BATANGAS HYPERBARIC MEDICINE AND
WOUND HEALING CENTER
The Batangas Hyperbaric Medicine and Wound Healing Center,
situated in the ground floor of the newly built 3-storey building at
St. Patrick’s Hospital Medical Center, is a part of the
institution’s ever growing commitment to provide quality health
service to the localities of Batangas province and its nearby areas.
began its operation on April 18, 2001, with a local fisherman from
Mabini, Batangas as its first patient.
From then on, different patients from Batangas province, as
well as divers from different parts of the world come to the center
to seek medical consultation and treatment, both in diving accidents
and wound healing.
THE HYPERBARIC CHAMBER
history of modern hyperbarics goes back to the invention of the air
compressor, about 300 years ago.
But the history of using chambers for the treatment of diving
illnesses begins just a little more than 100 years ago.
The advent of air compressors, coupled with the development
of boiler technology, has brought us to where we are today.
chambers are used to support a variety of tasks in scientific and
research diving. Principally,
chambers outfitted for diving are used for surface decompression,
omitted decompression, recompression of an injured divers, training,
research, pressure testing of an equipment, and healing for chronic
wounds. This type of
chamber is often referred to, interchangeably, as a decompression
chamber, recompression chamber, or hyperbaric chamber.
chambers are pressure vessels.
They contain a volume of gas that can be held at a pressure
different from the ambient pressure.
Chambers are usually cylindric in shape, with hemispheric
ends. They are
described using diameter denotations and their rated working
pressure, which is usually expressed in pounds per square inch (p.s.i.)
or ata. Most chambers
for treating divers are rated to a working pressure of 6 ata or 165
fsw. Many chambers used
for medical treatment are rated for 3 ata, or 66 fsw.
These can be very useful for treating the more common type of
chamber that is being used in Batangas Hyperbaric Medicine and Wound
Healing Center was originally built in Australia to AS 1210 design
code and has the maximum working design pressure of 710 kPa
(equivalent to 7.1 bar, 243 feet, 71 meters).
The chamber is equipped to provide 100% oxygen therapy or
recompression therapy using the US Navy shallow oxygen tables (60
feet or 18 meters) up to deeper tables to 165 feet or 50 meters.
promote St. Patrick’s Hospital Medical Center and Batangas
and Wound Healing Center as the only facility in the country
equipped with Chamber
that uses 100% oxygen therapy in treating diving related
injuries/accidents and chronic wounds.
Batangas Hyperbaric Medicine and Wound Healing Center aims to
dive safety in the diving communities
enhance chronic wound healing
CHAMBER AND SUPPORT EQUIPMENTS
Pressurization and exhaust systems
Depth control gauges and control manifolds
A two-way communication system
Built-in-breathing system (BIBS) for the delivery of oxygen,
demand-type oxygen inhalators or a ventilation hood system for
Gas monitoring ports
Illumination system, generally consists of an external lighting
interior via light pipes or by shining light through an observation
port, but may
Fire suppression system—water based, including a deluge system and
a hand line
Two technicians, outside. One at the controls, one supervising the log book, equipment,
and assisting the inside attendant.
One inside attendant
One DMO or at least MO immediately available
The medical doctor is in charge, and therefore is
responsible. But a
“Team” approach is best.
All others are not medically trained, therefore they cannot
make treatment decisions (extensions, etc.)
Next is the dive supervisor, who oversees the operation,
keeps the log book, assists the operator at the panel, and the
supervisor, inside attendant, chamber operator should work more as a
“team” in making decisions, but the Supervisor coordinates the
operational team with the DMO.
Should pass the written examination given by DMO and Mr. Bob
Should pass the hands-on training and skills assessment test
Should be a certified oxygen provider
Should be a certified/professional CPR provider
Should have a knowledge in nursing care and procedures
maintenance is the number one tool.
It protects the staff and all involved in the system.
A little fault ignored today may cause catastrophic failure
in the future. All personnel should not try and guess what is happening,
simply report it.
care of a hyperbaric chamber requires both routine and periodic
maintenance. After every use, or no less than once a month,
whichever comes first, the chamber should be maintained routinely.
During these checks, minor repairs should be made and supplies
restocked. At least twice a year, the chamber should be inspected
inside and out. Any deposits of grease, dust, or other dirt should
be removed and the affected areas repainted as appropriate.