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EBASS NEWSLETTER Issue 1




EBAss


Newsletter










Oct-Dec



2016

EBAss is all of you! Calendar of Events

Words from the Editor

Communication Committee
by Damianos Tzavellas, General Secretary, President of EBAss


Dear members, 
after almost 3 years, our newsletter is EBAss News
back on track with hyperbaric news EBAss activities of the last 6 http://ichm2017.com/
from our Association, Europe and months 
around the world. We aim to publish  Participation at the 10th ECHM
every 3 months and keep you updated http://www.ishdm2017.com/
Consensus Conference on Hyperbaric
as much as possible. The newsletter is Medicine which was held on April 
also a dynamic platform where
15th-16th, 2016 in Lille, France. More
European hyperbaric personnel have about the conference at the section https://www.spums.org.au/content/2017-
the chance to communicate with each spums-asm
Hyperbaric News. 
other, send questions or comments and  Participation at the revision
develop a useful network across the
continent. Feel free to contact us with process of the European Code of Good  https://www.uhms.org/
news from your facility or send us Practice for Hyperbaric Oxygen
articles that are related to hyperbaric Therapy in cooperation with ECHM. http://www.htna.com.au/
oxygen practices at [email protected] The process is still going on with the 
involvement of experts from Europe
and around the world. New additions http://www.eubs2017.org/en/
might include the role of the Safety
Manager as well as practices for
monoplace chambers and accre-
ditation for hyperbaric personnel.

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More about it when an official document will be ready for publication.
 Participation at the last EUBS meeting in Geneva with the organization of a workshop for Nurses and Technicians. It
included discussion in relation to a Safety Manager course recommended by EBAss as well as the compatibility of ICU beds for
hyperbaric use and safety issues for hyperbaric personnel. More information about the workshop you can find at the section
past events on the EBAss website.





Accreditation Committee
by Peter Atkey, President of EBAss Accreditation Committee

‘Why do you need to gain Our scheme commenced with just successful completion of the EBAss
accreditation for something you two qualifications, European Certified examination will result in the
already do? It is of course true that Hyperbaric Chamber Operator candidate being issued with
there are a great number of personnel (ECHCO) and European Certified certification from ECB at their chosen
operating hyperbaric chambers in Hyperbaric Registered Nurse level. Training centres wishing to have
Europe very well and safely without (ECHRN). It soon became clear that in their Hyperbaric courses accredited
having any independent accreditation some parts of Europe facilities were should contact the Joint ECHM/EBAss
to prove their competence, this has operating with only Monoplace Accreditation Committee (JEEAC) in
been completely acceptable in most Chambers, this necessitated the English by
member states for a long time introduction of a certification for email to
however, employers are increasingly Monoplace Chamber Operators, [email protected]
being pressured to show that their staff ECHCOM.
are properly trained and competent to EBAss is constantly reviewing needs Although we have come a long way in
carry out their duties as it is likely that and requirements and is now proud to a relatively short time we are not
in the near future governments will be able to announce the launch of the finished yet, the next step will be to
pass legislation that insists all staff at next level of certification, European introduce Safety Manager (SM)
Hyperbaric facilities can be shown to Certified Hyperbaric Intensive Care accreditation, this is planned to
be trained and accredited to an Nurse (ECHICN). launch mid-2017.’
accepted standard. Moreover, the Right from the start EBAss has been
demands for proof of competence will keen that personnel are trained and
not be limited to Governments, already examined in their own language,
there are signs that Commissioners, there are now courses available in a
Health and Safety departments, number of countries training in their
general management of hospitals and mother tongue. This ensures that
of course Insurance companies will candidates will be well trained as
insist on proof of staff competence. required under the ECHM/EBAss
In recognition of this coming Resource Manual. Once candidates
requirement in 2010, EBAss in have successfully completed one of
association with ECHM and the these courses at their required level
European College of Baromedicine they will then be eligible to sit the
(ECB) launched its independent EBAss online examination. Again,
Accreditation system. Levels of these examinations are available in
competence for our examinations multiple languages and are
were set in the EBAss/ECHM Resource completely independent;
Manual (RM).

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Vote for new President



by Valeria Campanaro, President of EBAss

The time has come to vote for our new President!!
After 5 years of significant work and input to our Association the time has come
for Mrs Valeria Campanaro (IT) to step back from the position of the President. At
the next General Assembly in Rome all members have the right to vote for a new
President. We hope that the new President will continue the work that has been
made all previous years with great dedication and interest. As well, he should get
as much support needed in order to face new challenges and grow EBAss even
more by keeping its activities and goals at the same high level. Let’s believe that
Valeria will continue serve EBAss with her great experience and interest from any
position see may choose.

Membership status
EBAss has currently active members from 13 European countries and
3 from non-European countries.
The total number of individual full member registrations for the previous year was
118. All of them are “physical” persons who work as part of the baromedical staff
in a hyperbaric centre, mainly nurses, operators and technicians. Membership
also includes associate members such as Hyperbaric Centres and companies that
are related to the hyperbaric industry as well as honorary members.




Hyperbaric News

from Europe and around the world
Revision of the ECHM accepted indications for Hyperbaric Oxygen Therapy
The tenth European Consensus Conference on Hyperbaric Medicine took place in Lille, France, 14-16 April, 2016, attended by
a large delegation of experts from Europe and elsewhere. The focus of the meeting was the revision of the
European Committee on Hyperbaric Medicine (ECHM) list of accepted indications for hyperbaric oxygen
treatment (HBOT), based on a thorough review of the best available research and evidence-based medicine
(EBM). For this scope, the modified GRADE system for evidence analysis, together with the DELPHI system
for consensus evaluation, were adopted. The indications for HBOT, including those promulgated by the
ECHM previously, were analyzed by selected experts, based on an extensive review of the literature and of
the available EBM studies.
The indications were divided as follows:
Type 1, where HBOT is strongly indicated as a primary treatment method, as it is supported by sufficiently strong evidence;
Type 2, where HBOT is suggested as it is supported by acceptable levels of evidence;
Type 3, where HBOT can be considered as a possible/optional measure, but it is not yet supported by sufficiently strong
evidence. For each type, three levels of evidence were considered:
A, when the number of randomised controlled trials (RCT) is considered sufficient;
B, when there are some RCT studies in favour of the indication and there is ample expert consensus;
C, when the conditions do not allow for proper RCT studies but there is ample and international expert consensus.

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Finally, the conference also issued 'negative' recommendations for those conditions where there is evidence not to use HBOT
and HBOT is considered as not indicated with a Type 1 recommendation. There were no Type 1A indications for HBOT
identified by the conference, indicating that much clinical research is still required to clarify the role of HBOT in clinical practice.

A full report is being prepared for publication.
Source from http://www.ncbi.nlm.nih.gov/pubmed/27335005


Recent Publications
abstracts of articles related to Hyperbaric Nurses and Technicians, excl. medical indications or
interventions
keywords: Hyperbaric, oxygen
search machine: Medline
period of search: 1/2016 – 9/2016
1. A modified device for continuous CONCLUSION: Further study of possible risk factors,
non-invasive blood pressure The results of comparing patients including chamber type, is warranted.
measurements in humans under with non-healing wounds with
hyperbaric and/or oxygen-enriched healthy people are characterized by 5. The safety of hyperbaric oxygen
conditions. reduced taste sensitivity. After treatment--retrospective analysis in
van der Bel R et al. 2016 participation in hyperbaric oxygen 2,334 patients.
therapy, the improvement in Hadanny A et al. 2016
CONCLUSION: perception of taste sensations and
The modified system provides safe, changes in hedonic evaluation have CONCLUSION:
stable, continuous non-invasive blood occurred among patients with non- Strict operational protocols, including
pressure trends under both normobaric healing wounds. In terms of food pre-HBO2 therapy evaluations and in-
and hyperbaric conditions. preference, a decreased desire for chamber monitoring, are essential and
eating sweet desserts, chocolate, and improve patient safety. When applied,
2. Seizures during hyperbaric crisps was observed in those patients HBO2 therapy can be considered one
oxygen therapy: retrospective who received hyperbaric oxygen of the safest medical treatments
analysis of 62,614 treatment therapy. available today.
sessions.
Hadanny A et al. 2016 4. Rates of visual acuity change in 6. The measurement of Eustachian
patients receiving hyperbaric tube function in a hyperbaric
CONCLUSION: oxygen in monoplace and multiplace chamber using an ear canal
Seizures induced by oxygen toxicity chambers. microphone.
during HBO₂ therapy are extremely Churchill S et al. 2016 Fischer HG et al. 2016
rare. Moreover, in relation to oxygen-
induced seizures, HBO₂ therapy can be CONCLUSION: CONCLUSION:
considered safe for patients suffering In this retrospective review of quality The study established a simple
with chronic neurological disorders improvement >[email protected]