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DEPARTMENTS OF AFCME

 

 

DEPARTMENT OF MEDICINE & CARDIOLOGY

   

The Medical Division is the hub centre of all Medical Examinations and boards at AFCME. It is from here that all personnel reporting for Medical Exams / Boards are routed to various departments viz. Pathology, Radiology, Eye, ENT & Psychiatry. On completion of evaluation, the documents are finally compiled, checked and dispatched from the Medical Division for final clearance to the AOC's office. The division has a state of the art non- invasive cardiac laboratory which includes two treadmills for stress test, a Colour Doppler 2D echocardiography machine, 24 hour ambulatory BP monitors and 24 hour ambulatory ECG recorders. This division has a one of its kind syncope evaluation laboratory in the North Zone.         

There is a two bedded Emergency Room in the department which is used to treat emergencies like acute coronary syndrome, Arrhythmias, Acute serve asthma, COPD exacerbation and to provide day care.

The department conducts Cardiology and Medicine OPDs thrice in a week.

LDRC

   Lifestyle Disease Research Centre (LDRC) was establishment as a part of Medical Division, AFCME on 21 Mar 14. Air warriors & their families suffering with lifestyle disease are counselled, given expert nutritional advice and provided with supervised exercise therapy for weight reduction.

In addition, LDRC also conducts physical Fitness Training Courses for Gym Trainers of various AF units on Quarterly basis.


DEPARTMENT OF PATHOLOGY

Departement of Pathology (Laboratory)

   
The Department has a state-of-art laboratory manned by Pathologist and Laboratory technicians. Its main role is to carry out investigations for all personnel reporting to AFCME for their medical evaluation as well as OPD cases from the AFCME polyclinic and other Air Force units of NCR.

The lab is equipped with two fully automated haematology analyzers, for blood counts, haemogram and reticulocyte count. These can analyse and generate 18 parameters. There are also two fully automated biochemistry analyzers, each of which can analyze samples for 50 different parameters.


A state-of-art chemiluminescence-based immune assay system is used for carrying out ultrasensitive thyroid assays, tumor marker tests like PSA and Anemia work-up. Other equipment are available for carrying out HbA1c, urine microalbumin, CRP, RA Factor, Serum electrolytes, rapid immunological tests for Typhoid, malaria, Dengue, HIV, HBsAg, and anti-HCV.


 Fine needle aspiration cytology is carried out and pap smears reported for families of IAF personnel of the entire NCR, by the Pathologist at AFCME. Today approximately 500 tests per day are carried out by this laboratory.

AFCME is an ISO: 2008 certified organization and the laboratory sets the benchmark for Air Force laboratories in Delhi NCR, holding training modules for lab technicians, and supervising quality control of other labs. The lab has further plans of increasing its repertoire of tests to include several other parameters in the near future, to fulfil its current role as custodian of health of aviators and to support the Lifestyle Diseases Research Centre currently being established at AFCME.

        

INSTRUCTIONS FOR LABORATORY TESTS


            Many times, you may wonder why fasting is so important before a laboratory test. Certain tests can be quite sensitive to particular types of foods and beverages. These instructions should be taken very seriously in order to make sure that your tests are as accurate as possible. This is one of the ways you can contribute to your own good health.

 

INSTRUCTIONS FOR BIOCHEMICAL PROFILE TESTING


            Lead your normal life especially with regard to diet and exercise.  Any drastic change in the two weeks before the tests could change your biochemical parameters.  The results then may not be representative of your normal body metabolism and you could end up on wrong drugs or wrong dosages.
            Undue fasting can also lead to raised ketone bodies and deranged liver function especially in people having a harmless condition known as Gilbert’s syndrome.  This leads to unnecessary repeat blood tests and increased time taken to complete your medical examination.  

FASTING

If you need to get fasting blood work done at the laboratory you should be aware what “fasting” actually means.


Instructions for fasting bloods tests

  1. NO food, chewing gum, coffee, tea, sugar, sweetener, juice or any liquid other than water. (Caffeine, which is absorbed into the system at an incredible rate, can raise blood sugar).
  2. Ask your physician whether you should take your regular medication. For thyroid function test do not take your thyroid medication that day.
  3. NO smoking, NO exercising on the day of testing.
  4. NO alcohol for at least 24 hours before your blood test.
  5. For blood sugar and Lipid profile FASTING TIMES ARE DIFFERENT. However if both tests are being done then you are to follow fasting time for lipid profile testing.
  6. For cholesterol / Lipid profile – fast for 12 hours.
  7. For only fasting blood sugar test – fast for 8 – 10 hours.

 

GLUCOSE TOLERANCE TEST (GTT)

GTT is done to diagnose diabetes mellitus by measuring your blood sugar levels two hrs after giving you a glucose solution.

Instructions for GTT


1.         You should ideally have unrestricted diet and physical activity for three days before the test.
2.        Consume the glucose solution given to you slowly, over 5 minutes, in one/two glasses of water immediately after collection of your fasting blood sample.
3.         Note the time. You have to give the next sample exactly two hours after consuming the glucose solution.
4.         Don’t have any medication / food / drinks during this two hour period.  If you are on any regular medication please ask you physician if you can have the medicine as usual.
5.         Don’t walk about, smoke, do your Tread Mill Test (TMT) or any other physical exertion during this two hour period.

INSTRUCTIONS FOR KNOWN DIABETIC PATIENTS

            You are requested to come to the laboratory fasting and bring your regular medication and usual breakfast.

  1. First Sample is Fasting Blood Glucose – Blood is collected in the laboratory after overnight fasting.
  2. After collection of this fasting sample, you should have your breakfast and medication.
  3. Your second sample will be collected 2 hours after you complete your breakfast.

A Glucose Tolerance Test (GTT) i.e. testing your blood sugar after drinking glucose solution  is not indicated in a known diabetic.

DEPARTMENT OF RADIODIAGNOSIS

   


AFCME has a well-equipped radiodiagnosis department. It has one Radiologist, and four trained X-Ray technicians on its posted strength. The department provides radiology support in carrying out the medical evaluation of the aircrew, both military and civil candidates for commissioning in the Armed Forces and also provides radiological facilities   to OPD patients referred to AFCME from various Air Force units in NCR area including Air Force Personnel referred from BHDC and AH(R&R). In addition, Radiologist provides cover to AF Station New Delhi, AF Station Palam, AF Station Tughlakabad and opines on the radiographs from these units.         
At present the department is equipped with the following machines

  • X-Ray machine,33 mA
  • Mobile X-Ray machine 200 mA
  • Ultrasonography machine with Colour Doppler with 3D/4D
  • Computed Radiography System
  •  Mammography
  • Automatic Film Processor

 

DEPARTMENT OF OPHTHALMOLOGY

       


The department of Ophthalmology at AFCME is fully equipped with state of the art diagnostic and therapeutic equipments to carry out medical examinations of Armed Forces Aviators, Civil pilots and candidates of tri-services, as well as cater to the health care needs of the dependent Air Force Community. The department other than routine Ophthalmic examinations also carries out specialised test like Stereoscopic vision measurement, Fundus angiography, Corneal topography and contour mapping, Automated Visual fields etc.


      The department is at present manned by one ophthalmologist and three optometrists. The department is engaged in regular research work, especially in the field of refractive surgeries and retinal disorders in relation to flying duties

 

DO’S AND DONT’S WHICH NEED TO BE KEPT IN MIND WHEN REPORTING

FOR OPHTHALMIC MEDICAL EXAMINATION OR CONSULTATION.

            DO’S

    1. Do bring along all the records of your previous ophthalmic consultations and spectacle prescriptions along with you.
    2. Do try and get your spectacle prescription tested and the correct prescription made before reporting for initial or renewal civil pilot license examination.
    3. Do try and get an attendant along to drive you back in case dilatation of the eyes is required.
    4. Do get along a pair of goggles to protect your eyes in case dilatation of the eyes is required.
    5. Do take the help of the departmental staff in case of any query/clarification.
    6. Do try and enquire about any ophthalmic ailment amongst your blood relatives before you come for the ophthalmic examination.

DONT’S

    • Do not discontinue any ophthalmic medication that you have been prescribed earlier.
    • Do not wear contact lenses for at least 48 hours before ophthalmic examination.
    • Avoid using eye makeup and excessive hair oil on the day of the examination.
    • Do not embarrass us by asking the result of your examination. The job of the department is only to give an objective assessment of the condition of your eyes. The fitness or otherwise is decided by the Medical Board.



    DEPARTMENT OF OTORHINOLARYNGOLOGY

    This department has ENT surgeons, medical assistants, trained ORAs and Audiologist cum Speech Therapists. The Department undertakes the ENT evaluation of civil pilots and armed forces aviators. In addition, ENT evaluation for NDA, CDSE, SSC & AEL aspirants is also carried out. The department has facilities for subjective as well as objective audiometry. For detailed assessment of ear, sinus & throat, we have otomicroscopes, sinus endoscopes, FO laryngoscope. ENT consultation is carried out in two clinics on three days a week from 1200 – 1400 hours for serving personnel from all three services, ex-servicemen & their families. ENT consultation is also carried out at AFND Poly clinic on every Saturday.

     

    AIRCREW RECEPTION / MEDICAL BOARDS & STATS

    Medical Examination for the following category personnel are conducted at AFCME:

    • Review, Re-Categorisation Medical Boards of AF Personnel.
    • Review, Re-Categorisation Medical Boards of the Navy, Army Aviators, BSF and ARC.
    • Annual Medical Examination of all Gp Capt (Flying branch) posted to Air HQ and Air Officers of the IAF as per the geographical coverage area.
    • Medical Examination of candidates selected for NDA (for flying and other services), AFA, Army Aviation, Naval Aviation, Coast Guard officers, Coast Guard Candidates, Aircrew Airmen, Aircrew Officers Engineer, induction to ARC and RIMC.
    • Medical examination for initial issue and renewal of flying license for all civil aircrew.

    There are separate reception counters for the serving personnel and civil aircrew.

    • Aircrew Reception. Receives all Air Force Personnel who report for Annual Medical Examination as well as Review-Recat Medical Board. Candidates from various AFSBs also report at this reception for initial medical examination.

              It is basically responsible for reception, registration and timely clearance of all Officers, Airmen & candidates and to help them at any stage during the evaluation process. This section is responsible for final clearance once the evaluation is completed and the files are then handed over to Medical Stats for completion of the medical board and further disposal.

    • Civil Aircrew Reception counter. This reception counter is responsible for attending to civil aircrew reporting for Initial or renewal Class I Medical Exam, for receiving, processing & dispatching of PMRs.

              All medical documents after clearance by President, AFCME are routed to this Section for further action. The entire work is time bound and all efforts are made to finish the task in prescribed time limit.


    NO 3 AERO-MEDICAL UNIT

       


    No.3 Aero-Medical Unit a lodger unit of AFCME functions along with Medical Division in evaluation of Military & Civil aircrew and candidates selected for flying duties. It has an 'Anthropometric platform', which is used for anthropometric evaluation of candidates for flying duties in the Armed Forces. 

              Flying modern airplanes requires a high degree of physical and mental fitness to withstand the stresses that are placed on the aircrew. It is imperative, therefore, that utmost diligence be exercised in medical examinations and reviews of air crew so that the combat potential of the Armed Forces as well as the flying potential of Civil Aviation industry is not depleted and at the same time flight safety is not compromised. Towards the fulfillment of this objective No.3 Aero- Medical Unit works with AFCME to render yeoman service and has virtually become the custodian of medical safety in aviation for the country as a whole.


    CIVIL AIRCREW MEDICAL EVALUATION

    AFCME, New Delhi is authorised by Civil Aviation authority, for the purpose of conducting CLASS I medical assessment of Civil Aircrew for initial Med Exam.

              Procedure for appearing for Class I Medical Exam (for Initial Issue of licence): After having undergone a Class II Medical Exam, conducted by medical practitioners authorised by DGCA or by an Aviation Medicine Specialist – in Indian Air Force, an applicant can request for appointment for a Class I medical examination at any of the centres mentioned above.

              The request for appointment for Class I medical examination to be made directly to DGCA through the individual/agency only. DGCA to forward the past Medical Records (PMRs) to the concerned medical examination centre well in time.

    Fees: - Applicants are required to pay the following minimum fees(on behalf of DGCA) at the medical examination centre prior to the commencement of the medical examination.
      Class I - Initial Issue of Licence - Rs. 1500/-* +(Lab Charges Rs.100,ECG  Rs.60,Chest X Ray Rs.105)
      Class I - Renewal of Licence     - Rs. 900/-* +(Lab Charges Rs.100, ECG Rs. 60/  if due for ECG)

    * These are the standard rates charged on behalf of DGCA, however extra fees will be charged for any special investigation, if carried out at the medical examination centre.


    DGCA APPROVED MEDICAL EXAMINATION CENTRES: For Class I Med Exam for Initial / Renewal purpose: -

    Type of Medical Exam
    Centre
    Initial Issue of Licence AFCME, New Delhi,
    IAM, Bangalore
    MEC Jorhat
    Every fourth renewal for below 40yrs and every seventh renewal after age of 40yrs AFCME, New Delhi,
    IAM, Bangalore
    MEC, Jorhat or Any other centre at the discretion of DGCA
    Licences lapsed over 2 years AFCME, New Delhi,
    IAM, Bangalore
    MEC Jorhat
    After a period of unfitness AFCME, New Delhi
    IAM, Bangalore
    MEC, Jorhat
    or any other centre at the discretion of DGCA
    Renewal medical examination not undergone for 24 months from the date of last medical AFCME, New Delhi
    IAM, Bangalore
    MEC, Jorhat
    Renewal medical examination not undergone for 30 months with respect of ALTP and 36 months with respect to CPL since last medical examination. AFCME, New Delhi
    IAM, Bangalore
    Special Med exam AFCME, New Delhi
    IAM, Bangalore
    MEC, Jorhat
    or any other centre at the discretion of DGCA
    Renewal Med Exam Above 60 years of age AFCME, New Delhi
    IAM, Bangalore
    Appeal Medical Exams AFCME, New Delhi
    IAM, Bangalore
    Issue of PPL for above 65 years of age AFCME, New Delhi
    IAM, Bangalore
    MEC Jorhat


    The following centres are DGCA approved medical examination centres for renewal medical examination for the conditions, which are not listed above:

    No.1 Aeromedical Training Centre, Ghaziabad 201004
    Air Force Station, Chandigarh 160003
    Air Force Station, Agra   282008
    Air Force Station, Tambaram, Chennai 600046
    Air Force Station Begumpeth,  Hyderabad 500011
    Air Force Station Kanpur 208008
    Air Force Station, Barrackpore, Kolkata 700120
    Air Force Station, Cotton Green, Mumbai 400033
    Air Force Station, Lohegaon, Pune 411032
    Air Force Station, Palam, New Delhi 110010
    Air Force Station, Yelahanka Bangaluru 560063
    Air Force Station Hakimpeth Secundrabad 500014
    Air Force Station Rajokri 110038
    Air Force Station Gurgaon 122005

 
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