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Nicholas Saba and Dominic Tanzillo

Have you ever wondered what it would take for humans to travel beyond the comforts of our home planet, Earth? You are invited to join us in Space Medicine - an online experience facilitated by two recent Duke graduates in which you will learn about and engage in the most pressing medical challenges facing NASA and others advancing the future of space exploration.

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Have you ever wondered what it would take for humans to travel beyond the comforts of our home planet, Earth? You are invited to join us in Space Medicine - an online experience facilitated by two recent Duke graduates in which you will learn about and engage in the most pressing medical challenges facing NASA and others advancing the future of space exploration.

Space Medicine is a free, non-certificate course featuring interactive modules and weekly live discussions. Participants will reflect on questions pertinent to the future of human health in space, such as:

- How do humans respond to extreme environments?

- How can engineers, doctors, and scientific researchers come together to prevent space related health issues before they occur?

- If future generations of humans attempt to live in space, what challenges will they face?

- Which evolutionary adaptations to living on Earth are useful to surviving a months- or years-long voyage?

No prior experience in science or medicine is required, as life science concepts will be introduced as necessary. At the end of the course, you will have gained valuable experience in applying modern medicine to space-based situations, from space flight to journeying to Mars.

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What's inside

Syllabus

History of Medicine and Aviation
The field of space medicine arose from aerospace medicine in the mid 20th century. Owing the heritages of space and medicine, we will want to look back in history to find how these two disciplines came together. Along the way we will talk about case studies, which punctuate each week of the course, look at the role of flight medicine, before turning to the environment of space. Space is an inhospitable place, but venturing beyond Earth is not hopeless. Already some organisms have overcome problems posed by lack of air, freezing temperatures, and radiation. Space medicine is all about meeting these challenges and preventing problems before they occur in our final frontier.
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Out of Thin Air
A commonly understood fact is that breathing is difficult at high elevations because of the thin air. However, the meanings behind “hard to breathe” and “thin air” are often hidden or under-appreciated. Informed by a hot balloon incident from the 1800s, we will ask why oxygen is so important for the human body and appreciate how our hearts, lungs, and blood is essential for sustaining life. Then we will look at what happens when these processes break down including medical signs and symptoms to answer what happened hundreds of years ago. Finally, we will look at countermeasures and ways that humans overcome the threat of hypoxia in aerospace and space travel.
The Price of Leaving
Scuba divers know that the end of the dive can be the most dangerous because bubbles can form causing terrible damage. Decompression Sickness was first understood in French coal miners but plays a crucial role in aerospace applications. The space environment involves moving between pressure gradients which brings these risks front and center. The other concern with different pressure gradients is hyperoxia where too much oxygen can also cause trouble. The artificial atmospheres onboard the International Space Station and in space suits must be tightly controlled to avoid these issues.
Extremes of Acceleration
Aircraft causalities almost always end with a crash. Crashes are a form of acceleration where a moving plane comes to a rapid stop causing massive trauma for the pilot and passenger. Acceleration from high speed turns, maneuvers, and lift-off can contribute to pilots passing out and losing control of their craft. We fight against these G-Forces with blood pressure in the hopes of avoiding these Losses of Consciousness and Trauma.
Breaking Points
Once we leave Earth, we lose so many of the protections that keep us safe. With the strong presence of Earth's gravity, our eyesight begins to fade, our bones start to crumble, and our muscles will atrophy. The atmosphere and magnetosphere shield us from solar radiation and we leave behind most of our social connections on board a spaceship. To survive a journey to Mars, Space Doctors will need to be in constant communication with astronauts and plan the mission knowing these risks. The journey may be perilous but we can engineer solutions to persevere and overcome.
Martian Medicine
Should astronauts prevent all of the issues needed for a trip to the Red Planet, there will be new health concerns to live on Mars. This week is especially theoretical as we look into engineering and medical designs to survive in an incredibly limited environment. Scarce resources also pose ethical concerns as some equipment may need to be left behind at the start of a mission and a Martian parasite could risk the extinction of the human race. However, like every issue throughout this course, once we've identified an issue, we can overcome it! We leave you, asking, "Do you have what it takes to be an astronaut?"

Good to know

Know what's good
, what to watch for
, and possible dealbreakers
Teaches the fundamentals of space medicine, a growing field at the intersection of medicine and aerospace science
Examines the challenges astronauts face in space, such as extreme environments, radiation, and psychological stress
Provides insights into the research and development of technologies to support human space travel and habitation
Taught by experts in space medicine and engineering from Duke University
Offers interactive modules and weekly live discussions to facilitate engagement and learning
Suitable for individuals with no prior experience in science or medicine, as foundational concepts will be covered

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Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in Space Medicine with these activities:
Take Space Medicine Quizzes
Test your understanding of the course content
Show steps
  • Create flashcards or use an online quizzing platform
  • Test yourself on key terms, concepts, and case studies
  • Review your mistakes and focus on areas where you need improvement
Read Textbooks for the course
Introduce core concepts learned in class
Show steps
  • Read the textbooks before the class
  • Look for extra details about concepts introduced in class
Explore NASA's Space Medicine Resources
Provide you with access to the latest information
Show steps
  • Visit the NASA Space Medicine website
  • Review the Human Research Program website
  • Explore the Space Medicine and Life Sciences website
  • Read articles and watch videos on space medicine topics
  • Participate in online forums and discussions
Five other activities
Expand to see all activities and additional details
Show all eight activities
Create a Glossary of Space Medical Terms
Help you learn common terms used in aerospace medical field
Show steps
  • Review the course materials and other resources
  • Identify key terms related to space medicine
  • Define each term clearly and succinctly
  • Organize the terms alphabetically or by category
  • Share your glossary with classmates or online forums
Join a Space Medicine Study Group
Allow you to discuss course material with peers
Show steps
  • Connect with other students in your class or online
  • Establish a regular meeting time and place
  • Review course materials together
  • Discuss key concepts and case studies
  • Quiz each other and provide feedback
Attend a Space Medicine Workshop or Conference
Provide you with opportunities to network with professionals
Show steps
  • Research upcoming space medicine workshops and conferences
  • Submit an abstract or register to attend
  • Attend the event and participate in presentations and discussions
  • Network with experts in the field
  • Follow up with any connections you make
Develop a Space Medicine Research Proposal
Enable you to apply your knowledge to a real-world problem
Show steps
  • Identify a research topic that interests you
  • Develop a research question and hypothesis
  • Design a research plan, including methodology and data analysis
  • Write a research proposal and share it with your classmates for feedback
  • Consider submitting your proposal to a space medicine journal or conference
Contribute to Open-Source Space Medicine Projects
Gain practical experience and make a meaningful contribution
Show steps
  • Identify open-source space medicine projects on platforms like GitHub
  • Review the project documentation and codebase
  • Contribute code, documentation, or other improvements to the project
  • Collaborate with other contributors and learn from their expertise
  • Showcase your contributions in your resume or portfolio

Career center

Learners who complete Space Medicine will develop knowledge and skills that may be useful to these careers:
Flight Surgeon
This course provides an overview of the medical challenges of space travel, which may be useful for aspiring Flight Surgeons. Flight Surgeons are responsible for the medical care of astronauts, and they must be prepared to treat a wide range of medical conditions in a challenging environment.
NASA Astronaut
This course provides an overview of the medical challenges of space travel, which may be useful for aspiring NASA Astronauts. NASA Astronauts must be prepared to face a variety of medical challenges in space, including the effects of microgravity, radiation, and isolation.
Astronaut
Astronauts must be prepared to face a variety of medical challenges in space, including the effects of microgravity, radiation, and isolation. This course provides a comprehensive overview of the medical challenges of space travel, which may be useful for aspiring astronauts.
Research Scientist
Research Scientists conduct research to advance scientific knowledge. This course provides an overview of the medical challenges of space travel, which may be useful for Research Scientists who are interested in conducting research in this field.
Anesthesiologist
Space medicine deals with the medical challenges of space travel, which include the effects of extreme environments, such as microgravity and radiation, on the human body. Anesthesiologists have a detailed understanding of the human body's response to extreme environments, which may make them well-suited for careers in space medicine.
Emergency Physician
Emergency Physicians must be prepared to treat a wide range of medical conditions, including those that may be unique to space travel. This course provides an overview of the medical challenges of space travel, which may be useful for Emergency Physicians who are interested in working in the space industry.
Cardiologist
Research in space medicine has shown that space travel causes significant changes to the heart and cardiovascular system. Cardiologists who are interested in studying the effects of space travel on the human body may find this course useful.
Radiation Oncologist
Radiation Oncologists specialize in the treatment of cancer using radiation therapy. This course provides an overview of the medical challenges of space travel, including the effects of radiation on the human body. This knowledge may be useful for Radiation Oncologists who are interested in working in the space industry.
Occupational Health Physician
Occupational Health Physicians are responsible for the health and safety of workers in a variety of industries, including the space industry. This course provides an overview of the medical challenges of space travel, which may be useful for Occupational Health Physicians who are interested in working in the space industry.
Hyperbaric Physician
Hyperbaric Physicians specialize in the treatment of conditions that are caused by changes in pressure, such as decompression sickness. This course provides an overview of the medical challenges of space travel, including the effects of changes in pressure on the human body. This knowledge may be useful for Hyperbaric Physicians who are interested in working in the space industry.
Physician Assistant - Gastroenterology
Research in space medicine has shown that space travel causes significant changes to the gastrointestinal system. Physician Assistants who are interested in working in space medicine may find this course useful, as it provides an overview of the medical challenges of space travel.
Biomedical Engineer
Biomedical Engineers design and develop medical devices and systems. This course provides an overview of the medical challenges of space travel, which may be useful for Biomedical Engineers who are interested in developing technologies to address these challenges.
Spacecraft Operator
Spacecraft Operators control and monitor spacecraft from Earth. This course provides an overview of the medical challenges of space travel, which may be useful for Spacecraft Operators who are interested in working in the space industry.
Registered Nurse
Registered Nurses provide nursing care to patients in a variety of settings, including hospitals, clinics, and long-term care facilities. This course provides an overview of the medical challenges of space travel, which may be useful for Registered Nurses who are interested in working in the space industry.
Airline Transport Pilot
The field of space medicine is an offshoot of aerospace medicine, which deals with the medical challenges of air travel. As such, an Airline Transport Pilot may benefit from a general understanding of the physiological challenges of high altitude and other extreme environments, as covered in this course.

Reading list

We've selected 11 books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in Space Medicine.
Explores the psychological and psychiatric challenges of space travel. It covers topics such as the effects of isolation, confinement, and stress on the mind. It also discusses the ethical implications of space exploration and the psychological support that astronauts need.
This science fiction novel tells the story of an astronaut who is stranded on Mars after his crewmates are forced to evacuate. The book provides a realistic and immersive look at the challenges of surviving on Mars and the medical challenges that would need to be overcome.
Historical account of the early days of the American space program. It provides a look at the challenges and risks faced by the early astronauts and the medical challenges that needed to be overcome.
In this book, Carl Sagan explores the place of humanity in the universe. He discusses the challenges and opportunities of space exploration and the importance of scientific inquiry.
Memoir by astronaut Chris Hadfield, who shares his experiences of living and working in space.
Is an argument for sending humans to Mars, and it discusses the challenges and benefits of such a mission.
Look at the future of space exploration, with a focus on the possibility of humans living on Mars.
Detailed plan for a human mission to Mars, including the spacecraft, the crew, and the mission timeline.
Science fiction novel about a human colony on Mars, and it explores the challenges and opportunities of living on the Red Planet.

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