Describe the following factors, including their effects on pilot performance and methods by which they may be minimised/managed:
Arterial disease
Coronary artery disease and Brain artery disease.
If the pilot has risk factors for coronary artery disease they must take positive steps to reduce these. If cardiac surgery eg bypass / stenting, procedures are deemed successful then they may be reassessed to be medically fit to return to flying.
Blood pressure
High blood pressure is a risk factor for coronary artery disease. The best way to reduce high blood pressure is changing your lifestyle – healthy diet, weight loss, avoiding alcohol, regular exercise. This will also help your general health, fitness and well-being. If medications are required they are need to be approved by your Doctor, but the side effects have to be minimal.
Low blood pressure increases the risk of fainting / dizziness.
Diet
Going on a ‘diet’ is not recommended for pilots as it can upset normal body function and potentially lead to hypoglycemia (low blood sugar). The term ‘diet’ implies a short term strategy when what is required is a long term change in lifestyle and eating habits.
Exercise
Most common forms of exercise are recommended for general health and fitness. Watch out for contact sports where injuries can be a preclusion to flying. Effective protection should be worn when playing potentially dangerous sports associated with loss of consciousness or eye injury (boxing, squash)
Obesity
Generally doesn’t sit right with a pilot who is trying to maintain “general good health” and can lead to later health problems. There can be problems getting in and out of the cockpit and may cause obstruction to free and full movement of controls.
Smoking
Not compatible with someone who is trying to maintain a high level of health and fitness, causes greater susceptibility to hypoxia and can lead to health problems later in life.
Respiratory tract infection/allergies
(including colds, sinus, hay fever, influenza, asthma)
These conditions can affect the pilots clarity of thinking and decisive reactions will be less. A blockage of the Eustachian tubes can cause pain due to pressure changes and loss of the ability to equalise, in the worst case lead to the rupture of the eardrum and dizziness also associated with this. If a cold is mild and the pilot can equalise the ears easily – then they may be allowed to fly.
Food poisoning and gastroenteritis
Not good if a toilet is needed frequently. Can be associated with pain, dehydration and reduced energy levels. There is a tendency to reduce food intake which is also not good.
Neurological factors
(including fits/epilepsy, brain injury, fainting, headaches, migraines)
Anyone who can become incapacitated in the cockpit is not allowed to fly.
Emotional factors (including depression and anxiety)
High stress levels generally negatively affect performance. A chronic or current mental illness is not compatible with flying. A past brief mental illness such as a reactive depression may result in an assessment and fitness to fly so long as a full recovery has been made.