Sudden Incapacitation Due to Cardiovascular Disease in Elderly Pilots: Lessons Learned from Two Fatal Accidents of Elderly General Aviation Pilots in Finland

Abstract

Investigations of aviation accidents are based on provisions of the International Civil Aviation Organization (ICAO) Annex 13 agreement. A safety recommendation may be addressed to international aviation organizations, such as the European Aviation Safety Agency (EASA) and the ICAO, by the Accident Investigation Agency of any country, following a safety investigation into an occurrence. This process also promotes learning from smaller aviation accidents internationally. This article highlights two relatively small aviation accidents in Finland from 2016 and 2021, respectively, both of which fall under general aviation and have led to significant aeromedical safety recommendations for the EASA and the ICAO. In the 2016 accident, a general aviation pilot, who had previously suffered heart attacks, suffered another heart attack and died shortly after landing. This incident led to a recommendation issued to EASA calling for additional training of aeromedical officers in aeromedical risk assessment on pre-existing health conditions. The 2021 accident involved an elderly general aviation pilot who became incapacitated due to health issues. The recommendations resulting from this investigation were brought further to the ICAO and EASA in order for them to emphasize the importance of the age of a pilot in current aviation health assessment guidelines.