A European code of good practice for hyperbaric oxygen by Working Group Safety of the COST Action B 14 Hyperbaric

By Working Group Safety of the COST Action B 14 Hyperbaric Oxygen Therapy

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The number of persons integrating the full staff will be enough to provide in any case at least the following persons and professions for every session of hyperbaric treatment. A) Multiplace chambers facility. 1 Medical Director 1-3 Physicians / Medical Doctors 1 Nurse 1 Chamber Operator B) Monoplace chambers facility. 1 Medical Director 1 Nurse or attendant The dedication and functions of each one will be developed as explained above. Other types of staff will be included optionally according to the special characteristics of each centre and their needs.

If not the same individual, both could attend if appropriate. The EDTC and ECHM representatives of each country should nominate a national co-ordinator of teaching programmes, who could be the joint subcommittee member himself or who could delegate for that purpose (for instance to the national health and safety authority or any representative scientific body covering all aspects of May 2004 33 A EUROPEAN CODE OF GOOD PRACTICE FOR HBO THERAPY Annex 1 hyperbaric medicine). The national co-ordinator will have the duty to supervise the national programs, the certification procedures and the status of the course directors.

If different gas are Treatment failure, incorrect simultaneously used patient statistic, treatment evaluation etc Reuse of old hoods Rupture of the hood, risk of fire, interruption of treatment Not suitable for high Lack of suction pressure, Rupture of Glass/plastic Not suitable for high Inefficient patient pressure ventilation Not suitable for high False volume delivery pressure X X X 2, 6 X X X 6 X X X 6 X X X 6 X X X X 3 X 6 X 6 X 3, 6 X 3, 4, 6 58 A EUROPEAN CODE OF GOOD PRACTICE FOR HBO THERAPY Infusions TcPO2 EKG Blood pressure Unsuitable for overpressure No or false readings under hyperoxia No or false readings under pressure No or false readings under pressure Annex 3 Rupture, air insufflations in X the patient’s vein False wound evaluation of X TcPO2 Misinterpretation of results X Misinterpretation of results 3, 4, 6 4, 6 4, 6 X 4, 6 g) Use by unskilled/untrained personnel Items Hazard/Type of error Chamber Overpressure, prolonged exposure Compression Fast compression or rate decompression IV lines Introduction of air bubbles in the iv line Harm/Consequences P A O Oxygen toxicity DCI Barotrauma X X Cross Ref.

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