Scenarios.pdf

Attachment # 1

SCENARIOS

For each scenario provide a description of how your company would respond. Elements of NASA’s evaluation of Offerors’ responses will include: types of assets and personnel used, timing of response, travel route(s) taken to hospital or medical facility, and any other information that demonstrates Offeror’s capabilities and expertise.

Responses for each scenario shall not exceed 3 pages each, single spaced, font size 12 Times New Roman. Scenarios will be evaluated by the Government as Pass/Fail.

SCENARIO 1

Location: Tsukuba, Japan

Patient: Previously healthy 40 year old male Situation: Patient collapses during a meeting and admitted to a local hospital ICU. Diagnosis is a brain tumor, advanced. Ventilator support and anti-seizure medications are administered; the patient is unconscious. Otherwise, patient is stable and non-operative.

Describe Capabilities for:

1) Advanced airway management

2) Ventilator management/Oxygenation for duration of mission

3) Advanced medication management (anti-seizure meds/intravenous meds)

4) Advanced Life Support if required

5) Ability to have Flight Surgeon or Family Member accompany

SCENARIO 2

Location: Kwjalein Atoll in the Marshall Islands

Patient: 58 year old female with no recent history of illness or disease Situation: Ill with multiple symptoms of unknown origin. Presumptive diagnosis of acute pancreatitis, but unconfirmed. Local medical facility has treated her to their maximal ability. At time of evaluation for medevac, she is on IV hydration and pain control

Attachment # 1

Describe Capabilities for:

1) Intravenous fluid and blood pressure support

2) Potential for airway management/oxygenation for duration of mission

3) Potential for intravenous antibiotic administration

4) Capability to perform portable bedside ultrasound

5) Intravenous pain control

6) Potential for Advanced Life Support

SCENARIO 3

Location: Training facility Canberra, Australia

Patient: 52 year old male with no history of illness or disease Situation: Employee performing survival training and was noted to have atrial fibrillation.

Employee placed on rate control medication & anticoagulant and is determined by accompanying NASA flight surgeon to be stable

Describe Capabilities for:

1) Intravenous fluid and blood pressure support

2) Intravenous medications for dysrhythmia management

3) Synchronized cardioversion capability

4) Potential for Advanced Life Support

5) Ability for a Flight Surgeon or family member to accompany

SCENARIO 4

Location: Bangkok, Thailand Patient: 32 year old female Situation: Patient is 20 weeks pregnant and develops abdominal pain and vaginal spotting. Local medical capability unable to provide appropriate care. An onsite NASA physician happens to be there and supports her to the extent possible. Her 10 year old son is also present at Bangkok. Both patient and son need to be transported to their final destination in the U.S.

Describe Capabilities for:

1) Intravenous fluid and blood pressure support

2) Intravenous medications

3) Fetal monitoring or portable bedside ultrasound

4) Speculum/lighted vaginal examination equipment to handle spontaneous AB

5) Ability for family member to accompany