Dodds R L
Aviat Space Environ Med. 1978 Mar;49(3):517-8.
This paper reviews some of the problems encountered in administering satisfactory medical requirements for professional pilots. The role of these requirements in the context of flight safety is discussed. The control of risk by the imposition of strict requirements is contrasted with that achieved by training designed to contain the risk introduced by incapacitation. The fact that aviation safety is based on acceptable risk levels is pointed out and the role of physician in this regard is discussed. The need for a widely accepted minimum level of fitness required for aviation duties is brought out. Certain operational aspects are touched upon. Medical requirements based on the desire to avoid on-duty incapacitation are contrasted with those designed to ensure adequate performance. The present ICAO cardiovascular requirement is discussed with particular reference to permanent grounding following myocardial infarction. The significance of inflight crew incapacitation training is pointed out and a plea for close cooperation between licensing authorities, airline operators, and pilots is made.
本文回顾了在满足职业飞行员的医疗要求方面所遇到的一些问题。讨论了这些要求在飞行安全背景下的作用。将通过严格要求来控制风险与通过旨在控制失能所带来风险的培训所实现的风险控制进行了对比。指出了航空安全基于可接受风险水平这一事实，并讨论了医生在这方面的作用。提出了对航空职责所需广泛接受的最低健康水平的需求。涉及了某些运营方面。将基于避免执勤时失能的愿望的医疗要求与旨在确保足够表现的医疗要求进行了对比。特别参照心肌梗死后的永久停飞，讨论了国际民航组织目前的心血管要求。指出了机上机组人员失能培训的重要性，并呼吁发证当局、航空公司运营商和飞行员之间密切合作。
