Specialised Services Policy: CP07. Hyperbaric Oxygen Therapy
|
|
- Frederica Marsh
- 6 years ago
- Views:
Transcription
1 Specialised Services Policy: CP07 Hyperbaric Oxygen Therapy Document Author: Specialist Planner for Cardiothoracic Services Executive Lead: Director of Planning Approved by: Management Group Issue Date: 05 March 2013 Review Date: February 2014 Document No: CP07 Page 1 of 17
2 Document History Revision History Version No. Revision date Summary of Changes Updated to version no.: 1.0 November 2006 Addition of clinical indications where HBOT is the last resort for a small number of patients at highest risk Details of evidence basis for each of the proposed indications 2.0 February May 2008 Listing of exact clinical references as the basis for the evidence on which the clinical criteria are defined 4.0 February Re-draft February Transferred onto new template, minor amendments made 5.1 March 2013 Ratified through Chair s Action on behalf of Management Group 6.0 Date of next revision February 2014 Consultation Name Date of Issue Version Number Approvals Name Date of Issue Version No. Commissioning Board 04/03/ Directors 22/03/ WHSSC Management Group Distribution this document has been distributed to Name By Date of Issue Version No. Page 2 of 17
3 Policy Statement Background Summary of clinical criteria Hyperbaric oxygen therapy (HBOT) is breathing 100% oxygen while under increased atmospheric pressure. When a patient is given 100% oxygen under pressure, haemoglobin is saturated, but the blood can be hyperoxygenated by dissolving oxygen within the plasma. Emergency indications: Decompression illness; Carbon monoxide intoxication; Life threatening anaerobic or mixed soft tissue infections; or Crush injuries and other traumatic ischaemia with comprised circulation. Elective indications: Diabetic foot ulcers; Osteoradionecrosis (ORN) of the head and neck; Prevention of osteo-radionecrosis for head and neck surgery; Soft tissue radiation tissue damage; or Chronic refractory osteomyelitis. Responsibilities Referrers should: Inform the patient that this treatment is not routinely funded outside the criteria in this policy; and Refer via the agreed pathway. Clinician considering treatment should: Discuss all the alternative treatment with the patient; Advise the patient of any side effect and risks of the potential treatment; Inform the patient that treatment is not routinely funded outside of the criteria in the policy; and Confirm that there is contractual agreement with WHSSC for the treatment. In all other circumstances submit an IPFR. Page 3 of 17
4 Table of Contents 1. Aim Introduction Relationship with other Policies and Service Specifications Scope Definition Codes Access Criteria Clinical Indications Criteria for Treatment Referral Pathway Exceptions Responsibilities Putting Things Right: Raising a Concern Equality Impact and Assessment Annex (i) Annex (ii) Checklist Page 4 of 17
5 1. Aim 1.1 Introduction The document has been developed as the policy for the planning of Hyperbaric Oxygen Therapy for Welsh patients. The policy applies to residents of all seven Health Boards in Wales. The purpose of this document is to: Set out the circumstances under which patients will be able to access Hyperbaric Oxygen Therapy services; Clarify the referral process; and Define the criteria that patients must meet in order to access treatment. 1.2 Relationship with other Policies and Service Specifications This document should be read in conjunction with the following documents: All Wales Policy: Making Decisions on Individual Patient Funding Requests (IPFR). Page 5 of 17
6 2. Scope 1. Purpose 2.1 Definition Hyperbaric oxygen therapy (HBOT) is breathing 100% oxygen while under increased atmospheric pressure. When a patient is given 100% oxygen under pressure, haemoglobin is saturated, but the blood can be hyperoxygenated by dissolving oxygen within the plasma. The patient can be administered systemic oxygen via 2 basic chambers: Type A, multiplace; and Type B, monoplace. Both types can be used for routine wound care, treatment of most dive injuries, and treatment of patients who are ventilated or in critical care. 2.2 Codes ICD-10 Codes Code Category Code Description ICD-10 T70.0 Otitic barotrauma ICD-10 T70.1 Sinus barotrauma ICD-10 T70.3 Caisson disease (decompression sickness) ICD-10 - compressed air disease ICD-10 - diver's palsy or paralysis ICD-10 T79.0 Air embolism (traumatic) ICD-10 T80.0 Air embolism following infusion, transfusion and therapeutic injection ICD-10 T81.7 Vascular complications following a procedure not elsewhere classified ICD-10 - air embolism following procedure NEC ICD-10 T53 Toxic effects of halogen derivatives of aliphatic and aramatic carbons ICD-10 T53.0 Carbon tetrachloride ICD-10 - Tetrachloromethane ICD-10 T58 Toxic effect of carbon monoxide ICD-10 D62 Acute post haemorrhagic anaemia ICD-10 X47* Accidental poisoning by and exposure to other gases and vapours ICD-10 X67* Intentional self poisoning by and exposure to other gases and vapours ICD-10 Y17* Poisoning by and exposure to other gases and vapours, undetermined intent ICD-10 T66 Unspecified effects of radiation ICD-10 K10.2 Osteoradionecrosis of jaw ICD-10 N30.4 Irradiation cystitis ICD-10 L55 - L59 Radiation related disorders of the skin and subcutaneous tissue ICD-10 K52.0 Gastroenteritis and colitis due to radiation ICD-10 M86.4 Chronic osteomyelitis with draining sinus ICD-10 M86.6 Other osteomyelitis Page 6 of 17
7 ICD-10 K10.2 Inflammatory conditions of jaws - osteoradionecrosis ICD-10 T01.0 Open wounds involving head and neck ICD-10 T01.1 Open wounds involving thorax with abdomen, lower back and pelvis ICD-10 T01.2 Open wounds involving multiple regions of upper limb(s) ICD-10 T01.3 Open wounds involving multiple regions of lower limb(s) ICD-10 T01.6 Open wounds involving multiple regions of upper limb(s) with lower limb(s) ICD-10 T01.8 Open wounds involving other combinations of body regions ICD-10 T01.9 Multiple open wounds, unspecified ICD-10 T14.1 Open wound of unspecified body region ICD-10 E14 Diabetes mellitus (relating to wound). This code would be in addition to the code for the specified wound. ICD-10 T14.7 Crushing injury and traumatic amputation of unspecified body region ICD-10 Crushing injury NOS ICD-10 Traumatic amputation NOS ICD-10 T04 Crushing injuries involving multiple body regions ICD-10 T04.0 Crushing injuries involving head and neck ICD-10 T04.1 Crushing injuries involving thorax with abdomen, lower back and pelvis ICD-10 T04.2 Crushing injuries involving multiple regions of upper limb(s) ICD-10 T04.3 Crushing injuries involving multiple regions of lower limb(s) ICD-10 T04.4 Crushing injuries involving multiple regions of upper limb(s) with lower limb(s) ICD-10 T04.7 Crushing injuries of thorax with abdomen, lower back and pelvis with limb(s) ICD-10 T04.8 Crushing injuries involving other combinations of body regions ICD-10 T04.9 Multiple crushing injuries, unspecified ICD-10 G06.0 Intra-cranial abscess and granuloma ICD-10 A48.0 Gas gangrene (including cellulitis) Page 7 of 17
8 3. Access Criteria 3.1 Clinical Indications This policy covers emergency and elective indications for HBOT Emergency Indications Emergency indications for treatment are: a) Decompression illness / gas embolism; b) Carbon monoxide intoxication; c) Life threatening anaerobic or mixed soft tissue infections; or d) Crush injuries and other traumatic ischemia with compromised circulation Elective Indications Diabetic Foot Ulcer All the following criteria apply: After assessment and discussion with the DDRC a relevant MDT believes that: (i) There is a clear case for treatment; (ii) There is a significant probability of successful treatment; and (iii) There is a risk of amputation. Where conservative treatment has not been successful, and no healing has resulted from 6 weeks of intensive management by an expert diabetic wound management team; and/or Where the Wagner score is between 2 and 5. Where trans-cutaneous oxygen monitoring (TCOM) near the wound indicates that tissue oxygen levels are <40 mmhg in atmospheric air but rise to >200 mmhg on 100% oxygen at pressure ATA Osteoradionecrosis (ORN) of the Head and Neck All the following criteria apply: After assessment and discussion with the DDRC a relevant MDT believes: Page 8 of 17
9 (i) That there is a clear case for treatment; and (ii) There is a significant probability of successful treatment; and Reconstructive surgery will be performed, if appropriate, to remove any dead tissue Prevention of Osteo-radionecrosis, for Head and Neck Surgery All the following criteria apply: After assessment and discussion with the DDRC a relevant MDT believes that: (i) that there is a clear case for treatment; and (ii) there is a significant probability of a chronic nonhealing wound which will be successful prevented by HBOT; and The MDT confirm that there has been used a radiation dose of >45 Gy in the field of operation or where severe accidental overdosing with radiation has occurred Soft Tissue Radiation Tissue Damage Including Rectum, Intestine, Bladder and Laryngeal Irradiated Fields) Soft tissue radio necrosis of the CNS is not funded, as the evidence base for this is very poor. All the following criteria apply: After assessment and discussion with the DDRC a relevant MDT believes that: (i) There is a clear case for treatment; and (ii) There is a significant probability of successful treatment; and Where conservative treatment has not been successful failing to show healing tendency within 6 weeks; and Reconstructive surgery has been performed, if appropriate, to remove any dead tissue Chronic Refractory Osteomyelitis All the following criteria apply: After assessment and discussion with the DDRC a relevant MDT believes that: (i) There is a clear case for treatment; and Page 9 of 17
10 (ii) There is a significant probability of successful treatment; and Surgery to remove dead tissue has been or will be performed, if appropriate. HBO may be given perioperatively; and Where conservative treatment, including appropriate high dose antibiotics, has not been successful over a 6 weeks of intensive treatment. 3.2 Criteria for Treatment The main providers for emergency HBOT are the Diving Diseases Research Centre DDRC, with a local chamber in Cardiff, which supplies the South Wales population and the North West Emergency Recompression Unit in the Wirral which supplies the North Wales Population. All emergency indications must be clinically assessed by a physician qualifies in diving diseases and hyperbaric oxygen treatment 3.3 Referral Pathway Elective referrals can only be received directly from a relevant secondary care multi-disciplinary team (MDT) that has assessed the case, and after discussion with the DDRC believes that there is a clear case for treatment and a significant probability of successful treatment. Cases will be assessed by a doctor within DDRC before treatment is commenced Decompression Illness / Gas Embolism Referrals can be received directly from the Emergency services or the responsible clinician involved in the care of the patient. Cases will be assessed by a doctor within DDRC before treatment is commenced. Prior approval for treatment is not required Carbon Monoxide Intoxication Referrals can be received directly from the emergency services or the responsible clinician involved in the care of the patient. Cases will be assessed by a doctor within DDRC before treatment is commenced. Prior approval for treatment is not required Life Threatening Anaerobic or Mixed Soft Tissue Infections Referrals can only be received directly from a secondary care Consultant. Cases will be assessed by a doctor within DDRC before Page 10 of 17
11 treatment is commenced. Prior approval for treatment is not required. Treatment will only be given for severe or life threatening infections like gas gangrene or necrotising fasciitis and not for milder soft tissue infections Crush Injuries and Other Traumatic Ischemia With Compromised Circulation Referrals can only be received directly from a secondary care Consultant. Cases will be assessed by a doctor within DDRC before treatment is commenced. Prior approval for treatment is not required. 3.4 Exclusions Only those indications listed in 3.1 are funded. 3.5 Exceptions If the patient does not meet the criteria for treatment, but the referring clinician believes that there are exceptional grounds for treatment an Individual Patient Funding Request (IPFR) can be made to WHSS under the All Wales Policy for Making Decisions on Individual Patient Funding Requests (IPFR). If the patient wishes to be referred to a provider out of the agreed pathway, an IPFR should be submitted. Guidance on the IPFR process is available at Responsibilities Referrers should: Inform the patient that this treatment is not routinely funded outside the criteria in this policy; and Refer via the agreed pathway. Clinician considering treatment should: Discuss all the alternative treatment with the patient; Advise the patient of any side effect and risks of the potential treatment; Page 11 of 17
12 Inform the patient that treatment is not routinely funded outside of the criteria in the policy; and Confirm that there is contractual agreement with WHSSC for the treatment. In all other circumstances submit an IPFR. Page 12 of 17
13 4. Putting Things Right: Raising a Concern Whilst every effort has been made to ensure that decisions made under this policy are robust and appropriate for the patient group, it is acknowledged that there may be occasions when the patient or their representative are not happy with decisions made or the treatment provided. The patient or their representative should be guided by the clinician, or the member of NHS staff with whom the concern is raised, to the appropriate arrangements for management of their concern: When a patient or their representative is unhappy with the decision that the patient does not meet the criteria for treatment further information can be provided demonstrating exceptionality. The request will then be considered by the All Wales IPFR Panel. If the patient or their representative is not happy with the decision of the All Wales IPFR Panel the patient and/or their representative has a right to ask for this decision to be reviewed. The grounds for the review, which are detailed in the All Wales Policy: Making Decisions on Individual Patient Funding Requests (IPFR), must be clearly stated. The review should be undertaken, by the patient's Local Health Board; When a patient or their representative is unhappy with the care provided during the treatment or the clinical decision to withdraw treatment provided under this policy, the patient and/or their representative should be guided to the LHB for NHS Putting Things Right. For services provided outside NHS Wales the patient or their representative should be guided to the NHS Trust Concerns Procedure, with a copy of the concern being sent to WHSSC. Page 13 of 17
14 5. Equality Impact and Assessment The Equality Impact Assessment (EQIA) process has been developed to help promote fair and equal treatment in the delivery of health services. It aims to enable Welsh Health Specialised Services Committee to identify and eliminate detrimental treatment caused by the adverse impact of health service policies upon groups and individuals for reasons of race, gender re-assignment, disability, sex, sexual orientation, age, religion and belief, marriage and civil partnership, pregnancy and maternity and language (welsh). This policy has been subjected to an Equality Impact Assessment. The Assessment demonstrates that the policy is robust and that there is no potential for discrimination or adverse impact. All opportunities to promote equality have been taken. Page 14 of 17
15 Annex (i) Elective Referral Pathway Secondary care MDT HBOT centre (DDRC Cardiff and Plymouth; North West Emergency Recompression Unit, Wirral; or, for emergency treatment, nearest chamber) Page 15 of 17
16 Annex (ii) Checklist CP07 Hyperbaric Oxygen Therapy The following checklist should be completed and retained as evidence of policy compliance by the receiving centre. It is expected that this evidence will be provided at the point of invoicing by the receiving centre. i) Where the patient meets the criteria AND the procedure is included in the contract AND the referral is received by an agreed centre, the form should be completed and retained by the receiving centre for audit purposes. ii) The patient meets the criteria AND is received at an agreed centre, but the procedure is not included in the contract. The checklist must be completed and submitted to WHSSC for prior approval to treatment. iii) The patient meets the criteria but wishes to be referred to a non contracted provider. An Individual Patient Funding Request (IPFR) Form must be completed and submitted to WHSSC for consideration. iv) The patient does not meet criteria, but there is evidence of exceptionality. An Individual Patient Funding Request (IPFR) Form must be completed and submitted to WHSSC for consideration for treatment. Page 16 of 17
17 To be completed by the referring gatekeeper or treating clinician PRIOR APPROVAL Please tick the appropriate boxes: Patient NHS No: Patient is Welsh Resident Patient is English Resident Post Code: GP Code: Patient meets following access criteria for treatment: Emergency indications: a. Decompression illness / gas embolism b. Carbon monoxide intoxication c. Life threatening anaerobic or mixed soft tissue infections d. Crush injuries and other traumatic ischemia with compromised circulation Elective indications: Diabetic foot ulcers Osteoradionecrosis (ORN) of the head and neck prevention of osteo-radionecrosis for head and neck surgery soft tissue radiation tissue damage Chronic refractory osteomyelitis Patient wishes to be referred to non-contracted provider An Individual Patient Funding Request (IPFR) must be completed and submitted to WHSSC for approval prior to treatment. The form must clearly demonstrate why funding should be provided as an exception. The form can be found at Patient does not meet access criteria but is exceptional An Individual Patient Funding Request (IPFR) must be completed and submitted to WHSSC for approval prior to treatment. The form must clearly demonstrate why funding should be provided as an exception. The form can be found at Yes No Name: Designation: Signature: Date: Authorised by TRM Gatekeeper Authorised by Patient Care Team? Authorised by Other (Please state whom) Patient care Team/IPFR TRM Reference number: Name (printed): Signature: Date: Yes No Page 17 of 17
Hyperbaric Oxygen Therapy
1 RSPT 1410 Medical Gas Therapy Part 2: Wilkins: Chapter 38; p. 891-894 Cairo: Chapter 3, p. 78-81 2 Definitions Hyperbaric oxygen (HBO) therapy is the therapeutic use of oxygen at pressures greater than
More informationReviewing Hyperbaric Oxygen Services: Consultation Guide
Information Reader Box (IRB) to be inserted on inside front cover for documents of 6 Reviewing Hyperbaric Oxygen Services: Consultation Guide NHS England INFORMATION READER BOX Directorate Medical Operations
More informationb. Provide consultation service to physicians referring patients. c. Participate in weekly wound care clinic and biweekly diving medicine clinic.
Curriculum: 1. Required clinical activities: a. Participate in HBO 2 clinical operations by monitoring daily treatment sessions and emergency on-call treatments at least 4 days/week, b. Provide consultation
More informationCorporate Medical Policy
File Name: hyperbaric_oxygen_therapy Origination: 4/1980 Last CAP Review: 11/2016 Next CAP Review: 11/2017 Last Review: 11/2016 Corporate Medical Policy Description of Procedure or Service Hyperbaric oxygen
More informationSubj: HYPERBARIC OXYGEN TREATMENT IN NAVY RECOMPRESSION CHAMBERS
DEPARTMENT OF THE NAVY BUREAU OF MEDICINE AND SURGERY 7700 ARLINGTON BOULEVARD FALLS CHURCH, VA 22042 IN REPLY REFER TO BUMEDINST 6320.38C BUMED-M95 BUMED INSTRUCTION 6320.38C From: Chief, Bureau of Medicine
More informationBasic Standards for Fellowship Training in Undersea and Hyperbaric Medicine
Basic Standards for Fellowship Training in Undersea and Hyperbaric Medicine American Osteopathic Association and American College of Osteopathic Family Physicians, American College of Osteopathic Internists,
More informationHyperbaric Oxygen Therapy
Hyperbaric Oxygen Therapy WWW.RN.ORG Reviewed September 2017, Expires September 2019 Provider Information and Specifics available on our Website Unauthorized Distribution Prohibited 2017 RN.ORG, S.A.,
More informationWelcome to Alpharetta Wellness Clinic Mild Hyperbaric Oxygen Therapy! We are committed to providing quality and affordable therapy to our clients!
Welcome to Alpharetta Wellness Clinic Mild Hyperbaric Oxygen Therapy! Below you will find many answers to your questions about Mild Hyperbaric Oxygen Therapy. If you do not find the answers please feel
More informationUrgent Hyperbaric Oxygen Therapy
Urgent Hyperbaric Oxygen Therapy Information for patients and families Read this booklet to learn: what hyperbaric oxygen therapy is what it helps treat what happens after your therapy who to call if you
More informationNon-diving related hyperbaric treatment. CARAT 2014 LTJG Chamchan Chanchang
Non-diving related hyperbaric treatment CARAT 2014 LTJG Chamchan Chanchang Hyperbaric Oxygen Therapy (HBOT) A period of breathing high percentage oxygen for therapeutic purposes at the pressure greater
More informationALFRED HYPERBARIC SERVICE. Service and Care. Information for Patients
ALFRED HYPERBARIC SERVICE Service and Care Information for Patients ALFRED HEALTH Alfred Hyperbaric Service The Alfred Commercial Road Melbourne, VIC 3004 Phone (03) 9076 2269 Fax (03) 9076 3052 This booklet
More informationClinical Commissioning Policy: The Use Of Hyperbaric Oxygen Therapy. December Reference : NHSCB/D11. HBOT policy HBOT CRG NHSCB/D11 Version 1.
Clinical Commissioning Policy: The Use Of Hyperbaric Oxygen Therapy December 2012 Reference : NHSCB/D11 1.2 NHS Commissioning Board Clinical Commissioning Policy: The Use Of Hyperbaric Oxygen Therapy First
More informationNORMAN KNIGHT HYPERBARIC MEDICINE CENTER
NORMAN KNIGHT HYPERBARIC MEDICINE CENTER The heroic firefighters of Massachusetts, who receive emergency hyperbaric oxygen treatment for smoke inhalation, were among the first people to benefit from the
More informationECCHO 2016 Emergency and Critical Care Hyperbaric Oxygen Symposium
ECCHO 2016 Emergency and Critical Care Hyperbaric Oxygen Symposium Presented by Legacy Health ECCHO 2016: Emergency and Critical Care Hyperbaric Oxygen Symposium, 7 a.m. 5 p.m. Emergency and Critical Care
More informationMedical Affairs Policy
Service: Hyperbaric Oxygen Therapy PUM 250-0017-1706 Medical Affairs Policy Medical Policy Committee Approval 06/16/17 Effective Date 10/01/17 Prior Authorization Needed Yes Disclaimer: This policy is
More informationHyperbaric Oxygen and TBI: What Does Science Tell Us. Kathleen Bell, MD Department of Rehabilitation Medicine
Hyperbaric Oxygen and TBI: What Does Science Tell Us Kathleen Bell, MD Department of Rehabilitation Medicine Look at scientific research on using hyperbaric oxygen treatment and neurofeedback treatment
More informationDisclosure Information
Role of Hyperbaric Oxygen Therapy in Complex Wounds and Infections Raj Adurty MD, FCCP,FACP Director Medical Intensive Care Unit Division of Pulmonary & Critical Care Medicine ALLEGHENY GENERAL HOSPITAL
More informationScottish Hyperbaric Medical Service Strategic Context and Overview
Meeting: NoSPG Date: 19 th June 2013 Item: 16/13 (ii) Scottish Hyperbaric Medical Service Strategic Context and Overview Background & Aim of the paper The provision of hyperbaric medicine has been discussed
More informationHyperbarics and Wound Care: A Perfect Partnership
Hyperbarics and Wound Care: A Perfect Partnership Juan O Bravo MD CWSP UHM Medical Director Center for Wound Care and Hyperbaric Medicine at Broward Health Coral Springs Disclosures I am part of the advisory
More informationHyperbaric Oxygen Therapy Unit
Hyperbaric Oxygen Therapy Unit Indraprastha Apollo Hospital. New Delhi A decade of practice of hyperbaric Medicine 1 Introduction Dr PC Reddy is a great visionary and introduced many new treatment modalities
More informationHyperbaric Oxygen Therapy. William Tettelbach, MD, FACP, CWS Intermountain Healthcare Salt Lake City, Utah
Hyperbaric Oxygen Therapy William Tettelbach, MD, FACP, CWS Intermountain Healthcare Salt Lake City, Utah Hyperbaric Oxygen Indications Undersea and Hyperbaric Medical Society (www.uhms.org) FDA accepts
More informationHYPERBARIC OXYGEN THERAPY. Patient Information Guide
HYPERBARIC OXYGEN THERAPY Patient Information Guide London Gt. Yarmouth Mission Statement To deliver safe high quality hyperbaric care, treatment, training and research in a timely, cost effective and
More informationClinical Policy: Hyperbaric Oxygen Therapy Reference Number: CP.MP.27
Clinical Policy: Reference Number: CP.MP.27 Effective Date: 06/09 Last Review Date: 03/17 Coding Implications Revision Log See Important Reminder at the end of this policy for important regulatory and
More informationHYPERBARIC OXYGEN AND ITS USE IN MEDICAL CONDITIONS. Dr. John Hughes, DO Regional Osteopathic Medical Education Conference February 1, 2018
HYPERBARIC OXYGEN AND ITS USE IN MEDICAL CONDITIONS Dr. John Hughes, DO Regional Osteopathic Medical Education Conference February 1, 2018 OUTLINE Definition History Physics Physiology Mechanism FDA Approved
More informationTHE 2018 SYMPOSIUM ON HYPERBARIC MEDICINE
REGISTER TODAY! Baltimore s First Hyperbaric Symposium THE 2018 SYMPOSIUM ON HYPERBARIC MEDICINE March 17, 2018 Hyatt Regency Baltimore Inner Harbor 300 Light Street Baltimore, MD 21202 Course Director:
More informationThe cost of hyperbaric therapy at the Prince of Wales Hospital, Sydney
194 The cost of hyperbaric therapy at the Prince of Wales Hospital, Sydney Jorge D Gomez-Castillo and Michael H Bennett Key words Hyperbaric oxygen, hyperbaric facilities, economics Abstract (Gomez-Castillo
More informationFrequently Asked Questions (FAQs)
Frequently Asked Questions (FAQs) What is hyperbaric oxygen therapy? Commonly referred to as HBOT, hyperbaric oxygen therapy enhances the body s natural healing process by delivering oxygen under pressure,
More informationClinical Review Criteria Hyperbaric Oxygen Therapy
Clinical Review Criteria Hyperbaric Oxygen Therapy Kaiser Foundation Health Plan of Washington NOTICE: Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington Options,
More informationIntroduction & History of Hyperbaric Medicine. Learning without boundaries
Introduction & History of Hyperbaric Medicine Learning without boundaries Welcome Medical science is expanding rapidly, and within this exciting growth there is advent of many new treatments, technologies,
More informationINTRODUCTION TO HYPERBARIC MEDICINE
1 INTRODUCTION TO HYPERBARIC MEDICINE Physician Hyperbaric Training and Certification Approved for: 42 AMA, PRA CATEGORY 1 CME Credit Hours for Physicians Nurse / Technician Hyperbaric Training (CEUs issued
More informationOXYGEN THERAPY Hyperbaric Oxygen Therapy (HBO2) Mild Hyperbaric Therapy Topical Oxygen Therapy
OXYGEN THERAPY Hyperbaric Oxygen Therapy (HBO2) Mild Hyperbaric Therapy Topical Oxygen Therapy Non-Discrimination Statement and Multi-Language Interpreter Services information are located at the end of
More informationSCUBA - self contained underwater breathing apparatus. 5 million sport scuba divers in U.S. 250, ,000 new certifications annually in U.S.
SCUBA - self contained underwater breathing apparatus 5 million sport scuba divers in US 250,000-400,000 new certifications annually in US Diving occurs in oceans, freshwater lakes, rivers and quarries
More informationCentral nervous system oxygen toxicity during routine hyperbaric oxygen therapy
Central nervous system oxygen toxicity during routine hyperbaric oxygen therapy N. HAMPSON, D. ATIK Center for Hyperbaric Medicine, Virginia Mason Medical Center, Seattle, Washington Hampson N, Atik D.
More informationTABLE I. Disadvantages Patient isolated during treatment Higher capitalization requirements
TABLE I MONOPLACE MULTIPLACE CHAMBERS Advantages Relatively low purchase price Greater working pressure Requires little space and relatively minor Constant patient attendance facility renovations. Ability
More informationMedical Policy An Independent Licensee of the Blue Cross and Blue Shield Association
Hyperbaric Oxygen Pressurization (HBO) Page 1 of 37 Medical Policy An Independent Licensee of the Blue Cross and Blue Shield Association Title: Hyperbaric Oxygen Pressurization (HBO) Professional Institutional
More informationHCT Medical Policy. Hyperbaric Oxygen Therapy (HBOT) Policy # HCT114 Current Effective Date: 05/24/2016
HCT Medical Policy Hyperbaric Oxygen Therapy (HBOT) Policy # HCT114 Current Effective Date: 05/24/2016 Medical Policies are developed by HealthyCT to assist in administering plan benefits and constitute
More informationCertified Hyperbaric Specialist Application
The American Board of Wound Healing / Copyright 2010 The American Board of Wound Healing Endorsed By Certified Hyperbaric Specialist Application INSTRUCTIONS & REQUIREMENTS The following items must be
More informationDiving Operations Procedure
Diving Operations Procedure UNIVERSITY OF PORTSMOUTH Diving Operations Procedure 1 Document title Diving Operations Procedure Document author and department Laura Sayers Health & Safety Office Corporate
More informationRescue Swimmer Refresher Course. Practical First Aid Training/Mock Trauma LT 2.2
Rescue Swimmer Refresher Course Practical First Aid Training/Mock Trauma LT 2.2 Enabling Objectives Respond to an emergency per current American Red Cross standards. Administer CPR per current American
More informationDecompression Sickness
Decompression Sickness Kun-Lun Huang National Defense Medical Center Undersea and Hyperbaric Medical Institute Tri-Service General Hospital Department of Undersea and Hyperbaric Medicine Hazard Diving
More informationMike Holder BA RRT CHT Safety Director - Hyperbaric Medicine
Mike Holder BA RRT CHT Safety Director - Hyperbaric Medicine Objectives Definition of hyperbaric medicine. History and evolution. Discuss how we got where we are today. Review of current acceptable practices.
More informationDefense Technical Information Center Compilation Part Notice
UNCLASSIFIED Defense Technical Information Center Compilation Part Notice ADPO 11083 TITLE: Role of a Clinical Hyperbaric Chamber in Support of Research and Military Hyperbaric Operations DISTRIBUTION:
More informationNEONATAL VOLUME VENTILATION CLINICAL GUIDELINE V2.0
NEONATAL VOLUME VENTILATION CLINICAL GUIDELINE V2.0 Summary Commence ventilation Set up ventilator; PTV rate 40, Ti 0.36, TTV 5ml/kg, Trigger sensitivity 0.2, PiP limit 30 mbar Consider SIMV if risk of
More informationHyperbarics 2 CEUs By: Michelle E. Duffelmeyer, MD. Co-author: Ellen Smithline, RN. Objectives
Hyperbarics 2 CEUs By: Michelle E. Duffelmeyer, MD Co-author: Ellen Smithline, RN Objectives By the end of this lecture, the participant should be able to... 1. Describe the basic principles that explain
More informationRodney Shandukani 14/03/2012
Rodney Shandukani 14/03/2012 OXYGEN THERAPY Aerobic metabolism accounts for 90% of Oxygen consumption by tissues. generates ATP by oxidative phosphorylation. Oxygen cascade: Oxygen exerts a partial pressure,
More informationHyperbaric Oxygen Therapy Patient Information
Hyperbaric Oxygen Therapy Patient Information One of only two in Wichita, Kansas, our hyperbaric oxygen chamber is truly unique. Hyperbaric therapy was originally used to treat deep sea divers who were
More informationLEGIONELLA CONTROL POLICY
LEGIONELLA CONTROL POLICY Originator: Policy and Strategy Team Approval date: August 2018 Review date: August 2019 1 Introduction 1.1 1.2 1.3 1.4 Pine Court Housing Association (PCHA) treats the health
More informationMEDICAL POLICY SUBJECT: HYPERBARIC OXYGEN THERAPY (HBOT) POLICY NUMBER: CATEGORY: Technology Assessment
MEDICAL POLICY SUBJECT: HYPERBARIC OXYGEN THERAPY PAGE: 1 OF: 14 If the member's subscriber contract excludes coverage for a specific service it is not covered under that contract. In such cases, medical
More informationCURRICULUM. This will be covered throughout the Hyperbarics International program Dick Rutkowski COPYRIGHT 2014 HYPERBARICS INTERNATIONAL, INC.
CURRICULUM This will be covered throughout the Hyperbarics International program Dick Rutkowski COPYRIGHT 2014 HYPERBARICS INTERNATIONAL, INC. Multi/Mono Chamber Course Outline for Diving & Clinical Medicine
More information4 Staff Selection, Appraisal and Development. To prevent harm by identifying and controlling potential hazards.
OTAGO POLYTECHNIC MANAGEMENT POLICY Number: MP0403.04 Title: Hazard Management ITPNZ Standard: 4 Staff Selection, Appraisal and Development Chief Executive Approval: Approval Date: 17 Apr 12 Effective
More informationBillingham Golf Club Equal Opportunity Policy
Billingham Golf Club Equal Opportunity Policy Amended February 2016 V3 Equal Opportunity Policy Statement of Intent Billingham Golf Club [the Club] and such other companies and/or subsidiaries that are
More informationMedical Aspects of Diving in the Offshore Oil Industry
Medical Aspects of Diving in the Offshore Oil Industry Dr Stephen Watt Retired Consultant in Respiratory and Hyperbaric Medicine Chairman, Diving Medical Advisory Committee What is diving? Diving = Commuting
More informationInternational Standard for Athlete Evaluation. September 2016
International Standard for Athlete Evaluation September 2016 International Paralympic Committee Adenauerallee 212-214 Tel. +49 228 2097-200 www.paralympic.org 53113 Bonn, Germany Fax +49 228 2097-209 info@paralympic.org
More informationPolicy for the commissioning of arthroscopic shoulder decompression surgery for the management of Pure Subacromial Shoulder Impingement
Policy for the commissioning of arthroscopic shoulder decompression surgery for the management of Pure Subacromial Shoulder Impingement Version of: December 2018 Version Number: V 0.1 Changes Made: Policy
More informationIntroduction. 1 Policy
Policies for the Commissioning of Healthcare Policy for the commissioning of arthroscopic shoulder decompression surgery for the management of Pure Subacromial Shoulder Impingement Policy Number 48 (Pan
More informationDr. AAM Abdulaal. Thesis presented in partial fulfillment of the degree. Master of Science (Baromedical Sciences) at the University of Stellenbosch
A Survey of the Knowledge of the Military and Civilian Medical Practitioners in the Royal Medical Service in the Kingdom of Bahrain with regards to the Clinical Application of Hyperbaric Oxygen Therapy
More informationGuidelines for Credentialing, Privileging and Supervision of Hyperbaric Oxygen Therapy
Guidelines for Credentialing, Privileging and Supervision of Hyperbaric Oxygen Therapy Undersea and Hyperbaric Medical Society Contents Part I Part II Part III Part IV Part V Part VI Introduction Education
More informationThe Undersea and Hyperbaric Medicine Milestone Project
The Undersea and Hyperbaric Medicine Milestone Project A Joint Initiative of The Accreditation Council for Graduate Medical Education and The American Board of Emergency Medicine July 2015 The Undersea
More informationIndications for HBOT in Civilian and Military Context: The HFM-RTG192 Report
Dr Peter GERMONPRE Med LtCol Centre for Hyperbaric Oxygen Therapy - Brussels BELGIUM peter.germonpre@mil.be CHAPTER I. INTRODUCTION In January 2009, a Exploratory Task Force was formed (HFM-ET-099) with
More informationControl of Substances Hazardous to Health (COSHH) Operating Standards
Control of Substances Hazardous to Health (COSHH) Operating Standards CONTENTS 1. Background... 3 2. Aim... 3 3. Definitions... 3 4. Details... 4 4.1 Management of COSHH... 4 4.1.1 Risk Register.... 4
More informationOUTLINE SHEET Respond to an emergency per current American Red Cross standards.
INTRODUCTION OUTLINE SHEET 2.2-1 PRACTICAL FIRST AID TRAINING/MOCK TRAUMA PAGE 1 of 8 First Aid, in any situation, consists of emergency treatment of the sick or injured before medical help can be obtained.
More informationOccupational diver medical assessment questionnaire
Occupational diver medical assessment questionnaire Occupational divers in New Zealand must undergo a full diving medical examination every five years, or as determined by the Diving Medical Consultant
More informationIMCA Competence Assessment Portfolio June 2013
Self- Checklist Entry Level Criteria Acceptance Criteria Attained Undertaken IMCA approved training course completed on Valid certificate of training IMCA approved ALST training course OR Possesses IMCA-recognised
More informationEqual Opportunity Policy
Equal Opportunity Policy Statement of Intent The Ludlow Golf Club, in compliance with the Equality Act 2010 or any statutory modification thereof, relevant English, UK and European legislation and all
More informationTestimony. The Impact of Hyperbaric Medicine on Government Health Care, Disability and Education Expenditures
Testimony The Impact of Hyperbaric Medicine on Government Health Care, Disability and Education Expenditures The International Hyperbaric Medical Association Paul Harch, M.D. President Labor, Health and
More informationQUESTIONNAIRE FOR MEMBERS OF THE PUBLIC
MAHSC Oxygen Project. Questionnaires for members of the public V1 10-12-2011 QUESTIONNAIRE FOR MEMBERS OF THE PUBLIC We would like to know what you think about oxygen therapy as a member of the public.
More informationThe development of hyperbaric and diving medicine in Singapore
901 Review Article Singapore Med J 201 1; 52(12) : The development of hyperbaric and diving medicine in Singapore Chng J, Low C T E, Kang W L Navy Medical Service, Republic of Singapore Navy, 126 Tanah
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Policy for the Transportation and Storage of Medical Gases
The Newcastle upon Tyne Hospitals NHS Foundation Trust Policy for the Transportation and Storage of Medical Gases Version : 1.1 Effective From: 7 January 2016 Expiry Date: 7 January 2019 Date Ratified:
More informationHBOT in the Media. Greetings!
Hi, just a reminder that you're receiving this email because you have expressed an interest in Advanced Hyperbaric Recovery LLC. Don't forget to add info@improvehealing.com to your address book so we'll
More informationPackage leaflet: Information for the user. Medicinal Oxygen Air Liquide 100%, Medicinal gas, compressed. Oxygen 100% (O 2 )
Package leaflet: Information for the user Medicinal Oxygen Air Liquide 100%, Medicinal gas, compressed Oxygen 100% (O 2 ) Read all of this leaflet carefully before you start using this medicine because
More informationDiving Medicine USN Diver/SEAL Submarine Overview / Tom Kersch, CAPT, MC!!
Diving Medicine USN Diver/SEAL Submarine Overview / Tom Kersch, CAPT, MC Diving Medicine USN Diver/SEAL Submarine Overview Tom Kersch CAPT, MC SEAL Deliver Vehicle Team 1 Pearl City, HI 1 Content Attestation
More information1. NAME OF THE MEDICINAL PRODUCT. Medicinal oxygen Praxair Scandinavia 100%, medicinal gas, cryogenic 2. QUALITATIVE AND QUANTITATIVE COMPOSITION
1. NAME OF THE MEDICINAL PRODUCT Medicinal oxygen Praxair Scandinavia 100%, medicinal gas, cryogenic 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Oxygen 100% 3. PHARMACEUTICAL FORM Medicinal gas, cryogenic
More informationT H E B I O B A R I C A W A Y
BIOBARICA HYPERBARIC MEDICINE T H E B I O B A R I C A W A Y BioBarica BioBarica is a global network of hyperbaric medicine designed to expand the availability of high quality therapeutic Centers BioBarica
More informationClinical commissioning policy: Hyperbaric oxygen therapy for decompression illness/gas embolism (all ages) For implementation from 1 April 2019
Clinical commissioning policy: Hyperbaric oxygen therapy for decompression illness/gas embolism (all ages) NHS England Reference: 170047P NHS England INFORMATION READER BOX Directorate Medical Operations
More informationPublic Statement: Medical Policy Statement:
Medical Policy Title: Hyperbaric Oxygen ARBenefits Approval: 09-21-2011 Therapy Effective Date: 01-01-2012 Document: ARB0179:01 Revision Date: 02/08/2012 Code(s): 99183 Physician attendance and supervision
More informationHyperbaric Oxygen Therapy
MEDICAL POLICY 2.01.505 Hyperbaric Oxygen Therapy BCBSA Ref. Policy: 2.01.04* Effective Date: April 1, 2018 Last Revised: March 13, 2018 Replaces: 2.01.04 RELATED MEDICAL POLICIES: None Select a hyperlink
More information1. NAME OF THE MEDICINAL PRODUCT. Medicinal oxygen Praxair Scandinavia 100 %, medicinal gas, compressed 2. QUALITATIVE AND QUANTITATIVE COMPOSITION
1. NAME OF THE MEDICINAL PRODUCT Medicinal oxygen Praxair Scandinavia 100 %, medicinal gas, compressed 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Oxygen 100 % at a pressure of 200 bar (15 C). 3. PHARMACEUTICAL
More informationDial-In Instructions
Dial-In Instructions Conference name: Assessing New Procedures and Technologies: Hyperbaric Oxygen Therapy Scheduled conference date: Tuesday, February 13, 2007 Scheduled conference time: Scheduled conference
More informationClinical Policy: Hyperbaric Oxygen Therapy
Clinical Policy: Reference Number: CP.MP.27 Last Review Date: 02/18 Coding Implications Revision Log See Important Reminder at the end of this policy for important regulatory and legal information. Description
More informationCOMPLIANCE WITH THIS PUBLICATION IS MANDATORY
BY ORDER OF THE SECRETARY OF THE AIR FORCE AIR FORCE INSTRUCTION 48-112 1 MAY 1998 Aerospace Medicine HYPERBARIC CHAMBER PROGRAM COMPLIANCE WITH THIS PUBLICATION IS MANDATORY NOTICE: This publication is
More informationLiquid Medical Oxygen Medicinal gas, cryogenic Package Leaflet: Information for the User
Liquid Medical Oxygen Medicinal gas, cryogenic Package Leaflet: Information for the User Liquid Medical Oxygen, Oxygen 99.5%, Medicinal gas, cryogenic Read all of this leaflet carefully before you start
More informationDepartment of the Interior Departmental Manual
Department of the Interior Departmental Manual Effective Date: 3/12/99 Series: Safety Management Part 485: Safety and Occupational Health Program Chapter 27: Underwater Diving Safety Originating Office:
More informationIntroduction to ICD-10-CM. Improving the Financial Health of the Practices we Serve.
Improving the Financial Health of the Practices we Serve. What is ICD-10???? ICD-10 replaces the ICD-9 code sets and includes updated NEW medical terminology and updated classification of diseases. The
More informationNice (France), November Z-10, Editors MONDUZZI EDITORE
Nice (France), November Z-10, 1999 Editors MONDUZZI EDITORE I INTERNATIONAL PROCEEDINGS DIVISION Hyperbaric oxygenation in cerebral palsy and the brain injured child R. NEUBAUER V EPNS Ocean Hyperbaric
More informationCOSHH Standard Operating 003 Procedure
Title: COSHH Standard Operating Procedure Reference No: 003 Procedure Ruth Nutbrown, Assistant Chief Owner: Officer Ian Plummer, Health & Safety Author Manager First Issued On: V.1 2016 Latest Issue Date:
More informationEssential Skills Course Acute Care Module. Respiratory Day 2 (Arterial Blood Gases) Pre course Workbook
Essential Skills Course Acute Care Module Respiratory Day 2 (Arterial Blood Gases) Pre course Workbook Acknowledgements This pre course workbook has been complied and updated with reference to the original
More informationAnnex II. Scientific conclusions and grounds for variation to the terms of the Marketing Authorisations
Annex II Scientific conclusions and grounds for variation to the terms of the Marketing Authorisations 18 Scientific conclusions Overall summary of the scientific evaluation Background information From
More informationSECOND EUROPEAN CONSENSUS CONFERENCE ON HYPERBARIC MEDICINE THE TREATMENT OF DECOMPRESSION ACCIDENTS IN RECREATIONAL DIVING
SECOND EUROPEAN CONSENSUS CONFERENCE ON HYPERBARIC MEDICINE THE TREATMENT OF DECOMPRESSION ACCIDENTS IN RECREATIONAL DIVING MARSEILLE, May 8-10, 1996 RECOMMENDATIONS OF THE JURY* QUESTION 1 : Is there
More informationConsultation on the future management. of the Old Football Pitches, Hyde Park. Consultation Report
Consultation on the future management of the Old Football Pitches, Hyde Park Consultation Report CFP The Coach House 143-145 Worcester Road Hagley Worcestershire DY9 0NW t: 01562 887884 f: 01562 887087
More informationHBO Therapy for Carbon Monoxide Poisoning ICU perspectives
Symposium on Hyperbaric Oxygen Therapy HBO Therapy for Carbon Monoxide Poisoning ICU perspectives Dr Yan Wing Wa Department of Intensive Care Pamela Youde Nethersole Eastern Hospital 20 November 2012 1
More informationSUMMARY OF PRODUCT CHARACTERISTICS
SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT Lung test gas, CO/C 2 H 2 /CH 4 AGA 0.3%, 0.3%, 0.3% medicinal gas, compressed 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Carbon monoxide
More informationElements for a public summary
VI.2 VI.2.1 Elements for a public summary Overview of disease epidemiology Prostate gland enlargement is a common condition as men get older. Also called benign prostatic hyperplasia (BPH) and prostatic
More information1 P a g e. Moving & Handling Procedure. Title: Reference No: Procedure 01. Assistant Chief Officer. Ian Plummer, Health & Safety Manager
Title: Moving & Handling Procedure Reference No: Procedure 01 Owner: Author Assistant Chief Officer Ian Plummer, Health & Safety Manager First Issued On: Latest Issue Date: August 2016 Operational Date:
More informationCONTACT INFORMATION FORM
Phone 425-644-7999 Address: 2005 152 nd Ave NE Redmond, WA 98052 wahyperbarics@gmail.com Client Name Date of Birth Diagnosis Patient s Address CONTACT INFORMATION FORM Home phone Mobile Phone Work Phone
More informationLondon Respiratory Team
London Respiratory Team By email 28 March 2012 Ambulatory Oxygen for London This guide has been produced to help healthcare maximise the benefit of the new oxygen contract for patients and to reduce waste.
More informationAMENDMENTS TO PREVIOUSLY APPROVED RESEARCH 3/01/2016
DUKE UNIVERSITY HEALTH SYSTEM Human Research Protection Program AMENDMENTS TO PREVIOUSLY APPROVED RESEARCH 3/01/2016 The Duke University Health System Institutional Review Board (DUHS IRB) requires that
More informationSolutions for transcutaneous monitoring
Solutions for transcutaneous monitoring About Radiometer Radiometer is a leading provider of technologically advanced acute care solutions that simplify and automate all phases of acute care testing. By
More informationOXYGEN FOR ADULTS IN ACUTE CARE
PATIENT GROUP DIRECTION FOR THE ADMINISTRATION OF OXYGEN FOR ADULTS IN ACUTE CARE ALL CLINICAL DIVISIONS ADULT CARE STATEMENT The staff indicated in Staff Group may administer oxygen in the two detailed
More informationWorking safely under pressure: Field experience in occupational medicine
Working safely under pressure: Field experience in occupational medicine Dr. med. Claudia Pletscher Suva, Department of Occupational Medicine Head of Preventative Occupational Medicine Sector Agenda Introduction
More informationCONFLICT OF INTEREST POLICY
Page 1 of 9 Version V01 10 December 2015 Page 2 of 9 Conflict of Interest Policy Version 01 Short description Relevant to Authority Responsible Unit/Department Policy on conflict of interests for IRB Barcelona
More information