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FRMS Symposium. Medical Aspects Dr Anthony Evans Chief, Aviation Medicine Section August 2011. Designated Medical Examiners. New guidance provided in (draft) Manual of Civil Aviation Medicine http :// www.icao.int/icaonet/dcs/8984/index.html

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frms symposium

FRMS Symposium

Medical Aspects

DrAnthony Evans

Chief, Aviation Medicine Section

August 2011

designated medical examiners
Designated Medical Examiners
  • New guidance provided in (draft) Manual of Civil Aviation Medicine http://www.icao.int/icaonet/dcs/8984/index.html
  • Fatigue included as topic in updated training requirements for DMEs
hypnotics sleeping tablets 1
Hypnotics (sleeping tablets) - 1
  • Should be considered by regulators as acceptable for fatigue mitigation:
    • In a minority of individuals
    • After other counter-measures considered
  • Must be used only under supervision of a doctor who understands:
    • Safety implications
    • Operational environment
hypnotics sleeping tablets 2
Hypnotics (sleeping tablets) - 2
  • Should be mentioned in operator advice to aircrew:
    • Avoid over the counter purchases
    • Use only under supervision of aviation medicine specialist

(View of regulatory authority needs to be known)

  • Melatonin is not recommended
    • Unless prescription quality, and under supervision as for hypnotics
sleep apnoea stopping breathing for many seconds when asleep
Sleep apnoea (stopping breathing for many seconds when asleep)
  • Increases fatigue and can impact physical health
  • Increasingly recognized as important to flight safety
  • Can usually be successfully treated (with no implications to medical fitness)
    • Important to follow treatment regime
role of dmes
Role of DMEs
  • Usually involved in fatigue mitigation for individuals
  • With knowledge of operational environment can also provide input into implementation of FRMS
frms symposium1

FRMS Symposium

Medical Aspects

DrAnthony Evans

Chief, Aviation Medicine Section

August 2011