Dame Guide: Contents
CIVIL AVIATION MEDICAL ADMINISTRATION
1.1 ICAO and Civil Aviation Medicine
1.2 The Civil Aviation Authority (CAA)
1.2.1 Establishment and management of the CAA
1.2.2 Areas of oversight
1.3 The CAA Aviation Medicine Department
1.3.1 Aviation Medicine as a speciality
1.3.2 History of Aviation Medicine
1.3.3 Requirements for Military and Civil Aviation Medicine
1.3.4 Review of Aviation Medicine in South Africa
1.4 Relationship between CAA and IAM
REGULATORY PROCEDURES IN CIVIL AVIATION MEDICINE
2.1 Filing differences with ICAO
2.2 Development of medical policies and standards
2.3 The aviation medical examiner and CARCOM
CIVIL AVIATION REGULATIONS
3.1 Regulatory and reference documentation
3.2 Medical requirements
67.00.1 Applicability
67.00.2 Classes of medical certificates
67.00.3 Designation of body or institution
67.00.4 Designation of aviation medical examiners (DAME)
67.00.5 Class 4 medical certificates
67.00.6 Period of validity of medical certificates
67.00.7 Application for medical certificate
67.00.8 Issuing of medical certificate
67.00.9 Duties of holder of medical certificate
67.00.10 Foreign medical assessments
67.00.11 Appeal
67.00.12 Period of validity of medical records
67.00.13 Medical confidentiality
3.3 Technical standards
3.3.1 General medical requirements
3.3.2 Physical and mental standards
3.3.3 Visual standards
3.3.4 Ear, nose and throat and hearing standards
3.3.5 Electro-cardiography
3.3.6 Flow volume lung function test
3.4 Protocols
3.4.1 Neurological or neurosurgical problems
3.4.1.1 Head injuries
3.4.1.2 Post-traumatic epilepsy (PTE)
3.4.1.3 The post-traumatic syndrome
3.4.1.4 Epilepsy
3.4.1.5 Syncope
3.4.1.6 Narcolepsy
3.4.1.7 Transient memory loss
3.4.1.8 Headache
3.4.2 Stroke
3.4.3 Brain tumours
3.4.4 Parkinson's disease
3.4.5 Carcinoma of the colon and rectum
3.4.6 Pneumothorax
3.4.7 Chronic obstructive airways disease
3.4.8 Asthma
3.4.9 Hypertension
3.4.10 Myocardial infarction (MI)/PTCA/CABG
3.4.11 Rheumatoid arthritis
3.4.12 Sarcoidosis
3.4.13 Diabetes mellitus
3.4.14 Addison's disease
3.4.15 Multiple sclerosis
3.4.16 Coagulation and thrombotic disorders
3.4.17 Acute leukaemia
3.4.18 Seminoma
3.4.19 Malignant melanoma
3.4.20 Monocular/amblyopic protocol
3.4.21 Radial keratotomy/PRK/LASIK Protocol
3.5 Medication and flying
3.5.1 General
3.5.2 Medication generally acceptable for flight crew
3.6 Amended Regulations and future amendments
3.6.1 Blood tests
3.6.2 Validity of medical certificates
3.6.3 Psychoactive substances and consumption of alcohol and drugs
3.6.4 Distance vision
3.6.5 Proposed amendments
a. Frequency of stress-ECG and lung function testing
b. Medication to be used by aviation personnel
c. Finalization of the HIV protocol
3.6.6 Statement of voluntary disclosure of HIV
DESIGNATED AVIATION MEDICAL EXAMINERS
4.1 Designation of medical examiners
4.1.1 Definitions
4.1.2 Responsibilities of designated medical examiners
4.1.3 Criteria for designation
4.1.4 Duration of designation
4.1.5 Procedures for designation
4.1.6 Procedures for termination or non-renewal of designation
4.1.7 Fees related to designation
4.2 Legal issues
4.2.1 Confidentiality of information
4.2.2 Medical examination forms and medical certificates
4.3 Training of medical examiners
THE AVIATION MEDICAL EXAMINATION
5.1 Routine examinations
5.2 Certification of medical examinations
5.3 Panel cases
5.4 Medical appeals
5.5 Practical medical flight tests
5.6 Examination of South African pilots in foreign countries
EXAMINATION AND DOCUMENTATION PROCEDURES
6.1 General information
6.2 Instructions for completion of the new medical examination form
6.3 Physical Examination
6.4 Operational restrictions and medical requirements