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FRMS Symposium

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

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  1. FRMS Symposium Medical Aspects DrAnthony Evans Chief, Aviation Medicine Section August 2011

  2. 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

  3. 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

  4. 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

  5. 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

  6. Role of DMEs • Usually involved in fatigue mitigation for individuals • With knowledge of operational environment can also provide input into implementation of FRMS

  7. FRMS Symposium Medical Aspects DrAnthony Evans Chief, Aviation Medicine Section August 2011

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