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M. S. White, M.D.
JAMA. 1940;115(6):447-448. doi:10.1001/jama.1940.72810320003009a.
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The prevention of any medical incident sufficient to incapacitate an individual while in flight is the primary duty of every physician charged with the care of fliers.

Although this medical incident may occur in any form, such as grand or petit mal, fainting from any cause, decreased judgment, perception and reaction time from any other illness or anoxemia, it is unusual to diagnose the precipitating cause, owing to the finality of the resultant crash.

In prevention, unfortunately, the inability to prognosticate in most cases the individual who will develop such an incident as a coronary infarct is well recognized. This difficulty in the Army Air Corps is mainly overcome by limiting older pilots to flying duties of a less fatiguing nature than actual combat flying and by placing them in multiplaced ships as command pilots with other pilots at the controls. Semiannual physical examinations, with electrocardiograms and teleoroentgenograms once a


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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