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1.0 _updated_Summary + ENT_removed.pdf

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Document Details

2024

Tags

audiometry aviation medicine medical certification

Full Transcript

Audiometry Class 2 For a class 1 medical certificate, and for a class 2 medical certificate when an instrument rating or en route instrument rating is to be added to the licence, hearing shall be tested with pure-tone audiometry at the initial examination, then every 5 years until the l...

Audiometry Class 2 For a class 1 medical certificate, and for a class 2 medical certificate when an instrument rating or en route instrument rating is to be added to the licence, hearing shall be tested with pure-tone audiometry at the initial examination, then every 5 years until the licence holder reaches the age of 40 and then every 2 years thereafter. 26/07/2024 The ESAM ACADEMY 6 Audiometrie Class 2 When tested on a pure-tone audiometer, initial applicants shall not have a hearing loss of more than 35 dB at any of the frequencies 500, 1 000 or 2 000 Hz, or more than 50 dB at 3 000 Hz, in either ear separately. Applicants for revalidation or renewal with greater hearing loss shall demonstrate satisfactory functional hearing ability. 26/07/2024 The ESAM ACADEMY 7 Hearing the cabin crew member and class 2 pilot should understand correctly conversational speech when tested with each ear at a distance of 2 metres from the cabin crew and class 2 pilot with member’s back turned towards the examiner 26/07/2024 The ESAM ACADEMY 8 Self rating questionnaires (e.g. PHQ) Can be useful in the assessment of mental health The validity depends on the openess and insight Actual mood can lead to aggrevation Questionaires cover a defined period of time Can not provide a correct diagnosis 26/07/2024 The ESAM ACADEMY 9 26/07/2024 The ESAM ACADEMY 10 Different Systems of Regulations EASA Former JAA requirements (do not exsist anymore) ICAO FAA 26/07/2024 The ESAM ACADEMY 11 Definiton of LAPL Max 2000 kg take off mass single-engine piston aeroplanes Max 3 passengers Not commercialy VFR Only planes in the same country can be chartered 26/07/2024 The ESAM ACADEMY 12 Holders of a medical certificate shall seek aeromedical advice when (1) have undergone a surgical operation or invasive procedure; (2) have commenced the regular use of any medication; (3) have suffered any significant personal injury involving incapacity to function as a member of the flight crew; (4) have been suffering from any significant illness involving incapacity to function as a member of the flight crew; (5) are pregnant; (6) have been admitted to hospital or medical clinic; or (7) first require correcting lenses. 26/07/2024 The ESAM ACADEMY 13 Pneumothorax (1) Applicants with spontaneous pneumothorax should be assessed as unfit. A fit assessment may be considered if respiratory evaluation is satisfactory: Full reexpansion No bullae six weeks following full recovery from a single spontaneous pneumothorax 26/07/2024 The ESAM ACADEMY 14 55% of information comes from body language The calculation of maximum waitingtime for pilots is 5 times the maximal pharmacologic half-time of the medication Lack of training does not belong to the dirty dozen of Aviation Human Factors One foot = 30,48 cm The time of usefull conciousness is reduced in smokers 26/07/2024 The ESAM ACADEMY 15 Signs of Decompression Bends Chokes CNS Disorder Creeps 26/07/2024 The ESAM ACADEMY 16 Eyes If the applicant does not pass the Ishihara test, further tests as Lantern Test or CAD Test are possible to define whether the applicant is colour safe VCL limitations can only be deleted by the AME in consultation with the Civil Aviation Authority 26/07/2024 The ESAM ACADEMY 17 Head injury An applicant with a head injury which was severe enough to cause loss of consciousness or is associated with penetrating brain injury should be reviewed by a consultant neurologist. Essential is the full recovery and a low risk of epilepsy 26/07/2024 The ESAM ACADEMY 18 Effects of microgravity on the human body Fluid shift Space Adaptation Syndrome Muscle atrophy Bone loss Renal stones Exposure to ionizing radiation Space associated neuro-ocular Syndrome Back pain 26/07/2024 The ESAM ACADEMY 20 Removal of a limitation 26/07/2024 The ESAM ACADEMY 21 26/07/2024 The ESAM ACADEMY 22 26/07/2024 The ESAM ACADEMY 23 26/07/2024 The ESAM ACADEMY 24 26/07/2024 The ESAM ACADEMY 25 Class 2 Non commercial flights SPL and BPL can apply for commercial licence There are severe differences between driving a car and flying a plane-there are nor parking lots in the air Class 2 has a wide range of possibilities-this is normally no limited to a special aircraft type 26/07/2024 The ESAM ACADEMY 26 26/07/2024 The ESAM ACADEMY 27 26/07/2024 The ESAM ACADEMY 28 26/07/2024 The ESAM ACADEMY 29 26/07/2024 The ESAM ACADEMY 30 26/07/2024 The ESAM ACADEMY 31 26/07/2024 The ESAM ACADEMY 32 Decompression Sickness 26/07/2024 The ESAM ACADEMY 33 Decompression Sickness 26/07/2024 The ESAM ACADEMY 34 26/07/2024 The ESAM ACADEMY 35 26/07/2024 The ESAM ACADEMY 36 26/07/2024 The ESAM ACADEMY 37 26/07/2024 The ESAM ACADEMY 38 26/07/2024 The ESAM ACADEMY 39 What factors most increases the probability of decompression sickness? Scuba diving with compressed 02 just before flight Alcohol increases the risk Atrial Septal defect Body fat content Age – occurrence of DCS increases with age - risk at 40-45 years is 3 times higher than at19-25 years Gender – faster occurs in woman that in man Exercises increase the rate Critical altitudes Duration of exposure 26/07/2024 The ESAM ACADEMY 40 26/07/2024 The ESAM ACADEMY 41 26/07/2024 The ESAM ACADEMY 42 26/07/2024 The ESAM ACADEMY 43 26/07/2024 The ESAM ACADEMY 44 26/07/2024 The ESAM ACADEMY 45 26/07/2024 The ESAM ACADEMY 46 26/07/2024 The ESAM ACADEMY 47 26/07/2024 The ESAM ACADEMY 48 26/07/2024 The ESAM ACADEMY 49 26/07/2024 The ESAM ACADEMY 50 26/07/2024 The ESAM ACADEMY 51 26/07/2024 The ESAM ACADEMY 52 26/07/2024 The ESAM ACADEMY 53 26/07/2024 The ESAM ACADEMY 54 26/07/2024 The ESAM ACADEMY 55 26/07/2024 The ESAM ACADEMY 56 Minimum elapsed time of 6 weeks after full recovery 26/07/2024 The ESAM ACADEMY 57 26/07/2024 The ESAM ACADEMY 58 26/07/2024 The ESAM ACADEMY 59 26/07/2024 The ESAM ACADEMY 60 26/07/2024 The ESAM ACADEMY 61 26/07/2024 The ESAM ACADEMY 62 26/07/2024 The ESAM ACADEMY 63 26/07/2024 The ESAM ACADEMY 64 26/07/2024 The ESAM ACADEMY 65 26/07/2024 The ESAM ACADEMY 66 26/07/2024 The ESAM ACADEMY 67 26/07/2024 The ESAM ACADEMY 68 26/07/2024 The ESAM ACADEMY 69 26/07/2024 The ESAM ACADEMY 70 26/07/2024 The ESAM ACADEMY 71 26/07/2024 The ESAM ACADEMY 72 26/07/2024 The ESAM ACADEMY 73 26/07/2024 The ESAM ACADEMY 74 26/07/2024 The ESAM ACADEMY 75 26/07/2024 The ESAM ACADEMY 76 26/07/2024 The ESAM ACADEMY 77 26/07/2024 The ESAM ACADEMY 78 26/07/2024 The ESAM ACADEMY 79 26/07/2024 The ESAM ACADEMY 80 26/07/2024 The ESAM ACADEMY 81 Necessary Eye Examinations at the Revalidation or Renewal Examination for Class 2 History Distant- , intermediate- und near visual acuity uncorrected and with best optimal correction, if needed Examination of the external eye, anatomy, media and fundoscopy How do you test colour vision? 24 plate version distance of 75 cm rectangel to the eyes of the applicant random order the examiner turns the pages each eye seperately without hesitation (< 3 seconds per plate) northern daylight > 0 errors - further examinations are necessary Requirements Class 2 Ishihara-plates (24 plate version): the first 15 plates must be correctly identified If fail: should be colour safe (further colour vision testing) If not: Daytime only (VCL) Colour vision must not be tested at renewal examination Anomaloscopy Normal Anomal Quotient: 0,7 – 1,4 Trichromat with 4 matching scale units

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