Emergency Stress: Improving Pilot performance during unexpected critical events
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1 Emergency Stress: Improving Pilot performance during unexpected critical events Wayne Martin Griffith University Aerospace Safety Centre, Brisbane, Australia Griffith Aviation Griffith Aerospace Safety Centre Safety Through Education and Research
2 Griffith Aerospace Safety Centre
3 The curse of ubiquitous normalcy The ubiquitous reliability of the modern aircraft has done tremendous things for airline safety. One of the by-products of this tremendous reliability however, is a semi-realistic expectation amongst pilots that things will very rarely ever go wrong.
4 A conditioned expectation of normalcy While Pilots may practise emergencies in a simulator for perhaps an avarage of four days a year, the remainder of the 360+ days are often routine and emergency-free. On those rare occasions when things do go wrong, then a lack of expectation and sense of self-efficacy can produce some heightened stress reactions, with negative outcomes on situation outcome.
5 Some recent examples of unexpected events Turkish Airlines Amsterdam 2009
6 Some recent examples of unexpected events Colgan Air Buffalo 2009
7 Some recent examples of unexpected events Air France Atlantic Ocean 2009
8 Emotional Response in the Human brain So why do pilots underperform during these critical events? The answer lies in the brain.
9 Emotional Response in the Human Brain Emotional Stimulus Thalamus LA Amygdala CE CG LH Freezing Blood Pressure PVN Hormones RPC Startle Reflex
10 Emotional Response in the Human Brain SENSORY CORTEX PROCESSING ROUTE (700+ms) SENSORY THALAMUS QUICK and DIRTY ROUTE (14+ms) AMYGDALA EMOTIONAL STIMULUS EMOTIONAL RESPONSE
11 Emotional Response (Fight or Flight) Amygdala Hypothalamus Activates sympathetic nervous system Activates the adrenalcortical system by releasing CRF Activates adrenal medulla Pituitary Gland secretes hormone ACTH Impulses activate glands and smooth muscles Releases norepinephrine bloodstream Releases epinephrine ACTH arrives at the adrenal cortex and releases approx. 30 hormones Neural activity combines with hormones in the bloodstream to constitute fight-or-flight response
12 Emotional Response in the Human body Activation of the sympathetic nervous system then has the following effects: dilates the pupils and opens the eyelids stimulates the sweat glands increases the heart rate opens up the bronchial tubes of the lungs inhibits the secretions in the digestive system creates auditory exclusion and tunnel vision dilates the blood vessels in large muscles (300% increase in blood flow) constricts the blood vessels in the rest of the body diminishes processing in the frontal cortex
13 Dynamic Mortality Salience Mortality Salience is: the enhanced awareness that people engaged in dangerous tasks have of the likelihood of personal injury or death In the context of an aircraft emergency, this realisation presents itself as an appraisal that a situation is life threatening or potentially harmful. Griffith Aerospace Safety Centre
14 A Conceptual Model of Appraisal and Information Processing Environmental Event Primary Appraisal Benign, Positive or Irrelevant Loss/ Harm Threat/Challenge Secondary Appraisal Defence or Coping Mechanism Employed Reappraisal Ignore OR Assign Attentional Resource Problem Focussed Coping Emotion Focussed Coping Perception Attentional Channelling Normal Information Processing Perception Degraded Information Processing
15 NATURALISTIC DECISION MAKING Attention and Perception Cues Eyes Ears Nose Touch Taste Situation Assessment Choice Action Hypothesis Generation Risk Assessment Action Generation Long Term Memory Griffith Aerospace Safety Centre
16 REDUCING PATHOLOGICAL STRESS EFFECTS So how do we improve performance under acutely stressful conditions? - By increasing level of expectation - By increasing knowledge breadth and depth to allow more experiential based choices during naturalistic decision making - By increasing sense of efficacy and thereby engendering more positive appraisals Griffith Aerospace Safety Centre
17 What would you do if...? A ten week pilot study at a New Zealand based International Airline Designed to gauge attitudes to scenario based discussions of novel and emergency inflight events Participants encouraged to discuss during quiet periods in the cruise, what they would do if something unusual and/or unexpected happened Very positive results Griffith Aviation Griffith Aerospace Safety Centre Safety Through Education and Research
18 Do you think that these discussions have raised your expectation level for surprise events? Griffith Griffith Aviation Aerospace Safety Centre Safety Through Education and Research
19 As a result of these discussions do you think that you would be better prepared to handle one of these novel or emergency events if it happened unexpectedly? Griffith Aviation Griffith Aerospace Safety Centre Safety Through Education and Research
20 Summary The ubiquitous reliability of the modern aircraft engenders a conditioning toward an expectation of normalcy. The key to overcoming pathological stress effects arising from this conditioned state, is to increase expectation and efficacy amongst the pilot group. While scenario based learning is common in military and training operations, a change in pilot culture is needed to make this common place in normal line operations. Griffith Aviation Griffith Aerospace Safety Centre Safety Through Education and Research
21 Summary Interventions such as IATA s ITQI / EBT are starting to focus training interventions on the type of events that do occur most regularly in modern aircraft. As well as the common problems, these types of initiatives also allow pilots to practise managing black swan or rare event scenarios, and to develop some strategies for dealing with unusual events. Holistically applied initiatives to develop Pilot efficacy and management capabilities can only have positive effects on performance under stress. Griffith Aviation Griffith Aerospace Safety Centre Safety Through Education and Research
22 Griffith Aerospace Safety Centre QUESTIONS?
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