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What is hypoxia?
Oxygen deficiency in the body
12,000 feet to 15,000 feet – judgment, memory, alertness, coordination, ability to make calculations are impaired, and headache, drowsiness, dizziness
Effects are worse at 15,000 feet. Carbon monoxide and healed, anemia in certain medication’s will cause it to be more Sub-acceptable antihistamines or small amounts of alcohol, extreme heat, and cold or fever
Hypoxic
Hypemic
Stagnant
Histotoxic
Condition that interrupts flow of oxygen into lungs happens at altitude due to reduction of partial pressure of oxygen
Condition that interferes with the ability of the blood to carry oxygen such as anemia, carbon monoxide poisoning
Situation that interferes with the normal circulation of the blood, arriving to the cells. G forces
Condition that interferes with the normal utilization of oxygen in the cell. Alcohol, narcotics
How to avoid hypoxia
In wrench air with oxygen and maintain comfortable safe cabin pressure altitude
Supplemental oxygen above 10,000 feet day
5000 feet at night
Regulations concerning use of supplemental oxygen on board
12,500 feet MSL – 14,000 feet MSL If within that altitude for more than 30 minutes, it is required fly crew must be provided with use of supplemental oxygen
Cabin pressure is above 14,000 feet MSL – the entire flight time crew must be provided with and use oxygen
15,000 feet MSL each occupant must be provided with oxygen
Why oxygen at lower altitude during night?
Night vision directly affected by lack of oxygen
What is hyperventilation?
Abnormal increase of volume of air breathe in and out of lungs happens and stressful situations, excessive carbon dioxide, lightheadedness, suffocation, drowsiness, tingling, and extremities and coolness, un coordination, disorientation, and painful muscle spasms unconsciousness can occur
Bring Ray and deaf of breathing back to normal
Stabilize passenger breathing have them breathe into a bag
Sinus block
Sinus Block: During ascent and descent, sinus pressure equalizes with cabin pressure through small openings to the nasal passages. Colds, sinus infections, or allergies can block these openings, especially during descent, causing severe sinus pain and possibly bloody nasal mucus.
Prevention: Avoid flying with congestion or an upper respiratory infection. Decongestants may not work adequately and can cause side effects that impair pilot performance. If symptoms persist after landing, consult a physician.
What is ear block?
Pressure between middle ear and aircraft cabin produces severe pain in here and loss can be prevented by swallowing yawning 10 muscles in the throat, pinching the nose flow attempting to blow through nostril do not fly with upper respiratory infection or nasal allergic condition
Spatial disorientation
Lack of orientation with regard to position in space into other objects
Orientation is maintained through the body sensory organs
Visual orientation
Vestibular motion sensing system in the inner ear
Postal Nurse in the skin joints and muscle of the body maintain partial orientation
Forces of flight can provide misleading information
Examples of illusions that can lead to spatial disorientation
Spatial disorientation can occur when a pilot’s perception of position motion or attitude is inconsistent with reality often caused by illusions
The leans – occurs when gradual unnoticed bank is corrected to flight level, giving this sensation of banking in the opposite direction
Coriolis illusion – rapid had movement and prolonged constant turn rate, causing the sensation of tilting or tumbling
Graveyard spiral – Pilot in prolonged term loses sensation of turning leading to increase Bank and descent while attempting to correct
Somatogravic Illusion – during rabbit acceleration, like takeoff, body senses, a nose of attitude, causing pilot to push the nose down
Inversion illusion – sudden transition from climb to level flight sensation of tumbling backwards
False horizon – when visual queue, such as clouds or terrain are mistaking for horizon, results in inaccurate perception of aircraft attitude
Auto kinesis – stationary light appears to move when stared at in dark darkness
What causes motion sickness what are symptoms?
Caused by stimulation of the inner ear, which controls person sense of balance
Loss of appetite, saliva collecting in the mouth, perspiration, nausea, disorientation, headaches, and possible vomiting
Actions to help motion sickness
Open air events/windows, loosening clothing, use supplemental oxygen, focus vision on point outside plane. Avoid too much had movement. Cancel flight land as soon as possible if symptoms do not stop
What is carbon monoxide poisoning?
Colorless, odorless, tasteless, gas in exhaust fumes when inhaled for a period of time can reduce ability Of blood to Carrie oxygen – hypoxia
Drowsiness, headaches, nausea, dizziness, fatigue the heater may have a crack that goes into the cabin and causes carbon monoxide poisoning via the exhaust system
Turn off heater open all vents in land as soon as possible diversion to nearby airport Get medical treatment if needed
Alert for CO poisoning in piston engineer crafts when the cabin heat is in use
What is the difference between carbon monoxide poisoning and altitude base hypoxia?
Altitude base hypoxia causes pilot/passengers to feel good and euphoric
Carbon monoxide poisonous causes nausea or ill feeling symptoms
What is stress and what are the two categories?
Stress: Bodies, responsive, physical, and psychological demands placed on it
Acute stress – short term. Immediate threat that has perceived as danger. Triggers flight or flight response.
Chronic stress – long-term. Level of stress that is intolerable burden exceeds the ability of individual to cope and causes individual performance
three types of stressors
Physical stressors – environment, temperature and humidity, extremes, noise, and vibration, lack of oxygen
Physiological stressors – fatigue, lack of physical fitness, sleep, loss, missed meals and illness
Psychological stressors – social/emotional factors – death, divorce, sick child, demotion. Related to mental workload.
What is fatigue?
State of reduced mental or physical performance, resulting from lack of sleep or increased physical activity. It reduces alertness and ability to safely operate aircraft or perform safety related duties.
What are two types of fatigue?
Acute – short term happens after a period of strenuous effort, excitement, lack of sleep, rest, and proper diet, cures it
Chronic – long-term. Occurs over extended period of time. Requires treatment from physician
How fatigue or stress affect pilots performance?
Bad Attention, concentration, coordination, decreased ability to communicate seriously affect pilots ability to make good decisions
Symptoms of fatigue
Speed and accuracy of performance reduced
Delayed reactions, not paying attention, impaired logical reasoning, and decision-making
Reduce situational awareness and low motivation
What is dehydration?
Critical Water loss from body
First notice, fatigue, period dizziness, headache, weakness, nausea, tingling of hands, and feet, abdominal cramps and extreme thirst
Confusion, rapid heartbeat, low pressure if not Corrected
Move to cooler environment, wrest slowly drink, water or electrolytes avoid sugar or caffeine beverages can worse than dehydration
Causes of dehydration: Hot flights and flight lines , Wind, humidity, diuretic drinks. Flying during hot summer temperatures at high altitude, equal dry air equal increase rate of water loss.
hypothermia
Hypothermia body core temperature below 95°F
Conduction – when transfer of heat comes in contact with something colder
Radiation heat radiates from exposed area equal 50% body heat loss from Head
Convection – air currents, blow heat away fr bod
Evaporation – sweat
Respiration and cold place cold air enters body leaves as warm air body loses heat by warming the cold
Symptoms of Hypothermia and first line of defense
99-96 F: Intense shivering can’t perform complex task
95–91F: Violent shivering can’t speak sluggish amnesia
90-86F: Muscular Rigid, skin exposed blue, or puffy movements are jerky
Shelter. Clothing is shelter.Wet clothes will lose heat
Optical illusions that lead to landing errors
Runway width illusion: narrower than usual rwy Aircraft is seen at higher altitude than it actually is pilot will fly lower with risk of hitting things or landing short
Wider than usual, runway opposite affect, landing too hard or overshooting runway because too high
Runway and terrain slopes illusion: Upsloping runway/terrain equals illusion plane is at higher altitude Pilot will end up flying lower approach
Featureless terrain illusion: no ground features like landing over water, darken areas featureless by snow plane looks at higher altitude than what it really is so then pilots fly at lower approach
Water refraction, haze, and fog how great optical illusions
Water refraction – rain on windscreen create illusion of being higher altitude due to horizon, appearing lower than it is. Pilot fly at lower approach.
Hayes – illusion of being at a greater distance in height from the runway. Pilot low on approach.
B Illusion of pitching up pilots will steep in approach abruptly
Mitigate risk of optical or visual illusions
Tends to happen in conditions of low visibility, nighttime, transitioning between visual and instrument
Trust flight instruments, maintain awareness of environment. Study approach before flight. Anticipate Potential visual challenges make sure you are not fatigued and be alert. Avoid staring at bright lights outside.
Effects of nitrogen excess from scuba diving
Allow body enough time to read itself of excess nitrogen, absorbed during diving Were you will get decompression sickness
Flight altitude 8000 feet: Wait 12 hours if I’ve did not require controlled ascent. Wait 24 hours with controlled assault
Flight altitude above 8000 feet wait 24 hours after any dive
Restrictions concerning use of drugs and alcohol
No act as crewmember
Eight hours after consumption of alcohol under the influence while using any drugs that affects the persons way, contrary to safety
0.04% or more in blood or breath
Pilot allow passenger on board that has had alcohol
Regulation say not to allow person that “ Appears to be intoxicated or demonstrates by manner or physical indications that they are under influence of drugs” Does that mean they cannot have ANY Alcohol, but encourage for pilot to let passenger know the additional
aero medical effects: Reduced inhibitions, diuretic effects, increased susceptibility to hypoxia, impairing judgment and self-control
Alcohol and pairs of bodies ability to adapt to lower oxygen levels, more susceptible to hypoxia confusion, dizziness, and fatigue
If allowed on board passenger who drank alcohol pilot needs to manage the passenger and give them extra care always best practice to be conservative and not allow passengers even under minimal effects of alcohol consumption to be on board
OTC medication and impact in flight
Changes in concentration of atmospheric Gases in the blood can enhance the effects Of OTC drugs in result in Impaired judgment, decision-making, and performance
Best to not fly while taking any medication unless approved by the FAA to do so
Check FAA over-the-counter medication reference guide in order to assist while making a decision
what is single pilot resource management?
Single-Pilot Resource Management (SRM): Managing all available resources to make safe decisions as a single pilot.
What are examples of skills necessary for effective SRM
Risk Management – Identify and reduce risks.
Task Management – Prioritize tasks.
Situational Awareness – Know what’s happening around you.
Automation Management – Use aircraft systems correctly.
CFIT Awareness – Avoid flying into terrain.
Aeronautical Decision-Making (ADM) – Make safe decisions.
What practical application provides pilot was effective method to practice SRM? 5P
Use it to evaluate your flight at regular intervals.
P — Plan: Weather, route, fuel, and alternatives.
P — Plane: Aircraft condition, systems, and performance.
P — Pilot: Your health, fatigue, stress, and proficiency. IMSAFE
P — Passengers: Their needs, comfort, and distractions.
P — Programming: GPS, avionics, radios, and autopilot settings.
Pilot has five variables that impact their environment that can cause a pilot to make a critical decision or less severe critical decision that one added together create a critical outcome
use at any interval during the flight, but definitely used any time during emergencies situation
What is aeronautical decision-making – ADM
Systematic approach the mental process used by pilots To determine best course of action in response to given set of circumstances
What are the steps in the decision-making process?
Define the problem
Choose course of action
Implement the decision
Evaluate the outcome
What two models are used when practicing ADM?
DECIDE
3P
What is the decide model
Detect the change, needing attention
Estimate any to counter or react to change
Choose most desirable outcome
Identify action actions to successfully control the change
Do something to adapt to the change
Evaluate the effect of the action countering the change
What is the 3P model and how different from side model?
33P process is a continuous loop of the pilots handling of hazards
Decide model focus on particular problems requiring resolution
Pilots can use a 3P process continuously while they decide model and naturalistic decision making results from the 3P process
Name five hazardous attitudes that affect pilot ability to make sound decisions and properly exercise authority
Aunti Authority – follow the rules
Impulsivity – think first not so fast
In vulnerability – it could happen to me
Macho– Taking chances is foolish
Resignation – I can make a difference. I am not helpless.
What is first step in neutralizing a hazardous attitude
Recognition of hazardous thoughts. Then label it as hazardous. Then state corresponding antidote.
What is risk management what is the definition of a hazard?
Risk management is a decision-making process designed to identify hazards, assess the degree of risk, and determine the best course of action it weighs the potential cost of the risk against the possible benefits so that those wrist are controlled
A hazard is current event that could lead or contribute to an unplanned or undesirable event ex: accident
What are examples of aviation hazards?
Nick in the propeller Blade
Improper refueling
Pilot Fatigue
Use of unapproved hardware on plane
Weather
What is the definition of risk?
Risk is the future impact of a hazard That is not controlled or eliminated
What factors contribute to a pilot impaired performance
Medical, illness, alcohol, fatigue, stress, emotion. Use the IMSAFE checklist to determine if they’re able to fly
How can you use the PAVE Checklist to help you assess risk
PAVE
PIC- health, physical, mental, emotion, proficiency, currency
Aircraft – airworthiness, equipment, performance capability
Environment – with hazards, terrain, airport/runways, conditions
External pressures – meetings, people waiting, trying to impress. Allow for delays/cancellation
What is the risk assessment matrix
Matrix, assess pilots and differentiating between low, medium, and high risk flights
It’s a tool to assess the likelihood of an event occurring in the severity
What is a flight risk assessment tool? FRAT
Pre-flight planning tool that uses a series of question in each Of the major risk categories (PAVE) To help highly identify in quantify risk for a flight
It’s a proactive, hazard, identification, easy to use and can visually depict risk
Helps with decision decision to go or not to go
Can be found online on FAA
Define task management
Processed by which pilots Manage the Min task that must be performed to safely and efficiently operate a plane
That way that can decrease workload and avoid being overloaded
Stop think slow down and prioritize
Aviator, navigate, and communicate
How can tasks be completed and timely manner without causing the destruction from flying
By planning, prioritizing, and sequencing task
Why are pilots encouraged to use checklist?
To aid pilots memory and ensure items necessary for safe operation or not overlooked or forgotten
Two common methods of checklist usage
Do Verify method DV- checklist being done in variable sequence, then checklist is ready again while each item is verified
Challenge to verify method CDV- Where one member issues the challenge in the second member takes the action in response to the first member of verifying that the action was taken. Most effective method
Common errors when using checklist
Items missed because of distraction
Items incorrectly performed rushing
Did not use the Wright checklist
Too much time spent with Head down reading and compromising safety
Checklist is not readily available
Emergencies/abnormal procedure checklist not readily available
Memory items are accomplished, but not confirmed with the checklist
Phases of flight checklist be used
Pre-flight
Before engine start
Engine starting
before taxi
Before takeoff
After takeoff,
cruise
descent
before landing after landing engines shut down and securing
Situational awareness
Understanding factors and conditions that affect safety before during an after flight.
Flight, pilot, aircraft, environment, external pressure
Inside aircraft- status of aircraft systems, pilot, and passengers
Outside aircraft- Awareness of aircraft, relation to terrain, traffic, weather, And airspace
Fatigue, distractions, unexpected events, complacency, high workload, unfamiliar situation Equipment reduce situational awareness
What hazards when using automated tools or GPS?
Blind reliance on GPS can lead to missed checkpoints from the route, airspace violation or proximity to terrain and other hazards. These systems can also fail.
Make sure you’re constantly monitoring instrument verifying auto pilot actions and cross checking
What area must pilot be proficient in when using automated system?
What to expect how to monitor the system for proper operation and be prepared to probably take action if the system does not perform correctly