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Aerospace Medicine: New technologies-New approach RAMS USAF/NATO STO HFM

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Human Factors and Medicine

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advanced medical inflight equipment, aeromedical documentationstandardisation, aeromedical evacuation teams, aerospace medicine, aviation medicine, selection and training


Multinational operations are conducted by forces of two or more nations, usually undertaken within the structure of a coalition or alliance. Other possible arrangements include supervision by an intergovernmental organization such as the North Atlantic Treaty Organization (NATO). While the multinational operations cannot guarantee success, ignoring them may lead to mission failure due to a lack of unity of effort. International rationalization, standardization, and interoperability with friendly nations is important for achieving practical cooperation and effective multinational capability without sacrificing national capabilities. Modern NATO expeditionary missions are characterized by several factors which combine to increase both the importance of evacuation and the challenge of carrying it out effectively. These factors include the distance from the home country to the mission area, the dispersed nature of NATO forces in the Area of Operations, the absence of useful host nation infrastructure, difficult terrain and topography, and the lethality of modern weapons. There has also been ongoing pressure to decrease the logistic-support footprint in theatre and therefore to deploy smaller, leaner medical facilities into theatre. At the same time governments and populations of NATO nations demonstrate low tolerance for fatalities, and expect their personnel to receive the best possible chance of surviving with the least possible morbidity. In recent years, the increased need to transport patients who have not been fully treated and stabilized has led to the development and refinement of Critical Care Aeromedical Transport Teams. In forward areas, rotary wing platforms have long been the norm, with ground evacuation available where the tactical or climatic conditions make this impractical. Fixed wing platforms have traditionally only been employed for moving stable patients between medical facilities in the area of operations or from the area of operations to the home country. However, recently the factors above have triggered an increase in the movement of less stable casualties over long distances. It has also become possible to foresee the use of fixed wing aircraft in a forward evacuation role. All of these capabilities are costly, technologically intensive and require highly trained providers. Multinational solutions are increasingly sought as a way to share this burden. However, partnership and attempts at interoperability bring additional challenges.


The objective of this Course is to provide state of the art knowledge and practices in aerospace medicine, share national practices and evaluate new and emerging technologies on the subject of Aerospace Medicine and Human Performance in its broadest context to NATO Flight Surgeons, by a group of expert lecturers from NATO nations. The course will cover the current and future challenges in Aerospace Medicine in deployed area and multinational environments, focusing on Operational Aviation Medicine. Risks and advantages of various approaches will be compared with the aim of recommending best practices and thus improving interoperability.


Topics to be discussed will include, but not be restricted to: • Operational Aviation Medicine • Multinational operations, Cooperation and Partnerships • Interoperability, Standardization, Coordination, and Training • Medical Evacuation (multinational considerations, process & procedures for transloading from one platform to another, especially where platforms are operated by different nations, suitability of various platforms, equipment compatibility and airworthiness, as well as organization/command & control throughout the evacuation chain) • Evacuation of CBRN casualties • Clinical protocols for specific conditions (clinical status/indications, contraindications, equipment and team choices) • Mass Casualty Evacuation • Personnel Recovery, Search and Rescue (SAR) • Crew Resource Management • Selection and training of Aircrew and Flight Surgeons (Physiological training program, Training and Simulation, Survivability, Human Performance Enhancement) • Risk Management (Fatigue Management Strategies, High G, High altitude, Long duration sorties, Thermal stress, space radiation, NVG flights, Lasers, Accident-Investigation) • Perception and Situational Awareness • Preventive Medicine and Data Management • Non-Traditional Career Fields • Medical monitoring and clinical guidelines • Case studies

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