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The province of aviation medicine extends from the initial selection of personnel
for training to the consideration of human factors in the design of aircraft,
equipment in the aircraft, personal equipment for the flyer and maintenance and survival
of the flyer.
The present report and its appendices are devoted to an outline of future problems
in aviation medicine and the importance of continued research on these problems
for an interim air force capable of taking off, landing, and flying any place in
the world independently of the weather.
It has been said that aircraft such as the Flying Fortress, the Superfortress and the
Thunderbolt were not wartime developments but accelerated and culminated results
of peacetime research. This was true to a very minor degree in the field of human
engineering which was just beginning to be recognized as an important and essential
field for research. Aircraft cockpits and airplane turrets were badly designed from
the standpoint of the individual using them in flight, as well as from the standpoint of
the occurrence of unnecessary injuries or death in event of a crash. Oxygen equipment
was inadequate in performance, and only as a result of great strides just prior to the
war was equipment available that was suitable for use. Even this equipment, because
of inadequacies under combat conditions and in low temperature, was entirely replaced
during the war.
In the present report, strong support is given to continued use of personnel and
research facilities in order to maintain the sciences involved in human engineering
on the level to which they have been rightfully raised by the exigencies of war. Much
of the knowledge gained in such research will be of value in general physiology.
From a medical standpoint the catastrophic effect of a conventional 1000 airplane
bombing raid on a large city is not fully appreciated by laymen. Within a very
short time there are thousands of people killed and many more thousands with
burns, blast injuries, crushing injuries, wounds from bomb fragments and fragments
of material blown into them by the explosion, oxygen want and carbon monoxide
poisoning. Medical service is extremely difficult because of destruction of hospitals
and first aid stations, loss of medical personnel and supplies and disruption of transportation.
When an atomic bomb is dropped the above problems occur instantaneously
throughout instead of over a period of minutes. No region in the bombed area is
spared and there are the additional factors of intense heat and light, more severe mechanical
effects and intense radiation from neutrons and gamma rays.
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