M.D.H.C.H.O.S.E.N.S
M – Motion Sickness
Caused by inner ear conflict and motion not matching visual cues.
Leads to nausea, dizziness, and fatigue.
D – Drugs and Alcohol
Includes all impairing substances, even legal prescriptions and over-the-counter meds.
FAA: 8 hours bottle to throttle, 0.04% BAC limit. 12 hours for L3Harris.
Effects can linger longer than the hangover.
H – Hypoxia (Four Types)
Hypoxic – Not enough oxygen in the air (e.g., high altitude).
Hypemic – Oxygen cannot bind to the blood (e.g., CO poisoning, anemia).
Stagnant – Poor circulation (e.g., G-forces, cold temperatures).
Histotoxic – Cells cannot use oxygen (e.g., alcohol, narcotics).
C – Carbon Monoxide Poisoning
Odorless, colorless gas from exhaust leaks.
Binds to hemoglobin, preventing oxygen transport.
Symptoms: headache, drowsiness, confusion.
H – Hyperventilation
Excessive breathing without exertion.
Reduces CO₂ → dizziness, tingling, and possible loss of consciousness.
Remedy: slow breathing, talk aloud, or breathe into a bag.
O – Oxygen Requirements and Recommendations
12,500–14,000 ft MSL: Crew must use oxygen if exposure exceeds 30 minutes.
Above 14,000 ft MSL: Crew must use oxygen continuously.
Above 15,000 ft MSL: Oxygen must be available to passengers.
Recommendation: Use oxygen at night above 5,000 ft MSL because the rods in your eyes use more oxygen. 10,000 ft during the day.
S – Sinus Blockage
Pressure changes during climb or descent cause sinus pain or blockage.
Can lead to vertigo, discomfort, or loss of concentration.
Avoid flying when congested.
E – Ear Blockage (Barotrauma)
Similar to sinus blockage, affects the eustachian tubes.
May cause hearing loss, vertigo, or sharp pain.
Swallowing or yawning can help equalize pressure.
N – Night Vision
Impaired by bright lights, oxygen deficiency, and fatigue.
Takes about 30 minutes to fully adapt.
Use red lights and avoid looking directly at bright sources.
S – Scuba Diving Regulations
Wait 12 hours if flying below 8,000' and a controlled ascent was not required.
Wait 24 hours if flying above 8,000' or if a controlled ascent was required.
Flying too soon can lead to decompression sickness (the bends).
I.C.E.F.L.A.G.S
I – Inversion Illusion
Cause: Abrupt change from climb to straight-and-level flight.
Illusion: The pilot feels as if the aircraft is tumbling backward.
Danger: May cause the pilot to push the nose down abruptly, risking a dive.
C – Coriolis Illusion
Cause: A constant rate turn followed by an abrupt head movement (e.g., checking a chart).
Illusion: The sensation of turning, tumbling, or accelerating in multiple axes.
Danger: Can lead to disorientation and erratic control movements.
E – Elevator Illusion
Cause: Updraft or downdraft (vertical acceleration).
Illusion: An upward acceleration feels like the nose is pitching up.
Danger: May lead the pilot to push the nose down, risking a descent.
F – False Horizon
Cause: Misleading visual cues such as sloping cloud decks, city lights, or stars.
Illusion: The pilot aligns the aircraft with the false horizon, not the true one.
Danger: Results in unusual attitudes or banking unintentionally.
L – Leans
Cause: Entering a banked turn too slowly for the semicircular canals to detect.
Illusion: The pilot believes the aircraft is level when it is actually banked.
Danger: When returning to true level flight, the pilot feels a lean and may re-bank.
A – Autokinesis
Cause: Staring at a single stationary light against a dark background.
Illusion: The light appears to move on its own.
Danger: Pilot may maneuver the aircraft to follow this imaginary motion.
G – Graveyard Spiral
Cause: Prolonged turn creates the illusion of not turning.
Illusion: When leveling the wings, the pilot feels a turn in the opposite direction.
Danger: The pilot may return to the original turn, losing altitude and tightening the spiral.
S – Somatogravic Illusion
Cause: Rapid acceleration (e.g., during takeoff).
Illusion: The sensation of a nose-up pitch.
Danger: May cause the pilot to push the nose down, risking terrain impact, especially on takeoff.
F.R.A.G.
F – Featureless Terrain
Occurs over dark, uniform, or textureless terrain such as snow, water, or open fields.
Illusion: Aircraft appears higher than it is.
Hazard: Pilot flies too low, risking an undershoot or controlled flight into terrain (CFIT).
R – Runway Width and Slope Illusion
A narrow runway appears farther away → illusion of being higher → low approach.
A wide runway appears closer → illusion of being lower → high approach.
Upsloping runway appears steeper → illusion of being higher → low approach.
Downsloping runway appears shallower → illusion of being lower → high approach.
A – Atmospheric Conditions (Clarity or Haze)
Hazy or foggy atmosphere causes illusion of greater distance → low approach.
Unusually clear air gives illusion of being closer → high approach.
G – Ground Lighting
Lights along highways, buildings, or terrain mimic runway lighting.
May cause misalignment or landing on incorrect surface.
I.M.S.A.F.E.+
Illness
Medication
Stress
Alcohol
8 hours after consumption
Not under the influence
Blood alcohol content of 0.04%
Fatigue
Acute: Short term
Chronic: Long term, psychological roots, underlying disease
Eating/Emotions
External Pressure
P.A.V.E.
Pilot
Aircraft
enViroment
External Pressure
3P Checklist
Perceive the given set of circumstances for a flight
Process by evaluating their impact on flight safety
Perform by implementing the best course of action
5P Checklist
Plan
Plane
Pilot
Passenger
Programming
D.E.C.I.D.E.
Detect the problem
Estimate the need to react
Choose a course of action
Identify solutions
Do the necessary actions
Evaluate the effect of actions
The lack of orientation with regard to the position, attitude, or movement of the airplane in space. The body uses three integrated systems that work together to ascertain orientation and movement in space. When these are disrupted, it can lead to spacial disorientation.
Vestibular: organs in the inner ear that sense position by balance.
Somatosensory: nerves in the skin, muscles, and joints that sense position based on gravity, feeling, and sound.
Visual: eyes sense position based on what is seen.