CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine. 151-MiM25 Diving Emergencies with Vish Rajan
Jul 11, 2025
Explore the fascinating world of hyperbaric medicine and its historical roots. Dive into notable accidents, like the Apollo 1 fire and the Hanover chamber tragedy, revealing systemic failures and human factors that impact safety. Different chamber types and their purposes are discussed, alongside the critical need for training and maintenance. The conversation highlights off-label uses of hyperbaric therapy and emphasizes the importance of communication and strict adherence to safety protocols to prevent future mishaps.
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Regulations Often Follow Tragedy
- Most safety regulations in hyperbarics are reactions to past tragedies and written "in blood."
- Recognizing this link highlights the need to proactively learn from accidents rather than wait for one to occur.
Follow Approved Indications
- Follow established UHMS and FDA indications and avoid off-label hyperbaric use without evidence.
- Do not substitute marketing or convenience for medically justified treatments.
Chamber Type Determines Risk
- Hyperbaric chambers come in monoplace, multiplace and animal classes with different operational risks.
- Choosing the correct chamber class matters for staff access, monitoring, and safety.