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Aerospace Medical Association 84thAnnual Scientific MeetingMay 13, 2013

Biomedical Results of the Red Bull Stratos Project

Overview of Physiological and

Medical Risks and MitigationJonathan B. lar!, M", M#$ Ja%es M. #attarini, M"

&e'ecca S. Blue, M", M#$ Matthe( ). *urney, M"

Ale+andro ar'ino, M", #h" Andre( A. #il%anis, #h"Jennifer -a(, M", M#$

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Disclosure InformationJonathan B. Clark, MD, MPH

ha/e the follo(ing financial relationships todisclose

onsultant for Sage heshire Aerospaceorporation

onsultant for &ed Bull .A.

(ill discuss the follo(ing offla'el use andorin/estigational use in %y presentation

$igh5lo( #ercussi/e 6entilation for e'ullis%related

pul%onary in+ury $idalgo 7ui/ital9 for nonin/asi/e he%odyna%ic

%onitoring for spaceflight applications

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Historic essons earned

: ;SA5 #ro+ect 7

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7

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7

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Project Stratoa! "

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&ussian 6olga Stratospheric

#arachute *est #rogra%

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SR#$% Black!ird Breaku& at Mach

'(%) * $)+,,, ft -%*./*%0112

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essons earned from Stratos&heric

3ircraft * Balloon 4lights and "acuum

5ham!er 6vents

: ontact 'et(een /ehicle and cre( during egresscan 'reach the pressure suit integrity

: A flat spin in free fall can render a +u%per una'le

to perfor% physical acti/ities or render the%unconscious or can 'e fatal

: -ocalied suit lea! %ay result in focal tissue

s(elling fro% e'ullis%

: An inflated suit can act to li%it functional %o'ilityand li%it in+ury potential during supersonic transonic transitions

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essons earned from Stratos&heric

3ircraft and Balloon 4lights and "acuum

5ham!er 6vents

: 7

: *he postlanding en/iron%ent is still a threat tosur/i/al

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Red Bull Stratos

7echnical O!jectives

: "e%onstrate ad/anced features of ne

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Red Bull Stratos Milestones

.,,/ .,,1 .,,$ .,,) .,,0 .,%, .,%% .,%.

Unmanned balloon flight #2

Manned balloon flight #1

Manned balloon flight #2

3rdChamber test at Brooks

Manned balloon flight #3

2ndChamber test at Brooks

Capsule man-rated to 121,000

Unmanned balloon flight #1

ind tunnel testing

and training in

pressure suit

Capsule and suit

thermal !a"uum testat Brooks Chamber

ersonal para"hute s$stem de!elopment begins

Capsule Constru"tion begins

%igh-altitude balloons se"ured

&eli' "ondu"ts first high-altitude training in pressure suit

at Beale (&B

Col) *ittinger +oins team

a!id Clark Co) agrees to sell

and produ"e suits to age

Cheshire for the .ed Bull

tratos program

age Cheshire begins

lanning and team

re"ruitment, "apsule and

s$stem de!elopment

begins

&eli' and .ed

Bull re/uest

groundork

for pro+e"t to

begin ithage Cheshire

(erospa"e

Corporation

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Red Bull Stratos

7est Program

: -o( pressure cha%'er tests pressure suit and life support syste%

: 6ertical (ind tunnel and free fall tests

personal parachute syste% and pressure suit

: Suspended platfor% 'ungee stepoff tests

: 5ree fall flight tests =high troposphere> pressure suit and life support syste%s

: ntegrated ther%al/acuu% cha%'er tests capsule, spacesuit, parachute, life support syste%s

100 ft =30,480 %>, D0F5 =G1F>

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Red Bull Stratos

7est Program

mages "ourtes$ of .ed Bull tratos

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Red Bull Stratos

Medical O!jectives

: dentify the technical challenges ofindi/idual cre( escape syste%s

: &ecognie the feasi'ility of sur/i/alfro% a supersonic at%ospheric reentry

: "e%onstrate ho( %edical treat%entprotocols for ca'in pressure loss %ayapply to hu%an spaceflight

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Primary 7hreats for

Stratos&heric Bailout

1> -o( altitude a'ort =H4,000 ft 1,21E % 'alloon failure> $ard landing (ith occupant in capsule

2> -o( pressure /acuu% e

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Red Bull Stratos

Medical 7eam: Jonathan lar! M", M#$ Medical "irector

: Matt *urney M" 7%ergency Medicine #hysician

: Jennifer -a( M", M#$ 7%ergency Medicine #hysician

: &e'ecca Blue M", M#$ 7%ergency Medicine #hysician

: Shar%i )at!ins M" nternal Medicine #hysician

: Ja%es #attarini, M" nternal Medicine &esident

: Ale+andro ar'ino, M", #h" 7%ergency Medicine &esident,

#hysiologic Monitoring

: 7ri! Antonsen, M", #h" 7%ergency Medicine &esident

:

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Red Bull Stratos

6ducational Projects

: 7'ullis% *reat%ent #rotocol "e/elop%ent

: 7%ergency Medical &esponse #lanning

: egati/e #re/ention and *reat%ent

#rotocol "e/elop%ent

: re( &eco/ery #rotocol "e/elop%ent: Accelero%eters and #hysiological Monitoring

Syste% "e/elop%ent

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Red Bull Stratos

Medical 7echnical 5onsultants

: Andy )alshe #h.". &ed Bull $igh #erfor%ance "irector

: Michael er/ais #h.". Sports #sychologist

: Andy #il%anis #h.". Aerospace #hysiologist

: resha% Bayne M.". ritical are onsultant

: Ji% Bagian M.". Safety Sur/i/a'ility onsultant

: &o'ert "unn M.". $yper'aric Medicine onsultant

: Ji% Sheffield M.". $yper'aric Medicine onsultant

: hris Sto!ely #h.". Aerodyna%ics &eentry 7

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Red Bull Stratos

Medical 3nd Physiologic Su&&ort

: Medicalphysiologic threat 'rief: -o( pressure, lo( te%perature, acceleration ris!s

: I

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Physiological Monitoring

System

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Panel earning O!jectives

: "escri'e the %edical concerns and

contingencies faced during &ed Bull Stratos

: "iscuss the %edical protocols de/eloped to

%itigate the ris!s

: "iscuss the 'io%edical results of the &ed

Bull Stratos #ro+ect

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3cknowledgments

: *he %edical tea% ac!no(ledges the in/alua'le contri'ution tothe spaceflight scientific co%%unity that 5eli< Bau%gartner is%a!ing 'y releasing his data o'tained throughout the &ed BullStratos #ro+ect.

: *he authors also ac!no(ledge the in/alua'le support of the

follo(ing &ed Bull .A *he &ed Bull Stratos tea% ol Joe ittinger, ;SA5 =ret> Art *ho%pson and the Sage heshire Aerospace *ea% Ji% Bagian, M" ;ni/ersity of *e