Types of hypoxia?
Not enough oxygen reaching the tissues:
- Hypoxic: low partial pressure of oxygen (altitude)
- Stagnant: poor circulation (g-forces, cold)
- Anaemic: blood cannot carry oxygen (carbon monoxide, anaemia)
- Histotoxic: cells cannot use oxygen (alcohol, drugs)
Time of useful consciousness?
The time you can act sensibly after losing oxygen supply:
- FL 180: 20–30 min · FL 220: about 10 min
- FL 250: 3–5 min · FL 280: 2.5–3 min
- FL 300: 1–2 min · FL 350: 30–60 s
- FL 400: 15–20 s · FL 430 and above: 9–12 s
Tip: Cabin altitude, not flight level, in a pressurised aircraft.
Hyperventilation and carbon monoxide?
Hyperventilation: over-breathing lowers CO₂, causing tingling, dizziness. Breathe slowly or into a bag. CO poisoning: haemoglobin binds CO about 200 times more strongly than oxygen.
- CO sources: exhaust and heater leaks, smokers
- Treat with 100 % oxygen and fresh air
Decompression sickness and diving?
Nitrogen bubbles form when ambient pressure falls fast.
- Wait 12 h after a no-decompression dive before flying (up to 8000 ft cabin altitude)
- Wait 24 h after a decompression dive or before flying above 8000 ft
- Symptoms: joint pain (the bends), chokes, rash
The eye: rods and cones?
Cones (fovea): colour and detail, daylight. Rods (periphery): dim light, no colour.
- Dark adaptation takes 30–45 minutes
- At night look slightly off-centre to use the rods
- The blind spot is where the optic nerve leaves the eye
Spatial disorientation illusions?
The inner ear misleads you without visual references:
- Leans: after a slow roll, a correction feels like banking
- Graveyard spiral: unnoticed spiral with rising speed
- Somatogravic: acceleration feels like pitching up
- Black hole: approach over unlit terrain looks too high
- Autokinesis: a static light seems to move
Tip: Trust your instruments over your senses.
Human factors models?
Reason’s Swiss cheese model: accidents occur when holes in many defences line up. The SHELL model: Software, Hardware, Environment, Liveware (central), Liveware (others).
- TEM: threats, errors and undesired states
- Yerkes–Dodson: performance peaks at moderate arousal, drops with too little or too much
- Cabin altitude in pressurised flight is kept at or below 8000 ft
Describe hypoxia and its types.
A shortage of oxygen in the body tissues.
- Hypoxic: low partial pressure of O₂
- Hypaemic: reduced blood capacity (CO)
- Stagnant: poor circulation
- Histotoxic: poisoned cells (alcohol)
- Time of useful consciousness at FL350: 30–60 s; FL250: 3–5 min
What are common spatial disorientation illusions?
Leans, graveyard spin/spiral, somatogravic (false climb on acceleration), black hole, autokinetic, false horizon.
- Trust the instruments
- Vestibular system cannot sense constant rate turns
- Treatment: cross-check attitude indicator