FAA Adds Cardiac Guidance To AME Guide

News Discussion
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Originally published at: FAA Adds Cardiac Guidance To AME Guide

New disposition tables cover several heart-related conditions for FAA medical certification.

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There are compact ECG/EKG devices that an individual can use occasionally to foresee problems, and doctor/EME can make more use of.

Kardia’s ‘6-lead’ one is notable, place it on knee and press with a finger of each hand. Uses smartphone, I’ve used it with recent Samsung and recent iPhone - for me it is a toy as my heart is good but pricey for that: a few hundred dollars.

Does not substitute for continuous monitoring.

And there’s:

  • blood glucose monitoring with button sensor on arm and smartphone
  • blood oxygen monitoring with pulse oximeter, a Nonin one wraps around finger with cable to watch-size recorder on wrist. IIRC Mike Busch chronicled use of that.
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Kardia claims equivalent of 6 leads, I guess because lab EKG uses three leads on each side of body.

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“ Guide for Aviation Medical Examiners

Item 39. Anus

Anus exam (visual anal or digital rectal exam [DRE]) is not required unless indicated by past medical history (PMH) or symptoms. It may be performed at the discretion of the examiner and applicant.

  • If PMH or symptoms do not warrant examination of these items, the AME should mark “normal” in AMCS and annotate in Item 60 that the exam was not indicated and not performed.
  • If PMH or symptoms warrant examination of these items, the AME should mark “abnormal” in AMCS and annotate in Item 60 the reason exam was performed and any findings.”

What PMH warrant an examination of the anus? What are the pass/fail criteria for the anus?

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Probably just the FAA’s way of sticking it to the man without actually showing any own effort or having to hire staff.

The deed needs to be done, please bend over.

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