F6424 CFMO Support - IBN 7 (2025)

Depends on the type of inhaler, inhalers come in two forms, aerosol and a dust type, but you can have the same drugs in tablet form. The difference is that inhalers generally act locally but can have systemic effects. There are also oral versions of some medications, such as Salbutamol (Ventolin).

I have used Ventolin in the past in ICU to raise heart rates in some patients.

The RAF cleared a Wing Commander, John Morden, to fly Jaguars following a Heart Lung Transplant, unfortunately he was killed in a midair collision in a T2 just prior to taking over 228 OCU. The use of anti-rejection drugs which includes steroids in some young people who have transplants can actually be discontinued as their body adapts to the new organ without rejection.

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The Blue/Brown Inhaler treatment is pretty outdated, combination inhalers which do both jobs (so you take them morning and night OR when you have symptoms) are the current approach for most doctors. They’ve also gone back to inhaled powders as aerosols weren’t great for the environment.

We have had non CFC inhalers for years now. The big problem with inhaler effectiveness is technique.

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The pneumothorax restriction is in young people, particularly those who are tall and thin in stature, is that the lungs can have bleb like blisters which are a weak spot. The bleb can rupture with changes in air pressure and the lung can deflate.

At best, you have breathlessness and severe pain, at worse it can induce cardiac arrest by shifting the heart across the chest, tension pneumothorax. Ideally, the person would see a chest physician and have a CT scan to rule out the risk of lung deflation.

Are we sure this isn’t an April fools?

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If it is, then it’s so wrong to do so. Cadets and parents can read this,

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I just had the same thought.

It’s daft enough that it could be, but harsh enough that it shouldn’t be.

If it is, someone needs nailing to the wall before they leave through the door permenantly.

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As if getting cadets in the air wasn’t hard enough already.

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Yep - & having had a lengthy exchange with the very nice CFMO last year - the GP refused to sign the form - that’s gonna be a no no for flying until a suitable replacement protocol is found - she was exceptionally helpful & got it sorted.

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I echo this. Excellent support given for the same thing

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I can see this doing but overloading the system in the remaining months and resulting in cadets not revealling relevant medical conditions if they possibly can once word starts to get around. Especially those who join up through friends and get told about it before they come down. So less cadets flying, less knowledge and prep from staff on cadets conditions they hide to try to get flying one day.
I hope they resolve this soon with a new arangment.

If only there was a civilian equivalent medical that could be issued by a GP (or referred to an AME as required) for the purposes of a flying license :thinking:

UK CAA LAPL Guidance

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Wait. You mean trust another government body to do the assurance for us?

Strange concept…

I do explain to new parents who fill the 3822 on the night that if they have any health conditions we have another form they need to fill out in case they are away at camp and staff will need to know who has meds, needs to take meds, etc as camps don’t always have any of our staff there from our sqn. Flying is mentioned but we advertise the camps and different courses and activities which are far more strenuous on the body than a couple of G’s in an aircraft for a few seconds.

With flying it’s not about how strenuous it is, it’s more about how manageable a condition is in flight.

For example, an asthma attack at the local climbing wall is easily manageable. An asthma asthma in flight would be more complicated!

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I get that about asthma, I’ve got that badge myself. And you are quite right about that. But for me I’m far more likely in my personal experience to have an asthma episode to need my inhaler for just looking at a hill than being thrashed about in a glider/aircraft.

We have our cadets doing sports/activities and you can spot those easily out of breath. I have tried to hide it in the past but when you are struggling, there’s no stopping that without an inhaler.

The % of flying we get is very, very verrrrry low numbers (I won’t mention the weather canceling our last 5 attempts) compared to the high amount of actual out door exercise we do.

So being factious / tongue in cheek after seeing an attempted April fool that Tescos are putting braille on their petrol pumps to help customers & having had a Quick Look over the form on sharepoint.

Is there anything on the av med form that asks “is the cadet blind”?

Doesn’t matter if they can’t read the form :eyes: