64th Diving and Hyperbaric Medicine Course - Divers Alert Network

DIVERS ALERT NETWORK
64th Diving and
Hyperbaric Medicine Course
October 25 – November 1, 2008
Plaza Resort
Bonaire, N.A.
Jointly sponsored by the
Undersea and Hyperbaric Medical Society

COURSE DESCRIPTION and OBJECTIVES
This six-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 basic physics and physiology, and the subsequent treatment
methods available; provide an opportunity for DAN Preferred Provider Network and referral 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, printed support materials, and both formal and informal
question and answer sessions with the faculty, it is anticipated that at the end of this course
attendees should be able to discuss and clinically apply facts relevant to:
• the diagnosis and treatment of diving related medical disorders including decompression
illness (DCI), ear and sinus barotraumas, narcosis and high pressure nervous syndrome
(HPNS), and marine animal injuries;
• the emerging concepts and research relevant to the diagnosis, prevention and treatment
of the long-term neurological consequences of diving;
• the most common causes of recreational diving fatalities;
• the strategies used by physicians to determine fitness to dive for recreational diving
candidates;
• case histories from the faculty files and the DAN database, as well as research currently
being conducted in diving;
The course participants should also enhance their technical information on:
• the history of diving practices; hyperbaric chambers – classes A – C and their respective
uses;
• technical diving/commercial saturation diving, dive computers and bubble theory,
equipment, re-breathers and loss of consciousness in diving;
• carbon monoxide intoxication and iatrogenic gas embolism;
• wilderness medicine to include medical kits, common emergencies, trip preparation and
safe evacuation;
This course will also review recent scientific research in hyperbaric medicine including:
• established and emerging indications for hyperbaric oxygen treatment for diving and
wound care;
• the molecular mechanisms of hyperbaric oxygen;
• hyperbaric oxygen off-label applications;
In addition, this course will go beyond the usual dive medicine topics to discuss challenges to
human physiology posed by venturing into in austere environments including:
• human physiology involved in the emerging sport of breath-hold diving;
• physiological barriers of diving;
All of the above concepts will be reinforced by case reports from the DAN Medical Services Call
Center Quality Assurance archives (MSCC), examples from ongoing research at The Duke

University Medical Center for Hyperbaric Medicine and Environmental Physiology, and, from
the personal experience of the faculty whenever possible. All sessions will provide excellent
opportunity for faculty - participant interaction.
ACCREDITATION
This activity has been planned and implemented in accordance with the Essential Areas and Policies
of the Accreditation Council for Continuing Medical Education (ACCME) through the joint
sponsorship of the Undersea & Hyperbaric Medical Society (UHMS) and the Divers Alert Network
(DAN). The UHMS is accredited by the ACCME to provide continuing medical education for
physicians.
CREDIT DESIGNATION
The Undersea and Hyperbaric Medical Society (UHMS) designates this educational activity for a
maximum of 24 AMA PRA Category 1 credit(s) TM . Physicians should only claim credit
commensurate with the extent of their participation in the activity.
DISCLAIMER
The information provided at this CME activity is for continuing medical education purposes only
and is not meant to substitute for the independent medical judgment of a physician relative to
diagnostic and treatment options of a specific patient’s medical condition.
DISCLOSURE
The following individuals have disclosed that they have no relevant financial relationships with
commercial interests:
Dr. Peter Bennett – Course Faculty
Dr. James Caruso – Course Faculty
Cindi Easterling – Course Planner
Dr. John Freiberger – Course Faculty and Planner
Dr. Holm – Course Faculty
Dr. Conard, curse faculty, has disclosed that his presentations will include discussion of
commercial products or services, but he has no relevant financial relationship with these
commercial interests.
This activity has received no commercial support.
SPECIAL NEEDS STATEMENT
The Divers Alert Network is committed to making its activities accessible to all individuals. If
you are in need of an accommodation, please do not hesitate to call and/or submit a description
of your needs in writing in order to receive service.
FACULTY

PETER B. BENNETT, PhD, DSc – Executive Director, Undersea and Hyperbaric Medical Society;
Founder and Past President, Divers Alert Network; Chairman Emeritus, International DAN; Emeritis
Professor, Anesthesiology, Duke University Medical Center, Durham, NC
CAPT. JAMES L. CARUSO, MD – Regional Armed Forces Medical Examiner-Pacific; Director for
Clinical Support Services, and Undersea Medical Officer, U.S. Naval Hospital, Okinawa, Japan.
JONATHAN L. CONARD, DO, FACOEP – Attending Emergency Department Physician; Attending
Wound Care and Hyperbaric Physician, Duke Raleigh Hospital, Raleigh, NC
JOHN J. FREIBERGER, MD, MPH – Course Director; Assistant Medical Director, Divers Alert
Network; Assistant Professor, Anesthesiology, Duke University Medical Center, Durham, NC
JAMES R. HOLM, M.D., FACEP – Full-time Faculty, Department of Medicine, Intermountain
Health Care; Faculty – Hyperbaric Medicine Department, LDS Hospital and Intermountain Health Care,
Salt Lake City, UT
COURSE COORDINATOR - Cindi Easterling, MEd; Vice President of CME & Special Services,
Divers Alert Network, Durham, NC
PROGRAM
Sunday, October 26 th
07:30 Registration and Welcome
07:50 Introduction to the Course Freiberger
08:00 Diving History, Physiological Barriers and Divers Alert Network – Part 1 Bennett
09:00 Diving History, Physiological Barriers and Divers Alert Network – Part 2 Bennett
10:00 DCI 1 – Mechanisms and Diagnosis Freiberger
11:00 DCI 2 – Treatment and New Developments Freiberger
11:45 Introduction to Diving Toucan Divers
12:00 Lunch
Afternoon 2-Tank Diving
Monday, October 27 th
0800 Dive Computers and Bubble Theory Caruso
09:00 Commercial Diving Overview Conard
10:00 Deep Diving Limits and HPNS Bennett
11:00 Ear and Sinus Barotrauma Holm
12:00 Lunch
Afternoon 2-Tank Diving
Tuesday, October 28 th
08:00 Diving Equipment Use and Mis-Use/Problems Associated with

Technical/Mixed Gas Diving Conard
09:00 Technical Diving – Open Circuit Through Rebreathers Conard
10:00 Medical Fitness to Dive Caruso
11:00 Long Term Neurological Complications of Diving Bennett
12:00 Lunch
Afternoon 2-Tank Diving
Wednesday, October 29 th
08:00 Introduction to HBO – A case based review Freiberger
09:00 Advances in Wound Care and HBO Therapy Holm
10:00 Introduction to Hyperbaric Chambers and Clinical HBO Therapy Holm
11:00 Introduction to the Basic Science of HBO Mechanisms Freiberger
12:00 Lunch
Afternoon free; 1 – tank night dive
Thursday, October 30 th
08:00 Wilderness Medicine – 1 (Medical kits, Submersion) Conard
09:00 Carbon Monoxide Intoxication Holm
10:00 Fatality CSI Caruso
11:00 Dangerous Marine Animals Caruso
12:00 Lunch
Afternoon 2-Tank Diving
Friday, October 31 st
Morning 2 – Tank Diving
1:30 PM Wilderness Medicine – 2 (Common emergencies, Trip Preperation,
Safe Evacuations)
Conard
2:30 Iatrogenic Gas Embolism Holm
3:30 Case Histories Bennett, Freiberger
4:30 Post Quiz, Critique and Course Evaluation Conard,Bennett
5:30 Adjourn
6:00 Farewell Reception
COURSE ENROLLMENT
Early enrollment is encouraged according to the following schedule:
• Make checks payable to DAN CME

• $650./person for DAN-Plaza Resort package guests sent with registration form prior to August 31,
2008. After August 31st, course fee increases to $750./person.
Includes: Course materials, CME credit, special shirt, and 2 special receptions
• $850. /person course fee for those not staying in the DAN-Plaza Resort package.
• Full course payment is due with hotel deposit.
CANCELLATION 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 and the refund of course or diving fee monies will release Divers Alert Network of any
further obligation. The Divers Alert Network is not responsible for any cancellation or travel itinerary
change fees assessed by airlines or travel agents.
Hotel and course cancellations are handled directly through DAN Continuing Medical Education, under the
following guides:
Course payments will not be refunded for cancellation made after September 20, 2008 or in the event of
non-notification of cancellation prior to the start of the Course.
A $100.00 administrative fee prevails for all cancellations.
RESPONSIBILITY AND LIABILITY
A valid US passport for each group member is strongly encouraged as immigration requirements vary
greatly. DAN 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.
The Divers Alert Network is acting as an agent for suppliers selling services, and are therefore not
responsible for any intentional or careless actions or omissions on the part of such suppliers which result in
any loss, damage, delay or injury to you or your travel companions or group members.
The Divers Alert Network assumes no liability or responsibility for the diving program. Each diver is
responsible for his/her own safety and does 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.
FOR FURTHER COURSE OR HOTEL INFORMATION
DAN Continuing Medical Education (CME), 6 W. Colony Place, Durham, NC 27705 Telephone: (919)
684-2948 or (800) 446-2671 ext 610; FAX: (919) 493-3456. E-mail: ceasterling@dan.duke.edu

LOCATION
The course/hotel location and diving operation, managed by Toucan Divers, will be the Plaza
Resort Bonaire. This is a luxury oceanfront resort of 200 spacious suites and villas, located on
the ocean, lagoon or pool. The accommodations are air-conditioned and each is equipped with
cable TV, a mini-fridge telephone, safe, and either a patio or balcony.
The resort has its own white-sand beach with both a dive and snorkel site just off shore. There is
a large swimming pool and sunning area as well as activities hut, sailing center, beach volleyball
court and Coconut Crash bar serving refreshing cocktails and lighter fare through the day along
with a nightly happy hour and a weekly BBQ night. Breakfast is a delicious buffet and for lunch
and dinner, the Banana Tree Restaurant and the Tipsy Seagull Restaurant & Bar will meet your
needs.
Toucan Diving operates with Island Hopper dive boats. All boats are equipped with oxygen,
medic first-aid kits, fresh water and VHF radio, and each carries a maximum of 14 divers. An
additional larger boat is also available if needed. 32% Nitrox is available at no charge to Nitrox
certified divers. Dive rental gear is available but advance notice of equipment is needed. A
computer rent-to-own program is also available.
HOTEL/DIVING PACKAGE

Reservations can only be made by using the attached package and course reservation form. Make
reservations by August 1st to hold space in the hotel; after that time rooms will be space available only.
A $ 750./person hotel deposit is required at the time of reservation to hold your space. Balance of hotel
must be paid by September 1st to confirm hotel reservation.
Hotel reservation cancellations will follow these policies:
• No show or no advance cancellation – Non-refundable
• After August 20 th – 3 nights/room penalty
Standard Suite
Grand Suite - Ocean View
Diver: Double $2,620./2 persons $2,806./2 persons
Single $2,002./person $2,039./person
Diver + Non-diver $2,315./2 persons $2,469./2 persons
Non-Diver: Double $2,010./2 persons $2,132./2 persons
Single $1,545./person $1,732./person
Includes:
* 7 night hotel accommodations
* All hotel taxes and service charges
* Roundtrip airport transfers
* Baggage handling
* Daily maid service
* Special DAN T-shirt
* Daily buffet breakfast
* 2 Special dinners
* 2 Special cocktail parties
Not Included:
• Course Fee
• Bonaire departure tax @ $32/person; payable at airport
• Bonaire security fee @ $1.40/person – payable upon departure at airport
• Marine Park Fee @ $25/diver to be paid on island to Toucan Diving
• Diving gratuities
• Daily lunch
• 5 dinners on your own
The diver rate includes the above plus,
• 5 days of 2 - tank boat dives; 1 tank night dive; unlimited air-fill for shore diving; FREE Nitrox
(32% for certified Nitrox Divers)
Toucan Diving, the diving coordinators, provide the following equipment: Tanks, weights & weightbelts,
guides. Each diver is responsible for: mask, fins, snorkel, buoyancy compensator (BC), regulator,

octopus and other personal equipment. Equipment may be rented through Toucan Diving advance request
is necessary.
The special group diving is only for those in the DAN-Plaza Resort package
TRAVEL ARRANGEMENTS
Horizon Travel, Inc. and H2O Tours are the DAN travel agents of choice, however you may use your
own personal agent or deal directly with airlines that service Bonaire. MAKE YOUR RESERVATIONS
NOW to guarantee lowest fares.
Horizon Travel: FAX (919)846-0647; telephone (800) 672-5737 or (919) 493-8456; e-mail Paul Ducey:
paul@travelxperts.com
H2O Tours: FAX (978)372-7492; telephone (866)480-3483; e-mail Peggy Szoke: peggy@h2otours.net