alcohol and
aviation
by Dr's. Guillermo Salazar and Melchor Antuņano
Alcoholic beverages used by many to "unwind" or relax, act as a social
"ice-breaker," a way to alter one's mood by decreasing inhibitions.
Alcohol consumption is widely accepted, often providing the cornerstone of
social gatherings and celebrations. Along with cigarettes, many
adolescents associate the use of alcohol as a rite of passage into
adulthood. While its use is prevalent and acceptable in our society, it
should not come as a surprise that problems arise in the use of alcohol
and the performance of safety-related activities, such as driving an
automobile or flying an aircraft. These problems are made worse by the
common belief that accidents happen "to other people, but not to me."
There is a tendency to
forget that flying an aircraft is a highly demanding cognitive and
psychomotor task that takes place in an inhospitable environment where
pilots are exposed to various sources of stress.
Hard facts about
alcohol
-
It's a sedative,
hypnotic, and addicting drug.
-
Alcohol quickly impairs
judgment and leads to behaviour that can easily contribute to, or cause
accidents.
The erratic effects of
alcohol
Alcohol is rapidly
absorbed from the stomach and small intestine, and transported by the
blood throughout the body. Its toxic effects vary considerably from person
to person, and are influenced by variables such as gender, body weight,
rate of consumption (time), and total amount consumed.
The average, healthy
person eliminates pure alcohol at a fairly constant rate - about one-third
to one-half oz. of pure alcohol per hour, which is equivalent to the
amount of pure alcohol contained in any of the popular drinks listed in
Table 1. (note: tables not included in this text.) This rate of
elimination of alcohol is relatively constant, regardless of the total
amount of alcohol consumed. In other words, whether a person consumes a
few or many drinks, the rate of elimination of alcohol from the body is
essentially the same. Therefore, the more alcohol an individual consumes,
the longer it takes his/her body to get rid of it.
Even after complete elimination of all of
the alcohol in the body, there are undesirable effects-hangover-that can
last 48 to 72 hours following the last drink. The majority of adverse
effects produced by alcohol relate to the brain, the eyes, and the inner
ear-three crucial organs to a pilot. Brain effects include impaired
reaction time, reasoning, judgment, and memory. Alcohol decreases the
ability of the brain to make use of oxygen. This adverse effect can be
magnified as a result of simultaneous exposure to altitude, characterized
by a decreased partial pressure of oxygen. Visual symptoms include eye
muscle imbalance, which leads to double vision and difficulty focusing.
Inner ear effects include dizziness, and decreased hearing perception. If
such other variables are added as sleep deprivation, fatigue, medication
use, altitude hypoxia, or flying at night or in bad weather, the negative
effects are significantly magnified.
Studies of how alcohol affects pilot
performance
Pilots have shown impairment in their
ability to fly an ILS approach or to fly IFR, and even to perform routine
VFR flight tasks while under the influence of alcohol, regardless of
individual flying experience. The number of serious errors committed by
pilots dramatically increases at or above concentrations of 0.04% blood
alcohol. This is not to say that problems don't occur below this value.
Some studies have shown decrements in pilot performance with blood alcohol
concentrations as low as the 0.025%.
Studies of fatal accidents
This information is based on the analysis
of blood and tissue samples from pilots involved in fatal aviation
accidents.
Hangovers are dangerous
A hangover effect, produced by alcoholic
beverages after the acute intoxication has worn off, may be just as
dangerous as the intoxication itself. Symptoms commonly associated with a
hangover are headache, dizziness, dry mouth, stuffy nose, fatigue, upset
stomach, irritability, impaired judgment, and increased sensitivity to
bright light. A pilot with these symptoms would certainly not be fit to
safely operate an aircraft. In addition, such a pilot could readily be
perceived as being "under the influence of alcohol."
You are in control
Flying, while fun and exciting, is a
precise, demanding, and unforgiving endeavor. Any factor that impairs the
pilot's ability to perform the required tasks during the operation of an
aircraft is an invitation for disaster. The use of alcohol is a
significant self-imposed stress factor that should be eliminated from the
cockpit. The ability to do so is strictly within the pilot's control.
Federal Aviation Regulation (FAR) 91.17. The use of alcohol and drugs by
pilots is regulated by FAR 91.17. Among other provisions, this regulation
states that no person may operate or attempt to operate an aircraft:
- within 8 hours of having consumed
alcohol
- while under the influence of alcohol
- with a blood alcohol content of 0.04%
or greater
- while using any drug that adversely
affects safety
Keep in mind that regulations alone are no
guarantee that problems won't occur. It is far more important for pilots
to understand the negative effects of alcohol and its deadly impact on
flight safety.
General Recommendations
1. As a minimum, adhere to all the
guidelines of FAR 91.17: 8 hours from "bottle to throttle" do not fly
while under the influence of alcohol do not fly while using any drug that
may adversely affect safety
2. A more conservative approach is to wait
24 hours from the last use of alcohol before flying. This is especially
true if intoxication occurred or if you plan to fly IFR. Cold showers,
drinking black coffee, or breathing 100% oxygen cannot speed up the
elimination of alcohol from the body.
3. Consider the effects of a hangover.
Eight hours from "bottle to throttle" does not mean you are in the best
physical condition to fly, or that your blood alcohol concentration is
below the legal limits.
4. Recognize the hazards of combining
alcohol consumption and flying.
5. Use good judgment. Your life and the
lives of your passengers are at risk if you drink and fly.
Ideally, total avoidance of alcohol should
be a key element observed by every pilot in planning or accomplishing a
flight. Alcohol avoidance is as critical as developing a flight plan, a
good preflight inspection, obeying ATC procedures, and avoiding severe
weather.
QUIZ
To test your knowledge of alcohol, fill in
the blanks.
1. Over ____ % of American adults consume
alcohol.
2. Per capita consumption of alcohol in
the U.S. is about ____ gallons per year.
3. Alcoholic beverages are marketed in a
variety of forms, with ____ and ____ being the most liked.
4. Blood alcohol levels above ____ % are
considered "under the influence" in most states for motor vehicle
operation.
5. Different alcoholic beverages have
different concentrations of alcohol; however, their total alcohol content
can be ______ _______. For example, a pint of beer contains as much
alcohol as a ____ ounce glass of _______ ________ . Therefore, the notion
that drinking low-concentration alcoholic beverages is safer than drinking
hard liquor is erroneous.
6. The total alcohol content of any
alcoholic beverage can be easily calculated using the following formula:
"Proof" divided by ____ is equal to percent pure alcohol.
ANSWERS TO QUIZ
ALCOHOL USE IN AMERICA
1. Over 50 % of all American adults
consume alcohol.
2. Per capita consumption is about 25
gallons per year.
3. Alcoholic beverages are marketed in a
variety of forms, with wine and beer being the most liked.
4. Blood alcohol levels above 0.08 to 0.10
% (80-100 mg of alcohol per 100 mL of blood) are considered "under the
influence" in most states for motor vehicle operation.
5. Different alcoholic beverages have
different concentrations of alcohol; however, their total alcohol content
can be the same. For example, a pint of beer contains as much alcohol as a
5 H ounce glass of table wine. Therefore, the notion that drinking
low-concentration alcoholic beverages is safer than drinking hard liquor
is erroneous.
6. The total alcohol content of any
alcoholic beverage can be easily calculated using the following formula:
"Proof" divided by 2 = percent pure alcohol.
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