2023, Volume 29, Issue 1
ALPHA THALASSEMIA IN A PILOT FLYING HELICOPTERS: FITNESS TO FLY A CONSIDERED DECISION: A CASE REPORT
PIUSH RENJHEN1, DEEPAK GAUR1
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1Institute of Aerospace Medicine
Autor korenspondencyjny: PIUSH RENJHEN; Institute of Aerospace Medicine; email: piushrenjhen@gmail.com
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Streszczenie
Introduction: The disease/disability Alpha-Thalassemia is a rare genetic disorder wherein there is reduced production of haemoglobin. An individual suffering from this may sugffer from easy fatiguability, fluctuating anemias, leg ulcers, all depending upon the severity of the condition. It is an aerospace safety concern in case an aircrew member is diagnosed with Alpha Thalassemia. The pilot being discussed in this case study presented with complaints of easy fatigability and anemia. The paper discusses the aeromedical disposal dilemma in the first and only case of Alpha Thalassemia documented in military aviation across the globe.
Case report: This is a case of an Indian Air Force pilot who has been flying helicopters in the forces and was diagnosed as a case of alpha-thalassemia. The pilot was extensively evaluated, including aeromedical stresses, and was declared fit for flying under waiver after due consideration.
Discussion: A literature review of a case report on disposal of cases of alpha-thalassemia in military flying did not reveal any results. However, based on the observation on the ground, simulated aviation stressors, haemoglobin and haematocrit values and international best practices, the pilot was awarded a flying category under waiver. The pilot has been asymptomatic and is currently flying without compromising aerospace safety.
Słowa kluczowe
alpha-thalassemia, helicopter, consciousness, safety, aeromedical decision making