TMUFF

Question 1

What is TMUFF

Answer 1

Temporary medically unfit to fly

Question 2

When should TMUFF be considered?

Answer 2

Medical or dental condition exist that may compromise suitability for flight.
TMUFF rales provides minimum self cancelling TMUFF periods for many conditions.

Can be done without seeing an AVMO but if issue persists longer then 7 days the must see AVMO

Question 3

Policy on TMUFF requirements?

Answer 3

DASR 8000.011 (MED. 15) OAREG 2.3.5.C

Question 4

Who can impose TMUFF

Answer 4

Any health care provider
Authorising officers and flight commanders
Individual aircrew member - self - imposed

Question 5

Documentation for TMUFF

Answer 5

PM101 for up to 28 days

Be very prespectic

Question 6

How is TMUFF reversed?

Answer 6

Final authority is with commander based on

• risk assessment
• operational need
• AVMO advice

AVMO consult not required if

• administrative - specified time in table
• AVMO defined time limit or conditions - based return to flying duties for uncomplicated, self limiting conditions

Medical TMUFF

• requires AVMO assessment for reversal
• if no AVMO then MO and NO in contact with AVMO

Question 7

TMUFF requirement for Medical and dental procedures

Answer 7

Where local anaesthetic (including eye drops) is used =8 hours

GA, Spinal, epidural, ketamine or IV sedation = 48 hours

Also consider the condition for the procedure

Question 8

TMUFF for psychosocial conditions or critical incident mental health support

Answer 8

TMUFF pending AVMO consultation

Question 9

TMUFF requirement Following a physiological aviation safety occurrence, whether symptomatic or asymptomatic

Answer 9

TMUFF pending AVMO consultation

Question 10

TMUFF requirement following self imposed TMUFF including fatigue issues

Answer 10

Limited to 48 hr period
Must notify flight authorising officer/supervisor as appropriate
Return to duty must be approved by flight authorising officer/supervisor as appropriate.

Question 11

TMUFF requirement for unplanned exposure above 25000ft

Answer 11

TMUFF pending AVMO consultation

Question 12

What are some administrative situation that have TMUFF protocol for

Answer 12

Alcohol - needs BSL0
Fatigue
Simulators - in accordance with unit policy
HUET
Diving
- if flying <8000ft then 12hr post dive <10m
- 24hours after dive >10m or decompression stops
Vaccinations - 12 hours
Routine eye examination - 24 hr post dilating eye drops
Blood donation - 72 hours aircrew, 24hrsATC and remote pilot
Fluid/meal not consumed within 6 hours - TMUFF until fluid and meal consumptions

Do not need AVMO to reversal

Question 13

Where to find information on use of medication by aircrew

Answer 13

DHM Vol 2 part 15

Question 14

What sleeping medication are approved and TMUFF requirement

Answer 14

Temazepam

• 1st line
• 10-20mg/day, half life 5-10 hrs
• Ground trail 48 hrs
• TMUFF after dosing 12 hrs
• Potential for dependence

Zolpidem - stilnox

• 2rd line
• 5-10 mg/day. Half life 2.4 hrs
• Ground trail 48 hrs
• TMUFF 8 hr
• Potential for dependence

Question 15

What is the most common cause of incapacitation during flight

Answer 15

Gastrointestinal illness

Question 16

Did aircrew need to be reviewed by AVMO after a PE

Answer 16

Always.

Whether asymptomic or symptomatic

Question 17

Possible underlaying causes of PE

Answer 17

Proven or suspected hypoxia
DCI or severe trapped gas
Hyperventilation
Spatial disorientation with unusual altitude
LOC of any cause
Unintential rapid decompression
Toxicological exposure
Other physiological, pathological, physical, psychological conditions during or after simulated or actual flight
Aircraft accident or critical aircraft incident

Question 18

TMUFF requirements post flight safety incidents

Answer 18

TMUFF until require by AVMO

Question 19

What is the aircrew checklist for the self

Answer 19

I’M SAFE for the last 72 hours

Illness
Medication
Stress
Alcohol
Fatigue
Eating

Question 20

An example of medically imposed TMUFF would be 
A. Vaccinations
B. Blood donations
C. Consumption of alcohol
D. Post - operative recovery

Answer 20

D post operative recovery