Neurophysiology and aviation medicine.
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Within the aviation environment, occupational medicine tends to focus on pilots, because of the very great effects pilot injury or illness can have on public safety. However, medical conditions of other aviation workers can also endanger public and personal safety. Sudden incapacitation an abrupt loss or impairment of consciousness, control, or performance is the most important occupational concern in aviation medicine. The authors discuss the neurologic causes of sudden incapacitation and syncope, and evaluate the risks of returning affected pilots to duty. Also offered is a Controversy (Single Seizure: To Treat or Not To Treat).
In a U.S. Army aviation medicine program, flight surgeons provide primary clinical care for the units they support. Routine outpatient care (sick call) is performed daily on a walk-in basis. This study describes the diagnoses associated with flight and non-flight personnel reporting to sick call in an Army aviation medicine clinic. Data were collected over a 1-year period at an Aviation Troop Medical Clinic (TMC) supporting an aviation brigade consisting of 530 aircrew and 1,220 support personnel. A total of 5,793 sick call visits were made, 73% of which were initial visits, the remainder being second or subsequent visits. Aircrew evaluations accounted for 29% of the total. Major reasons for visits were illness (56%), injury (34%), and supplemental care (10%). However, substantial differences were noted between flight and non-flight patients. Overall, non-aircrew visits accounted for the bulk of the flight surgeons' clinical workload during sick call.
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Ascents in balloons were first performed in Buenos Aires in 1855, and this activity was later regulated through the "Argentine Air Club," founded in 1908, whose Vice President, Jorge Newbery, subsequently became officially known as the "Founder of Argentine Aeronautics." Airplanes appeared and the first pilots' licenses were granted on June 17, 1910. Medical advice was given for such feats as crossing The Andes Cordillera in a balloon in 1915. Medical requirements for flying activities led to the creation of the Psychophysical Fitness Center in 1922, the first of its kind in Argentina and South America. There, selection and periodical check-ups were performed according to medical standards prepared by Agesilao Milano, M.D., the Founder of Aviation Medicine in Argentina. Sanitary aviation began in 1911, and was formally organized in 1940. The first paper in aviation medicine was published in 1924. Teaching and research in aviation medicine started in 1933, and continued after the creation of the National Institute of Aviation Medicine in 1945, taking as its basic objective the physical fitness qualification for all flying activities. The Institute has been recognized as a University Establishment and rules Argentine national policy in aviation medicine.
This is the third of three brief papers that summarize the history of aviation medicine in the Royal Air Force. Unusually, at the end of the Second World War, British aviation medicine research did not enter a period of decline. The needs of the Royal Air Force during the Cold War ensured the continuing development of the RAF Institute of Aviation Medicine. However, reduction of the threat with the end of the Cold War led to the requirement for a peace dividend. British aviation medicine research has now entered a commercial era, competing for funding from industry as well as from the Royal Air Force.