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Development of Progressively Earth-Independent Medical Operations to Enable NASA Exploration Missions.
Wilderness Environ Med
January 2025
NASA Johnson Space Center, Houston, TX, USA.
-The National Aeronautics and Space Administration's (NASA's) transition from operations in low-Earth orbit to long-duration missions to the Moon and Mars necessitates the development of progressively Earth-independent medical operations (EIMO) to support crews and reduce overall mission risk. Previous work has defined and laid the foundation for EIMO, but further development of the concept is required to prepare for future exploration missions. -NASA's Exploration Medical Capability element organized a series of 5 technical interchange meetings from 2023 to 2024, which included internal (NASA) and external subject-matter experts in human spaceflight, health technology, and austere medicine to create a framework for developing the technologies and procedures necessary to maintain human health and performance in a progressively Earth-independent fashion.
View Article and Find Full Text PDFAssociation of Total Flight Hours and Health Conditions with Sick Leave Use Among Civilian Pilots.
Aerosp Med Hum Perform
January 2025
Introduction: In-flight medical incapacitation jeopardizes flight safety. To reduce such breakdown episodes, airlines have implemented a sick leave system. This study aimed to examine the association of total flight hours and health status with sick leave use among civilian pilots in South Korea and to identify the demand for a health promotion program.
View Article and Find Full Text PDFNon-invasive ventilation as a pre-oxygenation strategy during in-flight rapid sequence intubation: A case report.
Prehosp Emerg Care
January 2025
Emergency Medicine, Methodist Dallas Medical Center, Dallas, Texas.
Non-invasive ventilation has been used as a pre-oxygenation strategy for rapid sequence intubation in the emergency department and the intensive care unit, yet, limited research has examined its use in the transport setting. These case reports discuss the use of non-invasive ventilation via a Hamilton T1 ventilator (Hamilton Medical) during transport by an air medical crew for pre-oxygenation before intubation in two cases. In both cases, a non-invasive, bilevel-positive airway pressure mode with a backup rate was used to achieve adequate airway pressures while allowing for a two-handed seal by one EMS clinician as the other prepared the equipment and medications.
View Article and Find Full Text PDFThe complexities of aeronautical transfer of acutely unwell neurosurgical patients.
World Neurosurg
January 2025
Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Objective: Neurosurgical care is difficult to access in many scenarios. Aeromedical evacuation of acutely unwell neurosurgical patients from remote, isolated or poorly equipped locations can be considered. This article aims to provide a framework of logistical factors which deserve special consideration in the preparation of these patients for transfer.
View Article and Find Full Text PDFOperation Baby Drop: Lessons Learned From Military International Air Transport of Critically Ill Neonate.
Mil Med
January 2025
Neonatal Intensive Care Unit (NICU), Brooke Army Medical Center, San Antonio, TX 78234, USA.
Military medical transport is unique due to its frequent long-distance travel with limited supplies and capabilities. Military neonatal transport is perhaps even more niche, and descriptions in the literature are rare. A military neonatal team transported a 1-month-old former 26-week infant from a forward-deployed non-combat setting.
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