Private Pilot Flight Training and Instruction
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Hypoxia
An adult will breath in 3,000 gallons (by volume) of air per
day. This includes 600 (20% of total) gallons of oxygen. Your
blood system has 25+ trillion (12 zeros) red blood cells (hemoglobin).
Each one is capable of loading up four oxygen molecules for distribution
throughout the body. when returning to the lungs for a refill
they unload CO2 first.
Hypoxia is oxygen starvation. Lack of oxygen impairs the whole
body but most importantly the brain. The first part of the body
to show significant effect from oxygen deficiency is the retina
of the eye. Every individual is affected but in different ways
and to different degrees. The danger in hypoxia is that it occurs
insidiously below the conscious threshold. Hypoxia makes you happy
and such happiness in the cockpit is very dangerous. The best
warning indicator for hypoxia is the altimeter. You will quickly
recover by descent to a lower altitude.
Since hypoxia is due to reduced barometric pressure, low-grade
hypoxia begins on takeoff. The percentage of oxygen is same but
less is reaching the blood stream. Any stress or increase in activity
requires more oxygen, up to 8 times more. Pilot performance deterioration
begins at takeoff, as well. Slowed response times and inability
to deal with complexities due to hypoxia compromise safety. Noticeable
oxygen deficiency effects begins at 4000 safety margins
are beginning to erode. Hypoxic symptoms of difficulty breathing
or headache may not be obvious or may not occur at all even though
there are the foregoing changes in mental status.
I have seen complete personality changes occur after a couple
of hours around 12,000. Symptoms such as headache, drowsiness,
dizziness, euphoria, tingling, perspiration, or belligerence are
typical. Tunnel vision and blue fingernails occurs with times
as little as 15 minutes above 15,000. At 16,000 disorientation,
lapses of judgment, loss of impulse control, risk-taking behavior,
decreased problem solving abilities, impaired memory, mood disturbances,
and lowered coordination are common. Unconsciousness occurs in
10 minutes at 20,000.
All effects are made worse and happen at lower altitudes with
fatigue, age, smoking, health habits, and drinking. Oxygen recommended
above 10,000 day and 5,000 night. If oxygen is being used, the
pilot must be knowledgeable about the operation of the system
and be able to recognize his and the systems warnings of
oxygen deficiency. FARs require oxygen if ½ hour above
12,500, crew above 14,000, everybody above 15,000.
Written by Gene Whitt
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