Flat spin and negative Gz in high-altitude free fall: Pathophysiology, prevention, and treatment

James M. Pattarini, Rebecca Blue, Luke T. Aikins, Jennifer Law, Andrew D. Walshe, Alejandro Garbino, Matthew W. Turney, Jonathan B. Clark

Research output: Contribution to journalReview article

8 Citations (Scopus)

Abstract

Introduction: Red Bull Stratos was a commercial program that brought a test parachutist protected by a full pressure suit to 127,852 ft (38,964 m), via a stratospheric balloon with a pressurized capsule, from which he free fell and subsequently parachuted to the ground. In light of the uniqueness of the operation and the medical threats faced, medical protocols specific to distinctive injury patterns were developed. One unique threat was that of a flat spin during free fall with resultant exposure to - Gz (toe-to-head) acceleration. In preparation for stratospheric free fall, the medical team conducted a review of the literature on the spectrum of human and animal injury patterns attributable to - Gz exposures. Based on the findings, an emergency medical field response protocol was developed for the rapid assessment, diagnosis, and treatment of individuals suspected of - Gz injury. Methods: A systematic review was conducted on available literature on human and animal studies involving significant - Gz exposure, with subsequent development of an applicable field treatment protocol. Results: The literature review identified pathophysiologic processes and mitigation strategies that were used to develop a prevention and treatment protocol, outlining appropriate interventions using current best medical practices. A medical field treatment protocol was successfully established for the high-altitude balloon program. Discussion: Available literature provided insight into best medical practices for the prevention and treatment of significant - Gz exposures during high-altitude parachute activity. Using the protocol developed for the field medical response, injuries from sustained - Gz exposure can be effectively managed in similar high-altitude and space operations.

Original languageEnglish (US)
Pages (from-to)961-970
Number of pages10
JournalAviation Space and Environmental Medicine
Volume84
Issue number9
DOIs
StatePublished - Sep 11 2013

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Clinical Protocols
Wounds and Injuries
Practice Guidelines
Gravity Suits
Toes
Therapeutics
Capsules
Emergencies
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ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Pattarini, J. M., Blue, R., Aikins, L. T., Law, J., Walshe, A. D., Garbino, A., ... Clark, J. B. (2013). Flat spin and negative Gz in high-altitude free fall: Pathophysiology, prevention, and treatment. Aviation Space and Environmental Medicine, 84(9), 961-970. https://doi.org/10.3357/ASEM.3648.2013

Flat spin and negative Gz in high-altitude free fall : Pathophysiology, prevention, and treatment. / Pattarini, James M.; Blue, Rebecca; Aikins, Luke T.; Law, Jennifer; Walshe, Andrew D.; Garbino, Alejandro; Turney, Matthew W.; Clark, Jonathan B.

In: Aviation Space and Environmental Medicine, Vol. 84, No. 9, 11.09.2013, p. 961-970.

Research output: Contribution to journalReview article

Pattarini, JM, Blue, R, Aikins, LT, Law, J, Walshe, AD, Garbino, A, Turney, MW & Clark, JB 2013, 'Flat spin and negative Gz in high-altitude free fall: Pathophysiology, prevention, and treatment', Aviation Space and Environmental Medicine, vol. 84, no. 9, pp. 961-970. https://doi.org/10.3357/ASEM.3648.2013
Pattarini, James M. ; Blue, Rebecca ; Aikins, Luke T. ; Law, Jennifer ; Walshe, Andrew D. ; Garbino, Alejandro ; Turney, Matthew W. ; Clark, Jonathan B. / Flat spin and negative Gz in high-altitude free fall : Pathophysiology, prevention, and treatment. In: Aviation Space and Environmental Medicine. 2013 ; Vol. 84, No. 9. pp. 961-970.
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