May 2008
Pilot
Unconscious, Passenger Lands Plane
A friend
and fellow pilot is about to lose his
livelihood. He has a problem with
his eyes that will be picked up on his
next medical. As we get older, we
become more and more concerned about it
happening to us. A few years back,
I had a personal experience which
fortunately was resolved as a
misunderstanding and mix-up in paperwork
between physicians. But for about
a week, it wasnt a good feeling to
think I could be grounded indefinitely.
Perhaps the
requirements for a category one medical
are a bit too strict. After the age
of 40, a commercial pilot is obliged to
pass the exam every six months, and face
an ECG every 12 months. On the
other hand, who would want to be aboard
the aircraft with a pilot who is unable
physically and mentally to fly? As
far as his emotional condition during a
flight is concerned, unfortunately
theres no way to police that under
current regulations.
Although it
does happen, it is rare that a pilot is
disabled to the point where he cannot
control his airplane. Heart attacks
do occur. Gastrointestinal
disorders are in fact, quite common, but
rarely totally debilitating. Insulin
shock can render the diabetic helpless,
sometimes unconscious. But
insulin-dependent diabetics are
restricted from holding a cat one
medical. Proven cases of diabetes
mellitus may be considered fit provided
certain specific control criteria are
met. Movies and television play up the
possibilities and produce dramatic
accounts of an aircraft in distress where
the unconscious pilot is tossed aside by
a pilot-wanna-be passenger who
successfully lands the airplane, which is
chased down the runway by a cluster of
fire engines.
Only in the
movies you say? Documented cases
prove that in reality, this type of thing
does happen!
In February
of 2002, a ten-passenger Cessna 402 was
on a flight between the island of Marthas
Vineyard and Hyannis, Massachusetts.
The short 15 minute commute carried three
businessmen, a female security official
from the airline, and the pilot. The
security employee became concerned when
she noticed the plane was off-course, and
the pilot began acting inappropriately.
It was obvious that he was unable to
control the aircraft. At the time,
this security employee was also a student
pilot, and had about 48 hours logged in
small aircraft. The other
passengers were non-pilots. With
their assistance, she was able to climb
into the right seat, and as the captain
was restrained by the passengers, she
assumed control. Totally unfamiliar
with the radios, twin-engine operation,
retractable gear and instrument
procedures, this was about to turn into
an experience that could have been a
movie script.
Cessna 402.
Photo borrowed from
home.global.co.za
Fortunately,
the new pilot had done some cross-country
work in the area, and recognized a
familiar airport below. In the
darkness she was able to execute a
successful, wheels-up landing at the
uncontrolled field, from which everyone
aboard walked away uninjured.
The
investigation revealed that the captain
was in a state of insulin shock.
He was a diabetic but had somehow managed
to keep that fact from the FAA for his
entire career. In his early
50s he controlled his blood sugar
levels well enough to stay out of
trouble, but as is the case with so many
who suffer from the condition,
circumstances sometimes catch up and
overwhelm the patient before hes
able to correct the problems.
In my work
as a paramedic, it would be impossible to
count the number of diabetics we
responded to. Insulin shock occurs
when blood-sugar levels drop below the
point where the brain can function
properly. The first signs include a
decreased level of consciousness. The
patient becomes confused, incoherent, and
can progress to aggressive
and violent behavior, seizures,
unconsciousness and even death. It
happens quickly. Fortunately, the
condition is pretty much always
reversible just as quickly with
administration of IV glucose. In
just a few minutes, the paramedics have
the situation under control with a fully
coherent patient sitting up and wondering
what just happened. These calls
were usually very gratifying.
The captain
of the flight was charged with making
false statements to a federal agency (the
FAA) and early in 2008 pled guilty.
He received a sentence of 16 months in
jail and 2 years probation following the
jail term. He had managed to
control and conceal his insulin
dependency for many years. Its
fortunate no one was injured or killed in
this incident.
The next
time youre tempted to stretch the
truth, omit a few details or actually lie
to your aviation medical examiner,
remember the consequences can be severe.
The whole
adventure makes for good discussion
around the coffee table. What would
you do if you needed to take control of
an airplane and had little or no pilot
training?
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