Mayo Clinic Clear Approach

"I passed out and I have no idea what happened." Now what?

Apr 4, 2025
The episode delves into syncope, covering everything from simple fainting to severe brain injuries. It discusses the required documentation and tests for pilots experiencing unexplained loss of consciousness. Listeners learn about FAA policies, including the lengthy stand-down periods for various injury severities. The podcast highlights transient global amnesia, its features, and aeromedical implications. Hopeful recovery stories emphasize the possibility of returning to flying after overcoming significant challenges.
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ADVICE

Document Syncope Thoroughly

  • Get detailed documentation for any syncope event, including ER notes, witness statements, and ambulance records.
  • If the cause is clearly vasovagal, an AME can issue the certificate immediately but must submit supporting data to the FAA.
ADVICE

Follow FAA Testing For Unexplained Syncope

  • Complete cardiac and lab testing within 90 days before applying if syncope is unexplained: echo, stress test, 14-day event monitor, A1c, lipid panel, CBC.
  • Include ambulance and ER records and a carotid duplex if age 40+ at event.
INSIGHT

Unexplained Syncope Requires Long Stand-Down

  • Unexplained syncope creates major aeromedical uncertainty because recurrence risk is unknown.
  • The FAA requires a two-year stand-down for unexplained syncope before considering certification.
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