From the Chair - ACEP15 Recap
Thanks to everyone who participated in a great ACEP Undersea & Hyperbaric Section meeting this past fall. We had lively participation from section members and discussed a number of timely issues. Setting section goals for the upcoming year headlined the meeting and agreed objectives include: (1) updating contact information for fellowship programs on the Section microsite, (2) improving the Section microsite appearance and content, (3) more frequent newsletter publication, and (4) increasing involvement from the Section membership throughout the year.Read More »
ACEP Clinical Policy on Carbon Monoxide Poisoning
As you likely already know, ACEP just released a draft of the new clinical policy on management of carbon monoxide poisoning. The draft was emailed to you for review from both the Section listserv and by ACEP. Everyone is welcomed and encouraged to submit their views to ACEP through the web based form. However, I also believe that it is important that we initiate a discussion via the UHM Section listserv and plan to draft a formal comment letter on behalf of the UHM Section membership. Additionally, we will set up a conference call or video conference once people have a chance to digest the material. This will be scheduled for April in order to ensure enough time to meet the May 7th comment deadline.Read More »
Case Report of Iatrogenic Pneumorrhachis Treated with Hyperbaric Oxygen Therapy
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A 29 year old female experienced sudden bilateral lower extremity numbness and weakness during an attempt at a blood patch for a post lumbar puncture headache. A CT of the spine demonstrated significant spinal canal gas with mass effect. The patient was transferred from an outside hospital for consideration of hyperbaric oxygen therapy. With measurable deficits on exam, the patient was treated with a USN Treatment Table 6 with improvement of her symptoms. Repeat imaging demonstrated resolution of air in the spinal canal.
Pneumorrhachis is a rare presentation characterized by air in the spinal canal. It can occur from a multitude of etiologies including trauma, iatrogenic, or non-traumatic causes. Common iatrogenic causes occur during surgery, anesthesia, and diagnostic tests. Non-traumatic causes include vertebral degeneration, malignancy, radiotherapy, and gas producing infections. Pneumorrhachis is classified as internal (air with the subdural or subarachnoid space) and external (intraspinal or epidural air). Internal pneumorrhachis can be concerning for a severe underlying injury.
Diving Medicine eConference Spring 2016
This year, there have been great diving medicine eConferences. Thanks to all the fellows who have presented and to the faculty across the country for sharing your knowledge and experience.Read More »
There are just a few conferences left for this academic year. The dates for the remaining 2015-2016 academic year eConferences are:
April 5th- Hennepin
May 3rd- LSU
June 7th- TBA
2016 is Here!! Let’s Get Started!!
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Tracy Leigh LeGros, MD, PhD, FACEP, FUHM
There is so much to do, and so much to read!! I hope to see all of you, at one of these conferences or elsewhere. Remember, we should all do our part to promote our chosen subspecialty in any venue we can. That may be at ACEP, or a regional meeting, or another specialty conference. I surely hope to see all of you in Las Vegas in October!! It will be great fun. Thanks.
ACEP UHM Section is coming to UHMS!
We’ve obtained approval to hold an ACEP UHM Section meeting at the upcoming UHMS Scientific Assembly this June in Las Vegas. Please plan to attend this meeting if you will be at UHMS this summer. This gives us the opportunity to get together in person one extra time during the year. We hope to continue moving the Section forward as there were a number of items we didn’t have time to discuss at the ACEP meeting. This new meeting will also promote our Section within the UHMS and help foster even more collaboration for years to come. We will email the listserv once we have a date and time for this meeting.Read More »