EASA First Class Medical - Blood Test
 

Hi there,

was just wondering if someone (possibly an AME is around here) could tell me what the blood test is for, regarding the first class medical? Is it necessary every time or is there an alternative method of testing (e.g. like a sting in the finger)? The reason why I'm asking is that I tend to get a phlebitis and/or superficial thrombosis when a needle is stung into my veins.

Not entirely sure what they test for, but the standard blood test in the initial medical is a pin prick on one finger to take a sample for the tests.

It is a hemoglobin.

It can go high if you have severe lung disease, but the level needed to 'fail' IMHO is unlikely to be reached easily.

It can go low with bleeding from the gut or cancer, but most people would have other symptoms. In women heavy periods might be a cause

As you can tell I remain to be convinced as to its value. The story I heard some years ago was that the various countries were having the usual argument about which blood tests were needed. The UK said none, Germany said about £1000 worth and others took up opinions in between. As usual, science had no part to play in the negotiations and it was agreed as a compromise one blood test would be included so they chose this one

Not sure whether this is rumour or fact, but a nice story and could well explain it

The test used to be a tube full from the elbow off to the lab. Many AMEs now use a device called a Haemacue which uses a few drops from the finger. We have found it to be merely a guide as opposed to an accurate number in hospitals and use a newer device, again pricking the finger. If anyone did fail I would suggest you ask for a proper lab test if using the Haemacue - might save a lot of tests and delays.....

Many thanks for your detailed answer Radgirl, I appreciate! I'll talk to my AME and see what he says, perhaps a prick in the finger will do it. In my case it's not about an initial, it's about a renewal. Again, thanks for your reply.

It depends where you have your renewal/revalidation.

Most people I know in the UK use the fingerpick option and the haemocue.