Procedural Medicine for Spaceflight

Dr. Dana R. Levin currently serves as the Director of Space Medicine and Human Research for Vast, a commercial company building the first commercial space station. He is board certified in Aerospace and Emergency Medicine and works clinically with the UCLA and UCI departments of emergency medicine. Before Vast, Dr. Levin was a physician with NASA and the assistant fellowship director for the Massachusetts General Hospital Space Medicine Fellowship. As a terrestrial physician Dana maintains an active clinical practice in Emergency Medicine and holds faculty appointments with UCLA, UC Irvine, and the Massachusetts General Hospital. He has cared for patients in clinical settings ranging from single coverage rural hospitals to tertiary care medical centers and has been the field physician for high altitude expeditions, underwater archeological expeditions, Antarctic research stations, and every environment in between. He is also an accomplished researcher and scientist with work focused on enhancing the ability to deliver high level care in resource limited environments and extreme environment physiology.Dr. Tovy Haber Kamine is the Director of Emergency Surgery Services at Baystate Medical Center and an Associate Professor of Surgery, Healthcare Delivery, and Population Science at the University of Massachusetts Chan Medical School-Baystate. He is a Fellow of the American College of Surgeons and the Aerospace Medical Association, and the founder and first president of the Space Surgical Association. He is also a surgical and critical care consultant for Vast inc. Over the past decade he has published extensively in peer reviewed journals on the challenges, modifications, and necessity of invasive procedures in space flight. Dr. Michael Pohlen is an Assistant Professor of Clinical Radiology at the University of California, San Diego. He graduated summa cum laude with a Bachelor of Science in Environmental Geosciences from Texas A&M University and earned his medical degree with High Honor from Baylor College of Medicine, where he completed the Space Medicine Pathway. He completed a residency in diagnostic radiology at Stanford University followed by fellowships in cardiovascular and thoracic imaging. He has more than 30 research publications and presentations, with work focusing on artificial intelligence applications in thoracic imaging and the adaptation of imaging modalities for human spaceflight. He is a member of the Society of Thoracic Radiology, the American College of Radiology, and the Radiological Society of North America, a former Senior Vice President of the Organization for Space Medicine, Engineering, and Design, and an Associate Fellow of the Aerospace Medical Association.

• I. Introduction1. General Considerations of the Environment2. Systems Medicine and Engineering for Procedural Care3. General Approach to Procedures in Space4. Ethics and Informed ConsentII. Procedural Considerations5. Vascular Access6. Hemorrhage Control7. Resuscitation and Critical Care8. Irrigation9. Head and Neck Procedures10. Ophthalmic Procedures11. Thoracic Procedures12. Abdominal Procedures13. Gynecological Procedures14. Genitourinary Procedures15. Extremity Procedures16. Spinal and CNS Procedures17. Dental ProceduresIII. Anesthesia and Pain Management18. Pharmaceutical Considerations19. Sedation and General Anesthesia20. Local & Regional Anesthesia21. Pain Diagnosis and ManagementIV. Post Procedure Care22. Recovery and Monitoring23. Rehabilitation, Modification of Crew Schedule, and Fitness for DutyV. Other Considerations24. Diagnostic Tools25. Pre-flight Training Curriculum Development for Procedural Skills26. Procedural GuidanceVI. The Future27. Major Invasive Surgery28. Clinical Decision Support Systems29. Evacuation and Space Emergency Medical Services30. The Future of Human Habitation in Space