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A WOUND CARE AND INTRAVENOUS ACCESS SUMMIT FOR ON-ORBIT CAREWound care issues and the ability to establish intravenous (IV) access among injured or ill crew members are a source of concern for NASA flight surgeons. Indeed, the microgravity environment and the remote nature of the International Space Station (ISS) pose unique challenges in diagnosing and treating an injured astronaut. Therefore, it is necessary to identify and adapt the best evidence based terrestrial practices regarding wound care, hemostasis, and IV access for use on the ISS. Methods: A panel of consultants was convened to evaluate the adequacy of the current ISS in-flight medical system for diagnosis and treatment of wounds and establishing IV access by a nonclinician crew medical officer. Participants were acknowledged experts in terrestrial wound care and/or operational medicine. Prior to the meeting, each panelist was encouraged to participate in a pre-summit online forum. Results: Eight external experts participated in a face-to-face meeting held at NASA-Johnson Space Center. Recommendations were made to augment the space station pharmacopoeia, as well as current wound care diagnostic, therapeutic, and deorbit criteria protocols. Additionally, suggestions were offered regarding IV access techniques and devices for use in the microgravity environment. Discussion: The results of the expert panel provide an evidence-based approach to the diagnosis and care of wounds in an injured astronaut on aboard the ISS. The results of the panel underscored the need for further research in wound therapy and IV access devices.
Document ID
20060010315
Document Type
Conference Paper
Authors
Scheuring, R.
(Wyle Life Sciences, Inc. Houston, TX, United States)
Paul, B.
(Wyle Life Sciences, Inc. Houston, TX, United States)
Gillis, D.
(Wyle Life Sciences, Inc. Houston, TX, United States)
Bacal, K.
(National Academy of Sciences - National Research Council Washington, DC, United States)
McCulley, P.
(Wyle Life Sciences, Inc. Houston, TX, United States)
Polk, J.
(NASA Johnson Space Center Houston, TX, United States)
Johnson-Throop, K.
(NASA Johnson Space Center Houston, TX, United States)
Date Acquired
August 23, 2013
Publication Date
January 1, 2005
Subject Category
Aerospace Medicine
Meeting Information
Aerospace Medicine Association Annual Conference(Kansas City, MO)
Distribution Limits
Public
Copyright
Work of the US Gov. Public Use Permitted.
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