Joanna PooleNov 19, 2022

First presenter is an astronaut 👨‍🚀 physicist 👨‍🔬 engineer and physician 👨‍⚕️ who touched down from space in May this year and is medical operations lead for the international space station

#icm #criticalcare #physiology #spacemedicine #nasa #anaesthesia

Show threadJoanna PooleNov 19, 2022

Lessons learned from 337 days in space!

Watched Armstrong walk on moon, read a book about Apollo 13 technical team issues, he was a seventh child and doctor siblings ahead of him - went into engineering but liked hanging with medics and then ended up emergency physician - then heard training program about NASA training doctors for space missions - #aerospacemedicine

Show threadJoanna PooleNov 19, 2022
First training day is learning how to evacuate a jet into water with parachute - then learn to fly a jet! Learn how to operate info rich cockpit whilst communicating and doing maths! Also trains the body for the physiological stress…
Show threadJoanna PooleNov 19, 2022
Repeat take off and landing simulations with errors eg cockpit flies off. Classroom in astronaut school! Is all simulation…russian space training was independently same. Russian philosophy if they’re going to teach you to tell time they first train you to build the watch…!
Show threadJoanna PooleNov 19, 2022
Then live and work in deep sea environment. Learn to conduct experiments there. Learn desert survival. Winter survival. Machete the trees for fires. Frostbite. All needs medics!
Show threadJoanna PooleNov 19, 2022
Learn to conduct experiments in deep sea submarines. Get space sickness on launch! 2.5 hours a day exercising because of space induced osteoporosis. Common medical problems are back injuries and DOMS!
Show threadJoanna PooleNov 19, 2022
Space walks require the most intense training. Didn’t want to look down! 😅so cold in free space at night - numb hands and feet. Simulation however makes working on space station feel like been there many times before. As soon as sun rises need shield as liquid fire pours into suit!
Show threadJoanna PooleNov 19, 2022
“Honour but not a pleasure” to spacewalk…like a bar fight?? He did 350 experiments whilst up there in space. Restricted medical resources. BP low in space. HR low. Until workout when higher than expected. Drugs might not work as expected in space.
Show threadJoanna PooleNov 19, 2022
Sepsis kidney stones arrhythmia burns inhalational injury dental problems back pain
Show threadJoanna PooleNov 19, 2022
Landing 4G force on re entering atmosphere, 5000 degrees Celsius, “two explosions followed by a car crash”, bits of heat shield breaking off…
Show threadJoanna PooleNov 19, 2022
Nobody would pass sobriety test as eyesight and vestibular system rewire whilst in space. So much interest in space medicine and tourism and science - a rush this year.
Show threadJoanna PooleNov 19, 2022
Get space induced ileus. Thorax expands slightly. Cerebral function - increased cerebral pressure - huge new wonderful distractions - have to figure out how to put down a coffee or pencil…space is really hard on the eyes - things fly into them all the time
Show threadKenneth BaillieNov 19, 2022
@jopo_dr Thanks for making the effort to share this! I love this kind of comic-book-hero physiology. It’s what first got me hooked on research and critical care.
Show threadJoanna PooleNov 19, 2022
@kennethbaillie likewise I love this stuff. it’s mad bad physiology and it’s kind of crazy we can even survive it. There’s a NASA panel talk now so hopefully more on its way !
Show threadAnna_BatchelorNov 19, 2022
@jopo_dr @kennethbaillie I wrote a school story when I was 9 or 10 about wanting to be an astronaut. Fab thread. Thanks
Show threadKenneth Baillie
@Anna_Batchelor @jopo_dr :) Yes I often say academic critical care is the best job in the world but I forget about my previous aspirations as an astronaut, fighter pilot and professional footballer.
Nov 19, 2022 at 12:30pmWeb
Show threadMathieu DesgroseilliersNov 19, 2022
@Anna_Batchelor @jopo_dr @kennethbaillie I’m really with you on this ! (… except professional footballer 👉professional hockey player. Well I’m 🇨🇦 after all 😂)