Reference: FAA-H-8083-25C
Attention:
Motivation:
Objective:
Learning Objective (Index)
- Learning Objective (Index)
- How to Obtain an Appropriate Medical Certificate
- Classes, Privileges and duration of the Medical Certificate
- How to Obtain a Medical Certificate in the Event of a Possible Medical Deficiency
- Special Issuance Medical Certification
- Color Vision Standards
- BasicMed
- Where and What Can Fly Someone with BasicMed
- Hypoxia
- Hypoxic Hypoxia
- Hypemic Hypoxia
- Stagnant Hypoxia
- Histotoxic Hypoxia
- Hypoxia Symptoms
- Hypoxia Corrective Actions
- Hyperventilation
- Causes
- Treatment
- Middle Ear and Sinus Problems
- Middle Ear
- Sinus Problems
- Spatial Disorientation
- Vestibular System
- Visual System
- Somatosensory System
- Vestibular Illusions
- Inversion Illusion
- Coriolis Illusion
- Elevator Illusion
- Leans
- Graveyard Spiral-Spin
- Somatogravic Illusion
- Visual Illusions
- False Horizon Illusion
- Autokinesis
- Runway With Illusion
- Runway Slope Illusion
- Featureless Terrain, Water Refraction and Haze
- Ground Lighting
- Motion Sickness or Airsickness
- Symptoms
- Techniques to Overcome Motion Sickness
- Carbon Monoxide Poisoning (The Silent Killer)
- Symptoms
- Corrective Actions
- Stress
- Acute Stress
- Chronic Stress
- Fatigue
- Acute Fatigue
- Chronic Fatigue
- Dehydration and Nutrition
- Causes
- Symptoms
- Regulations Regarding Use of Alcohol and Drugs
- Scuba Diving
- Decompression Sickness
- Scuba Diving Wait Times
- Controlled Dive
- Uncontrolled Dive
- IMSAFE Checklist
How to Obtain an Appropriate Medical Certificate
- Medical certificates are obtained from an AME (Aviation Medical Examiner)
- No matter if a pilot have a valid Medical Certificate, the pilot needs to comply with FAR 61.53 “A pilot cannot act as crew member on an aircraft if they know, or have reason to know, of any medical condition that would make theme unsafe to operate an aircraft”
- You can find a full list of AMEs in the next web page
Classes, Privileges and duration of the Medical Certificate
⬇️ 40 yeas old | ⬆️. 40 years old | |
1 Class ATP Privileges | 12 Calendar Months | 6 Calendar Months |
2 Class Commercial Privileges | 12 Calendar Months | 12 Calendar Months |
3 Class Private Privileges | 60 Calendar Months | 24 Calendar Months |
How to Obtain a Medical Certificate in the Event of a Possible Medical Deficiency
- Medical Certificates can be issued in many cases where physical disabilities are involved
- Depending on the nature of the disability, you may have some operating limitations
- If you have any questions, contact an FAA-Authorized aviation medical examiner before beginning flight training
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Special Issuance Medical Certification
Color Vision Standards
BasicMed
Where and What Can Fly Someone with BasicMed
- Aircraft authorized to carry no more than 6 occupants
- Up to 5 passengers
- Max certificated Takeoff Weight of 6,000 LBS
- No limitations on
- Category
- Class
- Horsepower
- Number of Engines
- Gear Type
- No more than 18,000ft MSL
- Up to 250 knots
- Day or Night, VFR or IFR, within the U.S.
- Cannot fly for Compensation or Hire, unless if CFI
Hypoxia
Lack of oxygen in the body
- If the brain is subjected to oxygen deprivation it will affect a pilot decision making processes
Hypoxic Hypoxia
Cause by a decrease in pressure with altitude, with more altitude less air density, harder to breath oxygen
High altitude = Less pressure
Altitude | Requirement | Who |
12,500 ft - 14,000 ft | if the flight at that altitude is more than 30 min | Only pilots |
Above 14,000 ft | immediately | All the flight crew |
Above 15,000 ft | immediately | All the passengers on boar and flight crew |
Hypemic Hypoxia
Occurs when the blood cells are unable to carry oxygen molecules
- Main and most common reason is the Carbon Monoxide Poisoning
Carbon Monoxide Poisoning
Stagnant Hypoxia
G forces does not let the blood-oxygen go to the brain, creating a lack of oxygen
G-Forces
Histotoxic Hypoxia
Occurs when the brain rejects the oxygen from the blood because of toxic substances like alcohol or drugs
Alcohol or Drugs
Hypoxia Symptoms
- Headache
- Decrease Response Times
- Impaired Judgment
- Euphoria
- Dizzy Sensations
- Peripheral Cyanosis
Hypoxia Corrective Actions
- Descent to lower Altitudes
- Stop pulling G-Forces
- Don a Oxygen Mask
Hyperventilation
Lack of Carbon Dioxide, it is the excessive rate and depth of respiration
Causes
- Too fast breathing
- can be the reason of fear, stress or anxiety among other factors
Treatment
- Be conscious of your respiration
- Return the breathing to normal rate
- signing
- talking aloud
- breathing into a paper bag
Middle Ear and Sinus Problems
During climbs or descents, the air that is in our body cavities expands due to differential of pressures
- If the air inside of the sinus is blocked by mucus, the pressure inside the sinus cannot be equalized creating extreme pain
Middle Ear
Sinus Problems
Spatial Disorientation
Lack of orientation with regard to the position, attitude, or movement of the airplane in space.
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Vestibular System
Organs found in the inner ear that sense position by the way we are balanced
Visual System
Eyes - Which sense position based on what is seen
Somatosensory System
Nerves in the skin, muscles, and joints that sense position based on gravity and feeling.
Vestibular Illusions
Inversion Illusion
When change from a climb to a straight an level flight, the pilot can have the illusion of enter on a descent
Coriolis Illusion
Is when a pilot has been in a turn long enough for the fluid in the semicircular canal to move at the same speed as the canal. A movement of the head may set the fluid moving, creating the illusion of turning or accelerating on an entirely different axis
Elevator Illusion
An abrupt upward or downward vertical acceleration can simulate on the otoliths organs to feel a climb or descent, making the pilot put the airplane in a pitch up or pitch down attitude
Leans
Sudden return to level flight following a gradual and prolonged turn that went unnoticed by the pilot
Graveyard Spiral-Spin
In a prolonged, coordinated, constant-rate turn a pilot may experience the illusion of not turning. During the recovery to level flight, the pilot will experience the feeling of turning to the opposite direction, entering in a bank, losing lift (Spiral)
Somatogravic Illusion
Acceleration feels a climb, Deceleration feels a descent
Visual Illusions
False Horizon Illusion
Pilot may confuse the horizon with a slope, ground light at night, clouds, stars and try to align the airplane with that false horizon
- Sloping cloud formation
- Obscured horizon
- Aurora borealis
- Certain geometric patterns of ground lights
Autokinesis
Autokinesis occurs when our brain sees motion or movement that is not actually occurring.
- When the pilot see a star, light and feel it is moving, but in reality not
- Also can happen with some images
Runway With Illusion
Runway Slope Illusion
A downsloping runway can create the illusion that the airplane is lower than it actually is, leading in a higher approach
A upsloping runway can create the illusion that the airplane is higher than it actually is, leading in a lower approach
Featureless Terrain, Water Refraction and Haze
The lack of detail of the terrain creates the illusion of being higher or further away than actual
Ground Lighting
Bright Runway lights and approach light systems may create the illusion of less distance to the runway, creating a higher approach
- The pilot who does not recognize this illusion will often fly a higher approach.
Lights along a straight path, such as a road, and even lights on moving trains can be mistaken for runway and approach lights.
Motion Sickness or Airsickness
Is caused by the brain receiving conflicting messages about the state of the body.
- Conflict between Vestibular, Visual and Somatosensory Systems
- A pilot may experience motion sickness during initial flights.
- Anxiety and stress, can contribute to motion sickness.
Symptoms
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Techniques to Overcome Motion Sickness
- Opening fresh air vents
- Focusing on objects outside the airplane
- Avoiding unnecessary head movements
- Avoid lessons in turbulent conditions until becoming more comfortable in the aircraft
- Start with shorter flights and graduate to longer instruction periods
Carbon Monoxide Poisoning (The Silent Killer)
- Most commonly in flight
- Would come from the aircraft heater (Environmental system)
- it happen if there is any leak in the engine exhaust pipes or muffler
- Hypemic Hypoxia may be experience
Symptoms
- Headache
- Blurred Vision
- Dizziness
- Euphoria
- Loss of muscle power
- Cherry red skin
- DEATH
Corrective Actions
- Turn off the cabin heat
- Open windows for fresh air
- Land as soon as possible or practical
Stress
Is the body’s response to physical and psychological demands
Acute Stress
- Is due to a particularly stressful event
Chronic Stress
- Is due to a consistent sense of feelings pressured and overwhelmed over a long period of time
Fatigue
- Fatigue is frequently associated with pilot error
- Some symptoms are
- Degradation of attention
- Poor concentration
- Impaired coordination
- Decrease ability to communicate clearly
Acute Fatigue
- Is the normal fatigue we all feel at the end of the day, after a long day, after a stressful period of time or after a night with lack of sleep
Chronic Fatigue
- This fatigue extends over long periods of time.
- Also can be because an underlying disease
Dehydration and Nutrition
Dehydration is the term given to a critical loss of water from the body
Causes
- Hot flight decks
- Humidity
- Diuretic drinks
- Coffee
- Green Tea
- Alcohol
- Energy Drinks
Symptoms
- Headache
- Dry Lips
- Dry mouth
- Fatigue
- Muscle cramping
- Dizziness
- Sleepiness
Regulations Regarding Use of Alcohol and Drugs
The safe outcome of any flight depends on the pilot’s ability to make correct and timely decisions
- 8 hours bottle to throttle
- Max 0.04% of alcohol in the blood
- No flying while hangover or under the influence
Scuba Diving
Scuba diving subject the body to increased pressure, which allows more nitrogen to dissolve in the body tissues and fluids
Decompression Sickness
DCS is the expansion of gases (mainly nitrogen) inside the human body cause by an exposure of low barometric pressure
Scuba Diving Wait Times
Controlled Dive
It’s when a person dives deep enough that they cannot immediately return to the surface at will
⬆️ 8,000 ft | 24 hours |
⬇️. 8,000 ft | 24 hours |
Uncontrolled Dive
It’s when the person does not dive deep enough an can immediately return to the surface at will
⬆️ 8,000 ft | 24 hours |
⬇️. 8,000 ft | 12 hours |
IMSAFE Checklist
- ILLNESS
- Am i sick?
- Do i notice that my student is sick?
- Remember illness can affect the perceptions and the poor creations of insights
- MEDICATION
- Am I taking any medications that might affect my judgement?
- Is my student taking any medications that might affect my judgement?
- Look FAA or AOPA website to search information about your medication
- Contact an AME (Aviation Medical Examiner)
- STRESS
- Is my student under psychological stress from the job or training?
- Do i notice in my student abnormal reactions to stress?
- Do they meet the human basics needs?
- Physical stress
- Psychological stress
- ALCOHOL OR DRUGS
- Have my student been drinking within 8 hours? 24 hours? is him or her hungover/under the influence?
- Do they have more than 0.04% of alcohol in the blood?
- FATIGUE
- Are my students tired or not adequately rested?
- Are my students abusing at the gym?
- EMOTIONS - EATING
- Have my students experienced an emotionally upsetting event recently?
- Do they feel grate with the training?
- Are they happy with the progress
- Do i notice any Defense Mechanisms?
- Have you eat properly?
- Are you hydrated?
Imagine a student who had lunch a bandeja paisa from Colombia and after that have a spin training?