Space Medicine, Craig Fischer, M.D. - Division of Space Life Sciences
Space Medicine, Craig Fischer, M.D. - Division of Space Life Sciences
Space Medicine, Craig Fischer, M.D. - Division of Space Life Sciences
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January, 2001<br />
<strong>Craig</strong> <strong>Fischer</strong>, M.D.<br />
<strong>Space</strong> <strong>Medicine</strong><br />
Bioastronautics<br />
Investigators’<br />
Workshop
Bioastronautics Organization<br />
Bioastronautics<br />
Initiative Office<br />
(BIO)<br />
Program<br />
Integration<br />
Office<br />
Mission &<br />
Project<br />
Management<br />
Office<br />
Habitability &<br />
Environmental<br />
Factors<br />
Office<br />
Adaptation &<br />
Countermeasures<br />
Office<br />
<strong>Space</strong> <strong>Medicine</strong> &<br />
Health Care<br />
Systems<br />
Office<br />
Biological<br />
Systems<br />
Office<br />
Bioastronautics<br />
Product Teams
<strong>Space</strong> <strong>Medicine</strong> Organization<br />
Transformation Version<br />
Bioastronautics Office<br />
Federal Agency<br />
Liaison<br />
<strong>Space</strong> <strong>Medicine</strong><br />
& Health Care<br />
Systems Office<br />
Astronaut Liaison<br />
Medical Informatics<br />
& Health Care Systems<br />
Behavioral<br />
<strong>Sciences</strong><br />
Flight<br />
<strong>Medicine</strong><br />
Mission<br />
Operations<br />
Occupational<br />
Health<br />
& Human Test
NASA Strategic Plan 2000<br />
“In conducting our work, we are guided at all times by four<br />
central values. The first <strong>of</strong> these is safety. NASA is committed<br />
to preserving the safety <strong>of</strong> the public, our astronauts, our<br />
employees, and our high-value assets. Every program<br />
described in this Plan has been reviewed with an eye toward<br />
further steps that we can take to ensure the safety <strong>of</strong> the<br />
outcome and all those who work so diligently for its success.”<br />
- Dan Goldin, Administrator’s s remarks in the<br />
NASA Strategic Plan 2000
Medical Events by Category<br />
# %<br />
Incidence per<br />
14 days<br />
Medical Events by<br />
ICD9 Category<br />
788 42.2 2.48 <strong>Space</strong> Adaptation Syndrome<br />
318 17.0 1.00 Nervous System and Sense Organs<br />
163 8.7 0.52 Digestive System<br />
151 8.1 0.48 Skin and Subcutaneous Tissue<br />
141 7.6 0.44 Injuries/ Trauma<br />
132 7.1 0.42 Musculoskeletal System and Connective Tissue<br />
83 4.4 0.26 Respiratory System<br />
34 1.8 0.11 Behavioral Signs & Symptoms<br />
26 1.4 0.08 Infectious Diseases<br />
23 1.2 0.07 Genitourinary System<br />
6 0.3 0.02 Circulatory System<br />
2 0.1 0.01 Endocrine, Nutritional, Metabolic and Immunity<br />
Disorders
Top Ten Issues In <strong>Space</strong> <strong>Medicine</strong> Today<br />
• Advanced trauma life support<br />
resuscitation and stabilization<br />
• Airway maintenance and oxygenation<br />
monitoring<br />
• Hemorrhage control/coagulation concerns<br />
• Fluid therapy<br />
• Pharmacokinetic data<br />
• Antibiotics<br />
• Cardiotropic drugs<br />
• Pain medications<br />
• Superficial wound repair and<br />
healing
Issues in <strong>Space</strong> <strong>Medicine</strong> Today Continued<br />
• Preventative measures<br />
• Bone demineralization<br />
• Muscle wasting<br />
• Orthostatism<br />
• Vestibular dysfunction<br />
• Decompression sickness<br />
prevention and treatment<br />
• Prebreathe protocols<br />
• Therapeutic options<br />
• Medications<br />
• Bends therapy apparatus<br />
• Hyperbaric chamber<br />
Whole body bone densitometer
Issues in <strong>Space</strong> <strong>Medicine</strong> Today Continued<br />
• Psychiatric/psychological support<br />
• Select-in/select-out criteria<br />
• Non-invasive monitoring and diagnostic<br />
tools for use by non-medical<br />
pr<strong>of</strong>essional health care providers<br />
• Autonomous health care treatment<br />
capability<br />
• Validated rehabilitation protocols
All investigations and clinical data must be<br />
entered into relational databases to ensure an<br />
evidence base for the practice <strong>of</strong> space<br />
medicine
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