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Eugene Worth, MD, M.Ed., FABA, ABPM/UHM

Private Practice
Eugene Worth's Background
Eugene R. Worth, MD, M.Ed., FABA, ABPM/UHM is a board-certified anesthesiologist specialized in cardiac and vascular anesthesia. He is a wound care and hyperbaric physician, and Advisor/Editor of WoundReference, Inc., a clinical and reimbursement decision support platform for wound care and hyperbaric clinicians. Dr Worth is the recipient of a number of awards and distinctions in undersea and hyperbaric medicine. He has been a physician surveyor for the UHMS Accreditation Team and a reviewer for the journal, Undersea and Hyperbaric Medicine. He is a physician member of the UHMS Safety Committee. He has written multiple publications and book chapters for topics in hyperbaric medicine.

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  • Chronic Refractory Osteomyelitis
    Hyperbaric oxygen therapy (HBOT) protocol for chronic refractory osteomyelitis, with evidence, sample documentation statements, checklists
  • HBO Treatment Indications With Protocols
    Hyperbaric Oxygen Therapy Treatment Protocol Guidelines and Indications
  • Soft Tissue Radiation Necrosis
    Hyperbaric oxygen therapy (HBOT) protocol for soft tissue radiation injury, with evidence, sample documentation statements, checklists
  • Osteoradionecrosis - Mandibular
    Hyperbaric oxygen therapy (HBOT) protocol for osteoradionecrosis (mandibular), with evidence, sample documentation statements, checklists
  • Medical Director Job Description
    Hyperbaric Medical Director Job Summary
  • Physician Credentialing Guidelines
    Physicians engaged in the practice of hyperbaric medicine range across the entire spectrum of clinical specialties. This practical topic describes the Undersea and Hyperbaric Medical Society (UHMS)' position on eligibility, training, credentialing and continuing medical education for physicians who engage in the practice of hyperbaric medicine
  • Physician Credentialing Privilege List
    This form lists physician credentialing privileges in hyperbaric medicine and can be used as an evaluation form
  • Physician Training Guidelines
    Guidelines for physician training in hyperbaric medicine
  • Offloading Devices
    This topic provides a review and updates on offloading devices for diabetic foot ulcers (DFUs), from the clinical, coverage and reimbursement perspectives.
  • Diabetic Foot Ulcer - Hyperbaric Oxygen Therapy
    Hyperbaric oxygen therapy (HBOT) protocol for patients with diabetes with lower extremity ulcers
  • Compromised Skin Grafts and Flaps
    Hyperbaric oxygen therapy for treatment of compromised flaps and skin grafts (including mutilated limb injuries), with evidence, sample documentation statements, checklists.
  • Medical Director Guidelines
    Hyperbaric Oxygen Therapy Medical Director Guidelines and Responsibilities
  • Acute Carbon Monoxide Poisoning
    Hyperbaric oxygen therapy (HBOT) protocol for acute carbon monoxide with GRADE recommendation, review of recent evidence, checklist, sample documentation statements. Approved for 1 Category A Continuing Education Credit by the NBDHMT
  • Clostridial Myonecrosis (Gas Gangrene)
    Hyperbaric oxygen therapy for treatment of clostridial myonecrosis. Evidence-based protocol, sample physician order template and documentation templates to support HBO indication. Operational considerations and nursing interventions
  • Decompression Illness and Arterial Gas Embolism
    Hyperbaric oxygen therapy for treatment of decompression illness and arterial gas embolism, evidence-based protocol, sample physician orders, documentation statements, evidence-based GRADE recommendations. Category A Continuing Education Credit
  • Necrotizing Soft Tissue Infections And Fournier's Gangrene
    Hyperbaric oxygen therapy for treatment of necrotizing soft tissue infections and Fournier's gangrene, protocol with evidence, sample physician order template and documentation guidance/template
  • Acute Exceptional Blood Loss Anemia
    Hyperbaric oxygen therapy (HBOT) protocol for Acute Exceptional Blood Loss Anemia, documentation template and GRADE assessment of current evidence
  • Central Retinal Artery Occlusion
    Hyperbaric oxygen therapy (HBOT) protocol for Central Retinal Artery Occlusion
  • Idiopathic Sudden Sensorineural Hearing Loss
    Hyperbaric oxygen therapy (HBOT) protocol for Idiopathic Sudden Sensorineural Hearing Loss, with evidence-based graded recommendations, sample documentation statements, physician order template, checklists.
  • Pyogenic and Invasive Fungal Intracranial Abscesses
    Hyperbaric oxygen therapy for treatment of pyogenic and invasive fungal intracranial abscesses, evidence-based protocol, sample physician order template
  • HBO Initial Patient Evaluation
    Overview of an initial patient evaluation for Hyperbaric Oxygen Therapy
  • An Introduction to Hyperbaric Oxygen Therapy
    Hyperbaric Oxygen Therapy Introduction and Indications for Treatment
  • Medications In The Hyperbaric Environment
    When administered in concentrations greater than those found under ambient room air conditions, oxygen can put forth clinical effects having a therapeutic profile not unlike other pharmaceutical agents. As a drug, oxygen is most notable in the setting of hyperbaric oxygen therapy where the partial pressure (dosage) of oxygen prescribed is significantly higher than that which is typically encountered in routine clinical practice.
  • Termination of Relationship: Patient-Provider And/Or Patient-Wound Care And Hyperbaric Service
    Providers should use caution when terminating a patient-provider relationship and ensure it does not constitute abandonment. Healthcare providers also have the right to terminate relationships with patients for a variety of reasons. This topic lists these reasons, provides legal/ risk management considerations, documentation and operational guidance for a standardized approach. Includes sample patient dismissal letter.
  • Hyperbaric Oxygen Therapy And Congestive Heart Failure
    Background There are a number of known risks and side effects of hyperbaric oxygen treatments most of which are either rare or of minimal consequence. One such complication is an exacerbation of congestive heart failure. When pulmonary edema occurs, it is typically noted in the latter half of a 90-minute treatment and, though rare, this complication can be significant. Patients may do well with simple decompression. Some may require a diuresis while others may require hospitalization
  • Hyperbaric Chamber History and Consent
    Hyperbaric Oxygen Patient History and Consent
  • Acute Peripheral Arterial Insufficiency
    Hyperbaric oxygen therapy (HBOT) protocol for Acute Peripheral Arterial Insufficiency
  • Acute Traumatic Ischemia, Crush Injury and Compartment Syndrome
    Hyperbaric oxygen therapy (HBOT) protocol for acute traumatic peripheral ischemia, crush injury and compartment syndrome with GRADE recommendations, review of recent evidence, checklist, sample documentation statements
  • Transcutaneous Oximetry
    Application of transcutaneous oximetry in hyperbaric medicine with practical algorithm.
  • Visual Acuity and HBOT
    Notification of Instructions Due To: A Change in Visual AcuityAs discussed during your hyperbaric patient education, vision changes are possible after receiving several (>20) hyperbaric treatments.  This is usually a temporary change that will resolve within 3 to 4 months after your last hyperbaric treatment.You are receiving this notification because during your last eye exam in the Hyper
  • Documentation: HBO Risks and Benefits
    Risk and Benefit Assessment for Hyperbaric Oxygen Therapy
  • Documentation: HBO Consultation History and Physical
    Consultation Template for Hyperbaric Oxygen Therapy
  • Risks and Benefits Documentation
    Hyperbaric Oxygen Risk and Benefit Documentation Template
  • Hyperbaric Oxygen Therapy and Visual Acuity
    HBOT documentation templates for weekly visual acuity exam throughout the course of HBOT
  • Utilization Review
    An overview of the utilization review process for hyperbaric oxygen therapy.
  • Role of the Medical Director in Hyperbaric Safety
    This topic illustrates how the medical director can take an active role in conjunction with the hyperbaric safety officer in promoting safety in hyperbaric facilities
  • The Role of the Medical Director in Hyperbaric Safety - A Brief Overview
    The medical director, rather than simply being a figurehead, must take an active role in conjunction with that of the safety officer. This blog post provides a brief overview on the Role of the Medical Director in Hyperbaric Safety
  • Patient Education - Hyperbaric Oxygen Therapy for Diabetic Foot Ulcer
    Topic for patients and caregivers. This topic on hyperbaric oxygen therapy for diabetic foot ulcers can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • Patient Education - Hyperbaric Oxygen Therapy for Chronic Refractory Osteomyelitis
    Topic for patients and caregivers. This topic on hyperbaric oxygen therapy for chronic refractory osteomyelitis can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • Patient Education - Hyperbaric Oxygen Therapy for Soft Tissue Radiation Injury
    Topic for patients and caregivers. This topic on hyperbaric oxygen therapy for soft tissue radiation injury can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • Patient Education - Hyperbaric Oxygen Therapy for Osteoradionecrosis
    Topic for patients and caregivers. This topic on hyperbaric oxygen therapy for osteoradionecrosis can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • Cutaneous Vasculitis
    INTRODUCTIONBackgroundDefinition:Vasculitis of the skin (cutaneous vasculitis) includes several inflammatory disorders that compromise blood vessels and specifically the cutaneous vascular system (i.e. arterioles, capillaries, postcapillary venules), and lead to cutaneous changes. (Papi and Papi 2016) According to the 2012 revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides (CHCC2012), cutaneous vasculitis can present in 3
  • Case: New-onset cutaneous vasculitis
    Wound care clinicians often face challenging ulcers that have been previously treated with little or no success by other healthcare providers. Some of these ulcers are related to cutaneous vasculitis. This topic describes how an atypical lower extremity ulcer was diagnosed as new-onset cutaneous vasculitis at a wound care clinic.
  • Patient Education - Hyperbaric Oxygen Therapy for Compromised Grafts and Flaps
    Topic for patients and caregivers. This topic on hyperbaric oxygen therapy for compromised grafts and flaps can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • Documentation: Hyperbaric Treatment Notes by the CHRN and CHT
    To ensure audit-readiness and smooth reimbursement, facility and physician charges related to wound care and hyperbaric oxygen services must be validated with documentation from both physician AND non-physician providers (i.e.,Certified Hyperbaric Registered Nurses and Certified Hyperbaric Technologists). The CHRN or CHT note is proof and validation that a treatment was provided and billed by the facility (G0277). This topic provides a template for hyperbaric treatment records documented by non-physician providers.
  • Designation of Hyperbaric Safety Director
    This topic elaborates on the role of a Hyperbaric Safety Director, including aspects related to designation, training/education and a sample policy and procedure. Authors also explain the rationale behind having a formally designated and specifically trained Safety Director in each hyperbaric medicine facility. Designation of the Safety Director in writing and an appropriate job description for the role are paramount to hyperbaric facility safety.
  • Staff Minimum Qualifications and Training for HBOT
    Regardless of the the purpose and scope of the hyperbaric facility, inadequate knowledge of applicable gas laws, chamber fire safety, potential risks, side effects, and contraindications of hyperbaric medicine, may result in dangerous situations that risk patients' and personnel's well-being. This topic elaborates on the minimum qualifications and training/education for hyperbaric staff, and provides policies that can be adjusted and adopted by hyperbaric programs.
  • Safety and Hyperbaric Oxygen Therapy
    Creating and maintaining an environment of safety in the hyperbaric facility is achieved through proactive planning and attention to detail. Lack of proper safety protocols and procedures causes accidents, and, unfortunately, loss of life. While we never want to have a disaster, we learn from safety analysis of them. This topic provides a summarized update on Safety in the Hyperbaric Facility. The topic also provides guidance and resources that will help you build an excellent hyperbaric safety program. Resources include safety guidelines, job descriptions, go-no-go lists, go-no-go risk assessment tool, and emergency procedures.
  • Patient Education in Wound Care and Hyperbaric Oxygen Therapy
    Patient and caregiver education is central to patient-centered, value-based care. It can be a differentiating factor for wound care and hyperbaric oxygen therapy (HBOT) services looking to offer the highest standards of clinical practice. This topic provides an update on the importance and benefits of patient education in wound care and HBOT, current gaps, commonly used methods, and resources to develop patient education programs in wound care and HBOT. It lists 5 tools that can be implemented today to streamline patient education at the point-of-care, and provides a downloadable framework with best practices on patient education in wound care and HBOT.
  • Educación al Paciente - Terapia de Oxígeno Hiperbárico Para Osteomielitis Refractaria Crónica
    For patients and caregivers, in SPANISH. This topic on hyperbaric oxygen therapy for chronic refractory osteomyelitis can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • Educación al Paciente - Terapia de Oxígeno Hiperbárico Para Injertos y Colgajos Comprometidos
    For patients and caregivers, in SPANISH. This topic on hyperbaric oxygen therapy for compromised skin grafts and flaps can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • Investigational HBOT Indications
    We would like to start this blog series by emphasizing that we are not recommending HBOT for off-label indications. However, the use of HBOT for certain conditions may be supported by some evidence, as described by case reports, case series or small randomized controlled trials (RCTs). In this blog series we will provide an overview of off-label indications for HBOT, and review existing evidence for selected conditions...We will start from the basics…What is an off-label HBOT?
  • Educación al Paciente - Terapia de Oxígeno Hiperbárico Para Úlcera de Pie Diabético
    For patients and caregivers, in SPANISH. This topic on hyperbaric oxygen therapy for diabetic foot ulcers can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • Global Surgical Transfer of Care to the Wound Clinic
    Wound physicians must be aware of the surgical global packaging rules as they relate to the transfer of care from one provider to another. Documentation and proper billing methods are essential to meet CMS compliance standards and to ensure the rules are followed. Failure to do so could make the wound care provider a target for audit and denials. This topic provides guidance and a protocol for global surgical transfer of care. Normal 0
  • Investigational HBOT Indications - Infertility
    This blog post reviews current evidence on use of adjunctive HBOT for female infertility
  • Investigational HBOT Indications - Preconditioning for Cardiac Surgery
    This blog article discusses the use of HBOT for patients who have an ischemic/reperfusion injury to the myocardium. While HBOT has been studied after Acute MI (AMI) in conjunction with stunting/angioplasty and/or TPI administration, it focuses primarily on patients who have a coronary artery bypass grafting (CABG) surgery.
  • Educación al Paciente - Terapia de Oxígeno Hiperbárico para Osteorradionecrosis de Mandíbula
    For patients and caregivers, in SPANISH. This topic on hyperbaric oxygen therapy for osteoradionecrosis of the mandible can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • Educación al Paciente - Terapia de Oxígeno Hiperbárico Para Lesiones de Radiación de Tejidos Blandos
    For patients and caregivers, in SPANISH. This topic on hyperbaric oxygen therapy for soft tissue radiation injury can be shared by email, or its PDF (attached to the topic) can be printed as a patient handout and handed directly to patients at the point-of-care.
  • Investigational HBOT Indications - Inflammatory Bowel Disease
    Well, time for the third installment of diseases that are considered “off-label” for hyperbaric oxygen ... yet, these diseases have some (sometimes a lot) evidence of effectivity and a plausible pathophysiology. This blog will deal with 
  • How to Select Offloading Devices
    This topic provides guidance on selection of Offloading Devices with an interactive framework
  • To treat or not treat a patient with C. Diff: That is the Question
    Decision support on how to manage HBOT patients with Clostridium difficile
  • HBOT and COVID - 19
    Here what we know and what we don't know about HBOT and COVID-19Synopsis: UHMS Hyperbaric Oxygen Therapy Committee Meeting on COVID-19 and HBO2. This is a synopsis of a conference call between invited members of the Hyperbaric Oxygen Therapy committee, the American College of Emergency Physicians’ Section on Unders
  • Case: Surgical offloading of a lesser toe DFU with flexor tenotomy
    This case demonstrates a classic presentation of a lesser toe diabetic foot ulcer which resolved quickly with percutaneous surgical release of the hammertoe deformity. Includes video depicting the procedure.
  • Arterial Ulcer - Introduction and Assessment
    Evidence-based review on arterial ulcer. Framework for assessment of patients with arterial ulcers. Includes concise abstract and comprehensive resources on the condition (e.g. epidemiology, risk factors, etiology, pathophysiology, history, physical examination, diagnosis, differential diagnoses, documentation and ICD-10 coding)
  • HBOT for Compromised Flaps and Grafts - An Overview
    What is Hyperbaric Oxygen Therapy? The Undersea and Hyperbaric Medical Society defines hyperbaric oxygen therapy as an intervention in which an individual breathes 100% oxygen intermittently while inside a hyperbaric chamber that is pressurized to greater than sea level pressure (1 atmosphere absolute, or ATA). For clinical purposes, the pressure must equal or exceed 1.4 ATA while breathing near 100% oxygen.  How Hyperbaric Oxygen Therapy Works
  • HBOT for Soft Tissue Radiation Necrosis - An Overview
    his topic is part of a series for clinicians who are considering referring patients to a hyperbaric oxygen therapy (HBOT) center for treatment consideration. It provides an overview on adjunctive HBOT for soft tissue radiation necrosis. A printable PDF that can be customized with the facility contact information is included
  • HBOT for Osteoradionecrosis of the Mandible - An Overview
    What is Hyperbaric Oxygen Therapy? The Undersea and Hyperbaric Medical Society defines hyperbaric oxygen therapy as an intervention in which an individual breathes 100% oxygen intermittently while inside a hyperbaric chamber that is pressurized to greater than sea level pressure (1 atmosphere absolute, or ATA). For clinical purposes, the pressure must equal or exceed 1.4 ATA while breathing near 100% oxygen.  How the Intervention Works
  • HBOT for Diabetic Foot Ulcer - An Overview
    This topic is part of a series for clinicians who are considering referring patients to a hyperbaric oxygen therapy (HBOT) center for treatment consideration. It provides an overview on adjunctive HBOT for diabetic foot ulcers. A printable PDF that can be customized with the facility contact information is included.
  • HBOT for Chronic Refractory Osteomyelitis - An Overview
    This topic is part of a series for clinicians who are considering referring patients to a hyperbaric oxygen therapy (HBOT) center for treatment consideration. It provides an overview on adjunctive HBOT for chronic refractory osteomyelitis. A printable PDF that can be customized with the facility contact information is included.
  • Provider Supervision of HBOT
    Do physicians need to directly supervise hyperbaric oxygen therapy services (HBOT)? It is helpful to first review the definitions of the different types of level of supervision (CFR Title 42, Chapter IV, Part 410) (i) General supervision means the procedure is furnished under the physician's overall direction and control, but the physician's pre
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