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KMID : 0608619910010010126
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Korean Journal of Aerospace and Environmental Medicine
1991 Volume.1 No. 1 p.126 ~ p.131
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Contemporary trends in international civil aviation medicine
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SilvioFinkelstein/Silvio Finkelstein
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Abstract
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Man is a critical element in the operational aviation system ; as such, it behooves
ICAO to keep abreast of all aspects of medical technology to support and protect him in
the work place‥‥
Approximately five years ago, at an ICAO-sponsored European Regional Civil Aviation
Medicine Seminar, a Chief Aviation Medical Officer asked : "Dr. Finkelstein, would you
certify for aviation duties a person who has had a heart transplant?" My answer was
given in broad terms, indicating general medical considerations. I strongly emphasized
the point that if, on account of in the medical condition, my answer would be in the
affirmative, I would place an operational limitation restricting solo flying.
What an interesting question and what an interesting indication of the evolution of
civil aviation medicine. The fact that we can discuss the possibility of assessing as fit a
heart transplant indicates that civil aviation medicine has come a long way from the
time of open cockpits, oxygen tubes, goggles and helmets.
At that time the specialty was mostly concerned with the regulatory aspects.
Physicians assessing fitness for flying were given a list of disqualifying diseases and, if
they found during the physical examination any of the disqualifying conditions, the
immediate action was full grounding.
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