Abstract
Providing adequate medical care for spaceflight crews requires that appropriate diagnostic tools and treatment modalities be available to them throughout their mission. The challenge for mission planners is deciding what medical capability to provide and then packaging it in a way that meets the many unique constraints of space flight. Crews also must receive adequate training that will help them make correct diagnoses and administer the appropriate level of care to an ill or injured crewmember. Identification of appropriate levels of medical care is driven by the risks that have been identified in space flight. The duration of a space mission and the number of high-risk activities associated with it (e.g., extravehicular activities) will also influence decisions concerning the content of onboard medical. Finally, the unique physiological responses to space flight must also be examined—space adaptation syndrome, cardiovascular deconditioning, and bone demineralization, among others. Only by accounting for all of these factors can the best possible care and facilities be provided to spaceflight crews.
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References
NASA-STD-3001, NASA Space Flight Human System Standard, Volume 1, Revision A: Crew Health. Approved: 07-30-2014. Section 4, Requirements/Levels of Medical Care.
Polyakov VV. The physician-cosmonaut tasks in stabilizing the crew members’ health and increasing an effectiveness of their preparation for returning to Earth. Acta Astronaut. 1991;23:149–51.
Space Medicine Exploration Medical Condition List. NASA Johnson Space Center, JSC-65722; March 2012.
Bridge LM, Watkins S. Impact of medical training level on medical autonomy for long-duration space flight. NASA/TP-2011-216159; January 2012.
Houtchens BA. Minor surgery and anesthesia capabilities for space station health maintenance facility (HMF). Unpublished document prepared under NASA-JSC Contract T-1419M; 1987.
Billica RD, Pool SL, Nicogossian AE. Crew health-care programs. In: Nicogossian AE, Huntoon CL, Pool SL, editors. Space physiology and medicine. 3rd ed. Philadelphia: Lea & Febiger; 1994. p. 402–23.
Lloyd C, Creager GJ. SMIDEX IV pump experiment. In: Spacelab life sciences-1 Final report, vol. 1. Houston: NASA–Johnson Space Center; 1994. p. 5-83–8. JSC-26786.
Creager GJ. Formulation, preparation, and delivery of parenteral fluids for the Space Station Freedom Health Maintenance Facility. Paper presented at the 20th Intersociety Conference on Environmental Systems; July 9–12, 1990; Williamsburg, VA. SAE Technical Paper Series No. 901325.
McKinley BA. Sterile water for injection system for on-site production of IV fluids at Space Station Freedom HMF. Paper presented at the 20th Intersociety Conference on Environmental Systems; July 9–12, 1990; Williamsburg, VA. SAE Technical Paper Series No. 901324.
McQuillen JB, McKay TL, Griffin DW et al. Final Report for Intravenous Fluid Generation (IVGEN) Spaceflight Experiment. NASA/TM 2011–217033.
Barratt M, Billica R. Delivery of cardiopulmonary resuscitation in the microgravity environment. Presented at the 63rd Annual Scientific Meeting of the Aerospace Medical Association; May 10–14, 1992; Miami Beach, FL.
Evetts SN, Evetts LM, Russomano T, et al. Basic life support in microgravity: Evaluation of a novel method during parabolic flight. Aviat Space Environ Med. 2005;76(5):506–10.
Rehnberg L, Russomano T, Falcao F, et al. Evaluation of a novel basic life support method in simulated microgravity. Aviat Space Environ Med. 2011;82(2):104–10.
Braunecker S, Douglas B, Hinkelbein J. Comparison of different techniques for in microgravity-a simple mathematic estimation of cardiopulmonary resuscitation quality for space environment. Am J Emerg Med. 2015 Jul;33(7):920–4.
Billica RD, Barratt MR. Inflight evaluation of apparatus and techniques for performance of medical and surgical procedures in microgravity: STS-40/SLS-1, SMIDEX Medical Restraint System. In: Spacelab life sciences-1 Final report. Houston: NASA–Johnson Space Center; 1994. p. 5-67–82. JSC-26786.
Hurst V 4th, Whitman SW, Austin PN, et al. Cardiopulmonary resuscitation during spaceflight: examining the role of timing devices. Aviat Space Environ Med. 2011;
Jay GD, Lee P, Goldsmith H, et al. CPR effectiveness in microgravity: comparison of three positions and a mechanical device. Aviat Space Environ Med. 2003;74(11):1183–9.
Berry CA. Medical care of space crews (medical care, equipment, and prophylaxis). In: Talbot JM, Genin AM, editors. Space medicine and biotechnology, vol. 3. Washington: NASA Scientific and Technical Information Office; 1975. p. 345–71. NASA SP-374. Calvin M, Gazenko OG (series eds.), Foundations of Space Biology and Medicine.
Godwin R. Gemini 6—The NASA mission reports. Burlington: Apogee Books; 2000. p. 24.
Hawkins WR, Ziegleschmid JF. Johnson RS, Dietlein LF, Berry CA, editors. Biomedical results of ApolloClinical aspects of crew health, vol. 1975. Washington: U.S. Government Printing Office. p. 43–81. NASA SP-368
EVA & Experiments Branch, Crew Procedures Division. In-flight Medical Support System Checklist, All Skylab Missions, Final. Rev A. Houston: NASA–Johnson Space Center; 1973.
Medical Operations, Space and Life Sciences Directorate. NASA 6 Mir Supplemental Medical Kit Checklist. Houston: NASA–Johnson Space Center; 1997.
Dempsey CA, Barratt MR. Evolution of in-flight medical care from Space Shuttle to International Space Station. Paper presented at the 26th International Conference on Environmental Systems; July 8–11, 1996; Monterey, CA. SAE Technical Paper Series No. 961345.
Billica RD, Jennings RT. Biomedical training of U.S. space crews. In: Nicogossian AE, Huntoon CL, Pool SL, editors. Space physiology and medicine. 3rd ed. Philadelphia: Lea & Febiger; 1994. p. 394–400.
Shimamoto S. Skylab medical training, meeting summary. Houston: KRUG Life Sciences; 1991.
Butler D. NAS9-97005 Annual Medical Technology Report. Houston: Wyle Laboratories; 2000.
Hamilton D, Smart K, Melton S, et al. Autonomous medical care for exploration class medical missions. J Trauma. 2008;64(4):S354–63.
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Taddeo, T.A., Gilmore, S., Armstrong, C.W. (2019). Spaceflight Medical Systems. In: Barratt, M., Baker, E., Pool, S. (eds) Principles of Clinical Medicine for Space Flight. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-9889-0_6
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