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NASA NTRSDate not supplied

Earth Independent Medical Operations (EIMO)

Inherent in interplanetary space travel are unprecedented challenges that could threaten mission success and negatively impact crew health and performance. Return to definitive care is essentially untenable and resources will be constrained with practically no re-supply capability. Access to ground-based medical expertise will be significantly delayed under nominal conditions with exacerbation during conjunction or prolonged dust storms. Taken together, these challenges necessitate the development of a progressively autonomous medical operational support system to assist the crew medical officer (CMO). While support from ground based medical experts will remain indispensable for pre-mission planning, the approach to management of acute/emergent medical contingencies will require a gradual transition of medical care and decision making from terrestrial to space-based assets, enabling support of astronaut health and performance and reducing overall mission risk. To progressively enable EIMO, a series of meetings were convened with subject matter experts from within NASA, academia and industry to facilitate mapping of the path to support autonomous medical operations. Topics explored in these meetings included the scope of data (storage capacity, usage, transmission rate and bandwidth, computing capacity), CMO training, supply and resource management and task load balance. Recommendations from these meetings will inform the EIMO Concept of Operations and definition of the associated requirements culminating in updates to the NASA 3001 standards. The EIMO project team will work with stakeholders to conceptualize a clinical decision support system (CDSS) to assist the CMO in response to medical contingencies when terrestrial support is delayed or otherwise unavailable. The CDSS will be a system of systems that will utilize data from numerous input vectors. Successful deployment of the CDSS will facilitate medical decision making while decreasing the cognitive load leading to an improvement in task load balancing. Additional benefits of the envisioned CDSS include assistance with inventory management, locating resources, storage/retrieval of medical records, highlighting trends in recorded data, in addition to providing a consult for diagnosis and treatment. More advanced features might include passive monitoring to identify early warning signs of behavioral or medical anomalies to possibly pre-empt onset of conditions that would compromise crew health and performance.

Benjamin Easter↗
NASA NTRSDate not supplied

Crew Medical Training to Progressively Enable EIMO

Background. Onboard medical capabilities have greatly expanded over the history of the US space program. Newly identified space-related medical conditions, technological advances, and longer mission durations have led to an increasing need for on-demand medical expertise. Lengthy communications delays, lack of resupply and evacuation opportunities on exploration-class missions place an ever-increasing burden on the crew to provide medical care. Having adequate knowledge, skills, and abilities (KSA) available is an essential component of successful Earth Independent Medical Operations (EIMO). Without appropriate crew training and KSA, cutting-edge medical equipment has little value. Presumably, the crew will include a qualified physician; however, if the physician is incapacitated, a non-physician crew medical officer (CMO) will be needed. While more crew time is needed for medical training, there will be concomitant increases in preflight training demands for vehicle system management, operations, science, and contingencies. In truly independent operations, onboard resources such as just-in-time training, mixed reality, decision support tools, and AI-enabled chatbot “consultants” will be needed to augment KSA. Overview. Because of crew time constraints, topical priorities must be determined for preflight training. Curricula should be developed that emphasize management of conditions with relatively high incidence and morbidity/mortality. Defining the required KSA levels to treat each condition is essential, but all crewmembers should have basic lifesaving skills. Procedural and diagnostic training on live patients and simulators should be prioritized over classroom lectures. Crews must be trained with onboard equipment, resources, mixed reality, and AI-based decision support tools. Mission simulations should include medical problems with/without ground support and with appropriate communication delays. Certification guidelines for each level of KSA must be established. Skills rapidly decay for non-physician CMO’s; both pre-flight and in-flight refresher training will be needed. During spaceflight just-in-time training, simulations, and onboard CME with crew physician can help retain skills. Discussion. Medical technology, simulation design, mixed reality, and AI are advancing at a dizzying rate. Recognizing the severe constraints on crew time, it is critical that astronaut training is highly efficient and adapted to keep pace with new innovations both pre-flight and during exploration missions. These challenges will be discussed during this panel session.

Jay Lemery↗
NASA NTRSDate not supplied

Summary of Technical Interchange Meetings (TIMs) Designed to Enable Earth Independent Medical Operations (EIMO)

The Exploration Medical Capability Element (ExMC) in NASA’s Human Research Program hosted a series of TIMs in 2023-2024 designed to stimulate discussion around specific topics with the goal of enabling EIMO. In context of the thematic constituent elements of EIMO, namely pre-mission planning, acute/emergent/prolonged medical decision making, supply/resource management and task load management, subject matter experts from industry, academia and government (NASA and other Agencies) provided valuable and actionable guidance and recommendations. Earth-based medical experts will remain indispensable for pre-mission planning, however, management of acute/emergent medical contingencies will require a gradual transition of medical care and decision making from terrestrial to space-based assets to enable support of astronaut health and performance and reduce overall mission risk. Key to achieving these enhancements is providing an integrated data system platform capable of utilizing multiple data streams in concert with a variety of on-board databases and passive monitoring of video and wearable sensors to enable a multi-modal, agentic AI-based clinical decision support system (CDSS) to support crew medical officer (CMO) medical decision-making. The EIMO series of TIMs (I-V) have proven to be instructive and portend a significant paradigm shift will be necessary to maintain crew health and performance on exploration class missions. Importantly, since the expected paradigm shift will be significantly different from the methods of operation that have been employed for the majority of missions from the inception of human spaceflight to date, any proposed methods must be deployed in the setting of ongoing operations early and be “tested, reviewed and practiced” while reliable back-up is available to facilitate an Enterprise-wide level of comfort and acceptance. Serious constraints on data transmission coupled with a large and expanding universe of on-board medical informatics data streams will necessitate implementation of a CDSS to supplant the current reliance on support provided by ground-based SMEs. Establishment of trust in the system by CMO/crew and the ground-based medical support team will be essential. Co-development of a CDSS with industry partners will assure that state of the art tools can be employed, and industry efficiencies can be leveraged. Training regimens, materials and tools must evolve to be responsive (just-in-time training) and facilitate autonomous execution of procedures. Proficiency metrics should be established and be based on validated competencies or milestones as opposed to a prescribed number of training hours. Training should be prioritized for broad, translatable skills that have universal application across a variety of medical conditions. Repetition was deemed to be the key to achieving proficiency and emphasis should lie in procedural training which is known to extinguish more rapidly than diagnostic skills. Advanced tools, e.g., extended reality, can provide more realistic and effective training. Use of advanced probabilistic risk assessment tools will be essential to optimize the medical system capability while carefully balancing risk relative to mass/power/volume limitations. Importance of factoring use-life of medical supplies and maintaining awareness of redundancy and opportunity to re-purpose under off nominal situations was emphasized. Consideration of adopting optimized performance standards vs. “good-enough” performance thresholds is warranted. The use of legacy systems as opposed to creating new systems may be preferable. Managing task load and associated cognitive load will be essential to maintain operational safety and behavioral health. ExMC aspires to create a shared EIMO paradigm and strategic vision for advancing medical system design through novel technologies, training, protocols, and support capabilities, built upon the spirit of successful strategies and innovations over the past six decades of space medicine operations.

Jay Lemery↗
NASA NTRS1981

Support systems of the orbiting quarantine facility

The physical support systems, the personnel management structure, and the contingency systems necessary to permit the Orbiting Quarantine Facility (OQF) to function as an integrated system are described. The interactions between the subsystems within the preassembled modules are illustrated. The Power Module generates and distributes electrical power throughout each of the four modules, stabilizes the OQF's attitude, and dissipates heat generated throughout the system. The Habitation Module is a multifunctional structure designed to monitor and control all aspects of the system's activities. The Logistics Module stores the supplies needed for 30 days of operation and provides storage for waste materials generated during the mission. The Laboratory Module contains the equipment necessary for executing the protocol, as well as an independent life support system.

Source record↗
NASA NTRS2017

Characterization of a Pressure-Fed LOX/LCH4 Reaction Control System Under Simulated Altitude and Thermal Vacuum Conditions

A liquid oxygen, liquid methane (LOX/LCH4) reaction control system (RCS) was tested at NASA Glenn Research Center's Plum Brook Station in the Spacecraft Propulsion Research Facility (B-2) under simulated altitude and thermal vacuum conditions. The RCS is a subsystem of the Integrated Cryogenic Propulsion Test Article (ICPTA) and was initially developed under Project Morpheus. Composed of two 28 lbf-thrust and two 7 lbf-thrust engines, the RCS is fed in parallel with the ICPTA main engine from four propellant tanks. 40 tests consisting of 1,010 individual thruster pulses were performed across 6 different test days. Major test objectives were focused on system dynamics, and included characterization of fluid transients, manifold priming, manifold thermal conditioning, thermodynamic vent system (TVS) performance, and main engine/RCS interaction. Peak surge pressures from valve opening and closing events were examined. It was determined that these events were impacted significantly by vapor cavity formation and collapse. In most cases the valve opening transient was more severe than the valve closing. Under thermal vacuum conditions it was shown that TVS operation is unnecessary to maintain liquid conditions at the thruster inlets. However, under higher heat leak environments the RCS can still be operated in a self-conditioning mode without overboard TVS venting, contingent upon the engines managing a range of potentially severe thermal transients. Lastly, during testing under cold thermal conditions the engines experienced significant ignition problems. Only after warming the thruster bodies with a gaseous nitrogen purge to an intermediate temperature was successful ignition demonstrated.

Atwell, Matthew J.↗
NASA NTRS2019

Effectiveness of Redundant Communications Systems in Maintaining Operational Control of Small Unmanned Aircraft

NASA has been researching prototype technologies for an Unmanned Aircraft System (UAS) Traffic Management (UTM) system to facilitate enabling of safe and efficient civilian low-altitude airspace and UAS operations, in a series of Technical Capability Levels (TCL) activities that are increasingly complex. In TCL1, completed in 2015, visual line-of-sight operations such as agriculture, firefighting and infrastructure monitoring were addressed with a focus on geofencing and operations scheduling. Technologies and requirements needed for beyond visual line-of-sight (BVLOS) operations in sparsely populated areas were examined in TCL2 in 2016, and those for operations over moderately populated areas in TCL3 in 2017 and 2018. TCL4 will build on the earlier TCLs and focus on technologies and requirements for operations in higher-density urban areas for tasks such as news gathering, package delivery and for managing large-scale contingencies. This paper describes a communications test conducted in TCL3 and discusses insights gained from the test. In the test, operators were directed to equip UAS with redundant Command and Control (C2) communications systems, send a maneuver command to Unmanned Aircraft (UA) via the primary system, then verify execution of the sent command. This exercise was repeated with each redundant system. The test was designed to assess effectiveness of redundant C2 systems in maintaining operational control of UA. Several UAS were configured with varying arrangements to achieve redundancy, including two identical radio modems using the same frequency band, WiFi and Long-Term Evolution (LTE) cellular modems, etc. From the test, digital data such as time maneuver command sent, time maneuver verified, etc., were collected. Descriptions of methods to detect loss of C2 communications and contingency steps for such event were collected and assessed. The final paper will include a detailed analysis of the collected data leading to the following insights. First, effectiveness of redundant C2 systems depends on several factors, such as operational environment and communications service availability. For example, use of two identical point-to-point radio to connect operator and UA on the same frequency band can be effective in mitigating radio malfunction when operating in an environment where possibility of Radio Frequency (RF) interference is low, such as over open plains. However, the same arrangement may not be effective where high level of RF transmissions in broad spectrum ranges can be expected, such as over or near urban areas. For redundant systems that consist of external communications services, such as cellular and satellite communications network, redundancy is maintained only in the areas where more than one services are available. Therefore, UAS operators should have the means to plan for and monitor the performance of external communications services they are relying on to control UA. Second, communications performance needs, such as the minimum data transfer rate and the maximum tolerable latency, should be assessed to reflect the potential hazard that can come from loss of UA control. For example, UA operations over desolate area pose less hazard to people than operations over densely populated area and performance need for the former would be less than the latter.

Jung, Jaewoo↗
NASA NTRSDate not supplied

Flight Demonstration of Unmanned Aircraft System (UAS) Traffic Management (UTM) at Technical Capability Level 4

The NASA Unmanned Aircraft Systems (UAS) Traffic Management (UTM) Project executed the fourth and final UTM Technical Capability Level demonstration between May and August 2019. Two Federal Aviation Administration (FAA)-designated UAS test sites managed the range, partners, and operations to meet the requirements set forth by the UTM Project. All stakeholders supported the execution of the flight testing through close collaboration. Results of the demonstration indicate the viability of the UTM concept to manage large scale operations and contingencies in an urban environment. The demonstration also provided insight into key technological gaps that must be addressed before such operations are routine, safe, and efficient. Standardization efforts related to UTM and the industry participants of those efforts can leverage the results and experiences of this flight activity to accelerate and more firmly ground forthcoming standards. The FAA and other regulators will be able to leverage results to inform future rule-making and identify additional gaps that require further analysis.

Unmanned Aircraft System Traffic Management↗
NASA NTRS1992

Real-time contingency handling in MAESTRO

A scheduling and resource management system named MAESTRO was interfaced with a Space Station Module Power Management and Distribution (SSM/PMAD) breadboard at MSFC. The combined system serves to illustrate the integration of planning, scheduling, and control in a realistic, complex domain. This paper briefly describes the functional elements of the combined system, including normal and contingency operational scenarios, then focusses on the method used by the scheduler to handle real-time contingencies.

Britt, Daniel L.↗
NASA NTRS1987

Independent Orbiter Assessment (IOA): Analysis of the displays and controls subsystem

The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA approach features a top-down analysis of the hardware to determine failure modes, criticality, and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. This report documents the independent analysis results corresponding to the Orbiter Displays and Controls (D and C) subsystem hardware. The function of the D and C hardware is to provide the crew with the monitor, command, and control capabilities required for management of all normal and contingency mission and flight operations. The D and C hardware for which failure modes analysis was performed consists of the following: Acceleration Indicator (G-METER); Head Up Display (HUD); Display Driver Unit (DDU); Alpha/Mach Indicator (AMI); Horizontal Situation Indicator (HSI); Attitude Director Indicator (ADI); Propellant Quantity Indicator (PQI); Surface Position Indicator (SPI); Altitude/Vertical Velocity Indicator (AVVI); Caution and Warning Assembly (CWA); Annunciator Control Assembly (ACA); Event Timer (ET); Mission Timer (MT); Interior Lighting; and Exterior Lighting. Each hardware item was evaluated and analyzed for possible failure modes and effects. Criticality was assigned based upon the severity of the effect for each failure mode.

Trahan, W. H.↗
NASA NTRS1995

Training for Aviation Decision Making: The Naturalistic Decision Making Perspective

This paper describes the implications of a naturalistic decision making (NDM) perspective for training air crews to make flight-related decisions. The implications are based on two types of analyses: (a) identification of distinctive features that serve as a basis for classifying a diverse set of decision events actually encountered by flight crews, and (b) performance strategies that distinguished more from less effective crews flying full-mission simulators, as well as performance analyses from NTSB accident investigations. Six training recommendations are offered: (1) Because of the diversity of decision situations, crews need to be aware that different strategies may be appropriate for different problems; (2) Given that situation assessment is essential to making a good decision, it is important to train specific content knowledge needed to recognize critical conditions, to assess risks and available time, and to develop strategies to verify or diagnose the problem; (3) Tendencies to oversimplify problems may be overcome by training to evaluate options in terms of goals, constraints, consequences, and prevailing conditions; (4) In order to provide the time to gather information and consider options, it is essential to manage the situation, which includes managing crew workload, prioritizing tasks, contingency planning, buying time (e.g., requesting holding or vectors), and using low workload periods to prepare for high workload; (5) Evaluating resource requirements ("What do I need?") and capabilities ("'What do I have?" ) are essential to making good decisions. Using resources to meet requirements may involve the cabin crew, ATC, dispatchers, and maintenance personnel; (6) Given that decisions must often be made under high risk, time pressure, and workload, train under realistic flight conditions to promote the development of robust decision skills.

Orasanu, Judith↗
NASA NTRS2005

STS-114: Discovery Launch Readiness Press Conference

This press conference, attended by representatives from the national, Florida, and aerospace media, addresses launch, weather, and safety issues related to Space Shuttle Discovery prior to its launch on the STS-114 Return to Flight mission. The Master of Ceremonies is George Diller from NASA Public Affairs, and the panelists are: Space Shuttle Program Manager Bill Parsons, ISS Program Manager (JSC) Bill Gerstenmaier, Space Shuttle Deputy Program Manager Wayne Hale, Director of Shuttle Processing Mike Wetmore, ISS Program Manager (JAXA) Dr. Kuniaki Shiraki, and Launch Weather Officer (USAF) Mindy Chavez. Questions included the following topics: predicted weather conditions at launch, contingency rescue plans, countdown procedures, and risk management, as well as implications of the Return to Flight for the International Space Station (ISS).

Source record↗
NASA NTRS1975

Risk Management Technique for design and operation of facilities and equipment

The Risk Management System collects information from engineering, operating, and management personnel to identify potentially hazardous conditions. This information is used in risk analysis, problem resolution, and contingency planning. The resulting hazard accountability system enables management to monitor all identified hazards. Data from this system are examined in project reviews so that management can decide to eliminate or accept these risks. This technique is particularly effective in improving the management of risks in large, complex, high-energy facilities. These improvements are needed for increased cooperation among industry, regulatory agencies, and the public.

Fedor, O. H.↗
NASA NTRS1990

An expert system for simulating electric loads aboard Space Station Freedom

Space Station Freedom will provide an infrastructure for space experimentation. This environment will feature regulated access to any resources required by an experiment. Automated systems are being developed to manage the electric power so that researchers can have the flexibility to modify their experiment plan for contingencies or for new opportunities. To define these flexible power management characteristics for Space Station Freedom, a simulation is required that captures the dynamic nature of space experimentation; namely, an investigator is allowed to restructure his experiment and to modify its execution. This changes the energy demands for the investigator's range of options. An expert system competent in the domain of cryogenic fluid management experimentation was developed. It will be used to help design and test automated power scheduling software for Freedom's electric power system. The expert system allows experiment planning and experiment simulation. The former evaluates experimental alternatives and offers advice on the details of the experiment's design. The latter provides a real-time simulation of the experiment replete with appropriate resource consumption.

Kukich, George↗
NASA NTRS1990

An expert system for simulating electric loads aboard Space Station Freedom

Space Station Freedom will provide an infrastructure for space experimentation. This environment will feature regulated access to any resources required by an experiment. Automated systems are being developed to manage the electric power so that researchers can have the flexibility to modify their experiment plan for contingencies or for new opportunities. To define these flexible power management characteristics for Space Station Freedom, a simulation is required that captures the dynamic nature of space experimentation; namely, an investigator is allowed to restructure his experiment and to modify its execution. This changes the energy demands for the investigator's range of options. An expert system competent in the domain of cryogenic fluid management experimentation, was developed. It will be used to help design and test automated power scheduling software for Freedom's electric power system. The expert system allows experiment planning and experiment simulation. The former evaluates experimental alternatives and offers advice on the details of the experiment's design. The latter provides a real-time simulation of the experiment replete with appropriate resource consumption.

Kukich, George↗
NASA NTRSDate not supplied

Communication Network Awareness Machine System Phase I Development: The Intelligent Party-Line Schema

As NextGen continues toward the full implementation of a Net-Centric Architecture (N-CA)it will inherently provide a continuous increase to the Three-Vs components (Volume, Velocity, and Variety) of big data . This will create an insurmountable environment for direct-action aviation personnel (DAAP)as the DAAP’s natural abilities to manage and process data into actionable information will be overmatched by the Three-Vs. Therefore, conducting operations within a N-CA requires that new tools and applications be researched and developed to aid the DAAP’s ability to understand and manage data, mitigate non-normals, create contingency plans and actions. This paper will describe a research area at NASA Langley Research Center known as the Intelligent Party-Line (IPL).

Intelligent Party-Line↗
NASA NTRS2000

Space Flight Decompression Sickness Contingency Plan

The purpose was to develop an enhanced plan to diagnose, treat, and manage decompression sickness (DCS) during extravehicular activity (EVA). This plan is merited by the high frequency of upcoming EVAs necessary to construct and maintain the International Space Station (ISS). The upcoming ISS era will demand a significant increase in EVA. The DCS Risk and Contingency Plan provided a new and improved approach to DCS reporting, treatment, management, and training.

Dervay, Joseph↗
NASA NTRS2016

Cassini Ring Plane Crossings: Hypervelocity Impact Risks to Sun Sensor Assemblies

For both F/G and D-ring crossings: Probability of a penetration damage of the SSH (Sun Sensor Head) window glass is very low; Optical attenuation due to craters on the surface of the window glass caused by direct HVI (Hyper-Velocity Impact) by dust particle is estimated to be less than 1 percent; Optical attenuation due to secondary debris cloud generated by the disintegrated ring dust particles is estimated to be less than 1 percent. To better manage the Sun sensor damage risk during selected proximal orbit crossings, it is highly desirable to follow the contingency procedures mentioned in Section VII of the paper: Details of this contingency procedure are given in the paper entitled "Cassini Operational Sun Sensor Risk Management During Proximal Orbit Saturn Ring Plane Crossings" authored by David M. Bates. Based on results of risk analyses documented in this work and contingency planning work described in the paper mentioned above, we judge that the proximal orbit campaign will be safe from the viewpoint of dust HVI hazard.

dust particles↗
NASA NTRS2004

International Space Station (ISS) Oxygen High Pressure Storage Management

High pressure oxygen onboard the ISS provides support for Extra Vehicular Activities (EVA) and contingency metabolic support for the crew. This high pressure 02 is brought to the ISS by the Space Shuttle and is transferred using the Oxygen Recharge Compressor Assembly (ORCA). There are several drivers that must be considered in managing the available high pressure 02 on the ISS. The amount of O2 the Shuttle can fly up is driven by manifest mass limitations, launch slips, and on orbit Shuttle power requirements. The amount of 02 that is used from the ISS high pressure gas tanks (HPGT) is driven by the number of Shuttle docked and undocked EVAs, the type of EVA prebreath protocol that is used and contingency use of O2 for metabolic support. Also, the use of the ORCA must be managed to optimize its life on orbit and assure that it will be available to transfer the planned amount of O2 from the Shuttle. Management of this resource has required long range planning and coordination between Shuttle manifest on orbit plans. To further optimize the situation hardware options have been pursued.

Lewis, John R.↗