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Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

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At least 19 records

Evaluation and Improvement of System-of-Systems Resilience in a Simulation of Wildfire Emergency Response

Because of the increasing threat that wildfires pose, there is interest in leveraging new technologies to improve firefighting. Specifically, Unmanned Aerial Systems (UAS) and UAS Traffic Management (UTM) promise to improve firefighters’ situational awareness, coordination, communications, safety, and strategy. While these technologies could be beneficial, there has been little formal investigation into how much benefit would occur and whether these benefits would outweigh hazards introduced by these systems. To better understand the impacts of these technologies, this paper presents a high-level dynamic simulation for evaluating wildfire response performance and resilience incorporating fire propagation, surveillance and communication, response planning, and the resulting mitigation actions. This simulation is then used to study the impact of communications and surveillance improvement, considering (1) the effect on fire containment and ground crew injuries and (2) the effect of introduced and existing disruptive fault scenarios. Simulating this model over a large number of scenarios finds that these changes can improve containment and reduce ground crew injuries. While these improvements generalize over both existing and introduced single-fault scenarios and thus result in a more resilient system, they could be negated if the introduced communications infrastructure is prone to full-scale outages.

modeling↗

Modeling for Integrated Science Management and Resilient Systems Development

Many physiological, environmental, and operational risks exist for crewmembers during spaceflight. An understanding of these risks from an integrated perspective is required to provide effective and efficient mitigations during future exploration missions that typically have stringent limitations on resources available, such as mass, power, and crew time. The Human Research Program (HRP) is in the early stages of developing collaborative modeling approaches for the purposes of managing its science portfolio in an integrated manner to support cross-disciplinary risk mitigation strategies and to enable resilient human and engineered systems in the spaceflight environment. In this talk, we will share ideas being explored from fields such as network science, complexity theory, and system-of-systems modeling. Initial work on tools to support these explorations will be discussed briefly, along with ideas for future efforts.

Shelhamer, M.↗

The Cooling Loop A Anomaly of 2013: A Case Study in Human-Systems Resilience

Throughout the history of human spaceflight, NASA has employed an operational paradigm of 24/7 dependence on experts in Mission Control Center (MCC). In addition to nominal flight control and mission operations, these 85+ experts per shift manage anomaly detection, diagnosis, and response, and support the crew in real-time in performing maintenance and repair, procedure execution, and other complex mission operations. Future long-duration exploration missions (LDEMs) beyond low-Earth orbit (LEO) will not operate successfully using this same Human-Systems Integration Architecture (HSIA) where crew rely on ground controllers, have ready access to resupply, and have a fallback plan of evacuation. As distance from Earth increases and the communication delay grows, crews will need to respond independently and adequately to time-critical vehicle malfunctions. It will not always be sufficient or even possible to ‘safe the system’ and then wait upon ground intervention. A new and radically different HSIA is needed to accommodate the paradigm shift of deep-space travel. Historical International Space Station (ISS) data show that for a 30-day mission, the likelihood of a high-consequence vehicle anomaly of uncertain origin that requires rapid response is greater than 10%. The likelihood of such an event is 50% by the fourth month of the mission, and it grows exponentially with time. Our team has conducted in-depth investigations into these events and their corresponding anomaly resolution activities. Using MCC and Mission Evaluation Room (MER) anomaly resolution artifacts (including meeting summaries, caution and warning data, and ISS daily summaries), we created timelines detailing ground actions and in-orbit events for two significant anomalies. We then mapped these timelines onto Mars transit conditions, introducing a ground-crew communications time delay and shifting immediate response, time-critical task execution, and vehicle commanding to the crew. In detailing successful anomaly resolution in transit to Mars, the timelines highlight where effective resolution requires drastically evolved onboard capabilities. Though this research has yielded a rich data set based on ground response in past missions, there is still insufficient knowledge to assess the potential impact of inflight anomalies on a small autonomous crew on future LDEMs beyond LEO. To begin building an evidence base that will inform future HSIA standards and requirements, we are developing an approach to systematically capture crew anomaly response and procedure execution during early Artemis missions. Being the first human spaceflight beyond LEO since Apollo, early Artemis missions provide a rare and unique opportunity to serve as a testbed for Mars missions. Our work aims to capitalize on planned data collection to derive crew operational responses to anomalous events in real-time. Our team is also researching the level of simulation fidelity required for empirically validating proposed HSIA standards and evaluating HSIA implementations for LDEMs beyond LEO. This work will produce a trade space study of HSIA simulation objectives and fidelity requirements. Ultimately, these research efforts will assist in developing the standards and technologies needed to build a next-generation HSIA for LDEMs beyond LEO.

human-systems integration architecture↗

An Approach for the Assessment of System Upset Resilience

This report describes an approach for the assessment of upset resilience that is applicable to systems in general, including safety-critical, real-time systems. For this work, resilience is defined as the ability to preserve and restore service availability and integrity under stated conditions of configuration, functional inputs and environmental conditions. To enable a quantitative approach, we define novel system service degradation metrics and propose a new mathematical definition of resilience. These behavioral-level metrics are based on the fundamental service classification criteria of correctness, detectability, symmetry and persistence. This approach consists of a Monte-Carlo-based stimulus injection experiment, on a physical implementation or an error-propagation model of a system, to generate a system response set that can be characterized in terms of dimensional error metrics and integrated to form an overall measure of resilience. We expect this approach to be helpful in gaining insight into the error containment and repair capabilities of systems for a wide range of conditions.

Torres-Pomales, Wilfredo↗

The Adaptable and Resilient Safety System: The Human Factor in Future In-Time Aviation Safety Management Systems

In-time integrated safety management will be paramount for safely enabling the envisioned transformations of the future National Airspace System (NAS). The path for realizing the vision includes addressing the increasing need for advanced data analytics and fusion of aviation safety data, managed by human decision-makers. The paper describes safety management systems and its’ challenges, and how the concept of In-time Aviation Safety Management Systems addresses the need to ensure an adaptable and resilient future safety system in the envisioned transformed NAS. Finally, it discusses potential human factors challenges, including new human roles and responsibilities, new information and cognitive requirements, new intelligent technologies that change human-system interaction and coordination, and new design paradigms for human system integration and teaming.

L. Prinzel↗

The Adaptable and Resilient Safety System: The Human Factor in Future In-Time Aviation Safety Management Systems

In-time integrated safety management will be paramount for safely enabling the envisioned transformations of the future National Airspace System (NAS). The path for realizing the vision includes addressing the increasing need for advanced data analytics and fusion of aviation safety data, managed by human decision-makers. The paper describes safety management systems and its’ challenges, and how the concept of In-time Aviation Safety Management Systems addresses the need to ensure an adaptable and resilient future safety system in the envisioned transformed NAS. Finally, it discusses potential human factors challenges, including new human roles and responsibilities, new information and cognitive requirements, new intelligent technologies that change human-system interaction and coordination, and new design paradigms for human system integration and teaming.

Aviation Safety↗

Resiliency in Future Cislunar Space Architectures

This work introduces and explores the concept of resiliency as it relates to future cislunar space architectures by 1) citing examples of its growing demand across government; 2) describing potential characteristics of resilient systems; 3) introducing a framework for evaluating the linkages between resilient capabilities and visions for future cislunar architectures; and 4) exercising the framework to identify and evaluate resiliency-enabling technical capabilities for cislunar space architectures. We assert that resiliency can emerge from a layered approach of deliberately chosen capabilities with overlap and flexibility that, in aggerate, result in a resilient system. The challenge is to identify capabilities that contribute to resiliency and to accurately characterize their value. Resiliency is discussed through the lens of future architecture planning, outlining how the National Aeronautics and Space Administration (NASA) can benefit from a shift in approach when transitioning focus to the cislunar environment.

Jason Hay↗

Threats to Resiliency of Redundant Systems Due to Destructive SEE

Destructive SEE pose serious challenges for the reliable use of COTS devices in space systems. We used system-level modeling to determine SEL rates that would likely compromise system reliability, resilience and capabilities. We then assembled a representative dataset of COTS CMOS parts and used nonparametric statistical techniques to assess the threat posed to redundant systems by destructive SEE.

single-event effects↗

Feeding Ten Billion People Is Possible Within Four Terrestrial Planetary Boundaries

Global agriculture puts heavy pressure on planetary boundaries, posing the challenge to achieve future food security without compromising Earth system resilience. On the basis of process-detailed, spatially explicit representation of four interlinked planetary boundaries (biosphere integrity, land-system change, freshwater use, nitrogen flows) and agricultural systems in an internally consistent model framework, we here show that almost half of current global food production depends on planetary boundary transgressions. Hotspot regions, mainly in Asia, even face simultaneous transgression of multiple underlying local boundaries. If these boundaries were strictly respected, the present food system could provide a balanced diet (2,355 kcal per capita per day) for 3.4 billion people only. However, as we also demonstrate, transformation towards more sustainable production and consumption patterns could support 10.2 billion people within the planetary boundaries analysed. Key prerequisites are spatially redistributed cropland, improved water–nutrient management, food waste reduction and dietary changes. Adoption of the Sustainable Development Goals by all nations in 2015 is the first ever commitment to a world development path that safeguards the stability of the Earth system as a prerequisite for meeting universal human standards1. The longstanding challenge of achieving food security through sustainable agriculture is particularly acute in this context as world agriculture is a leading cause for the current transgressions of multiple planetary boundaries (PBs) globally and regionally2–5. The PB framework is a comprehensive scientific attempt to synoptically define our planet’s biogeophysical limits to anthropogenic interference. It suggests bounds to nine interacting processes that together delineate a Holocene-like Earth system state. The Holocene is chosen as the reference state as it is the only period known to provide a safe operating space for a world population of several billion people, and according to a precautionary principle, the PBs are set in sufficient distance from processes that may critically undermine Earth system resilience and global sustainability. A challenging question, thus, is whether human development goals such as food security can be met while maintaining multiple PBs along with their subglobal manifestations. Further PB transgressions could jeopardize the chances of providing sufficient food for a world population projected to be wealthier and reach >9 billion by 2050. This conundrum portrays a tradeoff between Earth’s biophysical carrying capacity and humankind’s rising food demand, calling in response for radical rethinking of food production and consumption patterns6–9. Yield gap closures, avoidance of excessive input use, shifts towards less resource-demanding diets, food waste reductions and efficient international trade are crucial options for sustainably increasing the food supply10–15. For example, enhancing water-use efficiency on irrigated and rain-fed farms can triple or quadruple crop yields in low-performing systems, suggesting possible global gains of >20% (ref. 16). Even higher gains appear feasible through globally optimized configurations of the land-use pattern17, and cutting food losses by half could generate food for another billion people18. Thus, collective large-scale implementation of such options could sustain food for a further growing world population19. Yet achieving this within a safe operating space as defined by PBs requires not only a halt to but actually a reversal of existing PB transgressions. Previous studies suggest that such a reconciliation might be possible, but these were based on aggregate representations of PBs (not accounting for the spatial patterns of limits, transgressions and interactions) or considered only one boundary in isolation17,20–23. Here, we systematically quantify to what extent current food production depends on local to global transgressions of the PBs for biosphere integrity, land-system change, freshwater use and nitrogen (N) flows, along with the potential of a range of solutions to avoid these transgressions and still increase food supply (Table 1). To this end, we configured an internally consistent process-based model of the terrestrial biosphere including agriculture (LPJmL) with multiple spatially distributed PBs and their interactions. LPJmL is among the longest-established and best-evaluated biosphere models, showing robust performance regarding simulation of, for example, carbon, water and crop yield dynamics (Supplementary Figs. 1 and 2 and Supplementary Table 1; see ref. 24 for a comprehensive benchmarking and Supplementary Methods for more detail on model evaluations). In principle following established definitions4, we refine the computation of some PBs with respect to their regional patterns and interactions (Methods), providing globally gridded precautionary limits to human interference with the Earth system at a level of great detail. In particular, we account for the evidence that many PBs need to be represented spatially explicitly4 to cover their

Gerten, Dieter↗

Uncovering Hazards Using a Multi-Objective Optimization to Explore the Faulty State-Space

Considering resilience when designing complex engineered systems is crucial to ensure the system is safe under unexpected hazardous scenarios. Traditional risk-based approaches, such as Failure Modes and Effects Analysis (FMEA) are useful for designing the system to mitigate hazardous scenarios that can be identified by the designer, but often require experience or prior knowledge of system failures to generate. More recently, researchers have developed simulation tools that enable the designer to model large sets of hazardous scenarios (driven by both internal faults and external factors) through simulation. While these tools enable a wider scope of fault modes to be evaluated (e.g., by injecting combined set of fault modes or injecting modes at different times), the resulting assessments (like FMEA) still require knowledge of the specific modes to be evaluated. However, failure to analyze a wide variety of fault scenarios can lead to an incomplete picture of the system resilience, especially to "surprise events'' which may be difficult for the designer to identify and predict beforehand. To overcome this challenge, previous work developed a fault sampling approach for resilience simulations which would procedurally-generate a wide variety of potential faults by systematically perturbing the health states of the system. While the resulting fault modes generated covered a much larger space hazards than would be otherwise considered (and identified many unique failure trajectories which would not have otherwise been identified), it also significantly increased the computational cost of the analysis and resulted in the simulation and analysis of a large set of essentially duplicate scenarios. Additionally, as the number of dimensions in the faulty state-space increases, the full elaboration of possible modes becomes computationally infeasible, justifying the use of a more targeted search. To resolve this limitation, this work proposes the use of a multiobjective optimization algorithm to search the health state space for potential fault modes that are both (1) hazardous and (2) unique. To solve this type of problem, this work proposes the use of a cooperative co-evolutionary algorithm. To demonstrate this approach, it will be applied to a model of an autonomous rover which uses line markings to navigate, focusing on potential hazards in the drive system which could cause the rover to crash. To determine the merit of the approach, it will further be compared with the previously-presented range elaboration approach and a random mode generation approach on the basis of computational efficiency and found modes.

Resilience↗

Designing Graceful Degradation into Complex Systems: The Interaction Between Causes of Degradation and the Association with Degradation Prevention and Recovery

System resilience is critical to safety in air traffic control. An important element of maintaining resilience is the ability of systems to degrade gracefully. Of the available graceful degradation research, a majority of studies have focused primarily on technological causes of degradation only, limiting an ecologically valid understanding of the causes of degradation in air traffic control, and the preventative and mitigative strategies that enable graceful degradation. The current study aimed to address this research gap by investigating causes of degradation in air traffic control across the broad categories of technology, the environment, and the human operator, and the potential interactions between these causes. 12 retired controllers participated in semi-structured interviews focused on previous experience of causes of degradation and mitigation strategies. Findings provide an understanding of causation of degradation in air traffic control, and the prevention and mitigation strategies that moderate the relationship between cause and system effect. Findings confirmed that causes appear to interact to create compound, multiple effects on overall system performance. Findings also revealed prevention and mitigation strategies utilized to moderate the effect of the cause on the system. In order to gain an ecologically valid understanding of the causes of degradation, and effective prevention or mitigation strategies, causes from multiple categories, and the interactions between them, must be identified. Findings have implications for designers of future air traffic control systems to ensure the ability of the system to gracefully degrade, as well as risk assessment and system validation processes.

human performance↗

Designing Graceful Degradation into Complex Systems: Identification of Causes of Degradation, Interactions, and Mitigation of Degradation in Air Traffic Control

System resilience is critical to safety in air traffic control. An important element of maintaining resilience is the ability of systems to degrade gracefully. Of the available graceful degradation research, a majority of studies have focused primarily on technological causes of degradation only, limiting an ecologically valid understanding of the causes of degradation in air traffic control, and the preventative and mitigative strategies that enable graceful degradation. The current study aimed to address this research gap by investigating causes of degradation in air traffic control across the broad categories of technology, the environment, and the human operator, and the potential interactions between these causes. 12 retired controllers participated in semi-structured interviews focused on previous experience of causes of degradation and mitigation strategies. Findings provide an understanding of causation of degradation in air traffic control, and the prevention and mitigation strategies that moderate the relationship between cause and system effect. Findings confirmed that causes appear to interact to create compound, multiple effects on overall system performance. Findings also revealed prevention and mitigation strategies utilized to moderate the effect of the cause on the system. In order to gain an ecologically valid understanding of the causes of degradation, and effective prevention or mitigation strategies, causes from multiple categories, and the interactions between them, must be identified. Findings have implications for designers of future air traffic control systems to ensure the ability of the system to gracefully degrade, as well as risk assessment and system validation processes.

human performance↗

Designing Graceful Degradation into Complex Systems: The Interaction Between Causes of Degradation and the Association with Degradation Prevention and Recovery

System resilience is critical to safety in air traffic control. An important element of maintaining resilience is the ability of systems to degrade gracefully. Of the available graceful degradation research, a majority of studies have focused primarily on technological causes of degradation only, limiting an ecologically valid understanding of the causes of degradation in air traffic control, and the preventative and mitigative strategies that enable graceful degradation. The current study aimed to address this research gap by investigating causes of degradation in air traffic control (ATC) across the broad categories of technology, the environment, and the human operator, and the potential interactions between these causes. 12 retired controllers (ATCOs - Air Traffic Control Officers) participated in semi-structured interviews focused on previous experience of causes of degradation and mitigation strategies. Findings provide an understanding of causation of degradation in air traffic control, and the prevention and mitigation strategies that moderate the relationship between cause and system effect. Findings confirmed that causes appear to interact to create compound, multiple effects on overall system performance. Findings also revealed prevention and mitigation strategies utilized to moderate the effect of the cause on the system. In order to gain an ecologically valid understanding of the causes of degradation, and effective prevention or mitigation strategies, causes from multiple categories, and the interactions between them, must be identified. Findings have implications for designers of future air traffic control systems to ensure the ability of the system to gracefully degrade, as well as risk assessment and system validation processes.

Graceful Degradation↗

Going beyond reliability to robustness and resilience in space systems

The words reliability, robustness, and resilience, are often used interchangeably to describe tough and dependable systems but the distinctions between them suggest how to design more serviceable space systems. Reliability is simply the quality of consistently performing well. A system that dependably meets its design requirements in the specified environments is reliable. The designers may not consider themselves responsible for failures under unanticipated conditions. Robustness is the capability of performing without failure under a wide range of conditions, which can go beyond the expected range to include possible off-nominal conditions. Resilience is the ability to recover from or adapt to damaging events, such as failures, accidents, external disruptions, and repurposing. Such changes are usually unanticipated. They often invalidate the usual operating assumptions and cause system failure. Reliability, robustness, and resilience describe dependable performance under increasingly difficult conditions, first the specified environment, then a wider possible environment, and finally unanticipated damaging events. These three are increasingly desirable and increasingly difficult to achieve. Engineering for resilience would design systems that can ignore or repair failures, survive accidents, and recover from disruptions. Increasing the resilience of space systems, the ability to perform after unanticipated events, would greatly increase space crew safety. Improving reliability and robustness can be done by dealing with known sources of problems, but improving resilience requires implementing a general approach to reducing the impact of unknown future events. Two contrasting approaches are reducing system complexity and adding supervisory control. The need for resilience has been claimed for decades but little has been accomplished. Systems designers assume that they understand requirements, technologies, designs, architectures, integration, testing, operations, and environments. The potential problems of changes, failures, accidents, unknown environments, and unknown unknowns are ignored. Systems designers are typically overconfident and ignore the need for robustness and resilience.

Harry W Jones↗

Earth Independent Medical Operations (EIMO) Datascope: Challenges and Potential Solutions

Data flows and storage/retrieval capacity are severely constrained during missions in space and challenges will become even greater during exploration class missions. There is a need for an artificial intelligence (AI)-based clinical decision support system (CDSS) to monitor and analyze data to provide real-time consultative support for crew medical officer (CMO) decision-making. EIMO is defined as the 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. While a hallmark of this paradigm shift from low-earth orbit is that on-board care will increasingly become the responsibility of the astronauts for primary management and decision making, terrestrial assets will continue to be paramount in pre-mission screening and planning, as well as prevention, health maintenance and long-term care contingencies. New capabilities and systems that enable progressively more robust and resilient systems and crews will be necessary to reduce risk and increase probability of deep space exploration mission success. An aspiration for EIMO is to develop AI-enhanced solutions for analysis of crew health & performance data and to facilitate clinical decision support for autonomous medical operations. A “system of systems” approach is envisioned whereby EIMO will deploy AI-supported natural language processing and machine learning (ML) techniques to utilize embedded reference databases and real-time data streams [input vectors] from multiple data sources. Constituent input vectors may include environmental controls, countermeasures data, behavioral data, physiologic wearables, point-of-care laboratory tests, personalized medical records, inventory trade space risk assessments, COTS medical databases, and ground support inputs. An ideal AI capability would possess trained fusion algorithms to cross reference input vectors with medical ‘knowledge’ [cultivated database] to stratify relevant data streams for predictive and actionable capabilities. In addition, EIMO will feature mobility, in that it can be accessed and can push/pull data within and between multiple vehicles/habitats. Large amounts and variable sources of data can be leveraged to diagnose, inform treatment strategies, and potentially predict medical events and performance decrements. Inclusion of advanced training tools using extended reality will enable increasingly autonomous medical care to aid a CMO when ground support is unavailable or time-delayed beyond required action window, e.g., emergent medical situations. EIMO CDSS would require very large datasets to train pre-flight and significant amounts of data are needed to support ML via in-flight CDSS operations. An additional challenge will be to find sufficient data to train a model relevant to astronaut demographics. The rapid, accelerating evolution of this field creates a propitious solution space to leverage multi-modal AI through public-private partnership(s). The status of multi-modal AI systems today would preclude their use for long duration missions as they remain unreliable and are subject to “digital hallucinations” and other errors that could pose operational risk. A federated labs structure is being considered to test and optimize data flow from the multiple input vectors leading to field testing in suitable ground/flight analogs. Critical to the success of an EIMO CDSS will be integration and interoperability and success will be defined by a system that can serve as an in-flight medical consult for the CMO providing critical support during medical contingencies. Benefits to terrestrial medicine may be significant as an outflow of the EIMO medical system, particularly for remote areas and communities lacking significant infrastructure, personnel and resources.

J Lemery↗

Earth Independent Medical Operations (EIMO) Datascope: Challenges and Potential Solutions

Data flows and storage/retrieval capacity are severely constrained during missions in space and challenges will become even greater during exploration class missions. There is a need for an artificial intelligence (AI)-based clinical decision support system (CDSS) to monitor and analyze data to provide real-time consultative support for crew medical officer (CMO) decision-making. EIMO is defined as the 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. While a hallmark of this paradigm shift from low-earth orbit is that on-board care will increasingly become the responsibility of the astronauts for primary management and decision making, terrestrial assets will continue to be paramount in pre-mission screening and planning, as well as prevention, health maintenance and long-term care contingencies. New capabilities and systems that enable progressively more robust and resilient systems and crews will be necessary to reduce risk and increase probability of deep space exploration mission success. An aspiration for EIMO is to develop AI-enhanced solutions for analysis of crew health & performance data and to facilitate clinical decision support for autonomous medical operations. A “system of systems” approach is envisioned whereby EIMO will deploy AI-supported natural language processing and machine learning (ML) techniques to utilize embedded reference databases and real-time data streams [input vectors] from multiple data sources. Constituent input vectors may include environmental controls, countermeasures data, behavioral data, physiologic wearables, point-of-care laboratory tests, personalized medical records, inventory trade space risk assessments, COTS medical databases, and ground support inputs. An ideal AI capability would possess trained fusion algorithms to cross reference input vectors with medical ‘knowledge’ [cultivated database] to stratify relevant data streams for predictive and actionable capabilities. In addition, EIMO will feature mobility, in that it can be accessed and can push/pull data within and between multiple vehicles/habitats. Large amounts and variable sources of data can be leveraged to diagnose, inform treatment strategies, and potentially predict medical events and performance decrements. Inclusion of advanced training tools using extended reality will enable increasingly autonomous medical care to aid a CMO when ground support is unavailable or time-delayed beyond required action window, e.g., emergent medical situations. EIMO CDSS would require very large datasets to train pre-flight and significant amounts of data are needed to support ML via in-flight CDSS operations. An additional challenge will be to find sufficient data to train a model relevant to astronaut demographics. The rapid, accelerating evolution of this field creates a propitious solution space to leverage multi-modal AI through public-private partnership(s). The status of multi-modal AI systems today would preclude their use for long duration missions as they remain unreliable and are subject to “digital hallucinations” and other errors that could pose operational risk. A federated labs structure is being considered to test and optimize data flow from the multiple input vectors leading to field testing in suitable ground/flight analogs. Critical to the success of an EIMO CDSS will be integration and interoperability and success will be defined by a system that can serve as an in-flight medical consult for the CMO providing critical support during medical contingencies. Benefits to terrestrial medicine may be significant as an outflow of the EIMO medical system, particularly for remote areas and communities lacking significant infrastructure, personnel and resources.

Medical Operations↗