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Master Thesis

Guide de prise en charge du pilote d’avion en médecine générale : revue narrative de la littérature

Abstract : Introduction: France is one of the largest countries in the world in the field of aeronautics. The number of pilots and, even more so, travellers is increasing with the democratisation of air transport. This environment, which is hostile to humans, requires adequate physical and mental capacity to ensure the greatest possible flight safety. The French patient care system makes the general practitioner one of the health professionals most involved in the follow-up of pilots. However, aeronautical medicine is not well known in France among general practitioners, as much for its specificities as for its care network. The main objective of this thesis is to propose an information support in the form of a practical guide for any general practitioner not specialised in aeronautics within the follow-up of his patients flying an aircraft, whether he is a private or a professional pilot, in order to always propose a solution to the patient, and never remain alone in his dilemma. Method : narrative review of the literature with a non-systematic selection of scientific publications related to the follow-up of pilot's pathologies in general medicine. In this thesis, a self-completed questionnaire by the general practitioners was added in this thesis , and interviews with doctors specialised in aeronautics were conducted in the form of a discussion. Results: the questionnaire of 350 general practitioners showed that two thirds of them had never heard of aviation medicine, that they did not always ask about their patient's professional or extra-professional activity, and that the overwhelming majority wished to receive management support for such a population. Advice on management was drawn up in the form of a guide for the main pathologies found in general practice. In the event of management difficulties, the general practitioner could mainly rely on the network of aviation doctors and, to a lesser extent, could exchange with the doctors at the DGAC medical center. Conclusion: the general practitioner is easily accessible for any pilot and remains a privileged interlocutor who can influence the prevention of incidents linked to the aeronautical environment. This management guide could also help doctors in the management of their non-pilot patients, who are increasingly taking flights. In general medicine university, courses introducing the specificities in the follow-up of patients with risky jobs or activities (scuba diving, parachuting, rail, road or air transport jobs, jobs involving the carrying of weapons) seem necessary for the practice of future general practitioners.
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Master Thesis
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Submitted on : Friday, October 15, 2021 - 12:27:42 PM
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Koussai Al Hammad-Ibrahim. Guide de prise en charge du pilote d’avion en médecine générale : revue narrative de la littérature. Médecine humaine et pathologie. 2021. ⟨dumas-03380037⟩



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