Primary Hyperbaric Training

Registration for this event is handled by RegOnline. Please use the link below to proceed to the appropriate registration page(s).

Registration Fee:

$950.00 registration fee for all attendees.

The full fee is payable in advance and includes all course materials. Early registration is advised because of limited enrollment for each course.


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Cancellation Policy

A request must be submitted in writing and faxed to 803-434-4354. Please include the name of the registrant, your contact information, dates of the training course and the method of payment used. Refunds will be issued as follows:

Cancellation Date Refund Amount
21 days prior to course: 100% minus $85.00* fee
14 days prior to course: 50% minus $85.00* fee
Less than 14 days or no show: No Refund
*(includes $50.00 processing fee and $35.00 chargeback fee)

Thank you for your interest in our Hyperbaric Medicine Program. Please contact us at this email address with further questions. We look forward to your attendance.

A room block has been arranged at the Marriott Springhill Suites in the Vista. Special rates starting at $139 - $144 a night are offered to registered attendees, for single or double occupancy. The Marriott Springhill Suites will provide airport transportation and daily transportation to and from the hospital for the days of the training course at no additional cost. Complimentary breakfast will be included per night. Wireless internet and self-parking are also provided at no charge.

It is your responsibility to make hotel reservations by contacting the Marriott Springhill Suites directly at the links below:

For booking info contact the hotel at the following number:
Holly Boozer

Dates for Primary Training in Hyperbaric Medicine *

* Fundamentals in Wound Care follows each Primary Training in Hyperbaric Medicine course.

  • May 13-17, 2019
  • July 15-19, 2019
  • September 9-13, 2019
  • November 11-15, 2019

Download the 2019 Educational Calendar in PDF format

  • Dick Clarke, CHT, President
  • D. Lindsie Cone, MD, Corporate Medical Director
  • Stacy Handley, BSN, ACHRN, CWCN, CHT Vice President
  • Valerie Short, RN, ACHRN, CWCN, CWS, CMBS, FACCWS; Director of Operations & Compliance
  • J. Jeffrey Brown, MD, FACS, General Surgery
  • Harold Friedman, MD, FACS, Plastic and Reconstructive Surgery, USC
  • Gregory Grabowski, MD, Orthopedic Surgery, USC
  • Tamar Wagner, RN, CHT; Unit Safety Director
  • Gregory Barefoot, PA, Emergency Medicine


Physical Aspects of Hyperbaric Medicine

The clinical utilization of alterations in atmospheric pressure dictate that the practitioner comprehend both the beneficial and potentially hazardous aspects of this esoteric environment. Applicable gas laws and their role in hyperbaric medicine will be reviewed.

Mechanisms of Action

Under increased atmosphere pressure, oxygen becomes a potent and dose dependent drug. Six beneficial effects have been identified: hyperoxygenation, vasoconstriction, superoxide radical formation, pressure/volume related effects, neovascularization and antagonism of leukocyte induced reperfusion injury. The scientific elucidation of these mechanisms and their clinical relevance are discussed.

Patient Care

Special emphasis will be placed upon the preparation of the patient for hyperbaric oxygen therapy. The typical emergent referral involves a patient who is incubated, ventilator dependent, with peripheral and central vascular access lines and the possibility of a chest tube. Each of these aspects, as they relate to relative patient isolation and alterations in atmospheric pressure, will be discussed and practiced. Risk factors for hyperbaric oxygen exposure will be clarified and the management of patient complications reviewed in detail.

Oxygen Toxicity

As a gaseous drug, large doses of oxygen can produce undesirable side effects and drug interactions. The central nervous system and lungs are two most commonly effected organs and their response to hyperbaric oxygen will be reviewed in depth. Special emphasis will be placed on the recognition and management of CNS oxygen toxicity.

Monoplace Chamber Operations

Through a cohesive series of clinical training sessions, the prospective hyperbaric team member will learn and participate in all aspects of the monoplace hyperbaric chamber delivery system.  Standard operational protocols will be augmented with ancillary equipment demonstrations and a detailed review of emergency procedures.

Contraindications and Side Effects

Pre-exposure evaluation of risk factors centers around the prevention of pulmonary barotrauma of ascent and the development of a central nervous system oxygen intolerance secondary to high inspired oxygen pressures. The risk-benefit ratio will be discussed, and in the context of the full range of patient states.

Non-pulmonary Barotrauma

Boyle’s law dictates that the volume of a gas is inversely proportional to the pressure exerted upon it.  Specifically, the clinical ramifications of this simple principle as it relates to gas bearing anatomy will be discussed. The effects of pressure changes in the middle ear will be examined in detail, and the technical considerations of needle myringotomy will be detailed.

Carbon Monoxide Poisoning/Smoke Inhalation
-cyanide poisoning

Carbon monoxide is the most common cause of poisoning in the U.S. In its subtle form the diagnosis is easily missed. A new appreciation for the phenomenon of clinical relapse following conventional oxygen therapy and the potential for long term sequelae has reshaped our understanding of this toxic gas. Current concepts in the pathophysiology of the disease are explored and will include the role of hyperbaric oxygen therapy in pregnancy.

Decompression Sickness

This occupational disease of divers, aviators and tunnel workers is no longer limited in presentation to coastal regions and military institutions. Decompression sickness can result from exposure to any body of water deeper than 30 feet. With more divers flying to and from their dive sites, the potential for illness must be considered, regardless of geographic location. Differential diagnosis, on-site management, evacuation protocols and definitive therapy will be discussed, as will the capabilities of the monoplace chamber.

Cerebral Arterial Gas Embolism

A major life-threatening event, cerebral arterial gas embolization can occur during decompression (in divers and aviators), traumatically in penetrating chest injuries and, most commonly, in the clinical setting secondary to invasive diagnostic, monitoring,  or therapeutic procedures. Presentation, differential diagnosis and management guidelines will be reviewed.

Crush Injuries/Compartment Syndrome
— other acute ischemias

In an earlier report, it was found that when hyperbaric oxygen therapy was used to arrest the progression of a skeletal compartment syndrome, the cost of management was one-fourth that of surgically treated compartment syndromes. While not proposed in severe cases, the use of HBO in compartment syndrome in selected cases is based on its ability to down-regulate leukocyte receptor sites, decrease tissue edema, hyperoxygenate tissue and overcome diffusion barriers. Evidence for its role in the management of crush injuries is reviewed in detail.

Gas Gangrene
(clostridial and nonclostridial)
— necrotizing soft tissue infections

Anaerobic infections are among the most challenging infectious disease problems. Optimum management in many instances mandates a combined therapeutic regimen using antibiotics and surgery in combination with hyperbaric oxygen. There is a growing body of evidence to indicate that HBO provides a number of benefits, which include detoxification of the patient, enhanced white cell activity,  a synergistic enhancement of selected antibiotics, and improved wound healing.

Acute Thermal Burns

The therapy of burns is directed a minimizing edema, preserving marginally viable tissue, enhancing host defenses and promoting wound closure. Adjunctive hyperbaric oxygen can attack all of these problems directly through a combination of mechanisms. Basic research, controlled clinical studies and cost impact will be reviewed.

Radiation Tissue Damage

It was the consensus of the 1990 National Cancer Institute Conference on Oral Complications of Cancer Therapies that HBO is a standard of care, in conjunction with surgery as indicated, for osteoradionecrosis of the mandible. Further, HBO was recommended in a prophylactic capacity prior to surgical procedures within the irradiated field, in high risk patients. Evidence of a benefit of HBO in soft tissue radiation injury will be included during this presentation.

Selected Problem Wounds; Diabetic Wound Healing
— preparation and preservation of skin grafts and flaps

While not indicated for the support of adequately perfused tissue, hyperbaric oxygen can play an important adjunctive role where hypoxia or decreased microcirculatory flow complicates wound healing. In the compromised host setting, HBO can restore a favorable cellular milieu in which the wound repair process and host antibiotic mechanisms are enhanced. The role of HBO in diabetic foot lesions will be emphasized.

Transcutaneous Oximetry

Drawing upon the orthopedic and vascular surgery literature, a number of indicators have served to both predict outcome from various procedures and determine the degree of severity in vascular disease. One particular aspect, tissue oxygen tension , as measured trancutaneously, has been introduced into the hyperbaric oxygen setting as a indicator of the ability to reverse local hypoxia. An algorithmic screening and case-management protocol will be introduced.

Case Presentations

Interesting clinical problems and case illustrations will be presented. Cases have been selected which will emphasize key management principles.

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Accreditation Statements

Jointly Provided: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the South Carolina Medical Association and the National Baromedical Services, Inc./Prisma Health–Midlands.  The South Carolina Medical Association is accredited by the ACCME to provide continuing medical education for physicians.

Designation Statements

The South Carolina Medical Association designates this live activity for a maximum of 40 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


  • 40 AMA PRA Category 1 Credits - The South Carolina Medical Association designates this “live activity” for a maximum of 40.0 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


  • 40 Contact Hours

    National Baromedical Services is an approved provider of continuing nursing education by South Carolina Nurses Association, an accredited approver with distinction, by the American Nurses Credentialing Center’s Commission on Accreditation.

Hyperbaric Technologists:

  • 40 Category A hours — National Board of Diving and Hyperbaric Medical Technology

Respiratory Therapists:

  • 40 Continuing Respiratory Care Education Credits — American Association for Respiratory Care

To be compliant with the AMA's "Physician's Recognition Award and Credit System," we require physicians to attest to the amount of time they are claiming credit – which should be commensurate with the extent of time they participate in a CME activity. To assure compliance, we now require all physicians attending or participating in an accredited CME activity, to complete the "contact information" portion of the evaluation and, specifically, sign where indicated on the evaluation.

Full Disclosure Statement

All faculty members and planners participating in continuing medical education activities sponsored by (name of responsible organization) are expected to disclose to the participants any relevant financial relationships with commercial interests. Full disclosure of faculty and planner relevant financial relationships will be made at the activity.

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Attendance is limited to 36 attendees. Each course is generally filled to capacity within six weeks of the starting date. Therefore, if you plan to attend, we encourage you to register early to secure the dates of your choice.

Telephone requests will not hold your training course reservation.  Online registration including advance payment is required to secure your reservation.  Once registration is complete you will receive an email confirmation.

A Primary Training in Hyperbaric Medicine course certificate is provided only at the completion of the entire 40 hours of training. Participants MUST be in attendance the entire week. Please arrange departure flights no earlier than 1:30 PM EST on the last day of the course. Attendees who leave prior to the completion of the course are not eligible to receive a course completion certificate.

The Undersea and Hyperbaric Medical Society designates this "live activity" for a maximum of 40 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This live 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 providership of the Undersea & Hyperbaric Medical Society (UHMS) and National Baromedical Services, Inc. The UHMS is accredited by the ACCME to provide continuing medical education for physicians.

General Training Objectives

  1. Introduce emerging basic science initiatives that support the mediumistic basis of hyperbaric oxygen therapy.
  2. Provide an overview of the recent scientific literature that is likely to consolidate and otherwise influence hyperbaric practice patterns.
  3. Describe the clinical evidence that characterizes the currently approved indications for hyperbaric oxygen therapy.

Educational Programs

National Baromedical Services provides both Primary and Advanced hyperbaric medicine training programs. Courses are taught on the campus of Prisma Health–Midlands in Columbia, South Carolina.

Over the past two decades, we have evolved into the busiest such training center, with more than 6,000 course attendees. Approximately 400 physicians, nurses, technologists and other allied health care professionals visit Columbia each year, from throughout the United States and from overseas. Our courses are accredited by the:

  • American Council of Continuing Medical Education, via the Education Committee of the Undersea and Hyperbaric Medical Society
  • National Board of Diving and Hyperbaric Medical Technology
  • American Association of Respiratory Care
  • South Carolina Nurses Association

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