pilot
dehydration
By Nina Anderson
www.longlifecatalogs.com
(Nina Anderson is a Hawker pilot, FAA Wings Program human factors seminar leader
and ISSA Specialist in Performance Nutrition.)
There is scant attention given to it. Most pilots
overlook it. Some shrug it off. While others simply don’t know about its effects
in the cockpit. The problem? Pilot dehydration. Most pilots are unaware of its
devastating effects and symptoms, which can increase the risk of aircraft
incidents and accidents, even during a mildly warm day. So in order to heighten
general aviation’s awareness of this often-overlooked condition, the Federal
Aviation Administration (FAA) has recently added pilot dehydration to its list
of physiological conditions found in the latest Practical Test Standards—its
symptoms, causes, effects and corrective actions. It believes that educating
pilots about dehydration will not only decrease aircraft incidents, but also
save your life one day.
Most pilots associate dehydration with thirst and
assume that an easy fix is just to drink any type of liquid. This is not always
the case. A pilot’s dehydration condition can be caused by a lack of water
within the body cavity due to high body temperatures, a dry aircraft
environment, excess caffeine, antihistamines, inappropriate fluid intake and
other factors. Many soft drinks, teas and juice drinks do not constitute good
hydration substitutes, as they contain caffeine and sugar that may compromise
absorption of the water content.
Hot cockpits and flight lines also cause
dehydration. The 130-degree ramp at Phoenix, Arizona., for example, is an
obvious cause of dehydration. But what about the 72-degree cockpit? Pilots
should concern themselves in that environment, too, since average humidity in
the cockpit is low, causing a dramatic increase in fluid loss.
Everyone must be aware that un-replaced water
losses equal two percent of body weight and will impact your body’s ability to
regulate heat. At three percent loss, there is a decrease in muscle cell
contraction times. When fluid losses equal four percent of body weight, there is
a five to 10 percent drop in overall performance, which can last up to four
hours.
According to the Spring 2000 edition of the Federal Air Surgeon Bulletin,
there are three stages of heat exhaustion that lead to dehydration: Heat stress,
when the body temperature is at 99.5 to 100 degrees Fahrenheit; Heat exhaustion,
when the body
temperature is at 101 to 105 degrees Fahrenheit; and Heat stroke, when the body
temperature is more than 105 degrees Fahrenheit. There’s a possibility that
there’s a subtle change between one stage to another, so you need to be extra
careful and continually monitor your condition when flying in hot-weather
conditions.
The symptoms of dehydration go beyond thirst. In an
effort to respond to the brain’s need for fluid, the kidneys reabsorb water
through the urine, creating fluid retention and frequent urges to visit the
bathroom. Dry skin is also an indicator of dehydration, as the skin gets most of
its moisture subdermally. The brain is 75 percent water and, when it needs to
replace lost fluid, it can manifest certain symptoms, such as headaches,
light-headedness and fatigue. Dehydration also contributes to fuzzy thinking,
poor decision-making, dizziness and muscle fatigue. Long-term effects include
wrinkled skin, impaired memory function, dry hair, brittle nails, constipation,
susceptibility to colds and, because of extremely dry nasal passages, sinus
infections.
So how do you avoid dehydration in the cockpit?
You’ll need to permanently attach yourself to a water bottle and drink from it
regularly. The Federal Air Surgeon Bulletin suggests drinking cool,
40-degree Fahrenheit water before feeling thirsty. This will help you stay ahead
of the game, keeping you hydrated before the “thirst mechanism” sets in.
But for some, plain bottled water might be
offensive. So one alternative to water is to simply drink mineralized
(electrolyte) water. Electrolyte drinks, more commonly known as sports drinks,
are generally designed to replace the fluids (water) and electrolytes (sodium,
potassium, chromium, manganese, etc.) lost during stress, body temperature
regulation and exercise. Most contain sugars which may lower a pilots systemic
blood-sugar levels and precipitate fatigue.
The
FAA also suggests staying away from coffee, sodas and teas—otherwise called
diuretic drinks. These beverages contain caffeine, alcohol and carbonation,
which causes excess urine production or decreased voluntary fluid intake—a sure
sign of dehydration. In addition, don’t over-exercise before a flight, since it
can cause a large amount of body fluid loss that is difficult to replace
quickly. You also need to keep in mind that acclimation to a major change in
weather takes one to
two weeks, which can drastically affect your flying
abilities. Monitoring personal effects of aging, recent illness, fever,
diarrhoea or vomiting can also help you in gauging whether or not you’re
dehydrated.
But, perhaps,
the most important factor in preventing dehydration is to continually be aware
of your physiological and environmental conditions. This will help to maintain
your rehydration water intake and prevent you from progressing into heat
exhaustion and even heat stroke. It’s a good plan for a problem that can easily
be avoided—all with just a few gulps of water.
The Three
Stages Of Heat Exhaustion
1.
Heat stress (99.5° to 100° F body temperature) reduces:
2.
Heat exhaustion (101° to 105° F body temperature) symptoms:
-
Fatigue
-
Nausea/vomiting
-
Giddiness
-
Cramps
-
Rapid breathing
-
Fainting
3.
Heat stroke (above-105° F body temperature) symptoms:
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