I. Introduction 1. General Considerations of the Environment 2.Systems Medicine and Engineering for Procedural Care 3. General Approach to Procedures in Space II. Locations, Procedures, and Considerations 4. Vascular Access 5. Hemorrhage Control 6.

Resuscitation and Critical Care 7. Irrigation 8. Head and Neck Procedures 9. Ophthalmic Procedures 10. Auricular Procedures 11. Chest Procedures 12. Abdominal Procedures 13. Upper Extremity Procedures 14.

Obstetric and Gynecological Procedures 15. Genitourinary Procedures 16. Lower Extremity Procedures 17. Spinal Procedures 18. Dental Procedures III. Anesthesia and Pain Management 19. Pharmaceutical Considerations 20. Sedation and General Anesthesia 21.

Local Anesthesia 22. General Pain Control IV. Post Procedure Care 23. Recover and Patient Monitoring 24. Rehabilitation 25. Modification of Crew Schedule and Fitness for Duty V. Other Considerations 26. Sterilization vs.

Decontamination 27. Diagnostic Tools 28. Pre-flight Training Curriculum Development for Procedural Skills 29. Procedural Guidance 30. Medical Evacuation VI. The Future 31. Major Invasive Surgery 32. Clinical Decision Support Systems 33.

Space Emergency Medical Services 34. The Far Future.