1 00:00:25,320 --> 00:00:32,280 the human body a complex and sometimes 2 00:00:32,280 --> 00:00:32,290 the human body a complex and sometimes 3 00:00:32,290 --> 00:00:38,280 the human body a complex and sometimes fragile machine as new plans are set 4 00:00:38,280 --> 00:00:38,290 fragile machine as new plans are set 5 00:00:38,290 --> 00:00:44,639 fragile machine as new plans are set into motion for exploring space 6 00:00:44,639 --> 00:00:44,649 7 00:00:44,649 --> 00:00:47,529 new medical challenges will have to be 8 00:00:47,529 --> 00:00:47,539 new medical challenges will have to be 9 00:00:47,539 --> 00:00:54,890 new medical challenges will have to be met 10 00:00:54,890 --> 00:00:54,900 11 00:00:54,900 --> 00:00:57,480 previous space flights have demonstrated 12 00:00:57,480 --> 00:00:57,490 previous space flights have demonstrated 13 00:00:57,490 --> 00:00:59,610 previous space flights have demonstrated the physiological changes that may be 14 00:00:59,610 --> 00:00:59,620 the physiological changes that may be 15 00:00:59,620 --> 00:01:01,830 the physiological changes that may be expected after living in a microgravity 16 00:01:01,830 --> 00:01:01,840 expected after living in a microgravity 17 00:01:01,840 --> 00:01:13,560 expected after living in a microgravity environment 18 00:01:13,560 --> 00:01:13,570 19 00:01:13,570 --> 00:01:16,770 areas of particular concern include 20 00:01:16,770 --> 00:01:16,780 areas of particular concern include 21 00:01:16,780 --> 00:01:22,730 areas of particular concern include cardiovascular deconditioning 22 00:01:22,730 --> 00:01:22,740 23 00:01:22,740 --> 00:01:31,289 loss of muscle and bone mass and changes 24 00:01:31,289 --> 00:01:31,299 loss of muscle and bone mass and changes 25 00:01:31,299 --> 00:01:36,780 loss of muscle and bone mass and changes in blood chemistry in addition to the 26 00:01:36,780 --> 00:01:36,790 in blood chemistry in addition to the 27 00:01:36,790 --> 00:01:39,779 in blood chemistry in addition to the physiological changes astronauts and 28 00:01:39,779 --> 00:01:39,789 physiological changes astronauts and 29 00:01:39,789 --> 00:01:42,090 physiological changes astronauts and scientists on space station will need to 30 00:01:42,090 --> 00:01:42,100 scientists on space station will need to 31 00:01:42,100 --> 00:01:44,430 scientists on space station will need to cope with common ailments such as two 32 00:01:44,430 --> 00:01:44,440 cope with common ailments such as two 33 00:01:44,440 --> 00:01:47,039 cope with common ailments such as two things as well as more serious medical 34 00:01:47,039 --> 00:01:47,049 things as well as more serious medical 35 00:01:47,049 --> 00:01:53,910 things as well as more serious medical conditions such as kidney stones crew 36 00:01:53,910 --> 00:01:53,920 conditions such as kidney stones crew 37 00:01:53,920 --> 00:01:56,040 conditions such as kidney stones crew members must also be prepared to face 38 00:01:56,040 --> 00:01:56,050 members must also be prepared to face 39 00:01:56,050 --> 00:01:58,350 members must also be prepared to face many of the hazards which are found in 40 00:01:58,350 --> 00:01:58,360 many of the hazards which are found in 41 00:01:58,360 --> 00:02:03,350 many of the hazards which are found in comparable industrial settings on earth 42 00:02:03,350 --> 00:02:03,360 43 00:02:03,360 --> 00:02:10,640 with longer missions larger crews and 44 00:02:10,640 --> 00:02:10,650 with longer missions larger crews and 45 00:02:10,650 --> 00:02:14,789 with longer missions larger crews and the complexities of a medical rescue the 46 00:02:14,789 --> 00:02:14,799 the complexities of a medical rescue the 47 00:02:14,799 --> 00:02:16,800 the complexities of a medical rescue the health of the crew will be an important 48 00:02:16,800 --> 00:02:16,810 health of the crew will be an important 49 00:02:16,810 --> 00:02:23,460 health of the crew will be an important factor to the success of the mission the 50 00:02:23,460 --> 00:02:23,470 factor to the success of the mission the 51 00:02:23,470 --> 00:02:25,080 factor to the success of the mission the space station health maintenance 52 00:02:25,080 --> 00:02:25,090 space station health maintenance 53 00:02:25,090 --> 00:02:29,340 space station health maintenance facility or h MF will provide necessary 54 00:02:29,340 --> 00:02:29,350 facility or h MF will provide necessary 55 00:02:29,350 --> 00:02:32,250 facility or h MF will provide necessary in-flight medical care including 56 00:02:32,250 --> 00:02:32,260 in-flight medical care including 57 00:02:32,260 --> 00:02:35,280 in-flight medical care including prevention diagnosis treatment and care 58 00:02:35,280 --> 00:02:35,290 prevention diagnosis treatment and care 59 00:02:35,290 --> 00:02:37,770 prevention diagnosis treatment and care during transport if the patient must be 60 00:02:37,770 --> 00:02:37,780 during transport if the patient must be 61 00:02:37,780 --> 00:02:45,000 during transport if the patient must be evacuated the hmf is currently under 62 00:02:45,000 --> 00:02:45,010 evacuated the hmf is currently under 63 00:02:45,010 --> 00:02:47,340 evacuated the hmf is currently under development by NASA at the Johnson Space 64 00:02:47,340 --> 00:02:47,350 development by NASA at the Johnson Space 65 00:02:47,350 --> 00:02:55,020 development by NASA at the Johnson Space Center in Houston Texas because of its 66 00:02:55,020 --> 00:02:55,030 Center in Houston Texas because of its 67 00:02:55,030 --> 00:02:57,720 Center in Houston Texas because of its specialized function the hmf is being 68 00:02:57,720 --> 00:02:57,730 specialized function the hmf is being 69 00:02:57,730 --> 00:03:00,030 specialized function the hmf is being designed primarily by a team of NASA 70 00:03:00,030 --> 00:03:00,040 designed primarily by a team of NASA 71 00:03:00,040 --> 00:03:02,849 designed primarily by a team of NASA physicians biomedical engineers and 72 00:03:02,849 --> 00:03:02,859 physicians biomedical engineers and 73 00:03:02,859 --> 00:03:09,300 physicians biomedical engineers and other allied health professionals in 74 00:03:09,300 --> 00:03:09,310 other allied health professionals in 75 00:03:09,310 --> 00:03:12,090 other allied health professionals in building the hmf current off-the-shelf 76 00:03:12,090 --> 00:03:12,100 building the hmf current off-the-shelf 77 00:03:12,100 --> 00:03:14,099 building the hmf current off-the-shelf equipment will be used as much as 78 00:03:14,099 --> 00:03:14,109 equipment will be used as much as 79 00:03:14,109 --> 00:03:17,160 equipment will be used as much as possible however existing technology 80 00:03:17,160 --> 00:03:17,170 possible however existing technology 81 00:03:17,170 --> 00:03:19,860 possible however existing technology must be adapted in order to operate in 82 00:03:19,860 --> 00:03:19,870 must be adapted in order to operate in 83 00:03:19,870 --> 00:03:22,410 must be adapted in order to operate in microgravity and conform to space 84 00:03:22,410 --> 00:03:22,420 microgravity and conform to space 85 00:03:22,420 --> 00:03:29,300 microgravity and conform to space station weight and size constraints 86 00:03:29,300 --> 00:03:29,310 87 00:03:29,310 --> 00:03:32,449 the kc-135 provides a testing 88 00:03:32,449 --> 00:03:32,459 the kc-135 provides a testing 89 00:03:32,459 --> 00:03:34,210 the kc-135 provides a testing environment for equipment and procedures 90 00:03:34,210 --> 00:03:34,220 environment for equipment and procedures 91 00:03:34,220 --> 00:03:42,320 environment for equipment and procedures to be used in space using a parabolic 92 00:03:42,320 --> 00:03:42,330 to be used in space using a parabolic 93 00:03:42,330 --> 00:03:45,710 to be used in space using a parabolic flight path the kc-135 can simulate 94 00:03:45,710 --> 00:03:45,720 flight path the kc-135 can simulate 95 00:03:45,720 --> 00:03:48,290 flight path the kc-135 can simulate weightlessness for a few valuable 96 00:03:48,290 --> 00:03:48,300 weightlessness for a few valuable 97 00:03:48,300 --> 00:03:58,160 weightlessness for a few valuable seconds here a prototype of the patient 98 00:03:58,160 --> 00:03:58,170 seconds here a prototype of the patient 99 00:03:58,170 --> 00:04:02,750 seconds here a prototype of the patient restraint system is analyzed this piece 100 00:04:02,750 --> 00:04:02,760 restraint system is analyzed this piece 101 00:04:02,760 --> 00:04:05,000 restraint system is analyzed this piece of equipment must be both flexible and 102 00:04:05,000 --> 00:04:05,010 of equipment must be both flexible and 103 00:04:05,010 --> 00:04:08,690 of equipment must be both flexible and portable on space station it will be 104 00:04:08,690 --> 00:04:08,700 portable on space station it will be 105 00:04:08,700 --> 00:04:11,809 portable on space station it will be used as a stretcher a treatment area a 106 00:04:11,809 --> 00:04:11,819 used as a stretcher a treatment area a 107 00:04:11,819 --> 00:04:19,520 used as a stretcher a treatment area a dental chair and an x-ray table the 108 00:04:19,520 --> 00:04:19,530 dental chair and an x-ray table the 109 00:04:19,530 --> 00:04:21,199 dental chair and an x-ray table the health maintenance facility has been 110 00:04:21,199 --> 00:04:21,209 health maintenance facility has been 111 00:04:21,209 --> 00:04:23,810 health maintenance facility has been divided into flight subsystems as well 112 00:04:23,810 --> 00:04:23,820 divided into flight subsystems as well 113 00:04:23,820 --> 00:04:30,440 divided into flight subsystems as well as ground support these subsystems are 114 00:04:30,440 --> 00:04:30,450 as ground support these subsystems are 115 00:04:30,450 --> 00:04:32,719 as ground support these subsystems are similar to the medical services found in 116 00:04:32,719 --> 00:04:32,729 similar to the medical services found in 117 00:04:32,729 --> 00:04:38,990 similar to the medical services found in a large Hospital 118 00:04:38,990 --> 00:04:39,000 119 00:04:39,000 --> 00:04:42,080 for example the hmf will be designed to 120 00:04:42,080 --> 00:04:42,090 for example the hmf will be designed to 121 00:04:42,090 --> 00:04:44,210 for example the hmf will be designed to provide emergency medical care for 122 00:04:44,210 --> 00:04:44,220 provide emergency medical care for 123 00:04:44,220 --> 00:04:51,980 provide emergency medical care for injuries medical life-support with 124 00:04:51,980 --> 00:04:51,990 injuries medical life-support with 125 00:04:51,990 --> 00:04:59,140 injuries medical life-support with patient monitoring capabilities 126 00:04:59,140 --> 00:04:59,150 127 00:04:59,150 --> 00:05:05,250 respiratory support intravenous or IV 128 00:05:05,250 --> 00:05:05,260 respiratory support intravenous or IV 129 00:05:05,260 --> 00:05:12,460 respiratory support intravenous or IV fluid and nutritional support a variety 130 00:05:12,460 --> 00:05:12,470 fluid and nutritional support a variety 131 00:05:12,470 --> 00:05:19,660 fluid and nutritional support a variety of physicians instruments imaging for 132 00:05:19,660 --> 00:05:19,670 of physicians instruments imaging for 133 00:05:19,670 --> 00:05:26,790 of physicians instruments imaging for diagnostics and therapeutic procedures a 134 00:05:26,790 --> 00:05:26,800 135 00:05:26,800 --> 00:05:29,770 clinical laboratory to provide tests and 136 00:05:29,770 --> 00:05:29,780 clinical laboratory to provide tests and 137 00:05:29,780 --> 00:05:36,000 clinical laboratory to provide tests and analysis in areas such as microbiology a 138 00:05:36,000 --> 00:05:36,010 139 00:05:36,010 --> 00:05:38,200 pharmacy containing necessary 140 00:05:38,200 --> 00:05:38,210 pharmacy containing necessary 141 00:05:38,210 --> 00:05:41,140 pharmacy containing necessary medications and a computerized inventory 142 00:05:41,140 --> 00:05:41,150 medications and a computerized inventory 143 00:05:41,150 --> 00:05:52,420 medications and a computerized inventory control system central supply and a 144 00:05:52,420 --> 00:05:52,430 control system central supply and a 145 00:05:52,430 --> 00:05:54,610 control system central supply and a hyperbaric facility for treatment of 146 00:05:54,610 --> 00:05:54,620 hyperbaric facility for treatment of 147 00:05:54,620 --> 00:06:02,380 hyperbaric facility for treatment of decompression sickness although each of 148 00:06:02,380 --> 00:06:02,390 decompression sickness although each of 149 00:06:02,390 --> 00:06:04,360 decompression sickness although each of these capabilities will be needed on the 150 00:06:04,360 --> 00:06:04,370 these capabilities will be needed on the 151 00:06:04,370 --> 00:06:06,760 these capabilities will be needed on the space station it isn't feasible to 152 00:06:06,760 --> 00:06:06,770 space station it isn't feasible to 153 00:06:06,770 --> 00:06:09,340 space station it isn't feasible to launch a large hospital facility into 154 00:06:09,340 --> 00:06:09,350 launch a large hospital facility into 155 00:06:09,350 --> 00:06:14,350 launch a large hospital facility into orbit as a result the entire health 156 00:06:14,350 --> 00:06:14,360 orbit as a result the entire health 157 00:06:14,360 --> 00:06:17,100 orbit as a result the entire health maintenance facility with its preventive 158 00:06:17,100 --> 00:06:17,110 maintenance facility with its preventive 159 00:06:17,110 --> 00:06:19,690 maintenance facility with its preventive diagnostic and therapeutic capabilities 160 00:06:19,690 --> 00:06:19,700 diagnostic and therapeutic capabilities 161 00:06:19,700 --> 00:06:22,150 diagnostic and therapeutic capabilities must be designed to fit into a very 162 00:06:22,150 --> 00:06:22,160 must be designed to fit into a very 163 00:06:22,160 --> 00:06:27,940 must be designed to fit into a very limited space 164 00:06:27,940 --> 00:06:27,950 165 00:06:27,950 --> 00:06:30,700 in a hospital a large staff of highly 166 00:06:30,700 --> 00:06:30,710 in a hospital a large staff of highly 167 00:06:30,710 --> 00:06:32,770 in a hospital a large staff of highly trained professionals provides health 168 00:06:32,770 --> 00:06:32,780 trained professionals provides health 169 00:06:32,780 --> 00:06:36,490 trained professionals provides health care services the space station will not 170 00:06:36,490 --> 00:06:36,500 care services the space station will not 171 00:06:36,500 --> 00:06:45,610 care services the space station will not have those resources because of limited 172 00:06:45,610 --> 00:06:45,620 have those resources because of limited 173 00:06:45,620 --> 00:06:49,210 have those resources because of limited medical personnel the hmf equipment will 174 00:06:49,210 --> 00:06:49,220 medical personnel the hmf equipment will 175 00:06:49,220 --> 00:06:55,620 medical personnel the hmf equipment will be user-friendly and easily maintained 176 00:06:55,620 --> 00:06:55,630 177 00:06:55,630 --> 00:06:58,870 in order to provide maximum flexibility 178 00:06:58,870 --> 00:06:58,880 in order to provide maximum flexibility 179 00:06:58,880 --> 00:07:04,900 in order to provide maximum flexibility the hmf will have a modular design each 180 00:07:04,900 --> 00:07:04,910 the hmf will have a modular design each 181 00:07:04,910 --> 00:07:06,070 the hmf will have a modular design each piece of equipment will be 182 00:07:06,070 --> 00:07:06,080 piece of equipment will be 183 00:07:06,080 --> 00:07:08,560 piece of equipment will be self-contained and will be held in 184 00:07:08,560 --> 00:07:08,570 self-contained and will be held in 185 00:07:08,570 --> 00:07:15,120 self-contained and will be held in standard space station equipment racks 186 00:07:15,120 --> 00:07:15,130 187 00:07:15,130 --> 00:07:17,710 this modular design will allow the 188 00:07:17,710 --> 00:07:17,720 this modular design will allow the 189 00:07:17,720 --> 00:07:19,900 this modular design will allow the components to be switched out easily for 190 00:07:19,900 --> 00:07:19,910 components to be switched out easily for 191 00:07:19,910 --> 00:07:22,540 components to be switched out easily for repairs or to be upgraded as new 192 00:07:22,540 --> 00:07:22,550 repairs or to be upgraded as new 193 00:07:22,550 --> 00:07:30,880 repairs or to be upgraded as new technology becomes available the patient 194 00:07:30,880 --> 00:07:30,890 technology becomes available the patient 195 00:07:30,890 --> 00:07:32,800 technology becomes available the patient restraint system which provides the 196 00:07:32,800 --> 00:07:32,810 restraint system which provides the 197 00:07:32,810 --> 00:07:35,380 restraint system which provides the treatment area will be located in front 198 00:07:35,380 --> 00:07:35,390 treatment area will be located in front 199 00:07:35,390 --> 00:07:38,020 treatment area will be located in front of the racks and will be stowed when not 200 00:07:38,020 --> 00:07:38,030 of the racks and will be stowed when not 201 00:07:38,030 --> 00:07:44,860 of the racks and will be stowed when not in use preventive health care is another 202 00:07:44,860 --> 00:07:44,870 in use preventive health care is another 203 00:07:44,870 --> 00:07:51,160 in use preventive health care is another major objective of the hmf exercise 204 00:07:51,160 --> 00:07:51,170 major objective of the hmf exercise 205 00:07:51,170 --> 00:07:53,410 major objective of the hmf exercise protocols will be designed to meet the 206 00:07:53,410 --> 00:07:53,420 protocols will be designed to meet the 207 00:07:53,420 --> 00:07:58,390 protocols will be designed to meet the individual needs of each crew member in 208 00:07:58,390 --> 00:07:58,400 individual needs of each crew member in 209 00:07:58,400 --> 00:08:00,520 individual needs of each crew member in addition to providing a cardiovascular 210 00:08:00,520 --> 00:08:00,530 addition to providing a cardiovascular 211 00:08:00,530 --> 00:08:03,520 addition to providing a cardiovascular workout these protocols will be used to 212 00:08:03,520 --> 00:08:03,530 workout these protocols will be used to 213 00:08:03,530 --> 00:08:05,710 workout these protocols will be used to help prevent the detrimental effects of 214 00:08:05,710 --> 00:08:05,720 help prevent the detrimental effects of 215 00:08:05,720 --> 00:08:09,570 help prevent the detrimental effects of weightlessness on bone and muscle 216 00:08:09,570 --> 00:08:09,580 weightlessness on bone and muscle 217 00:08:09,580 --> 00:08:12,120 weightlessness on bone and muscle exercise sessions will also generate 218 00:08:12,120 --> 00:08:12,130 exercise sessions will also generate 219 00:08:12,130 --> 00:08:15,010 exercise sessions will also generate physiological data for later analysis by 220 00:08:15,010 --> 00:08:15,020 physiological data for later analysis by 221 00:08:15,020 --> 00:08:21,070 physiological data for later analysis by NASA scientists here a computerized 222 00:08:21,070 --> 00:08:21,080 NASA scientists here a computerized 223 00:08:21,080 --> 00:08:23,410 NASA scientists here a computerized video system is being developed for use 224 00:08:23,410 --> 00:08:23,420 video system is being developed for use 225 00:08:23,420 --> 00:08:27,160 video system is being developed for use with the exercise equipment this system 226 00:08:27,160 --> 00:08:27,170 with the exercise equipment this system 227 00:08:27,170 --> 00:08:29,290 with the exercise equipment this system is designed to motivate the crew member 228 00:08:29,290 --> 00:08:29,300 is designed to motivate the crew member 229 00:08:29,300 --> 00:08:37,709 is designed to motivate the crew member and monitor the progress of the workout 230 00:08:37,709 --> 00:08:37,719 231 00:08:37,719 --> 00:08:40,060 another piece of equipment currently 232 00:08:40,060 --> 00:08:40,070 another piece of equipment currently 233 00:08:40,070 --> 00:08:50,769 another piece of equipment currently being studied is a bicycle 234 00:08:50,769 --> 00:08:50,779 235 00:08:50,779 --> 00:08:54,699 which converts to a rower this machine 236 00:08:54,699 --> 00:08:54,709 which converts to a rower this machine 237 00:08:54,709 --> 00:08:56,949 which converts to a rower this machine will provide a cardiovascular workout 238 00:08:56,949 --> 00:08:56,959 will provide a cardiovascular workout 239 00:08:56,959 --> 00:08:59,170 will provide a cardiovascular workout with the added feature of offering a 240 00:08:59,170 --> 00:08:59,180 with the added feature of offering a 241 00:08:59,180 --> 00:09:04,960 with the added feature of offering a choice of exercise activities unlike a 242 00:09:04,960 --> 00:09:04,970 choice of exercise activities unlike a 243 00:09:04,970 --> 00:09:07,600 choice of exercise activities unlike a hospital with its mounds of forms and 244 00:09:07,600 --> 00:09:07,610 hospital with its mounds of forms and 245 00:09:07,610 --> 00:09:10,749 hospital with its mounds of forms and stacks of paper the hmf will use the 246 00:09:10,749 --> 00:09:10,759 stacks of paper the hmf will use the 247 00:09:10,759 --> 00:09:13,269 stacks of paper the hmf will use the space station's computer resources to 248 00:09:13,269 --> 00:09:13,279 space station's computer resources to 249 00:09:13,279 --> 00:09:15,400 space station's computer resources to integrate all the information from each 250 00:09:15,400 --> 00:09:15,410 integrate all the information from each 251 00:09:15,410 --> 00:09:21,460 integrate all the information from each subsystem dr. James Logan manager of the 252 00:09:21,460 --> 00:09:21,470 subsystem dr. James Logan manager of the 253 00:09:21,470 --> 00:09:23,860 subsystem dr. James Logan manager of the Medical Sciences Space Station office at 254 00:09:23,860 --> 00:09:23,870 Medical Sciences Space Station office at 255 00:09:23,870 --> 00:09:26,470 Medical Sciences Space Station office at the Johnson Space Center explains this 256 00:09:26,470 --> 00:09:26,480 the Johnson Space Center explains this 257 00:09:26,480 --> 00:09:28,689 the Johnson Space Center explains this innovative approach one of the things 258 00:09:28,689 --> 00:09:28,699 innovative approach one of the things 259 00:09:28,699 --> 00:09:30,549 innovative approach one of the things that we're developing at Johnson Space 260 00:09:30,549 --> 00:09:30,559 that we're developing at Johnson Space 261 00:09:30,559 --> 00:09:32,980 that we're developing at Johnson Space Center is a concept known as the medical 262 00:09:32,980 --> 00:09:32,990 Center is a concept known as the medical 263 00:09:32,990 --> 00:09:36,819 Center is a concept known as the medical information bus or MIB the MIB would 264 00:09:36,819 --> 00:09:36,829 information bus or MIB the MIB would 265 00:09:36,829 --> 00:09:39,009 information bus or MIB the MIB would enable all the medical devices on the 266 00:09:39,009 --> 00:09:39,019 enable all the medical devices on the 267 00:09:39,019 --> 00:09:41,139 enable all the medical devices on the health maintenance facility to not only 268 00:09:41,139 --> 00:09:41,149 health maintenance facility to not only 269 00:09:41,149 --> 00:09:43,059 health maintenance facility to not only interact with each other but also 270 00:09:43,059 --> 00:09:43,069 interact with each other but also 271 00:09:43,069 --> 00:09:45,569 interact with each other but also interact with the hmf computer 272 00:09:45,569 --> 00:09:45,579 interact with the hmf computer 273 00:09:45,579 --> 00:09:47,619 interact with the hmf computer additional things that would be housed 274 00:09:47,619 --> 00:09:47,629 additional things that would be housed 275 00:09:47,629 --> 00:09:48,939 additional things that would be housed in the health maintenance facility 276 00:09:48,939 --> 00:09:48,949 in the health maintenance facility 277 00:09:48,949 --> 00:09:51,460 in the health maintenance facility computer would be things like diagnostic 278 00:09:51,460 --> 00:09:51,470 computer would be things like diagnostic 279 00:09:51,470 --> 00:09:53,679 computer would be things like diagnostic and treatment protocols or inventory 280 00:09:53,679 --> 00:09:53,689 and treatment protocols or inventory 281 00:09:53,689 --> 00:09:57,400 and treatment protocols or inventory management for the hmf another aspect 282 00:09:57,400 --> 00:09:57,410 management for the hmf another aspect 283 00:09:57,410 --> 00:09:59,160 management for the hmf another aspect would be the crew performance data 284 00:09:59,160 --> 00:09:59,170 would be the crew performance data 285 00:09:59,170 --> 00:10:01,540 would be the crew performance data especially as it related to the exercise 286 00:10:01,540 --> 00:10:01,550 especially as it related to the exercise 287 00:10:01,550 --> 00:10:04,689 especially as it related to the exercise devices if there was an illness on board 288 00:10:04,689 --> 00:10:04,699 devices if there was an illness on board 289 00:10:04,699 --> 00:10:06,970 devices if there was an illness on board the space station after the crew medical 290 00:10:06,970 --> 00:10:06,980 the space station after the crew medical 291 00:10:06,980 --> 00:10:09,100 the space station after the crew medical officer did a diagnostic physical exam 292 00:10:09,100 --> 00:10:09,110 officer did a diagnostic physical exam 293 00:10:09,110 --> 00:10:10,869 officer did a diagnostic physical exam he would enter the results of that 294 00:10:10,869 --> 00:10:10,879 he would enter the results of that 295 00:10:10,879 --> 00:10:13,749 he would enter the results of that physical exam on a keyboard which would 296 00:10:13,749 --> 00:10:13,759 physical exam on a keyboard which would 297 00:10:13,759 --> 00:10:15,490 physical exam on a keyboard which would put those results in an electronic 298 00:10:15,490 --> 00:10:15,500 put those results in an electronic 299 00:10:15,500 --> 00:10:17,980 put those results in an electronic medical record however all the 300 00:10:17,980 --> 00:10:17,990 medical record however all the 301 00:10:17,990 --> 00:10:20,230 medical record however all the laboratory data and the radiographic 302 00:10:20,230 --> 00:10:20,240 laboratory data and the radiographic 303 00:10:20,240 --> 00:10:23,199 laboratory data and the radiographic data and the electrophysiologic data 304 00:10:23,199 --> 00:10:23,209 data and the electrophysiologic data 305 00:10:23,209 --> 00:10:25,480 data and the electrophysiologic data such as an electrocardiogram would 306 00:10:25,480 --> 00:10:25,490 such as an electrocardiogram would 307 00:10:25,490 --> 00:10:27,460 such as an electrocardiogram would automatically be entered into an 308 00:10:27,460 --> 00:10:27,470 automatically be entered into an 309 00:10:27,470 --> 00:10:30,670 automatically be entered into an electronic medical record this is the 310 00:10:30,670 --> 00:10:30,680 electronic medical record this is the 311 00:10:30,680 --> 00:10:32,530 electronic medical record this is the Mission Control Center in Houston Texas 312 00:10:32,530 --> 00:10:32,540 Mission Control Center in Houston Texas 313 00:10:32,540 --> 00:10:34,629 Mission Control Center in Houston Texas this is the nerve center for the entire 314 00:10:34,629 --> 00:10:34,639 this is the nerve center for the entire 315 00:10:34,639 --> 00:10:36,759 this is the nerve center for the entire mission the flight director and all the 316 00:10:36,759 --> 00:10:36,769 mission the flight director and all the 317 00:10:36,769 --> 00:10:38,980 mission the flight director and all the flight controllers stay in this room 318 00:10:38,980 --> 00:10:38,990 flight controllers stay in this room 319 00:10:38,990 --> 00:10:40,090 flight controllers stay in this room throughout the duration of the mission 320 00:10:40,090 --> 00:10:40,100 throughout the duration of the mission 321 00:10:40,100 --> 00:10:42,669 throughout the duration of the mission this is also where the mission surgeon 322 00:10:42,669 --> 00:10:42,679 this is also where the mission surgeon 323 00:10:42,679 --> 00:10:45,759 this is also where the mission surgeon sits after the crew medical officer on 324 00:10:45,759 --> 00:10:45,769 sits after the crew medical officer on 325 00:10:45,769 --> 00:10:47,410 sits after the crew medical officer on the space station gathers all the 326 00:10:47,410 --> 00:10:47,420 the space station gathers all the 327 00:10:47,420 --> 00:10:50,980 the space station gathers all the medical data and the data is collated by 328 00:10:50,980 --> 00:10:50,990 medical data and the data is collated by 329 00:10:50,990 --> 00:10:52,960 medical data and the data is collated by the medical information bus that 330 00:10:52,960 --> 00:10:52,970 the medical information bus that 331 00:10:52,970 --> 00:10:55,059 the medical information bus that information is downlink to the earth and 332 00:10:55,059 --> 00:10:55,069 information is downlink to the earth and 333 00:10:55,069 --> 00:10:57,489 information is downlink to the earth and reconstructed at this console here in 334 00:10:57,489 --> 00:10:57,499 reconstructed at this console here in 335 00:10:57,499 --> 00:10:59,829 reconstructed at this console here in Mission Control when the information is 336 00:10:59,829 --> 00:10:59,839 Mission Control when the information is 337 00:10:59,839 --> 00:11:02,019 Mission Control when the information is reconstructed the mission surgeon has to 338 00:11:02,019 --> 00:11:02,029 reconstructed the mission surgeon has to 339 00:11:02,029 --> 00:11:03,310 reconstructed the mission surgeon has to make several key decision 340 00:11:03,310 --> 00:11:03,320 make several key decision 341 00:11:03,320 --> 00:11:05,590 make several key decision the first decision he or she would have 342 00:11:05,590 --> 00:11:05,600 the first decision he or she would have 343 00:11:05,600 --> 00:11:09,070 the first decision he or she would have to make is whether or not to activate a 344 00:11:09,070 --> 00:11:09,080 to make is whether or not to activate a 345 00:11:09,080 --> 00:11:10,960 to make is whether or not to activate a group of consultants which would be 346 00:11:10,960 --> 00:11:10,970 group of consultants which would be 347 00:11:10,970 --> 00:11:12,550 group of consultants which would be other physicians and surgeons located 348 00:11:12,550 --> 00:11:12,560 other physicians and surgeons located 349 00:11:12,560 --> 00:11:15,130 other physicians and surgeons located all across the country to have them 350 00:11:15,130 --> 00:11:15,140 all across the country to have them 351 00:11:15,140 --> 00:11:17,410 all across the country to have them actually look at the data with him or 352 00:11:17,410 --> 00:11:17,420 actually look at the data with him or 353 00:11:17,420 --> 00:11:20,350 actually look at the data with him or her the next decision that the doctor 354 00:11:20,350 --> 00:11:20,360 her the next decision that the doctor 355 00:11:20,360 --> 00:11:22,120 her the next decision that the doctor would have to make is whether or not the 356 00:11:22,120 --> 00:11:22,130 would have to make is whether or not the 357 00:11:22,130 --> 00:11:24,000 would have to make is whether or not the medical condition can be treated 358 00:11:24,000 --> 00:11:24,010 medical condition can be treated 359 00:11:24,010 --> 00:11:26,920 medical condition can be treated definitively at the hmf onboard the 360 00:11:26,920 --> 00:11:26,930 definitively at the hmf onboard the 361 00:11:26,930 --> 00:11:29,980 definitively at the hmf onboard the space station or whether a rescue needs 362 00:11:29,980 --> 00:11:29,990 space station or whether a rescue needs 363 00:11:29,990 --> 00:11:33,040 space station or whether a rescue needs to be even considered it becomes obvious 364 00:11:33,040 --> 00:11:33,050 to be even considered it becomes obvious 365 00:11:33,050 --> 00:11:35,020 to be even considered it becomes obvious then when you consider the mission and 366 00:11:35,020 --> 00:11:35,030 then when you consider the mission and 367 00:11:35,030 --> 00:11:37,540 then when you consider the mission and the cost of medical rescue that one of 368 00:11:37,540 --> 00:11:37,550 the cost of medical rescue that one of 369 00:11:37,550 --> 00:11:39,580 the cost of medical rescue that one of the prime goals of having a health 370 00:11:39,580 --> 00:11:39,590 the prime goals of having a health 371 00:11:39,590 --> 00:11:41,350 the prime goals of having a health maintenance facility on board the space 372 00:11:41,350 --> 00:11:41,360 maintenance facility on board the space 373 00:11:41,360 --> 00:11:44,350 maintenance facility on board the space station is to be able to treat as many 374 00:11:44,350 --> 00:11:44,360 station is to be able to treat as many 375 00:11:44,360 --> 00:11:47,230 station is to be able to treat as many medical conditions as possible in flight 376 00:11:47,230 --> 00:11:47,240 medical conditions as possible in flight 377 00:11:47,240 --> 00:11:52,660 medical conditions as possible in flight without having a rescue here on earth 378 00:11:52,660 --> 00:11:52,670 without having a rescue here on earth 379 00:11:52,670 --> 00:11:54,640 without having a rescue here on earth the development of a health maintenance 380 00:11:54,640 --> 00:11:54,650 the development of a health maintenance 381 00:11:54,650 --> 00:11:57,490 the development of a health maintenance facility may alter some current concepts 382 00:11:57,490 --> 00:11:57,500 facility may alter some current concepts 383 00:11:57,500 --> 00:12:04,390 facility may alter some current concepts for medical care the key to the hmf 384 00:12:04,390 --> 00:12:04,400 for medical care the key to the hmf 385 00:12:04,400 --> 00:12:06,850 for medical care the key to the hmf concept is the ability to combine 386 00:12:06,850 --> 00:12:06,860 concept is the ability to combine 387 00:12:06,860 --> 00:12:09,490 concept is the ability to combine existing equipment with computer 388 00:12:09,490 --> 00:12:09,500 existing equipment with computer 389 00:12:09,500 --> 00:12:14,320 existing equipment with computer technology this integrated package of 390 00:12:14,320 --> 00:12:14,330 technology this integrated package of 391 00:12:14,330 --> 00:12:16,510 technology this integrated package of health care resources can be used to 392 00:12:16,510 --> 00:12:16,520 health care resources can be used to 393 00:12:16,520 --> 00:12:18,400 health care resources can be used to assist in the diagnosis and management 394 00:12:18,400 --> 00:12:18,410 assist in the diagnosis and management 395 00:12:18,410 --> 00:12:20,770 assist in the diagnosis and management of medical problems which occur in 396 00:12:20,770 --> 00:12:20,780 of medical problems which occur in 397 00:12:20,780 --> 00:12:23,800 of medical problems which occur in remote environments such as isolated 398 00:12:23,800 --> 00:12:23,810 remote environments such as isolated 399 00:12:23,810 --> 00:12:30,820 remote environments such as isolated rural communities also the medical 400 00:12:30,820 --> 00:12:30,830 rural communities also the medical 401 00:12:30,830 --> 00:12:33,010 rural communities also the medical information bus can improve the quality 402 00:12:33,010 --> 00:12:33,020 information bus can improve the quality 403 00:12:33,020 --> 00:12:35,800 information bus can improve the quality of care in areas such as a hospital 404 00:12:35,800 --> 00:12:35,810 of care in areas such as a hospital 405 00:12:35,810 --> 00:12:40,420 of care in areas such as a hospital intensive care unit by integrating the 406 00:12:40,420 --> 00:12:40,430 intensive care unit by integrating the 407 00:12:40,430 --> 00:12:42,550 intensive care unit by integrating the information gathered from all the 408 00:12:42,550 --> 00:12:42,560 information gathered from all the 409 00:12:42,560 --> 00:12:44,800 information gathered from all the monitoring equipment the medical 410 00:12:44,800 --> 00:12:44,810 monitoring equipment the medical 411 00:12:44,810 --> 00:12:46,660 monitoring equipment the medical information bus will simplify the 412 00:12:46,660 --> 00:12:46,670 information bus will simplify the 413 00:12:46,670 --> 00:12:49,320 information bus will simplify the various equipment connections and 414 00:12:49,320 --> 00:12:49,330 various equipment connections and 415 00:12:49,330 --> 00:12:53,190 various equipment connections and eliminate most of the paperwork burden 416 00:12:53,190 --> 00:12:53,200 eliminate most of the paperwork burden 417 00:12:53,200 --> 00:12:56,410 eliminate most of the paperwork burden this will allow the care providers more 418 00:12:56,410 --> 00:12:56,420 this will allow the care providers more 419 00:12:56,420 --> 00:13:02,180 this will allow the care providers more time to spend in direct patient care 420 00:13:02,180 --> 00:13:02,190 421 00:13:02,190 --> 00:13:05,220 on previous space flights there was 422 00:13:05,220 --> 00:13:05,230 on previous space flights there was 423 00:13:05,230 --> 00:13:08,460 on previous space flights there was nothing comparable to the hmf during 424 00:13:08,460 --> 00:13:08,470 nothing comparable to the hmf during 425 00:13:08,470 --> 00:13:10,110 nothing comparable to the hmf during those missions the need for in-flight 426 00:13:10,110 --> 00:13:10,120 those missions the need for in-flight 427 00:13:10,120 --> 00:13:12,930 those missions the need for in-flight health care was not as great as it will 428 00:13:12,930 --> 00:13:12,940 health care was not as great as it will 429 00:13:12,940 --> 00:13:18,110 health care was not as great as it will be on Space Station 430 00:13:18,110 --> 00:13:18,120 431 00:13:18,120 --> 00:13:20,930 in order to successfully live and work 432 00:13:20,930 --> 00:13:20,940 in order to successfully live and work 433 00:13:20,940 --> 00:13:23,300 in order to successfully live and work on the space station crew members will 434 00:13:23,300 --> 00:13:23,310 on the space station crew members will 435 00:13:23,310 --> 00:13:25,760 on the space station crew members will have to maintain their health without 436 00:13:25,760 --> 00:13:25,770 have to maintain their health without 437 00:13:25,770 --> 00:13:32,199 have to maintain their health without relying on frequent rescues 438 00:13:32,199 --> 00:13:32,209 439 00:13:32,209 --> 00:13:34,730 the space station health maintenance 440 00:13:34,730 --> 00:13:34,740 the space station health maintenance 441 00:13:34,740 --> 00:13:39,259 the space station health maintenance facility the hmf will be an important 442 00:13:39,259 --> 00:13:39,269 facility the hmf will be an important 443 00:13:39,269 --> 00:13:41,629 facility the hmf will be an important step in understanding the intricacy of 444 00:13:41,629 --> 00:13:41,639 step in understanding the intricacy of 445 00:13:41,639 --> 00:13:43,910 step in understanding the intricacy of the human body as it answers the 446 00:13:43,910 --> 00:13:43,920 the human body as it answers the 447 00:13:43,920 --> 00:13:48,620 the human body as it answers the challenge of living in space