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October 15, 1982

Medical Considerations Regarding Flight Crews

JAMA. 1982;248(15):1834-1835. doi:10.1001/jama.1982.03330150028013

To the Editor.—  The American Medical Association Commission on Emergency Medical Services should be congratulated for placing in readable form and in one place compilations of information not commonly known or understood by physicians not actively engaged in the specialty of aviation medicine. Although the communication published in The Journal entitled "Medical Aspects of Transportation Aboard Commercial Aircraft" (1982;247:1007) concerned primarily passengers, many physicians in general medical practice will be asked questions by aviation flight attendants and others about the advisability of continuing to work in the aircraft environment when certain medical conditions develop. The general advice given in the communication applies to the aircrew; however, the restrictions on continuing flight duties are much more restrictive on pilots, flight attendants, and other professionals than they are on the passenger.Federal air regulations dictate that airlines operate to maximize safety considerations, and any condition that would have an adverse effect on