Blood, Sweat and Tears Workshop Medical Capabilities for Exploration Spaceflight Michael Krihak, PhD 1 and Ronak Shah, DO, MBA, MPH 2 1 University of California Santa Cruz, NASA Ames Research Center, Moffett Field, CA 2 University of Texas Medical Branch, NASA Johnson Space Center, Houston, TX Blood, Sweat and Tears Workshop 19 August 2015
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Blood, Sweat and Tears Workshop
Medical Capabilities for Exploration
Spaceflight
Michael Krihak, PhD1 and Ronak Shah, DO, MBA, MPH2
1University of California Santa Cruz, NASA Ames Research Center, Moffett Field, CA2University of Texas Medical Branch, NASA Johnson Space Center, Houston, TX
Blood, Sweat and Tears Workshop
19 August 2015
Blood, Sweat and Tears Workshop 2
Overview
• Exploration Medical Capability (ExMC)
• Vital Signs Monitoring
• Laboratory Analysis
Blood, Sweat and Tears Workshop 3
Blood, Sweat and Tears Workshop
Human Research Program
Behavioral Health &
Performance
Human Health & Countermeasures
Space Human Factors
Habitability
Space Radiation
Exploration Medical
Capability
ISS Medical Project
• Program goals
– Improve human health and performance
– Develop medical and human performance standards
– Identify and validate technologies that reduce risks
Blood, Sweat and Tears Workshop
Medical Risk
Risk of Adverse Health Outcomes & Decrements in
Performance due to Inflight Medical Conditions.
Given that medical conditions will occur during
human spaceflight missions, there is a possibility of
adverse health outcomes and decrements in
performance during these missions and for long
term health.
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Blood, Sweat and Tears Workshop
Exploration Medical Care
Level of Care Mission Capability
I LEO < 8 days
Space Motion Sickness, Basic Life Support, FirstAid, Private Audio, Anaphylaxis Response
II LEO < 30 days
Level I + Clinical Diagnostics, Ambulatory Care,Private Video, Private Telemedicine
III Beyond LEO < 30
days
Level II + Limited Advanced Life Support, TraumaCare, Limited Dental Care
IV Lunar > 30 days
Level III + Medical Imaging, SustainableAdvanced Life Support, Limited Surgical, Dental Care
V Mars Expedition
Level IV Autonomous Advanced Life Support andAmbulatory Care, Basic Surgical Care
TABLE 3.5.5.3.5-1 MEDICAL CARE CAPABILITIES
LEO – Low-Earth OrbitRef: NASA CxP 70024 – Constellation Program Human-Systems Integration Requirements (Revision B), March 3, 2008.Ref: NASA-STD-3001, Volume 1, NASA SPACE FLIGHT HUMAN SYSTEM STANDARD VOLUME 1: CREW HEALTH, Approved: 03-05-2007.
Blood, Sweat and Tears Workshop
Exploration Missions: - Limited (if any) resupply
- Delayed or absent communications
- Harsh environment
- Limited mass, volume, power
- Limited resources
- Isolation
- Do not increase the complexity of
the system more than you have to
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If we also have to bring this, we are doing it wrong.