High G physiology and protection Flashcards

1
Q

what is the classification of acceleration. Short, intermediate and long

A

Short: impact eg crash <0.5 sec
Intermediate:ejection, catapult/cable. 0.5 - 2.0 secs
Long: linear - takeoff, radial - ACM/manoeuvring >2.0sec

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2
Q

Newton’s first law

A

Every object in a state of uniform motion tends to remain in that state of motion unless an external force is applied to it

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3
Q

Newton’s second law

A

the relationship between an object’s mass, it acceleration and the applied force. F=ma
Acceleration and force are vectors

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4
Q

Newton’s third law

A

For every action there is an equal and opposite reaction. eg acceleration and inertial force

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5
Q

Describe the G axes

A
\+Gz= superior to inferior
-Gz= inferior to superior
\+Gx=anterior to posterior
-Gx=posterior to anterior
\+Gy= to left
-Gy=to right
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6
Q

G profiles of ADF aircraft

  • F-35
  • Hawk 127
  • PC-21
  • F/A 18 honet
A

F-35 = -3G to +9G
Hawk 127 = -4G to +8G
PC-21 = -4G to +8G
F/A 18 Hornet = -3.5G to +7.5G

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7
Q

Describe the Gz continuum

A
Weight increase
Grey out
black out
A-LOC
G-LOC
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8
Q

physical Effects of +Gz

A
Face sag
increase wt
- unassisted escape impossible at >3G
- Can't lift head up >4G
- Can't lift limbs at >8G
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9
Q

Cardiology effects from +Gz environment

A

blood pooling
reduced cerebral blood flow
Dysrhythmogenic due ot autonomic imbalance due to stretching of conduction system

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10
Q

Describe Grey Out

A

Causes tunnelling of vision
+3 to +4Gz
vision affected first due to pressure in eyes
peripheral effected first as greatest distance from optic artery.

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11
Q

Describe Black out

A

Causes complete loss of vision
+ 4 to +4.5 Gz
still conscious but no vision

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12
Q

How does +Gz worsen hypoxia

A

Changes to lung tissue
- upper alveoli are distended, lots of air
- lower alveoli are compressed, no air
Changes to blood flow
- decreased flow to upper lung
- increased flow to lower lung
exacerbates V/Q mismatching predisposing to hypoxia

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13
Q

Describe Oxy lung

A

occurs when >+3Gz, using G suit, breathing oxygen
V/Q mismatch related hypoxia reduced G performance
presents as dry cough, pain beneath the sternum, inability to take a deep breath

resolves quickly post flight with deep inspirations and/or coughing
ACBC

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14
Q

protective factors for Oxy lung

A

AGSM
pressure breathing
>40% nitrogen
incentive spirometers

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15
Q

MSK effects by +Gz

A

Short term
- acute musculo-ligamentous strains and sprains called burners and stingers
Long term: degenerative disc disease and osteoarthitis

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16
Q

explain G measles and G roids

A

G measles: petechial haemorrhages in skin, dependent areas of body
G roads: Haemorrhoids, may cause bleeding and irritation

17
Q

Describe the recovery from G-LOC

A

absolute incapacitation 15 seconds
relative incapacitation 15 seconds
full recovery 1-5 mins
Subtle cognitive impairment up to 24hrs

18
Q

describe almost loss of consciousness

A

G induced impairment of cerebral function with no LOC, short duration, rapid onset G exposure, typical duration approx 5 sec
Lights on but nobody home

Symptoms: 
- sensory disturbances
- euphoria
- amnesia
- apathy
- loss of short term memory
- word forming difficulty
- reduced auditory acuity
- motor disturbances
similar to the relative incapacitation stage of G-LOC
19
Q

what is symptoms during recovery from G-LOC

A
Euphoria/dreamlike state
confused and disorientated
muscle spasms/seizures
light-headedness
Amnesia in 50% of cases
psychological suppression/denial
20
Q

Factors that increase risk of G-LOC

A
Unprepared for G
U/S anti-G suit
Rapid onset of G
lack of experience
layoff
minor illness
missed meal
hangover
unfit
21
Q

Immediate actions after G-LOC event

A
Declare PAN
fly straight and level to regain capability
Simple approach and landing
review by AVMO to ID Risk factors
ASOR
Return to flying next day
22
Q

Clinical management of G-LOC

A
Medical history
sortie profile
72hr history of the crew
IX predisposing Risk Factors
Manage as appropriate
TMUFF 24 hours - can fly the next day
23
Q

what physiological factors might effect G tolerance

A
Illness
medications/supplements
hypoxia/hyperventilation
heat stress
dehydration
alcohol
24
Q

Pilot fitness checklist

A
IM SAFE
illness
medication
stress
alcohol
fatigue
emotion
25
what personal factors affect G tolerance
``` Unprepared lack of experience previous lay-off missed meal fatigue ```
26
What sortie-related factors affect G tolerance
``` Sortie-related Peak G level G onset rate push pull effect poor AGSM ```
27
How do Baroreflex response to falling BP
``` baroreceptors inhibited decreased impulses to the brain decreased PNS active and Increase SNS Effects - Heart: increase HR & contractility - Vessels increase vasoconstriction - Adrenal gland: release of adrenaline and noradrenaline. ``` results in increase contractility and vasoconstriction = increase BP take 6-12 secs to work
28
effects of negative G
defined as less then +1Gz manouevre poorly tolerated Head level BP increase LOC from - 4Gz
29
Explain what happens during -Gz
baroreflexes in reverse - hydrostatic effects cause stretch which results in heart slows, blood vessels dilate, BP falls Symptoms: facial pain/fullness, eye discomfort, nose bleeds, red out, headaches, mental confusion, unconscious -4Gz
30
Explain the push - pull effect
when performing <1+Gz manoeuvre which triggers baroreflexes to drop blood pressure. then moving to >1+Gz which drops the BP due shift of hydrostatic pressure prior to the baroreflexes being able to increase BP. Results in GLOC earlier then expected
31
what High G defence training strategy
``` education about High G physiology AGSM Anti G garments physical conditioning centrifuge training ```
32
Steps to prevent neck pain
Before flight - fitness and training - core upper body strength. neck, generic isometric or physio specific. - pre-flight stretch and warm up Inflight - pre -positioning - plan head movements - use of structures post-flight - stretch and cool down symptoms management - stop flying - early self tx - rest, stretch +/- analgesia - if no improvement seek AVMO &/or physio early.
33
What is the most effective method to prevent G-LOC
anti-G straining manoeuvre
34
Describe AGSM and how much tolerance does it give
Adds +3 to 4 Gz tolerance 2 parts - Continuous muscle contraction started prior to onset of G force. Contract legs, buttocks, abdominals. - Breathing: increase intrathorac pressure which increases cerebral circulation. breath every 3 secs to allow heart to refil.
35
Common mistake with AGSM
``` failure to anticipate G Inadequate strain poorly coordinated strain Failure to maintain AGSM during G offset Breathing cadence Fatigue due to poor energy conservation ```
36
How much protection does anti G suit give against G
Adds 1-1.5 G tolerance makes AGSM easier extended coverage adds 2-2.5 G tolerance
37
how much protection does positive pressure breathing for G and what are the problems
PBG at 30mmHg fives +3Gz of protection. problems - doesn't protect against against rapid G onset - communication issues - mask seal problems - high G forearm pain - decrease venous return
38
``` The most effective form of G protection is provided by A the pneumatic anti-G suit B the AGSM C positive pressure breathing D reclined seating ```
B the AGSM