Crew Recovery and Contingency Planning for a Manned Stratospheric Balloon Flight – the StratEx Program
Abstract The StratEx program used a self-contained space suit and balloon system to loft pilot Alan Eustace to a record-breaking altitude and skydive from 135,897 feet (41,422 m). After releasing from the balloon and a stabilized freefall, the pilot safely landed using a parachute system based on a modified tandem parachute rig. A custom spacesuit provided life support using a similar system to NASA’s (National Aeronautics and Space Administration; Washington, DC USA) Extravehicular Mobility Unit. It also provided tracking, communications, and connection to the parachute system. A recovery support team, including at least two medical personnel and two spacesuit technicians, was charged with reaching the pilot within five minutes of touchdown to extract him from the suit and provide treatment for any injuries. The team had to track the flight at all times, be prepared to respond in case of premature release, and to operate in any terrain. Crew recovery operations were planned and tailored to anticipate outcomes during this novel event in a systematic fashion, through scenario and risk analysis, in order to minimize the probability and impact of injury. This analysis, detailed here, helped the team configure recovery assets, refine navigation and tracking systems, develop procedures, and conduct training. An extensive period of testing and practice culminated in three manned flights leading to a successful mission and setting the record for exit altitude, distance of fall with stabilizing device, and vertical speed with a stabilizing device. During this mission, recovery teams reached the landing spot within one minute, extracted the pilot, and confirmed that he was not injured. This strategy is presented as an approach to prehospital planning and care for improved safety during crew recovery in novel, extreme events. MenonAS, JourdanD, NusbaumDM, GarbinoA, BucklandDM, NortonS, ClarkJB, AntonsenEL. Crew recovery and contingency planning for a manned stratospheric balloon flight – the StratEx program. Prehosp Disaster Med. 2016;31(5):524–531.
Resuscitation and Evacuation from Low Earth Orbit: A Systematic Review
Abstract Introduction: Provision of critical care and resuscitation was not practical during early missions into space. Given likely advancements in commercial spaceflight and increased human presence in low Earth orbit (LEO) in the coming decades, development of these capabilities should be considered as the likelihood of emergent medical evacuation increases. Methods: PubMed, Web of Science, Google Scholar, National Aeronautics and Space Administration (NASA) Technical Server, and Defense Technical Information Center were searched from inception to December 2018. Articles specifically addressing critical care and resuscitation during emergency medical evacuation from LEO were selected. Evidence was graded using Oxford Centre for Evidence-Based Medicine guidelines. Results: The search resulted in 109 articles included in the review with a total of 2,177 subjects. There were two Level I systematic reviews, 33 Level II prospective studies with 647 subjects, seven Level III retrospective studies with 1,455 subjects, and two Level IV case series with four subjects. There were two Level V case reports and 63 pertinent review articles. Discussion: The development of a medical evacuation capability is an important consideration for future missions. This review revealed potential hurdles in the design of a dedicated LEO evacuation spacecraft. The ability to provide critical care and resuscitation during transport is likely to be limited by mass, volume, cost, and re-entry forces. Stabilization and treatment of the patient should be performed prior to departure, if possible, and emphasis should be on a rapid and safe return to Earth for definitive care.
Assessment of Ground Regeneration around Borehole Heat Exchangers between Heating Seasons in Cold Climates: A Case Study in Bialystok (NE, Poland)
Based on the experimental studies, the process of ground regeneration around the borehole loaded with brine-water heat pumps working exclusively for heating purposes in the period of four consecutive heating seasons in a cold climate was presented. The research was conducted in north-eastern Poland. The aim of the work is to verify the phenomenon of thermal ground regeneration in the period between heating seasons on the basis of the recorded data and to check whether the ground is able to regenerate itself and at what rate. It was noticed that the ground does not fully regenerate, especially during heating seasons with lower temperatures. In the analyzed period, from 22 September 2016 to 12 October 2020, the ground probably cooled irreversibly by 1.5 °C. In order to illustrate and evaluate the speed of changes in the ground, the one’s profile with an undisturbed temperature field was presented for each month of the year. The presented results can be a very important source of information for the analysis of geothermal conditions occurring in the ground. They can be used to verify mathematical models and conduct long-term simulations that allow us to see the complexity of the processes taking place in the ground.