Aerospace Medicine and Transformation Aerospace Aerospace Medicine Medicine and Transformation and Transformation Vision and Reality Vision and Reality Brigadier Brigadier General Dr. General Dr. R R ö ö dig dig presented by: Colonel Dr. Krause presented by: Colonel Dr. Krause XX Italian Aerospace Medicine Annual Meeting XX Italian Aerospace Medicine Annual Meeting Florence, 4. Florence, 4. - - 7 7 - - September 2007 September 2007
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Aerospace Medicine and Transformation - aimas.it · 2007. 11. 13. · Aerospace Medicine and Transformation Aerospace Medicine Vision and Reality Brigadier General Dr. Rödig presented
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Aerospace Medicine and TransformationAerospace Aerospace Medicine Medicine and Transformationand Transformation
Vision and RealityVision and Reality
BrigadierBrigadier General Dr. General Dr. RRöödigdigpresented by: Colonel Dr. Krausepresented by: Colonel Dr. Krause
XX Italian Aerospace Medicine Annual MeetingXX Italian Aerospace Medicine Annual MeetingFlorence, 4.Florence, 4.--77-- September 2007September 2007
NATO StrategyEssential Operational Capabilities
NATO StrategyNATO StrategyEssential Operational CapabilitiesEssential Operational Capabilities
•• MobilityMobility•• InteroperabilityInteroperability•• FlexibilityFlexibility•• SurvivabilitySurvivability•• SustainabilitySustainability•• Rapid Augmentation (module) Rapid Augmentation (module) •• Command & Control (C4ISR)Command & Control (C4ISR)•• Jointness and Jointness and MultinationalityMultinationality
Responsibility for the Health of NATO Forces rests personally with the Operational NATO- Commander
Doc.: MC 326/2 NATO Principles and Policies of Operational Medical Support
Pilot Skill EvolutionPilot Skill EvolutionPilot Skill EvolutionPi
lot
Pilo
tW
orkl
oad
Wor
kloa
d
Aircraft EvolutionAircraft Evolution
Information ProcessingInformation ProcessingRequirementRequirement
• Key is to Observe and Orient with Sensors outside the Aircraft
• Make Targeting Decision
• Link Targeting Informationand Data to Aircraft
• Pilot Acts on Fused Data
BrigGen Robert J. ELDER Jr.
ActAct ObserveObserve
DecideDecide OrientOrient
Battle Space Risk Management
Full Spectrum Health Care
Human Performance Enhancement
Aerospace Medicine
Human to Weapon System
Interface
AEROSPACE MEDICINE AEROSPACE MEDICINE AEROSPACE MEDICINE
Screening, Selectionand Training
Quality Management Evidence Based Medicine
AirMedEvacSAR /CSAR
Interoperabilitymultinational,civil -military
Human SystemsIntegrations
Operational FlightMedicine
Clinical Flight MedicineConsulting and Standards
Prevention
AEROSPACE MEDICINE AEROSPACE MEDICINE AEROSPACE MEDICINE
Quality Management Evidence Based Medicine
AirMedEvacSAR /CSAR
Interoperabilitymultinational,civil -military
Human SystemsIntegrations
Operational FlightMedicine
Clinical Flight MedicineConsulting and Standards
Prevention
Screening, Selectionand Training
Screening, Selectionand Training
Human Consequences of Agile AircraftHuman Human ConsequencesConsequences of Agile of Agile AircraftAircraft
„„OperationalOperational agilityagility““ ((weaponsweapons and systems)and systems)
Airframe AgilityAirframe Agility::-- angle of angle of attackattack
-- nose pointingnose pointing, , multimulti -- axesaxes
-- offoff-- boresight missilesboresight missiles
-- HMD/HOTASHMD/HOTAS
-- sightsight systems (systems (offboard offboard / / onboardonboard))
-- manoeuverabilitymanoeuverability
-- fly by wirefly by wire
Human Consequences of Agile AircraftHuman Human ConsequencesConsequences of Agile of Agile AircraftAircraftTheThe human engineeringhuman engineering challengechallenge
Human Human FactorsFactors::-- neuromuscular consequencesneuromuscular consequences ((biomechanicalbiomechanical))
•• After 17 hours of sustained After 17 hours of sustained wakefulness, science has shown wakefulness, science has shown that crews will have the same that crews will have the same degraded performance as degraded performance as someone with a Blood Alcohol someone with a Blood Alcohol Concentration (BAC) of 0.05%Concentration (BAC) of 0.05%
•• After 24 hours of sustained After 24 hours of sustained wakefulness, performance wakefulness, performance degradation is similar to degradation is similar to someone who has a BAC level someone who has a BAC level of roughly 0.10% of roughly 0.10% ---- legally legally intoxicated in all statesintoxicated in all states
1Dawson, D. and Reid, K., "Fatigue, Alcohol and Performance Impairment." Nature, 388 (1997): 235.
Emergency Medicine Emergency Medicine Emergency Medicine
Emergency MedicineEmergency MedicineEmergency Medicine
AEROSPACE MEDICINE AEROSPACE MEDICINE AEROSPACE MEDICINE
AEROSPACE MEDICINE AEROSPACE MEDICINE AEROSPACE MEDICINE
Screening, Selectionand Training
Quality Management Evidence Based Medicine
AirMedEvacSAR /CSAR
Interoperabilitymultinational,civil -military
Human SystemsIntegrations
Operational FlightMedicine
Clinical Flight MedicineConsulting and Standards
PreventionPrevention
•• identifying the risks and threats to the health of soldiers identifying the risks and threats to the health of soldiers deployed in a specific theatre of operations fromdeployed in a specific theatre of operations from-- terrainterrain-- climateclimate-- endemic diseaseendemic disease-- special environmental & occupational hazardsspecial environmental & occupational hazards
•• identifying necessary preventive and controlling measures identifying necessary preventive and controlling measures and and advising commanders on their implementationadvising commanders on their implementation
AEROSPACE MEDICINE AEROSPACE MEDICINE AEROSPACE MEDICINE
Screening, Selectionand Training
Quality Management Evidence Based Medicine
AirMedEvacSAR /CSAR
Human SystemsIntegrations
Operational FlightMedicine
Clinical Flight MedicineConsulting and Standards
Prevention
Interoperabilitymultinational,civil -military
Interoperabilitymultinational,civil -military
Joint and AlliedJoint and AlliedJoint and Allied
E A G(European Air Group)
NATO INTEROPERABILITYNATO INTEROPERABILITYNATO INTEROPERABILITY
Interoperability is the golden standard ofInteroperability is the golden standard ofaeromedicalaeromedical support in multisupport in multi--national NATOnational NATOairair--operationsoperations
and thus requires the effect ofand thus requires the effect of
••A ready medical forceA ready medical force
•• And a medically ready forceAnd a medically ready force
Anytime......AnywhereAnytime......Anywhere
AEROSPACE MEDICINE AEROSPACE MEDICINE AEROSPACE MEDICINE
Screening, Selectionand Training
Quality Management Evidence Based Medicine
AirMedEvacSAR /CSAR
Interoperabilitymultinational,civil -military
Operational FlightMedicine
Clinical Flight MedicineConsulting and Standards
Prevention
Human SystemsIntegrations
Human SystemsIntegrations
•• Human Factors Engineering Human Factors Engineering (optimize design, SA)(optimize design, SA)
•• Safety and Occupational Health Safety and Occupational Health (sustainability)(sustainability)
•• Personal and Environment Personal and Environment (fatigue, data management)(fatigue, data management)
Ultimate Goal:Ultimate Goal: Mission Success and safety through human Mission Success and safety through human performance enhancement and performance enhancement and sustainmentsustainment
HUMAN
SYSTEMS
INTEGRATION
HHUMANUMAN
SSYSTEMS YSTEMS
IINTEGRATIONNTEGRATION
Combat EdgeCombat EdgeOxygen MaskOxygen Mask
LPULPU--9/P9/PLife Life
PreserverPreserver
CWUCWU--27/P27/PFlight SuitFlight Suit
CSUCSU--13B/P13B/PAntiAnti--G SuitG Suit
HGUHGU--55/P55/P(HGU(HGU--55/P 55/P
L/W)L/W)HelmetHelmet
GS/FRPGS/FRP--2 Flyers 2 Flyers GlovesGloves
Torso HarnessTorso Harness
CRUCRU--94/P94/PIntegrated Integrated
Terminal Block Terminal Block ConnectorConnector
SRUSRU--21/P21/PSurvival VestSurvival Vest
CSUCSU--17/P17/PAntiAnti--G VestG Vest
FWUFWU--8P8PFlying BootsFlying Boots
LIFE SUPPORT EQUIPMENTLIFE SUPPORT EQUIPMENTLIFE SUPPORT EQUIPMENT
Combat EdgeCombat Edge
HUMAN PERFORMANCE SUSTAINMENTAND ENHANCEMENT
HUMAN PERFORMANCE SUSTAINMENTHUMAN PERFORMANCE SUSTAINMENTAND ENHANCEMENTAND ENHANCEMENT
•• Performance EnhancementPerformance Enhancement–– ““Day into NightDay into Night””: : NVGsNVGs–– HelmetHelmet--Mounted DevicesMounted Devices
•• Greater emphasis on human / Greater emphasis on human / system interface and data system interface and data management challengesmanagement challenges–– Automated cockpit systems Automated cockpit systems ––
UAV ChallengeUAV Challengeautomation to empower not to replace aircrewautomation to empower not to replace aircrew
•• HumanHuman--machine interfacemachine interface•• Auto responses to sytem failuresAuto responses to sytem failures•• Objectives vary contantly (IRS, CAS)Objectives vary contantly (IRS, CAS)•• No machine to machine interfaceNo machine to machine interface•• No mission management automationNo mission management automation
Problems:Problems:
UK MODUK MOD
April 2005April 2005
Six-Years 32 Million Euro Contract for Human Factors Research• Physical Fitness• Mental Perfomance• Nutrition• Sleep• Selection and Training• Equipment Design and Adaption
To Get the Best out of People • Especially in the Network-Enabled Battlespace• Where Human and Equipment Assets have to Work
Together in Novel Ways
Taking Care of Human PerformanceTakingTaking CareCare of Human Performanceof Human Performance
AEROSPACE MEDICINEAEROSPACE MEDICINEAEROSPACE MEDICINE
Organizational Element of Flight Surgeon OrganizationalOrganizational Element ofElement of Flight Surgeon Flight Surgeon
Reliable Presence of the Flight Surgeonon the Home Base and in Missions