Unit 4.7 Aviation Medicine Flashcards
Clearence / Clearence Notice
DD form 2992
What is the purpose of the DD Form 2992
notify the commanding officer or officer in charge and other designated individuals that the named aircrew member is no longer medically recommended for flying duties
Who may issue an Aeromedical Grounding Notice
All medical department personnel
*noted on the special duty medical abstract - NAVMED 6150/2
Aeromedical Grounding Notices will be issued to the following
Almost any visit to medical
***Administration of routine immunizations, which require temporary grounding, does not require issuance of an Aeromedical Grounding Notice
How many copies of grounding chit is made
Original and two copies
Who do the copies of grounding chit go to?
- The original goes to the Commanding Officer or Officer in Charge
- First copy goes to the Operations Officer
- Second copy is for the Training Officer
Additional copies may be made for other personnel
Duration of ground chit
- No set duration, only estimate
- remains in affect until given an Up-chit
Who can issue “Up-chit”
- Flight Surgeon
- IDC, PA, non-aviation trained MO if flight surgeon is not available with consultation of a flight surgeon
Aviation Personnel Clearance Procedures
- all flight personnel involved in flight duty are required to be evaluated annually
- Must be physically qualified (PQ) and aeronautic ally adapted (AA)
Purpose of DD Form 2992 “clearance”
notify CO member is now medically qualified for flight duties
where to find physical standards for flight duty
NAVMED P-117, MANMED CH 15
Who may issue aeromedical Clearance Notices
Flight Surgeons or Aviation Medical Examiners
References for aviation medicine
- NAVMED P-117- MANMED CH 15
- BUMEDINST 6410.9 - Medical Monitoring Flight Personnel where flight surgeons not available
- OPNAVINST 3710.7V - NATOPS CH 8 earomedical and survival
These directives 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
Documentation for clearence
- Clearance is noted in the members HR.
- Results of the medical evaluation for aviation duty clearance must be entered on the SF 600
- Medical evaluation clearance must also be noted under the Special Duty Medical Abstract (NAVMED 6150/2)
Up Chit: When issuing, an original and two (2) copies are made
Original to the CO or OIC
1st copy to OPS
2nd copy to Training Officer
Additional copies should be made for the SM, unit safety or NATOPS officer and other designated personnel
Filing of Physical Examinations
- kept on file for 3 years by the facility
- unable to meet required physical standards for periods exceeding 60 days, an aviation PE shall be completed; a typed DD 2808 with appropriate consultations and FLT surgeon recommendations
Expiration date of clearence
Expiration is timed to coincide with the validity of aviator annual or periodic examinations which expire on the last day of the member’s birth month
Aviation Mishap Investigation Procedures
Search for survivors and treat all casualties first
Collect medical records of crew and passengers if possible
Perform required physical exam(s) and lab procedures on all survivors
Issue Grounding Notices
Obtain statements
Coordinate and/or direct collection of survival gear and flight equipment
Investigation responsibilities
Sketches and photographs of crash site
- Crash path
- Point of impact
- Wreckage
- Fatalities
- Photograph each survivor’s injuries
Aircraft Mishap Team
will take over duties of investigating the crash
IDC responsibilities of crash site
gather all flight equipment and survival gear to include flight suits and/or uniforms.
- 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
- Care of patients always comes first
Labeling Pictures
SSN, rank, date of incident; it’s also helpful to include the time the photographs were taken but is not required
How to Gather Statements from All Survivors
- cover the last 72 hours to include food and beverages consumed, hours of sleep and any activities done
- Chronological Account of Activities of Previous 72 Hours (FORM SIR 3750/15)
- Gather statements as soon as possible
Collect Laboratory Specimens
- 2 gray top tubes
- 2 purple top tubes
- 3 red top tubes
- Urine sample 75 ml is optimum (no preservatives)
Labeling lab specimens
Patient's name Rank/Rate SSN Unit Date/Time of collection Test(s) to be performed
Asprin
- Affects the 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
Nasal Decongestants
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
Cough Drops
Depression of the CNS (Central Nervous System) with high doses
Decreases reaction time
Throat Lozenges
Local allergic reactions are not uncommon
Can result in decreased air
Can result in rapid swelling of the oral pharynx and respiratory tract
Petroleum Jelly-Based Products
Becomes crusty when exposed to 100% O2
Can cause discomfort with O2 masks during flight
NATOPS on Prescribed Drugs
shall be considered sufficient cause for recommendation of grounding unless their use is specifically approved by a flight surgeon, or a waiver for specific drug use has been granted by CHNAVPERS or the Commandant of the Marine Corps
Antibiotics
Aviation personnel on approved antibiotics may be considered for an “Up Chit” prior to the completion of the course of therapy as long as the condition being treated has resolved in all significant aspects with no adverse reaction that might compromise safety of flight or mission completion
