Bilateral chemodectoma: medicolegal considerations on a case report of aeromedical concern.

The authors describe a case of bilateral carotid chemodectoma occurring in a military pilot who was assessed and evaluated in terms of aeromedical and medico-legal aspects for his fitness to fly. In view of the lack of specific guidelines and/or regulations, both national and international, we choose to follow a multidisciplinary clinical approach that included aero-physiological tests in the hypobaric chamber, in order to identify a standard protocol that could be used as reference for similar future cases, where this kind of assessment is necessary.

Predictors of ear barotrauma in aircrews exposed to simulated high altitude.

Introduction: Ear barotrauma is an adverse effect related to hypobaric exposure. Ear, nose, and throat (ENT) diseases are risk factors for barotrauma in aircrews trained in a hypobaric chamber, but excluding affected subjects from exposure does not abolish the risk in asymptomatic trainees. We investigated other possible predictors, including history of ENT diseases, ENT clinical abnormalities, altitude, and subject's age.

Baseline-free estimation of residual fatigue life using a third order acoustic nonlinear parameter.

Prediction of crack growth and fatigue life estimation of metals using linear/nonlinear acousto-ultrasound methods is an ongoing issue. It is known that by measuring nonlinear parameters, the relative accumulated fatigue damage can be evaluated. However, there is still a need to measure two crack propagation states to assess the absolute residual fatigue life.

Altitude chamber related adverse effects among 1241 airmen.

Introduction: Altitude chambers are used for training aircrews, but incidents have been reported, including decompression sickness (DCS) and barotrauma. To minimize chamber-related adverse effects we implemented a set of measures, including altitude restriction and a pre-chamber clinical selection (PCS) of subjects before exposure.

Methods: We reviewed our records regarding 1254 individuals who were trained from 2003 to 2009.