Optimal Use of Hyperbaric Oxygen Therapy in Military Medical Setting (Utilisation optimale de loxygnothrapie hyperbare dans le contexte militaire)
Science and Technology Organization Neuilly-sur-Seine Cedex France
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Hyperbaric Oxygen Therapy HBO is a treatment based on the respiration of high concentrationsup to 100 of oxygen, while patients are exposed to high environmental pressures in a hyperbaric chamber. This treatment has been shown to be beneficial in a number of conditionsinjuries, some of which are pertinent to military-type injuries. When administered timely and in a correct way, HBO improves the evolution and final outcome however, because of the technical limitations of the treatment necessity of a hyperbaric chamber, adequate oxygen and compressed air supplies, competent medical and paramedical personnel, HBO centers are not common, even in non-military setting. The RTG-192 examined the possible military applications of HBO, and defined the conditions for its use. While not realistic to suggest the placement of HBO centers close to operations theatres, it maybe possible to organize the medical evacuation routes in such a way that military patients can be treated in a civilian or military hyperbaric center along the route, for a short period, before being further evacuated to their final destination. Conditions and modalities for efficient use have been formulated, and recommendations have been made as to medical planning and education of military medical personnel.