Dr. Mydin's Rim Asia (Pacific) Aircraft Accidents of Medical Cause
Current Debate on (Periodic) Physical Check Up
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Civilian Air-crew Medical Standards

Initial Physical Check Up (typifying medical selection of applicants for aircrew training) aim is toward excluding those having physical, physiological, psychological inability fly airplane. Annual (periodic) Physical Check Up aim maintaining this. Both these form here of Physical Check Up aim at more than preventing the percent 5 (5%) of accidents caused by (sudden ) incapacitation.The Periodic here offer for periodic psychological appraisal (as well as opportunities for physiological training, health counselling, psychologic counselling) in preventing (about 45%) accidents caused by active/passive failures (and a part of misjudgement caused by spatial disorientation).
 
A recent debate seek here to find out frequency/ completeness of(comprehensiveness) Physical Check Up should be. Recent studies here show that the USAF have least comprehensive system of periodic pilot physical check up. Yet, the USAF have tremendous flying safety record. Annual Physical Check Up may not be wanted. A periodic Physical Check Up  (with longer interval) is enough during which some (present) routine procedures could be excluded.
 
It seem acceptable (to have longer interval) in young pilots. Shorten (the interval) when pilot pilots grow older. Some procedures need be included not earlier than a certain age.
 
Reason here for the contents of periodic physical check up here of asymptomatics (towards flying safety) may be (as follows):
 
  • Disease must have some (significant) effect on flying safety.
  • Disease must have an asymptomatic time (period) here during which detection (and management) cut down morbidity (and/or mortality) in this flight involvement (flying scenario, and others)
  • Management (in the asymptomatic phase) should bring here forth (yield a result) better than this got together by delaying management (until symptoms appear. Management, in this state, would have this need for re-appraisal of flying (status).
  • Tests must be obtainable, to reasonable cost, to detect some sort disease (condition in the asymptomatic period).
  • (Incidence of the condition must be sufficient to justify the cost of screening taking into consideration, flght safety).