Aerospace Medicine - Now and Over the Horizon

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Aerospace Medicine -Now and Over the Horizon
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Agenda

• Yesterday
• Today
• Tomorrow
• Questions

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Today

• Medical Specialties
• Psychiatry and Psychology
• Internal substance abuse program
• Aeromedical standards and policy
• Medical Appeals

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Today

• Aerospace Medical Certification
• Medical review and appeals
• Case review and appeals

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Aeromedical Certification

• 594,285 Pilots
• 378,048 applications received
• 33,628 special issuance applicants

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Special Issuances - Cardiovascular
as of May 31, 2011
Class 1 Class 2 Class 3 Total
Myocardial Infarction 376 297 2,201 2,874
Bypass Surgery 46 204 2,075 2,325
Angioplasty 118 103 689 910
Stents 513 411 3,058 3,982
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Special Issuances - Cardiovascular
as of May 31, 2011
Class 1 Class 2 Class 3 Total
Valve Replacement
Bioprostheses 48 22 238 308
Mechanical 31 24 132 187
Pacemaker 37 43 301 381
Defibrillator 0 0 1 1
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Special Issuances - Substance Abuse
as of May 31, 2011
Class 1 Class 2 Class 3 Total
Alcoholism 382 19 17 418
Drug Dependence 36 3 15 54
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Special Issuances - Transplants
as of May 31, 2011
Class 1 Class 2 Class 3 Total
Liver 5 4 32 41
Lung 0 0 1 1
Kidney 25 18 71 114
Heart 0 0 3 3
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Special Issuances - Eye
as of May 31, 2011
Class 1 Class 2 Class 3 Total
Monocular 36 38 310 384
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Special IssuancesDiabetes
as of May 31, 2011
Class l Class ll Class III Total
Non-Insulin 652 1,142 4,308 6,102
Insulin 0 0 472 472
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Special Issuances - Cancer
as of May 31, 2011
Class l Class ll Class III Total
Breast 28 32 106 166
Colon 73 72 337 482
Leukemia / Lymphoma 109 112 377 598
Melanoma 131 112 439 682
Prostate 89 156 462 707
Renal 40 58 138 236
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Special Issuances - Neuropsychiatric
as of May 31, 2011
Class l Class ll Class III Total
CVA 1 9 26 36
Head Trauma 121 134 558 813
Migraine 87 70 434 591
Seizures 9 7 33 49
Stroke 69 83 389 541
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Special Issuances - HIV
as of May 31, 2011
Class 1 Class 2 Class 3 Total
HIV 40 4 32 76
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Special Issuances Anticoagulation
as of May 31, 2011
Class 1 Class 2 Class 3 Total
Atrial Fibrillation 349 277 1,090 1,716
Deep Vein Thrombosis 165 127 432 724
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Special Issuances - Sleep Disorders
as of May 31, 2011
Class l Class ll Class III Total
Sleep Disorders 65 65 314 444
Sleep Apnea 678 637 1,836 3,151
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Aeromedical Certification

• 6,379 denials (1.69 of all applications)
• - 5,905 failed to pursue
• - 474 denials (0.13 of all applications) when
  all information requested was provided

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Today

• Aerospace Medical Education
• Aviation medical examiners
• Initial certification
• Recertification
• Pilots
• Cockpit resource management
• Physiological training
• Survival training

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Today

• Aerospace human factors research
• Flight deck human factors research
• National Airspace human factors research

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Today

• Aerospace medical research
• Bioaeronautical sciences research
• Aeromedical protection survival

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Today

• Industry drug abatement
• Field operations
• Special investigations

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The Future
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Flying in space is not like taking a roller
coaster ride
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(No Transcript)
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Safety Management System (SMS)

• Safety Policy
• Safety Risk management
• Safety Assurance
• Safety Promotion

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- In the Office
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• Aerospace Medicine
• 2031

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QUESTIONS?