| Autor: |
Huiban, Nicolas, Gehant, Mélanie, Brocq, François-Xavier, Bisconte, Sébastien, Marion, Laetitia, Monin, Jonathan, Cardines, Catherine, Manen, Olivier, Monteil., Marc |
| Předmět: |
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| Zdroj: |
Aerospace Medicine & Human Performance; Aug2024, Vol. 95 Issue 8, p621-622, 2p |
| Abstrakt: |
BACKGROUND: In his daily practice, the expert may be confronted with a wide range of pathologies, the repercussions of which degrade flight performance. The potentially serious operational consequences can then naturally justify a decision of unfitness. But beyond the simple assessment of the compatibility between a morbid condition, expected performance levels and flight conditions, can a broader reflection on flight safety and the risk of in-flight incapacitation be reasonably concluded by a decision of unfitness? OVERVIEW: This question needs to be considered against a backdrop of increasing progress (medical and technological), and a regulatory framework authorizing operational limitations designed to "control" this risk by reducing it to a level deemed "acceptable". But could this approach be relevant in a military environment? In commercial civil aviation, it could make a lot of sense, since the simple addition of a second pilot could statistically reduce the risk of an accident caused by a pilot becoming incapacitated in flight by a factor of 1000. In other words, it would be virtually possible to "eliminate" this risk for air transport operations... But what would happen to a student pilot planning to become an airline pilot, but not yet holding a professional license at the time of the medical examination? Or a Class 2 private pilot? While this approach cannot be directly transposed outside commercial aviation, it appears that the level of safety required is generally lower in private than in commercial aviation. Some authors therefore recommend tolerating a higher risk of incapacitation for private pilots. So, apart from disabling pathologies, could the « simple » risk legitimately constrain the fitness decision? DISCUSSION: In the end, in our current practice, could a decision on unfitness for flight be reasonably motivated by risk factors alone, or by a morbid condition that would be transient or even chronic, but without functional damage or sequelae? We will attempt to develop this question in the light of recent experience at the Toulon AEMC, by using clinical illustrations of military and civilian aircrews, received as part of initial and renewal medical visits. Learning Objectives 1. To understand strategies for managing the risk of in-flight incapacitation. 2. To know the main causes of unfitness to fly decisions. [ABSTRACT FROM AUTHOR] |
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