Adequacy of in-mission training to treat tibial shaft fractures in mars analogue testing
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<jats:title>Abstract</jats:title><jats:p>Long bone fractures are a concern in long-duration exploration missions (LDEM) where crew autonomy will exceed the current Low Earth Orbit paradigm. Current crew selection assumptions require extensive complete training and competency testing prior to flight for off-nominal situations. Analogue astronauts (n = 6) can be quickly trained to address a single fracture pattern and then competently perform the repair procedure. An easy-to-use external fixation (EZExFix) was employed to repair artificial tibial shaft fractures during an inhabited mission at the Mars Desert Research Station (Utah, USA). Bone repair safety zones were respected (23/24), participants achieved 79.2% repair success, and median completion time was 50.04 min. Just-in-time training in-mission was sufficient to become autonomous without pre-mission medical/surgical/mechanical education, regardless of learning conditions (p > 0.05). Similar techniques could be used in LDEM to increase astronauts’ autonomy in traumatic injury treatment and lower skill competency requirements used in crew selection.</jats:p>
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Manon, Julie, Michael Saint-Guillain, Vladimir Pletser, Daniel Miller Buckland, Laurence Vico, William Dobney, Sarah Baatout, Cyril Wain, et al. (n.d.). Adequacy of in-mission training to treat tibial shaft fractures in mars analogue testing. Scientific Reports, 13(1). 10.1038/s41598-023-43878-1 Retrieved from https://hdl.handle.net/10161/29301.
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Daniel Buckland
Dr. Buckland is an Attending Physician at Duke University Hospital Emergency Department. He is the Director of the Duke Acute Care Technology Lab where he leads research in developing technology for the diagnosis and treatment of acute disease in data science and robotics projects by managing collaborative research projects between clinicians and engineers. His work at involves studying how advancements in autonomy impact safety critical systems, including the healthcare system. As part of his focus on autonomy, he is the Medical Director of the the Laboratory for Transformational Administration (LTA) an Operational Data Science group in the Duke Department of Surgery.
In addition, Dr. Buckland is the Deputy Chair of the Human System Risk Board of the Office of the Chief Health and Medical Officer via an Intergovernmental Personnel Act agreement with NASA, where he determines the human system risk of spaceflight and how standards, countermeasures, and mission design can mitigate risk.
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