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Executive Summary - Fss.aero

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main cause of death, thereby becoming the main reason for the incapacity. The plum<br />

residues found in the throat of the pilot was shifted during emergency rescue or the<br />

moving of the pilot. The residue of the plum was not the main cause of his sudden<br />

death.<br />

2.2 Analysis of Physical Examination<br />

2.2.1 The Examination Equipments of CAA<br />

The pilot involved in the incident had undergone physical examinations five times at<br />

the Aviation Medical Center of CAA. Of these examinations, there were three<br />

treadmill EEG examination records. The treadmill was adjustable slope type<br />

equipment and received function test including the synchronization with the simulated<br />

EEG.<br />

2.2.2 EEG Data<br />

The Aviation Medical Center used the “Civil Aviators’ Physical Examination<br />

Handbook” as basis for its handling of the examination affairs. Articles 18, 19, and 20<br />

of Chapter 2 stated the handling procedures and principles for heart murmurs, athletic<br />

EEG irregularities, and arrhythmia.<br />

In each of the EEG examinations of the pilot, no signs of irregularities or no positive<br />

reactions were found. Therefore, no further examination was made to the coronary<br />

artery occlusion and no CAT scan was conducted either. According to medical<br />

statistics, the accuracy rate of EEG in predicting coronary occlusion was 20%; of<br />

athletic EEG was about 50 to 60%; of the cardiovascular sonograms was 70% and of<br />

CAT scans was 95%.<br />

2.2.3 The high number of white blood cell (WBC) to the cause of death<br />

The Aviation Medical Center found out during each time of the physical examination<br />

that the pilot would need a re-examination due to his high number of white blood cell.<br />

The Aviation Medical Center had experienced<br />

twice of the accepting the re-<br />

examination<br />

data of the pilot examined in foreign country agencies. Only one<br />

inspection dated November 25, 1999 recommended that the pilot require having a<br />

special examination to the clinic of orthodontist in Aviation Medical Center to check<br />

the<br />

number of white blood cell. The result was no inflammation and was<br />

recommended to have a further inspection to the cause of high number of white blood<br />

cell. The Aviation Medical Center did not request for further examination or did the<br />

follow-up of this inspection.<br />

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