History of aviation medicine

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Paul Bert, the French zoologist, and the architect of aviation medicine Paul Bert2.jpg
Paul Bert, the French zoologist, and the architect of aviation medicine

The history of aviation medicine began largely after World War I, when aircraft needed to fly to higher altitudes. In the Jet Age, aircraft became pressurised so rapid decompression became a hazard leading to passing out, high g-forces which led to G-LOC and ejection seats caused spinal compression and other injuries. Much of the adverse health effects in aviation are caused by rapid changes in atmospheric pressure, such as decompression sickness.

Contents

Aviation medicine is not purposed for people with diseases, but contingencies have been developed to allow people to go into low pressure environments, which in itself is a large medical challenge.

Paul Bert (1833-86) of France is known as the Father of Aviation Medicine, the first to research effects of air-pressure on health and oxygen toxicity; he worked with the French meteorologist Gaston Tissandier. The first fatalities from aviation hypoxia occurred on 15 April 1875 in France, when the balloon Zenith reached 28,200 ft. [1]

World War I

Italy was the first country to develop research into aviation medicine in World War I, followed by France. Britain was the first country to look at the effects of atmospheric pressure on pilots. By 1917, Britain and America were collaborating on research into aviation medicine, with a combined report in March 1918 started by Brigadier General Theodore C. Lyster (1875-1933), who helped to form the United States Army Air School of Aviation Medicine in 1918.

Interwar era

In the interwar era, techniques in aviation medicine mainly started; aircraft were gradually becoming more advanced. The United States passed its Air Commerce Act on 20 May 1926, which laid down medical regulations for commercial pilots. In 1931, the Swiss physicist Auguste Piccard made important investigations of atmospheric pressure of the upper atmosphere (mesosphere).

The first pressurised aircraft flew on June 8, 1921 in the USA.

World War II

By 1941–42, some production military aircraft were pressurised for the first time.

Post-war

In the post-war era, jet aircraft were now commonplace. Jet engines allowed aircraft to reach much higher altitudes; an aircraft has a maximum height it can reach known as its ceiling.

Research

The RAF Institute of Aviation Medicine researched aviation medicine.

By country

United Kingdom

The RAF Medical Services was formed in April 1918; the RAF Nursing Service was formed in June 1918; the RAF Dental Branch was formed in July 1930 (later part of the Defence Dental Agency [2] from March 1996 in Buckinghamshire, and now part of Defence Medical Services, based in Staffordshire). [3] [4]

Captain Christopher Stricklin ejects from his United States Air Force Thunderbirds F-16 on 14 September 2003, one second before impact Crash.arp.600pix.jpg
Captain Christopher Stricklin ejects from his United States Air Force Thunderbirds F-16 on 14 September 2003, one second before impact

United States

On 15 December 1928, the Aero Medical Association of the United States was formed. The United States Air Force Medical Service was formed in 1949.

See also

Related Research Articles

Altitude or height is a distance measurement, usually in the vertical or "up" direction, between a reference datum and a point or object. The exact definition and reference datum varies according to the context. Although the term altitude is commonly used to mean the height above sea level of a location, in geography the term elevation is often preferred for this usage.

Decompression sickness Disorder caused by dissolved gases emerging from solution

Decompression sickness is a medical condition caused by dissolved gases emerging from solution as bubbles inside the body tissues during decompression. DCS most commonly occurs during or soon after a decompression ascent from underwater diving, but can also result from other causes of depressurisation, such as emerging from a caisson, decompression from saturation, flying in an unpressurised aircraft at high altitude, and extravehicular activity from spacecraft. DCS and arterial gas embolism are collectively referred to as decompression illness.

de Havilland Comet First commercial jet airliner

The de Havilland DH.106 Comet was the world's first commercial jet airliner. Developed and manufactured by de Havilland at its Hatfield Aerodrome in Hertfordshire, United Kingdom, the Comet 1 prototype first flew in 1949. It featured an aerodynamically clean design with four de Havilland Ghost turbojet engines buried in the wing roots, a pressurised cabin, and large square windows. For the era, it offered a relatively quiet, comfortable passenger cabin and was commercially promising at its debut in 1952.

Hyperbaric medicine Medical treatment at raised ambient pressure

Hyperbaric medicine is medical treatment in which an ambient pressure greater than sea level atmospheric pressure is a necessary component. The treatment comprises hyperbaric oxygen therapy (HBOT), the medical use of oxygen at an ambient pressure higher than atmospheric pressure, and therapeutic recompression for decompression illness, intended to reduce the injurious effects of systemic gas bubbles by physically reducing their size and providing improved conditions for elimination of bubbles and excess dissolved gas.

Barotrauma Injury caused by pressure

Barotrauma is physical damage to body tissues caused by a difference in pressure between a gas space inside, or in contact with, the body, and the surrounding gas or fluid. The initial damage is usually due to over-stretching the tissues in tension or shear, either directly by expansion of the gas in the closed space or by pressure difference hydrostatically transmitted through the tissue. Tissue rupture may be complicated by the introduction of gas into the local tissue or circulation through the initial trauma site, which can cause blockage of circulation at distant sites or interfere with normal function of an organ by its presence.

Decompression Illness (DCI) comprises two different conditions caused by rapid decompression of the body. These conditions present similar symptoms and require the same initial first aid. Scuba divers are trained to ascend slowly from depth to avoid DCI. Although the incidence is relatively rare, the consequences can be serious and potentially fatal, especially if untreated.

Aviation medicine

Aviation medicine, also called flight medicine or aerospace medicine, is a preventive or occupational medicine in which the patients/subjects are pilots, aircrews, or astronauts. The specialty strives to treat or prevent conditions to which aircrews are particularly susceptible, applies medical knowledge to the human factors in aviation and is thus a critical component of aviation safety. A military practitioner of aviation medicine may be called a flight surgeon and a civilian practitioner is an aviation medical examiner. One of the biggest differences between the military and civilian flight doctors is the military flight surgeon's requirement to log flight hours.

Uncontrolled decompression is an unplanned drop in the pressure of a sealed system, such as an aircraft cabin or hyperbaric chamber, and typically results from human error, material fatigue, engineering failure, or impact, causing a pressure vessel to vent into its lower-pressure surroundings or fail to pressurize at all.

Cabin pressurization Process to maintain internal air pressure in aircraft

Cabin pressurization is a process in which conditioned air is pumped into the cabin of an aircraft or spacecraft in order to create a safe and comfortable environment for passengers and crew flying at high altitudes. For aircraft, this air is usually bled off from the gas turbine engines at the compressor stage, and for spacecraft, it is carried in high-pressure, often cryogenic tanks. The air is cooled, humidified, and mixed with recirculated air if necessary before it is distributed to the cabin by one or more environmental control systems. The cabin pressure is regulated by the outflow valve.

RAF North Luffenham

RAF North Luffenham was a Royal Air Force station in Rutland, England, 1940 - 1998. It is near to the villages of Edith Weston and North Luffenham.

Pressure suit Type of protective suit

A pressure suit is a protective suit worn by high-altitude pilots who may fly at altitudes where the air pressure is too low for an unprotected person to survive, even breathing pure oxygen at positive pressure. Such suits may be either full-pressure or partial-pressure. Partial-pressure suits work by providing mechanical counter-pressure to assist breathing at altitude.

Diving chamber Hyperbaric pressure vessel for human occupation used in diving operations

A diving chamber is a vessel for human occupation, which may have an entrance that can be sealed to hold an internal pressure significantly higher than ambient pressure, a pressurised gas system to control the internal pressure, and a supply of breathing gas for the occupants.

Hypobaric chamber

A hypobaric chamber, or altitude chamber, is a chamber used during aerospace or high terrestrial altitude research or training to simulate the effects of high altitude on the human body, especially hypoxia and hypobaria. Some chambers also control for temperature and relative humidity.

Military medicine A medical specialty attending to soldiers, sailors and other service members

The term military medicine has a number of potential connotations. It may mean:

RAF Institute of Aviation Medicine

The Royal Air Force Institute of Aviation Medicine was a Royal Air Force aviation medicine research unit active between 1945 and 1994.

RAF Centre of Aviation Medicine Military unit

The RAF Centre of Aviation Medicine is a medical organisation run by the Royal Air Force and based at RAF Henlow in Bedfordshire. It is the main organisation conducting aviation medicine research in the UK.

Decompression (diving) Adjusting to pressure changes in ascents

The decompression of a diver is the reduction in ambient pressure experienced during ascent from depth. It is also the process of elimination of dissolved inert gases from the diver's body, which occurs during the ascent, largely during pauses in the ascent known as decompression stops, and after surfacing, until the gas concentrations reach equilibrium. Divers breathing gas at ambient pressure need to ascend at a rate determined by their exposure to pressure and the breathing gas in use. A diver who only breathes gas at atmospheric pressure when free-diving or snorkelling will not usually need to decompress, Divers using an atmospheric diving suit do not need to decompress as they are never exposed to high ambient pressure.

Altitude decompression or hypobaric decompression is the reduction in ambient pressure below the normal range of sea level atmospheric pressure. Altitude decompression is the natural consequence of unprotected elevation to altitude, while hypobaric decompression is due to intentional or unintentional release of pressurisation of a pressure suit or pressurised compartment, vehicle or habitat, and may be controlled or uncontrolled, or the reduction of pressure in a hypobaric chamber.

Decompression theory Theoretical modelling of decompression physiology

Decompression theory is the study and modelling of the transfer of the inert gas component of breathing gases from the gas in the lungs to the tissues and back during exposure to variations in ambient pressure. In the case of underwater diving and compressed air work, this mostly involves ambient pressures greater than the local surface pressure, but astronauts, high altitude mountaineers, and travellers in aircraft which are not pressurised to sea level pressure, are generally exposed to ambient pressures less than standard sea level atmospheric pressure. In all cases, the symptoms caused by decompression occur during or within a relatively short period of hours, or occasionally days, after a significant pressure reduction.

United States Air Force School of Aerospace Medicine

The United States Air Force School of Aerospace Medicine (USAFSAM) is the United States Air Force (USAF) organization focused on education, research, and operational consultation in aerospace and operational medicine. USAFSAM was founded in 1918 to conduct research into the medical and physiologic domains related to human flight, and as a school for medical officers trained to support military aviation operations, later coined as flight surgeons. The school supported early military aviation from World War I through the evolution of aviation and into the modern era. USAFSAM conducted medical research and provided medical support for the initial US space operations beginning in 1947 through the establishment of NASA in 1958. After the creation of NASA, USAFSAM continued to actively support civilian and military manned space missions through clinical and physiologic research. USAFSAM is one of the oldest continually operating school for flight surgeons and other operational medical personnel of its kind in the world. USAFSAM is located in Dayton, Ohio at Wright-Patterson Air Force Base, and is part of the 711th Human Performance Wing and the Air Force Research Laboratory (AFRL).

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