Introduction to aerospace medicine

Article information

J Korean Med Assoc. 2012;55(7):649-656
Publication date (electronic) : 2012 July 11
doi : https://doi.org/10.5124/jkma.2012.55.7.649
Medical Division of Headquarter, Republic of Korea Air Force, Gyeryong, Korea.
Corresponding author: Jeongku Lim, amekorea@gmail.com
Received 2012 March 13; Accepted 2012 March 28.

Abstract

Recent reports show that over 2 billion people are travelling via air every year, and the number of countries involved in space exploration is growing. Aerospace medicine, one of the specialty areas in preventive medicine, focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles. Flight surgeons are military medical officers who play an important role in these tasks. The civilian equivalent of the flight surgeon is the aviation medical examiner (AME). Among the challenges that we encounter at high altitudes are a change in pressure, noise, spa-tial disorientation, and acceleration. We should also overcome microgravity and radiation in space. The common in-flight medical emergencies are abdominal pain, diarrhea, chest pain, coll-apse, asthma, diabetes, and allergic reactions. There is only one aerospace medical institute, the Aerospace Medical Center, in the Republic of Korea. The Aerospace Medical Association of Korea, established in 1989, continues to grow. In the near future, aerospace medicine will be an important part of preventive medicine in the Republic of Korea.

References

1. Han BS. An overview of In-flight medical care. Korean J Aerosp Environ Med 2008. 1869–77.
2. World Tourism Organization. Tourism highlights edition 2007 2007. Madrid: World Tourism Organization;
3. World Health Organization. International travel and health 2008: situation as on 1 January 2008 2008. Geneva: World Health Organization;
4. Kim JH, Park HB, Baek GS, Lee YH. Aerospace medicine 1997. Seoul: Hanbit;
5. Oh JH. The understanding of aerospace medicine and history of Korean aerospace medicine. Res Vestib Sci 2009. 887–89.
6. Bettes TN, McKenas DK. Medical advice for commercial air travelers. Am Fam Physician 1999. 60801–808.
7. Wu Y, Ding C. Effect of fighter cockpit noise on pilot hearing. Space Med Med Eng (Beijing) 1998. 1152–55.
8. Lim JK, Lee WY, Yang SM. The hearing loss in Korean air force pilots. Korean J Aerosp Environ Med 2011. 2134–37.
9. Navathe PD, Singh B. An operational definition for spatial disorientation. Aviat Space Environ Med 1994. 651153–1155.
10. Davis JR, Johnson R, Stepanek J, Fogarty JA. Fundamentals of aerospace medicine 2008. 4th edth ed. Philadelphia: Lippincott Williams & Wilkins;
11. Rainford D, Gradwell DP, Ernsting J. Ernsting's aviation medicine 2006. 4th edth ed. New York: Oxford University Press;
12. Thornton WE, Moore TP, Pool SL. Fluid shifts in weightlessness. Aviat Space Environ Med 1987. 58(9 Pt 2)A86–A90.
13. Draeger J, Schwartz R, Groenhoff S, Stern C. Self-tonometry under microgravity conditions. Aviat Space Environ Med 1995. 66568–570.
14. Prisk GK, Guy HJ, Elliott AR, Deutschman RA 3rd, West JB. Pulmonary diffusing capacity, capillary blood volume, and cardiac output during sustained microgravity. J Appl Physiol 1993. 7515–26.
15. Fortney SM, Schneider VS, Greenleaf JE. In : Fregly MJ, Blatteis CM, eds. American Physiological Society. The physiology of bed rest. Handbook of physiology: a critical, comprehensive presentation of physiological knowledge and concepts. Section 4, environmental physiology 1996. New York: Oxford University Press; 889–939.
16. Jennings RT. Managing space motion sickness. J Vestib Res 1998. 867–70.
17. Davis JR, Vanderploeg JM, Santy PA, Jennings RT, Stewart DF. Space motion sickness during 24 flights of the space shuttle. Aviat Space Environ Med 1988. 591185–1189.
18. Buckey JC. Space physiology 2006. New York: Oxford University Press;
19. Clement G. Fundamentals of space medicine 2003. Dordrecht: Kluwer Academic Publishers;
20. Edgerton VR, Zhou MY, Ohira Y, Klitgaard H, Jiang B, Bell G, Harris B, Saltin B, Gollnick PD, Roy RR. Human fiber size and enzymatic properties after 5 and 11 days of spaceflight. J Appl Physiol 1995. 781733–1739.
21. National Research Council. Radiation hazards to crews of interplanetary missions: biological issues and research strategies 1996. Washington, DC: National Academy Press;
22. Robbins DE, Yang TC. In : Nicogossian AE, Huntoon CL, Pool SL, eds. Radiation and radiobiology. Space physiology and medicine 3rd edth ed. Philadelphia: Williams;
23. Cucinotta FA, Manuel FK, Jones J, Iszard G, Murrey J, Djojonegro B, Wear M. Space radiation and cataracts in astronauts. Radiat Res 2001. 156(5 Pt 1)460–466.
24. Dowdall N. "Is there a doctor on the aircraft?" Top 10 in-flight medical emergencies. BMJ 2000. 3211336–1337.
25. Ministry of Land, Transport and Maritime Affairs. The 12th enforcement regulations of civil aeronautics law 2008. 05. 08.
26. Yoo BW. Travel medicine. J Korean Med Assoc 2010. 53501–509.

Article information Continued

Figure 1

Lean illusion.

Figure 2

Fluid shift in space. (A) Before the launching, (B) during in space, (C) after the landing.

Table 1

The change in respiratory gas pressure while breathing ambient air for 10 to 20 minutes

Table 1

From Kim JH, et al. Aerospace medicine. Seoul: Hanbit; 1997 [4]. PO2, ambient oxygen tension; PAO2, alveolar oxygen tension; PACO2, alveolar carbon dioxide tension; SD, standard deviation.

Table 2

Contents of emergency medical kit

Table 2

From Ministry of Land, Transport and Maritime Affairs. The 12th enforcement regulations of civil aeronautics law (May 8, 2008) [25].