论文标题
实时临床决策支持系统的基本原理和概念设计，用于管理火星任务的医疗紧急情况
Basic principles and concept design of a real-time clinical decision support system for managing medical emergencies on missions to Mars
论文作者
论文摘要
太空机构和私人公司为2030年代的人类太空探索开始了任务，使第一个人在火星表面上。预计不存在重力和辐射以及距离，隔离和敌对环境，将增加可能出现以前看不见的表现的医疗事件。当前基于远程医疗的医疗保健策略以及将受伤的机组人员稳定和运输到地面确定医疗设施的可能性不适用于勘探班任务。因此，部署完整的自主能力以解决医疗紧急情况的需求可能指导未来的板载医疗保健系统的设计。我们提出了一个软件套件的十个基本原理和概念设计，以带来船上决策支持，以帮助船员在空间和太空飞行限制中考虑生理障碍处理医疗紧急情况。 1）为紧急医疗决策做出实时支持，2）为执行问题解决方案提供特定于患者的建议，3）考虑到生命支持和监控机组人员的可用信息，4）4）从远程设施中完全自主，5）5）不断适应生理障碍的预测，6）在健康状况上进行临时级别，以提出医疗服务的层面，并在任务中进行8），以便将紧急医疗决策用于任务，以下情况下，将估算为7）。 Care v，9）实施空间飞行的道德职责，而10）将道德标准应用于人工智能。基于这些原则，我们提出了一个自主临床决策支持系统（CDSS），为太空探索任务委员会的紧急医疗干预提供实时建议。
Space agencies and private companies prepare the beginning of human space exploration for the 2030s with missions to put the first human on the Mars surface. The absence of gravity and radiation, along with distance, isolation and hostile environments, are expected to increase medical events where previously unseen manifestations may arise. The current healthcare strategy based on telemedicine and the possibility to stabilize and transport the injured crewmember to a terrestrial definitive medical facility is not applicable in exploration class missions. Therefore, the need for deploying the full autonomous capability to solve medical emergencies may guide the design of future onboard healthcare systems. We present ten basic principles and concept design of a software suite to bring onboard decision support to help the crew dealing with medical emergencies taking into consideration physiological disturbances in space and spaceflight restrictions. 1) give real-time support for emergency medical decision making, 2) give patient-specific advice for executive problem-solving, 3) take into account available information from life support and monitoring of crewmembers, 4) be fully autonomous from remote facilities, 5) continuously adapt predictions to physiological disturbance and changing conditions, 6) optimize emergency medical decision making in terms of mission fundamental priorities, 7) take into account medical supplies and equipment on board, 8) apply health standards for the level of care V, 9) implement ethics responsibilities for spaceflights, and 10) apply ethical standards for artificial intelligence. Based on these principles, we propose an autonomous clinical decision support system (CDSS) to provide real-time advice for emergency medical interventions on board of space exploration missions.
