Procedural Medicine for Spaceflight

Dr. Dana Levin is board certified in Aerospace and Emergency Medicine currently serving as the chief medical officer for Vast Space, a commercial company building artificial gravity space stations, and working clinically with the UC LOS ANGELES and UC IRVINE departments of emergency medicine. Before Vast Dr. Levin was as a physician with NASA’s Human Research Program Exploration Medical Capabilities Element and the assistant fellowship director for the Baylor College of Medicine - Massachusetts General Hospital Space Medicine Fellowship. He has extensive experience with austere environment medicine as the lead physician on scientific diving expeditions, high altitude expeditions, expeditions to Antarctica, and teaching courses in Colorado the deserts of the Western Unites States. As a researcher, Dr. Levin has published numerous papers on medical procedures in space, medical system development, medical risk assessment, and austere environment medical practice. He has also written textbook chapters on systems medicine for spaceflight. Dr. Tovy Kamine is a Trauma, Acute Care, and Critical Care Surgeon and Director of Emergency Surgery Services and Informatics Director of Surgical Clinical Documentation Integrity at Baystate Medical Center, and Assistant Professor of Surgery, Healthcare Delivery, and Population Science at the University of Massachusetts Chan Medical School-Baystate. He is a Fellow of both the American College of Surgeons and the Aerospace Medical Association. He is also the founder and first president of the Space Surgical Association and past Chair of the Associate Fellows Association of the Aerospace Medical Assocation. He now serves on the Executive Committee of the Space Medicine Association and the Treasurer for the Organization for Space Medicine Engineering and Design. 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. He earned his medical degree with High Honor at Baylor College of Medicine, where he completed the Space Medicine Pathway and was inducted into the Alpha Omega Alpha Honor Medical Society. He completed a residency in Diagnostic Radiology at Stanford University before continuing for completion of a dual fellowship. He has more than 25 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.

• I. Introduction1. General Considerations of the Environment2.Systems Medicine and Engineering for Procedural Care3. General Approach to Procedures in SpaceII. Locations, Procedures, and Considerations4. Vascular Access5. Hemorrhage Control6. Resuscitation and Critical Care7. Irrigation8. Head and Neck Procedures9. Ophthalmic Procedures10. Auricular Procedures11. Chest Procedures12. Abdominal Procedures13. Upper Extremity Procedures14. Obstetric and Gynecological Procedures15. Genitourinary Procedures16. Lower Extremity Procedures17. Spinal Procedures18. Dental ProceduresIII. Anesthesia and Pain Management19. Pharmaceutical Considerations20. Sedation and General Anesthesia21. Local Anesthesia22. General Pain ControlIV. Post Procedure Care23. Recover and Patient Monitoring24. Rehabilitation25. Modification of Crew Schedule and Fitness for DutyV. Other Considerations26. Sterilization vs. Decontamination27. Diagnostic Tools28. Pre-flight Training Curriculum Development for Procedural Skills29. Procedural Guidance30. Medical EvacuationVI. The Future31. Major Invasive Surgery32. Clinical Decision Support Systems33. Space Emergency Medical Services34. The Far Future