventilated patients at once for the first time in our unit’s history.
From a staffing perspective Christian Allen and Dwayne
Cananzi finished up at Alfred Health in January. In February
we welcomed one new tech Peter Monostory and a new Biomedical Engineer Andrew Smale we hope they enjoy their
time with us here.
February was the beginning of a new format for professional
development in the unit that will see us alternate between clinical education and Technical/OH&S education each month.
We will welcome five new nurses in March who will be undertaking their hyperbaric attendant’s course in collaboration
with La Trobe University.
In April we will welcome the first group of nurses from Hong
Kong’s Pamela Youde Nethersole Eastern Hospital who will
be completing their hyperbaric attendant’s course with us.
Preparations for the conference are well under way and Natt
McGregor has been keeping us all on short leads as we pull
the final pieces of the jig saw puzzle together. We are all looking forward to hosting a great conference in August, and hope
you are all ready for a great party (with the bonus of a conference) in Melbourne.
The Alfred Crew
Another Day in the Office! Amanda Burvill (CNM), Jason Watterson (CNE), Ian Millar (Consultant) preparing for the first
double ICU treatment.
Radiometer Pacific
PO Box 5134,
Mt Waverley
Vic 3149
Tel: 03 9211 7333
CORPORATE SPONSOR
Sechrist Industry
Sechrist Industries have been a global leader
in developing hyperbaric technology and are
widely recognised for the quality and reliability of their products and support services,
their Monoplace chambers feature;
Significantly reduced capital and operating
costs
Greater portability
Relative ease of operation
Sechrist Industries Australian Agent:
Fink Engineering
14 PREMIER CIRCUIT, WARANA, QLD 4575, AUSTRALIA
Phone: 07 5438 4900, Fax: 07 5438 4901
E-mail: [email protected]
Link:
CORPORATE
SPONSOR
www.sechristusa.com
SPUMS 44th ASM 2015
May 16-23, 2015
Palau Royal Resort
Palau, Micronesia
E-mail Cathy Meehan:
[email protected]
HTNA 23rd Annual Scientific Meeting on Diving and Hyperbaric Medicine
August 27-29, 2015
Novotel
St Kilda
Victoria
E-mail: [email protected]
UHMS 48th Annual Scientific Meeting
June 4-6, 2015
Hilton Bonaventure
Montreal
Canada
Email: [email protected]
From the Editor
Greetings to all our readers.
First I must apologise for this issue being so late, I was waiting for contributions from a number of sources. No names,
they know who they were!
Thanks to all of those who did contribute, including the late ones. Extra thanks to David Smart for his photos from Antarctica.
Don’t forget to get your abstracts together, abstract application forms are included in this issue so there is no excuse not
to put one together for Melbourne.
May is also time for the SPUMS conference, this year in Palau. It’s a beautiful location with world class diving, so if
you haven’t been and need a diving holiday combined with an excellent conference, book now! Guest speaker this year
is Dr Neil Pollock from Duke University.
That’s it from me, enjoy the Easter break, stay safe and get your contributions ready for the next one!
Steve Goble: Editor.
PACIFIC COMMERCIAL DIVING
SUPPLY PTY LTD
CORPORATE
SPONSOR
Sydney Head Office
PO Box 643
Caringbah, NSW 1495
Ph: 02 9524 0466
Fax: 02 9524 0483
Amron
Scott BIBS
Advanced Sensor Technologies
Analox Gas Analysers
Aquabeam Lighting
Tescom Regulators
Stanley Viewports
O.T.S. Communications
Canty Lighting
3D Gauges
Norgren Filters and Silencers
Perth Office
PO Box 1006
Willagee Central, WA 6156
Ph: 08 9337 6367
Fax: 08 9337 6360
Hyperbarichealth Wound Centre, Berwick
3 Gibb Street
Berwick
VIC 3806
Director Manager Technician Fax -
Dr. Martin Hodgson
Liz Hanna
Nick Goldworthy
(03) 9707 1420
(03) 9707 1420
(03) 9707 1420
(03) 9707 1860
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Broome District Hospital
Hyperbaric Medicine Unit
PO Box 624, Broome
WA 6725
Hyperbaric Co-ordinator Miranda Dibdin
Technician
Mik Burton
Fax
Mobile -
(08) 9194 2274
(08) 9194 2222
(08) 9194 2267
0419 944 521
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Christchurch Hyperbaric Medicine Unit
Private Bag 4710
Christchurch, New Zealand
Director Charge Nurse Technician Fax -
Dr. Steve Berrill
Yvonne Denny
Warren Harper, Trevor Carson
+64 (3) 3640 045
+64 (3) 3640 045
+64 (3) 3640 035
+64 (3) 3640 187
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
Fiona Stanley Hospital
102-118 Murdoch Drive
Murdoch
WA 6150
Director
Reception
Charge Nurse
Technicians
Chamber
Fax
Dr. Neil Banham
Sue Nicoll
Sue Thurston
Russ Cronin, Sid Banevicius, Michael Oaklands
(08) 6152 5233
(08) 6152 5222
(08) 6152 5232
(08) 6152 5238
(08) 6152 5227
(08) 6152 4943
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
HMAS Penguin
Submarine & Underwater Medicine Unit
Middle Head Rd.,
Mosman, NSW 2088
O.I.C.
Reception Chamber
Fax
LCDR Chloe Ryan
(02) 9647 5333
(02) 9647 5572
(02) 9647 5483
(02) 9960 4435
Greg Bray
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
HMAS Stirling
Submarine Escape Training Facility
Garden Island Naval Base, WA 6168
O.I.C
LCDR Megan Baker
(08) 9553 2484
(08) 9553 5166
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Royal Brisbane & Women’s Hospital.
Butterfield Street
Herston
Qld 4029
DirectorReception
Charge Nurse TechniciansChamber
Fax
Dr. Ken Thistlethwaite
Kerri Howie
Jo James
Dave King, Peter Atkinson
(07) 3636 4614
(07) 3636 0241
(07) 3636 4602
(07) 3636 4616
(07) 3636 0242
(07) 3636 0747
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….……………………………..
Hyperbaric Health PNG
PO Box 7112 Boroko, NCD
Papua New Guinea
Manager
DoctorFax -
John Miller
Dr Athie Chelvanathan
+675 325 6633
+675 325 6633
+675 325 4777
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Hyperbaric Health NZ
Ground Floor, Quay Park Health
68 Beach Road
Auckland Central
New Zealand
Medical Director Practise Manager
Head Nurse
Head TechnicianFax -
Dr. Andrew Tyson
Danielle Bristowe
Anna Crisp
Johan Olivier
+64 (9) 919 2343
+64 (9) 919 2340
+64 (9) 919 2348
+64 (9) 919 2347
+64 (9) 919 2341
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Prince of Wales Hospital
Dept. of Diving and
Hyperbaric Medicine
Barker Street
Randwick, NSW 2031
Director
Charge Nurse
Technicians
Reception
Fax
Dr. Robert Turner
Hayley Perfect
Mark Orkney, Justin Callard
Gabrielle Janik
(02) 9382 3890
(02) 9382 3888
(02) 9382 3886
(02) 9382 3880
(02) 9382 3882
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Royal Adelaide Hospital
North Terrace
Adelaide, SA 5000
Director
Secretary
Charge Nurse Technicians
Chamber
Fax
Dr. David Wilkinson
Lorna Mirabelli
Czes Mucha
Steve Goble, Troy Pudney, Lee Dunn
(08) 8222 5117
(08) 8222 5116
(08) 8222 5121
(08) 8222 5514
(08) 8222 5771
(08) 8232 4207
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Royal Darwin Hospital
PO Box 41326
Casuarina, NT 0810
Director
Charge Nurse
Technician
Fax
Dr. Brian Spain
Toni Scheide
(08) 8922 8888
(08) 8922 8563
(08) 8922 8230
(08) 8922 8172
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Royal Hobart Hospital
Hyperbaric and Diving Medicine Unit
PO Box 1061L
Hobart, Tas 7001
Director
Technicians
Charge Nurse
Fax -
Dr. David Smart, Dr David Cooper
Corry Van Den Broek, Karl Price
Carol Baines
(03) 6222 8193
(03) 6222 8322
(03) 6222 8322
(03) 6222 8322
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Slark Hyperbaric Unit
Waitemata District Health Board
PO Box 32051
Devonport
Auckland, New Zealand
Director Charge Nurse Technician Chamber
Fax -
Dr Chris Sames
Marion Francome
Basil (Spud) Murphy, Robert Schmidt
The Alfred Hospital
Hyperbaric Service
Commercial Rd.
Prahran, Vic 3181
Director
NUM
Reception
Technicians
Dr Andrew Fock
Nicole Lukauskas
Elmarie Celestrial
Dwayne Cananzi, Lester Smith, Theo Tsouras
Christian Allen
+64 (9) 487 2214
+64 (9) 487 2212
+64 (9) 487 2213
+64 (9) 487 2211
+64 (9) 445 7016
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Fax
(03) 9076 3050
(03) 9076 2267
(03) 9076 2269
(03) 9076 2323
(03) 9076 3052
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….…………………………
The Townsville Hospital
PO Box 670
Townsville, Qld 4810
Director
Technicians
Charge Nurse
Reception
Fax
Dr. John Orton
Peter Bisaro, John Hardman
Derelle Young
Colleen Walters
Hyperbarichealth Wound Centre, Brunswick
Brunswick Private Hospital
82 Moreland Rd.
Brunswick
Vic 3056
Director DON/Technician
Charge Nurse Reception:
Fax -
Dr. Martin Hodgson
Nick Murphy
Liz Dyson
Janine Moule, Nannette Aitkin
Wesley Centre for Hyperbaric Medicine
Suite 53, Sandford Jackson Bldg.
30 Chasely St
Auchenflower, Qld 4066
Director Charge Nurse Technicians Fax -
Dr Andrew Ng
Sharon Peut
Dave Saxton
……………………………………………………………………………………
(07) 4433 2095
(07) 4433 2082
(07) 4433 2094
(07) 4433 2080
(07) 4433 2081
………………………………………………………………………………………………………………………………………………………………………………………
(03) 9383 6505
(03) 9383 6505
(03) 9383 6505
(03) 9383 6505
(03) 8587 2489
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
(07) 3371 6033
(07) 3371 6033
(07) 3371 6033
(07) 3371 1566

Offgassing Febrary 2015

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