English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Plus monthly

Global: Zendy Tools annual

Global: Zendy Tools monthly

Global: Zendy Free Plan

Space agencies and private companies prepare the beginning of human spaceexploration for the 2030s with missions to put the first human on the Marssurface. The absence of gravity and radiation, along with distance, isolationand hostile environments, are expected to increase medical events wherepreviously unseen manifestations may arise. The current healthcare strategybased on telemedicine and the possibility to stabilize and transport theinjured crewmember to a terrestrial definitive medical facility is notapplicable in exploration class missions. Therefore, the need for deploying thefull autonomous capability to solve medical emergencies may guide the design offuture onboard healthcare systems. We present ten basic principles and conceptdesign of a software suite to bring onboard decision support to help the crewdealing with medical emergencies taking into consideration physiologicaldisturbances in space and spaceflight restrictions. 1) give real-time supportfor emergency medical decision making, 2) give patient-specific advice forexecutive problem-solving, 3) take into account available information from lifesupport and monitoring of crewmembers, 4) be fully autonomous from remotefacilities, 5) continuously adapt predictions to physiological disturbance andchanging conditions, 6) optimize emergency medical decision making in terms ofmission fundamental priorities, 7) take into account medical supplies andequipment on board, 8) apply health standards for the level of care V, 9)implement ethics responsibilities for spaceflights, and 10) apply ethicalstandards for artificial intelligence. Based on these principles, we propose anautonomous clinical decision support system (CDSS) to provide real-time advicefor emergency medical interventions on board of space exploration missions.

Basic principles and concept design of a real-time clinical decision support system for managing medical emergencies on missions to Mars