Rohit Verma

INHS Asvini · Marine Medicine

Background The cardiopulmonary resuscitation (CPR) in prone position has been dealt with in 2010 American Heart Association (AHA) guidelines but have not been reviewed in 2015 guidelines. The guidelines for patients presenting with cardiac arrest under general anesthesia in lateral decubitus position and regarding resuscitation in confined spaces l...

Background: The cardiopulmonary resuscitation (CPR) in prone position has been dealt with in 2010 American Heart Association (AHA) guidelines but have not been reviewed in 2015 guidelines. The guidelines for patients presenting with cardiac arrest under general anesthesia in lateral decubitus position and regarding resuscitation in confined spaces...

Background High-quality cardiopulmonary resuscitation (CPR) and rapid defibrillation the cornerstone for resuscitation from cardiac arrest and increase the incidence of return of spontaneous circulation. Regular CPR training imparted to health-care personnel increases knowledge and helps in skill enhancing. Aims The aim of this study is to evaluat...

CPR in a diving bell is difficult. It is taught by diving companies and training institutes but has not been subjected to the tenets of evidence based medicine. The diving bell lacks space as well as a flat hard surface to lay the patient on and therefore conventional methods of administering CPR are not possible. The diver is hung from a pulley ti...

Military medicine is one of the most diverse fields of medicine and diving medicine forms an integral part. Diving medicine in fact grew out of concerns for military divers and till today the primary training and research involve military diving. Today, diving medicine training is faced with numerous challenges, right from lack of understanding and...

Introduction: Diving is an operational commitment of navy. Diving operations are conducted with / without the presence of a Marine Medical Specialist. Incidence of Decompression amongst naval divers is low compared to recreational SCUBA diving. Decompression Sickness (DCS) and Pulmonary Overinflation Syndrome (POIS), subsets of diving-related injur...

Saturation Diving is a highly technical and advanced form of diving utilized to perform dives at depths greater than 55 metres. It employs physiological principles and decompression techniques which enables the diver to have an almost unlimited stay at the depth. This requires the diver to be saturated at the requisite pressure in a diving chamber...

SCUBA diving is an increasingly popular recreational sport across the globe and normally conducted by trained diving instructors. Increased commercialization, inadequate professional knowledge/training and poor compliance to the existing safety guidelines may be the contributing factors responsible for accidents related to SCUBA diving. We present...

Decompression illness is caused by intravascular or extravascular bubbles that are formed as a result of reduction in environmental pressure (decompression). The term covers both arterial gas embolism, in which alveolar gas or venous gas emboli (via cardiac shunts or via pulmonary vessels) are introduced into the arterial circulation, and decompres...

Introduction: Diving is a n operational commitment of navy. Diving operations are conducted with I without the presence of a MM spl. Study of MM done along with phases of attachments at different diving operational units as practical orientation. Classes of Divers: (a) Ship Diver (SD). Trained to dive up to 35 MSW (b) Clearance Diver (CD): They are...

Introduction: Oxygen toxicity is a major limiting factor in underwater combat operations and Clearance diving operations. It is imperative to screen in the induction phase of military diving, those individuals who have lower threshold of oxygen toxicity to avoid it during combat diving operations. In addition, susceptibility to oxygen toxicity is a...

Hyperbaric oxygen therapy (HBOT) is increasingly being used in a number of areas of medical practice. It is an accepted adjunctive therapy in conditions such as burns, crush injuries, head injuries, spinal cord injuries, reconstruction surgeries, gas poisonings, radiation injuries, various anaerobic and aerobic infections that are commonly encounte...

Hyperbaric oxygen therapy (HBOT) is gaining wider acceptance in present day clinical management for its various indications. HBOT has its associated risks and hazards. Selection of patients for HBOT poses significant challenges for physicians operating the hyperbaric chambers. The paper discusses a couple of interesting cases at IAM Bangalore. A re...

Livedoid vasculopathy is an uncommon condition resulting in painful lower extremity ulceration and scarring. This condition presents as purpuric macules and papules that progress to painful, irregular ulcers of the lower legs and dorsal feet. These ulcerations are often recurrent and chronic with spontaneous remissions and exacerbations that may be...

Background: The US Navy has been a pioneer in experimental diving practices and has evolved one of the safest decompression protocols. Consequently, US Navy Diving tables are being followed globally by a variety divers ranging from recreational to scientific to Technical divers. In order to increase understanding and cooperation in subsea operation...

Background: Military Personnel have been used as research subjects for clinical and non clinical medical research since a long time. The medical ethics of such research is a unique aspect as the subjects are “constrained” in their ability to provide free consent in view of the hierarchical structure of the armed forces. Illustrative Case: The 100 M...

Background: Hyperbaric oxygen therapy (HBOT) is accepted as an adjunctive therapy for non-healing wounds.Ischemia and infection are the common causes of non-healing. Material and Methods: A retrospective analysis of 46 cases of non-healing wounds on HBOT was carried out. The primary end point was the appearance of healthy granulation tissue over 50...

Saturation Diving is a highly technical and advanced form of diving utilized to perform dives at depths greater than 55 metres. It employs physiological principles and decompression techniques which enables the diver to have an almost unlimited stay at the depth. This requires the diver to be saturated at the requisite pressure in a diving chamber...

Dysbaric osteonecrosis (DON) is a disabling illness of professional divers. Long bone radiology has been used as screening modality for detecting DON. There are various advantages and disadvantages inherent with the modality. The recommendations on the basis of extensive review of literature is to reinforce the current practice of screening with 5...

Altitude diving is any dive carried out at an altitude where the ambient pressure is reduced to such an extent that routine decompression is inadequate.