Dr Dave - Aviation Medicine Flashcards

1
Q

What are the ways to slow premature ageing?

A
  • Genetics
  • Environment (avoid UV light)
  • Avoid smoking/cigarettes
  • Avoid toxic chemicals
  • Eat well
  • Avoid drugs and alcohol (especially high levels of alcohol)
  • Eat antioxidants
  • Control your weight
  • Sleep well
  • Try and avoid disease
  • Exercise well and often
  • Practice meditation/ mindfulness exercises
  • Have a loving partner
  • Laugh
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2
Q

What are the immediate effects of sudden decompression? what are the secondary effects of those?

A
  • Noise - reduced communication
  • Wind - cold, difficult to hold on
  • Mist - reduced visibility, disorientation
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3
Q

What are some later effects of decompression

A
  • Hypoxia
  • Barotrauma
  • Hypothermia
  • Decompression sickness
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4
Q

What should pilot actions be in a decompression?

A
  • Don Oxygen masks

- Start emergency descent down to 10,000ft

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5
Q

What the definition of G-LOC?

A

A state of altered perception where ones awareness of reality is absent as a result of a sudden, critical reduction in cerebral blood circulation caused by increased G-force

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6
Q

What is long duration exposure to G force defined as?

A

Longer than 2 seconds

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7
Q

What symptoms will occur under positive G’s?

A

-Less blood can return to the brain and heart
-Veins and arteries dilate and blood pools in the limbs and extremities
-Vision affected:
=Tunnel vision
=Grey-out
=Blackout
=LOC

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8
Q

What can you do to prevent G-LOC?

A
Tense legs and abdomen
Anti-G straining manoeuvre 
Be healthy 
Avoid alcohol prior to experiencing
Avoid tiredness
Be physically fit
G-suit
Reclining seats to lower height of head above heart
Positive pressure breathing
Training and repeated exposure
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9
Q

Describe the anti-g straining manoeuvre?

A
  • Close throat and try to force air out your mouth

- Cough

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10
Q

What is the definition of Hypoxia?

A

Lack of oxygen to critical tissues, sufficient to cause impairment of function

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11
Q

What are the different types of hypoxia relevant to aviation? describe each?

A
  • Hypoxic hypoxia: due to lack of oxygen

- Anaemic Hypoxia: due to blood not carrying oxygen (normally due to CO poisoning)

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12
Q

What are the visual, physical and mental signs and symptoms of hypoxia?

A

Visual:
=Reduced colour perception
=Reduced night vision

Physical:
=Tremors
=Hypoxic Flap
=No coordination
=Slurred/ slow speech
=LOC
Mental:
=No judgement
=Euphoria
=Lethargy
=Reduced short term memory capacity
=Fixation
=LOC
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13
Q

What factors can increase or decrease tolerance to hypoxic conditions?

A
  • Altitude
  • Time spent in those conditions
  • Cold
  • Illness/ tiredness
  • Drugs/alcohol
  • Stress
  • Physical fitness
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14
Q

What treatment should be given for hypoxia? What would you expect to happen?

A
  • Administer oxygen
  • Reduce altitude

-Symptoms will worsen temporarily after oxygen is administered

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15
Q

What are the physical consequences of sleep deprivation?

A
  • Greater risk of obesity, cardiovascular disease and diabetes
  • Hormone changes
  • Reduced immune capacity
  • High blood pressure
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16
Q

What are the mental consequences of sleep deprivation?

A
  • Increased chance of depression
  • Reduced mood
  • Weariness, fatigue, sleepiness
17
Q

What is barotrauma? where in the body can it occur?

A

Pain, discomfort caused by gas cavities in the body expanding with a decrease in pressure

-Teeth, lungs, intestine, middle ear are all susceptible

18
Q

What is decompression sickness?

A
  • Nitrogen dissolved in the blood and tissues at sea level comes out of solution at higher altitudes
  • Bubbles will form if change is too rapid
19
Q

What are the symptoms of decompression sickness?

A
  • Bends
  • Joint pain & inflammation
  • Creeps (rashes and itches)
  • Chokes (Coughing)
  • Staggers (reduced Brain function)
20
Q

What are the risk factors of decompression sickness?

A
  • Long time at high altitude
  • Scuba diving in recent times
  • Illness
  • Cold
  • Physically unfit
  • Alcohol/ drug use
21
Q

What is spatial disorientation?

A

Failure to correctly sense the position, motion, or attitude of yourself or your aircraft in relation to gravity and Earth’s surface

22
Q

What are some examples of somatogravic illusions? describe them?

A

-Pitch-up/ down illusion
Occurs in poor vis at night, sensing hairs in otolith organ incorrectly categorise acceleration as pitching motion

-Graveyard spin
Occurs when change of attitude is not perceived. Roll out may be sensed as overall, and plot then rolls back into a spin

23
Q

What is an example of a somatogyral illusion?

A

-The leans

Due to the sensing threshold and rate of change of attitude

24
Q

How can you prevent all your instruments?

A

Trust your instruments