Principles of Clinical Medicine for Space Flight

Foreword to the First EditionPreface to the First EditionForewordPrefaceContributorsPart I. Unique Attributes of Space Medicine1. Physical and Bioenvironmental Aspects of Human Space FlightMichael R. Barratt2. Radiation and Radiation DisordersJeffrey A. Jones, Fathi Karouia, Lawrence Pinsky, and Octav Cristea3. Hypoxia, Hypercarbia, and Atmospheric Control George Beck, Jennifer Law, Kira Bacal, and Michael Barratt4. Health Effects of Atmospheric ContaminationJohn T. James and Valerie E. (Meyers) Ryder5. Acoustic and Auditory Issues in Principles of Clinical Medicine for Space FlightRichard W. Danielson, Christopher S. Allen, Jose G. Limardo, and Jonathan B. Clark6. Spaceflight Medical SystemsTerrance A. Taddeo, Stevan Gilmore, and Cheryl W. Armstrong7. Surgical Capabilities Mark R. Campbell and Roger D. Billica8. TelemedicineShannon Melton, Scott C. Simmons, Byron A. Smith, and Douglas R. Hamilton9. Diagnostic Imaging in Space MedicineAshot Sargsyan10. Medical Evacuation Risk and Crew TransportSmith L. Johnston, Kieran T. Smart, and James M. PattariniPart II. Spaceflight Clinical Medicine11. Medical Evaluations and StandardsGary W. Gray, Smith L. Johnston, Joan Saary, and Tim Cook12. Human Response to Space FlightEllen S. Baker, Michael R. Barratt, Clarence F. Sams, and Mary L. Wear13. Spaceflight Metabolism and Nutritional SupportScott M. Smith, Helen W. Lane, and Sara R. Zwart14. Space and Entry Motion SicknessHernando J. Ortega Jr., Deborah L. Harm, and Millard F. Reschke15. Acute CareThomas H. Marshburn, Kjell N. Lindgren, and Shannan Moynihan16. Decompression Related DisordersAndrew A. Pilmanis and Jonathan B. Clark17. Medical Aspects of Extravehicular ActivityJoseph Dervay, Robert Sanders, Moriah Thompson, and Tracy Jo Snow18. Renal and Genitourinary ConcernsJeffrey A. Jones, Robert A. Pietrzyk, Octav Cristea, and Peggy A. Whitson19. Musculoskeletal Response to Space FlightLinda C. Shackelford20. Physical Performance, Countermeasures, and Postflight ReconditioningStuart M. C. Lee, Richard A. Scheuring, Mark E. Guilliams, and Eric L. Kerstman21. Immunology and MicrobiologyClarence F. Sams, Brian E. Crucian, and Duane L. Pierson22. Cardiovascular Aspects of Space FlightDouglas Ross Hamilton23. Neurologic ConcernsJonathan B. Clark, Jacob J. Bloomberg, and Kira Bacal24. Gynecologic and Reproductive ConsiderationsRichard T. Jennings and Ellen S. Baker25. Behavioral Health and Performance SupportWalter E. Sipes, Christopher F. Flynn, and Gary E. Beven26. Sleep, Circadian Rhythms, and Fatigue Management in Spaceflight OperationsSmith Johnston, Alexandra Whitmire, Thomas H. Marshburn, and Lakshmi Putcha27. Spaceflight PharmacologyVirginia Wotring28. Ophthalmologic ConcernsF. Keith Manuel, Thomas H. Mader, and C. Robert Gibson29. Dental ConsiderationsMichael H. Hodapp and Arthur H. Jeske30. Spacecraft Accident InvestigationRobert Banks, Serena Aunon, Richard Harding, and Amy MumbowerIndex

In its first edition, Principles of Clinical Medicine for Space Flight established itself as the authoritative reference on the contemporary knowledge base of space medicine and standards of care for space flyers. It received excellent notices and is used in the curricula of civilian and military training programs and used as a source of questions for the Aerospace Medicine Certifying Examination under the American Board of Preventive Medicine.

In the intervening few years, the continuous manning of the International Space Station has both strengthened existing knowledge and uncovered new and significant phenomena related to the human in space. The Second Edition incorporates this information. Gaps in the first edition will be addressed with the addition new and revised chapters.

This edition is extensively peer reviewed and represents the most up to date knowledge.

Michael R. Barratt, MD, MSAstronaut OfficeNASA Johnson Space CenterHouston, TX, USA

Ellen S. Baker, MD, MPHEducation/Medical BranchNASA Astronaut OfficeNASA Johnson Space CenterHouston, TX, USA

Sam L. Pool, MDDeceased, formerly Chief, Medical Sciences Division NASA Johnson Space Center Houston, TX, USA