Preparing for Injury Beyond Earth: EM Faculty & Collaborators Publish Spaceflight Training Study


02/19/2026

New case report highlights how emergency care inside a spacesuit could shape future astronaut safety protocols

As human space exploration expands, preparing for medical emergencies beyond Earth is critical.

A newly published case report in Wilderness & Environmental Medicine highlights how emergency physicians may need to adapt clinical care for extreme operational environments – including inside a spacesuit.

SpaceX Suit collage

In A Case of Dislocation and Successful Reduction of a Right Anterior Shoulder Inside a Space Suit: Considerations for Future Protocols, authors describe a training scenario in which a participant experienced an anterior shoulder dislocation during an emergency egress exercise in a commercial EVA-style suit.

A Case of Dislocation and Successful Reduction of a Right Anterior Shoulder Inside a Space Suit: Considerations for Future Protocols

The report explores diagnostic challenges, operational limitations, and procedural considerations when suit removal may not be immediately possible.

The team successfully reduced the shoulder while preserving suit integrity, offering key insights for future lunar and long-duration missions where rapid treatment is critical to prevent complications.

space suit collage 2

The study illustrates the growing intersection between emergency medicine, operational medicine, and aerospace health – an area of increasing focus at UTHealth Houston and TMC’s space medicine initiatives.

UTHealth Houston’s Space Medicine contributors:

  • Samuel Beger, MD, MPH
  • Curtis Lowery, MD, PhD
  • Nicolas Heft, MD
  • Jaime Mateus, PhD
  • Alejandro Garbino, MD, PhD, MPH

A very special thanks to collaborators Amran Asadi, MD, PHD, and Brandon Trapp, MD, for their contributions to the project.

ED to Space

This publication highlights UTHealth Houston’s commitment to advancing emergency care research in extreme and austere environments – from the ED to the frontier of human spaceflight.

For the full article, please click here.