Practical guideline for specific medical conditions

A practical guide for aviation medical examiners (AME) and information for pilots, cabin crew, and air traffic controllers regarding the requirements for assessment before medical certification for specific health issues.

Please note that this page only shows diseases that currently have a guideline. We are continuously expanding with more disease guidelines.

Areas

Tap the relevant area

  Flowcharts EASA Regulation
 Atriefibrilation Class 1/2  Class 3  Class LAPL  Cabin Crew  MED. B.010  ATCO p. 178    Class LAPL  Cabin Crew
 Ablation  Class 1/2 Class 3 Class LAPL    MED. B.010  ATCO p. 178   Class LAPL  Cabin Crew

 

Guide for ESC CVD Calculation App: Cardiovascular risk calculation for AMEs

  Flowcharts    EASA Regulation   
 Obesity  Class 1/2  Class 3  Class LAPL Cabin Crew  MED. B.025

 ATCO p. 192

   Class LAPL  Cabin Crew

Weightloss medication

(New starters)

 Class 1/2 Class 3 Class LAPL Cabin Crew MED. B.025 ATCO p. 192  Class LAPL Cabin Crew

Weightloss medication

 (Already started)

 Class 1/2 Class 3 Class LAPL Cabin Crew MED. B.025 ATCO p. 192  Class LAPL Cabin Crew

  Flowcharts    EASA Regulation   
 Cataract Surgery  Class 1/2  Class 3  Class LAPL  Cabin Crew  MED. B.070  ATCO p. 192   Class LAPL  Cabin Crew

  Flowcharts    EASA Regulation   
 

Benign Paroxysmal Positional Vertigo (BPPV)

 Class 1/2  Class 3  Class LAPL Cabin Crew  MED. B.080  ATCO.MED.B.080   AMC15 MED.B.095  AMC15 MED.B.025

  Flowcharts    EASA Regulation   
 

ADHD/ADD

 Class 1/2  Class 3  Class LAPL Cabin Crew  MED. B.055  ATCO.MED.B.055   Class LAPL  Cabin Crew

 

  Flowcharts    EASA Regulation   
 

Autism

Class 1/2

 Class 3  Class LAPL Cabin Crew  MED. B.055  AMC11 MED.B.095   Class LAPL  Cabin Crew

 

  Flowcharts    EASA Regulation   
 

OCD

 Class 1 Class 3  Class LAPL Cabin Crew  MED. B.055  AMC11 MED.B.025   Class LAPL  Cabin Crew

 

MESAFE - Mental health for aviation SAFETY - Risk Matrix 

 

  Flowcharts    EASA Regulation   
 

Pneumothorax

 Class 1/2 Class 3  Class LAPL Cabin Crew  MED. B.015  ATCO p. 192   Class LAPL  Cabin Crew
Sleep Apnoea – Polysonography interpretation Class 1/2   Class 3    Class LAPL    Cabin Crew  MED. B.015  ATCO p. 192  Class LAPL  Cabin Crew

Obstructive Sleep Apnoea Screening

  Class 1/2  Class 3  Class 3     MED. B.015  ATCO p. 192  Class LAPL  Cabin Crew

 

  Flowcharts   
 

Routine screening

 Class 1/2      
Obstructive Sleep Apnoea screening  Class 1/2   Class 3    Class LAPL   

Routine Cardiovascular Risk Assessment

  Class 1/2      

Non-European Countries Equivalent Profile Risk Category

Class 1/2   Class 3    Class LAPL  Cabin Crew

Guidance for using ESC CVR Risk App

 Class 1/2  Class 3   Class LAPL Cabin Crew
Last updated 02-07-2025