Common problems in the medical care of pilots

Family physicians need to have an increased awareness of the medical needs of pilots. A close, trusting relationship is essential. Special consideration must be given when prescribing medications. Hypoxia is a special problem for pilots with cardiovascular and/or respiratory diseases. Several medical problems may occur because of rapid changes in barometric pressure, including barotitis media, which is best treated in flight. Minor ailments, use of alcohol and smoking may become serious problems for aviators; therefore, patient education is important.