Clinical Aviation Medicine - Hardcover

Rayman, Russell B.; Hastings, John D.; Kruyer, William B.; Levy, Richard A.

9781883769864: Clinical Aviation Medicine

Hardcover

ISBN 10: 1883769868 ISBN 13: 9781883769864

Publisher: Castle Connolly Graduate Medical Publishing, 2000

It is the responsibility of the civil aviation medical examiner (AME) and military flight surgeon to determine fitness to fly or "aeromedical disposition." In order to do so, it is necessary to have an understanding of the appropriate medical standards. This book, authored by four leaders in clinical aviation medicine, provides guidance to AMEs and flight surgeons who must determine aeromedical disposition. It discusses the most common diseases and treatment modalities with particular emphasis upon their significance in an aviation environment.

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About the Author:

Lead author and Editor: Col. Russell B. Rayman, USAF MC (Ret), MD, MPH, DipAvMed (London)

Executive Director, Aerospace Medical Association (AsMA), Alexandria, VA, 1992-present.

M.D., University of Michigan MPH, Johns Hopkins School of Hygiene and Public Health Board certified in Aerospace Medicine and Family Practice Certified in Aviation Medicine by the Faculty of Occupational Medicine of the Royal College of Physicians, London, UK NASA Flight Surgeon Certification

Chief, Aerospace Medical Division, Office of the Surgeon General, Bolling AFB, Washington, DC, 1986-1989.

Manager, Medical Operations Department, Lockheed Engineering and Sciences Co., Washington, DC, 1989-1992.

Over 40 military decorations and awards and international honors.

Medical licenses held in Florida, California, Michigan, Texas, and Virginia.

Co-author: John D. Hastings, M.D.

Board certified neurologist, licensed to practice in Oklahoma and Missouri. M.D., St. Louis University School of Medicine.

Over 31 years of private practice. Over 20 years as a Senior Aviation Medical Examiner. Over 13 years consulting to the FAA and Federal Air Surgeon.

Over 133 Aviation Medical Seminars conducted for the FAA since 1981.

President, Civil Aviation Medical Association, September, 1997 to present.

Co-author: William B. Kruyer, M.D., F.A.C.C., Col. (Ret) USAF MC, FS

Chief Cardiologist, USAF Aeromedical Consultation Service (Brooks AFB, TX)

Board certified in Internal Medicine and Cardiovascular Disease M.D., UCLA School of Medicine Fellowship in Cardiology from Wilford Hall USAF Medical Center, Lackland AFB, TX

Co-author: Richard A. Levy, M.D., MPH, Col. (Ret) USAF MC, Senior FS

Private practice psychiatrist since retirement from over 40 years of Air Force service. Former Air Force positions include Director of Life Sciences, Air Force Safety Agency; Chief of Aerospace Medicine, Headquarters, Air Force Systems Command; Chief of Neuropsychiatry Branch, USAF School of Medicine.

M.D., SUNY Downstate Medical Center. MPH, Harvard University School of Public Health.

Board certified in Psychiatry and Aviation Medicine.

Aviation was born almost a century ago. Today we have at our disposal an array of flying machines from single prop-driven to 8-engine jet aircraft. Some are utilized for commercial purposes, some for military operations, and some for pleasure and recreation. No matter the type of aviation, physiological stresses will always be imposed to varying degrees on the operators. Consequently, there must be established medical standards to ensure that only fit operators receive flight certification. Because commercial, military, and private (general) aviation are so different, medical standards for each must necessarily also be different.

It is the responsibility of the civil aviation medical examiner (AME) and military flight surgeon (FS) to determine fitness to fly or aeromedical disposition. In order to do so, it is necessary to have an understanding of the stresses of flight, aircraft operations, general medicine, and the appropriate medical standards. This book provides guidance to AMEs and flight surgeons, particularly inexperienced ones, who must determine aeromedical disposition, by discussing the more common disease entities and treatment modalities with particular emphasis upon their significance in an aviation environment.

The first and second editions of Clinical Aviation Medicine were published in 1982 and 1990 respectively. Since that time, many physicians in the practice of aviation medicine or in teaching and administering aviation medicine programs have conveyed to me how useful the book was to them. Although this was very gratifying, perhaps the greatest reward was the many favorable comments from my intended audience: students as well as young, relatively inexperienced practitioners. It is the continuing support of these readers, as well as all other AMEs and flight surgeons, that prompted this new revision of Clinical Aviation Medicine.

Because there have been so many advances in medicine as well as in aeromedical policy changes during the past decade, much of the material has been rewritten and updated. In particular, three new, highly qualified authors were invited to write the chapters on cardiovascular disease (William B. Kruyer, M.D.), neurologic disease (John D. Hastings, M.D.), and psychiatric disease (Richard A. Levy, M.D.). Furthermore, the book was further demilitarized so the principles could be applied not only to aviation in the armed forces, but also to civil aviation at home and abroad. As in the first two editions, painstaking efforts were taken not to dictate aeromedical disposition, but only to provide the AME and flight surgeon with the information that is clinically relevant when making decisions regarding flight certification.

Russell B. Rayman, M.D., MPH, DAvMed (London)
July, 2000
Alexandria, Virginia

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