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Photo credit: François Gamache Canadian Undersea & Hyperbaric Medical Association NOVEMBER 2-4, 2018 Annual Scientific Meeting Hôtel Palace Royal, Québec (Québec) NOV 2 HETS Pre-course Welcome Reception NOV 3 Main Conference Awards Banquet & Presentation Program Brochure NOV 4 Main Conference

CONFERENCE DESCRIPTION The Canadian Undersea and Hyperbaric Medical Association (CUHMA) is pleased to present their annual scientific meeting from November 2-4, 2018 in Québec, QC. This three-day conference is primarily designed for health care professionals working in the field of diving and hyperbaric medicine, but divers, dive medics and other medical personnel are welcome to attend. The conference offers a hyperbaric emergency team simulation (HETS) pre -course, followed by the main conference. Each day consists of presentations on current treatment strategies, collaborative research, case studies and improved safety in the field. OVERALL LEARNING OBJECTIVES By the end of this program, participants will be able to apply the most current scientific and clinically-based evidence available to their hyperbaric and diving medicine practices in their home cities; and collaborate with a network of professionals in diving and hyperbaric medicine across the country to advance future research in the field. ACCREDITATION (Main conference) This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by the University of Ottawa s Office of Continuing Professional Development. You may claim a maximum of 13.25 hours (credits are automatically calculated). This one-credit-per-hour Group Learning program meets the certification criteria of the College of Family Physicians of Canada and has been certified by the University of Ottawa s Office of Continuing Professional Development for up to 13.25 Mainpro+ credits. The National Board of Diving & Hyperbaric Medical Technology has approved the 2018 CUHMA Scientific Meeting for 14 category "A" credits. PLANNING COMMITTEE Special thanks to the following committee members who participated in the planning of this event: Dr. Debbie Pestell Dr. Neal Pollock Dr. Dominique Buteau Mr. Jocelyn Boisvert Mr. Robert Parson Dr. Afshin Khazei (HETS Course) Conference Registration Fees (fees are in CAD) REGISTRATION Register online: click here Early Bird Online Rate On or before Sept. 14 Regular Online Rate After Sept. 14 Onsite Rate At the conference CUHMA Member Non-Member CUHMA Member Non-Member All BOTH DAYS - MD/PhD Rate $495 $550 $595 $650 $650 BOTH DAYS - Associate Rate $290 $350 $390 $450 $450 ONE DAY - MD/PhD Rate $350 $400 $400 $450 $450 ONE DAY - Associate Rate $200 $250 $250 $300 $300 Welcome Reception One ticket is included in the registration fee. Guest tickets are $20. Awards Banquet & All banquet tickets are $65 each. HETS Pre-Course Please see HETS Pre-course brochure for registration fees. Cancellation Policy: Refunds less $75 administrative charge will be issued if received in writing by September 14, 2018. No refunds will be issued after that date.

THURS NOV 1 PROGRAM AT A GLANCE CUHMA BOARD OF DIRECTORS MEETING *By invitation only 775 avenue Honoré-Mercier 18:30-22:00 CUHMA Board of Directors Meeting FRI NOV 2 PROGRAM AT A GLANCE CHT Exam *Separate registration required 775 avenue Honoré-Mercier 13:00-16:00 CHT Exam HYPERBARIC EMERGENCY TEAM SIMULATION (HETS) PRE-COURSE *Separate registration required Hôtel Dieu de Lévis Hyperbaric Unit 08:00 Shuttle departs from Hôtel Palace Royal en route to Hôtel Dieu de Lévis Hyperbaric Unit 09:00 Registration & Coffee/Muffins 09:15 Welcome & Introductions 09:30 Teamwork: Optimizing Team Dynamics to Optimize Patient Outcomes in Crisis Situations 09:50 Simulated Hyperbaric Emergencies Small interprofessional groups rotate through all stations: Seizure, hypoglycemia, Cardiac Arrest, Tension pneumothorax, Fire and other surprise events 12:30 Lunch (provided) 13:15 Simulated Hyperbaric Emergencies (continued) 16:30 Evaluations & Closing Remarks 16:45 Shuttle departs from Hôtel Dieu de Lévis Hyperbaric Unit en route to Hôtel Palace Royal 18:30-21:30 Welcome Reception Hôtel Palace Royal (Light hors d oeuvres will be served) ACCREDITATION (HETS Course) The National Board of Diving & Hyperbaric Medical Technology has approved the 2018 CUHMA Scientific Meeting for 7.5 category "A" credits. This event is an Accredited Group Learning Activity (Section 3) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by the University of British Columbia, Office of Continuing Professional Development. You may claim a maximum of 22.5 hours. ACCOMMODATIONS The official conference hotel is the Hôtel Palace Royal, located at 775 avenue Honoré-Mercier in Québec. For reservations: Click here or call 1-800-567-5276 and mention group code 4551549. Group rates start at $139/night and will be available until October 1. Book early to avoid disappointment!

SAT NOV 3 PROGRAM AT A GLANCE Hôtel Palace Royal 775 avenue Honoré-Mercier, Hall: Salle Bal 1 07:00 Registration (breakfast not included) 08:00 Welcome to CUHMA, Québec city Dr. Dominique Buteau 08:05 Opening Remarks: Welcome from the President of CUHMA Dr. Debbie Pestell 08:15 Field investigations of diver deaths Outline the flow of an investigation Describe general patterns of diver deaths Follow each part of a field investigation Define chain of custody Describe preservation of evidence in the field for later examination 09:15 Diving accidents: case studies Expand their ability to quickly interpret information in a manner similar to patient presentations through the use of an interactive format Discuss current investigative, diagnostic and treatment modalities for diving casualties 10:00 Refreshment Break & Networking with Exhibitors 10:30 Tumor radiation sensitization with HBO therapy Explain the factors affecting the response of cancer cells to radiation treatment Summarize the available scientific evidence on the potential benefits of HBO therapy as a tumor radiation sensitizer Describe the current research in tumor radiation sensitization with hyperbaric oxygen 11:15 Patients with cardiac issues and HBO therapy Summarize the hemodynamic repercussions associated with hyperbaric treatment Be able to better assess at-risk patients Describe the necessary investigations and the required supervision 12:00 Lunch (provided) & Networking with Exhibitors / CUHMA AGM 13:00 Postmortem examination of diver deaths Define goals of a forensic autopsy Denote limits of autopsy Outline autopsy procedures for divers Discuss interpretation of specific findings including pulmonary edema and gas bubbles in vessels 13:45 Knowledge gaps in the diving community Discuss common knowledge gaps in the diving community concerning decompression stress Describe common knowledge gaps related to oxygen toxicity Summarize issues related to develop and recognition of immersion pulmonary edema 14:30 Refreshment Break & Networking with Exhibitors 15:00 Vascular assessment of chronic wounds: what are the pitfalls? Outline the importance of vascular assessment in patients with chronic wounds Describe the strengths and limitations of the different diagnostic modalities in the vascular assessment of chronic wounds Identify common pitfalls in chronic wound care assessment Dr. Craig Nelson Dr. Debbie Pestell Mr. Dick Clarke Dr. Marie-Kristelle Ross Dr. Craig Nelson Dr. Neal Pollock Dr. David Trépanier

SAT NOV 3 PROGRAM AT A GLANCE 15:45 Offloading of lower limb chronic wounds: its importance and how to achieve it Describe the biomechanical factors involved in lower limb chronic wounds Explain the importance of offloading for the healing process of lower limb chronic wounds Compare the different available offloading modalities 16:15 HBO therapy for chronic refractory osteomyelitis Discuss evidence supporting the use of HBO for treatment of chronic refractory osteomyelitis To select patients with chronic refractory osteomyelitis most likely to benefit from HBO therapy To summarize diagnosis and treatment approach for patients with chronic refractory osteomyelitis 17:00 Day 1 Concludes Dr. Benoît Gagné Dr. Dominique Buteau 19:00 Awards Banquet & After-Dinner Presentation What if s of an extreme urban dive by Ms. Nathalie Lasselin Ms. Nathalie Lasselin Underwater cinematographer Awards Banquet & After-DinnerPresentation Saturday, November 3 at 7pm SUN NOV 4 PROGRAM AT A GLANCE Hôtel Palace Royal 775 avenue Honoré-Mercier, Hall: Salle Bal 1 07:30 Registration (breakfast not provided) 08:00 Opening Remarks Dr. Debbie Pestell 08:10 Diving fatalities in Québec, a 30-year review Discuss the legislate oversight of diving in Quebec Describe common factors associated with fatal diving accidents in Quebec List strategies to reduce the risk of diving accidents 09:00 Diving and hyperbaric case studies Expand their ability to quickly interpret information in a manner similar to patient presentations through the use of an interactive format Discuss current investigative, diagnostic and treatment modalities for patients requiring hyperbaric oxygen therapy 10:00 Refreshment Break & Networking with Exhibitors 10:30 The many faces of scientific diving Describe the particular aspects of scientific diving Summarize the current standard of practice for scientific diving Discuss the risks encountered by scientific divers Dr. Neal Pollock & Dr. Dominique Buteau Dr. Dominique Buteau & Dr. Joanne Provencher Mr. Paul Boissinot

SUN NOV 4 PROGRAM AT A GLANCE 11:15 Balancing training and maintenance with patient needs Discuss how to manage hyperbaric training with daily hyperbaric treatments Describe how to integrate emergency simulations into daily hyperbaric activities Summarize how to plan maintenance without compromising elective and emergency treatment capability 12:00 Lunch (provided) & Networking with Exhibitors 13:00 Submarine escape and rescue Describe factors that would lead to the decision to escape from a DISSUB or wait for rescue List types of medical conditions most frequently see in survivors of submarine accidents Explain the role of ISMERLO in co-ordinating world-wide rescue efforts for a DISSUB 14:00 Computer algorithm development for the DCIEM dive tables Describe the history and nature of the DCIEM tables Discuss key challenges to overcome in converting a flat table into a mathematical algorithm required for implementation in a modern diving computer 14:30 Refreshment Break & Networking with Exhibitors 15:00 Can cell and tissue therapies synergize with HBO therapy? Discuss the nature of murine models used for skin wound assessment of cell and HBO therapies Describe the impact of HBO and cell therapies on the kinetics of wound closure Summarize critical strengths and weaknesses of murine models 15:45 Radiation cystitis and HBO therapy Describe the rationale of HBO treatment for radiation cystitis Discuss the outcome patterns of patients with radiation cystitis treated with HBO 16:15 Prevention and control of infectious diseases in the hyperbaric environment Outline the importance of hand hygiene for the prevention of infections in the hyperbaric environment Identify which disinfection procedures are effective and safe in the hyperbaric environment and the challenges encountered in this particular setting Describe strategies for the management of patients with infectious diseases in the hyperbaric chamber Mr. Jocelyn Boisvert Dr. Debbie Pestell Mr. Connor Vandenberg Dr. Julie Fradette Dr. Samuel Bergeron Dr. Sarah Masson-Roy 16:45 Closing Remarks & Evaluation Dr. Debbie Pestell Program subject to changes.