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EVOLUTION OF AEROMEDICAL DISPOSITION ASSESSMENT

EVOLUTION OF AEROMEDICAL DISPOSITION ASSESSMENT. Jiří ŠULC Institute of Aviation Medicine Prague , Czech Republic. European Airline Traini n g Symposium, Prague November 10 th – 11 th 2009. HISTORY. Early attempts 1887 Russia 1888 Germany. Based on aeromedical knowledge

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EVOLUTION OF AEROMEDICAL DISPOSITION ASSESSMENT

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  1. EVOLUTION OF AEROMEDICAL DISPOSITION ASSESSMENT Jiří ŠULC Institute ofAviationMedicine Prague, CzechRepublic European Airline Training Symposium, Prague November 10th – 11th 2009

  2. HISTORY Earlyattempts 1887 Russia 1888 Germany Based on aeromedicalknowledge 1907 Russia 1915 Germany 1918 USA, GB, France, Italy 1924 Czechoslovakiaetc.

  3. HISTORY Request of absolute fitness of a licence holder First Czechoslovak Regulation on Flight Crew Medical Licensing [1924] (Examination of airmen with a physician)

  4. HISTORY  Convention on International Civil Aviation Annex 1  FARs [USA]  JAR-FCL 3 [Europe]

  5. MEDICAL CERTIFICATE  Warrants that an airman • is physically and mentally capable of performing his/her flying duties … for the period of validity of his/her certificate; • is free of disease which may render him/her incapable of performing the duties on board in a safe manner; • is free of disease which may slowly, but within the period of validity of relevant certificate reduce the capacity for performing his/her duties on board below the acceptable level

  6. PROBLEMS • Some specific health disorders, which may without warning strike the pilot´s ability to perform his/her obligations  unfitness • Aeromedical tourism

  7. Sudden In-FlightMedicalEvents • Pilot´s incapaciation [complete inability to perform any in-flight duties] • Pilot´s impairment [some degree of degradation of his/her performance]

  8. Sudden In-FlightMedicalEvents • Relatively low risk of sudden decompensation of controlled disease • Relatively higher risk in presence of subtle complaints and/or of physiological incidents [fatigue, hypoxia, CO2 intoxication]

  9. CONCLUSION • Today´s system of medical flight crew licensing is highly effective • Without active cooperation of aircrew can significant impairments of medical fitness pass unnoticed

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