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Methods for the development of a bioregenerative life support system

Presented here is a rudimentary approach to designing a life support system based on the utilization of plants and animals. The biggest stumbling block in the initial phases of developing a bioregenerative life support system is encountered in collecting and consolidating the data. If a database existed for the systems engineer so that he or she may have accurate data and a better understanding of biological systems in engineering terms, then the design process would be simplified. Also addressed is a means of evaluating the subsystems chosen. These subsystems are unified into a common metric, kilograms of mass, and normalized in relation to the throughput of a few basic elements. The initial integration of these subsystems is based on input/output masses and eventually balanced to a point of operation within the inherent performance ranges of the organisms chosen. At this point, it becomes necessary to go beyond the simplifying assumptions of simple mass relationships and further define for each organism the processes used to manipulate the throughput matter. Mainly considered here is the fact that these organisms perform input/output functions on differing timescales, thus establishing the need for buffer volumes or appropriate subsystem phasing. At each point in a systematic design it is necessary to disturb the system and discern its sensitivity to the disturbance. This can be done either through the introduction of a catastrophic failure or by applying a small perturbation to the system. One example is increasing the crew size. Here the wide range of performance characteristics once again shows that biological systems have an inherent advantage in responding to systemic perturbations. Since the design of any space-based system depends on mass, power, and volume requirements, each subsystem must be evaluated in these terms.

Goldman, Michelle↗

Predictors of Behavior and Performance in Extreme Environments: The Antarctic Space Analogue Program

To determine which, if any, characteristics should be incorporated into a select-in approach to screening personnel for long-duration spaceflight, we examined the influence of crewmember social/ demographic characteristics, personality traits, interpersonal needs, and characteristics of station physical environments on performance measures in 657 American men who spent an austral winter in Antarctica between 1963 and 1974. During screening, subjects completed a Personal History Questionnaire which obtained information on social and demographic characteristics, the Deep Freeze Opinion Survey which assessed 5 different personality traits, and the Fundamental Interpersonal Relations Orientation-Behavior (FIRO-B) Scale which measured 6 dimensions of interpersonal needs. Station environment included measures of crew size and severity of physical environment. Performance was assessed on the basis of combined peer-supervisor evaluations of overall performance, peer nominations of fellow crewmembers who made ideal winter-over candidates, and self-reported depressive symptoms. Social/demographic characteristics, personality traits, interpersonal needs, and characteristics of station environments collectively accounted for 9-17% of the variance in performance measures. The following characteristics were significant independent predictors of more than one performance measure: military service, low levels of neuroticism, extraversion and conscientiousness, and a low desire for affection from others. These results represent an important first step in the development of select-in criteria for personnel on long-duration missions in space and other extreme environments. These criteria must take into consideration the characteristics of the environment and the limitations they place on meeting needs for interpersonal relations and task performance, as well as the characteristics of the individuals and groups who live and work in these environments.

Palinkas, Lawrence A.↗

An Evaluation of the Frequency and Severity of Motion Sickness Incidences in Personnel Within the Command and Control Vehicle (C2V)

The purpose of this study was to assess the frequency and severity of motion sickness in personnel during a field exercise in the Command and Control Vehicle (C2V). This vehicle contains four workstations where military personnel are expected to perform command decisions in the field during combat conditions. Eight active duty military men (U.S. Army) at the Yuma Proving Grounds in Arizona participated in this study. All subjects were given baseline performance tests while their physiological responses were monitored on the first day. On the second day of their participation, subjects rode in the C2V while their physiological responses and performance measures were recorded. Self-reports of motion sickness were also recorded. Results showed that only one subject experienced two incidences of emesis. However, seven out of the eight subjects reported other motion sickness symptoms; most predominant was the report of drowsiness, which occurred a total of 19 times. Changes in physiological responses were observed relative to motion sickness symptoms reported and the different environmental conditions (i.e., level, hills, gravel) during the field exercise. Performance data showed an overall decrement during the C2V exercise. These findings suggest that malaise and severe drowsiness can potentially impact the operational efficiency of the C2V crew. It was concluded that conflicting sensory information from the subject's visual displays and movements of the vehicle during the field exercise significantly contributed to motion sickness symptoms. It was recommended that a second study be conducted to further evaluate the impact of seat position or orientation and C2V experience on motion sickness susceptibility. Further, it was recommended that an investigation be performed on behavioral methods for improving crew alertness, motivation, and performance and for reducing malaise.

Cowings, Patricia S.↗

Miniature Exercise Device-2 (MED-2): Preliminary ISS Evaluation Results for a Compact Motorized Resistive and Aerobic Rowing Exercise Device

Future human missions beyond Low Earth Orbit (LEO) will require onboard equipment to provide exercise capabilities for the crew to counter the adverse physiological effects of long-duration microgravity. To accomplish this within the physical constraints of a space vehicle or transit module, a single miniature device that provides both resistive and aerobic exercise modalities is required. To meet this need, Johnson Space Center’s (JSC) Software, Robotics, and Simulation Division (ER) developed the Miniature Exercise Device-2 (MED-2). MED-2 integrates a torque-controlled servomotor and a series-elastic actuator to provide highly-controllable load profiles and a large magnitude output performance in a very small package. This innovative technology is derived from years of JSC/ER design, development and operational experience with cutting-edge robotics, motor controllers, software and actuator/sensor miniaturization, including Robonaut 2 and MED-1. MED-2 was presented at the 2016 ISS R&D Conference. This is an update now that the last of six crewmembers will have completed planned MED-2 sessions on the International Space Station (ISS) in May 2018.Current state-of-the-art ISS exercise equipment consists of two treadmills, a resistive exercise device and two cycle ergometers with a total mass of several thousand pounds and a total volume of several cubic yards. This equipment has proven vital to mitigate the musculoskeletal and cardiovascular degradation effects of microgravity. However, due to the large operational volume and mass of these ISS devices, tailoring them for smaller vehicles, such as Orion, is not possible. In addition, each of the current ISS devices targets a single specific modality. Compared to the existing spaceflight (and even terrestrial) exercise equipment, MED-2 is a new archetype altogether. The combined features of compact size, multi-modality and high-performance is attributable to its innovative series elastic actuator and motor controller. Following its arrival on ISS in 2016, MED-2 was evaluated in two parts. The first and shorter evaluation was an engineering functional checkout of the hardware. As this was a novel exercise device previously never used on ISS, the initial checkout assessed the operation of the hardware and ensured the motion and dynamic range of the crew did not present any collision or other hazards. The second portion of the study collected the heart rates, kinematics and utilized operational volumes of six astronauts to determine the quality of both the resistive and aerobic exercise modalities as delivered by MED-2. Investigators from JSC Biomedical Research and Environmental Science Division (SK) and Glenn Research Center are currently evaluating the data and preparing preliminary results. For the resistive exercise modality, MED-2 demonstrated a range of constant resistive loads from 10-150 lbf. With a displacement range of 84 inches, the MED-2 accommodates users from 5th percentile Japanese female through 95th percentile American male for all of its certified exercises. The displacement measurement accuracy has also been verified within 2.5 percent full range. The crew was able to successfully perform all prescribed resistive exercises, except Goblet Squats which were not feasible with a constant load profile. For the aerobic exercise modality, MED-2 simulated a rowing motion with prescribed and user-selected resistance levels. It has demonstrated rates up to 60 strokes per minute on the ground. MED-2 loads and displacements performance are the same as those cited for the resistive modality. Although each of the crew was able to perform the prescribed aerobic rowing sets, there was considerable variability in the rowing motion among different crewmembers. Also, as expected, the crew was unable to get the full benefits of a typical terrestrial rowing stroke because the current configuration does not allow the user to reach past their feet. These observations have already informed the requirements for other microgravity rowing devices currently in development. One of the unique features of the MED-2 device is the intuitive touch-screen control system. This One Portal graphical user interface (GUI) was developed based on JSC/ER’s heritage knowledge and experience of developing and sustaining the current ISS exercise equipment. Through this interface, the crew easily performed prepared prescriptions as well as had the ability to adjust exercise modality, load and other exercise details such as number of repetitions and number of sets. This touch-screen and GUI fulfilled the MED-2 project goal to simplify the interaction between the user and the device. Furthermore, the extent to which MED-2 utilizes a touchscreen and GUI to control exercise equipment is unmatched among the existing ISS exercise devices. As a motorized device, MED-2 technology can provide a customizable force profile that can be varied as a function of strap displacement, strap velocity or a combination of these and other variables. During 2017, JSC/ER developed and flight-certified a resistive exercise algorithm that mimics the 1-G inertial effects of free-weights and enables adjustable eccentric-to-concentric loading ratios. Subsequent development will explore varying the load profiles and incorporating additional exercises beyond the current list of certified movements.

Exercise↗

Inter-Module Ventilation Changes to the International Space Station Vehicle to Support Integration of the International Docking Adapter and Commercial Crew Vehicles

The International Space Station (ISS) Environmental Control and Life Support System (ECLSS) is continuing to evolve in the post-Space Shuttle era. The ISS vehicle configuration that is in operation was designed for docking of a Space Shuttle vehicle, and designs currently under development for commercial crew vehicles require different interfaces. The ECLSS Temperature and Humidity Control Subsystem (THC) Inter-Module Ventilation (IMV) must be modified in order to support two docking interfaces at the forward end of ISS, to provide the required air exchange. Development of a new higher-speed IMV fan and extensive ducting modifications are underway to support the new Commercial Crew Vehicle interfaces. This paper will review the new ECLSS IMV development requirements, component design and hardware status, subsystem analysis and testing performed to date, and implementation plan to support Commercial Crew Vehicle docking.

Link, Dwight E., Jr.↗

Robotic Recon for Human Exploration

Robotic reconnaissance has the potential to significantly improve scientific and technical return from lunar surface exploration. In particular, robotic recon may increase crew productivity and reduce operational risk for exploration. However, additional research, development and field-testing is needed to mature robot and ground control systems, refine operational protocols, and specify detailed requirements. When the new lunar surface campaign begins around 2020, and before permanent outposts are established, humans will initially be on the Moon less than 10% of the time. During the 90% of time between crew visits, robots will be available to perform surface operations under ground control. Understanding how robotic systems can best address surface science needs, therefore, becomes a central issue Prior to surface missions, lunar orbiters (LRO, Kaguya, Chandrayyan-1, etc.) will map the Moon. These orbital missions will provide numerous types of maps: visible photography, topographic, mineralogical and geochemical distributions, etc. However, remote sensing data will not be of sufficient resolution, lighting, nor view angle, to fully optimize pre-human exploration planning, e.g., crew traverses for field geology and geophysics. Thus, it is important to acquire supplemental and complementary surface data. Robotic recon can obtain such data, using robot-mounted instruments to scout the surface and subsurface at resolutions and at viewpoints not achievable from orbit. This data can then be used to select locations for detailed field activity and prioritize targets to improve crew productivity. Surface data can also help identify and assess terrain hazards, and evaluate alternate routes to reduce operational risk. Robotic recon could be done months in advance, or be part of a continuing planning process during human missions.

Deans, Matthew↗

Post-Flight Performance Analysis of Navigation and Advanced Guidance Algorithms on a Terrestrial Suborbital Rocket Flight

There is currently renewed interest in robotic and crewed landers for a return to the lunar surface. Advanced guidance and navigation algorithms are essential to accurately delivering cargo and crew safely to the moon successfully. This paper reports the overall performance of an integrated set of navigation and guidance algorithms flown on a terrestrial suborbital rocket up to an altitude of approximately 100km. The navigation algorithm consists of an onboard extended Kalman Filter (EKF) that ingests multiple sensor measurements, one of which is the output from a terrain relative navigation (TRN) algorithm that cross-references camera images to on-board satellite imagery to perform feature correlation within the camera image. The guidance algorithm solves for a 6-degree-of-freedom (DoF) optimal trajectory using a successive convexification method during powered descent. The altitude range as well as the landing dynamics experienced during this test flight are realistic for an extraterrestrial landing and provide an invaluable data set to gauge the current development of these landing algorithms in an effort to advance the overall software readiness levels (SRL). This paper will delve into different aspects of each algorithm and present an analysis of the in-flight performance of the algorithms. This flight was conducted under the National Aeronautics and Space Administration (NASA) Safe and Precise Landing Integrated Capabilities Evolution (SPLICE) project focused on technology advancement for landing applications.

Guidance↗

STS-71, Space Shuttle Mission Report

The STS-71 Space Shuttle Program Mission Report summarizes the Payload activities and provides detailed data on the Orbiter, External Tank (ET), Solid Rocket Booster (SRB), Reusable Solid Rocket Motor (RSRM), and the Space Shuttle main engine (SSME) systems performance. STS-71 is the 100th United States manned space flight, the sixty-ninth Space Shuttle flight, the forty-fourth flight since the return-to-flight, the fourteenth flight of the OV-104 Orbiter vehicle Atlantis, and the first joint United States (U.S.)-Russian docking mission since 1975. In addition to the OV-104 Orbiter vehicle, the flight vehicle consisted of an ET that was designated ET-70; three SSMEs that were designated 2028, 2034, and 2032 in positions 1, 2, and 3, respectively; and two SRBs that were designated Bl-072. The RSRMs that were an integral part of the SRBs were designated 360L045A for the left SRB and 360W045B for the right SRB. The STS-71 mission was planned as a 1 0-day plus 1-day-extension mission plus 2 additional days for contingency operations and weather avoidance. The primary objectives of this flight were to rendezvous and dock with the Mir Space Station and perform on-orbit joint U.S.-Russian life sciences investigations, logistical resupply of the Mir Space Station, return of the United States astronaut flying on the Mir, the replacement of the Mir-18 crew with the two-cosmonaut Mir-19 crew, and the return of the Mir-18 crew to Earth. The secondary objectives were to perform the requirements of the IMAX Camera and the Shuttle Amateur Radio experiment-2 (SAREX-2).

Frike, Robert W., Jr.↗

Case Study of Using High Performance Commercial Processors in a Space Environment

The purpose of the Space Shuttle Cockpit Avionics Upgrade project was to reduce crew workload and improve situational awareness. The upgrade was to augment the Shuttle avionics system with new hardware and software. A major success of this project was the validation of the hardware architecture and software design. This was significant because the project incorporated new technology and approaches for the development of human rated space software. An early version of this system was tested at the Johnson Space Center for one month by teams of astronauts. The results were positive, but NASA eventually cancelled the project towards the end of the development cycle. The goal to reduce crew workload and improve situational awareness resulted in the need for high performance Central Processing Units (CPUs). The choice of CPU selected was the PowerPC family, which is a reduced instruction set computer (RISC) known for its high performance. However, the requirement for radiation tolerance resulted in the reevaluation of the selected family member of the PowerPC line. Radiation testing revealed that the original selected processor (PowerPC 7400) was too soft to meet mission objectives and an effort was established to perform trade studies and performance testing to determine a feasible candidate. At that time, the PowerPC RAD750s where radiation tolerant, but did not meet the required performance needs of the project. Thus, the final solution was to select the PowerPC 7455. This processor did not have a radiation tolerant version, but faired better than the 7400 in the ability to detect failures. However, its cache tags did not provide parity and thus the project incorporated a software strategy to detect radiation failures. The strategy was to incorporate dual paths for software generating commands to the legacy Space Shuttle avionics to prevent failures due to the softness of the upgraded avionics.

Ferguson, Roscoe C.↗

Case Study of Using High Performance Commercial Processors in Space

The purpose of the Space Shuttle Cockpit Avionics Upgrade project (1999 2004) was to reduce crew workload and improve situational awareness. The upgrade was to augment the Shuttle avionics system with new hardware and software. A major success of this project was the validation of the hardware architecture and software design. This was significant because the project incorporated new technology and approaches for the development of human rated space software. An early version of this system was tested at the Johnson Space Center for one month by teams of astronauts. The results were positive, but NASA eventually cancelled the project towards the end of the development cycle. The goal to reduce crew workload and improve situational awareness resulted in the need for high performance Central Processing Units (CPUs). The choice of CPU selected was the PowerPC family, which is a reduced instruction set computer (RISC) known for its high performance. However, the requirement for radiation tolerance resulted in the re-evaluation of the selected family member of the PowerPC line. Radiation testing revealed that the original selected processor (PowerPC 7400) was too soft to meet mission objectives and an effort was established to perform trade studies and performance testing to determine a feasible candidate. At that time, the PowerPC RAD750s were radiation tolerant, but did not meet the required performance needs of the project. Thus, the final solution was to select the PowerPC 7455. This processor did not have a radiation tolerant version, but had some ability to detect failures. However, its cache tags did not provide parity and thus the project incorporated a software strategy to detect radiation failures. The strategy was to incorporate dual paths for software generating commands to the legacy Space Shuttle avionics to prevent failures due to the softness of the upgraded avionics.

Ferguson, Roscoe C.↗

The First Development of Human Factors Engineering Requirements for Application to Ground Task Design for a NASA Flight Program

The National Aeronautics and Space Administration has long applied standards-derived human engineering requirements to the development of hardware and software for use by astronauts while in flight. The most important source of these requirements has been NASA-STD-3000. While there have been several ground systems human engineering requirements documents, none has been applicable to the flight system as handled at NASA's launch facility at Kennedy Space Center. At the time of the development of previous human launch systems, there were other considerations that were deemed more important than developing worksites for ground crews; e.g., hardware development schedule and vehicle performance. However, experience with these systems has shown that failure to design for ground tasks has resulted in launch schedule delays, ground operations that are more costly than they might be, and threats to flight safety. As the Agency begins the development of new systems to return humans to the moon, the new Constellation Program is addressing this issue with a new set of human engineering requirements. Among these requirements is a subset that will apply to the design of the flight components and that is intended to assure ground crew success in vehicle assembly and maintenance tasks. These requirements address worksite design for usability and for ground crew safety.

Dischinger, H. Charles, Jr.↗

Crew productivity issues in long-duration space flight

Considerable evidence suggests the importance of teamwork, coordination, and conflict resolution to the performance and survival of isolated, confined groups in high-technology environments. With the advent of long-duration space flight, group-related issues of crew functioning will take on added significance. This paper discusses the influence of crew roles, status, leadership, and norms on the performance of small, confined groups, and offers guidelines and suggestions regarding organizational design, crew selection, training, and team building for crew productivity and social well-being in long-duration spaceflight.

Nicholas, John M.↗

Introduction of the Space Shuttle Columbia Accident, Investigation Details, Findings and Crew Survival Investigation Report

As the Space Shuttle Program comes to an end, it is important that the lessons learned from the Columbia accident be captured and understood by those who will be developing future aerospace programs and supporting current programs. Aeromedical lessons learned from the Accident were presented at AsMA in 2005. This Panel will update that information, closeout the lessons learned, provide additional information on the accident and provide suggestions for the future. To set the stage, an overview of the accident is required. The Space Shuttle Columbia was returning to Earth with a crew of seven astronauts on 1Feb, 2003. It disintegrated along a track extending from California to Louisiana and observers along part of the track filmed the breakup of Columbia. Debris was recovered from Littlefield, Texas to Fort Polk, Louisiana, along a 567 statute mile track; the largest ever recorded debris field. The Columbia Accident Investigation Board (CAIB) concluded its investigation in August 2003, and released their findings in a report published in February 2004. NASA recognized the importance of capturing the lessons learned from the loss of Columbia and her crew and the Space Shuttle Program managers commissioned the Spacecraft Crew Survival Integrated Investigation Team (SCSIIT) to accomplish this. Their task was to perform a comprehensive analysis of the accident, focusing on factors and events affecting crew survival, and to develop recommendations for improving crew survival, including the design features, equipment, training and procedures intended to protect the crew. NASA released the Columbia Crew Survival Investigation Report in December 2008. Key personnel have been assembled to give you an overview of the Space Shuttle Columbia accident, the medical response, the medico-legal issues, the SCSIIT findings and recommendations and future NASA flight surgeon spacecraft accident response training. Educational Objectives: Set the stage for the Panel to address the investigation, medico-legal issues, the Spacecraft Crew Survival Integrated Investigation Team report and training for accident response.

Chandler, Michael↗

Integrated Software Systems for Crew Management During Extravehicular Activity in Planetary Terrain Exploration

Initial planetary explorations with the Apollo program had a veritable ground support army monitoring the safety and health of the 12 astronauts who performed lunar surface extravehicular activities (EVAs). Given the distances involved, this will not be possible on Mars. A spacesuit for Mars must be smart enough to replace that army. The next generation suits can do so using 2 software systems serving as virtual companions, LEGACI (Life support, Exploration Guidance Algorithm and Consumable Interrogator) and VIOLET (Voice Initiated Operator for Life support and Exploration Tracking). The system presented in this study integrates data inputs from a suite of sensors into the MIII suit s communications, avionics and informatics hardware for distribution to remote managers and data analysis. If successful, the system has application not only for Mars but for nearer term missions to the Moon, and the next generation suits used on ISS as well. Field tests are conducted to assess capabilities for next generation spacesuits at Johnson Space Center (JSC) as well as the Mars and Lunar analog (Devon Island, Canada). LEGACI integrates data inputs from a suite of noninvasive biosensors in the suit and the astronaut (heart rate, suit inlet/outlet lcg temperature and flowrate, suit outlet gas and dewpoint temperature, pCO2, suit O2 pressure, state vector (accelerometry) and others). In the Integrated Walkback Suit Tests held at NASA-JSC and the HMP tests at Devon Island, communication and informatics capabilities were tested (including routing by satellite from the suit at Devon Island to JSC in Houston via secure servers at VCU in Richmond, VA). Results. The input from all the sensors enable LEGACI to compute multiple independent assessments of metabolic rate, from which a "best" met rate is chosen based on statistical methods. This rate can compute detailed information about the suit, crew and EVA performance using test-derived algorithms. VIOLET gives LEGACI voice activation capability, allowing the crew to query the suit, and receive feedback and alerts that will lead to corrective action. LEGACI and VIOLET can also automatically control the astronaut's cooling and consumable use rate without crew input if desired. These findings suggest that non-invasive physiological and environmental sensors supported with data analysis can allow for more effective management of mission task performance during EVA. Integrated remote and local view of data metrics allow crewmember to receive real time feedback in synch with mission control in preventing performance shortcomings for EVA in exploration missions.

Kuznetz, Lawrence↗

Systems performance monitoring for advanced manned spacecraft

Optimum system mechanizations for advanced manned spacecraft are considered. Several studies have proposed automation of the onboard system management task, with functions such as system status monitoring, configuration management, and redundancy management being accomplished under computer control. An experimental system was used in the laboratory to investigate hardware and software requirements for accomplishing these onboard system management functions. A performance monitor system is proposed for the space shuttle. This system provides support to the flight crew in the management of all onboard systems but does not perform critical switching functions during the flight phase.

Chambers, T. V.↗

Risk Analysis Associated with Loss of Toxic Gases During Orion Landing and Recovery Operations

Mission, landing and recovery operations for the Orion crew module involve reentry into the Earth's atmosphere and the deployment of three Nomex parachutes to slow the descent before landing along the west coast of the United States. Orion may have residual fuel (hydrazine, N2H4) or coolant (ammonia, NH3) on board which are both highly toxic to crew in the event of exposure. These risks were evaluated using a first principles analysis approach through fluid dynamics modeling. Plume calculations were first performed with the ANSYS Fluent computational fluid dynamics code. Data were then extracted at locations relevant to crew safety such as the snorkel fan inlet and the egress hatch. Mixing calculations were performed to quantify exposure concentrations within the crew bay before and during egress and departure. Finally, results included herein were used to inform the Orion post-landing Concept of Operations (ConOps) so that strategies could be formulated to maintain crew safety in the event of the loss of fuel or coolant.

Orion↗

Behavioral Health Support of NASA Astronauts for International Space Station Missions

Two areas of focus for optimizing behavioral health and human performance during International Space Station missions are 1) sleep and circadian assessment and 2) behavioral medicine. The Mir experience provided the opportunity to examine the use and potential effectiveness of tools and procedures to support the behavioral health of the crew. The experience of NASA has shown that on-orbit performance can be better maintained if behavioral health, sleep, and circadian issues are effectively monitored and properly addressed. For example, schedules can be tailored based upon fatigue level of crews and other behavioral and cognitive indicators to maximize performance. Previous research and experience with long duration missions has resulted in the development and upgrade of tools used to monitor fatigue, stress, cognitive function, and behavioral health. Self-assessment and objective tools such as the Spaceflight Cognitive Assessment Tool have been developed and refined to effectively address behavioral medicine countermeasures in space.

Sipes, Walter↗

Spaceflight Medical Evacuation Risk Assessment Principles – A Qualitative Investigation

Future human space exploration beyond Low Earth Orbit (LEO) will require innovative solutions in many areas, especially to support the crew medically and optimize their health and performance. Challenges will be numerous, including: extended one-way communication delays, minimal to non-existent resupply and a transit time to a “definitive care” facility ranging from 3-days to 9-months. At the same time, exploration spacecraft will face even more significant restrictions on mass-power-volume-data than in present operational settings. Given these limitations, medical risk assessment is of primary importance, especially evaluating the implications of a medical evacuation of an ill or injured crewmember. Such evacuations are complicated and potentially dangerous, and may be impossible in certain phases of the mission, but this must be weighed against the risks of the injured crew remaining aboard a spacecraft with limited medical resources.

A T Almand↗