Medical Treatment During Spaceflight
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Medical Treatment During Spaceflight
It is inevitable that medical conditions of varying complexity, severity and emergency will occur during spaceflight missions with human participants. Different levels of care are required depending on the problem, available resources and time required to return to Earth. All medical problems have the potential to affect the mission, but significant illnesses or trauma will result in a high probability of mission failure or loss of crew. As the distance that missions travel from Earth increases, more possible medical conditions and types of trauma need to be evaluated. Return to Earth will be highly unlikely or very difficult depending on the distance traveled. Emergency health care will, and psychological support may, have to be self-administered and could possibly be completely autonomous. The most effective way to provide adequate support is to establish a thorough pre-flight health status assessment and develop a systematic approach to autonomous health care in space. For ...
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Spaceflight
Spaceflight (or space flight) is an application of astronautics to fly spacecraft into or through outer space, either with or without humans on board. Most spaceflight is uncrewed and conducted mainly with spacecraft such as satellites in orbit around Earth, but also includes space probes for flights beyond Earth orbit. Such spaceflight operates either by telerobotic or autonomous control. The more complex human spaceflight has been pursued soon after the first orbital satellites and has reached the Moon and permanent human presence in space around Earth, particularly with the use of space stations. Human spaceflight programs include the Soyuz, Shenzhou, the past Apollo Moon landing and the Space Shuttle programs, with currently the International Space Station as the main destination of human spaceflight missions while China's Tiangong Space Station is under construction. Spaceflight is used for placing in Earth's orbit communications satellites, reconnaissance satellites ...
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Embolism
An embolism is the lodging of an embolus, a blockage-causing piece of material, inside a blood vessel. The embolus may be a blood clot (thrombus), a fat globule ( fat embolism), a bubble of air or other gas (gas embolism), amniotic fluid (amniotic fluid embolism), or foreign material. An embolism can cause partial or total blockage of blood flow in the affected vessel. Such a blockage (vascular occlusion) may affect a part of the body distant from the origin of the embolus. An embolism in which the embolus is a piece of thrombus is called a thromboembolism. An embolism is usually a pathological event, caused by illness or injury. Sometimes it is created intentionally for a therapeutic reason, such as to stop bleeding or to kill a cancerous tumor by stopping its blood supply. Such therapy is called embolization. Classification There are different types of embolism, some of which are listed below. Embolism can be classified based on where it enters the circulation, either in ar ...
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Extra-vehicular Activity
Extravehicular activity (EVA) is any activity done by an astronaut in outer space outside a spacecraft. In the absence of a breathable Earthlike atmosphere, the astronaut is completely reliant on a space suit for environmental support. EVA includes ''spacewalks'' and lunar or planetary surface exploration (commonly known from 1969 to 1972 as ''moonwalks''). In a stand-up EVA (SEVA), an astronaut stands through an open hatch but does not fully leave the spacecraft. EVA has been conducted by the Soviet Union/Russia, the United States, Canada, the European Space Agency and China. On March 18, 1965, Alexei Leonov became the first human to perform a spacewalk, exiting the Voskhod 2 capsule for 12 minutes and 9 seconds. On July 20, 1969, Neil Armstrong became the first human to perform a moonwalk, outside his lunar lander on Apollo 11 for 2 hours and 31 minutes. On the last three Moon missions, astronauts also performed deep-space EVAs on the return to Earth, to retrieve film canis ...
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Electrical Burn
An electrical burn is a burn that results from electricity passing through the body causing rapid injury. Approximately 1000 deaths per year due to electrical injuries are reported in the United States, with a mortality rate of 3-5%. Electrical burns differ from thermal or chemical burns in that they cause much more subdermal damage.“Electrocution Burns.” Burn Survivor Resource Center. n.p. n.d. Web. 29 September 2011. . They can exclusively cause surface damage, but more often tissues deeper underneath the skin have been severely damaged. As a result, electrical burns are difficult to accurately diagnose, and many people underestimate the severity of their burn. In extreme cases, electricity can cause shock to the brain, strain to the heart, and injury to other organs.Health Care Advisor: Burn Treatment Self Help Guide. n.p. n.d.. Web. 29 September 2011.. For a burn to be classified as electrical, electricity must be the direct cause. For example, burning a finger on a hot ele ...
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Chemical Burns
A chemical burn occurs when living tissue is exposed to a corrosive substance (such as a strong acid, base or oxidizer) or a cytotoxic agent (such as mustard gas, lewisite or arsine). Chemical burns follow standard burn classification and may cause extensive tissue damage. The main types of irritant and/or corrosive products are: acids, bases, oxidizers / reducing agents, solvents, and alkylants. Additionally, chemical burns can be caused by some types of cytotoxic chemical weapons, e.g., vesicants such as mustard gas and Lewisite, or urticants such as phosgene oxime. Chemical burns may: * need no source of heat * occur immediately on contact * not be immediately evident or noticeable * be extremely painful * diffuse into tissue and damage cellular structures under skin without immediately apparent damage to skin surface Presentation The exact symptoms of a chemical burn depend on the chemical involved. Symptoms include itching, bleaching or darkening of skin, burning sensation ...
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Toxic Substance
A toxicant is any toxic substance, whether man-made or naturally occurring. By contrast, a toxin is a poison produced naturally by an organism (e.g. plant, animal, insect). The different types of toxicants can be found in the air, soil, water, or food. Occurrence Toxicants can be found in the air, soil, water, or food. Humans can be exposed to environmental toxicants. Fish can contain environmental toxicants. Cigarette smoke contains toxicants. E-cigarette aerosol also contains toxicants. The emissions of a heat-not-burn tobacco product contains toxicants. Most heavy metals are toxicants. Diesel exhaust contains toxicants. Pesticides, benzene, and asbestos-like fibers such as carbon nanotubes are toxicants. Possible developmental toxicants include phthalates, phenols, sunscreens, pesticides, halogenated flame retardants, perfluoroalkyl coatings, nanoparticles, e-cigarettes, and dietary polyphenols. Related terms By contrast, a toxin is a poison produced naturally by an ...
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Ionizing Radiation
Ionizing radiation (or ionising radiation), including nuclear radiation, consists of subatomic particles or electromagnetic waves that have sufficient energy to ionize atoms or molecules by detaching electrons from them. Some particles can travel up to 99% of the speed of light, and the electromagnetic waves are on the high-energy portion of the electromagnetic spectrum. Gamma rays, X-rays, and the higher energy ultraviolet part of the electromagnetic spectrum are ionizing radiation, whereas the lower energy ultraviolet, visible light, nearly all types of laser light, infrared, microwaves, and radio waves are non-ionizing radiation. The boundary between ionizing and non-ionizing radiation in the ultraviolet area is not sharply defined, as different molecules and atoms ionize at different energies. The energy of ionizing radiation starts between 10 electronvolts (eV) and 33 eV. Typical ionizing subatomic particles include alpha particles, beta particles, and neutrons. ...
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Coronary Artery Disease
Coronary artery disease (CAD), also called coronary heart disease (CHD), ischemic heart disease (IHD), myocardial ischemia, or simply heart disease, involves the reduction of blood flow to the heart muscle due to build-up of atherosclerotic plaque An atheroma, or atheromatous plaque, is an abnormal and reversible accumulation of material in the inner layer of an arterial wall. The material consists of mostly macrophage cells, or debris, containing lipids, calcium and a variable amount ... in the arteries of the heart. It is the most common of the cardiovascular diseases. Types include stable angina, unstable angina, myocardial infarction, and sudden cardiac death. A common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Occasionally it may feel like heartburn. Usually symptoms occur with exercise or emotional Stress (psychological), stress, last less than a few minutes, and improve with rest. Shortness of breath may also o ...
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Expedition 11 Crew Medical Training
Expedition may refer to: * An exploration, journey, or voyage undertaken by a group of people especially for discovery and scientific research Places * Expedition Island, a park in Green River, Wyoming, US * Expedition Range, a mountain range in Queensland, Australia Arts, entertainment, and media * ''Expedition'' (book), a science-fiction novel by Wayne Douglas Barlowe *''Expedition Magazine'', published by Penn Museum *''Expedition!'' (1960-62), an American travel documentary television series *Expedition, included in the List of Pokémon Trading Card Game sets * ''Expeditions'' (poetry collection), a collection of poetry by Margaret Atwood *''L'Expédition'', a volume of the French science fiction comic series '' Les Mondes d'Aldébaran'', part of the ''Bételgeuse'' graphic novel *''L'expédition'', a novel by Agnès Desarthe *''L'Expédition'', written by cartoonist Richard Marazano *'' Northern Exposure: Expeditions'', album by Sasha and John Digweed (1999) *L'expé ...
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Venous Thrombosis
Venous thrombosis is blockage of a vein caused by a thrombus (blood clot). A common form of venous thrombosis is deep vein thrombosis (DVT), when a blood clot forms in the deep veins. If a thrombus breaks off (embolizes) and flows to the lungs to lodge there, it becomes a pulmonary embolism (PE), a blood clot in the lungs. The conditions of DVT only, DVT with PE, and PE only, are all captured by the term venous thromboembolism (VTE). The initial treatment for VTE is typically either low-molecular-weight heparin (LMWH) or unfractionated heparin, or increasingly with direct acting oral anticoagulants (DOAC). Those initially treated with heparins can be switched to other anticoagulants (warfarin, DOACs), although pregnant women and some people with cancer receive ongoing heparin treatment. Superficial venous thrombosis or phlebitis affects the superficial veins of the upper or lower extremity and only require anticoagulation in specific situations, and may be treated with anti-in ...
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Renal Colic
Renal colic is a type of abdominal pain commonly caused by obstruction of ureter from dislodged kidney stones. The most frequent site of obstruction is the vesico-ureteric junction (VUJ), the narrowest point of the upper urinary tract. Acute obstruction and the resultant urinary stasis (disruption of urine flow) can distend the ureter (hydroureter) and cause a reflexive peristaltic smooth muscle spasm, which leads to a very intense visceral pain transmitted via the ureteric plexus. Signs and symptoms Renal colic typically begins in the flank and often radiates to below the ribs or the groin. It typically comes in waves due to ureteric peristalsis, but may be constant. It is often described as one of the most severe pains. Although this condition can be very painful, most ureteric stones under 5 mm size will eventually pass into the bladder without needing treatments, and cause no permanent physical damage. The experience is said to be traumatizing due to the severe pai ...
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Thrombosis
Thrombosis (from Ancient Greek "clotting") is the formation of a blood clot inside a blood vessel, obstructing the flow of blood through the circulatory system. When a blood vessel (a vein or an artery) is injured, the body uses platelets (thrombocytes) and fibrin to form a blood clot to prevent blood loss. Even when a blood vessel is not injured, blood clots may form in the body under certain conditions. A clot, or a piece of the clot, that breaks free and begins to travel around the body is known as an embolus. Thrombosis may occur in veins (venous thrombosis) or in arteries (arterial thrombosis). Venous thrombosis (sometimes called DVT, deep vein thrombosis) leads to a blood clot in the affected part of the body, while arterial thrombosis (and, rarely, severe venous thrombosis) affects the blood supply and leads to damage of the tissue supplied by that artery (ischemia and necrosis). A piece of either an arterial or a venous thrombus can break off as an embolus, which could ...
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