How should a cabin crew member with an established history of epilepsy be assessed according to AMC12 MED.C.025?

Cabin crew members with an established history or clinical diagnosis of epilepsy should be assessed as unfit.

What must happen before a fit assessment can be considered for a cabin crew member with epileptiform EEG abnormalities and focal slow waves?

Cabin crew members with epileptiform EEG abnormalities and focal slow waves should undergo further evaluation before a fit assessment may be considered.

Are cabin crew members with progressive or non-progressive disease of the nervous system automatically fit, or is further evaluation required first?

Cabin crew members with progressive or non-progressive disease of the nervous system should undergo further evaluation before a fit assessment may be considered.

What is required for a fit assessment to be considered for a cabin crew member with inflammatory disease of the central or peripheral nervous system?

Cabin crew members with inflammatory disease of the central or peripheral nervous system should undergo further evaluation before a fit assessment may be considered.

What is the regulatory requirement for a cabin crew member with migraine before a fit assessment can be considered?

Cabin crew members with migraine should undergo further evaluation before a fit assessment may be considered.

What must a cabin crew member with loss of consciousness after head injury undergo before a fit assessment can be considered?

Cabin crew members with loss of consciousness after head injury should undergo further evaluation before a fit assessment may be considered.

Is further evaluation required for a cabin crew member with penetrating brain injury before a fit assessment can be considered?

Cabin crew members with penetrating brain injury should undergo further evaluation before a fit assessment may be considered.

AMC12 MED.C.025 Content of aero-medical assessments

Q: What is the assessment outcome for a cabin crew member with recurring episodes of disturbance of consciousness of uncertain cause?

Cabin crew members with recurring episodes of disturbance of consciousness of uncertain cause should be assessed as unfit.

Q: Under what conditions may a cabin crew member with epilepsy be considered for a fit assessment according to AMC12 MED.C.025?

A fit assessment may be considered for cabin crew members with epilepsy without recurrence after 5 years of age and without treatment for more than 10 years, but only after further evaluation.

Q: How should a cabin crew member with a single episode of disturbance of consciousness of uncertain cause be handled before fit assessment?

Cabin crew members with a single episode of disturbance of consciousness of uncertain cause should undergo further evaluation before a fit assessment may be considered.

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AMC12 MED.C.025 Content of aero-medical assessments

ED Decision 2019/002/R

NEUROLOGY

(a) Cabin crew members with an established history or clinical diagnosis of:

(1) epilepsy; or

(2) recurring episodes of disturbance of consciousness of uncertain cause

should be assessed as unfit.

(b) Cabin crew members with an established history or clinical diagnosis of:

(1) epilepsy without recurrence after 5 years of age and without treatment for more than 10 years;

(2) epileptiform EEG abnormalities and focal slow waves;

(3) progressive or non-progressive disease of the nervous system;

(4) inflammatory disease of the central or peripheral nervous system;

(5) migraine;

(6) a single episode of disturbance of consciousness of uncertain cause;

(7) loss of consciousness after head injury;

(8) penetrating brain injury; or

(9) spinal or peripheral nerve injury

should undergo further evaluation before a fit assessment may be considered.

(c) Cabin crew members with a disorder of the nervous system due to vascular deficiencies including haemorrhagic and ischaemic events should be assessed as unfit. A fit assessment may be considered if neurological review and musculoskeletal assessments are satisfactory.

Details

Source-Title: AMC12 MED.C.025 Content of aero-medical assessments View latest amendments

Erulesid: ERULES-1963177438-11291 Compare versions

Domain: Aircrew

Applicabilitydate: 30 January, 2019

Entryintoforcedate: 29 January, 2019

Regulatorysource: ED Decision 2019/002/R Navigate

Regulatorysubject: Part-MED

Typeofcontent: AMC to IR (Acceptable means of compliance to implementing rule)

Parentir: MED.C.025 Content of aero-medical assessments

Origin: EASA

Category: EAR