Skip to main content

Military Health System

The Need for Speed Requires Intense Training

Image of  Military personnel conducts routine ops in US 3rd Fleet. Military personnel conducts routine ops in US 3rd Fleet

Recommended Content:

Health Readiness & Combat Support | Education & Training | Physical Fitness

This summer's blockbuster movie showcases some amazing feats by military aviators, pushing the envelope beyond 10 Gs and incredible combat maneuvers.

But, initial military aviation training focuses not just on the Gs, but learning to control an aircraft, while also understanding the physiology of acceleration forces on the body.

Being able to maneuver an aircraft while withstanding high levels of gravitational forces, or G-forces, is a key component to training for combat aviation. But mishap prevention and survival, and enhancing and sustaining performance all play a role.

If you've ever been on a rollercoaster, you've felt a minimal amount of the G-forces and the effects the acceleration that aviators experience.

For military aviators, their training requires that they learn how to deal with sometimes severe G-forces and negative G-forces that change rapidly, especially in combat operations. Those G-forces affect all aviators to some degree, whether they fly fixed wings, jets, turboprop aircraft or helicopters.

G-Forces

Military aviators first learn the basics of the flight physiology and its impact on the human cardiovascular system during the lecture portion of their training with aerospace physiology personnel.

Next, these aviators learn how to avoid or overcome what is called G-induced loss of consciousness, also known as GLOC.

"That's when the blood leaves your brain. After about five seconds, you're lights out," said Navy Cmdr. Timothy Welsh, who is the director of the Aviation Survival Training Center, Naval Air Station Pensacola, Florida, part of the Naval Survival Training InstituteNaval Survival Training Institute.

To combat GLOC, military aviators learn the anti-G straining maneuver, which is a series of isometric abdominal and leg muscle contractions that help to keep blood flowing up toward the heart and brain and not downward.

Aviators are also taught breathing techniques that are a primary method of resisting GLOC.

In the Navy, aviators are taught the Hick maneuver. The term alludes to the sounds the pilot makes while saying the word Hick as they breathe in and out.

The Air Force also teaches a respiratory component, which means "every three seconds, we're going to do a rapid half-second exchange of air where we want to move the equal amount of air out and right back in," explained Air Force Maj. Stuart Sauls, who is the acceleration training branch chief in the Air Force Research LaboratoryAir Force Research Laboratory 711th Human Performance Wing at Wright-Patterson Air Force BaseWright-Patterson AFB in Dayton, Ohio.

"We want pilots to do a very calm breath hold because that allows them to control their air and their chest pressure much better," said Sauls.

In the respiratory component, "air exchanges briefly drop pressure around the heart to allow for that blood flow to continue properly, he said. "Then pilots have to get that air right back in and block it back off in the lungs so that we can get pressure back because, if they don't, they can lose consciousness."

Pressure suits are another way for aviators to reduce the amount of blood going into their extremities under G-forces. These are worn on the lower limbs and the abdomen.

Pressure suits also have a "tactile function" as they start to inflate, Welsh explained.

Military personnel exits aircraft centrifuge
U.S. Air Force Staff Sgt. Joe Pick, 1st Combat Camera Squadron, exits the centrifuge at the 711th Human Performance Wing, Wright-Patterson Air Force Base, Dayton, Ohio, April 5, 2021.

Training Includes Centrifuges

In the Air Force, undergraduate pilots begin flight training on the T-6 single prop airplane - so they can experience moderate G-forces.

The next step is the T-38 trainer for fighter aircraft. Before pilots can train in that aircraft they go to AFRL in Dayton for tests of exposure to severe G-forces at the only DOD human-rated centrifuge.Wright Patterson News

The centrifuge can produce up to nine Gs, or nine times the normal force of gravity, to measure the student's ability to counteract the effects of G-forces to prevent GLOC.

Jet aviators must be able to sustain sudden changes in pressure and altitude at speeds approaching or exceeding the speed of sound and gravitational forces up to nine times the normal pull (9Gs). If an Air Force student aviator is assigned to F-15s, F-16s, F-22s or F-35s, they go back to Wright-Patterson AFB for more centrifuge training qualification.

Naval aviators get centrifuge testing at Brooks City Base in San Antonio, Texas. That centrifuge can produce more than seven-and-a-half Gs with various onset rates, Welsh said.

Both the Air Force and Navy also have a "low fidelity simulator" that connects an aviator's oxygen mask to a box "that scrubs oxygen out of the air they're breathing, and increases the amount of nitrogen they're breathing. They become hypoxic, meaning they lack of adequate oxygen levels to perform," Welsh explained. The pilots learn emergency procedures to overcome various physiological episodes that could cause incapacitation.

Water Survival Training

The highest risk training done by the Navy is water survival training, Welsh said. That is a whole day of learning how to prevent panic and to stay calm in extreme situations. "The primary objective of our water survival training is water comfort and controlling your fear," Welsh said.

In the water, instructors flip aviators upside down, blindfold them in a dunker while they're in their full gear – flight suits, boots, survival helmets, and a life preserver. The aviators also learn swimming strokes, and how to hold on to reference points.

One of the most difficult training drills is when their life preserver fails to inflate, Welsh said. In that situation, the pilots have to tread water with all their gear on and manually inflate the life preserver.

Nutrition and Exercise to Optimize Performance

The military trainers teach aviators about proper nutrition and exercise to optimize performance.

"Much like maintaining an aircraft, it's maintaining your body," Welsh said.

"If you don't give your body the proper amount of fuel, the right types of fuel, meaning calories, or the right types of food groups," pilots' bodies will not be able to stand up to a barrage of high G-force maneuvers, he said.

Low blood glucose levels can also impact G-force performance, Sauls said. Proper hydration and enough sleep to combat fatigue are also necessary, because human factors are the biggest cause for aviation mishaps, Welsh said.

The Air Force relies on lower body and core strength training. That means "we're going to think heavier weight, lower repetitions. Things like squats, lunges, and deadlifts really build up that base, improve that frame," Sauls said.

"And then from a cardiovascular standpoint, to best mirror the operational environment, we would lean more toward high-intensity interval training, sprint intervals, circuit training, only get a heart rate up for a short period, then rest and repeat."

Some bases are now hiring dietitians and conditioning coaches, Sauls added. The 19th Air Force19th Air Force at Joint Base San Antonio-Randolph, which oversees Air Force pilot training, has created formal instruction on how pilots can improve their diet and exercise.

The Army Aviation Center of ExcellenceArmy Aviation Center of Excellence is the Army Aviation Branch's training and development center, located at Fort Rucker, Alabama.

USAACE trains and develops "agile and adaptive" Army aviators, manages the aviation enterprise, and "integrates aviation capabilities and requirements across the warfighting functions to enable commanders and soldiers on the ground to fight and win in an increasingly complex world."

You also may be interested in...

Army Recovery Care Coordinator Guides Veterans, Caregivers in Recovery

Article
11/12/2021
Nadlyn Snape_725

A warrior care coordinator shares how she supports recovering service members, their families and caregivers.

Recommended Content:

Health Readiness & Combat Support | IHD COVID-19 Vaccine Resource Center for Health Care Personnel | Immunization Healthcare Division

MHS Reaches 6 Million Doses of Vaccine Against COVID

Article
11/10/2021
Airmen of the 139th Airlift Wing, Missouri Air National Guard, receive COVID-19 immunizations as a part of the federal mandate at Rosecrans Air National Guard Base, St. Joseph, Missouri, Oct. 2, 2021. The 139th Medical Group oversees the operation. .

Military passes 6 million mark for COVID-19 shots administered across the Military Health System.

Recommended Content:

Health Readiness & Combat Support | Coronavirus & the MHS Response | COVID-19 Vaccine Efforts | COVID-19 Information for Military Treatment Facility Directors

Giving Back Helps Veteran Caregiver Connect with Military Caregivers

Article
11/10/2021
DHupko Image_725

Giving back helps veteran caregiver connect with other military caregivers to build a community of support.

Recommended Content:

Health Readiness & Combat Support

Are You Prepared for Flu Season? Let TRICARE Help.

Article
11/1/2021
A hospital corpsman administers an influenza vaccination to an airman as part of a seasonal shot exercise onboard Naval Air Station Sigonella.

Flu season is here once again. Are you prepared? With the COVID-19 Delta variant​ continuing to spread and our health care system overburdened, it’s important for all of us to help combat the spread of flu. And the best way to do so is to get a flu shot.

Recommended Content:

Health Readiness & Combat Support | Total Force Fitness

MSMR Vol. 28 No. 11 - November 2021

Report
11/1/2021

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Update: Cold weather injuries, active and reserve components, U.S. Armed Forces, July 2016–June 2021; Brief report: The challenge of interpreting recurrent SARS-CoV-2 positive tests among military service members, Fort Jackson, SC, 2020–2021; Surveillance snapshot: History of COVID-19 vaccination among Air Force recruits arriving at basic training, 2 March–15 June 2021; Surveillance snapshot: Influenza immunization among U.S. Armed Forces health care workers, August 2016–April 2021

Recommended Content:

Health Readiness & Combat Support | Public Health

New MHS Podcast Explores Women’s Health in the Military

Article
10/27/2021
KeyserTL 465 x 220 px

The new podcast series, Wise Health for Women Warriors, aims to help servicewomen overcome the specific health care obstacles they encounter.

Recommended Content:

Health Readiness & Combat Support | Women's Health

Listen to Your Body: If It Doesn’t Feel ‘Good,’ It Probably Isn’t

Article
10/27/2021
Three soldiers running on blacktop road in the country

Avoiding serious injuries when it comes to working out is all about knowing how to interpret signals from your body and knowing the difference between ‘good’ and ‘bad’ pain, experts say.

Recommended Content:

Physical Fitness | Pain Management

Ultra-Endurance Military Athletes: What Motivates Them?

Article
10/25/2021
U.S. Coast Guard Lt. Cmdr. Duane Zitta on top of a mountain

For some, sports are a way to stay fit, for extreme endurance military athletes, it’s a way of life and a way to challenge themselves physically and mentally.

Recommended Content:

Total Force Fitness | Physical Fitness

Practice makes perfect: Uniformed Services University students learn combat casualty care

Article Around MHS
10/22/2021
An instructor gives advice on how a team of medical school students at the Uniformed Services University should work on their simulated patient during the Advanced Combat Medical Experience. 

The Advanced Combat Medical Experience (ACME), a four-day medical field practicum at the Uniformed Services University of the Health Sciences (USU), is intense

Recommended Content:

Health Readiness & Combat Support | Uniformed Services University of the Health Sciences

Ask the Doc: Am I Running Too Much?

Article
10/21/2021
Marine Corps recruits run in formation

Doc talks to Navy Lt. Cmdr. Aaron Stoll, a physical therapist at Naval Hospital Jacksonville, about the causes and cures for pain resulting from running.

Recommended Content:

Pain Management | Physical Fitness | Ask The Doc

WICC Podcast

Photo
10/18/2021

Today’s female service member population is now at 17%.

Recommended Content:

Health Readiness & Combat Support | Warrior Care | Total Force Fitness

Expeditionary Medical Force Brings Optimal Readiness in Pacific Region

Article Around MHS
10/18/2021
A male soldier talks about a chart to to a female sailor.

The 121st Field Hospital of the 549th Hospital Center recently introduced an innovative way to increase medical Soldiers’ proficiency and competency by enhancing access to the field hospital equipment.

Recommended Content:

Health Readiness & Combat Support

Tips for How to ‘Train Right’ and Avoid Injuries During Sports and PT

Article
10/13/2021
Military personnel in physical threapy

Physical training, recreational activities, and sports are key to service members’ health but musculoskeletal injuries due to sudden incidents and repeated stress or overuse are the biggest health problem in the U.S. military.

Recommended Content:

Total Force Fitness | Physical Fitness

Momentum builds as Army implements Holistic Health and Fitness

Article Around MHS
10/5/2021
Soldiers prepare to exercise.

The Army’s implementation of Holistic Health and Fitness, or H2F, has made significant progress over the past year as the Army’s primary investment in Soldier readiness and lethality.

Recommended Content:

Physical Fitness

MSMR Vol. 28 No. 10 - October 2021

Report
10/1/2021

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Update: Cold weather injuries, active and reserve components, U.S. Armed Forces, July 2016–June 2021; Brief report: The challenge of interpreting recurrent SARS-CoV-2 positive tests among military service members, Fort Jackson, SC, 2020–2021; Surveillance snapshot: History of COVID-19 vaccination among Air Force recruits arriving at basic training, 2 March–15 June 2021; Surveillance snapshot: Influenza immunization among U.S. Armed Forces health care workers, August 2016–April 2021

Recommended Content:

Health Readiness & Combat Support | Public Health
<< < ... 11 12 13 14 15  ... > >> 
Showing results 151 - 165 Page 11 of 43
Refine your search
Last Updated: July 20, 2022
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on Twitter Follow us on YouTube Sign up on GovDelivery