Dr Raffi Kuyumjian - Médecin de vol, Agence spatiale canadienne - présentation 10 octobre dans le cadre de la grande conférence métropoline le FUTUR DE LA SANTÉ : innovez pour une population connectée.

1. Innovations technologiques pour
le soutien médical des
astronautes
Le futur de la santé
TechnoMontréal
10 Octobre 2017
Dr. Raffi Kuyumjian
Médecin de vol

2. Overview
• Context of the current space program (International
Space Station)
• Overview of medical risks and potential medical
problems in space
• ISS medical infrastructure and provision of medical
support
• Challenges for medical support of future exploration
missions
2

21. //
Enclosed atmosphere and
environment
High accelerations during
launch/landing
Solar and Galactic Radiation
Microgravity
• Space Motion Sickness
• Headaches
• Back pain
• Chicken legs / puffy face
• Reduced sense of taste
• Muscles atrophy
• Weight bearing bones
demineralize / risk of fracture
• Bone minerals may cause kidney
stones
• Cardiac deconditioning
• Neurovestibular deconditioning
• Vision changes
• Orthostatic intolerance upon
landing
Isolation from family and
friends
Other
medical
infrastructure on ISS
• Medevac 24-48 hrs

22. • Human Spaceflight Experience
• Terrestrial analogues (Submarines, Antarctic Bases, others)
• Medical Modelling
• EVAC risk 4%
• LOC 1%
What are the medical problems likely to be
encountered?

23. How do we mitigate these risks and
hazards as well as limited medical
capability?
• Selection of Astronauts by rigorous medical and
psychological screening
• Annual examinations
• Pre-flight medical testing
• In-flight medical testing/ ISS medical infrastructure
• Post-flight medical testing and reconditioning

24. In-flight medical
support
• Private Medical Conferences (PMC)
• Private Psychological Conferences (PPC)
• Nutrition and fitness assessments
• Vision/eye testing
• Realtime monitoring during EVA
• Environmental monitoring
• Manage medical conditions that may occur
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29. Exploration Challenges
400 km
384,467 km
55.7 – 401.3 million km
 Skill set (medically isolated)
 Technologies (the further
away, the more autonomy
required)
 Consumables
Medical
Autonomy
Distances
Communication delays
Evacuation
Up to 6 sec
7 - 40 minutes
msec

30. Provision of Medical Care
in Exploration-Class Missions
30 |
Health- Related
Data Inputs
Data Integration
and Management
Data Analysis and
Decision Support
Actions
(Treatments &
Training)
Telemedecine Medical Autonomy

31. Terrestrial Overlaps
• Limited access to medical specialists
• Limited access to medical
infrastructure (Laboratory, Imaging etc)
• Growing body of medical litterature and
need for automated data analysis
• Shift from managing the sick to
managing the healthy
• Advanced point-of-care tools
• Medevacs are difficult, expensive and
sometimes delayed
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