“AFP Vision 2028: A World-class Armed Forces, Sources of National Pride”

CAPABILITY DEVELOPMENT PLAN FOR THREE (3) YEARS

Project: HYPERBARIC OXYGEN CHAMBER

I. Background:

Hyperbaric medicine is currently gaining attention in the field of medicine with

applications beyond its well-established definitive treatment for decompression
sickness associated with scuba diving accidents including arterial blood embolism
due to pulmonary barotrauma from ascent. The treatment comprises hyperbaric
oxygen therapy (HBOT), which involves breathing pure oxygen at an ambient
pressure higher than atmospheric pressure, and therapeutic
recompression for decompression illness intended to reduce the injurious effects of
systemic gas bubbles by physically reducing their size and providing improved
conditions for elimination of bubbles and excess dissolved gas. New applications for
HBOT includes serious infections, non-healing wounds associated with diabetes or
radiation therapy. Proposed mechanisms of action include increase oxygen supply to
areas of injury, stimulate capillary growth, create immediate aerobic state, release of
growth factors and stem cells which promote healing.

The need for Hyperbaric medicine chamber was first conceptualized in one of
the visits of PRESIDENT RODRIGO R. DUTERTE to AFP Health Service Command
last 02 August 2016. It was determined to be an important intervention in
enhancement of wound healing of battle casualty patients. Last 21 December 2017,
the Armed Forces of the Philippines represented by the Secretary of National
Defense DELFIN N. LORENZANA and the winning bidder Joint Venture of Variance
Trading and Cartal Enterprises Inc. entered into a contract Agreement for the
Acquisition of One(1) Lot Hyperbaric Chamber for the Armed Forces of the
Philippines Health Service Command amounting to Eight Million Three Hundred
Eighty Thousand pesos only(PhP88,380,000.00). (DND/AFPMC-ME-HC-R17-0005).

II. Scope of Utilization

The US FDA and Undersea Hyperbaric Medicine Society (UHMS) has 14

approved HBOT indications similar with U.K. For other countries, Japan has 20,
China 53, Canada, Germany and Russia 85. The Philippines has no training,
certifying, nor regulating agency for the practice of Hyperbaric Medicine.

Approved Indications
Decompression sickness Diabetic wound healing problems
Air and Gas embolism Crush injuries, Compartment syndrome,
Acute ischemia (traumatic or vascular basis)
Carbon Monoxide poisoning or smoke Compromised skin grafts and flaps
inhalation
Clostridial myonecrosis (gas gangrene) and Severe anemia (due to blood loss)
anaerobic infections
Delayed radiation injuries Refractory osteomyelitis
Osteoradionecrosis Acute hearing loss. Acute acoustic trauma
with or without tinnitus

“AFP Core Values: Honor, Service, Patriotism”

 “AFP Vision 2028: A World-class Armed Forces, Sources of National Pride”

Thermal burns (2nd degree or more) Necrotizing otitis externa

Other indications considered optional (AHLSI-Philippines) include

enhancement in healing of certain wounds, post anoxic encephalopathy, Acute
ophthalmologic ischemia, Radiation Necrosis (intestinal and other).

Experimental indications include Cerebral Palsy, Stroke (Acute cerebral

ischemia, Lyme disease and autism.

III. The Hyperbaric Medicine Program for VLMC

MISSION: “TO PROVIDE HYPERBARIC OXYGEN THERAPY TO ITS PATIENTS IN

SUPPORT OF THE VLMC AND THE AFPHSC IN GENERAL”

VISION: “A WORLD CLASS HYPERBARIC MEDICAL CENTER BY 2028”

“AFP Core Values: Honor, Service, Patriotism”

 “AFP Vision 2028: A World-class Armed Forces, Sources of National Pride”

IV. Organizational

The Department of Hyperbaric Medicine is proposed to be under the

Medical Service Division among the different clinical departments. Its
organizational structure as a department shall be headed by a Chief supported
by a Safety Director and the different personnel representing the physicians,
nurses, and technologies needed in the applications and operations of the
chamber.

“AFP Core Values: Honor, Service, Patriotism”

 “AFP Vision 2028: A World-class Armed Forces, Sources of National Pride”

V. Personnel Requirement
TDA Position Req Qualifications
Chief, Hyperbaric 1 Licensed Doctor of Medicine
Medicine
Safety Director 1 Licensed Doctor of Medicine or
Registered Nurse
Hyperbaric 3 Licensed Doctor of Medicine
Physicians
Hyperbaric Nurse 3 Registered Nurse
Hyperbaric Completed (preferably certified)
Technologist 1 Medical/Respiratory/Physical Therapist
Supervisor
Inside Patient 3 Completed (preferably certified)
Attendant Medical/Respiratory/Physical Therapist
Or Board eligible Nurse
Outside Patient 3 Completed (preferably certified)
Attendant Medical/Respiratory/Physical Therapist
Or Board-eligible Nurse
Chamber Operator 3 Completed (preferably certified)
Medical/Respiratory/Physical Therapist
Or Board eligible Nurse
Hyperbaric 1 Licensed Respiratory Therapist
Respiratory
Attendant

VI. Training Requirements

CY Training Number of Personnel Duration Venue Cost
and category

2018 Hyperbaric Medical Doctors-2 17 June to The Included in the

oxygen training Medical Technician-2 20 July Netherlands special
maintenance, EP Nurse-2 2018 condition of the
operation and contract of the
repair project.

2018 Hyperbaric Medical Doctors-2 03 San Antonio P 761,184.00

Medicine Nurses-2 December Texas
Training with to 09
Wound Care December
2018
2019 Hyperbaric Medical Doctor-1 15 January San Antonio P284, 580
Safety Director Medical Technician-1 to 18 Texas
with Acrylic January
Course 2019
2019 Hyperbaric Medical Doctors-2 6 Days First San Antonio P1,335,096.00
Medicine Medical Technician-4 week of Texas
Training with Nurse-1 February
Wound Care

“AFP Core Values: Honor, Service, Patriotism”

 “AFP Vision 2028: A World-class Armed Forces, Sources of National Pride”

Hyperbaric Medicine Training with Wound Care

Program of Expenditure
( )
Particulars USD PhP
100% DSA @USD317.00 x 9 days x 4 pax 11,412.00 601,697.70
40% DSA @USD126.80 x 1 day x 4 pax 507.20 26,742.12
Roundtrip Airfare @USD1,851.00 x 4 pax 7,404 390,375.90
Tuition Fee @USD1,225.00 x 4 pax 4,900 258,352.5
(1USD=PhP52.725) TOTAL 1,277,168.22

Hyperbaric Safety Director Course

Program of Expenditure
( )

Particulars USD PhP

100% DSA @USD317.00 x 4 days x 2 pax 2,536.00 133,710.60
40% DSA @USD126.80 x 1 day x 2 pax 253.60 13,371.06
Roundtrip Airfare @USD1,851.00 x 2 pax 3,702.00 195,187.95
Tuition Fee @USD1,225.00 x 2 pax 2,450.00 129,176.25
(1USD=PhP52.725) TOTAL 471,445.86
Hyperbaric Medicine Training with Wound Care
Program of Expenditure
( )
Particulars USD PhP
100% DSA @USD317.00 x 9 days x 7 pax 19,971.00 1,052,970.98
40% DSA @USD126.80 x 1 day x 7 pax 887.60 46,798.71
Roundtrip Airfare @USD1,851.00 x 7 pax 12,957.00 683,157.83
Tuition Fee @USD1,225.00 x 7 pax 8,575.00 2,712,701.25
(1USD=PhP52.725) TOTAL 4,495,628.76

PERSONNEL PROJECTED CURRENT TRAINING REMARKS

POSITION STATUS
MAJ VICENTE B Chief, Organic VLMC FPCP
VILA II O-143615 Hyperbaric Attended HOT

“AFP Core Values: Honor, Service, Patriotism”

 “AFP Vision 2028: A World-class Armed Forces, Sources of National Pride”

(MC) PA Oxygen Machine Operation

Treatment and Preventive
Service Maintenance
Familiarization
Projected to attend
Hyperbaric Medicine
Team Training
CPT SHERWIN Safety Organic VLMC DPCP
JOPSEPH P Director Projected to attend
SARMIENTO O- Hyperbaric Medicine
18513 (MC) PAF Team Training and
Safety Director
Course
CPT JAN MICHAEL Hyperbaric Training Attended HOT Will be
C KONG O-18480 Physician Resident Machine Operation requested
(MC) PA and Preventive assignment to
Maintenance AFPHSC upon
Familiarization graduation
Projected to attend
Hyperbaric Medicine
Team Training
SSg Emilio C Hyperbaric Assigned Attended HOT
Mañebog 849108 Technologist AFPHSC Machine Operation
PAF and Preventive
Maintenance
Familiarization
Projected to attend
Hyperbaric Medicine
Team Training
SSg Ryan C Roxas Hyperbaric Assigned Attended HOT
853170 PAF Technologist AFPHSC Machine Operation
and Preventive
Maintenance
Familiarization
Projected to attend
Hyperbaric Medicine
Team Training
Cpl Jaymardie C Hyperbaric Assigned Attended HOT
Bulan 894194 (MS) Technologist AFPHSC Machine Operation
PA and Preventive
Maintenance
Familiarization
Projected to attend
Hyperbaric Medicine
Team Training
A2C Jerome M Hyperbaric Assigned Attended HOT
Magrelos 903005 Technologist AFPHSC Machine Operation
and Preventive
Maintenance
Familiarization

“AFP Core Values: Honor, Service, Patriotism”

 “AFP Vision 2028: A World-class Armed Forces, Sources of National Pride”

Projected to attend
Hyperbaric Medicine
Team Training
Mr Edmond V Hyperbaric Regular Projected to attend
Salvatera Nurse Civilian Hyperbaric Medicine
Employee Team Training
VLMC Nursing
Service
Division
Mr Abraham G Hyperbaric Regular Projected to attend
Salvador Nurse Civilian Hyperbaric Medicine
Employee Team Training
VLMC Nursing
Service
Division
Ms Honey Leslie Hyperbaric Regular Projected to attend
Parallo Nurse Civilian Hyperbaric Medicine
Employee Team Training
VLMC Nursing
Service
Division
Tsg Ricky R Hyperbaric Assigned Projected to attend Will be
Ganancial 815730 Technologist/ AFPHSC Hyperbaric Medicine requested for
MS PA RSNCO Team Training transfer from
Central Supply
Room

Equipments 2019 2020 2021

1. Defibrillator AED 
2. ECG Monitor 
3. Infubation SCT 
4. Transcutaneous oxygen partial 
pressure monitor
5. Laser Doppler 
6. Capability for invasive pressure 
monitoring
7. Mechanical ventilator ( compressible ) 

VICENTE B VILA II
MAJ (MC) PA
Department Head

“AFP Core Values: Honor, Service, Patriotism”