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Guides and Research Downloads

Free, evidence-based guides on hyperbaric oxygen therapy for patients and physicians, plus a review of Canadian HBOT research. Each guide can be read on this site, downloaded as a PDF, or downloaded as a self-contained HTML file.

Kept current. Every guide here is reviewed and updated each quarter so the research and referral guidance stay current.

Research review

1 guide

Canadian HBOT Research Review 2020 to 2025

A descriptive review for clinicians and researchers. This review describes the open-access, Canadian-led hyperbaric oxygen therapy (HBOT) research published from 2020 through 2025, drawing on the 35 freely available studies in the...

Read online PDF HTML Updated 2026-06-28

For patients

2 guides

Talking to Your Doctor About HBOT

A plain-language guide for patients and families in Canada. Hyperbaric oxygen therapy, often shortened to HBOT, is a real medical treatment with a defined and limited set of uses. If you have read about it online, you may have seen...

Read online PDF HTML Updated 2026-06-28

Getting the Most Out of HBOT

A plain-language guide for patients starting a course of HBOT. Hyperbaric oxygen therapy (HBOT) means breathing pure oxygen while sitting or lying inside a pressurised chamber. It is used in Canada for 14 conditions that Health Canada...

Read online PDF HTML Updated 2026-06-28

For physicians

2 guides

Assessing Patients for HBOT

For physicians assessing a patient's suitability for HBOT. Hyperbaric oxygen therapy is publicly funded in Canada for 14 conditions, and at Canadian hospital-based programmes it is delivered as adjunctive or primary treatment within...

Read online PDF HTML Updated 2026-06-28

Referring Patients for HBOT

For physicians referring patients to hyperbaric oxygen therapy in Canada. Hyperbaric oxygen therapy (HBOT) is publicly funded across most of the country for a defined set of conditions, but the referral pathway differs sharply between...

Read online PDF HTML Updated 2026-06-28

Physician referral guides by indication

14 guides

Carbon Monoxide Poisoning

When to refer, how to assess the patient before referral, what the evidence supports, the Canadian referral pathway, contraindications, and the open-access research published since 2020.

Read online PDF HTML Updated 2026-06-28

Air or Gas Embolism

For referring and emergency physicians in Canada. Air or gas embolism is one of the 14 conditions for which Canadian hospital-based hyperbaric programmes, working within Health Canada-aligned practice, provide hyperbaric oxygen...

Read online PDF HTML Updated 2026-06-28

Decompression Sickness

For referring and emergency physicians in Canada. Decompression sickness is one of the 14 conditions publicly funded in Canada for hyperbaric oxygen therapy (HBOT), and recompression is its definitive treatment, delivered as an...

Read online PDF HTML Updated 2026-06-28

Gas Gangrene

For referring and emergency physicians in Canada. Gas gangrene (clostridial myonecrosis) is one of the 14 conditions publicly funded in Canada for hyperbaric oxygen therapy (HBOT), and it is treated as a surgical emergency at every...

Read online PDF HTML Updated 2026-06-28

Necrotizing Soft Tissue Infections

For referring and emergency physicians in Canada. Necrotizing soft tissue infections (NSTI), including necrotizing fasciitis and Fournier gangrene, fall under one of the 14 conditions publicly funded in Canada for hyperbaric oxygen...

Read online PDF HTML Updated 2026-06-28

Selected Problem Wounds

For referring and emergency physicians in Canada. Enhancement of healing in selected problem wounds is one of the 14 conditions publicly funded in Canada for hyperbaric oxygen therapy (HBOT), and it is among the most common...

Read online PDF HTML Updated 2026-06-28

Chronic Refractory Osteomyelitis

For referring physicians and surgeons in Canada. Chronic refractory osteomyelitis is one of the 14 conditions publicly funded in Canada for hyperbaric oxygen therapy (HBOT), and it is treated as an elective, adjunctive course at...

Read online PDF HTML Updated 2026-06-28

Soft Tissue Radiation Necrosis

For referring and emergency physicians in Canada. Delayed radiation injury is one of the 14 conditions publicly funded in Canada for hyperbaric oxygen therapy (HBOT), and the soft-tissue forms (radiation cystitis, radiation proctitis,...

Read online PDF HTML Updated 2026-06-28

Radiation Damage Affecting Bone

For referring and emergency physicians in Canada. Radiation damage affecting bone, most commonly mandibular osteoradionecrosis (ORN) after head and neck radiotherapy, is one of the 14 conditions publicly funded in Canada for hyperbaric...

Read online PDF HTML Updated 2026-06-28

Compromised Skin Grafts and Flaps

For referring and emergency physicians in Canada. Compromised skin grafts and flaps are one of the 14 conditions publicly funded in Canada for hyperbaric oxygen therapy (HBOT), and the therapy is offered as an adjunct to...

Read online PDF HTML Updated 2026-06-28

Thermal Burns

For referring and emergency physicians in Canada. Severe thermal burn injury is one of the 14 conditions publicly funded in Canada for hyperbaric oxygen therapy (HBOT), and where it is used it is an adjunct to specialised burn-centre...

Read online PDF HTML Updated 2026-06-28

Crush Injury and Compartment Syndrome

For referring and emergency physicians in Canada. Crush injury, compartment syndrome and acute traumatic ischaemia are among the 14 conditions publicly funded in Canada for hyperbaric oxygen therapy (HBOT), and they are treated as a...

Read online PDF HTML Updated 2026-06-28

Exceptional Blood Loss (Anaemia)

For referring and emergency physicians in Canada. Exceptional blood loss anaemia is one of the 14 conditions publicly funded in Canada for hyperbaric oxygen therapy (HBOT), and it is treated as an emergency at every Canadian...

Read online PDF HTML Updated 2026-06-28

Sudden Sensorineural Hearing Loss

For referring and emergency physicians in Canada. Idiopathic sudden sensorineural hearing loss (ISSNHL) is one of the 14 conditions publicly funded in Canada for hyperbaric oxygen therapy (HBOT), and it is treated as a time-sensitive...

Read online PDF HTML Updated 2026-06-28