Aeromedical decision making - It may be time for a paradigm change

Lawrence W. Steinkraus, Russell B. Rayman, William P. Butler, Royden W. Marsh, William Ercoline, Clayton T. Cowl

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations


Recent events in the U-2 and F-22 fleets have challenged aeromedical experts, highlighting the need for better in-flight aircrew physiologic and cognitive monitoring capability. Existing aerospace medicine risk assessment tools, while necessary, are no longer sufficient to affect positive safety changes given the evolving nature of the aerospace environment. Cognition and its sub-elements are now primary measures for the " Fit to Fly " decision. We must investigate practical methodologies for determining dynamic aircrew physiologic and cognitive function preflight (selection, retention) and in-flight (selection, retention, performance enhancement). In 2010, a panel of aeromedical experts met to address current paradigms and suggest possible solutions. This commentary briefly summarizes panel findings and recommendations.

Original languageEnglish (US)
Pages (from-to)1006-1007
Number of pages2
JournalAviation Space and Environmental Medicine
Issue number10
StatePublished - Oct 2012


  • Cognition
  • Human performance
  • Monitoring
  • Risk assessment
  • Safety

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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