Human Performance Flashcards
Biggest cause of aircraft accidents and most common type of accident.
Human factors major cause (73%)
CFIT (Controlled Flight into Terrain) most common event
Human error rates, before and after training
1 in 100 before training (simple tasks)
1 in 1000 after training (complex tasks)
Most significant flight safety equipment
GPWS (Ground Proximity Warning System)
and EGPWS (Enhanced…)
Components of a Safety Management System (SMS)
1) Safety policy & objectives
2) Safety risk management
3) Safety assurance
4) Safety promotion
SHELL model
S - software (manuals, procedures)
H - hardware (equipment)
E - environment
L - Liveware (other people)
L - Liveware (pilot)
Pilot liveware is central to the other 4.
2 components of liveware considerations
- Psychological
- Physiological
Nervous system components
Central - Brain & spinal cord
Peripheral - Networks of nerves (sensory and motor) and ganglia
Division of peripheral nervous system
Autonomic: Organs and non-voluntary functions such as heart beat, sweating, digestion (uses hormones).
Sensory-somatic: Everything under voluntary control
Purpose of brain components
- Medulla Oblongata
- Hypothalamus
- Pituitary Gland
- Cerebellum
Medulla Oblongata: Autonomic functions (breathing, heart rate)
Hypothalamus: Water balance & temperature
Pituitary gland: hormonal controls (growth, blood pressure, blood sugar etc.)
Cerebellum: Balance and posture
Endocrine system
- description
- 4 components
Glands which release hormones to control systems of the body (master gland is the pituitary at base of the brain).
Thyroid/parathyroid glands - Metabolism/growth
Adrenal glands - adrenaline
Pancreas - blood sugar
Testes/ovaries - sexual hormones
Body temperature
Range acceptable
37C
35C - 39C maximum range
Boyle’s law
Pressure is inversely related to volume
[or pressure x volume = constant]
Charles’ law
Pressure is proportional to temperature
Dalton’s law
The pressure of a mixture of gasses is equal to the sum of partial pressures of the constituent gases.
Fick’s law
Gas will diffuse from areas of high concentration to areas of low concentration
General gas law
Pressure x volume / temperature
is constant
Henry’s law
The amount of gas dissolved in a liquid is proportional to the pressure of the gas over the liquid
Cardiovascular system components
Heart
Blood vessels
Blood
Plasma
Straw coloured liquid component of blood which carries the blood cells
Blood cell types (3)
Red - Contain haemoglobin and carry oxygen (no nuclei to maximise haemoglobin)
White - Produce antibodies to fight bacteria and anti toxins. Large nuclei to fight infection.
Platelets - Assist in clotting
Types of blood vessel
Arteries: Thick, carry blood from heart
Veins: Carry blood back to heart
Capillaries: Smaller vessels joining arteries to veins, travelling in networks through organs.
Two parts of blood circulation
Systemic circulation: From left side of heart, through organs, back to right side of heart.
Pulmonary circulation: From right side of heart, through lungs, to left side of heart.
Auricles/atria vs ventricles
Atria take inflow first and have weak force to move blood around heard.
Ventricles are stronger and provide main pumping force around lungs/body.
Aorta
Large artery, where oxygenated blood gets pumped from left ventricle, on into larger and gradually smaller arteries.
2 significant named blood vessels
Dorsal aorta: Oxygenated blood from heart to the body, runs along the spin (thus dorsal)
Vena cava: Vein returning from body to the heart
Coronary arteries/veins
Provide blood supply to the heart itself. Blockages in these is the principal cause of heart disease.
Cardiac output (& typical amount at rest)
Amount of blood pumped by left ventricle per minute (stroke volume * heart rate).
Typical 5 to 5.5 litres per minute
Hypertension
- definition
- consequence
- cause
- can you fly?
High blood pressure (above 140/90, either number being high)
Can lead to heart attack. Caused by lifestyle factors.
Can fly with appropriate medicaction.
Hypotension
Low blood pressure
Likely to disqualify from flying due to higher chance of fainting.
How does CO2 get carried in blood?
Some dissolved in blood, but mostly in combination with water as carbonic acid
(H2CO3)
Importance of carbonic acid in blood
Acidity of blood aids absorption of oxygen
Angina
Pain in the chest and arms resulting from lack of oxygen reaching heart muscles, due to exercise or stress.
Gradual reduction of blood flow through coronary arteries, unlike heart attack which is a sudden blockage.
Coronary Heart Disease
Fatty layer building up in coronary arteries.
Bits breaking off can form blood clots, blocking the coronary artery.
Caused in part by lifestyle factors.
Myocardial Infarction
Heart attack
Total blockage of a coronary artery leading to death of the heart muscle or a part of it.
Cardiac arrest
Abnormal heart rhythm following heart attack, failure of electrical impulses to control heart beat.
Ventricular fibulation
A type of cardiac arrest that can be corrected with a defibrillator.
Heart massage can keep patient alive for up to 4 minutes before defibrillator arrives.
Factors of predisposal to heart attack in importance order
i) Family history
ii) Age
iii) Previous history
iv) Hypertension
Then smoking, raised cholesterol, lack of exercise, diabetes.
Respiratory system functions
i) Gas exchange
ii) Immune defence (infection entering lungs)
iii) Talking
iv) Release of chemicals, proteins & enzymes
Carbon Monoxide poisoning symptoms
[+ common description]
i) Headache, tight forehead, dizziness, nausea
ii) Impaired vision
iii) Lethargy/weakness
iv) Impaired judgement & memory
v) Personality change
Then weak pulse/breathing/muscles, flushed cheeks & cherry red lips.
[Can be described as “flu like”]
Increase susceptibility to Carbon Monoxide (5)
Altitude
Smoking
Age
Obesity
General health
Reduction in oxygen carrying ability from 1 pack of cigarettes per day
5-8%
Blood pressure designations (typical figures)
(+ units)
Systolic pressure / Diastolic pressure
Diastolic is permanent arterial pressure, systolic is pressure when heart contracts.
120/80 typical
Measured in mm of mercury (mm Hg)
Causes of hypertension
Stress
Smoking
Dietary factors (e.g. salt)
Age
Obesity
Lack of exercise
Narrowing/hardening of arteries
3 types of respiration
External (breathing)
Internal (exchange of gases in lungs or organs)
Cellular (oxygen being used by cells to create energy)
Pressoreceptors
In wall of carotid sinus of neck, detect blood pressure and increase/decrease heart rate to maintain homeostasis.
What does the body use to determine respiration rate?
CO2 levels (carbonic acid)
Components of respiration system
Trachea - reinforced with cartilage
Bronchi - 2 of them split to each lung
Alveoli - Tiny sacks where gas exchange occurs
Tidal volume
Inspiratory Reserve Volume
Expiratory Reserve Volume
Residual Volume
Tidal - Normal breath volume (500ml)
Inspiratory reserve - Extra inhalation possible on top of normal breath (3000ml)
Expiratory reserve - Extra exhalation after normal breath (1100ml)
Residual volume - Air in lungs that can’t be forced out (1200ml)
Females 20-25% less
Normal breathing rate
10-15 per minute
Time of useful consciousness at altitude
20k, 30k, 35k, 40k
At rest
20k feet: 30 mins [5 mins mod. activity]
30k feet: 90 secs
35k feet: 60 secs
40k feet: 20 secs
Altitude at which body reacts to decreasing pressure
7,000ft
Altitude at which atmospheric pressure is 0.75, 0.5 and 0.25 of that at MSL
75% of MSL @ 8000 ft
50% of MSL @ 18000 ft
25% of MSL @ 36000ft
Atmosphere composition
Nitrogen: 78%
Oxygen: 21%
Other: 1% (only 0.03% CO2)
Governing factor for oxygen requirement at altitude
Partial pressure of oxygen in the alveoli (not in the atmosphere). Alveoli air has much more water vapour and CO2 and less oxygen than external air.
Alveolar oxygen percentage and partial pressure @ MSL
Minimum partial pressure
MSL: 103 mm Hg (14%)
Minimum level: 55mm Hg
Altitude at which:
- Oxygen first required
- 100% oxygen required
- Pressurised oxygen required
At 10,000ft partial pressure of oxygen reaches 55mm Hg, so need oxygen to reach 103mm Hg (MSL equiv.)
At 33,700ft 100% oxygen needed for 103mm Hg.
At 40,000ft 100% oxygen only achieves 55mm Hg so need pressurised oxygen.
Oxygen saturation levels (in blood/haemoglobin)
- MSL, 10,000ft, 20,000ft
MSL: 97%
10,000ft: 87%
20,000ft: 65%
[So around 87% is equivalent to 55 mm Hg, our minimum level]
3 types of hypoxia
Hypoxic hypoxia (insufficient oxygen coming into body)
Anaemic hypoxia (inability of blood to carry oxygen)
Histotoxic (or histoxic) hypoxia (cellular inability to absorb oxygen, typically caused by drug use)
Initial symptoms of hypoxia
i) Euphoria, aggression, lack of inhibitions
ii) Impaired judgement & memory
iii) Headache
iv) Tingling in hands and feet
v) Hyperventilation
vi) Muscular impairment
vii) Visual sensory loss
viii) Tunnel vision
ix) Cyanosis
x) Formication (ants crawling over skin)
Hypoxia Zones
[5000ft: night vision affected]
7000ft: Reaction Threshold: Performance of complex tasks impaired, increasing breathing & HR
10-12000ft: Disturbance Threshold: Cardiovascular defence mechanisms, impaired judgement, memory, alertness. Drowsiness
22000ft: Critical Threshold: Quick deterioration of mental performance, rapid onset of dizziness/confusion and total loss of consciousness.
Hyperventilation
- Cause
- Misdiagnosis
- Treatment
Caused by FALL in CO2 due to exhaling more of it than we produce (more exhalation than inhalation), increased ALKALINITY. Fall in CO2 triggers increase in breathing rate.
Can be confused with hypoxia which is more serious to treat, more likely explanation at unpressurised high altitude.
Treat by blowing into paper bag, slowing breathing.
Hyperventilation and:
- asthma
- air sickness
- physiological (e.g. exercise)
Asthma does NOT cause hyperventilation
Air sickness CAN cause hyperventilation!
Exercise CAN cause hyperventilation (look out for PHYSICAL NEED - might be wrong)!
Hyperventilation symptoms
Dizziness (EARLY SYMPTOM)
Tingling (extremities & lips)
Visual disturbances
Hot & cold sensations
Anxiety
Loss of coordination
Increased HR
Muscle spasm
Loss of consciousness
NOT cyanosis
Venturi effect during rapid decompression
Can create 5,000ft pressure difference
Scuba-diving delays
12 hours down to 10m
24 hours beyond 10m
[BGS: not within 24 hours?]
Symptoms of decompression sickness
Primary and secondary
Pain in joints (bends)
Skin (creeps)
Shortness of breath (chokes)
Loss of mental function (staggers)
Secondary: Post descent collapse
Decompression risk factors (other than scuba diving)
Age
Obesity
Barotrauma
Gases trapped in your body (e.g. stomach, inner ear, tooth cavity) causing issues during descent or ascent (depending on the area).
Otic barotrauma
Pain caused by expansion of pressure (barotrauma) in eustachian tubes
Sinus barotrauma
Not the same as otic, relates to air in the sinus cavities.
Can cause pain in ascent or descent, although more common in descent.
Aerodontalgia
Barotrauma of the teeth
Pain in the ASCENT, not descent
6 main eye components
Cornea - transparent cap, solid shape
Iris - Coloured area in front of lens
Pupil - Gap in middle of iris allowing light through, changes size to control light.
Lens - Transparent, muscles control its shape to focus light
Retina - Back of the eye, covered in light sensitive cells
Optic nerve
“Most important” component of eye for refracting light
Cornea refracts more light than the lens, lens just has the variability.
Is pilots license possible with monocular vision?
Yes, need medical approval obviously
Depth perception at close and far range
Close work (up to 2m) uses binocular vision. Further away monocular vision is acceptable and use other clues for distance perception.
2 types of retina cells
Cones: Foveal vision, concentrated in central area of retina, colour sensitive and best in daylight.
Rods: Peripheral vision, further from foveal region, not colour sensitive but work well in the dark and detect movement well.
Scotopic vision
Photopic vision
Mesopic vision
Scotopic - rods
Photopic - cones
Mesopic - both
Meaning of 20/20 vision
You can see at 20 feet what a normal person can see at 20 feet (or 6/6 for metres). 20/10 is better, 30/20 is worse.
Reading requirement for pilots
Small print from 30cm
Autokinesis
Illusion of movement when you stare at a static light in darkness.
How is false horizon illusion caused?
A sloping layer of cloud can be taken as a false horizon leading to adopting a non level attitude
Auditory illusion
Could come up in exam, refers to things like missed radio calls
Myopia
- Cause
- Correcting glass type
- Where does image tend to focus
Short sightedness
Lens is too convex (can’t flatten enough) so light from far away is bent too much and focuses in front of the retina
Concave glass lens to correct
Hyperopia/Hypermetropia
- Cause
- Correcting glass type
- where is uncorrected focus point
Long sightedness
Lens is not convex enough so light from close up can’t be redirected enough to focus on retina (focus point behind retina)
Convex glass lens to correct
Image focus location for myopia & hypermetropia
Myopia - in front of the retina
Hypermetropia - behind the retina
Presbyopia
Long sightedness that is common in 40s and beyond.
Presbycusis
Deterioration in hearing due to age (high tones lost first)
Astigmatism
Curvature of cornea or lens is not perfectly round leading to uneven refraction and distorted images.
Glaucoma
High pressure in the eye (10-20 mm Hg normal range).
Symptoms are blurred vision, light sensitivity, red discolouration and eventually pain.
Accommodation
The ability to focus on near and far objects
Time required to develop night vision (and adapt to bright light)
30 minutes (and 10 seconds)
Is night vision affected by smoking?
Yes!
Disruption of night vision at altitude
1100m - 5%
2800m - 18%
4000m - 35%
5000m - 50%
Optical illusion caused by rain on windscreen
Makes objects appear lower than they are (so aircraft appear higher) leading to a low approach.
Strongest vision area for rods
10 degrees off centre
Likely effect of approach to brightly lit runway with no other lights near it?
Black hole effect.
Illusion of being too high.
Pilot is likely to descend early leading to a low approach (landing short)
What distance do eyes tend to focus at in the dark with nothing to focus on
1-2 metres
Time before flying after cataract or corneal surgery
24 hours
Cataract
Clouding of the lens
Surgery removes lens entirely (can no longer accomodate)
Types of light which can damage eyes (2)
Potential issues caused
High energy blue light (retina)
Ultraviolet light (retina, lens & cataracts)
Saccade
Eye doesn’t move smoothly but in a series of jerky movements of 1/3 second called saccades.
Visual cortex puts these together to create apparent smoothness.
Visual scanning technique
Movements of 10 degrees
Observe each area for 2 seconds to allow movement to be sensed
3 components of outer ear
External ear: Pinna or Auricle, gathers sound signals
Outer canal: Pressure waves pass through
Eardrum (or tympanic membrane): Vibrates in harmony with pressure waves
2 components of middle ear
Ossicles: 3 small bones, forced by eardrum, convert pressure wave energy to mechanical energy.
Eustachian tube: Connects middle ear to nasal passages to allow pressure to match ambient pressure
2 components of inner ear
Cochlea: Shell shaped part, converts mechanical energy of ossicles to electrical signals
Vestibular Apparatus: Contain fluid and small hairs that detect gravity and acceleration.
Which part of brain are hearing signals sent to?
Cerebellum
Otolith organs
Otolith refers to the chalk granules.
Otolith organs are the Saccule which contains the Macula (sac/mac) which detects acceleration and gravity (thus also tilting of the head).
Sit in the vestibule, not in the semi-circular canals.
Semi-circular canals
Utricle at the base of the semi-circular canals contains cupulas, which detect the angular rotation.
[U as in cup, think of cup tipping over and rotating]
Barotitis
Air being trapped in the middle ear
Conductive hearing loss
Failure of the conductive functions, i.e. failure of sounds to be transferred to the inner ear. NOT noise induced hearing loss.
Can include blockage in OUTER ear canal, damage to eardrum, infection affecting ossicles. But NOT auditory nerve damage (since sound would still have been conducted to the inner ear).
How does noise induced hearing damage work?
Can affect the sensitive hair cells in the cochlea
Frequency of human hearing and human voices
Hearing: 20Hz to 20,000Hz
Voices: 500Hz to 3,000Hz
Sensory threshold
The level at which you become sensitive to stimulus. Raising the sensory threshold reduces sensitivity.
Coriolis illusions
Mistaken sense of direction or acceleration caused by vestibular apparatus.
Caused by moving your head during a turn.