A concept of operations for contingency medical care on the International Space Station

Military Medicine

Volumn 169, Issue 8, 2004, Pages 631-641

  Bacal, Kira ^a   Beck, George ^b   McSwain Jr , Norman E ^c  

^a University of Texas Medical Branch School of Medicine   (United States)

^b Impact Instrumentation Inc   (United States)

^c TULANE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AIRPLANE CREW; AMBULATORY CARE; AUSCULTATION; COSMONAUT; DIAGNOSTIC IMAGING; HEALTH CARE SYSTEM; HUMAN; INFORMATION SCIENCE; INTENSIVE CARE; MEDICAL CARE; MILITARY MEDICINE; MONITORING; PATIENT TRANSPORT; PRACTICE GUIDELINE; REVIEW; SAFETY; SPACE; TRAINING; TREATMENT PLANNING; UNITED STATES; AEROSPACE MEDICINE; ARTICLE; EMERGENCY TREATMENT; GOVERNMENT; INSTRUMENTATION; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PATIENT CARE PLANNING; RUSSIAN FEDERATION; SPACE FLIGHT; STANDARD; TIME;

AEROSPACE MEDICINE; CRITICAL CARE; EMERGENCY TREATMENT; HUMANS; PATIENT CARE PLANNING; PATIENT CARE TEAM; RUSSIA; SPACE FLIGHT; TIME FACTORS; TRANSPORTATION OF PATIENTS; UNITED STATES; UNITED STATES NATIONAL AERONAUTICS AND SPACE ADMINISTRATION;

EID: 7044272468     PISSN: 00264075     EISSN: None     Source Type: Journal    
DOI: 10.7205/MILMED.169.8.631     Document Type: Review

References (97)

1. Butler FK, Hagmann J, Butler EG: Tactical combat casualty care in special operations. Milit Med 1996; 161(Suppl): 3-16.
2. Butler FK, Hagmann JH, Richards DT: Tactical management of urban warfare casualties in special operations. Milit Med 2000; 165(Suppl): 1-48.
3. Butler FK, Zafren K: Tactical management of wilderness casualties in special operations. Wilderness Environ Med 1998; 9: 62-117.
4. McSwain NE (editor): Military medicine. In: Prehospital Trauma Life Support Manual, Ed 5. St. Louis, MO, Mosby, 2003.
5. Forgey WW (editor): Wilderness Medical Society Practice Guidelines for Wilderness Emergency Care, Ed 2. Guilford, CT, Globe Pequot Press, 2000.
6. SEAL Biomedical Research and Development Task Statement 3-93.
7. Butler FK: Medical support of Special Operations. In: U.S. Army Textbook of Military Medicine, Volume 2: Medical Aspects of Harsh Environments. 2002. Edited by Pandolf KB, Burr RE. Available at www.bordeninstitute.army.mil/ medaspofharshenvrnmntsvol2/default_index.hun.
8. Heiskell LE, Carmona RH: Tactical emergency medical services: an emerging subspecialty of emergency medicine. Ann Emerg Med 1994; 23: 778-85.
9. ISS Joint Medical Operations Implementation Plan, NASA Document SSP 50480 Revision A, May 2000.
10. ISS Medical Operations Requirements Document, NASA document SSP 50260. Rev B, Section 4, May 2003.
11. System Specification for the International Space Station. NASA Document SSP 41000AG, Section 3.2.1.1.1.14e, December 2002.
12. American Association for the Advancement of Science: Report XXVI. "Research and Development FY 2002," Chapter 10, NASA Research and Development in the Fiscal Year 2002 Budget. Available at http://www.aaas.org/ spp/rd/xxvi/ chap10.htm.
13. Morring F: "ISS 'Lifeboat' Study Includes ELVs," 2002. Available at http:// www.aviationnow.com/content/publication/awst/20020520/aw46. htm.
14. Morring F: NASA tacks away from X-33 in space launch initiative. Aviation Week Space Technol, May 20, 2002.
15. Oberman D: House Science Committee Democratic Caucus Reps Hall and Gordon Comment on NASA's New Space Transportation Plan. Sci Technol News. November 14, 2002.
16. Engle ME: Results of the Safe Haven Technical Interchange Meeting. Presented at Noordwijk, Netherlands. April 2002, and Safe Haven. Presented at NASA-JSC Program Integration Control Board, Houston, TX, September 2002.
17. Stepaniak P, Hamilton GC, Stizza D, Garrision R, Gerstner D: Considerations for Medical Transport from the Space Station via an Assured Crew Rescue Vehicle. NASA Document NASA-TM-2001-210198, July 2001.
18. Cowing K: What Would NASA Do If a Soyuz Landed in America? Available at http://www.spaceref.com/news/viewnews.html?id=815, including minutes from the Soyuz Contingency Landing Technical Interchange Meeting, held at NASA-Johnson Space Center, December 6-15, 2000; accessed May 4, 2003.
19. Multilateral Medical Operations Panel Meeting minutes, May 2002.
20. Russian Soyuz-TM Technical Data Book Revision C, November 1998.
21. Semenov Yu P, Babkov O, Timchenko V, Craig J: Soyuz-TM-based interim Assured Crew Return Vehicle (ACRV) for the Space Station Freedom, at IAF, International Astronautical Congress 7, October 1, 1993.
22. Sepahban SF, Williams RJ: The Soyuz Assured Crew Return Vehicle Operations Concept, AIAA, Space Programs and Technologies Conference and Exhibit, September 21-23, 1993, Huntsville, AL.
23. Eichblatt DL, Cerimele CJ, Barratt MR, Stevenson LD: Soyuz TM-16 Landing Observation Report: Assured Crew Return Vehicle (SCRV). NASA Document JSC 34052, November 1993.
24. Nicogossian AE, Gazenko OG: Space Biology and Medicine: Joint Russian/U.S. Publication in Five Volumes. Washington, DC, AIAA, 1993.
25. Nicogossian AE, Huntoon CL, Pool SL: Space Physiology and Medicine, Ed 3, Philadelphia, PA, Lea & Febiger, 1994.
26. Space Medicine Configuration Control Board Condition List Change Request SM-OTH-003, December 2001.
27. Station Program Implementation Plan, NASA Document SSP 50200-08 Rev A, Volume 9, Section 5.3.4, April 2002.
28. Walls RM: Manual of Emergency Airway Management. Philadelphia, PA, Lippincott Williams & Wilkins, 2000.
29. Cummins RO: Advanced Cardiac Life Support Provider Manual, pp 47-9, Dallas, TX, American Heart Association, 2001.
30. Jacobs I, Callanan V, Nichol G, et al: The chain of survival. Ann Emerg Med 2001; 37(Suppl 4): S5-S16.
31. Nice DS: A Survey of USN Medical Communications and Evacuations at Sea, Report No. 84-22, Bethesda, MD, Naval Health Research Center, September 21, 1984.
32. NSF Weighs Options for Treating South Pole Patient, National Science Foundation Press Release 01-28, April 11, 2001.
33. Nielsen J: Ice Bound: A Doctor's Incredible Battle for Survival at the South Pole. New York, Hyperion Books, 2001.
34. Billica RD, Simmons SC, Mathes KL, et al: Perception of the medical risk of space flight. Aviat Sp Environ Med 1996; 67: 467-73.
35. Johnston SL, Marshburn TH, Lindgren K: Predicted Incidence of Evacuation-level Illness/Injury During Space Station Operation. Presented at the 71st Annual Scientific Meeting of the Aerospace Medical Association, May 2000, Houston, TX.
36. Marshburn TH: Medical Risk during Spaceflight. Presented at the Resuscitation, Stabilization, and Critical Care Space Medicine Workshop, Houston, TX, May 14, 2001.
37. Johnston SL, Smart KT, Arenare B: Spaceflight medical transport and evacuation. In: Principles of Clinical Medicine for Spaceflight. Edited by Barratt M, Pool S. New York, Springer-Verlag (in press).
38. Society of Critical Care Medicine: About Critical Care Medicine, Available at http://www.sccm.org/about/about.html; accessed November 21, 2002.
39. Institute of Critical Care Medicine: The Institute's Story. Available at http:// www.911research.org/intro.html; accessed November 21, 2002.
40. Crew Health Care System Government Furnished Equipment Specification, NASA Document SSP 50470 Rev A, April 1999.
41. ISS Medical Operations Concept of Operations, NASA Document JSC 27411, October 1996.
42. Requirements of an In-Flight Medical Crew Health Care System for Space Station, NASA Document JSC 31013 Rev D, November 1992.
43. Bradley JS, Billows GL, Olinger ML, et al: Prehospital oral endotracheal intubation by rural basic emergency medical technicians. Ann Emerg Med 1998; 32: 26-32.
44. Sayre MR, Sakles JC, Mistier AF, et al: Field trial of endotracheal intubation by basic EMTs. Ann Emerg Med 1998; 31: 228-33.
45. Sayre MR, Sakles J, Mistler A, Evans J, Kramer A, Pancioli AM: Teaching basic EMTs endotracheal intubation: can basic EMTs discriminate between endotracheal and esophageal intubation? Prehosp Disast Med 1994; 9: 234-7.
46. Beck G: Functional Performance Validation of Airway and Ventilation Techniques in Microgravity After Action Report, Houston, TX, Wyle Laboratories, 2002.
47. Martin PD, Cyna AM, Hunter WA, Henry J, Ramayya GP: Training nursing staff in airway management for resuscitation. A clinical comparison of the facemask and laryngeal mask. Anesthesiology 1993; 48: 33-7.
48. Avidan MS, Harvey A, Chitkara N, Ponte J: The intubating laryngeal mask airway compared with direct laryngoscopy. Br J Anaesth 1999; 83: 615-7.
49. Beck G: On-Orbit Airway Management. Medical Informatics and Health Care Office Evidence Based Review. Houston, TX, Wyle Laboratories, 2002.
50. Choyce A, Avidan MS, Shariff A, Del Aguila M, Radcliffe JJ, Chan T: A comparison of the intubating and standard laryngeal mask airways for airway management by inexperienced personnel. Anaesthesiology 2001; 56: 357-60.
51. Levitan RM, Ochroch EA, Stuart S, Hollander JE: Use of the intubating laryngeal mask airway by medical and nonmedical personnel. Am J Emerg Med 2000; 18: 12-6.
52. Bishop MJ, Michalowski P, Hussey JD, Massey L, Lakshminarayan S: Recertification of respiratory therapists' intubation skills one year after initial training: an analysis of skill retention and retraining. Respir Care 2001; 46: 234-7.
53. Person DZ, Rosenblatt WH, Johansen MJ, Osborn I, Ovassapian A: Use of the intubating LMA-Fastrach in 254 patients with difficult-to-manage airways. Anesthesiology 2001; 95: 1175-81.
54. Person DZ, Brimacombe J, Brain AI, Verghese C: The intubating laryngeal mask airway. Int Anest Clin 1998; 36: 183-209.
55. ISS Program Office Change Request SSCN 7667 "Crew Health Care System Health Maintenance System Augmentation Initiative," March 12, 2003.
56. Beck G, Guess T: Evaluation of Commercially Available Venturi Mask Systems for Use In The International Space Station Respiratory Support Pack Clinical Care Capability Development Project Report, Houston, TX, Wyle Laboratories, 2001.
57. Tobin MJ: Advances in mechanical ventilation. N Engl J Med 2001; 344: 1986-96.
58. Russotti JS, Jackman RP: Noise Reduction Stethoscope for USN Application. Naval Submarine Medical Research Laboratory Report 1214, July 2000.
59. Rasbury J: Evaluation of Digital Stethoscopes for a Space Medicine Application. Presented at the Advanced Technological Applications for Combat Casualty Care Conference, September 2001; St. Pete Beach, Florida.
60. Geibner S: Tactical Combat Casualty Care: Update 2003. Presented at the 4th World Congress on Wilderness Medicine, Whistler, British Columbia, Canada, August 2003.
61. Rosemurgy AS, Norris PA, Olson SM, Hurst JM, Albrink MH: Prehospital traumatic cardiac arrest; the cost of futility. J Trauma 1993; 35: 468-73.
62. Bacal K, Frey B: Selection of medications for the International space station: the space medicine patient condition database. J Pharm Pract 2003; 16: 91-6.
63. Bacal K: International Space Station Pharmaceutical Review Project, Houston, TX, Wyle Laboratories, 2002.
64. McCuaig KE, Houtchens BA: Management of trauma and emergency surgery in space. J Trauma 1992; 33: 610-25.
65. Dubick MA, Holcomb JB: A review of intraosseous vascular access: current status and military application. Milit Med 2000; 165: 552-9.
66. Calkins MD, Fitzgerald G, Bentley TB, Burns D: Intraosseous infusion devices: a comparison for potential use in special operations. J Trauma 2000; 48: 1068-74.
67. Sondeen JL, Pusateri AE, Coppes VG, Gaddy CE, Holcomb JB: Comparison of ten different hemostatic dressings in an aortic injury. J Trauma 2003; 54: 280-5.
68. Alam HB, Gemma B, Miller D, et al: Comparative analysis of hemostatic agents in a swine model of lethal extremity injury. J Trauma 2003; 54: 1077-82.
69. Pusateri AE, McCarthy SJ, Gregory KW, et al: Effect of a chitosan-based hemostatic dressing on blood loss and survival in a model of severe venous hemorrhage and hepatic injury in swine. J Trauma 2003; 54: 177-82.
70. Holcomb JB: After Action Report Operation Enduring Freedom. Presented at the 4th World Congress on Wilderness Medicine. August 2003, Whistler, British Columbia, Canada.
71. Maughon JS: An inquiry into the nature of wounds resulting in killed in action in Vietnam. Milit Med 1970; 135: 8-13.
72. Mabry RL, Holcomb JB, Baker AM, et al: United States Army Rangers in Somalia: an analysis of combat casualties on an urban battlefield. J Trauma 2000; 49: 515-29.
73. Lakstein D, Blumenfeld A, Sokolov T, et al: Tourniquets for hemorrhage control on the battlefield: a four year accumulated experience. J Trauma 2003; 54(Suppl): S221-5.
74. Calkins D, Snow C, Costello M, Bentley TB: Evaluation of possible battlefield tourniquet systems for the far-forward setting. Milit Med 2000; 165: 379-84.
75. Carey ME: Analysis of wounds incurred by U.S. Army Seventh Corps personnel treated in corps hospitals during Operation Desert Storm. February 20 to March 10, 1991. J Trauma 1996; 40: S165-9.
76. Butler FK: Tactical Combat Casualty Care: Update 2003. Presented at the 4th World Congress on Wilderness Medicine, August 2003, Whistler, British Columbia, Canada.
77. Marshburn TH, Ortiz R, Smart KT, Segal M, Hughes C, Whitmore M: An Independent Human Factors Analysis and Evaluation of the Emergency Medical Protocol Checklist for the International Space Station. Presented at the 74th Annual Scientific Meeting of the Aerospace Medical Association, May 2003, San Antonio, TX.
78. Bacal K, Stokes C, McCulley P, Sarkar S, Sriram MG, Doerr H: Global Onboard Detailed Diagnostic and Evaluation Systematic Survey (GODDESS) Project Summary Document, Houston. TX, Wyle Laboratories, June 2003.
79. NASA Medical Policy Board Handbook, Section 7.1: "[Medical] procedures should conform to established best medical practices." NASA Headquarters. Office of the Chief Health and Medical Officer, November 2000.
80. NASA Policy Document NPD 8900.3E. "The immediate and long-term interests of the Agency...require that NASA provide medical and dental care, observation, and study to astronauts, payload specialists, and other space flight participants while on active duty with NASA. This care...will be provided, utilizing the best current guidelines for the clinical practice of medicine and dentistry, and will be comprehensive in scope as applicable to the NASA mission."
81. Commander. Naval Special Warfare Command letter of May 29, 1997.
82. Surmacz J: "Long Distance Medical Call: All in One Instrument Pack Provides Expert Care Miles from a Hospital," Darwinmag.com, 2001. Available at http:// www.darwinmag.com/read/machineshop/column.html?ArticleID=178; accessed November 21, 2002.
83. Chun R, Kirkpatrick AW, Sirois M, et al: Where's the tube? Hand-held sonographic correlation of endotracheal tube placement. Aviat Space Environ Med 2003; 74: 420.
84. Dulchavsky SA, Schwarz KL, Kirkpatrick AW, et al: Prospective evaluation of thoracic ultrasound in the detection of pneumothorax. J Trauma 2001; 51: 423.
85. International Space Station Crew Health Care System Medical Hardware Catalog Version 4.0, Section 2.2.2.11. "Portable Clinical Blood Analyzer Cartridge Kit." March 2003.
86. Butler FK: Tactical medicine training for SEAL mission commanders. Milit Med 2001; 166: 625-31.
87. Abrahamson S, Denson JS, Wolf RM: Effectiveness of a simulator in training anesthesiology residents. J Med Educ 1969; 44: 515-9.
88. Chopra V, Engbers FH, Geerts MJ, Filet WR, Bovill JG, Spierdijk J: The Leiden anaesthesia simulator. Br J Anaest 1994; 73: 287-92.
89. Chopra V, Gesink BJ, de Jong J, Bovill JG, Spierdijk J, Brand R: Does training on an anaesthesia simulator lead to improvement in performance? Br J Anaest 1994; 73: 292-7.
90. Doerr H, Quinones MA, Dipboye RL, Dunbar BA: Increasing performance through simulator training and empirical evaluation. Presented at the 10th Annual Meeting of the Society for Technology In Anesthesia, January 2000, Lake Buena Vista, FL.
91. Good ML, Gravenstein JS: Training for safety on an anesthesia simulator. Semin Anesth 1993; 12: 235-50.
92. Ali J, Cohen R, Adam R, et al: Attrition of cognitive and trauma management skills after the Advanced Trauma Life Support (Advanced Trauma Life Support American College of Surgeons) course. J Trauma 1996; 40: 860-6.
93. Ali J, Howard M, Williams J: Do factors other than trauma volume affect attrition of advanced Trauma Life Support American College of Surgeons-acquired skills? J Trauma 2003; 54: 835-41.
94. Hammond F, Saba M, Simes T, Cross R: Advanced life support: retention of registered nurses' knowledge 18 months after initial training. Aust Crit Care 2000; 13: 99-104.
95. Latman NS, Wooley K: Knowledge and skill retention of emergency care attendants, EMT-As, and EMT-Ps. Ann Emerg Med 1980; 9: 183-9.
96. Skelton MB, McSwain NE: A study of cognitive and technical skill deterioration among trained paramedics. J Am Coll Emerg Physicians 1977; 6: 436-8.
97. Su E, Schmidt TA, Mann NC, Zechnich AD: A randomized controlled trial to assess decay in acquired knowledge among paramedics completing a pediatric resuscitation course. Acad Emerg Med 2000; 7: 779-86.