Aviat Space Envir Md
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Aviat Space Envir Md · Apr 2000
The incidence, nature, and severity of injuries in New Zealand civil aviation.
Strategies to improve aviation safety can be directed at the pre-crash, in-crash, or post-crash phases of aircraft crashes. For resources to be made available for in-crash interventions, and for these to be well designed, it is necessary in the first instance to have a detailed understanding of the injuries sustained in crashes. The purpose of this study was to describe the incidence, nature, and severity of injuries sustained in aircraft crashes and other related events in civil aviation in New Zealand. ⋯ Different patterns of injury were evident for fixed- and rotary-wing aircraft. Reasons for these are suggested. Future research will seek to determine the relative risk associated with potentially modifiable risk factors.
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Aviat Space Envir Md · Mar 2000
Dermatologic disease: twenty-two year experience at the USAF Aeromedical Consultation Service and review of other military and civilian experiences.
The Aeromedical Consultation Service (ACS) is a U. S. ⋯ A review of other military and civilian experiences with dermatologic disease is also presented. The potential impact of skin disease on aviators and support personnel, in peacetime and wartime, can be surmised by this collective account of dermatologic experiences.
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Despite ongoing controversy, hyperbaric oxygen (HBO) therapy is frequently administered in various clinical situations. Probably because of the unique atmospheric conditions to which the patient is exposed, there are concerns about the safety aspects of this therapy. Possible complications during HBO therapy include barotraumatic lesions (middle ear, nasal sinuses, inner ear, lung, teeth), oxygen toxicity (central nervous system, lung), confinement anxiety, and ocular effects (myopia, cataract growth). ⋯ Patients scheduled for HBO therapy need a careful pre-examination and monitoring. If safety guidelines are strictly followed, HBO therapy is a modality with an acceptable rate of complications. The predominant complication is represented by pressure equalization problems within the middle ear. Serious complications rarely occur.
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Aviat Space Envir Md · Feb 2000
Case ReportsPulmonary cyst and cerebral arterial gas embolism in a hypobaric chamber: a case report.
This is a report of an aircrew member who suffered a serious physiological incident in the form of pulmonary barotrauma and cerebral arterial gas embolism during hypobaric chamber training, and who subsequently was shown to have a cyst in the upper lobe of the left lung. The likely origin of the cyst is discussed, as well as the aeromedical disposition following thoracotomy and apical segmentectomy to remove the cyst.