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hyperbaric oxygenation, hyperbaric chamber

HBO (Hyperbaric Oxygen) is a method of treatment of orthodox medicine, which consists of patient breathing 100% oxygen under pressure, from 1.5 to 3 atmospheres absolute (ATA), equivalent to the pressure that rests on the water to a depth between 5 and 20 meters. Oxygen is supplied in specialized handling equipment called "hyperbaric chamber." By combining pressure and oxygen, generating a range of physical and physiological effects of high beneficial application in a growing number of diseases. HBO therapy are not only suitable for patients with certain disease, but it can be used by everyone with the aim of revitalizing all organs, skin tone, improve and stimulate the immune system, and thus prevent disease, stay healthy and prolong life with quality.

A hyperbaric chamber is an airtight container constructed of welded steel plates, often in a cylinder which is pressurized with air or oxygen and simulates or creates a certain depth. Armed with a range of systems and accessories that allow the controlled increase of pressure.
is specially designed with several options for control and protection that supports high environmental pressures, gases or liquids, for medical or research. There are several types of portable cameras, cars, two seater, Escazu, etc.

The patient is placed in the hyperbaric chamber which ambient air is pressurized by injecting purified compressed to the pressure established by the hyperbaric medicine specialist underwater breathing pure oxygen exposure time (isopressure) of about 50 minutes as promedio.Primero experience some heat in the body as the chamber is pressurized, then feel the pressure change which is similar to that occasionally feels a flight plane (the ears are plugged.)

Then you have the list of hyperbaric chambers that are in Spain today, plus you do not always print it and take our dive trips

COMMUNITY	province	CENTER	PHONE	FAX
ANDALUCIA CADIZ		Strait Diving Nucleo
	MALAGA	JACRISSA Hyperbaric Medicine Unit Clinical "The Angel"	February 1923 952 33 952 34 81 00
ARAGON ZARAGOZA		Military Hospital of Zaragoza
	ZARAGOZA	Pontoneros Regiment
BALEARIC	MALLORCA	MEDISUB CB Juaneda Clinic (Palma)	99 83 99 908 971 73 16 47	971 54 88 77
		Majorca North Coast Unit (Calvia)	971 October 26, 1976
		MENORCA Island Council Menorca Fire Station No. 1 (Mahon)	971 35 October 1911 971 35 15 15
		IBIZA Our Lady of the Rosary Polyclinic	971 30 19 16
CANARIAS FUERTEVENTURA		Cdad.Propietarios Hyperbaric Chamber Robinson-Club Jandia	928 54 15 43 928 54 April 1920	928 54 13 66
		Gran Canaria Diving Core Arsenal de las Palmas
	GRAN CANARIA	Top Diving Puerto Rico	928 56 June 1909
	LANZAROTE	Ctro.de Diving Atlantis Puerto Del Carmen	928 51 July 1917
	TENERIFE	University Hospital de Canarias La Laguna	922 64 December 2000
	CATALONIA BARCELONA	Therapeutic Hyperbaric Unit CRIS Red Cross Hospital	93 433 15 51	37 36 93 450
		Girona Hospital de Palamos UMH	972 972 60 January 1960 60 June 1920
GALICIA	Coruña (Ferrol)	Dive Center Cantabrian
	Coruña (Ferrol)	Naval Hospital in Ferrol
	MADRID MADRID Barom	Hyperbaric Medicine Unit Hospital de la Zarzuela (Aravaca)	91 357 13 85
	MADRID	Civil Guard Motor Park
	MURCIA MURCIA (Cartagena)	Clinical Practise C / Españoleto 13 Cartagena Murcia 30204	968330033 968 081 160
	Murcia (Cartagena)	Sto. and Royal Hospital of Charity	968 51 March 2000
	Murcia (Cartagena)	Dive Center Euskadi Mutriku Mutriku
BASQUE	GUIPUZCOA	Dive Center Euskadi Mutriku Mutriku	943 19 50 88	965 211 409 965 144 790
VALENCIA	ALICANTE	MEDIBAROX Hyperbaric Medicine Unit of Perpetual Help Sanatorium	965 November 20, 2000	965 211 409 965 144 790
		CASTELLON Castellón General Hospital Therapeutic Hyperbaric Unit Avda Benicassim s / n 12004 Castellón	964 72 65 00

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MEDITERRANEAN FISH: THE Cabrach

belongs to the family of the scorpion, Escorpeniformes order. It is also known by the name of red rockfish, sea devil kabrarroka or because of their strange looks and striking red. Of the same family as the rockfish or scorpionfish scorpionfish cabrilla.El usually remains quiet and hidden on the seabed between 20 and 200 meters deep, and can be located either alone or in groups. Young specimens are closer to the sea as adults. The scorpionfish is typical of northeastern Atlantic waters from the British Isles to Senegal, and also abounds on the shores of the Canary Islands, Madeira and the Azores and the Mediterranean Sea.


-
Species Scorpaena scrofa (commonly called "Scorpion Fish"): It can reach 50cm in length and reddish, pink or something brown, with darker blotches and lighter. Ctenoid body covered with scales large, almost as wide as long, presenting a 45 in his sideline. Bulky head with well-developed dermal appendages and abundant thorns.
-Scorpaena
Porcus (commonly called "Rockfish"): It can reach up to 30 cm in length and brown coloration is more or less clear, with dark and light spots that can lead to transverse bands on the sides and median fins. Ctenoid body covered in scales small, showing 65 to 70 lateral line scales.
-Scorpaena
loppei: It can reach up to 10 cm in length and coloration is reddish-pink with many dark and light spots, dark spot highlighting the spiny portion of dorsal fin. Ctenoid body covered with scales, showing 30 to 40 lateral line scales. Head not too voluminous, with well-developed dermal appendages and abundant thorns.

Its weight can reach nearly 3 kg but are rare examples of more than 1.5-2 kg. Usually found at depths from 10 to 500 m in rocky or sandy funds vegetation where it can be seen partially buried, but you can find a little water, and is a species that according to that area is very popular in contrast gastronomicamante in others where it is valued.

When threatened, the fish up the dorsal fin and the gill cover, coated with poisonous spines. However, the defense is passive, never attacks in these cases, just run away. As their camouflage is virtually perfect, it's easy not to see them while diving near them.

Be careful with your hands, because we can put on a scorpion fish without realizing it and get a painful wound, with an ardent and persistent pain and considerable swelling but no serious consequences. The spines are poisonous even when the fish is dead.

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local treatment of the bite will consist of cleaning and disinfection of the area as if it were a wound. Another action that we can implement is to immerse the injured area in hot water at high temperature that the affected are able to tolerate, since the nature of these fish inoculated venom is protein, which will cause a distortion of the proteins by heat and thus inactivation of the venom.
Although in most cases you will not need to take more aggressive action, those affected will be sent to a hospital for treatment with corticosteroids to prevent inflammatory responses that may occur and if necessary local anesthetic infiltration (lidocaine type) to refer pain.

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AIR SAVING TECHNIQUES OPERATION


Then I leave a collection of technical recommendations to save air consumption.


Breathe slowly - Breathe slowly, if possible slightly longer pause after inspiration, relax. Deep breathing provides a gas exchange in the lungs more effectively. It will take some practice and concentration make it a habit under water. Relaxation

- The most important factor in saving air is relaxation. A stressed or anxious diver can easily consume double or triple what they need to be relaxed. This can usually warn new divers that are not completely comfortable under water.
sure you are rested and that you are mentally and physically prepared for the dive. Diving
regularly increase your confidence and improve your skills under water, especially buoyancy control.

Buoyancy - buoyancy control has a direct impact on air consumption. Carry as little possible ballast, but the correct amount, allowing the buoyancy control much easier. If you'll spend some energy and air ballast continuously swim down and on the contrary, an excessive burden will force you to swim continuously upward. With the help of an instructor or a Divecon can spend 5 minutes at the beginning of a dive to make sure you are properly ballasted.

Fitness - The fitter you are, your cardio vascular system and lungs are more efficient in gas exchange, and need less oxygen.

practice sports like swimming, jogging or biking are especially indicated as an adjunct to diving.

Mask - Many divers use more air than needed to clear the mask. Learn how to empty it with the amount of air required. Practice

emptying mask whenever we have time we will help you gain confidence and to do so with greater ease in all circumstances.

Safety in implementing this basic maneuver allows the diver to stay calm, reduce stress and moderate your intake of air.

not waste air - When safely possible, use the snorkel in place of the regulator. Avoid placing the regulator in continuous flow to enter the water.

horizontal position and dynamics - the more volume holding an object in the water, the water will have to move to move. Horizontal stay is an important factor that significantly reduces the resistance to movement through water, and therefore has a direct relationship with the air consumption. Make sure your tools are not loose but firmly secured to the vest. If you use a dry suit, seeks to inject the least amount of air in the suit, just to relieve the block.

Ballast - A diver properly ballasted and taking his belt ergonomically appropriate position will be able to keep a horizontal position without effort and get more comfortable underwater.

A diver who bears the burden too high or too low will consume more energy and air trying to hold the position using your arms and legs so inefficient.

Economy of movement - Water is 800 times denser than air so we move our arms a much greater effort is submerged. Do not use your arms and hands to swim, keep them close to the body or crossed against the chest. Always move slowly, as if in slow motion, and learn to use the current to your advantage to move. Diving is not a race to see who goes further.

If the current is against, remains near the bottom and gently used rocks to help you advance. Boulders used as a shield against the current if possible. Technical

flutter - Use a flutter style inefficient, such as pedaling a bicycle, it will consume much more energy and therefore spend more air. A leisurely flutter or a frog kick style can significantly reduce the effort and save air.

Temperature - much more to cool our body, the higher our intake of air to maintain proper body temperature. Make sure you are sufficiently protected from cold and dry suits used if necessary to the proper thermal protection at all times.

diving in very cold water can pose a significant body heat loss.

Orientation - security that we will find out the anchor on our own self-esteem will increase and decrease under water stress, and thereby reduce our consumption of air.

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Description
name due to a medical doctor Joseph Toynbee (1815-1866). It was the first to identify that the clicks you hear when you swallow, under the opening of the tubes to equalize pressure in the middle ear.

consists pinch the nose and then swallowing. The muscles of the throat with swallowing, throw open the trunk. In turn, swallowing, stuffy nose with a reduction conditions rhinopharyngeal pressure is transmitted to the middle ear, if the tube is patent.

This technique is not recommended for divers who have swallowing problems during the dive. Nor is it recommended for downhill fast, because when not working on the first try, and the positive pressure has begun to exert its effect on the middle ear, it is increasingly difficult to open the trunk.

Not all divers fail to make up well with this, since it requires a good tubal patency. It is also used in decompression chambers for many divers. History

Joseph Toynbee, born in 1815, was one of 15 children of a farmer in Lincoln. studied medicine in London, and was well known for their great work with the poor, protection of health and public health. in 1855 created the first unit of otolaryngology in the UK in the St Mary's Hospital, Paddington. The three-bed unit was created in order to treat diseases of the ear, nose and throat.

was pioneered many breakthroughs in the field of otolaryngology, including the artificial propagation of tympanic membrane and the modern otoscope. His contribution to the understanding and treatment of diseases of the ear can not be dismissed.

After suffering tinnitus ( medical term for "hearing" noises in the ears when there is no external sound source) for a long time, Toynbee died in 1866 after inhaling the fumes of hydrocyanic acid and chloroform in an attempt to cure his illness.

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TOYNBEE ISLANDS SPECIES CANARY: Diadema antillarum

Name: Hedges, Lima urchin.

Geographic Distribution: Canary Islands

Own Ecosystem: infralittoral occupies the rocky, cliffs spring.

Role in the food chain: is very voracious and feeds on various plant organisms and animals, preventing the settlement of the rocky seabed.

Overview: reaches a maximum of 8 cm in diameter. The animal with spikes can exceed 30 cm in diameter. Its shell is always naked gray, spherical and slightly flattened at its poles, armed with long spikes rough, thin and fragile, exceeding in length to enough shell diameter . Generally, it is solid black, although there may be ejemplares con colores morados o, incluso, con cinco bandas blancas en su zona basal.

Es una especie que no posee muchos predadores y, dadas las consecuencias que producen sus hábitos alimenticios, ha llegado a ser considerada como una plaga en algunos casos, impidiendo que los fondos sobre los que vive se pueblen. Parece ser que el tamboril espinoso, Chilomicterus atringa, es de las pocas especies de peces conocidas en Canarias capaz de controlar sus poblaciones.

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NEWS: THE NAVY DIVERS OFF EXPLOSIVES IN GIRONA

Navy Divers Cartagena naval neutralize a mine and six missiles on the coast of Gerona

Military Special Unit bomb disposal (ou) of the Navy , based in Cartagena (Murcia) have undermined in recent days six artillery shells and unexploded naval mine located on the coast of Girona, according to the Navy statement.

The mine was found by an amateur diver on the beach of Alghero in Llansa, near Llafranc. Following the announcement of the find to the Guardia Civil, who reported turn to the Commander Naval de Rosas, the Commander of the Maritime Action Force of the Navy activated the protocol of collaboration with the Armed operations ordnance found at sea and sent a team from Cartagena to ou locate and neutralize the device.

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NEWS: CONTROL OF GRAN CANARIA

About 70 divers assist in the control specimens of sea urchins in North Sardina (Gran Canaria)

About 70 divers assisted in the control action of the sea urchin Diadema antillarum populations conducted by the Cabildo of Gran Canaria on Sunday in the waters of the Bay of Sardina del Norte in the municipality of Gáldar, according to the Corporation island in the press release.

divers from diving clubs, Bubble Sub, The Wreck, The Big Blue, The Janequin and Diving Center North, did an excellent job in controlling the species in an area previously marked out, where have been removed from the project's inception more than 100,000 long-spined sea urchins.

Diadema antillarum is a species of sea urchin spines long characterized as a major consumer of algae, which has generated much of the funds infralittoral de Canarias, areas devoid of any type of vegetation and animal known as "barren." Algal coverage areas are critical for fish breeding and shelter so barren proliferation has become a serious problem for the conservation of marine biodiversity in the Canary Islands.

The project area has expanded over the past year and a half gradually, due to the environmental recovery that have matching funds of the bay, the sea urchin Diadema antillarum populations have been reduced by 90 percent algae have grown in size and number of feet, especially brown algae in some places and have several inches in height, and wildlife for its part has shown a considerable increase, especially the number of natural predators of Diadema antillarum, like starfish, pig cocks, red porgy and samas.

addition, this project, which aims to restore marine biodiversity in Sardina del Norte and two parts of the island, located in the Bay and Lower Confital Pasito Blanco, perform immediate action on Sunday, 23 August.

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hedgehog MEDITERRANEAN SPECIES: The shortfin


Shark belonging to the family of Lamno, which also belong to other species how the porbeagle (Lamna nasus) and the white shark (Carcharodon carcharias).

of large sizes that are likely to reach close to 5 meters (typically do not exceed 3.80 meters). It is characterized by a tapered nose (almost pointed), and are very similar to specimens of white shark (Carcharodon carcharias) Young, so often differentiate these two species is complicated.

is known to have attacked people and boats without provocation, so it is considered dangerous. It is highly sought by sport anglers because it is very combative and powerful.

Like the rest of sharks belonging to the family Lamnidae makos maintain body temperature above the environment (are homeotherms) allowing them to make a more rapid digestion, tripled their muscle strength or act faster. Has a very broad: it is found in the Pacific Ocean, Atlantic, Indian, Mediterranean and Red Sea. It is an oceanic pelagic shark habits but sometimes approaching the coast in search of food, leading to penetrate beaches and ports. Playing



The makos are ovoviviparous animals, carrying within it a small group of fetuses (no more than a dozen). These small sharks birth are about 70 centimeters, and grow according to their sex to mature: males 1.9 meters (approximately 100 kg weight) from 2.6 to 2.8 meters and about 200 kg in females.

The porbeagle shark is a very active, a massive power and great speed. This is around 35 km / h, speed, probably outweigh. (Inconclusive studies that place its top speed around 100 km / h). Features


Name: mako
Class: Elasmobranchii (sharks and rays)
Order: Lamniformes
Family: Lamnidae
maximum size: 400 to 500 cms
Middle reef-associated; Oceanodroma, marine depth range from 0 to 740 m
Climate: Subtropical , 16, 64 ° N - 50 ° s
Danger: traumagenic

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ACCIDENTS: Air embolism


Definition.

occlusion of one or more small blood vessels, especially the muscles, tendons and joints, caused by expanding gas bubbles. Gaseous emboli can break the tissues and blood vessels, producing a condition of decompression and death. The phenomenon is experienced by deep sea divers who come too quickly to the surface without adequate decompression and as a complication of surgical procedures, diagnostic and therapeutic.

Symptoms and Diagnosis

characteristic is the early loss of consciousness, with or without seizures or other manifestations. Sometimes they develop signs and symptoms ranging from mild behavioral changes to hemiparesis.

lung hyperinflation, alone or together with air embolism, subcutaneous emphysema may occur or mediastinum. The pneumothorax is less common but more serious. Hemoptysis or bloody sputum suggests a lung injury.

Rarely can cause iatrogenic arterial gas embolism. Should be suspected when a patient does not regain consciousness after an operation for heart surgery.

frequency.

Contrary to what one might think, air embolism that occurs in diving, is much less common than not related to diving. In the United States Navy, presents an average of 2 serious cases per year for a total of 70000 dives in the same period, while according Stonley and al., in approximately 100,000 patients who underwent cardiac surgery, 100 had symptoms of severe AE, of whom 35% died or remained with permanent neurological sequelae.


Pathophysiology.

A Once the gas bursts into the arterial circulation, the bubble will block the traffic, resulting in tissue ischemia, hypoxia accompanied by edema (cytotoxic), which will compromise the microcirculation more so, the gas interface will activate platelets, which will trigger disseminated intravascular coagulation, in turn, will produce an endothelial edema, which will further decrease even the capillary lumen, thereby compromising the picture further. Consequently, the result is acute tissue ischemia.


Treatment.

All divers and dive centers should be aware of centers involving hyperbaric chamber near the place where they operate and how to contact in an emergency.

In the acute stage, the patient should be given oxygen by mask, placed in supine position, administer EV solutions to increase the surface tension of the bubble, making it more unstable, manage Acetyl Salicylic Acid to reduce EV prevent platelet activation and coagulation disseminated intravascular and administer steroids, and now there have been very successful with the administration of lidocaine.

Undoubtedly, the recompression in a hyperbaric chamber and hyperbaric oxygen breathing, is the treatment of choice.

Al recompress the patient, quickly reduces the size of the bubble, according to the law of Boye and Marriott, and consequently reduces the size of the embolus. Hyperbaric oxygen to make breathing creates a positive gradient around the bubble, which causes it to shrink by diffusion of the gas contained within it, out, in turn, is achieved high partial pressure of oxygen, which will fight tissue hypoxia and edema hitotóxico decrease as a result of hypoxia, which further improves microcirculation.

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EVENTS:

Dive Travel Show - The first Hall of Diving, Travel and Sustainable Tourism in Madrid

divers Organised by the magazine and all its partners. If you are divers, we are interested in travel and dive with sharks on Saturday, October 31 you have an appointment at the InterContinental Hotel in Madrid.

What you will find?

This first edition of Dive Travel Show will be dedicated to sharks, protect and dive with them for the world.

will travel tour operators, dive centers, tourist offices, new equipment, dive shops, diving magazines, books, and also made presentations on the part of organizations committed to sustainability and the environment speaking of diving with sharks and their protection.

ignorance and ignorance about the reality of these beautiful animals are the real enemy to beat.

I hope. All will be welcome and all are necessary.

can find more information and free tickets divetravelshow.com

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TECHNICAL DIVE TRAVEL DIVE SHOW: BUOYANCY I






Ballast Ballast is a basic part of Scuba diving and the and how to manage it, their location and distribution will achieve improved comfort and body position (position hydrodynamics in the water) also avoid excessive consumption of air. If done

diving with the weight, and its ideal position, inflate the vest as little as possible during it, and have greater control over the motion and position, that is we control our balance in the environment in which we live.



weighting methods may be several:

Weight Belt.

ballast built into the vest.

Joint ballast belt and vest.

is very important to feel comfortable with our method of weighting, and be sure of its accessibility to get rid of it in a time of trouble or emergency, we must also pay special attention to the ballast system built into the vest because it is not uncommon for a diver to lose some ballast during the dive to suffer the consequence of this instability, problems of buoyancy and there is also the risk that the burden to fall can cause a crash If there is a diver below our position.

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TOOLS: THE MEDITERRANEAN FISH KNIFE


The dive knife has to be considered simply as a tool, you must have certain characteristics and size to suit the task we undertake to dive, dive course for leisure or sports should not need a large knife or special features.

novice divers in the knife tends to cause a special feeling, I've met some who thought they were almost "superman" just for having a diving knife in his hands, including removable and admire've seen in a reckless manner or in small spaces even in vehicles where a sudden stop or sudden change of direction, for example to avoid an obstacle, could have caused an accident for both the bearer of the knife to his companions.

my point of view of the knife should not be too large nor too small, I am quite sure never use it to defend against a sea monster but we may need to use it to release a companion or a snag ourselves a network abandoned a line, a rope, etc. Depending on the size and characteristics of the disability probably a simple enough cutters to free but may also be that the object that hooks us to have a moderate hardness and thickness or need something more than a good edge to deliver.

What if deemed necessary in a good knife is to have a party with a pearly mountain as in the case of having to cut a network or within a certain thickness it will be essential. First, we must bear in mind that the grip fits perfectly with our hand and above all that we feel comfortable when porting and not become a nuisance.

Many divers are now more of a knife, a good idea to potential entanglement conditions. It is appropriate that a primary knife having a blade of at least 10 cm long, with one edge sharpened for cutting and sawing other teeth, and even more is not carrying a small hammer in his grip.

always advisable to clean the knife with fresh water and dry after each dive. If the transaction is disassembled before the knife apart and if it is not used for an extended period should add a little silicone grease.

An important aspect of diving knife is to have a good seal on your sleeve so that no accidental release, but also that it is very difficult to remove when needed. Especially

take into account the above, is simply a tool that must be handled carefully to avoid accidents, do not be a remedy worse than the disease.

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: Mullet


Fish belonging to the family of Múlidos within Peciformes order. The name of mullet is applied to two species, red mullet (Mullus surmuletus) and red mullet (Mullus barbatus).

mullet, both rock and Mud, inhabits the Mediterranean Sea and Atlantic Ocean. The mullet, as its name suggests, is found in sandy bottoms and mud, while the mullet is on rocky bottoms. Both are located at a depth of 120 meters.

The best known species

• most popular varieties of mullet are
• red mullet (Mullus barbatus). was also known under the name of caste or bad mullet mullet bearded. Its flesh is very much appreciated, although less compact than the mullet and more insipid.
• mullet (Mullus surmuletus). Also known by the names of striped mullet or mullet good breed. Its size is usually slightly higher than before. The flavor of the meat is more intense, so has the greatest appreciation in the kitchen.
• There is also a species known as the real mullet (Apogon imberbis), though it has nothing to do with the mullet and belongs to a different family. Features

• Form: Your body is elongated and somewhat flattened on the sides.
• Minimum size: 11 cm.
• Color: Its color varies depending on the depth and time of year between brown and red. The rock has a dark line from eye to tail and several yellow lines that cross, while the red mullet is smooth.
• length and weight: measures about 40 cm and can weigh 1 kilo. The red mullet is a little smaller than that of rock.
• Power: It eats all kinds of animals found on the seabed and have a stop right size to be ingested, such as worms and small crustaceans.