title: In-flight medical incidents in the NASA-Mir program.
abstract: This paper summarizes medical experience during the six NASA-Mir flights from March 14, 1995, to June 4, 1998. There were 7 U.S. astronauts who were part of 6 Mir space crews and worked jointly with 12 Russian cosmonauts. Advances in space medicine have created a safer environment; however, experience shows that crewmembers experience traumatic injuries and illnesses of diverse etiologies during spaceflight. During these joint flights both Russian and U.S. medical kits were available to crewmembers who could access either medical kit as appropriate. The Russian medical team had primary responsibility for monitoring and care of all crewmembers and analyzing medical results. When medical incidents occurred, the appropriate Russian or U.S. medical team determined the plan for diagnosis and treatment. Each team kept the other informed regarding medical situations during the flights and strictly observed the principles of medical confidentiality. A summary of medical incidents by programmatic element is described as experienced by the crewmembers and the ground support medical teams. The most frequent medical cases were small traumatic injuries to the skin and mucous membranes and fluctuations in the cardiovascular system, manifesting primarily in the form of cardiac dysrhythmias. The ability to use both the Russian medical aids and the U.S. medical kit significantly increased the effectiveness and reliability of therapeutic and prophylactic care. The degree of medical care and cooperation established precedents for integrating these systems for the medical support of expeditions on the International Space Station.
authors: State Scientific Center of the Russian Federation, Institute for Biomedical Problems, Moscow, Russia.
authors: Igor B
authors: IB
authors: Gontcharov
authors: Irina V
authors: IV
authors: Kovachevich
authors: Sam L
authors: SL
authors: Pool
authors: Oleg L
authors: OL
authors: Navinkov
authors: Michael R
authors: MR
authors: Barratt
authors: Valery V
authors: VV
authors: Bogomolov
authors: Nancy
authors: N
authors: House
mesh_terms: D000337:Aerospace Medicine / Q000266:history* / Q000458:organization & administration; D018480:Astronauts; D004784:Environmental Monitoring; D005392:First Aid; D049673:History, 20th Century; D006801:Humans; D007391:International Cooperation; D008021:Life Support Systems; D015397:Program Evaluation; D012426:Russia; D013026:Space Flight / Q000266:history* / Q000458:organization & administration; D014481:United States; D018557:United States National Aeronautics and Space Administration