Program in Beautiful Costa Rica

Costa Rica is a beautiful country located between Panama and Nicaragua with the Caribbean Sea on the East and the Pacific Ocean on the West. Course location is in Liberia, Guanacaste. Dick Rutkowski's Hyperbaric Facility is forty minutes away from the beautiful host hotel, Best Western Las Espuelas in Cuanjiniquil. Las Espuelas Hotel is situated in the heart of Guanacaste, a tourist zone known for excellence and tradition, the cradle of the folk fore of Costa Rica. Passport required (without visa)

Course Description and Objective

This five-day course is designed primarily for physicians, emergency medical personnel, paramedics and nurses, but instructors, dive masters and other non-medical dive related personnel might also find the course of value.

The goals of the course are: to provide the facts relevant to understanding the management of diving accidents, especially those bearing on the basics of physics and physiology, and the subsequent treatment methods available; to provide an opportunity for clinicians to update their knowledge and skills in medical management aspects, and; to allow a forum for discussion of diving related medical management problems.

Through lectures, case presentations, video tapes, printed support materials, and both formal and informal question and answer sessions, attendees will learn:

History of the Undersea Medical Society
Various Methods of Delivering Oxygen to Diving and Clinical Patients with an Overview of Hyperbaric Chambers and Calculation of Pressure in a Hyperbaric Chamber Environment
How Gases are Pertinent to the Field of Diving and Hyperbaric Chamber Medicine
Information Regarding Effects of Pressure Changes on Various Body Structures
The Early Recognition, Stabilization, First Aid, Evacuation Procedures and Importance of Oxygen for Diving Accidents
Central Nervous System Oxygen Toxicity
Pulmonary Oxygen Toxicity
Various Physiological Considerations found in the Development of Decompression Sickness
Common Medications, Fluids and Drugs in the Treatment of Divers
Physical Fitness for Diving
Physical Implications of Carbon Dioxide
Chamber Life Support Systems
Chamber Fire Safety
Oxygen Safety Considerations

Credit Statement

The Undersea and Hyperbaric Medical Society designates this educational activity for 24 credit hours in Category 1 of the Physician's Recognition Award of the American Medical Association.

Faculty

Dick Rutkowski, Course Director
President, Hyperbarics International, Inc.

Speakers: Other noted speakers as required

Disclosure Statement

All faculty participating in continuing medical education programs sponsored by the Undersea and Hyperbaric Medical Society are expected to disclose to the program audience any real or apparent conflict(s) od interest related to the content of the content of their presentation(s). Full disclosure of faculty relationships will be made at the program.

Responsibility and Liability

A valid U.S. passport for each member is strongly encouraged as immigration requirements vary greatly. Hyperbarics International, Inc. is not responsible if other identification is used.

Baggage and personal effects are "at owner's risk" throughout the trip unless insured. Baggage insurance is strongly recommended.

Hyperbarics International, Inc. assumes no liability or responsibility for the diving program. Each diver is responsible for his/her own safety and does not hereby hold the aforementioned harmless from and against any and all claims and damages of every kind for injury to, or death of, any person or persons and for damages to or loss of property which arises as a result of the negligent acts of the diving service and the equipment supplied by them. Consent to the above conditions will be indicated by payment and participation in the diving program. The Course Director reserves the right to reject applicants for any reason.

Fees, Cancellations and Refunds

In the event that sufficient persons are not secured for the course, the right is reserved to cancel the operation of this trip. The refund of the course or diving fee monies will release Hyperbarics International, Inc. from any further obligation. Hyperbarics International, Inc. is not responsible for any travel or intinerary change fees assessed by airlines or travel agents.

Course registration fee is $550. Fees includes textbooks and all materials including CME's Social activities are not included, but arrangements for such activities can be made with IIDEXO.

A $50.00 administration fee prevails for all cancellations.

Course Dates

Apr. 26-30, 2004	May 24-28, 2004	June 21-25, 2004
July 26-30, 2004	Aug. 23-27, 2004	Sept. NONE
Oct. 25-29. 2004	Nov. 22-26, 2004	Dec. NONE

Time	Topic	Faculty	Duration
	Day 1
8:00 - 8:30	Welcome/Introduction	D. Rutkowski	30 min.
8:30 - 9:00	Introduction to Hyperbaric Chambers: Multi, Dual, and Mono Place	D. Rutkowski	30 min.
9:00 - 9:45	Calculation of Pressure in HBO Environment	D. Rutkowski	45 min.
9:45 - 10:00	BREAK	D. Rutkowski	90 min.
10:00 - 11:30	Mathematical Formulas of Dalton's Law
	Day 2
8:00 - 9:00	Homework Review	D. Rutkowski	60 min.
9:00 - 10:30	Oxygen Life Support Limits (Operational/Therapeutic)	D. Rutkowski	90 min
10:30 - 10:45	BREAK
10:45 - 12:00	Central Nervous System Oxygen Toxicity (CNS O2 Toxicity)	D. Rutkowski	75 min.
12:00 - 1:00	LUNCH
1:00 - 2:30	Pulmonary Oxygen Toxicity	D. Rutkowski	90 min.
2:30 - 2:45	BREAK
2:45 -5:00	Practical Use of Hyperbaric Chambers	D. Rutkowski	135 min.
	Day 3
8:00 - 8:45	Homework Review	D. Rutkowski	45 min.
8:45 -10:00	Decompression Sickness	D. Rutkowski/J. Lowenhurz, M.D.	75 min.
10:00 - 10:15	BREAK
10:15 - 12:00	Factors that Contribute to DCS	D. Rutkowski/J. Lowenhurz, M.D.	105 min.
12:00 - 1:30	Medications for Field and Hyperbaric Treatment of DCS	J. Lowenhurz, M.D.	90 min.
	Day 4
8:00 - 8:45	Homework Review	D. Rutkowski	45 min.
8:45 - 10:00	Physiological and Operational Implications of Carbon Dioxide	D. Rutkowski/J. Lowenhurz, M.D.	75 min.
10:00 - 10:15	BREAK
10:15 - 11:45	Chamber Life Support Duration Without Venting Before Physiology Becomes Life Threatening	D. Rutkowski	90 min.
11:45 - 1:45	Nitrox vs. Heliox Therapy Gas Mixtures	D. Rutkowski	120 min.
	Day 5
8:00 - 8:30	Homework Review	D. Rutkowski	30 min.
8:00 - 9:45	Decompression of Observers from Air or Oxygen Treatment Tables	D. Rutkowski	75 min.
9:45 - 10:00	BREAK
10:00 - 11:30	Treatment Tables and Viable Treatment Table Options for DMOs	D. Rutkowski/J. Lowenhurz, M.D.	90 min.

Day 1 - 3.25 hrs
Day 2 - 7.5 hrs.
Day 3 - 5.25 hrs
Day 4 - 5.5 hrs
Day 5 - 3.25 hrs

Total - 24.75
24 CMEs for Physicians

Hyperbarics International, Inc.

Located at: Liberia, Guanacaste, Costa Rica
Contact in the U.S.:
Dick Rutkowski
Hyperbarics International, Inc.
Key Largo, Florida
1-888-451-2551