DDMS MEDICAL BRIEF PLEASE SIGN IN. DDMS INTRODUCTION

DDMSMEDICAL BRIEF

PLEASE SIGN IN

DDMS INTRODUCTION

ASCENT ABORT PROFILES

T+ 0 MIN T+ 22 MIN T+ 35 MIN T+ 1 HR 47 MIN

LAUNCH RTLS/LAS AOATAL

TRANSOCEANICABORT LANDING

(TAL)

ABORT-ONCE-AROUND

(AOA)

RETURN TOLAUNCH SITE

(RTLS)

ABORT-TO-ORBIT

(ATO)

EMERGENCY LANDING SITES

Hao

Dyess

Ellsworth

WSSH

LincolnEdwards

Grant County

Mt Home

FairfordZaragoza

Moron

Ben Guerir

Amilcar Cabral

Las Palmas

Banjul Tamanrassett

Roberts

Hoedspruit

Kinshasa DiegoGarcia

KingKhalid

Esenboga

SoudaBay

Koln-Bonn

Arlanda

Andersen AFB

Tindal

Amberley

Hickam AFB

Wake Is

Ascension

Elmendorf AFB

Yokota AB

Goose Bay

HalifaxSt. Johns

GanderMoses Lake

Beja

Stephenville

Pease

Cherry Point

Otis

DoverOceana

BermudaMyrtle Beach

Orlando

KSC

Nassau

GabreskiAtlantic City

Wallops Is.

Wilmington Rio Gallegos

Le Tube

Shannon

Keflavik

Lajes

DOD EMERGENCY LANDING SITES

Dyess

Ellsworth

WSSH

Edwards

Mt Home Moron

Lajes

DiegoGarcia

SoudaBay

Andersen AFB

Hickam AFB

Wake Is

Ascension

Elmendorf AFB

Yokota AB

Pease

Cherry Pt

OtisDover

Oceana


Fairford

DOD LAUNCH ABORT SITES

Lajes

Pease

Cherry Pt

OtisDover

Oceana


Fairford

ON-ORBIT ABORT

Dyess

Ellsworth

WSSH

Edwards

Mt Home

ZaragozaMoron

LajesBen Guerir

Banjul

DiegoGarcia

SoudaBay

Andersen AFB

Hickam AFB

Wake Is

Ascension

Elmendorf AFB

Yokota AB

Pease

Cherry Pt

OtisDover

Oceana


Fairford

STS-93 Ascent Events:

• Electrical short 5 seconds after liftoff, computers tried to shutdown main engines

• Hydrogen leak in engine coolant lines resulted in a slightly early main engine cut-off (underspeed)

• Had either problem worsened:

It could have forced an “unprecedented emergency landing.”

NOMINALLANDING SUPPORT

• CONVOY STAGING

• OSC RESPONSIBILITIES

• CONVOY DEPLOYMENT

• GROUND HANDLING

MEDICAL TEAM CONVOY PREPARATION

• ENSURE PERSONAL AND TEAM’S EQUIPMENT IS CHECKED AND ON ALERT

--GET LANDING TIME FROM OSC--DOUBLE SONIC BOOM (lands 4-5 minutes after)

• DON’T WAIT UNTIL THE ORBITER LANDS TO PREPARE AND BRIEF TEAM’S ACTION

• BE READY TO ACCEPT PATIENTS-KNOW WHAT HOSPITALS ARE AVAILABLE AND

WHAT THEIR CAPABILITIES ARE

• ENSURE PERSONAL AND TEAM’S EQUIPMENT IS CHECKED AND ON ALERT

--GET LANDING TIME FROM OSC--DOUBLE SONIC BOOM (lands 4-5 minutes after)

• DON’T WAIT UNTIL THE ORBITER LANDS TO PREPARE AND BRIEF TEAM’S ACTION

• BE READY TO ACCEPT PATIENTS-KNOW WHAT HOSPITALS ARE AVAILABLE AND

WHAT THEIR CAPABILITIES ARE

NOMINAL• NORMAL LANDING OPERATIONS• OSC PROVIDES ORBITER CREW SUPPORT

CONTINGENCY• EMERGENCY CONDITION• SFO DIRECTS RESCUE OPERATIONS

LANDING

NOTIFICATION OFEMERGENCY LANDING

• DOD SUPPORT OPERATIONS CENTER (SOC) NOTIFIED BY JSC

• SOC/LSO NOTIFY LAS SITE OF INCOMING ORBITER – LAS: 14 to 27 minutes notification– ELS: <60 minutes notification

• OSC ENSURES THE FOLLOWING ACTIONS HAPPEN:

• DOD SUPPORT OPERATIONS CENTER (SOC) NOTIFIED BY JSC

• SOC/LSO NOTIFY LAS SITE OF INCOMING ORBITER – LAS: 14 to 27 minutes notification– ELS: <60 minutes notification

• OSC ENSURES THE FOLLOWING ACTIONS HAPPEN:

EMERGENCYSITES

EMERGENCYSITES

DEP DOD MGRDEP DOD MGR

CONTINGENCYFORCES

CONTINGENCYFORCES

JRCCJRCC

DOD MGRDOD MGR UNIFIED CINCSUNIFIED CINCSSOCSOC

NMCCNMCC

NASANASA

CLEAR AIRSPACE

35 NM

30 NM

15 NM

FL 300

FL 600

-- Dedicate Runway : Remove arresting gear / FOD check / Set lighting --

• PRIOR TO LANDING : COMPUTE TOXIC CORRIDOR BASED ON A NITROGEN TETROXIDE SPILL OF 80 LB/MIN, OVER 8 MIN, IN 800 SQ FT SPILL AREA (THIS IS WORST CASE)

PLOT TOXIC CORRIDOR

WIND

09

27

OS

C

CH

-1

HA

T

R-1

R-2

AM

B

AM

B

DE

CO

N

B-4 S

TA

ND

MO

BIL

E C

P

SP

09

27

F/C/R F/C/R F/C/R CH-2

STAGE CONVOY

WIND

CONVOY DEPLOYMENTINITIAL APPROACH

SP

AMB

AMB

OSC

B-4 STAND

BUS

CH-1

COLDCOLDZONEZONE

WARMWARMZONEZONE

HOTHOTZONEZONE

1250 FEET

WIND

CLEAN/DIRTY LINE 1350 FEET

HAT

DECON

F/C/R

F/C/R

F/C/R

RESCUE

• PROTECTIVE CLOTHING

– FIRE RESISTANT COVERALLS

– SELF-CONTAINED BREATHING AIR (AIR PACK)

• (BIO): Combustible Gas Indicator (CGI)

HAZARD ASSESSMENTEQUIPMENT

HAZARD ASSESSMENT

DECON

WINDCOLDCOLD

ZONEZONEWARMWARMZONEZONE

HOTHOTZONEZONE

SP200 FEET

HAT

AMB

AMB

CH-1

OSC

B-4 STAND

BUS

F/C/R

F/C/R

RESCUE

F/C/R

1250 FEET

CLEAN/DIRTY LINE1350 FEET

FORWARD AFT

HAZARD ASSESSMENT

• NCC/OSC CONFIRM OMS, RCS, AND SIDE HATCH SAFED

• PROCEED WITH VEHICLE NO CLOSER THAN 200’

• CONDUCT FORWARD ASSESSMENT

– HATCH AREA

– FORWARD RCS THRUSTERS

– VENT DOORS

• NOTIFY NCC/OSC OF DOWNGRADE

• CONTINUE AFT ASSESSMENT

Hazard Assessment Team

Park Vehicle 200 FEET From Orbiter

Hazard Assessment Team

Park Vehicle 200 FEET From Orbiter

HAT

PARTIAL DOWNGRADE

DECON

WINDCOLDCOLD


HOTHOTZONEZONE

200 FEET

F/C/R

F/C/R

HAT

SP

AMB

AMB

CH-1

OSC

B-4 STAND

BUS

RESCUE

F/C/R

700 FEET

1250 FEET


FULL DOWNGRADE

DECON

HAT B-4 STAND

BUS

WINDCOLDCOLD


HOTHOTZONEZONE

200 FEETSP

F/C/R

F/C/R

AMB

AMB

CH-1

OSC

RESCUE

F/C/R

700 FEET

1250 FEET


NOMINAL• NORMAL LANDING OPERATIONS• OSC PROVIDES ORBITER CREW SUPPORT

CONTINGENCY• EMERGENCY CONDITION• SFO DIRECTS RESCUE OPERATIONS

LANDING

MODE V UNAIDED EGRESS / AIDED

ESCAPE• DECLARED BY:

• Flight Director

• Flight Crew Members

• NCC/OSC/SFO

• F/C/R PROCEED TO 200’ OR AS REQUIRED

• Remaining convoy elements stay behind clean/dirty line

• CREW EGRESS

• F/C/R transports crew to DECON / MEDICAL

MODE VI AIDED EGRESS / AIDED

ESCAPE

• DECLARED BY:

• Flight Director

• Flight Crew Members

• NCC/OSC/SFO

• F/C/R PROCEED TO 200’ OR AS REQUIRED

• Remaining convoy elements stay behind clean/dirty line

• RESCUE PERSONNEL INGRESS ORBITER• IAW Procedures Document

• CREW EGRESS• F/C/R transports crew to DECON / MEDICAL

DECON

HAT

SP

B-4 STAND

BUS

WINDCOLDCOLD


HOTHOTZONEZONE

CORRIDOR

MODE V / VICONVOY POSITION

AMB

AMB

CH-1

OSC

1250 FEET


F/C/R

F/C/R

RESCUE

F/C/R

AS REQ’D

• CATASTROPHIC CONDITION

• POSING SERIOUS THREAT TO RESPONSE FORCE– Imminent Explosion

– Massive release of Hypergolic/Toxic materials

– Criteria: Depends on EXPERIENCE and JUDGMENT

• DECLARED BY: – Flight Director

– On Scene Commander

– Senior Fire Official

– Orbiter Crew

• BROADCAST CONDITION– Radios, lights, sirens

• EVACUATE UPWIND AND BEYOND 1250’

EGRESS CONDITIONRED

WINDCOLDCOLD


HOTHOTZONEZONE

EGRESS CONDITION RED-- EVACUATION --

HATB-4 STAND

DECON

CH-1SP

OSC

BUS

AMB

AMB


1250 FEET

F/C/R

F/C/R

RESCUE

F/C/R

HAZARDSHEAT, EXPLOSIVE, CHEMICAL

HOT SURFACESAVOID FOR 30 MIN

HEAT HAZARDS

RCS EXHAUST PLUMESAVOID BY 50’ IN-LINE

APU EXHAUSTPLUME

SIDE HATCH

EXPLOSIVE HAZARDS

TOP HATCH

DRAG CHUTEDOOR

WHEEL / TIREFRAGMENTATION

HOT BRAKES

WHEEL / TIREFRAGMENTATION

HOT BRAKES

PYROTECHNIC INITIATORS

CHEMICAL HAZARDS

GASEOUS HYDROGENRELIEF VENT

MONOMETHYLHYDRAZINERELIEF VENT(MMH)

(MMH)

NITROGENTETROXIDERELIEF VENT(N2O4)

(N204)

(N204)

LIQUID OXYGENRELIEF VENT

LIQUID HYDROGENVENT

AMMONIAVENT

N2O4 -FLASH POINT: NON-FLAMMABLE-LIQUID: YELLOW TO DARK BROWN-VAPOR: YELLOW TO REDDISH BROWN-SHARP PUNGENT ODOR-WATER SOLUBLE

MMH -FLAMMABLE RANGE: 2.5% - 99%-LIQUID: COLORLESS-VAPOR: AMMONIA OR FISHY SMELL-SPONTANEOUS IGNITION WITH OXIDIZERS-WATER SOLUBLE

DECONTAMINATION

MEDICAL PERSONNEL WAITING ON DECON CONES ARE CLEAN/DIRTY LINE

MEDICAL PERSONNEL WAITING ON DECON CONES ARE CLEAN/DIRTY LINE

DECONTAMINATION ISSUES

ACES Exposed to MMH ACES Exposed to N204

DECONTAMINATION

• THE LIKELIHOOD OF SIGNIFICANT HYPERGOL CONTAMINATION DURING A SHUTTLE CONTINGENCY IS EXTREMELY LOW

• ACES WILL PROTECT CREWMEMBER FROM HYPERGOLIC VAPORS BUT NOT FROM LIQUID HYPERGOLS

• ACES WILL BLEACH OUT WHEN EXPOSED TO LIQUID MMH

• ACES WILL TURN BLACK WHEN EXPOSED TO LIQUID N2O4

• VAPOR CONTAMINATION DISSIPATES RAPIDLY AND IS NOT A THREAT TO RESCUERS

DECONTAMINATION

• LIQUID CONTAMINATION MAY CAUSE EYE/SKIN/AIRWAY IRRITATION WHEN IT STARTS TO EVAPORATE

• BLACKHAWK CABIN VENTILATION SYSTEM PROVIDES TWICE THE NECESSARY CABIN AIR EXCHANGE TO PREVENT HARMFUL LEVELS OF HYPERGOL FROM A CONTAMINATED SUIT

DECONTAMINATION

• IF SAR TEAM DELIVERS A CREWMEMBER WITH A DISCOLORED ACES, ENSURE SUIT WAS SPRAYED WITH 5 GALLONS OF WATER

• IF SITUATION PERMITS, REMOVE SUIT OR CUT OFF DISCOLORED PART OF SUIT AND COOLING GARMENT THEN WASH AFFECTED BODY SURFACE WITH WATER

• ENSURED BACK SIDE OF CREWMEMBER IS DECONTAMINATED

• AT THE MINIMUM, FLY WITH CABIN VENTS “ON”

• BRIEF ACCEPTING DCMF/ICMF

1250 FEET

DECON

B-4 STAND

BUS

WINDCOLDCOLD


HOTHOTZONEZONE

AS REQ’D

CORRIDOR

DECONRESPONSIBILITIES

AMB

AMB

CH-1

OSC

HAT

SP


F/C/R

F/C/R

F/C/R

RESCUE

• ASSESS FOR CONTAMINATION (VISUAL)

• DECON AS REQUIRED

• PASS ACROSS CLEAN / DIRTY LINE

1250 FEET

DECON

B-4 STAND

BUS

WINDCOLDCOLD


HOTHOTZONEZONE

AS REQ’D

CORRIDOR

MEDICAL RESPONSIBILITIES

AMB

AMB

CH-1

OSC

HAT

SP


F/C/R

F/C/R

F/C/R

RESCUE

• ASSESS

• TREAT

• TRANSPORT

• REPORT

1250 FEET

DECON

BIO

SP

B-4 STAND

BUS

WINDCOLDCOLD


HOTHOTZONEZONE

AS REQ’D

CORRIDOR

FIREFIGHTERRESPONSIBILITIES

AMB

AMB

CH-1

OSC


F/C/R

F/C/R

RESCUE

F/C/R

• INGRESS

• POWER DOWN

• EXTRICATE

• TRANSPORT

TRIAGE

TRIAGE

Fire Department administered supplemental O2 Fire Department administered supplemental O2

CREW POSITION

COMMANDER

PILOT

MISSION SPECIALIST 1

MISSION SPECIALIST 2

PAYLOAD SPECIALIST 1

PAYLOAD SPECIALIST 2

CALL SIGN

CDR

PLT

MS1

MS2

PS1

PS2

ALPHA ID

A

B

C

D

E

F

TYPICAL ASTRONAUTIDENTIFICATION

NOTE: CHANGES SLIGHTLY MISSION TO MISSION…REFER TO MESSAGE INFO

HELMET ALPHA ID

HARNESS ALPHA ID

BOOT ALPHA ID

MEDICAL CODES

• MED CODE 0: No reasonable expectancy of survival or deceased

• MED CODE 1: Condition CRITICAL, immediate care and evacuation required

• MED CODE 2: Condition FAIR TO POOR, care required before evacuation

• MED CODE 3: Condition GOOD TO FAIR, injuries do not require hospitalization

MEDICAL BRACELET

MEDICAL SUPPORT

• DOD PHYSICIAN RESPONSIBLE UNTIL RELIEVED BY NASA SURGEON

• PROVIDE EMERGENCY MEDICAL TRANSPORTATION WITHIN EXISTING CAPABILITIES

– Emergency equipment, staff, and up to eight injured crewmembers must be moved

• EMERGENCY LANDING

– (LAS) 1 Ambulance, 2 Med Techs, 1 Physcian

• 30 minute response

– (ELS) Best Effort Response

• If notification time permits, be ready 10 min prior to landing

Generic Toxins

• Nitrogen tetroxide OMS, RCS

• Hydrazine APU

• Monomethylhydrazine OMS, RCS

• Ammonia ATCS

• Freon-21 ATCS

• Halon 1301 Fire control

• Fluorinert FC-40 EPS

• Helium RCS, aft & mid fuselage

• Hydrogen Aft & mid fuselage

• Nitrogen Mid fuselage

Orbiter Hazardous Fluids/Gases

• Toxic

– TLV: threshold limit value (ppm)

• Flammable

– Lower Explosive Limit (LEL) and Upper Explosive Limit (UEL)

• Hypergolic

– Hydrazine and monomethylhydrazine

– Oxidizer: nitrogen tetroxide

Classification of Hazardous Fluids/Gases

Fluid/Gas Toxic Flammable Hypergolic

Ammonia X X

Breathing Oxygen X

Fluorinert

Freon 21 Low

Halon 1301 Low

Helium

Hydraulic Fluid

Classification of Hazardous Fluids/Gases

Fluid/Gas Toxic Flammable Hypergolic

Hydrazine X X X

Liquid Hydrogen X

Liquid Oxygen X

Monomethyl Hydrazine X X X

Nitrogen

Nitrogen Tetroxide X X X

Nitrogen Tetroxide (N2O4)

• Chemical Characteristics

– Colorless liquid, brown gas

– Pungent, irritating odor, detectable at 0.2 ppm

– Corrosive oxidizing agent


• Biological Effects

– Skin: burning, itching, irritation

– Eyes: burning, itching, irritation

– Respiratory: cough, dry throat, dyspnea, pulmonary edema

– CNS: CNS excitation/seizures, anxiety, mental confusion

– CV: cardiac arrhythmias, hypotension, weak rapid pulse

– GI: nausea, abdominal pain


• Treatment

– Decontaminate

– Respiratory support/monitor

– Steroids

• Solumedrol: 30 mg/kg IV

– Pulmonary edema may be delayed for up to 6 hours

Hydrazine


– Slightly basic: strong reducing agent

– Decomposes and oxidizes in air

– Soluble in water, alcohol

– Insoluble in chloroform, ether

– Oily liquid

– Fishy, ammonia-like odor

– Detectable at 1-10 ppm monomethylhydrazine

Hydrazine• Biological Effects

– Well absorbed through all routes

– Eyes: irritation, inflammation, swelling, blindness (delayed onset 10 hours)

– Skin: corrosive, penetrating burns

– Lungs: irritation, pulmonary edema

– Liver: hepatic necrosis, toxic hepatitis, death

– Kidneys: proteinuria, acute renal failure

– CNS: seizures, vomiting, behavioral changes

– GI: nausea, vomiting

– Blood: hemolytic anemia, methemoglobinemia

Hydrazine

• Treatment

– Decontaminate


– Pyridoxine: 25 mg/kg IV for seizure prophylaxis

ELS SITES DO NOT HAVE PYRIDOXINE!ELS SITES DO NOT HAVE PYRIDOXINE!

Ammonia (NH3)


– Moderately toxic

– Colorless with pungent, penetrating odor (1-5 ppm)

– Severe irritant to eyes and upper respiratory tract

– Major exposure route: inhalation

Ammonia (NH3)


– Eyes: burning and tearing

– Skin: irritation, alkali burns, frostbite

– ENT: irritation, runny nose (400-700 ppm)

– Respiratory: cough, hoarseness, chest pain (2500-6560 ppm - dangerous in 30 minutes), wheezing, pulmonary edema

– Death (5000-10000 ppm - brief exposure)

Ammonia (NH3)

• Treatment

– Decontaminate


– Frostbite: re-warm with H2O

Halon 1301 (CF3Br)


– Colorless

– Low toxicity

– Very unlikely over exposure

– Major exposure route: inhalation

Halon 1301 (CF3Br)


– Respiratory distress, pulmonary edema

– CNS effects have been observed at 4% (inebriation, dizziness, CNS depression, syncope)

– Slight, reversible disturbances in the ECG at concentrations > 6%

Halon 1301 (CF3Br)

• Treatment


– Avoid routine use of catecholamines (Epinephrine) or sympathomimetics, but utilize for situations in cardiac arrest (similar warning for freon)

Toxicology Databases• JSC Toxicology Database

– Includes compounds flown with potential mission impact

– Accessible by JSC Flight Surgeon in Mission Control Center

• Toxicology, Occupational Medicine & Environmental Series (TOMES®, by Micromedex) System

– Industrial chemical database

– Includes medical treatments

– Subscription-based

• MSDSs from Internet resources (i.e. TOXNET)

• Contact your local or regional Poison Control Center

• Call the SOC: Col Zelnick

PHONE NUMBERS

• DDMS OFFICES1201 Edward H. White II Street, MS 7101Patrick AFB, FL 32925CML (321) 494-XXXX

DSN 854-5116 - Operations (DDMS-O)DSN 854-2143 - Plans (DDMS-X)DSN 854-5983 - Training (DDMS-T)DSN 854-5981 - Medical (DDMS-M)DSN 854-2310 - FAX

• SOC (on-orbit, launch, and landing operations only)

DSN 467-9161 - ConsoleDSN 854-9648 - FAX

DDMS WEBSITE

https://www.patrick.af.mil/DDMS/

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DDMS MEDICAL BRIEF PLEASE SIGN IN. DDMS INTRODUCTION