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Military Treatment Record Management > Aspects of Aviation Medicine > Flashcards

Aspects of Aviation Medicine Flashcards

1
Q

DD Form 2992

A

“Up/Down Chit”

Medical Recommendation for Flying or Special Operations Duty

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2
Q

What’s the purpose of DD Form 2992?

A

Notify CO or OIC that member is no longer medically recommended for flying duties

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3
Q

Who may issue an Aeromedical Grounding Notice?

A

All medical department personnel

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4
Q

Where is the Aeromedical Grounding Notice noted in the member’s health record?

A

-Special Duty Medical Abstract (NAVMED 6150/2)

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5
Q

Aeromedical Grounding Notices will be issued to the following:

A
  • Personnel admitted to the Sick List
  • Hospitalized
  • Medical problem that could cause impairment during flight
  • Immunizations, which require temporary grounding (Does NOT require issuance of an Aeromedical Grounding Notice)
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6
Q

When issuing “Down Chits”, who receives a copy?

A
  • The original goes to the CO/OIC
  • First copy goes to Ops Officer
  • Second copy to Training Officer
  • Additional copies for Service Member, Unit Safety or the NATOPs Officer
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7
Q

What’s the duration of a down chit?

A

Remains in effect until member has been examined by a flight surgeon and issued an Aeromedical Clearance Notice “Up-Chit”

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8
Q

Who has the authority to issue an “up-chit”?

A

-IDC
-PA
-MO
(if flight surgeon is not available; consultation must be obtained from a flight surgeon via email, verbal, or message prior to issuing clearance notice)

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9
Q

Who do you call if you issue a down chit?

A

If sickbay/BAS is detached from the unit, a courtesy phone call should be made to the CO, XO, and OPS advising them that a “down chit” has been issued for named individuals

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10
Q

All aviation personnel should be evaluated how often?

A

Annually

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11
Q

To be cleared for flight they must be…

A 
Physically qualified (PQ)
Aeronautically adapted (AA)
Must conform w/ physical standards of CH 15
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12
Q

Following any period of medical grounding, aviation personnel must be evaluated by?

A

-A flight surgeon and issued a clearance notice prior to returning to aviation duties.
(only exception to this is the self-limited grounding notice issued by a dental officer)

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13
Q

Who has the authority to restore flying duties?

A

-CO or OIC

Aeromedical Clearance Notices are medical recommendations only!

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14
Q

All personnel engaged in duties involving flying and all candidates for such duty, must conform to the physical standards of…

A

NAVMED P-117, MANMED CH 15

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15
Q

Who may issue aeromedical Clearance Notices?

A
  • Flight Surgeons or Aviation Medical Examiners
  • The authority may be given to an IDC, PA, or MO when in remote or isolated locations where a flight surgeon is not available.
  • A consultation must be obtained from a flight surgeon, via e-mail, verbal communication, or message, prior to issuing the aeromedical Clearance Notice.
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16
Q

Which instructions specify that the authority to issue an Aeromedical Clearance Notice may be given to an IDC, physician assistant, or non-aviation trained medical officer under specific guidelines?

A
  • NAVMED P-117
  • BUMEDINST 6410.9
  • OPNAVINST 3710.7T
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17
Q

Consult with flight surgeon will be documented by an entry into the outpatient HR with the following info:

A

“Consultation with DR (flight surgeon’s name), contact info, of (FLT Surgeon’s command) occurred on (date) and return to flying status was approved”

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18
Q

Results of the medical evaluation for aviation duty clearance must be entered on the…

A
  • SF 600

- Special Duty Medical Abstract (NAVMED 6150/2)

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19
Q

When Aviation personnel are unable to meet required physical standards for periods exceeding 60 days, what must be done

A
  • Aviation PE shall be completed
  • DD 2808 with appropriate consultations and FLT surgeon recommendations shall be forwarded to NAVOPMEDINST DET NAVAEROMEDINST for review and recommendation to BUPERS or CMC
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20
Q

When do Aeromedical Grounding Notices remain in effect until?

A

cleared by a flight surgeon

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21
Q

Aviation Mishap Investigation Procedures

A
  • Search for survivors and treat all casualties first
  • Collect medical records of crew and passengers
  • Perform required PE and labs on all survivors
  • Issue Grounding Notices
  • Obtain statements
  • Coordinate collection of survival gear and flight equipment
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22
Q

Coordinate with members of the aviation medical board in the collection of labeled sketches and photographs of crash site, to include:

A 
Crash path 
Point of impact 
Wreckage 
Fatalities
Photograph each survivor's injuries
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23
Q

Independent Duty Corpsman will gather all flight equipment and survival gear to include flight suits and/or uniforms.

A
  • Photograph while intact and/or on person
  • Label with name, SSN, rank, date of incident
  • Identify all alterations you make, such as cutting off and moving
  • Take Pictures of Flight Equipment and Survival Gear
  • Pictures should be taken of the flight equipment, survival gear, flight suites and/or uniforms on the victims and survivors showing the condition of this equipment as worn is essential to the investigation; caution survivors not to remove equipment until you have taken pictures
  • If the treatment of the patient requires that you cut off or remove the flight equipment and survival gear, document the alterations you’ve made
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24
Q

What info should you gather from all survivors

A
  • Chronological Account of Activities of Previous 72 Hours (FORM SIR 3750/15)
  • include food and beverages consumed
  • hours of sleep
  • activities done
  • obtain statements early
  • be as clear and precise as possible to assist in the investigation
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25
Q

The IDC must collect what lab specimens?

A

2 gray top tubes
2 purple top tubes
3 red top tubes
Urine sample 75 ccm is optimum (no preservatives)

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26
Q

What are the physiological effects of OTCs on flight safety

A
  • may require the need for medical assistance.
  • symptoms of the effects may not be apparent until the individual is screened by qualified medical personnel with the necessary diagnostic equipment.
  • Under no circumstances will an aircrew member be issued a clearance notice while on medication without concurrence from a flight surgeon!
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27
Q

What are the effects of Aspirin?

A
  • Affects regulation of body temperature by acting on the hypothalamus
  • Generates greater heat loss due to an increase in blood flow to the extremities and an increase in sweating
  • Affects the acid-base balance of the body
  • Causes a variation in the rate and depth of respirations
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28
Q

What are the effects of Nasal Decongestants?

A
  • Insomnia, Fatigue, Headaches, Diarrhea
  • Prolonged use increases blood pressure and pulse
  • Dizziness, Confusion, Drowsiness, Amnesia, Possible depression
  • Dry mouth, Euphoria, Decreased accommodation (inability to focus)
  • Tachycardia, Diplopia (double-vision), Lassitude (weariness), Tremors
  • Nausea/Vomiting, Decreased coordination, Gastrointestinal effects
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29
Q

What are the effects of cough drops?

A
  • Depression of the CNS (Central Nervous System) with high doses
  • Decreases reaction time
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30
Q

What are the effects of throat lozenges?

A
  • Local allergic reactions are not uncommon
  • Can result in decreased air
  • Can result in rapid swelling of the oral pharynx and respiratory tract
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31
Q

What are the effects of Petroleum Jelly-Based Products?

A
  • Becomes crusty when exposed to 100% O2

- Can cause discomfort with O2 masks during flight

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32
Q

Who do the copies of the DD Form 2992 go to?

A

Original: CO
First: Ops
Second: Training Officer

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33
Q

Who can ground aviation personnel?

A

Any medical personnel

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34
Q

Who can up aviation personnel?

A

Flight surgeon

35
Q

Who can disapprove a flight chit?

A

The CO, the up/down chit is only a recommendation

36
Q

What specimens are required to be collected?

A

2 gray tops
2 purple tops
3 red tops
urine sample (75cc)

37
Q

What must be labeled on all samples?

A 
patient's name
rank/rate
SSN
Unit
Date/Time
Tests to be performed
38
Q

Who can do waivers?

A

Chief of Naval Personnel

COMMONDANT of the Marine Corps

39
Q

When do aviation physicals expire?

A

1 year, last day of the birth month

40
Q

How long do you keep the DD 2992 on file for?

A

3 years

41
Q

When drawing labs after mishap what are you not going to do?

A

Use alcohol wipes

42
Q

Labeled sketches and photographs of crash site, to include:

A
  • Crash path
  • Point of impact
  • Wreckage
  • Fatalities
  • Photograph each survivor’s injuries
43
Q

If you issue a up/down chit where should you document it?

A
  • SF 600

- 6150/2

44
Q

Who are grounding notices issued to?

A
  • on sick list
  • hospitalized
  • medical problem that could impair flight
  • immunization
45
Q

What does not require temporary ground notice?

A
  • routine immunizations

- dental

46
Q

The AE grounding notice remains in effect until

A

Cleared by a flight surgeon

47
Q

Authority may be granted to an IDC, PA, or MO when:

A

stationed in a remote location where there’s no flight surgeon

48
Q

A courtesy phone call should be made to who, if a down chit is issued?

A
  • CO
  • XO
  • Ops
49
Q

AE Flight Clearance Requirements:

A
  • Evaluated annually
  • physically qualified (PQ)
  • aeronautically adapted (AA)
50
Q

Who restores aviation personnel to flight duties?

A
  • CO

- OIC

51
Q

All AE personnel must conform to what physical standards?

A

NAVMED P117

MANMED CH 15

52
Q

What must be obtained for an IDC, PA, or MO to issue a Clearance Notice?

A

A consultation by phone, email, or message.

53
Q

What directives specify the authority to issue an AE Clearance by an IDC, PA, or MO?

A

NAVMED P-117
BUMEDINST 6410.9
OPNAVINST 3710.7T (NATOPS) CH8

54
Q

Documentation of Aeromedical Clearance is documented on

A

SF 600

NAVMED 6150/2

55
Q

Physical Exams for AE are kept on file for

A

3 years

56
Q

When AE personnel do not meet physical standards for greater than how many days, they must have an aviation physical exam completed?

A

60 days

57
Q

The flight physical shall be forwarded to who?

A

NAVOPMEDINST DET NAVY AEROMED INST for review and recommendation to BUPERS and CMC

58
Q

When completing an aviation physical exam, you must complete what form?

A

DD 2808

59
Q

An Aeromedical Clearance must always have what?

A

An expiration date

60
Q

Aviator annual or periodic exam should expire when?

A

last day of the member’s birth month

61
Q

NAMI

A

Naval Aerospace Medical Institute

62
Q

Aviation Mishap Investigation Procedures

A 
Search for survivors
Collect records
Preform PE and labs
Issue Down Chits
Obtain statements
Collect survival gear & flight equipment
Collect sketches and photographs of crash site
63
Q

What should you document from an Aviation Mishap

A 
crash path
point of impact
wreckage
fatalities
survivor's injuries
64
Q

Label pictures from Aviation Mishap with:

A
  • SSN
  • rank
  • date of incident
65
Q

Gather statements within what time frame?

A

72 hours

66
Q

On what form do you document the chronological account of previous 72 hours?

A

FORM SIR 3750/15

67
Q

What must be on all labeled specimens?

A 
Patient's name
Rank/Rate
SSN
Unit
Date/Time of collection
Test(s) to be performed
68
Q

What do you not use when obtaining specimens?

A

alcohol swabs

69
Q

What must be maintained for all the specimens you’ve drawn?

A

chain of custody

70
Q

What are the physiological effects of OTC drugs on flight safety?

A

Possible adverse side effects
unpredictable reactions
prohibited unless approved by flight surgeon

71
Q

Under no circumstance will an aircrew member be issued a clearance notice while on medication w/o approval from who?

A

Flight Surgeon

72
Q

What are the effects of Asprin?

A
  • regulation of body temp by acting on the hypothalamus
  • heat loss due to an increase in blood flow to the extremities and an increase in sweating
  • acid-base balance of the body
  • rate and depth of respirations
73
Q

What are the effects of Nasal Decongestants?

A

-Insomnia,
-Fatigue
-HA
-NVD
-elevated blood pressure and pulse
-Dizziness
-Confusion
-Drowsiness
-Amnesia
-depression
-Dry mouth
Euphoria
-inability to focus
-Diplopia
-weariness
-tremors
-Decreased coordination
-Gastrointestinal effects

74
Q

What are the effects of Cough Drops?

A

Depression of the CNS (Central Nervous System) with high doses
-Decreases reaction time

75
Q

What are the effects of Throat Lozenges?

A
  • allergic reactions
  • decreased air
  • rapid swelling of the throat and respiratory tract
76
Q

What are the effects of Petroleum Jelly-Based Products?

A
  • Becomes crusty when exposed to 100% O2

- Can cause discomfort with O2 masks during flight

77
Q

What are the physiological effects of prescription drugs on flight safety?

A

detrimental to flight safety

78
Q

Who can grant a waiver for prescribed drugs?

A

CNO

Commandant of the MC

79
Q

all medications require temporary grounding unless specifically described as NCD for flight duties in the

A

Aeromedical Reference and Waiver Guide (ARWG), Chapter 18, Medications

80
Q

BUMEDINST 6410.9

A

Medical Monitoring Flight Personnel in Locations where Fight Surgeon are not available

81
Q

OPNAVINST 3710.7T

A

NATOPS CH 8

82
Q

Aeromedical Clearance Notice must be entered on:

A
  • SF 600

- NAVMED 6150/2

83
Q

An aeromedical clearance notice is always issued with what?

A

an expiration date

Military Treatment Record Management (11 decks)

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