Autonomous Medical Operations - Nasa.gov  ## Metadata - Author: **Nasa.gov** - Full Title: Autonomous Medical Operations - Category: #articles - URL: https://sbir.gsfc.nasa.gov/printpdf/97443 ## Highlights - Current medical operations on the International Space Station (ISS) rely on real-time communication with NASA's Mission Control Center (MCC), leveraging telemedicine technologies to monitor and enable the optimization of Crew Health and Performance (CHP) measures. Near real-time communications allow MCC staff (Flight Surgeons, Flight Controllers, etc.) to intervene when a given medical scenario exceeds the crew's knowledge, skills, or abilities ([View Highlight](https://read.readwise.io/read/01hbcxw54vj8w2vrwsdrk6jhg2)) - Crew Medical Officer,” onboard medical capabilities are understandably limited by experience, logistics, and communications. Consequently, crewmembers are not fully vested with the resources to adequately address the breadth of medical situations that will require more robust medical (and non-medical) decision support and may arise in exploration-class spaceflight operations ([View Highlight](https://read.readwise.io/read/01hbcy171qmh3ea33g692s3zbq)) - Round trip communications between the surface of Mars and Earth is approximately 40 minutes, and the return trip for the spacecraft and crew will be months, which significantly complicates NASA's current medical operations paradigm ([View Highlight](https://read.readwise.io/read/01hbcy54km6xv04ganqxfk1w3k)) - Artemis crews, faced with communications latencies that will make instantaneous procedural guidance impossible, medical evacuation times of up to 2 weeks because of the near rectilinear halo orbit, and limitations on crew training for medical operations, will need to address and resolve medical problem sets independently farther and farther afield, specifically in the domains of clinical decision ([View Highlight](https://read.readwise.io/read/01hbcy92542q2smz42tkf24rhs)) - Enhanced clinical decision support tools focused on exploration-class spaceflight operations will nominally enable MCC, at baseline, to accurately monitor and even predict potentially adverse conditions when communications are robust while enhancing and facilitating crew decision support technologies and autonomous crew decision-making capability when MCC-Crew communication is suboptimal or absent ([View Highlight](https://read.readwise.io/read/01hbcydwsddpk3qbmtz3erqnq2))