NASA Technical Reports Server (NTRS) 20170000358: Defining Medical Levels of Care for Exploration Missions Defining Medical Levels of Care for Exploration Missions PDF
Preview NASA Technical Reports Server (NTRS) 20170000358: Defining Medical Levels of Care for Exploration Missions Defining Medical Levels of Care for Exploration Missions
DEFINING MEDICAL LEVELS OF CARE FOR EXPLORATION MISSIONS NASA Human Research Program Investigators Workshop January 2017 Presented upon behalf of: David Reyes MD, MPH Michelle Urbina Melinda Hailey, RN David Rubin PMP Erik Antonsen MD, PhD Clinical Coordinator - ExMC Systems Engineering Session Talks System Operational System Subsystem functional Allocations concepts requirements requirements needs Model-Based Systems Engineering Approach iPAS Collaboration Level of Care Assumptions Con Ops Technical Development The needs identified by this work will drive future ExMC research 2 https://www.nasa.gov/sites/default/files/files/NextSTEP-EMC-Reference.pdf 3 NASA-STD-3001 Levels of Care First Aid // Level I Space Motion Basic Life Anaphylaxis Private Audio LEO <8d Sickness Support Response Level II Clinical Ambulatory Private Private Video LEO <30d Diagnostics Care Telemedicine Limited Level III Limited Trauma Advanced Post LEO <30d Dental Care Care Life Support Sustainable Level IV Medical Limited Dental Care Advanced Lunar >30d Imaging Surgical Care Life Support Level V Autonomous Autonomous Basic Lunar/Planetary Ambulatory Advanced Surgical Care >210d Care Life Support 4 Level of Care Influencers • Mission and Objectives • Risk • Duration • Time to Definitive Care • Health/Performance • Medical Provider / Training • Technology & Medical Advances Level of Care Capabilities In Flight In Flight Risk Med Evac Capability Decision Making Level I Low Low Low Possible LEO <8d Level II LEO <30d Level III Post LEO <30d Level IV Lunar >30d Level V Lunar/Planetary High High High Impossible >210d LOC 1 https://pixabay.c om/en/first-aid- frog-medic- Draft nurse-funny- 1732710/ https://upload.wikimedia.org/wikipedia/commons/7/74/Truckee_Meadows_Community_College_%281325 7 2657184%29.jpg LOC 2 Draft https://upload.wikimedia.org/wikipedia/commons/e/ee/Vacutainer _blood_bottles.jpg Ph Gptt s /: / c o m m o n s w. ki mi e d ai o. gr / w ki /i https://commons.wikimedia.org/wiki/File:Tripler_Army_Medical_Center_to_roll_out_Nurse_Advice_Line_140508-F-AD344-003.jpg F eli U: nir e _ s a m p el J. 8 LOC 3 Draft http://www.jtfgtmo.southcom.mil/wire/wire/WirePDF/v11/Issue4v11.pdf http://www.navy.mil/view_image.asp?id=13526 https://commons.wikimedia.org/wiki/File:Cervical_Collar_Emergency.jpg 9 LOC 4 Draft http://www.navy.mil/view_image.asp?id= 26619 http://www.navy.mil/view_image.asp?id=706 http://www.navy.mil/view_image.asp?id=36844 10
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