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Archive / FAA Pilot’s Handbook of Aeronautical Knowledge / Pilot’s Handbook: Chapter 17 — Aeromedical Factors

Chapter 17, Part 5

Aeromedical Factors — Part 5

FAA-H-8083-25C (2023)

Figure 17-20. Self-imposed stress.

HYPOGLYCEMIA

HYPOGLYCEMIA

HYPOGLYCEMIA

HYPOGLYCEMIA

ALCOHOL

ALCOHOL

ALCOHOL

ALCOHOL

TOBACCO

TOBACCO

TOBACCO

TOBACCO

POOR PHYSICAL CONDITION

POOR PHYSICAL CONDITION

POOL PHYSICAL CONDITION

EXHAUSTION

EXHAUSTION

EXHAUSTION

EXHAUSTION

DRUGS

DRUGS

DRUGS

DRUGS

NUTRITIONAL

DEFICIENCY

NUTRITIONAL

DEFICIENCY

NUTRITIONAL

DEFICIENCY

NUTRITIONAL

DEFICIENCY

• Select approach and departure routes that avoid

highways and residential areas where illumination

can impair night vision.

Self-Imposed Stress

Night flight can be more fatiguing and stressful than day

flight, and many self- imposed stressors can limit night vision.

Pilots can control this type of stress by knowing the factors

that can cause self-imposed stressors. Some of these factors

are listed in the following paragraphs. [Figure 17-20]

Drugs

Drugs can seriously degrade visual acuity during the day and

especially at night. Pilots who become ill should consult an

aviation medical examiner (AME) or flight surgeon as to

which drugs are appropriate to take while flying.

Exhaustion

Pilots who become fatigued during a night flight will not be

mentally alert and will respond more slowly to situations

requiring immediate action. Exhausted pilots tend to

concentrate on one aspect of a situation without considering

the total requirement. Their performance may become a

safety hazard depending on the degree of fatigue and instead

of using proper scanning techniques may get fixated on the

instruments or stare off rather than multitask.

Poor Physical Conditioning

To overcome poor physical conditioning, pilots should

participate in regular exercise programs. People who are

physically fit become less fatigued during flight and have

better night scanning efficiency. However, too much exercise

in a given day may leave crew members too fatigued for

night flying.

Alcohol

Alcohol is a sedative and its use impairs both coordination

and judgment. As a result, pilots who are impaired by alcohol

fail to apply the proper techniques of night vision. They are

likely to stare at objects and to neglect scanning techniques.

The amount of alcohol consumed determines the degree to

which night vision is affected. The effects of alcohol are long

lasting and the residual effects of alcohol can also impair

visual scanning efficiency.

Tobacco

Of all the self-imposed stressors, cigarette smoking most

decreases visual sensitivity at night. Smoking significantly

increases the amount of carbon monoxide carried by the

hemoglobin in red blood cells. This reduces the blood’s

capacity to combine with oxygen, so less oxygen is carried

in the blood. Hypoxia caused by carbon monoxide poisoning

affects peripheral vision and dark adaptation. The results

are the same as those for hypoxia caused by high altitude.

Smoking 3 cigarettes in rapid succession or 20 to 30 cigarettes

within a 24-hour period may saturate from 8 to 10 percent

of the capacity of hemoglobin. Smokers lose 20 percent of

their night vision capability at sea level, which is equal to a

physiological altitude of 5,000 feet.

Hypoglycemia and Nutritional Deficiency

Missing or postponing meals can cause low blood sugar,

which impairs night flight performance. Low blood sugar

levels may result in stomach contractions, distraction,

breakdown in habit pattern, and a shortened attention span.

Likewise, an insufficient consumption of vitamin A may

also impair night vision. Foods high in vitamin A include

eggs, butter, cheese, liver, apricots, peaches, carrots, squash,

spinach, peas, and most types of greens. High quantities of

vitamin A do not increase night vision but a lack of vitamin

A certainly impairs it.

Distance Estimation and Depth Perception

Knowledge of the mechanisms and cues affecting distance

estimation and depth perception assist pilots in judging

distances at night. These cues may be monocular or binocular.

The monocular cues that aid in distance estimation and depth

perception include motion parallax, geometric perspective,

retinal image size, and aerial perspective.

Motion Parallax

Motion parallax refers to the apparent motion of stationary

objects as viewed by an observer moving across the

landscape. When the pilot or crewmember looks outside the

aircraft perpendicular to the direction of travel, near objects

appear to move backward, past, or opposite the path of

motion; far objects seem to move in the direction of motion

or remain fixed. The rate of apparent movement depends on

the distance the observer is from the object.

Figure 17-21. Geometric perspective.

A B C

Geometric Perspective

An object may appear to have a different shape when viewed

at varying distances and from different angles. Geometric

perspective cues include linear perspective, apparent

foreshortening, and vertical position in the field.

• Linear perspective—parallel lines, such as runway

lights, power lines and railroad tracks, tend to

converge as distance from the observer increases.

[Figure 17-21A]

• Apparent foreshortening—the true shape of an object

or a terrain feature appears elliptical when viewed

from a distance. [Figure 17-21B]

• Vertical position in the field—objects or terrain

features farther away from the observer appear higher

on the horizon than those closer to the observer.

[Figure 17-21C]

Aerial Perspective

The clarity of an object and the shadow cast by it are

perceived by the brain and are cues for estimating distance.

Subtle variations in color or shade are clearer the closer the

observer is to an object. However, as distance increases,

these distinctions may become blurry. The same applies to

an object detail or texture. As a person gets farther from an

object, its discrete details become less apparent. Another

important fact to remember while flying at night is that every

object casts a shadow from a light source. The direction in

which the shadow is cast depends on the position of the light

source. If the shadow of an object is cast toward the observer,

the object is closer than the light source is to the observer.

Binocular Cues

Binocular cues of an object are dependent upon the slightly

different viewing angle of each eye of an object. Binocular

perception is useful only when the object is close enough to

make an obvious difference in the viewing angle of both eyes.

In the flight environment, most distances outside the cockpit

are so great that binocular cues are of little, if any, value. In

addition, binocular cues operate on a more subconscious

level than monocular cues and are performed automatically.

Night Vision Illusions

There are many different types of visual illusions that

commonly occur at night. Anticipating and maintaining

awareness of them is usually the best way to avoid them.

Autokinesis

Autokinesis is caused by staring at a single point of light

against a dark background for more than a few seconds.

After a few moments, the light appears to move on its own.

Apparent movement of the light source will begin in about

8 to 10 seconds. To prevent this illusion, focus the eyes on

objects at varying distances and avoid fixating on one source

of light. This illusion can be eliminated or reduced by visual

scanning, by increasing the number of lights, or by varying

the light intensity. The most important of the three solutions

is visual scanning. A light or lights should not be stared at

for more than 10 seconds.

False Horizon

A false horizon can occur when the natural horizon is

obscured or not readily apparent. It can be generated by

confusing bright stars and city lights. It can also occur while

flying toward the shore of an ocean or a large lake. Because

of the relative darkness of the water, the lights along the

shoreline can be mistaken for stars in the sky. [Figure 17-22]

Reversible Perspective Illusion

At night, an aircraft may appear to be moving away from

a second aircraft when it is, in fact, approaching a second

aircraft. This illusion often occurs when an aircraft is flying

Figure 17-22. At night, the horizon may be hard to discern due to dark terrain and misleading light patterns on the ground.

Apparent horizon Actual horizon

parallel to another’s course. To determine the direction of

flight, pilots should observe aircraft lights and their relative

position to the horizon. If the intensity of the lights increases,

the aircraft is approaching; if the lights dim, the aircraft is

moving away.

Size-Distance Illusion

This illusion results from viewing a source of light that is

increasing or decreasing in luminance (brightness). Pilots

may interpret the light as approaching or retreating.

Fascination (Fixation)

This illusion occurs when pilots ignore orientation cues and

fix their attention on a goal or an object. Student pilots tend to

have this happen when they are concentrating on the aircraft

instruments or attempting to land. They become fixated on

one task and forget to look at what is going on around them.

At night, this can be especially dangerous because aircraft

ground-closure rates are difficult to determine, and there may

be minimal time to correct the situation.

Flicker Vertigo

A light flickering at a rate between 4 and 20 cycles per

second can produce unpleasant and dangerous reactions. Such

conditions as nausea, vomiting, and vertigo may occur. On

rare occasions, convulsions and unconsciousness may also

occur. Proper scanning techniques at night can prevent pilots

from getting flicker vertigo.

Night Landing Illusions

Landing illusions occur in many forms. Above featureless

terrain at night, there is a natural tendency to fly a lower-

than-normal approach. Elements that cause any type of

visual obscurities, such as rain, haze, or a dark runway

environment, can also cause low approaches. Bright lights,

steep surrounding terrain, and a wide runway can produce the

illusion of being too low with a tendency to fly a higher-than-

normal approach. A set of regularly spaced lights along a road

or highway can appear to be runway lights. Pilots have even

mistaken the lights on moving trains as runway or approach

lights. Bright runway or approach lighting systems can create

the illusion that the aircraft is closer to the runway, especially

where few lights illuminate the surrounding terrain.

Prior to flying at night, it is best to learn and know the

challenges of the area in which you are flying in. Study the

area and know how to navigate your way through areas that

may pose a problem at night. For example, many areas near

water may be obscured by low lying clouds or fog. To help

deal with this type of situation, it is important to have a plan

before you leave the ground. In the daytime, fly the routes

and passes that you will be flying at night and determine the

minimum altitude you are willing to use at night. If weather

prevents you from maintaining the altitude that you planned,

make a decision early to turn 180° and land at an alternate

airport with better weather conditions. Always consider

safer alternatives rather than hope things will work out by

taking a chance.

Pilots who fly at night should strongly consider oxygen

supplementation at altitudes and times not required by the

FAA, especially at night when critical judgment and hand-eye

coordination is necessary (e.g., IFR) or if he/she is a smoker

or not perfectly healthy.

Enhanced Night Vision Systems

Synthetic Vision Systems (SVS) and Enhanced Flight Vision

Systems (EFVS) are two systems that can improve the safety

of flight at night. The technology of both is evolving rapidly

and being used more and more. [Figure 17-23]

Figure 17-25. Night time SVS system.Figure 17-24. SVS system.

Figure 17-23. Synthetic and enhanced vision systems.

Synthetic vision system Enhanced vision system

Synthetic Vision System

A Synthetic Vision System (SVS) is an electronic means

to display a synthetic vision image of the external scene

topography to the flight crew. [Figure 17-24] It is not a

real-time image like that produced by an EFVS. Unlike

EFVS, SVS requires a terrain and obstacle database, a

precise navigation solution, and a display. The terrain

image is based on the use of data from a Digital Elevation

Model (DEM) that is stored within the SVS. With SVS, the

synthetic terrain/vision image is intended to enhance pilot

awareness of spatial position relative to important features

in all visibility conditions. This is particularly useful during

critical phases of flight, such as takeoff, approach, and

landing, where important features, such as terrain, obstacles,

runways, and landmarks, may be depicted on the SVS

display. [Figure 17-25] During approach operations, the

obvious advantages of SVS are that the digital terrain image

remains on the pilot’s display regardless of how poor the

visibility is outside.

An SVS image can be displayed on either a head-down

display or head-up display (HUD); however, to date, SVS

has only been certified on head-down displays. Development

efforts to display a synthetic image on a HUD are currently

underway as are efforts that would combine SVS with a real-

time sensor image produced by an EFVS. These systems are

known as Combined Vision Systems. While SVS is currently

certified as an aid to situation awareness only, the FAA

and aviation industry are working on defining operational

concepts and airworthiness criteria that would enable SVS

to be used for operational credit in certain low visibility

conditions. Other future enhancements to SVS displays could

include integrating ADS-B to display traffic information.

Enhanced Flight Vision System

Enhanced Vision (EV) or Enhanced Flight Vision System

(EFVS) is an electronic means to provide a display of

the external scene by use of an imaging sensor, such as

a Forward-Looking InfraRed (FLIR) or millimeter wave

radar (MMWR). In 2004, 14 CFR part 91, section 91.175

was amended to reflect that operators conducting straight-

in instrument approach procedures (in other than Category

II or Category III operations) may now operate below the

published decision height (DH) or minimum descent altitude

(MDA) when using an approved EFVS shown on the pilot’s

HUD. This rule change provides “operational credit” for EV

equipage. No such credit exists for SV.

Chapter Summary

This chapter provides an introduction to aeromedical factors

relating to flight activities. More detailed information on

the subjects discussed in this chapter is available in the

Aeronautical Information Manual (AIM) and online at www.

faa.gov.

Original source PDFPublished from pages 25–30 of the recorded source chapter.
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