Chapter 7. The Application of Evidence-Based Medicine to Employment Fitness Standards: The Transportation Industries with Special Reference to Aviation

  1. Salim Yusuf DPhil, FRCPC, FRSC Research Chair Professor of Medicine Director Vice President Research2,3,4,
  2. John A Cairns MD, FRCPC Professor of Medicine Former Dean5,
  3. A John Camm MD British Heart Foundation Professor Head of Cardiac6,
  4. Ernest L Fallen MD, FRCPC Professor Emeritus7 and
  5. Bernard J Gersh MB, ChB, DPhil Consultant Professor of Medicine8
  1. Michael Joy OBE, MD, FRCP, FACC, FESC, FRAeS Professor Cardiologist

Published Online: 21 MAY 2010

DOI: 10.1002/9781444309768.ch7

Evidence-Based Cardiology, Third Edition

Evidence-Based Cardiology, Third Edition

How to Cite

Joy, M. (2009) The Application of Evidence-Based Medicine to Employment Fitness Standards: The Transportation Industries with Special Reference to Aviation, in Evidence-Based Cardiology, Third Edition (eds S. Yusuf, J. A. Cairns, A. J. Camm, E. L. Fallen and B. J. Gersh), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444309768.ch7

Editor Information

  1. 2

    McMaster University, Canada

  2. 3

    Population Health Research Institute, McMaster University, Hamilton Health Sciences, Canada

  3. 4

    Hamilton Health Sciences, Hamilton, Ontario, Canada

  4. 5

    Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada

  5. 6

    St George's University of London, London, UK

  6. 7

    McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada

  7. 8

    Mayo Clinic College of Medicine, Rochester, MN, USA

Author Information

  1. Postgraduate Medical School, Surrey University, Guildford, Surrey, UK

Publication History

  1. Published Online: 21 MAY 2010
  2. Published Print: 13 NOV 2009

ISBN Information

Print ISBN: 9781405159258

Online ISBN: 9781444309768

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Keywords:

  • medicine to employment fitness standards - transportation industries;
  • medical standards - voluntary codes of practice, statutory;
  • road, air transport - applying evidence-based medicine (EBM);
  • operational standards - implemented by national agencies;
  • aviation - mass transportation regulated by international statute;
  • subtle incapacitation - caused by illness, fatigue or effects of medication;
  • common cardiologic conditions - coronary artery disease, atrial fibrillation

Summary

This chapter contains sections titled:

  • Introduction

  • The regulatory process

  • Modes of transport and regulation

  • The aviation environment

  • Aviation accident experience due to medical cause

  • Evidence-based medicine and workshops in aviation cardiology

  • The “1% rule” and best evidence

  • Specific cardiologic issues in aircrew

  • Conclusion

  • References