Emerging Science and Technology to Address Naval Undersea Medicine Needs Proceedings of a Workshop–in Brief (2024) / Chapter Skim
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Emerging Science and Technology to Address Naval Undersea Medicine Needs: Proceedings of a Workshop - in Brief
Emerging Science and Technology to Address Naval Undersea Medicine Needs: Proceedings of a Workshop - in Brief
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, to examine emerging science and technology in sickness3 (DCS) , bioenergetics, oxygen toxicity, enviundersea medicine to best meet the operational needs ronmental hazards, and exposures to cold and contamof the U.S.
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However, because David Doolette, research physiologist, Navy Experimen VGE variability across identical dives challenges the tal Diving Unit (NEDU) , elaborated on recent advances in validity of that approach, Mitchell predicted that understanding the pathophysiology of DCS, and con real-time dive monitoring needs to be explored sidered implications for prevention.
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Potential causes include incorrect O2 sensing or vention plan, he said. He proposed that initial research insufficient O2 availability; and into the causes of within diver-variability in DCS risk across dives should focus on "easily observed and mod- 3)
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Karen Van Hoesen, professor of emergency medicine and 3. Is the human interface simple?
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in that system. He suggested reviewing long-term Human Factors for Extended Manned Submarine Operations trend data to determine the effects of these advances on Capt.
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Lessons Learned from Analog Contexts and Lunar Discussant Responses Mission Planning Following the presentations, David Fothergill, scienRobert Sanders, flight surgeon and program medical tific director at NSMRL moderated a session in which officer of the Extravehicular Activity and Human Sur- four discussants offered perspectives and posed quesface Mobility Program, National Aeronautics and Space tions about how the issues raised intersect with priority Administration (NASA) , described how some of the chal- research areas in subdomains of submarine medicine.
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Bolkhovsky said that facial onshore helps prevent psychological unplanned losses. In tracking, eye tracking, heart rate variability, modularesponse to a question from Hernandez about efforts to tions in vocal patterns, and electrodermal activity could maintain cardiometabolic health, Daigle pointed out that be used alongside AI and machine learning to predict personal choice is key, but leaders have to prioritize it -- (nearly)
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service earlier in their careers than men. WOMEN OPERATORS Brian Maguire, senior epidemiologist, Leidos, asserted Van Hoesen moderated a roundtable discussion on the that because the military will likely have more women in challenges and opportunities to explore sex-specific the future, now is the time to tackle questions of risks physiological responses to diving and to the submarine for women.
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thermal protection, and oxygen toxicity. He emphasized, however, that topics such as readiness and recovery, David Fothergill, scientific director, NSMRL, highlighted nutrition, sleep quantity and quality, whole body oxygen an opportunity to secure funding in light of a 2024 pres toxicity, resistive effort, hypercapnia, physiological monidential executive order to strengthen women's health itoring, human-machine teaming, etc.
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This study showed a direct relationship domain lead for Preservation of the Force and Family, between thermal strain and DCS risk, suggesting that Naval Special Warfare Command, highlighted the need decompression stress can be reduced by manipulating for neurocognitive R&D at depth to optimize readiness body temperature to limit on-gassing and encourage and maximize performance during and after dives. She controlled off-gassing.
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and Pulmonary Oxygen Toxicity and that exudative phase countermeasures exist. Aaron Hall, research physiologist, Naval Medical Research Open Discussion Center, noted that the benefits of O2 used while diving are Moderator John Florian, scientific director, NEDU, invited offset by the risk for CNS and pulmonary oxygen toxicity.
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, founder and managing partKizer moderated a final panel discussion on workshop ner, Legion Undersea Services, emphasized that divers themes, unexplored opportunities, and funding priori- should "take responsibility to make sure he or she is in ties for undersea medicine research. Chapman reiterated the best possible condition to allow for the mission to that medical threats to divers and submariners deserve go correctly." This includes commitment to exercise and more attention; the undersea workforce will continue to healthy eating, with doing so not only enhancing perbe limited if key research questions are not examined.
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William Hoeft, fellow, Undersea Strategy, Systems Medical Society (UHMS) ; emergency medicine physician, Planning & Analysis, Inc., made the point that federal University of California, San Diego; and diving medical funding for naval undersea medicine is very limited.
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Florian, Navy Experimental Diving Unit; David Fothergill, Naval Submarine Medical Research Laboratory; William Hoeft, Jr., Systems Planning & Analysis, Inc.; William Johnson, WMJ Associates, Inc.; Simon Mitchell, University of Auckland; Virginie Papadopoulou, University of North Carolina at Chapel Hill; David Regis, Naval Sea Systems Command; and Karen Van Hoesen, University of California, San Diego. REVIEWERS To ensure that it meets institutional standards for quality and objectivity, this Proceedings of a Workshop -- in Brief was reviewed by James Chimiak, Chief Medical Officer, Divers Alert Network; John P
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