Aspects of Aviation Medicine Flashcards

(83 cards)

1
Q

DD Form 2992

A

“Up/Down Chit”

Medical Recommendation for Flying or Special Operations Duty

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2
Q

What’s the purpose of DD Form 2992?

A

Notify CO or OIC that member is no longer medically recommended for flying duties

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3
Q

Who may issue an Aeromedical Grounding Notice?

A

All medical department personnel

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4
Q

Where is the Aeromedical Grounding Notice noted in the member’s health record?

A

-Special Duty Medical Abstract (NAVMED 6150/2)

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5
Q

Aeromedical Grounding Notices will be issued to the following:

A
  • Personnel admitted to the Sick List
  • Hospitalized
  • Medical problem that could cause impairment during flight
  • Immunizations, which require temporary grounding (Does NOT require issuance of an Aeromedical Grounding Notice)
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6
Q

When issuing “Down Chits”, who receives a copy?

A
  • The original goes to the CO/OIC
  • First copy goes to Ops Officer
  • Second copy to Training Officer
  • Additional copies for Service Member, Unit Safety or the NATOPs Officer
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7
Q

What’s the duration of a down chit?

A

Remains in effect until member has been examined by a flight surgeon and issued an Aeromedical Clearance Notice “Up-Chit”

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8
Q

Who has the authority to issue an “up-chit”?

A

-IDC
-PA
-MO
(if flight surgeon is not available; consultation must be obtained from a flight surgeon via email, verbal, or message prior to issuing clearance notice)

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9
Q

Who do you call if you issue a down chit?

A

If sickbay/BAS is detached from the unit, a courtesy phone call should be made to the CO, XO, and OPS advising them that a “down chit” has been issued for named individuals

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10
Q

All aviation personnel should be evaluated how often?

A

Annually

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11
Q

To be cleared for flight they must be…

A
Physically qualified (PQ)
Aeronautically adapted (AA)
Must conform w/ physical standards of CH 15
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12
Q

Following any period of medical grounding, aviation personnel must be evaluated by?

A

-A flight surgeon and issued a clearance notice prior to returning to aviation duties.
(only exception to this is the self-limited grounding notice issued by a dental officer)

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13
Q

Who has the authority to restore flying duties?

A

-CO or OIC

Aeromedical Clearance Notices are medical recommendations only!

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14
Q

All personnel engaged in duties involving flying and all candidates for such duty, must conform to the physical standards of…

A

NAVMED P-117, MANMED CH 15

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15
Q

Who may issue aeromedical Clearance Notices?

A
  • Flight Surgeons or Aviation Medical Examiners
  • The authority may be given to an IDC, PA, or MO when in remote or isolated locations where a flight surgeon is not available.
  • A consultation must be obtained from a flight surgeon, via e-mail, verbal communication, or message, prior to issuing the aeromedical Clearance Notice.
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16
Q

Which instructions specify that the authority to issue an Aeromedical Clearance Notice may be given to an IDC, physician assistant, or non-aviation trained medical officer under specific guidelines?

A
  • NAVMED P-117
  • BUMEDINST 6410.9
  • OPNAVINST 3710.7T
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17
Q

Consult with flight surgeon will be documented by an entry into the outpatient HR with the following info:

A

“Consultation with DR (flight surgeon’s name), contact info, of (FLT Surgeon’s command) occurred on (date) and return to flying status was approved”

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18
Q

Results of the medical evaluation for aviation duty clearance must be entered on the…

A
  • SF 600

- Special Duty Medical Abstract (NAVMED 6150/2)

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19
Q

When Aviation personnel are unable to meet required physical standards for periods exceeding 60 days, what must be done

A
  • Aviation PE shall be completed
  • DD 2808 with appropriate consultations and FLT surgeon recommendations shall be forwarded to NAVOPMEDINST DET NAVAEROMEDINST for review and recommendation to BUPERS or CMC
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20
Q

When do Aeromedical Grounding Notices remain in effect until?

A

cleared by a flight surgeon

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21
Q

Aviation Mishap Investigation Procedures

A
  • Search for survivors and treat all casualties first
  • Collect medical records of crew and passengers
  • Perform required PE and labs on all survivors
  • Issue Grounding Notices
  • Obtain statements
  • Coordinate collection of survival gear and flight equipment
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22
Q

Coordinate with members of the aviation medical board in the collection of labeled sketches and photographs of crash site, to include:

A
Crash path 
Point of impact 
Wreckage 
Fatalities
Photograph each survivor's injuries
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23
Q

Independent Duty Corpsman will gather all flight equipment and survival gear to include flight suits and/or uniforms.

A
  • Photograph while intact and/or on person
  • Label with name, SSN, rank, date of incident
  • Identify all alterations you make, such as cutting off and moving
  • Take Pictures of Flight Equipment and Survival Gear
  • Pictures should be taken of the flight equipment, survival gear, flight suites and/or uniforms on the victims and survivors showing the condition of this equipment as worn is essential to the investigation; caution survivors not to remove equipment until you have taken pictures
  • If the treatment of the patient requires that you cut off or remove the flight equipment and survival gear, document the alterations you’ve made
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24
Q

What info should you gather from all survivors

A
  • Chronological Account of Activities of Previous 72 Hours (FORM SIR 3750/15)
  • include food and beverages consumed
  • hours of sleep
  • activities done
  • obtain statements early
  • be as clear and precise as possible to assist in the investigation
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25
The IDC must collect what lab specimens?
2 gray top tubes 2 purple top tubes 3 red top tubes Urine sample 75 ccm is optimum (no preservatives)
26
What are the physiological effects of OTCs on flight safety
- may require the need for medical assistance. - symptoms of the effects may not be apparent until the individual is screened by qualified medical personnel with the necessary diagnostic equipment. - Under no circumstances will an aircrew member be issued a clearance notice while on medication without concurrence from a flight surgeon!
27
What are the effects of Aspirin?
- Affects regulation of body temperature by acting on the hypothalamus - Generates greater heat loss due to an increase in blood flow to the extremities and an increase in sweating - Affects the acid-base balance of the body - Causes a variation in the rate and depth of respirations
28
What are the effects of Nasal Decongestants?
- Insomnia, Fatigue, Headaches, Diarrhea - Prolonged use increases blood pressure and pulse - Dizziness, Confusion, Drowsiness, Amnesia, Possible depression - Dry mouth, Euphoria, Decreased accommodation (inability to focus) - Tachycardia, Diplopia (double-vision), Lassitude (weariness), Tremors - Nausea/Vomiting, Decreased coordination, Gastrointestinal effects
29
What are the effects of cough drops?
- Depression of the CNS (Central Nervous System) with high doses - Decreases reaction time
30
What are the effects of throat lozenges?
- Local allergic reactions are not uncommon - Can result in decreased air - Can result in rapid swelling of the oral pharynx and respiratory tract
31
What are the effects of Petroleum Jelly-Based Products?
- Becomes crusty when exposed to 100% O2 | - Can cause discomfort with O2 masks during flight
32
Who do the copies of the DD Form 2992 go to?
Original: CO First: Ops Second: Training Officer
33
Who can ground aviation personnel?
Any medical personnel
34
Who can up aviation personnel?
Flight surgeon
35
Who can disapprove a flight chit?
The CO, the up/down chit is only a recommendation
36
What specimens are required to be collected?
2 gray tops 2 purple tops 3 red tops urine sample (75cc)
37
What must be labeled on all samples?
``` patient's name rank/rate SSN Unit Date/Time Tests to be performed ```
38
Who can do waivers?
Chief of Naval Personnel | COMMONDANT of the Marine Corps
39
When do aviation physicals expire?
1 year, last day of the birth month
40
How long do you keep the DD 2992 on file for?
3 years
41
When drawing labs after mishap what are you not going to do?
Use alcohol wipes
42
Labeled sketches and photographs of crash site, to include:
- Crash path - Point of impact - Wreckage - Fatalities - Photograph each survivor's injuries
43
If you issue a up/down chit where should you document it?
- SF 600 | - 6150/2
44
Who are grounding notices issued to?
- on sick list - hospitalized - medical problem that could impair flight - immunization
45
What does not require temporary ground notice?
- routine immunizations | - dental
46
The AE grounding notice remains in effect until
Cleared by a flight surgeon
47
Authority may be granted to an IDC, PA, or MO when:
stationed in a remote location where there's no flight surgeon
48
A courtesy phone call should be made to who, if a down chit is issued?
- CO - XO - Ops
49
AE Flight Clearance Requirements:
- Evaluated annually - physically qualified (PQ) - aeronautically adapted (AA)
50
Who restores aviation personnel to flight duties?
- CO | - OIC
51
All AE personnel must conform to what physical standards?
NAVMED P117 | MANMED CH 15
52
What must be obtained for an IDC, PA, or MO to issue a Clearance Notice?
A consultation by phone, email, or message.
53
What directives specify the authority to issue an AE Clearance by an IDC, PA, or MO?
NAVMED P-117 BUMEDINST 6410.9 OPNAVINST 3710.7T (NATOPS) CH8
54
Documentation of Aeromedical Clearance is documented on
SF 600 | NAVMED 6150/2
55
Physical Exams for AE are kept on file for
3 years
56
When AE personnel do not meet physical standards for greater than how many days, they must have an aviation physical exam completed?
60 days
57
The flight physical shall be forwarded to who?
NAVOPMEDINST DET NAVY AEROMED INST for review and recommendation to BUPERS and CMC
58
When completing an aviation physical exam, you must complete what form?
DD 2808
59
An Aeromedical Clearance must always have what?
An expiration date
60
Aviator annual or periodic exam should expire when?
last day of the member’s birth month
61
NAMI
Naval Aerospace Medical Institute
62
Aviation Mishap Investigation Procedures
``` Search for survivors Collect records Preform PE and labs Issue Down Chits Obtain statements Collect survival gear & flight equipment Collect sketches and photographs of crash site ```
63
What should you document from an Aviation Mishap
``` crash path point of impact wreckage fatalities survivor's injuries ```
64
Label pictures from Aviation Mishap with:
- SSN - rank - date of incident
65
Gather statements within what time frame?
72 hours
66
On what form do you document the chronological account of previous 72 hours?
FORM SIR 3750/15
67
What must be on all labeled specimens?
``` Patient's name Rank/Rate SSN Unit Date/Time of collection Test(s) to be performed ```
68
What do you not use when obtaining specimens?
alcohol swabs
69
What must be maintained for all the specimens you've drawn?
chain of custody
70
What are the physiological effects of OTC drugs on flight safety?
Possible adverse side effects unpredictable reactions prohibited unless approved by flight surgeon
71
Under no circumstance will an aircrew member be issued a clearance notice while on medication w/o approval from who?
Flight Surgeon
72
What are the effects of Asprin?
- regulation of body temp by acting on the hypothalamus - heat loss due to an increase in blood flow to the extremities and an increase in sweating - acid-base balance of the body - rate and depth of respirations
73
What are the effects of Nasal Decongestants?
-Insomnia, -Fatigue -HA -NVD -elevated blood pressure and pulse -Dizziness -Confusion -Drowsiness -Amnesia -depression -Dry mouth Euphoria -inability to focus -Diplopia -weariness -tremors -Decreased coordination -Gastrointestinal effects
74
What are the effects of Cough Drops?
Depression of the CNS (Central Nervous System) with high doses -Decreases reaction time
75
What are the effects of Throat Lozenges?
- allergic reactions - decreased air - rapid swelling of the throat and respiratory tract
76
What are the effects of Petroleum Jelly-Based Products?
- Becomes crusty when exposed to 100% O2 | - Can cause discomfort with O2 masks during flight
77
What are the physiological effects of prescription drugs on flight safety?
detrimental to flight safety
78
Who can grant a waiver for prescribed drugs?
CNO | Commandant of the MC
79
all medications require temporary grounding unless specifically described as NCD for flight duties in the
Aeromedical Reference and Waiver Guide (ARWG), Chapter 18, Medications
80
BUMEDINST 6410.9
Medical Monitoring Flight Personnel in Locations where Fight Surgeon are not available
81
OPNAVINST 3710.7T
NATOPS CH 8
82
Aeromedical Clearance Notice must be entered on:
- SF 600 | - NAVMED 6150/2
83
An aeromedical clearance notice is always issued with what?
an expiration date